炎症性腸疾患と唾液中α1,2-フコースの免疫病理学的関連性

学位の種別: 課程博士審査委員会委員 : （主査）東京大学教授 藤尾 圭志, 東京大学准教授 近藤 健二, 東京大学教授 佐藤 伸一, 東京大学講師 川合 一茂, 東京大学教授 三宅 健介University of Tokyo(東京大学

Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report

AbstractFacial baroparesis is a rare transient facial nerve palsy caused by compression of the tympanic segment of the facial nerve. However, otolaryngologists are lacking sufficient information about the course and treatment of this disease. We report a case of facial baroparesis relieved by endoscopic sinus surgery (ESS). A 41-year-old man presented with a one-year history of recurrent right facial palsy that only developed during altitude changes in an aircraft. Computed tomography (CT) of the temporal bone revealed dehiscence of the tympanic portion of the facial nerve canal. Based on the CT finding and clinical course, the patient was diagnosed with facial baroparesis. He was also diagnosed with chronic rhinosinusitis with nasal polyps (CRSwNP), and thereafter underwent ESS. For 4 years after surgery, he has not experienced facial palsy during airplane altitude changes. To our knowledge, this is the first case report of facial baroparesis relieved by ESS

Surgical drainage of pediatric gas-containing orbital subperiosteal abscess

AbstractAn orbital subperiosteal abscess (SPA) is a serious complication associated with acute rhinosinusitis (ARS). However, no established guidelines are available for the management of this condition in pediatric patients. We report a case of pediatric gas-containing ARS-induced SPA treated with surgical drainage. A 5-year-old boy was referred to our hospital for treatment of ARS-induced orbital complications. A computerized tomography (CT) revealed opacification of the sinuses and fluid collection with gas in the subperiosteal space of the orbital medial wall. Based on these findings, the patient was diagnosed with ARS-induced SPA and received an antibiotic therapy and thereafter underwent surgical drainage. Sinus CT performed at the 6-month follow-up confirmed regeneration of the orbital medial wall that was surgically resected. Currently, there is no report regarding as optimal surgery of pediatric SPA and postoperative condition. This is the first report of pediatric SPA in which regeneration of resected orbital wall was confirmed