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Department of Otolaryngology

November 15,2021 Update

Introduction

The Department of Otolaryngology provides a wide range of treatments for the head and neck areas, from the ear, nose, and throat (pharynx, larynx) to salivary glands (parotid glands, submandibular glands) and thyroid.

In the case of chronic otitis media and chronic otitis media with cholesteatoma, tympanoplasty is performed, and insertion of a ventilation tube is performed for exudative otitis media. For those with bilateral advanced hearing loss, a cochlear implantation is performed, and hearing aid outpatient is conducted every Tuesday afternoon for those who have mild to moderate hearing loss and use a hearing aid. In addition, drug therapy is mainly performed with adrenocortical steroids for sudden deafness and facial paralysis. In addition to drug therapy for cochlear dizziness, we also conduct physical therapy for benign paroxysmal positional vertigo and an endolymphatic sac shunt surgery for intractable Meniere's disease.

For hay fever and year-round allergic rhinitis, we also provide laser surgery (day surgery) which is effective for nasal congestion, and sublingual immunotherapy focusing on fundamental improvement of the physical constitution. Because the sinus surgery uses endoscopic treatment for chronic sinusitis, the pain is greatly reduced, and there is no swelling of the face compared with the old sinus surgery. In addition, it is now possible to safely perform a relatively difficult frontal sinus surgery with the introduction of the navigation system.

We perform adenoid resection or tonsillectomy for adenoid hyperplasia, chronic tonsillitis, and sleep apnea syndrome associated with tonsillar hypertrophy, and vocal cord polyps excision is performed using microscopes for vocal cord polyps.

Among the tumors of the head and neck, we are actively performing surgery for the nose, throat, parotid, mandibular glands and benign tumors of the thyroid gland. Radio therapy is carried out in the outpatient clinic in the case of early cancer of the larynx, but in cases of progressive nasal and throat cancers, we have been conducting examinations and treatment in cooperation with the Head and Neck Oncology Department of the International Medical Center.

With the advancement of medical care, we have entered an era where we can provide a variety of treatment methods, and we would like to promote medical care that fully considers the needs of patients.

Patient care at our department

General outpatient
Reception hours are from 8:30 am to 11:00 am Mon.to Sat. Please bring a referral letter for initial consultations.
Specialty Outpatient
The specialty outpatient is by reservation only. Please contact your doctor in general outpatient.
Hearing aid outpatient: Tues. afternoon
The hearing aid outpatient is an insurance practice where physicians, hearing technicians, and hearing aid companies work together to evaluate the test-fitting of hearing aids and adjust them. The hearing aid may not reach the required volume in one adjustment, unlike glasses. Adjustments will be made for about three months to create a hearing aid that fits just the patient. Please contact us if you have had a hearing aid made in the past but it did not work well. In addition, we recommend cochlear implants for patients with severe hearing loss on both sides who cannot be supported by hearing aids. In addition, we will create a letter of referral to the hearing aid supplier, even if the hearing aid is not handled by our department, so please let us know.
Allergic Rhinitis outpatient
・Sublingual immunotherapy (cedar, mites): Tues afternoon
Immunotherapy is intended to alleviate symptoms by gradually administering allergens that cause the reaction in the body and improving the constitution. It may reach a complete cure, but it is said to be for about 20% of the total. Immunotherapy will be required for three years or more until the therapeutic effects appear. With sublingual immunotherapy, after the fourth visit, the patient may be examined less frequently: only once per month. This treatment is a long term treatment but it can be expected to relieve symptoms, so please contact us if you want this.
・Laser ablation surgery for inferior nasal concha, submucosal resection of inferior nasal concha: Mon. / Fri. afternoons
This is an effective treatment method for patients suffering from nasal congestion. Laser ablation surgery should be done once a year. Submucosal resection of inferior nasal concha is effective for about five years, but it can only be done on one side at a time, so the other side is done two months later. It may not be possible to do this in outpatient cases where the deviation of nasal septum is significant.
Special examination outpatient
ABR, ENG: Mon., Wed., Thurs., Fri. afternoons
Pediatric ENT Outpatient: First Wed. morning
From guest professor Sakata:
The first thing taught in the professor's pediatric class was "the child is not a miniature adult." It means that children are always growing and developing and they are in process. Therefore, even with pediatric otitis media, it is often the case that the treatment will be different from that of an adult. Pediatric Otolaryngology outpatient will support intractable otitis media focusing on such as child deafness, hearing problems, equilibrium disorders such as dizziness or falling, snoring and sleep apnea. Please consult with us.

Main diseases

Ear area
Ear fistula, pearl tumor tympanitis, exudative otitis media, chronic otitis media, otosclerosis, sudden deafness, acute low-tone sensorineural hearing loss, Meniere's disease, vestibular neuritis, benign paroxysmal positional vertigo, peripheral facial palsy, hearing aids, cochlear implants
Nose area
Allergic rhinitis, hypertrophic rhinitis, chronic sinusitis, paranasal sinus tumor, maxillary sinus mycosis, dental maxillary sinusitis, nasal polyp
Oral throat larynx area
Taste disorders, chronic tonsillitis, peritonsillar abscess, sleep apnea syndrome, adenoid dilatation, vocal cord polyps, polypoid vocal cords, laryngeal granulomas, larynx cysts, acute epiglottitis, larynx tumors, swallowing disorders
Neck area
Parotid tumors, submandibular adenocarcinoma, salivolithiasis, thyroid tumors, median cervical cyst, lateral cervical cyst
 

Target Symptoms

Ear area
Hearing loss, tinnitus, muffled sound, hearing your own voice, dizziness, delay of words, earache, discharge from the ear, paralysis of the face
Nose area
Nasal congestion, nasal drip, post-nasal drip, cheek pain, can't smell
Oral throat larynx area
Snoring, can't taste, repeated high fever, sore throat, sense of incongruity of the throat, voice gets hoarse, dry feeling in the throat, difficult to swallow
Neck area
Neck swelling, pain

Treatment results

Admissions in 2017
Number of inpatient hospitalizations 1,384
Number of inpatient hospitalizations by disease
Sudden deafness 105
Facial palsy 70
Chronic otitis media with cholesteatoma 23
Exudative otitis media 14
Chronic otitis media 22
Otosclerosis 3
Vertigo 49
Fistula auris congenita 16
Chronic sinusitis 76
Deviated septum 23
Hypertrophic rhinitis 23
Nosebleed 13
Paranasal sinus tumor 12
Chronic tonsillitis 56
Peritonsillar abscess 55
Sleep apnea syndrome 29
Acute tonsillitis/pharyngolaryngitis 84
Pharyngeal tumor 2
Vocal cord polyp 21
Epiglottitis 30
Laryngeal tumor 12
Laryngeal edema 8
Parotid gland tumor 33
Submandibular gland neoplasm 13
Submandibular gland salivary calculus symptom 8
Thyroid tumor 11
Cervical cyst 9
Outpatient
Number of outpatients 12,340
Disease name(Number of cases)
Chronic sinusitis 927
Allergic Rhinitis 600
Vertigo 634
Sensorineural hearing impairment 690
Sudden deafness 320
Nasal bleeding 259
Exudative otitis media 244
Meniere's disease 218
Chronic otitis media with cholesteatoma 211
Acute sinusitis 199
Chronic otitis media 197
Acute tonsillitis 144
Chronic tonsillitis 142
Laryngeal cancer 140
Laryngeal tumor 155
Facial palsy 194
Sleep apnea syndrome 126
Parotid gland tumor 147
Thyroid tumor 110
Vocal cord polyp 75
Benign paroxysmal positional vertigo 72
Deviation of septum 66
Neck tumors 65
Peritonsillar abscess 53
Thyroid cancer 48
Recurrent nerve paralysis 44
Paranasal sinus tumor 86
Submandibular gland neoplasm 78
Goiter 39
Epiglottitis 38
Fistula auris congenita 38
Smell disturbance 37
Swallowing disorder 37
Stenosis of eustachian tube 33
Taste disturbance 31
Thyroid benign tumor 28
Epiglottis cyst 27
Laryngeal granuloma 26
Eosinophilic sinusitis 26
Postoperative maxillary cyst 26
Median cervical cyst 24
Hypertrophic rhinitis 24
Hypopharynx carcinomata 21
Open eustachian tube 21
Otosclerosis 20
Sjogren's syndrome 18
Polypoid vocal cord 17
Pharynx carcinomata 15
Paranasal sinus mycosis 15
laryngomalacia 14
Nasopharyngeal carcinoma 14
Fracture of the nasal bone 14
External auditory canal cholesteatoma 13
Nonorganic deafness 13
Side neck cyst 13
Ranula 12
Tongue neoplasm 12
Infectious mononucleosis 12
Neck abscess 11
Vestibular neuritis 11
Hypopharyngeal tumor 10
Cervical lymph node metastasis 10
Congenital anomaly of auditory ossicles 10
Lingual cancer 10
Salivolithiasis 33

Medical staff

Name Job Title Position Specialized Field Credentials
菊地 茂
(Kikuchi Shigeru)
耳鼻咽喉科スタッフ
Professor Chief of Clinical Services Otorhinolaryngology
Otology
Rhinology
Board Certified Otorhinolaryngologist
Board Certified Bronchoesophagologist
二藤 隆春
(Nitou Takaharu)
耳鼻咽喉科スタッフ
Associate Professor Vice-Chief of Clinical Services
Manager of Inpatient Services
Otorhinolaryngology
Broncho-Esophagological
Laryngology
Board Certified Otorhinolaryngologist
Board Certified Bronchoesophagologist
大木 雅文
(Ohki Masafumi)
耳鼻咽喉科スタッフ
Associate Professor Vice-Chief of Clinical Services
Manager of Outpatient Services
Otorhinolaryngology
Otology
Board Certified Otorhinolaryngologist
Board Certified Bronchoesophagologist
田中 是
(Tanaka Sunao)
耳鼻咽喉科スタッフ
Assistant Professor Chief of Education Otorhinolaryngology Board Certified Otorhinolaryngologist
Board Certified Bronchoesophagologist
杉木 司
(Sugiki Tsukasa)
耳鼻咽喉科スタッフ
Instructor Manager of General Affairs Otorhinolaryngology Board Certified Otorhinolaryngologist
杉本 裕彦
(Sugimoto Hirohiko)
耳鼻咽喉科スタッフ
Instructor Otorhinolaryngology Board Certified Otorhinolaryngologist
Board Certified Bronchoesophagologist
髙嶋 正利
(Takashima Masatosi)
耳鼻咽喉科スタッフ
Instructor Otorhinolaryngology Board Certified Otorhinolaryngologist
山田 正人
(Yamada Masato)
耳鼻咽喉科スタッフ
Instructor Otorhinolaryngology
藤綱 舞
(Fujitsuna Mai)
耳鼻咽喉科スタッフ
Instructor Otorhinolaryngology
佐野 奈央
(Sano Nao)
耳鼻咽喉科スタッフ
Instructor Otorhinolaryngology
多賀谷 亮甫
(Tagaya Ryousuke)
耳鼻咽喉科スタッフ
Instructor Otorhinolaryngology
溝口 平恵
(Mizoguti Yoshie)
耳鼻咽喉科スタッフ014
Instructor Otorhinolaryngology
石川 翔也
(Ishikawa Shouya)
耳鼻咽喉科スタッフ014
Instructor Otorhinolaryngology
坂田 英明
(Sakata Hideaki)
耳鼻咽喉科スタッフ012
Visiting Professor Otorhinolaryngology
Pediatric Otorhinolaryngology
Board Certified Otorhinolaryngologist
大畑 敦
(Ohata Atsushi)
耳鼻咽喉科スタッフ016
Visiting Associated Professor Otorhinolaryngology Board Certified Otorhinolaryngologist

Outpatient clinic

Department of Otolaryngology
  Monday Tuesday Wednesday Thursday Friday Saturday
午前
初診
二藤 隆春
(Nito Takaharu)
高嶋 正利
(Takashima Masatoshi)
杉本 裕彦
(Sugimoto Hirohiko)
菊地 茂
(Kukuchi Shigeru)
田中 是
(Tanaka Sunao)
(交替制)
大木 雅文
(Oki Masafumi)
溝口 平恵
(Mizogutchi Yoshie)
藤綱 舞
(Fujitsuna Mai)
杉木 司
(Sugiki Tsukasa)
山田 正人
(Yamada Masato)

多賀谷 亮甫
(Tagaya Ryosuke)
石川 翔也
(Ishikawa Syoya)

佐野 奈央
(Sano Nao)


再診
菊地 茂
(Kukuchi Shigeru)
山田 正人
(Yamada Masato)
大畑 敦
(Ohata Atsushi)
二藤 隆春
(Nito Takaharu)
佐野 奈央
(Sano Nao)

杉木 司
(Sugiki Tsukasa)
田中 是
(Tanaka Sunao)
大木 雅文
(Oki Masafumi)
石川 淳一
(Ishikawa Jyunichi)
高嶋 正利
(Takashima Masatoshi)

溝口 平恵
(Mizogutchi Yoshie)
藤綱 舞
(Fujitsuna Mai)
多賀谷 亮甫
(Tagaya Ryosuke)
杉本 裕彦
(Sugimoto Hirohiko)
石川 翔也
(Ishikawa Syoya)

・咽頭がん、口腔がんなど抗がん剤や再建術を必要とする癌は扱いません。
・気管・気管支異物は扱いません。

To the Medical Institutions

In our department, the ear area department, we perform a series of surgeries and treatments such as tympanoplasty, stapes surgery, and choclear implantation, and we perform uniform treatment along the medical path for such as sudden hearing loss, Meniere's disease, and facial nerve palsy. In the nose area for chronic sinusitis and inverted papilloma, we mainly perform endoscopic nasal sinus surgery I-V type and endoscopic surgery such as EMMM. The navigation system is fully equipped to reduce complications. In the oral cavity and laryngopharynx area, we mainly focus on typical treatments. We mainly operate on cervical tumors that are benign, and in the case of advanced cancers, we work with the Department of Head and Neck Oncology of the Saitama Medical University International Medical Center to perform examinations and treatment.

Our department respects the intentions of each physician and we nurture physicians with knowledge, technology and sociality, and I think we have a work environment that is balanced between clinical, educational and research. In addition, we have established a good working environment for women doctors who want to have a family and work

To the neighboring doctors

The general outpatient clinic is open from 8:30 am to 11:00 am from Mon. to Sat., so please explain this to the patient. We would appreciate if you contact the department by phone when there is a referral outside of the above hours.

When you refer someone, it will reduce the burden on the patient if they bring the referral letter. Thank you for your cooperation. If you refer to us, please attach the allergy test results, hearing test results, and copies of images.

Since the specialist outpatient clinic system is by reservation only, please refer them to general outpatient first, even if you want them to visit a specialist outpatient clinic. Please understand that the outpatient doctor will make a reservation for the specialist outpatient.

The emergency outpatient clinic is currently only available on the weekdays of Wed. and Fri., and we participate in the Saitama Prefecture ENT Emergency Outpatient Clinic on holidays. First, we ask you to visit the first emergency hospital.

Recruitment (medical staff, excursions)

Our department accepts tours and training for medical students, junior residents and senior residents at any time. Also, we will consult, including how to work with doctors who wish to enter our department, so please feel free to contact us by email.

Shigeru Kikuchi shigeruk@saitama-med.ac.jp
Tadashi Tanaka cipher@saitama-med.ac.jp

埼玉医科大学バナー 埼玉医科大学看護学校バナー