Shigeru Kikuchi

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OBJECTIVE To determine the efficacy of a high-dose steroid regimen for patients with sudden sensorineural hearing loss (SSNHL) and to evaluate the relationship between outcome and initial steroid dose. STUDY DESIGN AND SETTING We conducted a retrospective study of 112 patients presenting to Saitama Medical Center. Patients received tapering courses of(More)
OBJECTIVES To determine the diameters of the bony nasolacrimal canal and to evaluate how they are affected by sex and age. METHODS Standard axial sinus computed tomographic images of 314 patients were assessed retrospectively; the anteroposterior and transverse diameters, the sectional area of the bony nasolacrimal canal at the level of the infraorbital(More)
PURPOSE To ascertain the location of the facial nerve in patients with microtia by using thin-section computed tomography (CT). MATERIALS AND METHODS Thin-section CT was performed in 66 ears of patients with microtia (unilateral, n = 12; bilateral, n = 34) and mandibulofacial dysostosis (MFD, n = 20). Findings were compared with those in 22 ears with(More)
OBJECTIVE This study aimed to determine the length and diameter of the horizontal portion of the petrous carotid artery (HPCA) and to evaluate sex and age differences in these variables. METHODS We examined standard axial sinus computed tomographic images in 345 patients (690 sides), measuring length and diameter of the HPCA and the angle between right(More)
The external nasal dilator Breathe Right is a nonprescription disposable mechanical device worn over the bridge of the nose that supports the outer walls of the nasal vestibule to increase cross-sectional nasal valve area and enhance air flow through the nose. When worn, the device applies a gentle outward pull to the outside walls of the nasal vestibule(More)
OBJECTIVE To document a patient with periodic alternating nystagmus (PAN) caused by acute disseminated encephalomyelitis (ADEM) and suggest a mechanism to explain her PAN. PATIENT A 34-year-old woman with PAN caused by ADEM. INTERVENTION Diagnostic. RESULTS The patient complained of severe disequilibrium from the disease onset. Four years after onset,(More)
Inflammatory pseudotumour represents benign non-specific granulation, and is uncommon in the head-and-neck region, particularly in the paranasal sinuses. We present herein the case of a 63-year-old woman with inflammatory pseudotumour of the paranasal sinuses. Physical examination and computed tomography revealed a mass in the bilateral nasal cavity and(More)
CONCLUSIONS The symptoms and signs in patients with very small (border zone) cerebellar infarcts (VSCIs) may mimic those in benign peripheral vestibular disorders, except that smooth pursuit eye movement is disturbed in patients with VSCI. OBJECTIVES VSCIs are located at the boundary territories between well-defined cerebellar arteries and are frequently(More)
Concrete slab finishing is a construction task which presents a number of problems for the job site manager. First of all, curing times often require that work be carried out on a round-the-clock basis. Secondly, it is exhausting work because the posture that must be assumed by finishing workers is extremely tiring. And thirdly, it requires a high degree of(More)
OBJECTIVES Dry ice is a commercially available cryogen that is used worldwide. It may cause frostbite if misused. However, frostbite of the oral cavity due to dry ice has not been previously reported. Here, we describe the first case of dry ice-induced frostbite of the oral cavity. METHODS We present a case of oral frostbite due to dry ice and subsequent(More)