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Volume 11, Issue 1
Displaying 1-11 of 11 articles from this issue
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Its 3rd AimJin Ouchi1965 Volume 11 Issue 1 Pages 1-10
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTympanoplasty, on the bases constructed by the pioneers, has made a great improvement for these ten years. To this day the purposes of this operation have been considered to lie in the cure of chronic inflammation and the improvement of hearing. Recently the problem of the treatment of postoperative mastoid cavity rose to the surface. Strictly this is not concerning tympanoplasty in itself, but postoperative secretion from the mastoid cavity provokes disturbance of epidermisation not only in the mastoid cavity but also in the newly-formed ear-drum.
The fundamental solution of this problem is to build an external meatus in a natural way. In this sense, the obliteration method of a mastoid cavity has been prevailing.
In 1960, the author reported the so-called meatoplastic method preserving the posterior wall of the meatus and the lateral wall of the aditus.
When the operation is performed on the tympanic mucous membrane with pathological change, it is very important to know that complete cleaning does not run parallel with the recovery of function. In order to prevent postoperative adhesion, as much tympanic mucosa ought to be preserved as possible, except the parts suffering from pathological change.
In these series the meatoplastic method (the empty-cavity method) was performed in 84 cases of chronic otitis media. The results were as follows:
1) The vast majority of mucous membrane with pathological change was seen especially around the stapes. Much attention was paid to preserve the ossicular chains.
2) 19 cases failed and needed reoperation. The operation itself was not wrong, but the tympa-noplasty needed too much skillfulness to be successful.
3) Concerning the hearing, good result was obtained in 49 cases. 27 out of these cases had had hearing disturbance preoperatively more than 30 db.
4) Better results were obtained in the cases dealt with the meatal skin than with the free graft.
The author concluded that the meatoplastic method was an attempt to construct a dry exter-nal canal, and many efforts should be made in the future to approach the preservation of the normal anatomical contour of the auditory organ.View full abstractDownload PDF (1337K) -
Yoshihisa Nagoshi1965 Volume 11 Issue 1 Pages 11-16
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe development of the granulation of the wound after the radical operation of chronic sinusitis is recognized as an important factor which affects the healing. In this report, the author observed the process of regeneration by means of tomogram, having regard to the pathological finding of the regenerative tissue.
He classified the process into next three stadium.
The first stadium; within five weeks after the operation. Incipient granulation tissue was observed in the operated paranasal cavity, and it increases gradually in thickness and density in tomogram.
The second stadium; next 3 to 4 monthes. Variation of the granulation became active, and various form of regenerated tissue was seen in tomogram. It generally had a discrimination bet-ween the good form (a-d, fig. 2) and the bad form (e-i, fig. 2).
The third stadium; next period the variation continued slowly.
He emphasized that the postoperative treatment of chronic sinusitis should be performed in consideration of the condition of disease before the operation and histological condition of regenerated tissue.
Antibiotics chiefly should be administered in the first stadium, for reason of prevention of the infection.
In the second stadium, cavity-syringe, anti-allergic treatment, and other active treatments, if necessary corrective operation should be performed.
In the third stadium, if subjective or objective symptoms remained, the patient should be radically treated.
He also made mention of the consequence of corrective operation or re-operation.View full abstractDownload PDF (832K) -
Seiichi Kawata, Shigeaki Shirabe, Koichi Yasuda1965 Volume 11 Issue 1 Pages 17-24
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSRecently we experienced 3 cases of vertigo and staggers caused by acoustic trauma in our clinic. The first case, a man of 41 years, sustained a gun's report near by his right ear. Without delay he felt staggers and tinnitus of the right ear, and continuously he suffered for a few monthes.
The second case, a man of 27 years, had been working under a great noise for several years. One day he had suddenly a rotational vertigo attack after suffering a roar so that he was made a diagnosis of Mèniére's disease.
The third case, a carpenter of 38 years, heard a explosion of “drive-it” and he felt obstruction of his left ear. One half year later he suffered from rotational vertigo and got Mèniére's disease.
Among the 400 cases of vertigo, consulted our clinic for the past 15 monthes, 31 patients had relations with sound and they were possibly due to acoustic trauma. In these 31 cases, many patients complained the unsteady-feeling rather than the rotational vertigo, and most of them denoted disequilibrium by the functional tests of the vestibular apparatus. The positional nystagmus was found on 12 cases and 11 cases of them belonged to Nylèn's 2nd type. The manifesting rate of spontaneous nystagmus (about 30%) was almost same as that of Mèniére's disease patients.View full abstractDownload PDF (851K) -
Shigeaki Shirabe, Masako Nakashima, Koichi Yasuda, Tsunehiko Nakashima ...1965 Volume 11 Issue 1 Pages 25-30
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSConcerning the function of the otolithic organ, many obscure problems have been remained.
We reported some observations by means of ENG and new electric rotary apparatus of positional-table system, which was deviced to serve the purpose of testing the differentiation between the otolithic organ and the semicircular canals.
The findings were summarized as follows
(1) The intensity of the caloric nystagmus observed in normal subjects were influenced byy the slight centrifugal force.
(2) Our observation supposed the intensity of the nystagmus to the same side was decreased when saccular macula was pressed. And when the saccular macula was drawn the phenomenon was appeared in contrary way. This fact warrant such a conclusion that the otolithic organ take part in the development of the caloric nystagmus.
(3) In a half subjects of tests, tremor movements in the vertical component, probably provoked by the eyeball deviation, were induced during the rotation.View full abstractDownload PDF (691K) -
Hiroshi Kiyosawa1965 Volume 11 Issue 1 Pages 31-45
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSHearing speech is the fundamental basis for the presence of the human ear, and it is physically proved that it is created to do so. To evaluate hearing sensitivity to speech, the whispered voice has been used primarily because of the stability of its physical nature.
The theory of the whispered voice test had its beginning in the extensive and energic study of O. Wolf, F. Bezold, and C. Stumpf, and it has come into wide use as a basic clinical test.
S. Kawata devised an articulation testing method after World War II (1949) by use of voice tube with sound absorption shutters.
In 1957, the Japan Audiology Comittee decided upon the number and monosyllable list for testing the speech reception threshold and discrimination loss.
There are two ways to give stimuli, one by means of receiver and the other through use of a loudspeaker.
We use them case by case. For example evaluating for ones binaural summation effect through a high pass low pass filter, the receiver is employed. Evaluating the social adequacy in hearing speech, the loud speaker is used.
In this paper, two problems relating to the loud speaker system, i. e, masking and test retest variance are discussed and conclusions given.
1) When the test was carried out by the loud speaker system, the stimulous tone (monosyllable) was perceived by the opposite ear at 10 dB less than by the tested ear. Therefor the masking to the opposite ear required 10 dB less whitenoise than the stimulous tone, when the articulation test of the unilateral ear was intended.
2)(a) Twenty two out of forty ears with cochlear hard of hearing (55%) showed within 5 dB difference of speech hearing loss and within 10% difference of the maximum articulation score between test and retest.(b) There was at the most 10 dB difference of speech hearing in fifteen out of forty ears (37.5%).(c) Three out of fourty ears (7.5%) showed a maximum articulation score difference up to 20 %.View full abstractDownload PDF (2000K) -
Tomohiro Yasuno, Harumi Imura, Haruo Ito, Zyun Imai, Takeshige Nishimu ...1965 Volume 11 Issue 1 Pages 46-51
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn the families having hereditary diseases, there has been said to exist the individuals undiscovered who have a predisposition for developing the diseases. In order to discover the predisposition, various tolerance tests have been studied. Among the family members suggestive of hereditary deafness, the individuals with, no subjective hardness of hearing were selected and hearing tests were performed.
The predisposition for hardness of hearing could not be found with hearing tests, but it was found that there were relatively many individuals having hardness of hearing in the sound perceiving system with rapidly declining high tones. Therefore, it was found that there was a close relationship between familial labyrinthine deafness and congenital deaf-and dumbness, and that hearing tests were necessary for individuals with no complaints when a hereditary type was to be studied on familial deafness.View full abstractDownload PDF (1211K) -
Yorikazu Toyozumi, Mitsuru Furukawa1965 Volume 11 Issue 1 Pages 52-57
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSHighly purified solid silicone rubber was applied for several otorhinolaryngological operations with satisfactory results. The surgical procedures were as follows:
(1) For saddle nose:
An implant was made from a silicon rubber plate so as to fit to the defect of patient's nose. This implant was inserted through an intranasal incision into the subcutaneous tunnel of the dorsum of nose.
(2) For chronic sinusitis
In order to prevent the postoperative obstruction of the middle meatus, a silicon rubber stick was placed in the opened middle meatus immediately after the radical operation of paranasal sinuses. This stick was removed about one week after the operation.
(3) For stenosis of the larynx
For stenosis of the glottis, such as a laryngeal web, a silicone rubber keel was placed in the larynx immediately after the removal of the web to prevent the re-adhesion of the vocal folds. It was remained for two or three weeks.
In case of wide spread laryngeal or tracheal stenosis, a core mold was applied after removal of the obstructing tissue. Two types of core mold were produced, one was applied for tracheal stenosis and the other for laryngeal.View full abstractDownload PDF (5054K) -
Ichiro Tani, Shin Miyata1965 Volume 11 Issue 1 Pages 58-60
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe authors reported a rare case of papillary cystadenoma of the parotid gland. The patient, a girl of twelve years, had taken notice of the swelling on the right parotid region two years before, but she did not take medical treatment, by want of subjective symptom. She visited the authors' clinic, as the tumor had enlarged for ten days. The tumor was grape-sized, of consistency similar in cartilage, uneven, and partially adherent to the skin and not movable on its basis. The tumor was removed by operation, a part of it was cystic and kept the clear light yellow fluid, but other part was uneven and firmly fixed to the parotid gland. Histological examination revealed it was papillary cystadenoma which had malignant nature latently, because of the existence of cell infiltration and proliferation in the stroma. Postoperatively radiation therapy with 60Co was added. Four monthes after the operation the parotid gland and duct were sialographically certified as normal. The authors are keeping the patient under observation.View full abstractDownload PDF (1320K) -
Toji Kawata, Koichi Yasuda1965 Volume 11 Issue 1 Pages 61-65
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe authors experienced a case of retropharyngeal abscess in which a syncope was caused at the abscess-punction.
Generally text books say that the death or the syncope at the punction of retropharyngeal abscess is due to the vagus paralysis which arises from the sudden decrease of abscess-pressure.
For the past fifty seven years, 120 cases of retropharyngeal abscess have been treated as inpatients in the authors' clinic. Their operation records were discussed in detail. Then it was found that the cause of their syncope was not vagus paralysis but the obstruction at the hypopharynx in the headdown position by the following points.
1) The syncope had occured before sucking the pus.(So vagus pressure was unchanged.)
2) The syncope came whenever the patients were assumed the headdown position.
Roentgenologically it was proved that the hypopharynx space was narrower in the headdown position than in the dorsal one.
Therefore the patients should not be taken Rose's position but Trendelenburg-like one at the operation of retropharyngeal abscess.View full abstractDownload PDF (1558K) -
Takemoto Shin, Nobutoshi Ohtaguro, Yoshikazu Yoshida, Toshiji Ohno1965 Volume 11 Issue 1 Pages 66-71
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSNeurilemmoma is the rare benign tumor of the larynx. A 60 years old man with complaint of hoarseness, was found to have a large smooth globular tumor in the left arytenoid.
The tumor was removed under general anesthesia by the pharyngotomia lateralis. It was measured 30mm×18mm×11mm in size.
The patient maintained a normal laryngeal function after the operation.View full abstractDownload PDF (9043K) -
Hidetaka Hayashibara1965 Volume 11 Issue 1 Pages 72-74
Published: March 15, 1965
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn case of mental illness, burns of the esophagus caused by drinking boiled water was reported. By general application of therapy and topical use of large quantities of antibiotics, the scald was cured without producing any cicatricial stenosis of the esophagus.View full abstractDownload PDF (3578K)
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