jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 18, Issue 2
Displaying 1-9 of 9 articles from this issue
  • Hisaaki IKOMA, Hiroshi SASAKI
    1972 Volume 18 Issue 2 Pages 75-82
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    A number of syndromes have been described which are similar to vestibular neuronitis, all with vertigo as their chief symptom. A review of 16 consultation patients, seen at the Otolaryngological Clinic of the Tottori University Hospital for single episode of vertigo without significant cochlear involvement, was presented. The mean age of the 9 women and 7 men were 41 years. A special study was made of the occurrence of infection and vestibular function. Vestibular function was recorded by electronystagmography. All patients had characteristic caloric changes, canal paresis and directional preponderance. None of the patients had noted a change in hearing during vertigo. Seven of the patients had a history of infection, preceding vertigo that was localized in the upper respiratory tract. In the of the etiology syndrome, there were many factors of inflammatory, infectious, degenerative-toxic, or vascular character. The present study was undertaken in an attempt of clarify the confusion surrounding the definition of vestibular neuronitis by establishing precise and limiting diagnostic criteria for the entity. Personal observations have permitted the following conclusions to be drawn. We reserved the term “sudden vestibular paralysis”, for all case of vestibular derangment without associated auditory deficit. We characterized “vestibular neuronitis” as “probable viral etiology” in vestibular paralysis of sudden onset.
    Download PDF (1157K)
  • Fumiro SUGA, Shinji OONO
    1972 Volume 18 Issue 2 Pages 83-88
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Five Japanese girls of congenital deafness with blue iris were reported. Four of them had bilaterally isochromic blue irides and one had unilateral partial heterochromia iridis. The fundi of their eyes were reddish. Total or profound sensorineural deafness and canal paresis were found in all cases. Slight lateral displacement of the medial canthi of the eyes was observed in only one case. No prominent broad root of the nose, hyperplasia supercilii medialis or white forelock was found in the other cases. A father of one patient was deaf, but he had dark brown iris. No abnormity was found in the relatives of the other cases. These patients were discussed in relation to Waardenburg's syndrome, congenital deafness with total albinism and deaf white cats with blue iris.
    Download PDF (1022K)
  • Ryuichi KUBO, Masumi MATSUMURA, Shigeru TAKAKI, Shunichiro NINOMIYA
    1972 Volume 18 Issue 2 Pages 89-93
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Die akute Mastoiditis kann sowohl bei akuter als bei chronischer Mittelohreiterung entstehen. Dank des Fortschrittes in der Behandlung mit Antibiotika sind Fälle der akuten Mastoiditis heututage beaeutend weniger geworden. Wenn diese Fälle normalweise retroaurikular operiert werden, braucht man bis zur Ausheilung ziemlich lange Behandlungsdauer.
    Die Verfasser haben neulich bei 5 solchen Fällen versucht, die Retroaurikularwunde primär zu schlieβen und damit die Behandlungsdauer zu verkürzen. Die Operation wird bei akuter Mittelohreiterung nach Schwartze, bei chronischer Eiterung radikal durchgeführt. Dabei wird die Granulation oder erkrankte Schleimhaut unter dem Operationsmi kroskop ausgekratzt und die knöcherne hintere Gehörgangswand möglichst erh alten. Die Retroaurikularwunde wird primär genäht, indem man einen kleinen Vinyldrän in die Wunde einführt. Bei unseren Fällen war die Behandlungsdauer je 15, 20, 25 und 52 Tage.
    Bei einem Fall klaffte die Wunde während der Nachbehandlung und deshalb muβten wir sie wieder nähen.
    Die Vorteile dieser Operationsmethode bestehen in:
    1. Verkürzung der Behandlungsdauer,
    2. Vereinfachung de r Nachbehandlung (ohne Tamponwechsel der Retroaurikularwunde, daher keine Schmerzen dabei) und
    3. Keinem Nachlassen des Retroau rikularloches nach der Radikaloperation.
    Diese Operationsmethode kann natürlich auch auf die gewöhnliche Radikaloperation angewandt werden.
    Download PDF (900K)
  • Clinical and Roentgenological Investigations
    Hiroyoshi KUROKAWA
    1972 Volume 18 Issue 2 Pages 94-111
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The sphincteric function of the larynx during swallowing, which is the primary function of the larynx, after partial laryngectomy was investigated clinically and roentgenologically in thirty-four patients. The results led us to the following conclusions
    1. There are three types of aspiration after partial laryngectomy: a) The aspiration occurs in the ascending stage of the larynx (Type I), b) It occurs in the descending stage of the larynx (Type II), and c) It occurs in the both stages (Type III).
    2. When the epiglottis is partially removed, the remnant hinders base of the tongue from closing the laryngeal aperture. Thus aspiration of the Type I is resulted in. Therefore, the epiglottis should be removed totally when it has cancerous invasion.
    3. Removal of the aryepiglottic fold and/or the arytenoid cartil age over a certain extent results in aspiration of Type II. When they have been removed, a new dorsolateral ridge of the laryngeal aperture should be constructed in order to prevent aspiration.
    4. In some selected cases sutures to make the piriform sinus narrow prevent postoperative aspiration. The procedure, however, can not compensate the defect of the aryepiglottic fold and the epiglottis.
    Download PDF (25234K)
  • 1. Vocabularies in Three Aged Children
    Hiroko ISHISAWA, Noriko YAMAURA, Chiyoko TANIMOTO
    1972 Volume 18 Issue 2 Pages 112-122
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The authors tested vocabularies in 94 cases of three aged normal children by 100 picture cards on the examination of three aged children in the Fukuoka Health Center. One hundred picture cards consisted of nouns which seemed to be familiar to three aged children. The percentage of correct answers to 100 picture cards was calculated. The average percentage in all three aged was 84.4%, that in boys was 83.9% and that in girls was 84.9%. One, two and four aged children were examined by the same test. The average percentage of correct answers in one aged was 43.0%, that in two aged was 74.3% and that in four aged was 92.3%. The authors discussed the test manner of children, a standard of correct answers, examples of incorrect answers and childish words. The test results gave many informations in usages of many picture cards in an auditory training and a speech therapy.
    Download PDF (1392K)
  • Ryuichi KUBO, Masumi MATSUMURA, Shunichiro NINOMIYA, Masakazu OHNO
    1972 Volume 18 Issue 2 Pages 123-127
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Veröffentlichungen über Fälle des gemeinsamen Auftretens von Kehlkopf- und Speiseröhrenkarzinom sind selten. Ebenso selten sind Veröffentlichungen über Fälle von Kehlkopfkarzinom mit gleichzeitigem Auftreten von Speiseröhrenkarzinom während der Behandlung des Kehlkopfkarzinomes. Die Verfasser hatten kürzlich Gelegenheit 5 der obengenannten Fälle zu behandeln. Diese 5 Fälle wurden vom Standpunkt histologischer Bilder und vom Auftreten der Initialsymptome des Kenlkopfkarzinomes bis zum Auftreten des Speiseröhrenkarzinomes während der Behandlung des Ersteren untersucht. Die Verfasser untersuchten gleichzeitig den Krankheitsbereich des Speiseröhrenkarzinomes und die Einflüsse der Behandlung der Karzinome. Auf Grund der Untersuchungsergebnisse und der Definition von Doppelkarzinom nach Warren schließen die Verfasser, daßdiese Speiseröhrenkarzinome die Metastasen der Kehlkopfkarzinome sein müssen.
    Download PDF (690K)
  • [in Japanese], [in Japanese]
    1972 Volume 18 Issue 2 Pages 128-131
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Download PDF (5117K)
  • Kihei MAEKAWA
    1972 Volume 18 Issue 2 Pages 132-140
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Reflexive development of equilibrium reaction in infancy and early childhood were discribed with corresponding level of central nervous system maturation and gross motor development. In new born period primitive righting reactions were examined by traction response, postural reflex and Redressement du tronc. Optical and labyrinthine righting which seemed midbrain level of maturation, became positive in 6 to 8 month old and hopping reaction, more high level of central nervous system maturation, appeared after age of 14 to 16 month old. We also studied development of equilibrium reaction in normal and mental retarded children. The results of our studies showed that the age of positive optic righting and Hopping were not dependent on their ages, but more related with their motor development Enamely, optical righting mostly correlated with the time of sitting, and Hopping mostly correlated with that of walking.
    Download PDF (13529K)
  • [in Japanese]
    1972 Volume 18 Issue 2 Pages 141-147
    Published: 1972
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Download PDF (13353K)
feedback
Top