jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 12, Issue 4
Displaying 1-12 of 12 articles from this issue
  • H. Rohracher
    1966 Volume 12 Issue 4 Pages 209-217
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
  • Toshiro Goto, Sanetomi Eguchi
    1966 Volume 12 Issue 4 Pages 218-221
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    In this report, the authors classified the middle ear cholesteatoma as follows;
    1) attic cholesteatoma
    2) tensa cholesteatoma
    3) cholesteatoma behind the intact tympanic membrane
    4) implantation cholesteatoma
    a) flap cholesteatoma
    b) postoperative mastoid cholesteatoma
    Five cases of postoperative mastoid cholesteatoma were presented. About these cases, the conditions that was suitable for occurrence of cholesteatoma were discussed.
    The authors mentioned that postoperative mastoid cholesteatoma, though generally not observed as common cholesteatoma, was of the same nature as common cholesteatoma.
    It was mentioned that when the accelerating factors existed, exfoliation of epithelium occurred and postoperative mastoid cholesteatoma grows in the same mechanism as common cholesteatoma.
    In conclusion, the authors suggested that postoperative mastoid cholesteatoma could be one type of the postoperative cholesteatomas.
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  • Ikuichiro Hiroto, Hidehisa Tomita, Kozi Kuroki
    1966 Volume 12 Issue 4 Pages 222-226
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Plastic surgery for 2 cases of atresia nasi anterior following burns was presented. In the first case of widespread cicatrical atresia, the opening of naris and the formation of ponticulus were simultaneously performed, used with both pedicle flaps from the atresia region and free split skin flap transplanted between the naris and the upper mouth lip. In the second case of simple atresia, three forked incision was carried out at the closed membrane of the naris and three pedicle skin flaps were transplanted inside of the raw face of vestibulum nasi after the cicatricial tissue was removed.
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  • Yujiro Matsumura, Tamotsu Morimitsu, Yukiaki Nishida
    1966 Volume 12 Issue 4 Pages 227-235
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The patient was male 21 year-old-farmer who had been suffered from nasal obstruction, rhinorrhea, headache and dullness. Malfomation of the right ear, saddle nose, atrophic rhinitis and anosmia were observed.
    The plastic operation opening the choanal atresia was done through the transpalatinal method under the general anesthesia. The choanae were obstructed with the membranous connective tissue, which were histologically composed of the fibrous tissue, glandular structure, striated muscles, nervous tissue, etc, but the osseous tissue and cartilage tissue were not found anywhere in the sections.
    By the operation, the remarkable improvements of speech and hearing were obtained.
    At present, one year after the operation, the patient has no trouble and no complaint about breathing through the nose.
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  • Tomio Nakano
    1966 Volume 12 Issue 4 Pages 236-242
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    It often happens that when a surgical operation is carried out on the basis of radiographical findings by contrast medium “Moljodol”, so called,“X.-M. F. T.(X-ray Mucous Menbrane Test)”. On clinical symptoms, the case in question is found to be entirely free from abnormalities in respect to pathologic-histological operation findings. Namely, such cases are rare encountered, which, although normal, are considered, backed by various examinations, as resulting sinusitis.
    Among 100 cases inspected in 1966 regarding the excretory functions in the supra-maxillary cavity by the contrast medium, Nakano (the author) reports to have found 3 cases (3%), in which no abnormalities at all were detected in the cavity mucosa.
    The author has conducted examination of these cases in which no organic abnormalities were observed, as a result, has reached the conclusion that this particular disease, while very much similar to sinusitis, is not actually sinusitis, therefore, should be treated as an absolutely separate disease. The author suggests that this disease results probably from an unbalanced movement of the cavity mucosa, unbalanced secretory functions with automatic nerve, accordingly, wishes to propose that the name of “Maxillo-Sino-Pathie” be adopted for these groups, to report these cases under this name.
    Hoping that the patients will not be treated by unnecessary operations in future.
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  • Sachio Takeda
    1966 Volume 12 Issue 4 Pages 243-245
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The author succeeded to obstruct the obsolete nasal septum perforation in 3 cases, in which the different ways of closing technique were tried.
    In the first case, whose mucous layer was able to be loosened, a part of the cartilage was moved to the space of perforation.
    In the second case, two pieces of mucous layer from the inferior turbinate were patched on both sides of the septum, after the margin of perforation was excoriated.
    In the third case, one side of the mucous layer was successfully loosened, which was made the flap to close the perforation, while the other side of it was excoriated and patched with a piece of mucous layer from the inferior turbinate.
    After that some pieces of unguent gauze tampon were used for fixing the mucous layer.
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  • Takeshi Hayata
    1966 Volume 12 Issue 4 Pages 246-249
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    A case of neurilemmoma of the tongue in a 19-year-old female was reported. The patient complained of the tumor in the tongue, speech disorder and dysphagia at the time of admission.
    The tumor was removed without difficulty under general anesthesia.
    The tumor measured 4.2×2.5×2.6cm in dimensions and weighed 15g. Histopathological examination revealed well vascularized neurilemmoma, which was made up of so-called type “A” and type “B” tissues and had a large degeneration cavity.
    The patient has been released from her suffering without any recurrence 3 months after the operation.
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  • Tsuneo Nakashima
    1966 Volume 12 Issue 4 Pages 250-251
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Coins are most frequent esophageal foreign bodies. They usually lodge in frontal position due to the proper shape of the esophagus.
    The author reported here a rare case of an esophageal foreign body a coin lodging in sagittal position.
    The patient was an 11 year old boy. About 90 minutes before his visit on the author's clinic, he, playing a magician, inserted a coin (10 yen) deep into the hypopharynx, mistakenly swallowed it, and complained of chest-pains. Roentgenographically, the coin seemed to lodge at the first narrow in sagittal position.
    This rare position was confirmed by esophagoscopy (with 1.0×18cm Killian's esophagoscope) and the coin was extracted with Robert's forceps.
    In the case of this age, a foreign body 2.5cm in diameter such as that of a 10 yen coin is easy to pass through the esophagus. The sagittal position in this case seemed to be attributed to the condition that the patient inserted a coin intentionally deep into the hypopharynx.
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  • Toshiyuki Sakaguchi
    1966 Volume 12 Issue 4 Pages 252-254
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The author has treated the tympanic symptoms of ear-drums with perforation caused by closing of the eustachian tube. The following conclusions were obtained:
    1) It was found that there were two types of the tympanic symptoms due to closing of the eustachian tube: the one was that by the negative pressure of the tympanum, and the other was that by some other causes.
    2) Therefore, the tympanic inflation helped in stabilizing the air pressure in the tympanum as well as in reducing the tympanic symptoms by effecting the various parts of the middle ear.
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  • Kazumi Matsuo, Toshihiko Kato
    1966 Volume 12 Issue 4 Pages 255-259
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The authors reported two rare cases of a foreign body.
    The first case was 31 year old male who was pierced on the left palpebular conjunctiva by the cap of ball-pen which had been kept in his left breast pocket when he fell in the course of rock climbing. The cap was left in the right maxillary sinus through the nasal cavity.
    A day later of his visiting the authors' clinic, Caldwell-Luc operation was performed. The cap which penetrated his left orbit and nasal septum and stopped in the right maxillary sinus was successfully removed after cutting off the lateral bony wall of the maxillary sinus.
    The second case was a 5 month old female baby. When she was playing she was accidentally covered with tulcum powder all over the face and inhaled the powder. Soon dyspnea occurred. She was sent to the authors' clinic without delay, and undertook the bronchoscopy. Her trachea and bronchus were filled with white mass. The authors tried to remove it as much as possible, but could not do it completely from the peripheral bronchus.
    Unfortunately, two days later dyspnea increased, and she died.
    The authors reflected that we should have learned how to treat such an unusual case.
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  • Katsuhiko Suemura, Kazumi Makishima, Toshiyuki Miyahara, Kenichi Katsu ...
    1966 Volume 12 Issue 4 Pages 260-262
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The authors reported two cases of otogenic brain abscess which manifested themselves after radical operation of cholesteatoma.
    These cases called latent brain abscess were cured soon after the temporal lobe abscess was opened.
    Mortality of brain abscess was decreased but shows a high ratio even now. Diagnostics and new method of treatment were further discussed.
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  • Toyoji Soda, Tamotsu Morimitsu, Susumu Yasumasu, Kazumi Makishima
    1966 Volume 12 Issue 4 Pages 263-266
    Published: December 20, 1966
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Three cases of delayed decannulation in infant were reported and discussed. A one year and three months old boy who had been troubled for one month by delayed decannulation. In this case, a special short cannula (Fig.) was successfully used for purpose of the maintenance of normal air passage. The stimulation to the trachea and the bend of tracheal cartilage are avoidable by using this cannula.
    In other two cases, eleven months old boy and two years old boy, delayed decannulation was cured by removing tracheostoma to the suitable position.
    Delayed decannulation occurs easily in infants because of their narrow air passage. The subsidence of tracheal cartilage and the presence of granulation tissue in the trachea make the air passage narrower. Therefore, it is important to avoid the above mentioned factors.
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