Papers - Ozawa, Hiroyuki

Herpes zoster involving lower cranial nerves; a report of 2 cases

Mizutari Kunio, Saito Hideyuki, Ozawa Hiroyuki

Practica Oto-Rhino-Laryngologica 95 ( 9 ) 889 - 892 2002

ISSN  0032-6313

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<p>We report two cases of cranial nerve palsy due to varicella-zoster virus infection. One patient, a 53-year-old woman, was admitted to our hospital complaining of a sore throat, right otalgia and painful vesicle on the right auricle. Herpetic vesicles were present on the right soft palate and arytenoid. She also reported loss of hearing in the right ear but there was no facial palsy. The serum antibody titer for herpes zoster was significantly elevated, and the cerebrospinal fluid showed pleocytosis. She was diagnosed as having herpes zoster involving the vestibulocochlear nerve and glossopharyngeal nerve. She was treated with intravenous acyclovir and satellite ganglion block. She did not have any residual signs. The other patient, a 44-year-old woman, complained of a sore throat, hoarseness and difficulty in swallowing. She had no skin rash, but there was a single vesicle on the left arytenoid. Physical examination revealed poor elevation of soft palate on the left side, but gag reflex was preserved. The serum antibody titer for herpes zoster was significantly elevated. She was diagnosed as having herpes zoster involving vagus nerve. She was treated with intravenous acyclovir for 7 days. She did not have any residual sign. In cases of unilateral cranial nerve palsy with pain, herpes zoster should be considered, and serum antibody titer for herpes zoster should be evaluated.</p>

Resection of an orbital tumor with coronal incision and frontal sinus fenestration

Saito Hideyuki, Araki Koji, Ozawa Hiroyuki, Takahashi Yuji

Practica Oto-Rhino-Laryngologica 95 ( 7 ) 715 - 718 2002

ISSN  0032-6313

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<p>A case of orbital tumor is reported. A 52-year-old man consulted our hospital with left exopthalmus and impaired vision. On opthalmologic exmination, left exopthalmos in Hertel statometer, left impaired visual acuity and degeneration of retina in superolateral region of the optic disk of his left eye were noted. Magnetic resonance imaging (MRI) demonstrated a tumor with clear margin in the retro bulbar space. He was referred to our oto-rhino- laryngological section for surgery. At surgery, coronal incision was made and the extended lateral orbitotomy was made with fenestration of the frontal sinus. The tumor was easily removed without any complication on visual acuity and eye-ocular movement. We conclude that the approach with coronal incision and frontal sinus fenestration is useful for resection of orbital tumor.</p>