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所属 |
医学部 附属病院 耳鼻いんこう・頭頸部外科 |
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職名 |
講師 |
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外部リンク |
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論文 【 表示 ／ 非表示 】
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蝶形骨洞を主病変とする症例の臨床的検討 査読あり
奥田 匠,花牟禮 豊,笠野 藤彦,鹿島 直子
日本耳鼻咽喉科学会会報 108 835 - 841
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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下咽頭原発の内分泌細胞癌例 査読あり
奥田 匠,外山 勝浩,長井 慎成,春田 厚
耳鼻臨床 98 ( 11 ) 873 - 879
記述言語：日本語 掲載種別：研究論文（学術雑誌）
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Speech Perception of Second Cochlear Implant after 6 Years of Age in Prelingually Deaf Children 査読あり
Okuda T., Matsuda Y., Tsumagari S., Tono T.
Indian Journal of Otolaryngology and Head and Neck Surgery 2022年
担当区分：筆頭著者, 責任著者 記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Indian Journal of Otolaryngology and Head and Neck Surgery
Sequential bilateral cochlear implantation in children becomes less effective as the inter-implant interval increases. However, the cause of this and the age at which speech perception becomes impossible are unclear. We examined the cases of 11 prelingually deaf children who underwent unilateral cochlear implantation at our hospitals before the age of 5 years old, followed by a second implantation procedure on the contralateral side when they were aged ≥ 6 years old (6–12 years old). The subjects’ hearing thresholds and speech discrimination scores for the second cochlear implant were evaluated at 3 postoperative months and 1–7 years. All of the subjects demonstrated improvements in their hearing thresholds to a mean of 30 dB HL at 1 year. Regarding speech perception, one patient (a 12-year-old), who had developed bilateral hearing loss at 30 months of age after contracting mumps, demonstrated a 90% improvement in his speech discrimination score at 1 year. However, among the other congenitally deaf children, there were two patients whose speech discrimination scores had improved by ≥ 80% at > 4 postoperative years. The congenitally deaf children exhibited poor speech perception despite showing improved hearing thresholds in the ears that received second cochlear implants. Assuming that the auditory pathway beyond the superior olivary complex remained functional, the reduced speech perception abilities associated with the second cochlear implants may have been attributable to the loss of the spiral ganglion and cochlear nucleus cells due to a lack of auditory input since birth.
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Tympanoplasty for adhesive otitis media 査読あり
Okuda T., Matsuda K., Nakashima T., Goto T., Ganaha A., Tono T.
Journal of Otolaryngology of Japan 124 ( 5 ) 756 - 762 2021年
担当区分：筆頭著者, 責任著者 記述言語：日本語 掲載種別：研究論文（学術雑誌） 出版者・発行元：Journal of Otolaryngology of Japan
We examined the data of 148 cases of tympanoplasty performed for adhesive otitis media from 1995 through 2018. The number of mild cases increased. We mainly performed mucous membrane transplantation as a preventive measure against adhesion from 1978 through 1994; after 2006, mainly cartilage tympanoplasty was performed. We compared the results between the two procedures. The ratio of cases with postoperative eardrum normalcy improved from 60% to 83%, and the success rate of hearing gain improved from 55% to 69%（former period vs. latter period）. In the cases treated after 2006, we compared the hearing gain between the group that showed good pneumatization to a epitympanum or a mastoid cavity（84%）and the group which showed poor pneumatization only to a tympanic cavity on preoperative CT （46%）; the former group showed a significantly high success rate of hearing gain（P＝0.002）. The mean age of the patients was 51.8 years old in the poor preoperative pneumatization group as compared to 31.1 years old in the group with good pneumatization in the preoperative CT. The patients in the good preoperative pneumatization group were significantly younger（P＜0.001）. The patients who showed good postoperative hearing were significantly younger（P＜0.001）. Young age and good pneumatization on the preoperative CT were shown to be predictors of good results of hearing, in case of considering the surgical indication and time. On the other hand, the hearing gain was poor in the patients with poor preoperative pneumatization who were of advanced age, even if planned staged tympanoplasty was performed. In such case, we should adopt the surgical procedure aimed at an ear canal or the eardrum form that was hard to cause otorrhea assuming the wearing of the hearing aid, otherwise examine the treatment policy that we took an option of the artificial hearing device into consideration.
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Arrested Pneumatization of the Skull Base/Sphenoid Sinus 招待あり
奥田 匠
耳鼻咽喉科臨床 116 ( 3 ) 204 - 205 2023年
MISC 【 表示 ／ 非表示 】
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【目で見る耳の検査】人工内耳に関連する生理検査
奥田匠, 永野由起, 東野哲也
JOHNS 2011年8月
記述言語：日本語 掲載種別：記事・総説・解説・論説等（学術雑誌） 出版者・発行元：東京医学社
講演・口頭発表等 【 表示 ／ 非表示 】
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喉頭全摘出術後に咽頭皮膚瘻を来した症例の検討．
奥田 匠，川畑隆之，井手慎介，久冨木冠，梶原 啓，後藤隆史，東野哲也
第30回日本頭頸部外科学会総会ならびに学術講演会
開催年月日： 2020年1月30日 - 2020年1月31日
記述言語：日本語 会議種別：口頭発表（一般）
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当院で経験した甲状腺濾胞癌と乳頭癌を合併した2症例．
久冨木冠，奥田 匠，川畑隆之，井手慎介，梶原 啓，東野哲也
第30回日本頭頸部外科学会総会ならびに学術講演会
開催年月日： 2020年1月30日 - 2020年1月31日
記述言語：日本語 会議種別：口頭発表（一般）
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当科におけるVibrant Soundbridge(VSB)症例の検討．
山田悠祐，松田圭二，奥田 匠，中島崇博，東野哲也
第29回日本耳科学会総会・学術講演会
開催年月日： 2019年10月10日 - 2019年10月12日
記述言語：日本語 会議種別：口頭発表（一般）
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人工内耳装用例における単音節語表の比較と検討–CI2004単音節リストと57-S語表の成績比較–．
松田悠佑，奥田 匠，中島崇博，平原信哉, 花牟禮豊，松田圭二，我那覇章，東野哲也
第29回日本耳科学会総会・学術講演会
開催年月日： 2019年10月10日 - 2019年10月12日
記述言語：日本語 会議種別：口頭発表（一般）
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脊索腫と鑑別を要したArrested pneumatization of the sphenoid sinusの1症例．
山本章裕，奥田 匠，後藤隆史，中村 雄，東野哲也
第58回日本鼻科学会総会・学術講演会
開催年月日： 2019年10月3日 - 2019年10月5日
記述言語：日本語 会議種別：口頭発表（一般）