@article{oai:toyama.repo.nii.ac.jp:00019953,
 author = {中里, 瑛 and 朝日, 香織 and 将積, 日出夫},
 issue = {1},
 journal = {Toyama medical journal},
 month = {Mar},
 note = {COVID19流行期における咽頭疾患への対応は耳鼻咽喉科医として大変苦慮するところである。当科では咽頭内視鏡検査の際には，日本耳鼻咽喉科学会や英国耳鼻咽喉科学会が推奨する感染対策に従い，診察医はFull-PPE対応，患者はサージカルマスク着用しつつ鼻腔のみを出して経鼻からのチェックをおこなっていた。この方法は咽頭刺激による咳反射で発生するエアロゾルが飛散しにくく，鼻腔から上・中・下咽頭や喉頭を観察できる有用な方法である。しかし，この方法で施行した内視鏡検査や頸部針細
胞診では悪性所見を発見できず，サージカルマスクを外して経口で施行した内視鏡検査や口蓋扁桃を触診することではじめて中咽頭癌の頸部リンパ節転移と診断することができた頸部のう胞性腫瘤の症例を経験した。この症例の診断には約３ カ月を要してしまった。このことからCOVID19流行期においても状況に応じて経口からの内視鏡観察をおこなう必要性があることを反省の意味を込め報告する。
\nUnder the current epidemic of COVID-19 infection, it is a very difficult task for otorhinolaryngologists to examine patients with pharyngeal disease. In our department, when performing an endoscopic examination of the pharyngeal region, the surgeon wear full-PPE and the patient wear a surgical mask covering his or her mouth, excluding nose, during the procedure, in accordance with the infection control measures of the Japanese Society of Otorhinolaryngology-Head and Neck Surgery and British Association of Otorhinolaryngology - Head and Neck Surgery. This method is useful for observing the superior, middle, and inferior pharynx and larynx through the nasal cavity and is less likely to cause a cough reflex due to pharyngeal irritation. We experienced a patient who required 3 months from the onset of symptoms to diagnose a cystic neck mass as a cervical lymph node metastasis of the oropharyngeal carcinoma by performing pharyngeal endoscopy and palpation of the palatine tonsils via his mouth without the surgical mask, despite no malignant findings on endoscopy with this method and needle cytology with neck ultrasound. This is a reminder that even during the epidemic of COVID-19 infection, it is necessary to observe the pharynx by endoscopy through the mouth., Article, Toyama medical journal, 33(1), 2023.3, pp.43-50},
 pages = {51--55},
 title = {COVID-19流行期がために診断に苦慮した中咽頭癌症例について},
 volume = {33},
 year = {2023}
}