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Volume 24, Issue 2
Displaying 1-14 of 14 articles from this issue
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Application of IriscorderToyoji SODA, Shigeaki SHIRABE, Haruhiro NAGANO, Kimio SHIRAISHI1978 Volume 24 Issue 2 Pages 171-181
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe purpose of this study was a recording of acoustic pupillen reflex by Iriscorder. Acoustic pupillen reflex of 10 normal hearing subjects was examined by Iriscorder. Based on this examination, the optimum intensity of illumination for acoustic pupillen reflex, appearance rate of pupillen reflex and its reflex pattern were discussed.
Prior to the experiment, three kinds of light intensity such as 0, 60, and 400 Lux were tested to determine the optimum intensity of illumination. The following results were obtained.
400 Lux light presumed the most available for our experiment because in 400 Lux light, pupillen were observed keeping physiologically composed condition, less varied in pupillen area in the stage of no stimili and when they were stimulated with sound, the pupillen area varied obviously.
On this method, acoustic pupillen reflex was induced in 8cases (80%) by 20dB tone stimuli, the other 2 subjects at over 40 dB. The reflex includes mydriasis pattern as it was reported previously.
The pupillen reflex pattern in our study was divided into 4 types, but these patterns were influenced by the condition of the subject and degree of sound pressure.
The peak latency of acoustic pupillen reflex was shortened according to the increasing sound pressure.View full abstractDownload PDF (4419K) -
Hiroko ISHISAWA, Taeko GYOTOKU, Yasuko EGUCHI, Masako KUROKAWA, Sumako ...1978 Volume 24 Issue 2 Pages 182-188
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe authors examined vocabularies in 2-6 aged deaf children by 100 picture cards. The percentage of correct answers to these cards was calculated. The result was compaired with the test result in 3 aged normal children.
1. The higher was the age and the slighter was the hearing loss, the higher was the percentage of correct answers in deaf children. However, in cases of the same age and the same grade of hearing loss, the larger variation of the percentage of correct answers was observed. It seemed that vocabularies in deaf children were influenced by several fectors except for the age and the grade of the hearing loss.
2. Generally, words which had the higher percentage of correct answers in 3 aged normal children had the higher percentage in deaf children. The words which had the percentage above 75% in deaf children, had the percentage above 90% in 3 aged normal children except for “mouth” and “orange”
3. The percentage of correct answers to words except for “horse” was higher in 3 aged normal children.
With the percentage of correct answers to “orange”,“mouth”,“cow” and “chopsticks”, there was a little difference between 3 aged normal children and deaf children and there was a great difference in the percentage of correct answers to words “wooden clogs”,“bed”,“ham(or sausage)”,“washing-machins”,“coke”,“beer”,“electric fun” and “pudding” between both groups.
4. Almost all words used in this examination were contained within vocabularies used in the first grade of infant classes of the school for the deaf. Most words for which the correct answers were not given in deaf children in contrast with 3 aged normal children, were contained within vocabularies in the second or the third grade of infant classes.
5. The authors produced the following case; a child who had a moderate hearing loss and had been living in deaf families, showed a rapid growth in the percentage of correct answers in this examination after he wore a hearing aid, lived in normal persons and got a speech therapy.View full abstractDownload PDF (815K) -
Hiroshi MIYAHARA, Masahiro OBUCHI, Michio TOYA, Takeo SATO1978 Volume 24 Issue 2 Pages 189-192
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS51 year-old male was treated in our hospital complaining of hoarseness and dyspnea, after three years when his 56 year-old elder brother had treated.
They had similar smoking histories (1200 of Brinkman index), same occupation of fisherman and showed same pathological findings of squamous cell carcinoma (T3N0, T4N0). They were treated similarly emergency tracheotomy followed by total laryngectomy with good course.
Their family history revealed other two cancers, gastric cancer of the father and cancer of the breast of the sister. Not only extrinsic factors but genetic factor as intrinsic one in this case were suggested.View full abstractDownload PDF (488K) -
Yujiro MATSUMURA1978 Volume 24 Issue 2 Pages 193-197
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSince the National Kyushu Cancer Center had established in 1972, nine hundred eighty seven patients who had abnormal sensation of the throat were examined in our clinic. These were about 19% of all 5314 out-patients in the Head and Neck Service of our hospital during six years. Initial sign of cancer of the cervical esophagus, hypopharynx, middle or lower esophagus, stomach and thyroid gland was occasionally abnormal sensation of the throat. Even if it is impossible to find malignancy in any region of such out-patient as them within two or three days, we have to continue various appropriate examination for cancer periodically. We should have no preconceived opinion to diagnose for a new out-patient. Probability that there are several patients with cancer among a great number of the out-patients who have abnormal sensation of the throat should be kept in mind at any time.View full abstractDownload PDF (739K) -
Shigeto NAKAJIMA, Hidehaku KUMAGAMI1978 Volume 24 Issue 2 Pages 198-204
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 51-year-old male complained of double vision, visual disturbance, headache and lumbago. The neurological examination revealed the superior orbital fissure syndrome (signs of II, IQ, N, V, VI of cranial nerves) and hypesthesia of right foot. Roentgenograms of skull showed the destruction of sella turcica, abnormal shadows of sphenoid and right ethmoid-maxillary sinuses, and unclear finding of lower parts of both optic canals. CAG revealed abnormal tumor stain at sphenoid and ethmoid portions. Probe antrotomy of sphenoid sinus was performed under local anesthesia via right maxillary sinus, and a firm rubbery tumor with yellowish capsule was recognized. A biopsy of this tumor was performed under general anesthesia because of bleeding and severe pain. The result was metastatic clear cell carcinoma. Renal arteriography of the patient demonstrated a circumscribed vascular blushes at the right renal portion, right side of the 4 th lumbar vertebra and left iliac bone. Spinal tomography revealed destructive finding in 4 th lumbar vertebra. Chest roentgenogram showed abnormal destructions of right 6 th rib and scapula. For these findings, this case was diagnosed GRAWITZ'S tumor of right kidney with multiple bone metas tases of sphenoid sinus, lumbar vertebra, iliac bone, rib and scapula. We discussed about the importance of probe antrotomy of sphenoid sinus for lesion of this portion.View full abstractDownload PDF (11304K) -
Shuichi ESAKI, Takemoto SHIN, Shigenobu MIHASHI, Yasumasa SHIN1978 Volume 24 Issue 2 Pages 205-214
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 37-year-old man first developed a mass in the left infraauricular region in 1970, at the age of thirty. He received removal of the tumor three times in other hospitals, in 1971, 1972 and 1973 respectively. In December 1974, he was first admitted in Kurume University Hospital for recurrent tumor of the left cervical region. Histological diagnosis at the previous hospitals was not determined. No possible primary lesion was detected. Radical neck dissection was performed. Histological diagnosis was undifferentiated carcinoma.
In March 1977, a chest X-ray taken at a follow up examination revealed pulmonary metastasis. In August 1977, the patient developed a tumor of the left cervical region, again. It was removed and examined histologically. In contrast to the previous diagnosis, the diagnosis by a pathologist was malignant schwannoma. Based upon re-examination of the previous specimens, we determined that the lesion was malignant schwannoma from the beginning. Some review of literature was given and the reasons for the diagnostic error were discussed.View full abstractDownload PDF (24340K) -
Tomoyuki NAGAI, Koichi SHIBATA, Seiichi RYU1978 Volume 24 Issue 2 Pages 215-224
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSBoth electron microscopic and light microscopic examinations were performed on 9 specimens of the laryngeal nodule. The specimens were classified into edematous type and fibrous type according to the histopathological findings of submucous structure under light microscopy. The thickening of the basement membrane and active collagen formation were characteristic of edematous type. The edematous type was considered to be in the early stage of the laryngeal nodule, and seemed to be transformed into fibrous type later.
The hemorrhage in epithelial layer was found in one case of the edematous type. The cause of hemorrhage was considered to be the mechanical stimulation produced by nodules striking each other during phonation, and also this mechanical stimulation was probably the cause of edema of the submucosal tissue.
We suggest that mechanical stimulation plays an important role in the formation of the laryngeal nodule because the finding of the submucosal tissue of the nodule in early stage is edema.View full abstractDownload PDF (22743K) -
-Histological investigation with indiaink injection method-Masanao OKADA, Shigenobu MIHASHI, Toshio ITO, Minoru HIRANO1978 Volume 24 Issue 2 Pages 225-232
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
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Hiroaki OSAWA1978 Volume 24 Issue 2 Pages 233-251
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn 1911 BRUNINGS first reported an ingenious technique of injecting the paralyzed vocal cord with paraffin. In spite of good clinical results, this technique was not populized until new suitable materials such as teflon or silicone were applied for intracordal injection.
The main purpose of intracordal injection is to improve glottal closure during phonation. In this investigation, intracordal injection of 40% moljodol or silicone was made into the canine larynx with or without experimental recurrent laryngeal nerve paralysis. The location and diffusion of the injected substance were then examined on X-ray and histological studies added for precise evaluation of its diffusion and subsequent tissue reaction.
In addition to the basic study, the results of clinical application of recurrent laryngeal nerve paralysis has been discussed.
These results lead to the following conclusions:
1) The tapered end of the needle for intracordal injection should be directed laterally, and the needle should not be inserted deeper than 3-4mm from the upper surface of the vocal cord.
2) In order to adduct the vocal cord without changes in its shape and size, injection should be first done between the thyroid and arytenoid cartilages at the posterior end of the membranous part. If this is not significantly effective, additional injection can be made so as to deposit the substance near the thyroid cartilage by inserting the needle at the middle of the membranous part. For the purpose to correct a concave edge of the vocal cord, injection near the thyroid cartilage at the middle of the membranous part is effective. In order to thicken an atrophic vocal cord, injection should be gradually made in the vocalis muscle at the middle of the membranous part. One can add injections anterior and posterior to this if necessary.
3) Histologic studies have shown the good tissue tolerance of both moljodol and silicone. Moljodol appeared to spread in the surrounding tissue after injection earlier than silicone.
4) In the clinical study, injected moljodol was located in its affected vocal cord within two weeks, however, this substance spread to surrounding tissue for a short period of time after injection.
5) According to postoperative phonatory function test, the voice greatly improved in the most of cases.View full abstractDownload PDF (13552K) -
Satoru TAKAYAMA1978 Volume 24 Issue 2 Pages 252-285
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe therapeutic effects on massive dose administration of Lysozyme to 21 children with chronic sinusitis were observed through the changes of X-ray findings before and after the administration. Materials were 15 boys and 6 girls with 6.8 years of mean age. The clinico-pathological type of 21 chronic sinusitis was classified into 6 local infection types, 8 diffuse catarrhal types and 7 edematous polyp types. The state of the middle nasal meatus was open in 14 cases and closed in 7 cases. A day's dose of Lysozyme, the mean administration period and the mean of the total administration dose was 150 mg three times a day, 77 days and 7207.1mg respectively. Results were distributed in marked effective: 6 cases 28.8%, effective: 8 cases 38.1%, not effective: 7 cases 33.3% and no exacerbation case. Therefore the rate of effectiveness calculated in 66.6%. The therapeutic results did not relate to the length of administration periods and the quantity of total administration dose, but the clinicopathological type of sinusitis. Clinical symptoms and X-ray findings were improved in the most cases of local infection type and diffuse catarrhal type of sinusitis with the open middle nasal meatus, however were not improved in a part of diffuse catarrhal type and in the most cases of edematous polyp type of sinusitis with the closed middle nasal meatus.
Although the massive dose administration of Lysozyme to children chronic sinusitisis considered to be effective, it is a weak point that its effectiveness is limited to the two clinico-pathological types of sinusitis. And so, before performing this therapy, it is necessary to select materials (clinico-pathological type of sinusitis) and to avoid an aimless longterm administration.View full abstractDownload PDF (41277K) -
[in Japanese]1978 Volume 24 Issue 2 Pages 286-291
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
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[in Japanese]1978 Volume 24 Issue 2 Pages 292-297
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
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[in Japanese]1978 Volume 24 Issue 2 Pages 298-302
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (743K) -
[in Japanese]1978 Volume 24 Issue 2 Pages 303-305
Published: March 20, 1978
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (342K)
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