A Case of Cervical and Mediastinal Emphysema Occurring in a Patient with Myasthenia Gravis Caused by Tympanic Inflation
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- Hirakawa Haruo
- Department of Otolaryngology, Head and Neck Surgery, NHO Kure Medical Center
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- Nishi Yasuyuki
- Department of Otolaryngology, Head and Neck Surgery, NHO Kure Medical Center
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- Watanabe Taisuke
- Department of Otolaryngology, Head and Neck Surgery, NHO Kure Medical Center
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- Tada Makoto
- Department of Otolaryngology, Head and Neck Surgery, NHO Kure Medical Center
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- Sasaki Atsushi
- Department of Otolaryngology, Head and Neck Surgery, Hiroshima University
書誌事項
- タイトル別名
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- —A Review of 23 Cases with Severe Complications Including Fatal Cases—
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説明
A 66-year-old man consulted our clinic complaining of fullness in both ears during hospitalization for pyogenic spondylitis at the Department of Internal Medicine in our hospital. He had been diagnosed as having myasthenia gravis 13 years previously and had been suffering from nephritic syndrome and steroidogenic psychosis for eight years. We applied transnasal tympanic inflation using a eustachian catheter (catheter inflation) because otitis media with effusion was observed in both ears. Nothing unusual was observed at the first application except the insufflation to both ears sounded stenotic. However, cervical and mediastinal emphysema suddenly developed at the second application. The patient’s general condition and state of consciousness were not affected just after the onset. Fortunately he recovered during an eight-day observation period with no additional treatment, for antibiotics had already been prescribed for pyogenic spondylitis. How to prevent and how to deal with complications are also discussed in a review of 23 cases with severe complications including fatal cases since 1985 in Japan.
収録刊行物
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- 耳鼻咽喉科臨床 補冊
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耳鼻咽喉科臨床 補冊 140 (0), 30-31, 2014
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390001204325572224
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- NII論文ID
- 130004707427
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- ISSN
- 21851557
- 09121870
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可