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Furukawa, Kozo

doi:10.3950/jibiinkoka.87.169

Cited by 23 publications

(2 citation statements)

References 21 publications

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“…Of manuscripts written in non-English language, three had no abstracts available, and five provided abstracts with insufficient data regarding baseline demographics, clinical presentation, and management. Finally, 45 studies were included in this systematic review, with 49 patients being pulled from case reports or series (1,3,8–50).…”

Section: Resultsmentioning

confidence: 99%

“…The pathogenesis of Bezold’s abscess is well understood, but there are several key points to highlight. First, the anteromedial spread of the Bezold’s abscess may reach into the infratemporal fossa or masticator space, as demonstrated by the trismus experienced by a few patients in this review (8,20,29). Adjacent extension to the parapharyngeal space may lead to retropharyngeal spread and subsequent thoracic involvement (41,44).…”

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

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ObjectiveThe objective for this systematic review is to characterize clinical presentations of Bezold’s abscesses to improve awareness and promote earlier diagnoses and prompt intervention in this increasingly rare otologic infection.Data sourcesPubmed/Medline, CINAHL (EBSCOhost), and Web of Science articles in all languages were searched.Study selectionInclusion criteria were that the article was either a case report, case series, or retrospective review with individual case data available. Non-English articles were excluded if they lacked an English language abstract and if that abstract lacked information on baseline demographics, clinical presentation, and management.Data extractionIncluded studies were evaluated using fulltext review and demographics, etiology, microbiology, antibiotic usage, and surgical variables were collected.Data synthesisData were qualitatively synthesized, with means and averages obtained for all continuous variables.ConclusionsBezold’s abscess remains a rare otologic infection, but they are relatively commonly associated with serious neurologic and systemic complications. Delay in diagnosis was a frequent commonality and diagnostic vigilance is tantamount in avoiding this sequelae. Aggressive surgical extirpation and long-term antibiotic treatment is recommended.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

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Methodology for detecting swallowing sounds

1994

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The use of cervical auscultation in the evaluation of the pharyngeal swallow may become a part of the clinical evaluation of dysphagic patients. Though its use is based on subjective evaluation, an acoustic analysis of swallowing sounds might establish more objective criteria in the detection of swallowing disorders. The present study sought to investigate three aspects of the methodology for detecting swallowing sounds: (1) the type of acoustic detector unit suited to an acoustic analysis of the pharyngeal swallow, (2) the type of adhesive suited for the attachment of the detector, and (3) the optimal site for sound detection of the pharyngeal swallow. An accelerometer with double-sided paper tape was selected as the appropriate detector unit because of its wide range of frequency response and small attenuation level. Using this detector unit, swallowing sounds and noise associated with simulated laryngeal elevation and the carotid pulse were acquired at 24 sites on the neck in 14 normal subjects; these signals were acoustically analyzed. The determination of the optimal site for detecting swallowing sounds was based on the signal-to-noise ratio. The site over the lateral border of the trachea immediately inferior to the cricoid cartilage is the optimal site for detection of swallowing sounds because this site showed the greatest signal-to-noise ratio with the smallest variance. The site over the center of the cricoid cartilage and the midpoint between the site over the center of the cricoid cartilage and the site immediately superior to the jugular notch were also considered to be the most appropriate sites.

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