Mutsumi Sugiura

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The purpose of this study was to investigate the clinical value of assessing pharyngeal swallowing elicited by fluid infusion. Videoendoscopic examinations were performed in 126 patients with dysphagia, after injecting a fluid infusion into the pharyngeal cavity. Blue dye fluid was instilled into the unilateral vallecula through a catheter that was inserted(More)
Recent studies suggest that gastroesophageal reflux disease (GERD) may be a cause of globus sensation. However, it is difficult to examine the reflux of acidic gastric contents directly. We hypothesized that the esophageal clearance capacity against reflux acid may be responsible for the clinical symptoms of GERD. The purpose of this study was to(More)
OBJECTIVES Bilateral vocal cord paralysis caused by central nervous system dysfunction results from such diverse causes as cerebrovascular disorder and neurodegenerative disease. Otolaryngologists are often consulted about indications of tracheostomy for such cases, but if their recognition of causative disease is insufficient, it is difficult to judge(More)
OBJECTIVES Facial palsy may cause excessive stress due to the obviousness of its manifestations. We evaluated psychological stress in patients with facial palsy. SUBJECTS AND METHODS Subjects were 57 patients with Bell's palsy, 12 with Ramsay Hunt syndrome, and 11 with zoster sine herpete. Eighteen of 50 questions from the Psychological Stress Response(More)
Low density areas on computed tomography were correlated with changes in the neurological state of a patient who had cerebral vasospasm after subarachnoid hemorrhage from a ruptured anterior communicating aneurysm. No aneurysm was revealed on repeated angiograms initially because of vasospasm, but a low density area was found in the inferior part of the(More)
OBJECTIVES To understand to what extent evaluations of facial paralysis by physicians coincide with self-evaluations by patients. STUDY DESIGN Prospective clinical study. PATIENTS One hundred thirty-one patients (68 male patients and 63 female patients) with facial paralysis were included in the study. INTERVENTIONS The relationship between the(More)
OBJECTIVES Laryngopharyngeal reflux disease (LPRD) is an important cause of throat discomfort in the elderly. Our objective was to investigate the usefulness of barium swallow studies for the diagnosis of LPRD. METHODS The subjects were 59 patients at least 60 years of age with LPRD suspected on laryngoscopic findings. We evaluated esophageal clearance(More)
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