All laryngologists, especially general ENT doctors who see patients with paralytic dysphonia, as well as speech pathologists, will benefit from this book’s coverage of many basic and clinical aspects of reinnervation in retrieving patients’ normal voices. Phonosurgical treatment for paralytic dysphonia was first established in the late 1970s in the form of arytenoid adduction and medialization laryngoplasty. It made possible the improvement of patients’ post-op voices, but it was difficult to regain patients’ own pre-paralysis voices. It has recently been established that immediate reconstruction of the recurrent laryngeal nerve during tumor extirpation is effective in recovery of their original voices in patients with unilateral vocal fold paralysis (VFP). The activity of the thyroarytenoid muscle is needed to recover normal voices. Nerve–muscle pedicle (NMP) flap implantation with a refined technique to the thyroarytenoid muscle is a novel method for that purpose. NMP flap implantation combined with arytenoid adduction was applied by the author to patients suffering from dysphonia and most patients did recover their nearly normal voices after surgery. This book provides readers with (1) what the currently prevalent surgical procedures are, (2) unsatisfactory results of these conventional procedures, (3) results of immediate recurrent laryngeal nerve reconstruction during tumor extirpation, (4) the outcome of delayed reinnervation combined with arytenoid adduction in patients with VFP and further, (5) the scientific basis that explains the reasons why the author’s method is effective in the recovery of patients’ own pre-paralysis, normal voices.
A dish best served cold... The revenge of the forty-seven ronin is the famous story of samurai vengeance from feudal Japan. Briefly, Lord Asano, the daimyo of Ako, tries to kill Lord Kira, the chief master of ceremonies, in the shogun's castle in Edo during a visit of imperial envoys from Kyoto. The shogun handed down the sentence of seppuku, ritual suicide, to be carried out the same evening but only for Lord Asano. Some, but not all, of Asano's retainers found the punishment unjust and vowed to deliver Lord Kira's head to the grave of their lord. No one knows the full true story of the forty-seven ronin, but Eiji Yoshikawa weaves an exciting tale of the players on this historic stage. He tells a tale of the many players, their motivations and conflicts, and the series of events that affect Japan to this day. An early retelling of this incident was a puppet play titled Chushingura, which is translated as The Treasury of Loyal Retainers. Eiji Yoshikawa's The New Chushingura was serially published in Hinode magazine from January 1935 to January 1937.
This will help us customize your experience to showcase the most relevant content to your age group
Please select from below
Login
Not registered?
Sign up
Already registered?
Success – Your message will goes here
We'd love to hear from you!
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.