研究者詳細 - 片岡　祐子

論文 - 片岡　祐子

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Outcomes of consonant-vowel monosyllable perception and word recognition after cochlear implantation in elderly Japanese patients. 国際誌

Ryotaro Omichi, Yukihide Maeda, Akiko Sugaya, Yuko Kataoka, Shin Kariya, Kunihiro Fukushima, Kazunori Nishizaki

Acta oto-laryngologica 135 ( 11 ) 1108 - 12 2015年

記述言語：英語掲載種別：研究論文（学術雑誌）

CONCLUSION: Performance in consonant-vowel (CV) monosyllable speech perception after cochlear implantation (CI) in the elderly (≥ 65 years) is equivalent to that of young adults (18-64 years). Present data in the Japanese language supported the indication for CI in the elderly. Word recognition after CI was significantly lower in the elderly than young adults. OBJECTIVE: This study compared outcomes of monosyllable perception and word recognition after CI between elderly patients and young adults with post-lingual deafness. Age-related differences in CV monosyllable speech perception in Japanese were examined. METHODS: A retrospective chart review of 137 patients with post-lingual deafness who underwent CI at Okayama University Hospital during 1992-2014 [young adults aged 18-64 years (n = 96) and elderly aged ≥ 65 years (n = 41) at implantation] was conducted. CV monosyllable speech perception post-CI was compared among age groups (18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80-89). CV monosyllable perception and word recognition scores post-CI were compared between the elderly and young adults. RESULTS: There was no significant difference in CV monosyllable speech perception among age groups. CV monosyllable speech perception in the elderly (61.4 ± 25.5%) did not differ from that of young adults (65.9 ± 24.8%). Word recognition scores were significantly lower in the elderly (64.3 ± 28.1%) than young adults (80.4 ± 25.9%) (p < 0.05).

DOI： 10.3109/00016489.2015.1062547

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[The age at which the grade of Special Child Dependent's Allowance Act can be judged in the case of deaf children].

Yuko Kataoka, Kunihiro Fukushima, Akiko Sugaya, Yukihide Maeda, Kazunori Nishizaki

Nihon Jibiinkoka Gakkai kaiho 117 ( 9 ) 1200 - 4 2014年9月

記述言語：日本語掲載種別：研究論文（学術雑誌）

The spread of neonatal hearing screening has made the identification of hearing loss in early childhood possible, and most of the children with hearing loss are diagnosed and provided with early intervention within several months after their birth. However, they have to wait to receive the Special Child Dependent's Allowance until their hearing levels are evaluated with audiometers. Under the Special Child Dependent's Allowance Act now in force, a delay of several years occurs for those children before they can receive the allowance after diagnosis. We retrospectively reviewed hearing test results of children who had not reacted at 90dBnHL bilaterally in ABR within 12 months after birth, and examined when those results were certain enough to determine their allowance eligibility. We found that the eligibility in children with hearing loss alone could be determined at 1 year of age; as for children who had other disorders, since it was mostly difficult to test them with an audiometer, the diagnosis of hearing loss must always be made carefully but it was also possible to determine the eligibility for the allowance at 1 year of age.

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難聴児に対する特別児童扶養手当等級判定時期に関する検討乳児期にABR90dBnHL無反応であった児の聴力経過より

片岡祐子, 福島邦博, 菅谷明子, 前田幸英, 西崎和則

日本耳鼻咽喉科学会会報 117 ( 9 ) 1200 - 1204 2014年9月

当科で経験したBOR症候群の2家族例

浦口健介, 菅谷明子, 片岡祐子, 前田幸英, 假谷伸, 福島邦博, 西崎和則

Otology Japan 24 ( 4 ) 548 - 548 2014年9月

[Assessment of hearing aid outcome using CADL].

Rie Nagayasu, Yukihide Maeda, Akiko Sugaya, Yuko Kataoka, Kunihiro Fukushima, Kazunori Nishizaki

Nihon Jibiinkoka Gakkai kaiho 117 ( 8 ) 1126 - 31 2014年8月

記述言語：日本語掲載種別：研究論文（学術雑誌）

The presence of hearing impairment deteriorates patients' quality of life by affecting their daily-life communication. Several self-report assessments are available to evaluate the subjective outcome of hearing aids, however, the procedures to evaluate the impairment of communication induced by hearing impairment has not been well established. A PC-recorded audio file prepared to evaluate the communication ability of hearing aid users, by extracting fifteen spoken language items from the Communication ADL Test: sp-CADL. A before and after study was performed among the hearing aid users who were attending Okayama University Hospital to evaluate the improvement in each of the 15 sp-CADL scores. Twenty-one adults were included in this study whose age ranged from 22 to 83 years old (mean: 56.7 years old). The total and individual scores of the sp-CADL improved significantly after the use of the hearing aids (p < 0.05). The total sp-CADL score of the patients with hearing aids showed a good correlation with the best scores of the speech discrimination test measured before wearing hearing aids.

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実用コミュニケーション能力検査(CADL)簡易版を用いた補聴器装用効果の検討

長安吏江, 前田幸英, 菅谷明子, 片岡祐子, 福島邦博, 西崎和則

日本耳鼻咽喉科学会会報 117 ( 8 ) 1126 - 1131 2014年8月

当科で経験したBOR症候群の家族例

菅谷明子, 福島邦博, 前田幸英, 片岡祐子, 西崎和則

日本遺伝カウンセリング学会誌 35 ( 2 ) 80 - 80 2014年5月

岡山大学耳鼻咽喉科における補聴器外来の現況高齢者の補聴に関連して

前田幸英, 菅谷明子, 片岡祐子, 福島邦博, 西崎和則

日本耳鼻咽喉科学会会報 117 ( 4 ) 535 - 535 2014年4月

ちょっと便利な診療ツール外耳道パッキング素材

片岡祐子

JOHNS 30 ( 5 ) 2014年

耳鼻科シリーズ小児急性中耳炎診療ガイドライン

片岡祐子, 西崎和則

岡山医学会雑誌 126 ( 3 ) 2014年

当科での盲聾症候群5症例の臨床、遺伝子診断

前田幸英, 福島邦博, 片岡祐子, 菅谷明子, 西崎和則

Otology Japan 23 ( 4 ) 604 - 604 2013年10月

【検査結果をどう読むか?】聴覚領域の検査乳幼児聴力検査

菅谷明子, 片岡祐子, 福島邦博

JOHNS 29 ( 9 ) 1497 - 1499 2013年9月

Cochlin-tomoprotein (CTP) detection test identified perilymph leakage preoperatively in revision stapes surgery. 国際誌

Yuko Kataoka, Tetsuo Ikezono, Kunihiro Fukushima, Koji Yuen, Yukihide Maeda, Akiko Sugaya, Kazunori Nishizaki

Auris, nasus, larynx 40 ( 4 ) 422 - 4 2013年8月

記述言語：英語掲載種別：研究論文（学術雑誌）

Perilymphatic fistula (PLF) is defined as an abnormal leakage between perilymph from the labyrinth to the middle ear. Symptoms include hearing loss, tinnitus, and vertigo. The standard mode of PLF detection is intraoperative visualization of perilymph leakage and fistula, which ostensibly confirms the existence of PLF. Other possible methods of diagnosis include confirmation of pneumolabyrinth via diagnostic imaging. Recently, a cochlin-tomoprotein (CTP) detection test has been developed that allows definitive diagnosis of PLF-related hearing loss. We report the case of a 45-year-old man who presented with right-sided tinnitus, hearing loss, and dizziness 30 years after stapes surgery. Middle ear lavage was performed after myringotomy. A preoperative diagnosis of PLF was reached using the CTP detection test. Intraoperative observations included a necrotic long process of the incus, displaced wire piston, and fibrous tissue in the oval window. Perilymph leakage was not evident. The oval window was closed with fascia, and vertigo disappeared within 2 weeks postoperatively. When PLF is suspected after stapes surgery, the CTP detection test can be a useful, highly sensitive, and less invasive method for preoperative diagnosis.

DOI： 10.1016/j.anl.2012.08.001

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Expression of toll-like receptors in chronic otitis media and cholesteatoma. 国際誌

Haruka Hirai, Shin Kariya, Mitsuhiro Okano, Kunihiro Fukushima, Yuko Kataoka, Yukihide Maeda, Kazunori Nishizaki

International journal of pediatric otorhinolaryngology 77 ( 5 ) 674 - 6 2013年5月

記述言語：英語掲載種別：研究論文（学術雑誌）

OBJECTIVE: Otitis media is one of the most common infectious diseases, especially in young children. Multiple factors affect the onset or development of otitis media. Human toll-like receptors recognize associated patterns and play a critical role in innate immune mechanisms. Toll-like receptors are considered to be important factors for clearance of infection and resolution of inflammation in otitis media. The purpose of this study was to evaluate the histological expression of toll-like receptor 2, which recognizes many kinds of pathogen-associated molecular patterns, and toll-like receptor 4, which recognizes lipopolysaccharide on Gram-negative bacteria, in tissue samples from patients with chronic otitis media and middle ear cholesteatoma. METHODS: Human middle ear tissue samples from 12 patients with chronic otitis media (n=7) and acquired middle ear cholesteatoma (n=5) were examined. Normal control middle ear samples without any inflammation were also included (n=7). The expressions of toll-like receptors 2 and 4 in middle ear tissues were examined immunohistochemically. RESULTS: Only one normal control middle ear sample showed weak expression of toll-like receptor 2, and toll-like receptor 4 was not observed in all control samples. On the other hand, both toll-like receptors 2 and 4 were markedly expressed in chronic otitis media and cholesteatoma. There was a significant difference between chronic otitis media and normal controls in the expressions of both toll-like receptors. Significant up-regulation of toll-like receptors 2 and 4 was observed in cholesteatoma as compared with control samples. CONCLUSIONS: Toll-like receptors 2 and 4 were strongly expressed in chronic otitis media and middle ear cholesteatoma. These findings suggest that toll-like receptors may play a principal role in human chronic otitis media and cholesteatoma.

DOI： 10.1016/j.ijporl.2013.01.010

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乳児期にABRにて90dB無反応であった児の聴力経過

片岡祐子, 福島邦博, 菅谷明子, 前田幸英, 西崎和則

日本耳鼻咽喉科学会会報 116 ( 4 ) 475 - 475 2013年4月

【難病への取り組み】小児難聴に対する取り組み岡山から全国への発信

片岡祐子, 福島邦博, 菅谷明子, 西崎和則

岡山医学会雑誌 124 ( 2 ) 155 - 159 2012年8月

Charcot-Marie-Tooth病に感音難聴を合併し、ステロイド依存性難聴様の経過を示した小児の1例

福島邦博, 前田幸英, 大道亮太郎, 牧野琢丸, 片岡祐子, 假谷伸, 西崎和則

耳鼻咽喉科臨床補冊 ( 補冊133 ) 83 - 83 2012年7月

CADL(実用コミュニケーション検査)による補聴器装用効果の検討

前田幸英, 菅谷明子, 福島邦博, 片岡祐子, 西崎和則

日本耳鼻咽喉科学会会報 115 ( 4 ) 494 - 494 2012年4月

生後11ヶ月で人工内耳埋込術を施行した細菌性髄膜炎後難聴の1例

濱田浩司, 菅谷明子, 片岡祐子, 前田幸英, 福島邦博, 西崎和則

小児耳鼻咽喉科 33 ( 1 ) 23 - 28 2012年3月

記述言語：日本語出版者・発行元：Japan Society for Pediatric Otorhinolaryngology

生後11ヶ月で人工内耳埋込術を施行した髄膜炎後難聴の 1 例を経験したので報告する。症例は生後 8 ヶ月で，細菌性髄膜炎に罹患し，治癒後の聴性脳幹反応検査では両側 105 dBnHL で反応がみられなかった。内耳 MRI の 3D 再構築画像で右内耳は既に閉塞し，内耳内腔の骨化が急速に進行していると考えられた。左内耳は今後閉塞が高度となる可能性が考えられ，直ちに左人工内耳埋込術を施行した。髄膜炎後の難聴にはしばしば蝸牛内骨化を伴うが，中には髄膜炎罹患後約 2 週間から内耳骨化が進行するような，急速な骨化例もある。髄膜炎直後の乳児では難聴の早期発見のための ABR 検査や，難聴の存在を疑われた場合の迅速な MRI 検査は不可欠である。

DOI： 10.11374/shonijibi.33.23

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その他リンク： http://search.jamas.or.jp/link/ui/2012208704

外耳道扁平上皮癌との鑑別が困難であった外耳道耳垢腺腫の1例

假谷伸, 福島邦博, 片岡祐子, 前田幸英, 西崎和則

Otology Japan 22 ( 1 ) 36 - 39 2012年2月

記述言語：日本語出版者・発行元：THE JAPAN OTOLOGICAL SOCIETY

耳垢腺腫は外耳道の耳垢腺を発生母地とする良性腫瘍であり、多彩な組織所見を呈することから微少な組織からでは診断が困難であるとされている。今回、我々は術前の生検にて扁平上皮癌が疑われた耳垢腺腫症例を経験したので報告する。症例は59歳女性。主訴は耳漏であり、それ以外の自覚症状は認められなかった。術前の生検を2回行ったが、ともに扁平上皮癌の疑いという結果であった。耳内法による腫瘍切除術と耳後部有茎皮弁による外耳道再建を施行した。最終病理診断は耳垢腺腫であった。術後、1年半を経過し、再発は認められていない。

DOI： 10.11289/otoljpn.22.36

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その他リンク： http://search.jamas.or.jp/link/ui/2012167712

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