jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
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Volume 29, Issue 2
Displaying 1-31 of 31 articles from this issue
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  • Electrocochleographic Study of Acoustic Neurinoma
    Hidehaku KUMAGAMI, Harumi MORIUCHI, Hirohide OHSAWA, Mitsuru MIYAZAKI
    1983 Volume 29 Issue 2 Pages 209-212
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_209
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    Electrocochleography was performed on twelve patients with acoustic neurinoma. Recordings were made with transtympanic needle electrode. Compound cochlear nerve action potential (AP) showed a lower threshold compared with that of the pure tone audiogram, and a well defined cochlear microphonic potential was observed. Some patients showed a well defined AP potential, although totally deaf. The AP with intense sound stimulation showed a low potential and/or a shallow input-output function slope. The above findings seem to result from retro-cochlear hearing impairment.
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  • Two Cases of Pleomorphic Adenoma of the Nasal Cavity
    Taeko OKUNO, Harumi SUZAKI, Makoto ODA
    1983 Volume 29 Issue 2 Pages 213-217
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_213
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    Two cases of pleomorphic adenoma of the nasal cavity are reported. Case1. A 33-year-old female had a pleomorphic adenoma on the nasal septum without any complaint. The tumor was removed by surgical excision. There has been no recurrence. Case2. A 48-year-old female complained of nasal bleeding. There was a large tumor on the lateral nasal wall. The tumor was excised by Denker's operation. There has been no recurrence. Pleomorphic adenoma of the nasal cavity is very rare. We experienced 101 cases of pleomorphic adenoma in the last 22 years. Most of them occured in the parotid gland, the submaxillary gland and the palate.
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  • Laryngeal Reconstruction to Prevent Aspiration
    Katsura YAMAMOTO, Minato HIRABAYASHI, Koji YOKOTA, Kiyotaka HIGAKI
    1983 Volume 29 Issue 2 Pages 218-224
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_218
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    Pharyngotracheal aspiration is frequent among laryngectomized patients who have undergone a laryngoplasty. This paper describes a technique devised specifically to over come this complication. A onestage tracheopharygeal (TP) shunt procedure was done in eight laryngectomies. The medially and laterally based cervical flaps are made in the anterior part of the neck. After laryngectomy, the TP tunnel is created with the medially based cervical flap, and a functioning sphincter is created by the thyropharyngeus muscle and the sternohyoid muscle at the upper end of the TP tunnel. The cervical defect is closed by the laterally based cervical flap. Three patients experienced minor aspiration, with two patients having stenosis of the TP tunnel.
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  • Yearly Changes of Chronic Sinusitis
    A Statistical Analysis
    Katsuhiko TANAKA, Noriko KAWASE, Toru SUENAGA, Masaichi MOTOMURA, Sato ...
    1983 Volume 29 Issue 2 Pages 225-230
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_225
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    Most otolaryngologists in Japan hold the view that cases of chronic sinusitis necessitating surgical treatment have decreased in recent years. For elucidating the trend of the sinusitis from the past up to the present time, we have investigated the yearly changes of this disease and nasal allergy from 1940 to 1981, based on the medical charts in the ENT clinic of Hokkaido University Hospital. It was revealed that chronic sinusitis accounted for 21.4% of all outpatients in the early 1940's. This percentage was reduced by half by 1965 and thereafter remained almost unchanged. On the other hand, nasal allergy was markedly increased after 1965. There were remarkable changes in the age distribution of the sinusitis patient in the past 40 years; From 1940 to 1958, the younger generations of 2nd and 3rd decades accounted for about two third of all sinusitis patients. However, the proportion of sinusitis patients of those age groups rapidly declined after 1965 and now the patients are distributed evenly among all age-groups. The factors responsible for the decrease of sinusitis are discussed.
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  • Eikenella Corrodens Detected from a Case of Buccal Abscess
    Yoshimi HARA, Kunitoshi ENATSU, Minoru IDE, Tamotsu MORIMITSU, Masami ...
    1983 Volume 29 Issue 2 Pages 231-235
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_231
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    In a case of buccal abscess with acute paranasal sinusitis, Eikenella corrodens was identified as the causative agent. Eikenella corrodens is a gram negative anaerobic microor ganism which has been rarely isolated as the causative agent of diseases in the ear nose or throat. In this paper the clinical course of this case and its bacteriological features are reported.
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  • Constructional Analysis using Laser-Raman Spectroscopy
    Bone Destruction by Middle Ear Cholesteatoma
    Katsuichiro OHSAKI, Akira FUJITA, Yu MASUDA, Kazuko YOSHIDA, Yoshio OG ...
    1983 Volume 29 Issue 2 Pages 236-242
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_236
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    To clarify the mechanism of bone destruction in chronic otitis media with choleateatoma, the morphology of the destroyed bone surface in contact with an attic retraction choles teatoma (dextra) of a forty-five year old Japanese female was analyzed at the molecular level, using Laser-Raman spectroscopy. The intensity of the signal due to CO32- on the destroyed bone surface was weaker than that on the normal surface. The intensity of signals due to P-O-P linkage and H2PO4- was barely detectable on the destroyed bone surface. The intensity of gnals attributed to fatty acids and inorganic compounds were higher on the destroyed bone surface than that on the normal. On the basis of the above results, we proprose the following hypothesis concerning with the mechanism of bone destruction. In the process of bone destruction, both demineralization and remineralization might occur under the acidic condition present at the bone surface. Thus we suggest that the inorganic material of the destroyed bone is hydroxylapatite or a similar substance.
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  • Swallowing Disorders After Wide Resection of the Tongue
    Hiroshi OHKUBO, Yoshio HIRADE, Ruriko TERASAWA, Minoru HIRANO
    1983 Volume 29 Issue 2 Pages 243-251
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_243
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    In two patients who had undergone wide resection of the tongue for carcinoma of the oral cavity, the function of swallowing was examined by cinefluorography. Tongue base motion and the pharyngeal peristaltic wave were measured frame by frame. Movements of the tip and the end of the bolus, and closing of the nasopharynx were also investigated. In order to increase the cure rate for the advanced stage of carcinoma of the tongue and the mouth floor, wider resection of the primary lesion is indicated. The present study suggests that the function of swallowing can be preserved after wide resection of the tongue.
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  • Tinnitus Induced by Electrically Stimulated Stapedial Muscle Contraction
    Hideji OKUNO, Hidekazu TANAKA, Isamu WATANABE
    1983 Volume 29 Issue 2 Pages 252-256
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_252
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    The tinnitus due to stapedial muscle contraction has been reported in few studies. Non-acoustic stapedial muscle contraction can be induced by several kinds of stimulation, or caused by pathological processes. The nature of the tinnitus due to stapedial muscle contraction, regardless of cause, has been reported as a low pitched blowing sound. The occurence rate of the tinnitus is controversial. We have already reported that the occurence rate of the tinnitus which was caused by facial neural palsy is low. In the present study, we have studied the occurence rate of the tinnitus caused by electrical stimualtion of the external meatus. We studied 30 healthy subjects, 22 facial palsy patients and 19 sensori neural hearing loss patients who complained of tinnitus. We conclude that the occurence rate of the tinnitus caused by the electrical stimulation was as low as the occurence rate of tinnitus caused by the associated abnormal movement of stapedial muscle during the course of recovery from facial palsy.
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  • Selective Cryosurgery of the Chinchilla Cochlea
    Study by Scanning Electron Microscope and Auditory Evoked Brain Stem Response
    Mamoru SUZUKI
    1983 Volume 29 Issue 2 Pages 257-264
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_257
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    A total of 23 cochleas in 15 chinchillas were treated with cryosurgery and the damage to the organ of Corti was evaluated with the scanning electron microscope (SEM) and the auditory evoked brain stem response (ABR). The apical half-turn was treated in 11 of the cochleas and the basal half-turn in 10. Apical exposure to the cryoprobe generally resulted in severe damage to sensory cells in the apical turn whereas basal turn exposure generally resulted in mild damage to sensory cells in the basal turn. On occasion, severe damage from apical turn exposure resulted in severe damage that extended to the basal turn. The first row of outer hair cells were the most susceptible to damage, while inner hair cells the least. ABR to click stimuli were recorded before treatment and again before decapitation. Below 50 dB stimulus level, ABR wave IV latency was prolonged after cryosurgery to the basal turn. However, no significant change was observed in wave IV latency after treat ment to the apical turn.
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  • Combination Therapy with Intranasal Beclomethasone Dipropionate (Aldecin) and Celestamine/Polaramine for Treatment of Cedar Pollinosis
    Hirosato MIYAKE, Kimihisa NOMURA, Susumu UCHIKOSHI, Masahiro IIDA, Tak ...
    1983 Volume 29 Issue 2 Pages 265-280
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_265
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    1) In 1982 the total Japanese Cedar Pollen count was 3% higher than in 1979 which was the previous highest recorded level. 2) Combination therapy with intranasal beclomethasone dipropionate (ALDECIN) and Celestamine (betamethasone and d-chlorpheniramine maleate) proved significantly more effective in promptly relieving the nasal symptoms than ALDECIN alone. 3) Combination therapy with ALDECIN and Celestamine should be limited to a maximum of one week for safety reasons. If the symptoms are markedly improved by the combination therapy, Celestamine is suggested to be replaced with Polaramine (d-chlorphe niramine maleate). 4) The combination therapy of ALDECIN and Celestamine or Polar amine is recommended for the treatment of severe pollinosis and/or eye symptoms.
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 281-283
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_281
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 286-288
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_286
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 289-291
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_289
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 292-293
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_292
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    1983 Volume 29 Issue 2 Pages 294-296
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_294
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1983 Volume 29 Issue 2 Pages 297-298
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_297
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 299-302
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_299
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1983 Volume 29 Issue 2 Pages 303-305
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_303
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 306-307
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_306
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 308-310
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_308
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 311-314
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_311
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 315-317
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_315
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1983 Volume 29 Issue 2 Pages 318-320
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_318
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 321-322
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_321
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 323-324
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_323
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 325-328
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_325
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 329-331
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_329
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 332-335
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_332
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 336-338
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_336
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  • [title in Japanese]
    [in Japanese]
    1983 Volume 29 Issue 2 Pages 339-342
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_339
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1983 Volume 29 Issue 2 Pages 343-345
    Published: March 20, 1983
    Released on J-STAGE: May 10, 2013
    DOIhttps://doi.org/10.11334/jibi1954.29.2_343
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