研究者データベース


フリーワードで探す

全文検索となっています

讃岐 徹治サヌキ テツジ

所属部署医学研究科耳鼻咽喉・頭頸部外科学分野
職名准教授(診療担当)
メールアドレス
ホームページURL
生年月日
Last Updated :2020/05/25

研究者基本情報

学歴

  •  - 2001年, 愛媛大学, 医学系研究科
  •  - 2001年, 愛媛大学
  •  - 1995年, 愛媛大学, 医学部
  •  - 1995年, 愛媛大学

学位

  • 医学博士

所属学協会

  • 日本頭蓋底外科学会
  • 日本音声言語医学会
  • 日本頭頸部外科学会
  • 日本形成外科学会
  • 日本気管食道科学会
  • 日本喉頭科学会
  • 日本鼻科学会
  • 日本耳鼻咽喉科学会

経歴

  •   2010年, 熊本大学医学部附属病院耳鼻咽喉科・頭頸部外科 講師
  •   2010年, Lecturer, ,University Hospital ,Kumamoto University
  •   2006年 - 2007年, 助手
  •   2006年 - 2007年, Research Associate,

研究活動情報

研究分野

  • ライフサイエンス, 耳鼻咽喉科学

論文

  • Arytenoid Adduction Combined With Nerve-Muscle Pedicle Flap Implantation or Type I Thyroplasty, Narihiro Kodama, Yoshihiko Kumai, Tetsuji Sanuki, Eiji Yumoto, LARYNGOSCOPE, 127, (1) 159 - 166,   2017年01月, 査読有り, Objectives/Hypothesis: To evaluate vocal function after refined nerve-muscle pedicle (NMP) flap implantation with arytenoid adduction (AA) compared with type I thyroplasty with AA for patients with unilateral vocal fold paralysis (UVFP) and to evaluate the degree of patient satisfaction following the refined NMP with AA. Study Design: A retrospective review of clinical records of 52 patients with UVFP who received AA + NMP (NMP group, n = 40) or AA + type I thyroplasty (type I group, n = 12) as a single-stage operation between April 1999 and December 2011. Methods: Evaluation of vocal fold vibration, aerodynamic analysis, perceptual evaluation, acoustic analysis, and subjective assessment were performed preoperatively and at two different postoperative periods (short term: within 3 months and long term: >12 months). Results: All parameters except for glottal gap of the vocal fold vibration, maximum phonation time (MPT), and mean airflow rate revealed significant improvement between the short- and long-term assessments in the NMP group. On the contrary, the type I group did not show significant change of any parameters during postoperative periods. In the NMP group, the measurements for regularity of the vocal fold vibration and MPT at the long-term assessment were significantly favorable compared with the type I group. In the NMP group, subjective assessment (Voice Handicap Index-10 and Voice-Related Quality of Life) revealed significant improvement between the short- and long-term assessments. Conclusions: In comparison with the type I group, significant improvement of vocal function patient satisfaction during the long-term follow-up period after AA combined with the refined NMP was confirmed.
  • 神経筋弁移植術, 讃岐 徹治, 日本内分泌・甲状腺外科学会, 33, (4) 249 - 253,   2016年12月, 査読有り
  • 耳鼻咽喉科・頭頸部外科の将来展望―今求められる新たな耳鼻咽喉科領域の医療技術開発とその実用化―, 讃岐 徹治, 日本耳鼻咽喉科学会会報, 119, (11) 1359 - 1365,   2016年11月, 査読有り
  • Voice tuning with new instruments for type II thyroplasty in the treatment of adductor spasmodic dysphonia, Tetsuji Sanuki, Eiji Yumoto, Yutaka Toya, Yoshihiko Kumai, AURIS NASUS LARYNX, 43, (5) 537 - 540,   2016年10月, 査読有り, Objective: Adductor spasmodic dysphonia is a rare voice disorder characterized by strained and strangled voice quality with intermittent phonatory breaks and adductory vocal fold spasms. Type II thyroplasty differs from previous treatments in that this surgery does not involve any surgical intervention into the laryngeal muscle, nerve or vocal folds. Type II thyroplasty intervenes in the thyroid cartilage, which is unrelated to the lesion. This procedure, conducted with the aim of achieving lateralization of the vocal folds, requires utmost surgical caution due to the extreme delicacy of the surgical site, critically sensitive adjustment, and difficult procedures to maintain the incised cartilages at a correct position. During surgery, the correct separation of the incised cartilage edges with voice monitoring is the most important factor determining surgical success and patient satisfaction. Methods: We designed new surgical instruments: a thyroid cartilage elevator for undermining the thyroid cartilage, and spacer devices to gauge width while performing voice monitoring. These devices were designed to prevent surgical complications, and to aid in selecting the optimal size of titanium bridges while temporally maintaining a separation during voice monitoring. Results: We designed new surgical instruments, including a thyroid cartilage elevator and spacer devices. Precise surgical procedures and performing voice tuning during surgery with the optimal separation width of the thyroid cartilage are key points for surgical success. Conclusion: We introduce the technique of voice tuning using these surgical tools in order to achieve a better outcome with minimal surgical complications. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

MISC

  • 音声外科手術の適応と実際, 讃岐 徹治, 第42回日耳鼻夏期講習会テキスト,   2016年07月
  • 痙攣性発声障害, 讃岐徹治, JOHNS, 31, (9) 1343 - 1345,   2015年
  • 痙攣性発声障害:甲状軟骨形成術2型, 讃岐徹治, 耳鼻咽喉科・頭頸部外科, 87, (5) 189 - 192,   2015年
  • Modulation of satellite cells activity and MyoD in rat thyroarytenoid muscle after reinnervation, Kodama H, Kumai Y, Nishimoto K, Sanuki T, Yumoto E, Laryngoscope, 125,   2015年
  • Laryngeal Reinnervation Featuring Refined Nerve-Muscle Pedicle Implantation Evaluated via Electromyography and Use of Coronal Images, Sanuki T, Yumoto E, Nishimoto K, Kodama N, Kodama H, Minoda R, Otolaryngology-head and neck surgery, 152, (4) 697 - 705,   2015年
  • Long-term vocal outcomes of refined nerve-muscle pedicle flap implantation combined with arytenoid adduction, Kodama N, Sanuki T, Kumai Y, Yumoto E, European archives of oto-rhino-laryngology, 272, (3) 681 - 688,   2015年
  • Arytenoid Adduction With Nerve-Muscle Pedicle Transfer vs Arytenoid Adduction With and Without Type I Thyroplasty in Paralytic Dysphonia, Megahed M. Hassan, Eiji Yumoto, Tetsuji Sanuki, Yoshihiko Kumai, Narihiro Kodama, M. Ali Baraka, Hassan Wahba, Nervana G. Hafez, Ahlam A. N. El-Adawy, JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 140, (9) 833 - 839,   2014年09月, IMPORTANCE Optimal glottal closure as well as symmetrical vocal fold masses and tensions are essential prerequisites for normal voice production. Successful phonosurgery depends on restoring these prerequisites to achieve long-term improvement. OBJECTIVE To evaluate the efficacy of the laryngeal framework surgical treatments (arytenoid adduction with and without thyroplasty type I [AA +/- Th-I]) compared with arytenoid adduction combined with nerve-muscle pedicle flap transfer (AA + NMP) in unilateral vocal fold paralysis. Patterns of voice outcome were compared over a 2-year period. DESIGN, SETTING, AND PARTICIPANTS Retrospective review of clinical records of 22 patients who presented to an institutional practice with severe paralytic dysphonia between March 1999 and December 2008, who received 2 different treatments. Postoperative follow-up was conducted over 2 years. INTERVENTIONS Eleven patients were treated with AA +/- Th-I and 11 patients were treated with AA + NMP. MAIN OUTCOMES AND MEASURES Vocal function was evaluated preoperatively and at 3, 12, and 24 months postoperatively. Vocal parameters evaluated were jitter, shimmer, harmonics to noise ratio (HNR), maximum phonation time (MPT), and overall grade and breathiness grade of the Grade-Roughness-Breathiness-Asthenia-Strain (GRBAS) voice scale. The outcomes of voice measurements were compared within each group across time and among the 2 groups at each time point. RESULTS All voice parameters showed initial postoperative improvement in both groups after 3 months. Moreover, the AA + NMP group showed significant steady improvement over the 2-year follow-up, which did not occur in the AA +/- Th-I group. In the AA + NMP group, MPT increased from a mean (SD) of 5.4 (2.1) s at preoperative assessment to 21.5 (7.0) s at 24 months; jitter decreased from 8.6%(5.3%) to 1.2%(0.7%); shimmer decreased from 13.1% (6.0%) to 4.0% (1.6%); HNR increased from 3.8 (3.3) to 9.0 (0.8); overall grade of GRBAS decreased from 2.4 (0.9) to 0.2 (0.4); and breathiness grade of GRBAS decreased from 2.0 (1.0) to 0.1 (0.3). CONCLUSIONS AND RELEVANCE Unlike the conventional laryngeal framework surgical treatments, AA + NMP provided long-term voice improvement with nearly normal voice quality. Thus, it can be considered an effective surgical treatment for paralytic dysphonia due to unilateral vocal fold paralysis associated with large glottal gap.
  • Over-adduction of the unaffected vocal fold during phonation in the unilaterally paralyzed larynx, Eiji Yumoto, Tetsuji Sanuki, Ryosei Minoda, Yoshihiko Kumai, Kohei Nishimoto, Narihiro Kodama, ACTA OTO-LARYNGOLOGICA, 134, (7) 744 - 752,   2014年07月, Conclusions: Over-adduction of the unaffected vocal fold may not compensate vocal function in unilateral vocal fold paralysis (UVFP). Objective: To determine whether over-adduction of the unaffected vocal fold has any impact on vocal function in patients with UVFP. Methods: A total of 101 patients with UVFP who underwent three-dimensional computed tomographic (CT) examination of the larynx served as subjects. Three-dimensional endoscopic images together with coronal images during phonation were produced to evaluate over-adduction of the unaffected fold, posterior glottal gap, and differences in the vertical position and thickness between the vocal folds. Maximum phonation time (MPT) and mean airflow rate (MFR) were measured. Results: In all, 47 patients showed over-adduction. Their MPT and MFR were 4.9 +/- 2.9 s and 653 +/- 504 ml/s, respectively. The remaining 54 did not show over-adduction. Their MPT and MFR were 4.7 +/- 2.7 s and 574 +/- 384 ml/s, respectively. There were no significant differences in MPT or MFR between the two groups. Of the 47 patients with over-adduction, 9 showed no posterior glottal gap. However, their vocal function was not significantly different from that of 38 patients with posterior glottal gap or from that of 43 patients without over-adduction and having a posterior glottal gap.
  • Long-term Voice Handicap Index after type II thyroplasty using titanium bridges for adductor spasmodic dysphonia, Tetsuji Sanuki, Eiji Yumoto, Narihiro Kodama, Ryosei Minoda, Yoshihiko Kumai, AURIS NASUS LARYNX, 41, (3) 285 - 289,   2014年06月, Objectives: To determine the long-term functional outcomes of type II thyroplasty using titanium bridges for adductor spasmodic dysphonia (AdSD) by perceptual analysis using the Voice Handicap Index-10 (VHI-10) and by acoustic analysis. Methods: Fifteen patients with AdSD underwent type II thyroplasty using titanium brides between August 2006 and February 2011. VHI-10 scores, a patient-based survey that quantifies a patient's perception of his or her vocal handicap, were determined before and at least 2 years after surgery. Concurrent with theVHI-10 evaluation, acoustic parameters were assessed, including jitter, shimmer, harmonic-to-noise ratio (HNR), standard deviation of FO (SDFO), and degree of voice breaks (DVB). Results: The average follow-up interval was 30.1 months. No patient had strangulation of the voice, and all were satisfied with the voice postoperatively. In the perceptual analysis, the mean VHI-10 score improved significantly, from 26.7 to 4.1 two years after surgery. All patients had significantly improved each score of three different aspects of VHI-10, representing improved functional, physical, and emotional well-being. All acoustic parameters improved significantly 2 years after surgery. Conclusions: The treatment of AdSD with type II thyroplasty significantly improved the voice-related quality of life and acoustic parameters 2 years after surgery. The results of the study suggest that type II thyroplasty using titanium bridges provides long-term relief of vocal symptoms in patients with AdSD. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
  • Laryngeal Muscle Activity in Unilateral Vocal Fold Paralysis Patients Using Electromyography and Coronal Reconstructed Images, Tetsuji Sanuki, Eiji Yumoto, Kohei Nishimoto, Ryosei Minoda, OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 150, (4) 625 - 630,   2014年04月, Objective To assess laryngeal muscle activity in unilateral vocal fold paralysis (UVFP) patients using laryngeal electromyography (LEMG) and coronal images. Study Design Case series with chart review. Setting University hospital. Subjects and Methods Twenty-one patients diagnosed with UVFP of at least 6 months in duration with paralytic dysphonia, underwent LEMG, phonatory function tests, and coronal imaging. A 4-point scale was used to grade motor unit (MU) recruitment: absent = 4+, greatly decreased = 3+, moderately decreased = 2+, and mildly decreased = 1+. Maximum phonation time (MPT) and mean flow rate (MFR) were employed. Coronal images were assessed for differences in thickness and vertical position of the vocal folds during phonation and inhalation. Results MU recruitment in thyroarytenoid/lateral cricoarytenoid (TA/LCA) muscle complex results were 1+ for 4 patients, 2+ for 5, 3+ for 6, and 4+ for 6. MPT was positively correlated with MU recruitment. Thinning of the affected fold was evident during phonation in 19 of the 21 subjects. The affected fold was at an equal level with the healthy fold in all 9 subjects with MU recruitment of 1+ and 2+. Eleven of 12 subjects with MU recruitments of 3+ and 4+ showed the affected fold at a higher level than the healthy fold. There was a significant difference between MU recruitment and the vertical position of the affected fold. Conclusions Synkinetic reinnervation may occur in some cases with UVFP. MU recruitments of TA/LCA muscle complex in UVFP patients may be related to phonatory function and the vertical position of the affected fold.
  • 嚥下・音声機能と電子カルテ, 讃岐徹治, JOHNS, 30, (12) 1743 - 1747,   2014年
  • 甲状軟骨形成術Ⅱ型とⅣ型, 讃岐徹治, 耳鼻咽喉科・頭頸部外科, 86, (4) 341 - 347,   2014年
  • 痙攣性発声障害の診断-アンケート調査による検討-, 讃岐徹治, 湯本英二, 喉頭, 26, (2) 81 - 85,   2014年
  • Glottal configuration in unilaterally paralyzed larynx and vocal function, Eiji Yumoto, Tetsuji Sanuki, Ryosei Minoda, Yoshihiko Kumai, Kohei Nishimoto, ACTA OTO-LARYNGOLOGICA, 133, (2) 187 - 193,   2013年02月, Conclusions: Three different types of glottal configuration in unilaterally paralyzed larynx were proposed by utilizing three-dimensional computed tomographic (3DCT) images. This new classification might facilitate understanding of the behavior of the affected vocal fold in terms of vocal function. Objectives: To develop a classification of glottal configuration in unilateral vocal fold paralysis (UVFP) based on the thickness and location of the vocal folds utilizing 3DCT and to compare each type of configuration with vocal function. Methods: Thirty-seven consecutive patients with UVFP underwent CT during phonation and inhalation. 3D endoscopic and coronal images on two occasions were produced. Maximum phonation time and mean airflow rate were also measured. Results: Three types of glottal configuration were proposed. The thickness of the affected vocal fold during phonation was equal to or slightly thinner than the healthy fold in 10 patients (type A). The affected fold of the remaining 27 was thin during phonation; they were further classified into types B and C. In type B, the affected fold remained thin during phonation and inhalation (n = 12). Type C was allocated to those showing one or two paradoxical movements of the affected fold (n = 15). Those with type A showed significantly better vocal function.
  • 一側喉頭麻痺に対する音声外科 -披裂軟骨内転術と神経筋弁移植術-, 湯本英二, 讃岐徹治, 熊井良彦, 頭頸部外科, 23, (1) 27 - 31,   2013年
  • 喉頭形成術, 讃岐徹治, 喉頭, 25, (2) 73 - 73,   2013年
  • The Impact of Nimodipine Administration Combined with Nerve-Muscle Pedicle Implantation on Long-Term Denervated Rat Thyroarytenoid Muscle, Nishimoto K, Kumai Y, Sanuki T, Minoda R, Yumoto E, Laryngoscope, 123, (4) 952 - 959,   2013年
  • The Impact of Nimodipine Administration Combined with Nerve-Muscle Pedicle Implantation on Long-Term Denervated Rat Thyroarytenoid Muscle, Nishimoto K, Kumai Y, Sanuki T, Minoda R, Yumoto E, Laryngoscope, 123, (4) 952 - 959,   2013年
  • 陳旧性一側喉頭麻痺に対する披裂軟骨内転術と神経移行術の併用術の経時的効果, 兒玉成博, 讃岐徹治, 湯本英二, 音声言語医学, 54, (1) 8 - 13,   2013年
  • Recurrent Laryngeal Nerve Regeneration Through a Silicone Tube Produces Reinnervation Without Vocal Fold Mobility in Rats, Kumai Y, Aoyama T, Nishimoto K, Sanuki T, Minoda R, Yumoto E, Ann Otol Rhinol Laryngol, 122, (1) 49 - 53,   2013年
  • A postmeningitic cochlear implant patient who was postoperatively diagnosed as having X-linked agammaglobulinemia, Ryosei Minoda, Haruo Takahashi, Satoru Miyamaru, Masako Masuda, Toru Miwa, Tetsuji Sanuki, Toshinori Hirai, Eiji Yumoto, AURIS NASUS LARYNX, 39, (6) 638 - 640,   2012年12月, X-linked agammaglobulinemia (XLA) is caused by a mutation in the Bruton tyrosine kinase, leading to an arrest in B cell development. Consequently, patients with XLA show significant decreases in gammaglobulin. Here, we describe a child with postmeningitic deafness and XLA who underwent a cochlear implantation. His psychomotor development had been normal and his congenital immunodeficiency was noticed only postoperatively. Immunoglobulin replacement treatment was started, but he still suffered repeated infections. Eventually, his cochlear implant was removed. A preoperative check of immunological status might be advisable in postmeningitic patients undergoing cochlear implantation to reduce the risk of postoperative infectious complications. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
  • Videolaryngoscopic assessment of laryngeal edema after arytenoid adduction, Nena Narajos, Yutaka Toya, Yoshihiko Kumai, Tetsuji Sanuki, Eiji Yumoto, LARYNGOSCOPE, 122, (5) 1104 - 1108,   2012年05月, Objectives/Hypothesis: Arytenoid adduction (AA) as surgical treatment for unilateral vocal fold paralysis (UVFP) is associated with higher morbidity from airway complications due to postoperative laryngeal edema compared with other laryngeal framework surgeries. The aim of this study was to evaluate postoperative laryngeal edema after AA using a new videolaryngoscopic (VL) scoring assessment. Study Design: Prospective case series. Methods: Nineteen patients with UVFP (14 males and five females; mean age, 56 years) who were treated with AA alone or combined with ansa cervicalis (AA/AC) nerve anastomosis or nerve- muscle pedicle (AA/NMP) flap implantation were evaluated. Laryngeal edema was assessed by VL scoring for 10 days postoperatively. Degree of edema was scored in three subsites: the membranous vocal fold, arytenoid mound, and pyriform sinus on the operated side. Statistical significance was defined as P <.05. Results: No patient experienced postoperative airway compromise. Interexaminer reliability was generally high (Spearman r > 0.75). The mean degree of edema increased steadily from postoperative day (POD) 1 to 3, peaking on POD 3 at all subsites. It then declined significantly from POD 3 to 7 (P <.05) and gradually through POD 10. The maximum degree of edema, maximum edema time, and operative time were not correlated significantly at any subsite. Maximum edema time and surgery type (AA vs. AA/AC or AA/NMP) were not correlated at any subsite. Conclusions: Inter- rater reliability for the proposed VL scoring was significant at all subsites. The VL findings suggest that AA alone or AA combined with reinnervation showed maximum laryngeal edema on POD 3 but added no significant morbidity.
  • 内転型痙攣性発声障害, 讃岐徹治, 湯本英二, 兒玉成博, 喉頭, 24, (2) 80 - 83,   2012年
  • 両側声帯正中位固定の治療, 讃岐徹治, 湯本英二, 増田聖子, 日本気管食道科学会会報, 63, (2) 200 - 200,   2012年
  • 誤嚥防止術の術式による比較-手術侵襲,合併症,術後経口摂取等に関する検討-(共著), 鮫島靖浩, 村上大造, 東家完, 讃岐徹治, 熊井良彦, 湯本英二, 嚥下医学, 1, (1) 134 - 146,   2012年
  • 痙攣性発声障害の取り扱い, 讃岐徹治, 日本耳鼻咽喉科学会会報, 115, (2) 126 - 127,   2012年
  • Vocal Outcome After Arytenoid Adduction and Ansa Cervicalis Transfer(共著), Hassan MM, Yumoto E, Kumai Y, Sanuki T, Kodama N, Archives of Otolaryngology Head and Neck Surgery, 138, (1) 60 - 65,   2012年01月
  • An Unusual Cause of Bullous Myringitis with Acute Otitis Media(共著), Minoda R, Miwa T, Sanuki T, Yumoto E, Otolaryngology-head and neck surgery, 145, (5) 874 - 875,   2011年11月
  • Arytenoid Rotation and Nerve-Muscle Pedicle Transfer in Paralytic Dysphonia(共著), Hassan MM, Yumoto E, Baraka MA, Sanuki T, Kodama N, Laryngoscope, 121, (5) 1018 - 1022,   2011年05月
  • 甲状軟骨形成術Ⅱ型専用手術器具(共著), 讃岐徹治, 東家完, 西本康兵, 湯本英二, 土師知行, 音声言語医学, 52, (3) 271 - 275,   2011年
  • 甲状腺手術における反回神経の処理, 讃岐徹治, JOHNS, 27, (7) 1037 - 1042,   2011年
  • 披裂軟骨内転術と併用術式の発声機能評価(共著), 兒玉成博, 讃岐徹治, 東家完, 湯本英二, 音声言語医学, 52, (2) 149 - 157,   2011年
  • 披裂軟骨内転術(共著), 讃岐徹治, 東家完, 湯本英二, 日本気管食道科学会会報, 62, (2) 208 - 208,   2011年
  • External auditory canal stenting utilizing a useful rolled, tapered silastic sheet (RTSS) post middle ear surgery, Ryosei Minoda, Takashi Haruno, Toru Miwa, Yoshihiko Kumai, Tetsuji Sanuki, Eiji Yumoto, AURIS NASUS LARYNX, 37, (6) 680 - 684,   2010年12月, Objective: To overcome the demerits of conventional postoperative aural packing, we developed a useful protocol for postoperative stenting of the external auditory canal after middle ear surgery which enables transcanal drainage and simultaneously allows for visual inspection and treatment of the canal, as necessary. Methods: Twenty-four surgeries, 21 patients underwent tympanoplasty with a postaural incision. At the end of all surgical procedures, the external auditory canal was packed with a 0.3 mm thickness rolled, tapered silastic sheet (RTSS) with antibiotic ointment applied to one surface. The inserted RTSSs were removed at 5-10 days postoperatively. We assessed the efficacy and the reliability of the RTSS. Results: In 23 ear surgeries on 20 patients, we achieved successful postoperative ear packing utilizing our RTSS. With these patients, the tympanic membrane and the external auditory meatus were able to be observed immediately after the completion of the stenting during the surgery and the removal of the gauze over the operated ear at Day 1 to Day 3 postoperatively. During 4 surgeries with ventilation tube insertion to the tympanic membrane, there was secretion through the inserted ventilation tube which was easy to suction. In one surgery, on one patient, additional packing materials were utilized once only during a sandwich graft myringoplasty. No patients showed any harmful effects during the postoperative period. Conclusions: The useful and reliable RTSS, with antibiotic ointment applied to one surface, has several positive advantages that the conventional packing methods do not. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
  • Nerve-Muscle Pedicle Flap Implantation Combined With Arytenoid Adduction, Eiji Yumoto, Tetsuji Sanuki, Yutaka Toya, Narihiro Kodama, Yoshihiko Kumai, ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 136, (10) 965 - 969,   2010年10月, Objectives: To describe a new technique of nerve-muscle pedicle (NMP) flap implantation combined with arytenoid adduction (AA) to treat dysphonia due to unilateral vocal fold paralysis and to examine postoperative vocal function. Study Design: Retrospective review of clinical records. Setting: Tertiary academic center. Patients: Twenty-two consecutive patients underwent NMP flap implantation with AA and were followed up short term over a period of 1 to 6 months (mean, 2.9 months) and long term over a period of 7 to 36 months (mean, 21.4 months). Interventions: An NMP flap was made using an ansa cervicalis branch and a piece of the sternohyoid muscle. A window was opened in the thyroid ala at the level of the vocal fold. Then, AA was performed and the NMP flap was securely implanted onto the thyroarytenoid muscle through the window under microscopic guidance. Main Outcome Measures: The maximum phonation time, mean airflow rate, pitch range, and acoustic parameters (jitter, shimmer, and harmonics to noise ratio) were evaluated before surgery and twice after surgery. Results: All parameters improved Significantly after surgery (P<.01). The measurements for maximum phonation time, mean airflow rate, and harmonics to noise ratio were within normal ranges after surgery. Furthermore, the maximum phonation time and jitter were significantly improved after long-term follow-up compared with early postoperative measurements (P<.01 and P<.05, respectively). Conclusions: Precise harvest of an NMP flap and its placement directly onto the thyroarytenoid muscle combined with AA provided excellent vocal function. The NMP method may have played a certain role in the improvement of postoperative vocal function, although further study with electromyographic examination is required to clarify the innervation status of the thyroarytenoid muscle.
  • Effects of type II thyroplasty on adductor spasmodic dysphonia, Tetsuji Sanuki, Eiji Yumoto, Ryosei Minoda, Narihiro Kodama, OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 142, (4) 540 - 546,   2010年04月, OBJECTIVES: Type II thyroplasty, or laryngeal framework surgery, is based on the hypothesis that the effect of adductor spasmodic dysphonia (AdSD) on the voice is due to excessively tight closure of the glottis, hampering phonation. Most of the previous, partially effective treatments have aimed to relieve this tight closure, including recurrent laryngeal nerve section or avulsion, extirpation of the adductor muscle, and botulinum toxin injection, which is currently the most popular. The aim of this study was to assess the effects of type II thyroplasty on aerodynamic and acoustic findings in patients with AdSD. STUDY DESIGN: Case series. SETTING: University hospital. SUBJECTS AND METHODS: Ten patients with AdSD underwent type IT thyroplasty between August 2006 and December 2008. Aerodynamic and acoustic analyses were performed prior to and six months after surgery. Mean flow rates (MFRs) and voice efficiency were evaluated with a phonation analyzer. Jitter, shimmer, the harmonics-to-noise ratio (HNR), standard deviation of the fundamental frequency (SDFO), and degree of voice breaks (DVB) were measured from each subject's longest sustained phonation sample of the vowel /a/. RESULTS: Voice efficiency improved significantly after surgery. No significant difference was found in the MFRs between before and after surgery. Jitter, shimmer, HNR, SDFO, and DVB improved significantly after surgery. CONCLUSIONS: Treatment of AdSD with type II thyroplasty significantly improved aerodynamic and acoustic findings. The results of this study suggest that type II thyroplasty provides relief from voice strangulation in patients with AdSD. (C) 2010 American Academy of Otolaryngology Head and Neck Surgery Foundation. All rights reserved.
  • Surgical tips for type II thyroplasty for adductor spasmodic dysphonia: modified technique after reviewing unsatisfactory cases, Nobuhiko Isshiki, Tetsuji Sanuki, ACTA OTO-LARYNGOLOGICA, 130, (2) 275 - 280,   2010年02月, Conclusion: Use of the titanium bridge, both at the top and bottom corners of the incised thyroid cartilage, is essential for success. Most importantly, these procedures should be done with minimal damage to the tissues involved, using fine instruments. Objectives: Type If thyroplasty that aims at lateralization of the vocal folds for spasmodic dysphonia is a type of surgery that requires utmost surgical caution, because of the extremely delicate site for surgical intervention, critically sensitive adjustment, and difficult procedures to maintain the incised cartilages in a correct position. Patients and methods: By means of a postoperative questionnaire and examinations, analyses were made of the relation in each case between the detailed surgical records and the outcomes in terms of subjective complaints, vocal features, and laryngeal as well as aerodynamic findings. Results: It was found that surgical failures or unsatisfactory results arise most frequently from certain clear mechanical faults. The critical procedures that most affected the results included: (1) incision and separation of the thyroid cartilage at the midline; (2) adjustment of separation width for optimal voice; (3) cartilage-perichondrium separation for holding an appropriate titanium bridge; and (4) installation and fixation of titanium bridges.
  • 嚥下機能改善手術の成績に影響する因子の検討, 鮫島靖浩, 讃岐徹治, 兒玉成博, 東家完, 宮丸悟, 熊井良彦, 湯本英二, 耳鼻と臨床, 56, (sup.2) 169 - 175,   2010年
  • 外来で行う瘢痕声帯に対するステロイド局所注射, 讃岐徹治, 熊井良彦, 東家完, 西本康兵, 兒玉成博, 湯本英二, 喉頭, 22, (2) 61 - 66,   2010年
  • 披裂軟骨内転術後の咽喉頭腫脹, 東家完, 湯本英二, 讃岐徹治, 熊井良彦, 西本康兵, 音声言語医学, 51, (4) 335 - 340,   2010年
  • 声の検査(聴覚心理的評価), 讃岐徹治, 湯本英二, 耳鼻咽喉科・頭頸部外科, 82, (5) 233 - 240,   2010年
  • 披裂軟骨脱臼の2症例, 青山猛, 讃岐徹治, 増田聖子, 湯本英二, 音声言語医学, 51, (2) 149 - 155,   2010年
  • Changes in respiratory function after thyroplastic surgery, Eiji Yumoto, Ryosei Minoda, Yutaka Toya, Satoru Miyamaru, Tetsuji Sanuki, ACTA OTO-LARYNGOLOGICA, 130, (1) 132 - 137,   2010年01月, Conclusions. A certain degree of subdinical extrathoracic airway compromise may ensue after thyroplastic surgery, although none of the patients reported the presence of dyspneic symptoms in their normal daily lives. Objectives. To determine the effects of thyroplastic surgery on respiratory function and compare them with the improvement of vocal function. Patients and methods. The study included 53 patients; 7 had type I thyroplasty (type 1), 9 had arytenoid adduction (AA), 10 had AA with type 1, and 27 had AA with neuromuscular pedicle flap implantation (NMP). Phonatory and respiratory functions were measured preoperatively and postoperatively. The presence of dyspnea during daily activities was determined postoperatively. Results. The difference between the pre- and postoperative values was statistically significant in five comparisons. Forced expiratory volume in 1 s/forced expiratory volume (FEV(1%)) in the AA with type I group, FEV(1)/ peak expiratory flow rate (PEFR) in the AA group, and PEFR in the three groups (type I, AA, and AA with NMP). Forty six patients associated with AA were combined for statistical analysis. The differences were statistically significant for FEV(1%), PEFR, and FEV(1)/PEFR. Changes in maximum phonation time (MPT) were found to have a significant correlation with changes in FEV(1)/PEFR. All the patients denied episodes of dyspnea during their normal daily activities.
  • 挿管後の小児の喉頭気管狭窄症例, 鮫島靖浩, 讃岐徹治, 湯本英二, 喉頭, 21, (2) 109 - 116,   2010年
  • Nerve-muscle pedicle implantation facilitates re-innervation of long-term denervated thyroarytenoid muscle in rats., Miyamaru S, Kumai Y, Ito T, Sanuki T, Yumoto E, ActaOto-Laryngologica, 129, (12) 1486 - 1492,   2009年
  • Outcomes of typeⅡ thyroplasty for adductor spasmodic dysphonia:analysis of revision and unsatisfactory cases, Sanuki T, Isshiki N, ActaOto-Laryngologica, 129, (11) 1287 - 1293,   2009年
  • 前頭蓋底アプローチで摘出した篩骨洞線維性骨異形成症の一例, 東家完, 西本康兵, 讃岐徹治, 湯本英二, 日本鼻科学会会誌, 48, (2) 128 - 132,   2009年
  • 甲状披裂筋の神経支配が残存したラット反回神経損傷モデルの作製, 青山猛, 宮丸悟, 熊井良彦, 讃岐徹治, 湯本英二, 日本気管食道科学会会報, 60,   2009年
  • 甲状腺手術時の神経確認と損傷時の対応, 讃岐徹治, 日本気管食道科学会会報, 60, (2) 126 - 127,   2009年
  • 喉頭疾患ー私はこう検査する 痙攣性発声障害2, 讃岐徹治, JOHNS, 25, (4) 573 - 577,   2009年
  • 甲状軟骨形成術3型の検討, 中村一博, 一色信彦, 讃岐徹治, 金沢英哲, 長井慎成, 児嶋剛, 日本気管食道科学会会報, 59, (1) 19 - 28,   2008年
  • Vocal Pitch Lowereing Surgery-Effect of Thyroplasty Type 3-, J.Jpn. Bronchoesophagol.Soc, 59, (1) 19 - 28,   2008年
  • Overall evaluation of effectiveness of type II thyroplasty for adductor spasmodic dysphonia, Tetsuji Sanuki, Nobuhiko Isshiki, LARYNGOSCOPE, 117, (12) 2255 - 2259,   2007年12月, Objective/Hypothesis: To assess the effectiveness of type II thyroplasty with a titanium bridge in adductor spasmodic dysphonia (AdSD). Study Design: Retrospective chart review, patient response to a questionnaire on the ease of phonation and voice quality, and pre- and postoperative fiberoptic laryngoscope findings. Subjects: Forty-one patients who underwent type 11 thyroplasty with a titanium bridge between December 2002 and December 2005 who have been followed for at least 12 months postoperatively. Results: Six patients were male, and 35 were female. The voice was recorded before and at least 6 months after surgery. Initially, 97.6%, 61%, and 48.8% of the patients had a strangulated, interrupted, or tremulous voice, respectively. The mean ratings of strangulation, interruption, and tremor were calculated. The respective mean pre- and postoperative scores were 1.51 and 0.46 for strangulation, 0.76 and 0.05 for interruption, and 0.65 and 0.048 for tremor. In the postoperative questionnaire, 70% of the patients judged their voice as excellent and the remaining patients as improved to good or fair. Conclusions: Type II thyroplasty is a highly effective therapy for AdSD. The voice in AdSD may roughly be classified into strangulated, tremulous, and interrupted types. The outcome measures justify the continued treatment of AdSD with type II thyroplasty.
  • 喉頭狭窄, 讃岐徹治, 一色信彦, 湯本英二, 日本気管食道科学会会報, 58, (2) 164 - 165,   2007年
  • 当クリニックにおける右側喉頭麻痺に対する術式の検討, 中村一博, 一色信彦, 讃岐徹治, 長井慎成, 金沢英哲, 日気食会報, 58, (6) 519 - 526,   2007年
  • 痙攣性発声障害に対する喉頭形成術, 讃岐徹治, 一色信彦, ENTONI(全日本病院出版会), 72,   2007年
  • 痙攣性発声障害の治療ー甲状軟骨形成術II型の立場から-, 讃岐 徹治, JOHNS, 23, (11) 1713 - 1716,   2007年
  • Gender Identity Disorder症例に対するPitch Elevation Surgery 甲状軟骨形成術4型の有用性, 中村一博, 一色信彦, 讃岐徹治, 三上慎司, 日本気管食道科学会会報, 58, (3) 310 - 310,   2007年
  • 内視鏡下鼻内副鼻腔手術の術後内視鏡評価法, 増田聖子, 讃岐徹治, 湯本英二, 日本鼻科学会会誌, 46, (4) 330 - 334,   2007年
  • 性同一性障害と痙攣性発声障害に対する喉頭枠組み手術, 讃岐徹治, 一色信彦, 中村一博, 湯本英二, 喉頭, 19, (2) 54 - 58,   2007年
  • 不動であった声帯の可動性が披裂軟骨内転術後に回復した2例, 讃岐徹治, 湯本英二, 耳鼻と臨床, 53, (5) 259 - 262,   2007年
  • Suegical Treatment for Paralysis of the Right Vocal Fold, J. Jpn.Bronchoesophagol.soc, 58, (6) 519 - 526,   2007年
  • The Endoscopic Grading System after the Endoscopic Sinus Surgery, 46, (4) 330 - 334,   2007年
  • Surgical Treatment for Male-to-Female Transsexuals and Cases of Addctor Spasmodic Dysphonia, Larynx, 19, (2) 54 - 58,   2007年
  • Case reports of vocal fold mobility restoration after arytenoid adduction with unilateral vocal fold immobility, OTOLOGIA FUKUOKA, 53, (5) 259 - 262,   2007年
  • Immediate recurrent laryngeal nerve reconstruction and vocal outcome, Eiji Yumoto, Tetsuji Sanuki, Yoshihiko Kumai, LARYNGOSCOPE, 116, (9) 1657 - 1661,   2006年09月, Objective: The objective of this prospective study was to assess the long-term effects of immediate reconstruction of the recurrent laryngeal nerve (RLN) during thyroid cancer extirpation on postoperative phonatory function. Subjects and Methods: The subjects were 22 patients with advanced thyroid cancer who underwent resection of the primary lesion and involved RLN. RLN paralysis was seen in 12 patients preoperatively and involvement of the RLN was noted intraoperatively in 10. Immediate reconstruction of the RLN was performed on eight patients using the great auricular nerve and one underwent direct anastomosis of the RLN stumps (group I). Nine patients opted not to have phonosurgical procedures (group II). The remaining four had arytenoid adduction immediately after cancer extirpation (group III). Phonatory function (stroboscopy, maximum phonation time [MPT], mean airflow rate [MFR], harmonics-to-noise ratio [HNR], jitter, and shimmer) was followed for at least 9 months. Results: Minimal or no glottal gap during phonation was observed in six patients in group I, whereas the patients in group II had a large gap along the entire fold. HNR, APT, and MFR were significantly better in group I (17.7 +/- 3.6 dB, 15.1 +/- 6.3 s, and 100 +/- 32 mL/s, respectively) than in group II (12.1 +/- 2.9 dB, 5.4 +/- 3.1 s, and 430 +/- 207 mL/s, respectively). Patients in group III had a gap of varying degrees along the membranous fold. Although HNR, shimmer, and NIPT in group III were comparable to group I, the other parameters were less favorable than in group I. Conclusion: Immediate RLN reconstruction at the time of thyroid cancer extirpation can provide excellent postoperative phonatory function.
  • Immediate recurrent laryngeal nerve reconstruction and vocal outcome, Eiji Yumoto, Tetsuji Sanuki, Yoshihiko Kumai, LARYNGOSCOPE, 116, (9) 1657 - 1661,   2006年09月, Objective: The objective of this prospective study was to assess the long-term effects of immediate reconstruction of the recurrent laryngeal nerve (RLN) during thyroid cancer extirpation on postoperative phonatory function. Subjects and Methods: The subjects were 22 patients with advanced thyroid cancer who underwent resection of the primary lesion and involved RLN. RLN paralysis was seen in 12 patients preoperatively and involvement of the RLN was noted intraoperatively in 10. Immediate reconstruction of the RLN was performed on eight patients using the great auricular nerve and one underwent direct anastomosis of the RLN stumps (group I). Nine patients opted not to have phonosurgical procedures (group II). The remaining four had arytenoid adduction immediately after cancer extirpation (group III). Phonatory function (stroboscopy, maximum phonation time [MPT], mean airflow rate [MFR], harmonics-to-noise ratio [HNR], jitter, and shimmer) was followed for at least 9 months. Results: Minimal or no glottal gap during phonation was observed in six patients in group I, whereas the patients in group II had a large gap along the entire fold. HNR, APT, and MFR were significantly better in group I (17.7 +/- 3.6 dB, 15.1 +/- 6.3 s, and 100 +/- 32 mL/s, respectively) than in group II (12.1 +/- 2.9 dB, 5.4 +/- 3.1 s, and 430 +/- 207 mL/s, respectively). Patients in group III had a gap of varying degrees along the membranous fold. Although HNR, shimmer, and NIPT in group III were comparable to group I, the other parameters were less favorable than in group I. Conclusion: Immediate RLN reconstruction at the time of thyroid cancer extirpation can provide excellent postoperative phonatory function.
  • 新型ホーネーションアナライザー(PA-1000)Preliminary report, 讃岐徹治, 一色信彦, 喉頭, 18, (2) 127 - 131,   2006年
  • 嗄声・失声と画像診断, 讃岐徹治, 一色信彦, JOHNS, 22, (4) 603 - 607,   2006年
  • Medialization and stabilization of the middle turbinate using a nasal septal flap in endoscopic sinus surgery., Edgardo Abelardo, Tetsuji Sanuki, Eiji Yumoto, Philippine Journal of Otolaryngology-Head and Neck Surgery, 21, (1) 42 - 46,   2006年
  • Development and clinical Evaluation of new phonation analyzer, Larynx, 18, (2) 127 - 131,   2006年
  • 痙攣性発声障害手術例の検討-甲状軟骨形成術2型の手術手技を中心に-, 一色信彦, 耳鼻と臨床, 51,   2005年
  • 内転型痙攣性発声障害の評価法, 一色信彦, 耳鼻と臨床, 51,   2005年

書籍等出版物

  • EBM耳鼻咽喉科・頭頸部外科の治療2015-2016(共著), 株式会社 中外医学社,   2015年
  • 今日の治療方針 2015年版, 医学書院,   2015年
  • 耳鼻咽喉科診療 私のミニマム・エッセンシャル(共著), 全日本病院出版会,   2011年
  • 痙攣性発声障害に対する治療のEBMとは?, 株式会社 中外医学社,   2010年
  • 耳鼻咽喉科・頭頸部外科クリニカルトレンド Part4,   2005年

講演・口頭発表等

  • Laryngeal Re‐innervation:Japanese Approach, 讃岐 徹治, 10th Manchester Phonosurgery & Neurolaryngology Dissection Course,   2017年03月16日
  • Type 2 thyroplasty for Adductor Spasmodic Dysphonia, 讃岐 徹治, 10th Manchester Phonosurgery Thurs,   2017年03月03日
  • 革新的医療機器:チタンブリッジ -地方国立大学主導の医師主導治験の苦労と成果, 讃岐 徹治, (株)新日本科学臨床薬理研究所研修会,   2017年03月03日, 招待あり
  • 革新的医療技術(内転型痙攣性発声障害に対する甲状軟骨形成術2型)の実用化, 讃岐 徹治, 第32回西日本音声外科研究会,   2017年01月07日
  • 「先駆け審査指定制度」アカデミアの経験と期待, 讃岐 徹治, 第13回医薬品レギュラトリーサイエンスフォーラム,   2016年12月02日
  • 嗅神経芽細胞腫に対する内視鏡下腫瘍摘出術時の頭蓋底再建の工夫, 讃岐 徹治, 第13回神経内視鏡学会総会・学術講演会,   2016年11月17日
  • 頭蓋内進展を伴った嗅神経芽細胞腫に対する内視鏡下経鼻手術を行った1例, 讃岐 徹治, 第55回日本鼻科学会総会・学術講演会,   2016年10月13日
  • Benefit and Features of Type 2 Thyroplasty for Spasmodic Dysphonia, 讃岐 徹治, American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting&OTO EXPO,   2016年09月18日
  • Type 2 thyroplasty with titanium bridges for adductor spasmodic dysphonia, 讃岐 徹治, 30th World Congress of the International Association of Logopedics and Phoniatrics,   2016年08月21日
  • Type II Thyroplasty for Spasmodic Dysphonia, 讃岐 徹治, 14th Biennial Phonosurgery Symposium,   2016年07月09日
  • Type II Thyroplasty, 讃岐 徹治, 14th Biennial Phonosurgery Symposium,   2016年07月07日
  • Management of dysphagia and dysphonia following skull, 讃岐 徹治, 28th Annual Meeting of Japanese Society for Skull Base Surgery,   2016年06月15日
  • 今求められる新たな耳鼻咽喉科医療技術開発とその実用化, 讃岐 徹治, 第117回日本耳鼻咽喉科学会総会・学術講演会,   2016年05月18日
  • 甲状軟骨形成術2型の長期成績, 第17回熊本耳鼻咽喉科臨床問題研究会,   2016年
  • 内転型痙攣性発声障害に対する甲状軟骨形成術2型の適応, 第28回日本喉頭科学会総会・学術講演会,   2016年
  • チタンブリッジによる甲状軟骨形成術2 型, 第67回日本気管食道科学会総会・学術講演会,   2015年
  • 音声外科 up to date, 第107回鹿児島県耳鼻咽喉科学術集会,   2015年
  • 医療現場から生まれる医療機器, 第5回Allergic Rhinitis Seminar,   2015年
  • 私が困った症例と対応, 第5回Allergic Rhinitis Seminar,   2015年
  • Endoscopic Medial Maxillectomyを応用した陳旧性眼窩下壁骨折整復術, 第54回日本鼻科学会総会・学術講演会,   2015年
  • 経鼻内視鏡頭蓋底手術, アレルギー性鼻炎・内視鏡下鼻内手術研究会,   2015年
  • 混合性喉頭麻痺による嚥下障害と嗄声への対応, 第27回日本頭蓋底外科学会,   2015年
  • 前頭蓋底手術後前頭洞嚢胞の治療に難渋した1例, 第27回日本頭蓋底外科学会,   2015年
  • 治療に苦慮した前頭洞嚢胞の2例, 第17回耳鼻咽喉科疾患研究会,   2015年
  • Voice Tuning With New Instruments For Type II Thyroplasty In The Treatment Of Adductor Spasmodic Dysphonia, American Laryngological Association,   2015年
  • 内転型痙攣性発声障害に対するチタンブリッジを用いた甲状軟骨形成術2 型の効果の検討(医師主導治験), 第27回日本喉頭科学会総会・学術講演会,   2015年
  • Type II thyroplasty for adductor spasmodic dysphonia, 2014 Spring Congress of Korean Society of Laryngology, Phoniatrics and Logopedics,   2014年
  • 痙攣性発声障害の診断, 第26回日本喉頭科学会総会・学術講演会,   2014年
  • 正常音声の再獲得を目指した治療 一側喉頭麻痺と瘢痕声帯を中心に, 第18回関東平声会,   2014年
  • 内転型痙攣性発声障害に対するチタンブリッジを用いた甲状軟骨形成術2型による治療について, ノーベルファーマ株式会社社内研修会,   2014年
  • 甲状軟骨形成術2型用甲状軟骨開大スペーサーの開発, 第29回西日本音声外科研究会,   2014年
  • Laryngeal Muscle Activity in Unilateral Vocal Fold Paralysis Patients Using Electromyography and Coronal Reconstructed Images, American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting&OTO EXPO,   2013年
  • 上顎洞乳頭腫に対するModified Transnasal Endoscopic Medial Maxillectomy, 第52回日本鼻科学会総会・学術講演会,   2013年
  • Quality of Life Before and After Type II thyroplasty for adductor spasmodic dysphonia, 29th World Congress of the IALP,   2013年
  • 喉頭筋電図を用いた神経過誤支配の検討, 第15回耳鼻咽喉科疾患研究会,   2013年
  • 頭蓋内、頭蓋底腫瘍術後の混合性喉頭麻痺による嚥下障害と嗄声への対応, 第25回日本頭蓋底外科学会,   2013年
  • Effects of type II thyroplasty for Adductor Spasmodic Dysphonia, 20th World Congress of the International Federation of Oto-Rhino-Laryngological Societies(IFOS),   2013年
  • 喉頭筋電図を用いた神経過誤支配の検討, 第114回日本耳鼻咽喉科学会総会・学術講演会,   2013年
  • Electromyography findings in nerve-muscle pedicle implantation with arytenoid adduction for unilateral vocal fold paralysis, The American Broncho-Esophagological Association,   2013年
  • 喉頭形成術, 第25回日本喉頭科学会総会・学術講演会,   2013年
  • Lasercordectomy後に肉芽形成をきたした4症例, 第28回西日本音声外科研究会,   2013年
  • Laser cordectomy後に肉芽形成をきたした4例, 平成24年度日本耳鼻咽喉科学会熊本県地方部会冬期学術講演会,   2012年
  • 一側喉頭麻痺に対する喉頭枠組み手術, 第64回日本気管食道科学会総会・学術講演会,   2012年
  • 喉頭筋電図による一側喉頭麻痺に対する神経再建術の術前後評価, 第57回日本音声言語医学会総会・学術講演会,   2012年
  • 当科において加療を行った鼻性視神経症例, 第51回日本鼻科学会総会・学術講演会,   2012年
  • 痙攣性発声障害, 第24回日本喉頭科学会総会・学術講演会,   2012年
  • 披裂軟骨内転術施行症例に甲状軟骨形成術Ⅰ型を追加で行う場合の問題点, 第27回西日本音声外科研究会,   2012年
  • Nerve-muscle Pedicle Flap Implantation combined with Arytenoid Adduction for Unilateral Vocal Fold Paralysis, 11th Taiwan Japan Otolaryngology Head & Neck Conference,   2011年
  • 内視鏡下両側経鼻腔法により摘出した蝶形骨洞乳頭腫の1例, 第50回日本鼻科学会総会・学術講演会,   2011年
  • 高度嗄声を呈した片側喉頭麻痺症例の筋電図検査, 第63回日本気管食道科学会総会・学術講演会,   2011年
  • 両側声帯正中位固定の治療, 第63回日本気管食道科学会総会・学術講演会,   2011年
  • 一側喉頭麻痺に対する神経再建手術, 第44回日本甲状腺外科学会総会・学術講演会,   2011年
  • Voice QOL after typeⅡthyroplasty for Spasmodic Dysphonia, American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting&OTO EXPO,   2011年
  • 痙攣性発声障害の取り扱い, 第26回日本耳鼻咽喉科学会九州連合地方部会学術講演会,   2011年
  • 甲状軟骨形成術Ⅱ型専用手術器具の開発, 第13回耳鼻咽喉科疾患研究会,   2011年
  • Effects of TypeⅡThyroplasty in Patients with Adductor Spasmodic Dysphonia;Acoustic and Aerodynamic Findings, The 7th East Asian Conference on Phonosurgery,   2010年
  • 披裂軟骨内転術, 第62回日本気管食道科学会総会・学術講演会,   2010年
  • 甲状軟骨形成術Ⅱ型専用手術器具の開発, 第55回日本音声言語医学会総会・学術講演会,   2010年
  • 喉頭筋電図を用いた片側声帯麻痺の術後評価, 第111回日本耳鼻咽喉科学会総会・学術講演会,   2010年
  • 外来で行う瘢痕声帯に対するステロド局所注射, 第22回日本喉頭科学会総会・学術講演会,   2010年
  • 感染・狭窄を繰り返す難治性喉頭狭窄の1例, 第25回西日本音声外科研究会,   2010年
  • The Role of Immediate Recurrent Laryngeal Nerve Reconstruction for thyroid Cancer Surgery, 第10回台日耳鼻咽喉科学会議,   2009年
  • 反回神経の処理・吻合, 第42回日本甲状腺外科学会,   2009年
  • Effects of Type ⅡThyroplasty for Spasmodic Dysphonia, American Academy of Otolaryngology-Head and Neck Surgery,   2009年
  • 当科における内転型痙攣性発声障害手術症例の臨床的検討, 第71回耳鼻咽喉科臨床学会総会・学術講演会,   2009年
  • Office Based Treatment of Vocal Fold Scarring with Transcutaneous Chordal Steroid Injections, COSM,   2009年
  • Effects of type II thyroplasty on acoustic parameters of adductor spasmodic dysphonia, The 9th Japan-Taiwan Conference in Oto-Rhino-Laryngology, Head and Neck Surgery,   2007年
  • 外来で可能な瘢痕声帯の治療, 第59回日本気管食道科総会・学術講演会,   2007年
  • 痙攣性発声障害に対する外科治療~甲状軟骨形成術II型専用手術器具の開発~, 第52回日本音声言語医学会総会・学術講演会,   2007年
  • 孤立性蝶形骨洞病変の検討, 第46回日本鼻科学会総会および学術講演会,   2007年
  • Effect of type II thyroplasty with adductor spasmodic dysphonia: Aerodynamic and Videoendoscpic Findings, 27th World Congress of the International Associastion of Logopedics and Phoniatrics,   2007年
  • 輪状甲状筋優位の外転型痙攣性発声障害の1例, 第20回日本喉頭科学会,   2007年
  • 甲状軟骨形成術II型における甲状軟骨正中切開と内軟骨膜剥離のポイント, 第18回日本頭頸部外科学会総会ならびに学術講演会,   2007年
  • The Outcomes of Type 2 Thyroplasty for Adductor Spasmodic Dysphonia :Analyses of revision and unsatisfactory case, The 5th East Asian Conference on Phonosurgery,   2006年
  • 発声時疼痛・違和感を伴った甲状軟骨上角過長症例の治療経験, 第51回日本音声言語医学会総会ならびに学術講演会,   2006年
  • 難治性喉頭疾患の手術:私の対処法、喉頭狭窄, 第58回日本気管食道科学会総会ならびに学術講演会,   2006年
  • 副鼻腔炎術後の中鼻道狭小化予防の成績, 第45回日本鼻科学会総会ならびに学術講演会,   2006年
  • 音声障害への対応 ~音声外科手術について~, 平成18年度日本耳鼻咽喉科学会熊本県地方部会総会ならびに学術講演会,   2006年
  • 声帯麻痺に対する喉頭枠組手術~新たな工夫と方法~, 第107回日本耳鼻咽喉科学会総会・学術講演会,   2006年
  • 内転型痙攣性発声障害再手術症例の検討, 第18回日本喉頭科学会総会ならびに学術講演会,   2006年
  • 喉頭枠組み手術~GIDと痙攣性発声障害~, 第19回日本喉頭科学会総会ならびに学術講演会,   2006年
  • 長期経過を追えた輪状咽頭嚥下困難症の1例, 第30回日本嚥下医学会総会ならびに学術講演会,   2006年
  • 披裂軟骨内転術後に麻痺側声帯の可動性が回復した2症例, 第22回西日本音声外科研究会,   2006年
  • 輪状甲状軟骨接近術症例の検討, 日本気管食道科学会学術講演会,   2005年
  • 内転型痙攣性発声障害 術前後における喉頭所見, 日本音声言語医学会学術講演会,   2005年
  • Thyroplasty: Innovations and Applications, Mayo Clinic Department of Otorhinolaryngology and Mayo School of Continuing Medical Education,   2005年

作品

  • 内転型痙攣性発声障害に対するチタンブリッジを用いた甲状軟骨形成術2型の効果に関する研究,   2014年
  • Treatment for Adductor Spasmodic Dysphonia by Type2 Thyroplasty using Titanium Bridges,   2014年
  • 痙攣性発声障害モデル動物を用いた病態解明と新たな治療法の確立,   2007年 - 2008年


Copyright © MEDIA FUSION Co.,Ltd. All rights reserved.