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Volume 17 (1971)
- Issue 4 Pages 229-
- Issue 3 Pages 155-
- Issue 2 Pages 89-
- Issue 1 Pages 1-
Volume 17, Issue 4
Displaying 1-14 of 14 articles from this issue
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Ryuichi KUBO, Masumi MATSUMURA, Masakazu OHNO1971 Volume 17 Issue 4 Pages 229-233
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDie Verfasser haben bisher 4 Fälle der gutartigen Rachengeschwülste C 1 Fall des Neurilemmomes, 1 Fäll des Ganglioneuromes und 2 Falle der Mischgeschwulst) behandelt und Ausführlichkeiten darüber schon veröffentlicht. Neulich haben sie auch je 1 Fall des Neurilemmomes, des Ganglioneuromes und der Mischgeschwulst des Mesopharynx behandelt. Also haben sie insgesammt 7 Fälle solcher Rachengeschwtilste erfahren.
Zur Diagnose solch eines mit der normalen Schleimhaut bedeckten und mit der bindegewebigen Htille eingekapselten Tumors, möchten die Verfasser betonen, daß zuerst die bindegewebige Kapsel des Tumors festgestellt und das Probestück dadurch entfernt wird, indem die bedeckende Schleimhaut 1 oder 2cm lang geschnitten und submukas zur Kapsel abgeldst wird.
Die Bestrahlung des Tumors als Malignom muß vermieden werden, bevor die Diagnose des Tumors pathohistologisch festgestellt wird. Die Exstirpation des Tumors kann vom Munde aus oder vom äußeren Hals aus verhältnismaßig leicht vorgenommen werden, wenn der Tumor vorher nicht bestrahlt worden ist. Wenn man vom außeren Halse aus auf den Tumor vorgeht, muß man darauf achten, die 10, 11. und 12. Hirnnerven nicht zu quetschen, da sie leicht gelähmt werden.View full abstractDownload PDF (5470K) -
Yujiro MATSUMURA, Kazuhiko MOTOMURA, Osamu TOKUNAGA1971 Volume 17 Issue 4 Pages 234-240
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSCancer of the tongue (eighteen cases), cancer of the gum (three cases) and non-cancerous ulcer of the tongue (five cases) were clinicopathologically examined, and carcinogenesis and histogenesis were discussed. It was supposed that cancer of the tongue or gum in our series may be caused by caries and unadequate metal crown or denture. Especially, the troubles of the lower second premolar or the lower molars hurt the mucous membrane. Leukoplakias were observed in the seven patients among twenty-one patients of cancer. Precancerous lesions in the three patients who had non-cancerous ulcer of the tongue were found.View full abstractDownload PDF (7437K) -
Takeo SATO, Shigemitsu UTSUMI, Minoru ISHIDA1971 Volume 17 Issue 4 Pages 241-245
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSCancer of the larynx occurs more frequently in the male than the female. The ratio of males to females who developed cancer of the larynx is usually given as 10 to 1. This difference applies throughout the world. We have been much interested in its occurrence which is likely to differ between sexes, though the larynx of both sexes has the same functions and structures. It is likely that enviromental, hormonal factors and the following climacteric changes play an important role in the etiology. Furthermore, this paper refers to the clinical findings of a notable female patient of laryngeal cancer with the ovarian arrhenoblastoma.View full abstractDownload PDF (5482K) -
Akikatsu KATAURA, Tadayoshi KOSUGI1971 Volume 17 Issue 4 Pages 246-249
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSLaryngeal sarcoidosis in a 42-year-old female was studied with histopathological examination of the larynx and Kveim's reaction. A papillomatous tumor in the right false vocal cord was removed by means of the laryngomicrosurgery. The histopathological finding of the removed tumor was epitheloid cell tubercle which suggested a granulomatous inflammation of the larynx, especially tuberculosis and sarcoidosis. Bilateral hilar lymphadenopathy was observed in roentogenological examinations of the lung. In Kveim test of the forearm, epitheloid cells and Langhans giant cells were microscopically found in the resected skin. It means that, according to Nelson and Schimmer, Kveim test was positive.View full abstractDownload PDF (5327K) -
Sotaro FUNASAKA, Haruhiko ABE, Genkichi TOTSUKA, Koji TOKUMASU1971 Volume 17 Issue 4 Pages 250-257
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAnomaly of the ossicles has not been frequently observed in a patient without any congenital anomalies of the external ear. However, increasing use of the stapes surgery procedure has brought us more chances to find it. This presentation of 4 cases is concerned primarily with the restoration of hearing in the ear with blocked sound conduction, and secondarily with embryological problems in this kind of malformations.
Case 1 and 2. A 44-year-old female had had hearing impairment in both ears since child- hood. Audiometric test proved hearing loss of approximately 50 dB. Tympanotomy revealed absence of a long process of the incus and a distorted head of the stapes. A polyethylene tube was inserted between the manubrium of the malleus and the head of the stapes. Post-operative hearing losses have been improved up to approximately 20 and 5 dB.
Case 3. A 36-year-old male had had a slowly progressing hearing impairment on the left ear since childhood. No discharge was noted in the history. X-rays revealed the sclerotic mastoid of the left side. A scopic examination revealed the slightly retracted dull membrane. Audiogram showed conductive hearing losses of approximately 50 dB in the left ear. Tympanotomy revealed there were no long process of the incus and superstructure of the stapes. The L-shaped tip of a gelfoam-wire was inserted into the tiny hole made at a handle of the malleus and the gelfoam was placed on the stripped footplate of the stapes. Post-operative hearing losses were approximately 20 dB.
Case 4. A 9-year-old male had been noticed as hard of hearing since a young child. There was no abnormal finding in the eardrum and the pharynx. Tympanotomy revealed the absence of a long process of the incus and the thickened stapes with a small piece of bone on the head. A polyethylene tube was inserted between the malleus handle and the small piece of bone. Post-operative hearing losses were approximately 20 dB.
It seems to be embryologically strange that these ears have normal manubria and no long processes because they develop from the same origin. However, a detailed review on the origin and development of the ossicles has made us convinced that this kind of anomalies resulted from developmental arrest in the small area of the so-called second interconnecting bridge at embryonic stage of 6 and/or 7 week.View full abstractDownload PDF (1219K) -
From the Standpoint of a PractitionerKensai SHIRABE1971 Volume 17 Issue 4 Pages 258-263
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMeniére's disease is usually treated conservatively. If the disease is, however, stubborn for conservative treatments, it will be unavoidable to be treated surgically. In the case of surgical treatment, endolymphatic shunt operation is considered to be the most rational method from the pathophysiological point of view. Especially subarachnoid shunt operation has been generally preferred. Yet chorda tympanectomy, despite of its simple procedure, has proved so effective by author's experiences that it can not be neglected at all. The author recently had a chance to perform chorda tympanectomy after Rosen on fourteen cases. After this operation nine patients were cured of attacks of vertigo, four patients got better, and only the remaining one case little improved.View full abstractDownload PDF (759K) -
Masaru SHIRATO1971 Volume 17 Issue 4 Pages 264-271
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn order to study the influence of caloric stimuli on optokinetic nystagmus, 10 normal subjects were tested by applying to them horizontal optokinetic stimulation together with the caloric stimulation. The optokinetic stimuli were given by a slit projection type stimulator. Twelve white stripes (3cm wide) were projected on the screen at equal distance, rotated with an angular acceleration of 4°/sec2 until stimulus speed attained to 180°/sec and uniform velocity (30°/sec, 60°/sec and 120°/sec). The caloric stimuli were the same as those applied by Hallpike, i. e. each ear was irrigated with water of 30° for 40 seconds. The optokinetic nystagmus was recorded by ENG (time constant 3.0 and 0.03).
The results obtained as follows:
1) The optokinetic nystagmus was increased in total frequency, maximum eye speed of retinal nystagmus and optokinetic adaptation limit when the simultaneously applied caloric stimulation created identically directed eye motions. On the other hand, the optokinetic nystagmus was decreased when the caloric stimulation was reversed.
2) The foveal nystagmus was not increased, but decreased in eye speed of the slow phase by the caloric stimulation.
3) The retinal nystagmus was increased and decreased in frequency and eye speed of the slow phase by the caloric stimulation.View full abstractDownload PDF (1134K) -
Michihiko NOZUE1971 Volume 17 Issue 4 Pages 272-276
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe righting reflex and deviation phenomena of the limbs and body and the spontaneous nystagmus were examined in patients with vertigo and normal persons. The diagnostic significance in these examinations was discussed. The conclusions were as follows:(1) Positive findings (tendency to fall or unstableness of the body) in the standing test with eyes closed and the standing test on one foot with eyes open as well as closed in patients with vertigo appeared at a higher rate than in normal persons.(2) Appearance of staggering in stepping test and of ataxic letters in vertical writing was significantly different between the vertigo cases and the normal persons. In the normal persons these findings were not seen at all.(3) Nystagmus in gaze, positional and positioning nystagmus tests were not found in normal persons at all, while noticed at a high rate in the patients with vertigo. So these tests mentioned in (1),(2) and (3) are available for the diagnosis of vertigo.(4) No significant difference was noticed in deviation in stepping test and vertical writing test between the patients with vertigo and normal persons. So deviation phenomena are not appropriate to objectify vertigo.(5) Significant relations were not found between the direction of nystagmus and of the deviation in stepping test and vertical writing test.View full abstractDownload PDF (734K) -
Ryuichi KUBO, Shigeru TAKAKI1971 Volume 17 Issue 4 Pages 277-281
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDas Vorkommen der Mucocele der beiderseitigen Siebbeinzellen ist verhaltnismäBig selten. Eine 42jährige Frau hat mit seit 3 Jahren vorhandenen lanzinierenden Schmerzen der Stirngegend, beiderseitigem Exophtlalmus and linksseitigem Tränenf luB unser Ambulatorium besucht. Durch klinische Untersuchungen ergab sich, daß ihre Beschwerden durch die Mucocele der beiderseitigen Siebbeinzellen and die narbige Verwachsung des Tränennasenganges verursacht worden waren. Durch die linksseitige Pansinektomie and die Radikaloperation der rechten Kieferhöhle and der Siebbeinzellen gingen ihre Klagen außer dem Tränenfluß rasch zurück. Da die Patientin sich von Augenärzten mehrmaligen Bougierungen des Tränennasenganges erfolglos unterzogen hat, führten die Verfasser die intranasale Dacryocystorhinostomie durch. Dadurch verschwand der linksseitige Tränenfluß, ihre langjährige Beschwerde, gänzlich.View full abstractDownload PDF (5711K) -
Masayuki NANDATE, Tamotsu MORIMITSU1971 Volume 17 Issue 4 Pages 282-288
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSCase 1: A 36 years old female, who had been operated on bilateral maxillar and ethmoidal sinuses 14 years before, complained of the deep pain and sudden blindness of the left eye. Tomograms of the skull revealed a marked cloudness of the left sphenoidal and ethmoidal sinuses. Three months after the visual loss, she was admitted to our clinic as left sphenoidal mucocele. A radical operation via the frontal sinus was performed, and an ethmoidal cyst and a sphenoidal cyst were found and removed. These cysts were completely seperated each other and had some different colored and natured contents. Cystgraphic examinations with injection of a contrast medium revealed clearly their characteristic location.
Case 2: A 39 years old male complained of oculomotor palsy with blepharoptosis of the right eye suddenly. He had not been suffered from any nasal desease, although he had been treated for bleeding in vitreous body of the right eye for 2 years. Plain skull films disclosed loss of the floor of the. sella turcica. Tomograms of the skull suggested that the erosion of the floor of the sella turcica was from below rather than from above. One month after the onset of ptosis, an extranasal operation through the frontal sinus was performed. Two cysts in the posterior ethmoidal and sphenoidal sinuses were found and removed as well as in the Case 1. Cystgraphic examination with a contrast medium during the operation revealed the anatomic relationship of two cysts. On the first postoperative day, the ptosis disappeared completely.
From the operative and radiological findings, it was suggested that the cyst in the posterior ethmoidal cells caused sphenoidal mucocele secondarily.View full abstractDownload PDF (10740K) -
Osamu TOKUNAGA, Toyoji SODA, Ichiro MATUMOTO1971 Volume 17 Issue 4 Pages 289-291
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe patient was a six months old male, who complained of redness and swelling of the right palpebra and cheeck. He was given a diagnosis of sinusitis maxillaris neonatorum and was operated. Surgical findings showed abscess in the palpebra and no inflammation in the maxillar bone. After about 4 weeks complications of skull osteomyelitis and brain abscess was followed and completely cured by neuro-surgical treatments.View full abstractDownload PDF (6655K) -
[in Japanese]1971 Volume 17 Issue 4 Pages 292-295
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS -
Goro MOGI1971 Volume 17 Issue 4 Pages 296-299
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDepartment of Otolaryngology, Yamaguchi University School of Medicine, Ube, Yamaguchi-ken, Japan Allergic rhinitis is among the atopic allergic diseases. Sera from patients with atopic disease possess reaginic antibodies that are positive Prausnitz-Kustner reaction substances. Recently, a new immunoglobulin class-IgE-was discovered, in which the reaginic antibodies are present in high concentration. The chemical structure and biologic properties of this new immunoglobulin is described, and further investigative efforts for IgE was proposed to clarify the defence mechanism of IgE.View full abstractDownload PDF (528K) -
[in Japanese]1971 Volume 17 Issue 4 Pages 300-305
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (10918K)
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