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Volume 29, Issue 5Supplement2
Displaying 1-23 of 23 articles from this issue
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Shinjiro ONISHI, Yasushi ISHIBASHI, Keiko TAKESHITA, Soji IZUMI1983 Volume 29 Issue 5Supplement2 Pages 679-692
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe effects of an input filter on the ABR threshold judgment were studied. The ABR wave form bacame smooth, and it was easy to evaluate its threshold by the high frequency cut-off at 300Hz. The ABR amplitude became greater with the low frequency cut-off at 1 to 30Hz. The threshold judgment was most favorable when the filter with 6dB/oct of slope and 30 to 300Hz band width was used. The ABR audiometries were performed on 328 cases at Kanagawa Children's Medical Center during a two and a half year period. Reliable results of behavioral audiometry were obtained from 60 cases. From the ABR data, the degree of hearing loss could be estimated as normal, mild, middle and severe. The be results agreed completely with the hearing estimation of ABR for those cases tested by COR, and 90% agreement was obtained from those tested by play audiometry.View full abstractDownload PDF (1641K) -
Toshiki MANABE, Kiyoshi YONEMOTO, Okitsugu KOBA, Tsuneo TATEISHI, Nori ...1983 Volume 29 Issue 5Supplement2 Pages 693-699
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSEffects of frequency-compression in terms of the intelligibility in severe sensori-neural hearing loss were investigated by using a frequency-compression technique of speech signal with higher fidelity partial auto-correlation coefficient (PARCOR) synthesis method. The hearing level of cases were 70s dB in 1 ear, 80s dB in 6, 90s dB in 11, 100s dB in 8, and 110s dB in 1. The test sound, phonated by a female announcer, consisted of 50 two figure numbers. Intelligibility scores were obtained in every frequency-compressed rate which was 100% to 60% in 10% steps. Forty-one percent of the ears examined showed a 20% or better score at the proper rate of frequency-compressed sound than the score at non-compressed sound. Almost all cases showed a score between 10% to 60% at non-compressed sound, and the intelligibility was clearly impreved. The relation between the hearing level or speech articulation score and the improvement of the intelligibility by frequency-compressed sound was not clear.View full abstractDownload PDF (752K) -
Chihiro NAKAGAWA, Yasushi ISHIBASHI, Noboru TAMAMUSHI, Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 700-709
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA questionnaire was sent out to parents to obtain their opinions regarding their children who had serous otitis media with ventilation tubes and to acquire information about the pre-and post operative conditions of their children. 133 parents (83%) answered the questionnaire and reported that the use of ventilation tubes resulted in such benefits as prompt hearing improvement (93%), progress in speech and language development (74%), and desirable changes in their characters (33%). But almost of the parents had any previous knowledge of serous otitis media and ventilation tubes.View full abstractDownload PDF (1315K) -
Koichi HIIRAGI, Yasushi ISHIBASHI, Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 710-715
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe reported three cases of congenital facial nerve palsy with ipsilateral deafness. There was no neurological symptom of the other cranial nerves. Roentogenograms showed the hypogenesis of internal anditory canal. In all three cases, symptoms and signs of the facial nerve paralysis also revealed some pathological changes near the internal auditory canal. There was no teratogenic factor except for maternal diabetes mellitus. Maternal diabetes mellitus may influence the inner ear of a foetus, and may be the cause of congenital facial nerve palsy and ipsilateral deafness.View full abstractDownload PDF (5623K) -
Takaharu SHIMIZU, Hiroshi YASUEDA, Takao SHIDA1983 Volume 29 Issue 5Supplement2 Pages 716-720
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSeven cases with peach pollen-sensitiveness were treated from 1977 to 1982. The method carried out was skin test titrations, nasal provocation tests and measurement of both specific IgE anti-peach pollen antibody and specific IgG antibody. Improvement of clinical symptoms was also recorded during the pollinating season. The effect of immunotherapy was observed in 71% of all patients. The threshold of skin reaction was elevated in all of them. The nasal provocative reaction changed to negative in 50%, diminished in 17%, and remained unchanged in 33%. The results of IgG/IgE binding ratio and the nasal provocation testing were associated with the degree of clinical improvement.View full abstractDownload PDF (540K) -
Noboru OGAHARA, Yasushi ISHIBASHI, Michio MATSUI, Kazuro KUJIRAI, Shuj ...1983 Volume 29 Issue 5Supplement2 Pages 721-726
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwenty children with nasal polyps were clinically studied. The patients' ages ranged between 4 and 14 years. Unilateral polyps were present in 13 patients while the remaining 7 patients had bilateral nasal polyps. The antrochoanal polyps were noted in 6 patients. The frequency of antrochoanal polyps in children seemed to be relatively higher than in adults. Radiographic evidence of significant sinusitis was noted among the majority of patients with polyps. Median sagittal tomography of the face was used to advantage to find antrochoanal polyps. A primary factor in the occurrence of nasal polyps appeared to be chronic inflammation rather than allergy. Twenty-four surgical procedures for treatment were performed. Eleven cases required treatment for recurrent nasal polyps. The preoperative condition of sinusitis seemed to be concerned with the recurrece of nasal polyps.View full abstractDownload PDF (3037K) -
Akira KUBOTA, Shuji SAWAKI, Hiroya YAMAGUCHI, Toshie YOTSUKURA1983 Volume 29 Issue 5Supplement2 Pages 727-731
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIt is important to evaluate the effect of antibiotic drugs that measure the serum tissue concentration of the drugs. We measured the serum and tissue of the maxillary sinus concentration of Cefotiam by the Agar Well Assey. One gram of Cefotiam was administered intravenously over fifteen minutes period to the patients who were diagnosed as chronic sinusitis. The patients included fourteen males and eight females. We extricated the mucosa of the maxillary sinus by the CALDWELL-LUC operation. The serum and tissue concentrations were analyzed by the Clinical Pharmakokinetics, and it was found that the serum reached a peak concentration of 84.9μg/ml within fifteen minutes after injection, and the tissue reached a peak concentration of 29.5μg/ml within twenty one minutes after injection. Serum and tissue concentration declined together. The Cefotiam was detected at a higher tissue concentration one hour after injection than was the MIC of bacilli in chronic sinusitis.View full abstractDownload PDF (629K) -
Izumi MOCHIMATSU, Mamoru TSUKUDA, Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 732-736
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFive cases of rhinogenic neuritis retrobulbaris were treated at our clinic. Three of the five cases were patients whose conditions were complicated by allergy neuritis, and it was suspected that an allergy may cause rhinogenic neuritis retrobulbaris. In these cases, we soon started conservative treatment. If the symptomes did not improve but went from bad to worse or occurred suddenly, it was imperative to terminate the conservative treatment and to proceed with an operation at once. It was also necessary to call in an ophthalmologist.View full abstractDownload PDF (2846K) -
Yoshie YOTSUKURA, Shuji SAWAKI, Hiroya YAMAGUCHI, Koichi MIYAKAWA, Gen ...1983 Volume 29 Issue 5Supplement2 Pages 737-743
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSCystic lesions of the maxilla could be generally divided etiologically and anatomically into those related or not related to the teeth. During the past eight years, two hundred cases of cystic lesions of the maxilla were observed. Among them, 178 cases (89%) were postoperative maxillary cysts. Three cases of cysitc lesions of the maxilla were related to the teeth. The summary of our investigations is as follows: 1. Two cases of large radicular cysts had complaints, resembled those of postoperative maxillary cysts. And one case of postoperative maxillary cyst with the dental infection. 2. Orthopantomography was most helpful for the diagnosis. 3. An examination of the dental pulp by the electric pulp tester was important. 4. Filling of the root canal for the nonvital teeth required the extirpation of the maxillary cyst. 5. The first CALDWELL-LUC operation must be performed carefully in order to aboid causing a maxillary cyst.View full abstractDownload PDF (7998K) -
With Focal InfectionShuji SAWAKI, Akiko HIGUCHI, Masaki FURUKAWA, Koichi HIIRAGI, Kayoko M ...1983 Volume 29 Issue 5Supplement2 Pages 744-755
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe post-operative status of eight hundred and ninty-three cases of tonsilletomies at three hospitals for the past five years were followed up. Particularly the rate of focal infections were examined. The conclusion was as follows: 1. Secondary diseases such as slight chronic fever, renal disease, dermal diseases, for examples atopic dermatitis, were most frequent while rheumatoid arthritis and cardiac disesses were rare. 2. Subjective symptoms in many cases with a secondary disease were general fatigue, slight fever and sore throat. Furthermore in laboratory examinations, leucocytosis, albuminuria and a high value of ASLO test showed significant differences compared with the cases without scondary disease. 3. Scondary diseases were cured in 82.8% of the cases after operation. Especially those with slight chronic fever were well cured. Younger cases had a better recovery.View full abstractDownload PDF (1499K) -
Kazuro KUJIRAI1983 Volume 29 Issue 5Supplement2 Pages 756-769
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe three parameters of phonation, i. e. intensity, fundamental frequency, and air flow rate were simultaneously measured in 50 normal adults and 134 cases with various laryngeal disorders, using a phonation function analyzer (PS-77, Nagashima Co.). The subjects were required to hold a mouth-piece attached to a hot-wire flow meter and sustain the vowel /a/ in a comfortable fashion. The fashion of the phonation was observed to be consistent with the factors indicating individual differences such as height, weight and age in normal subjects. When the multiple regression analysis was performed among the three parameters of phonation, the multiple correlation held good (Male: 0.829, P<0.01, Female: 0.527, P<0.05). The multiple regressive expressions acquired were as follows.
Male: I=13.2log u+22.6log f0-2.5
Female: I=7.7log u+40.1log f0-39.1
u: flow rate (ml/sec), f0: fundamental frequency (Hz), I: intensity (dB SPL)
In pathological cases, estimated loudness was derived from the regressive expression, and the difference between the measured and the estimated values of loudness was calculated. The difference was considered to reflect the efficiency of phonation and to be comparable to the condition of various laryngeal pathologies.View full abstractDownload PDF (1740K) -
Histopathological Studies and a Case ReportKiminao OOISHI, Izumi MOCHIMATSU, Noboru TAMAMUSHI, Setsuko IWAMURA, S ...1983 Volume 29 Issue 5Supplement2 Pages 770-775
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS1. Histopathological examination were made on eight larynges obtained from autopsied cases with a history of collagen disease. In three cases out of the eight, pathognomonic findings of rheumatoid arthritis (RA) were confirmed in the cricoarytenoid joint. Proliferations of the synovia were seen in two cases and joint destructions were noted in another case. These changes revealed a lower incidence in contrast that of the RA. 2. The case of thirty-two year old woman with a fifteen year history of systemic lupus erythematosus was reported.View full abstractDownload PDF (9903K) -
Etiology and Treatment of Idiopathic GranulomaSetsuko IWAMURA, Kiminao OOISHI, Shuji SAWAKI, Hajime HIROSE1983 Volume 29 Issue 5Supplement2 Pages 776-782
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSGranuloma in larynx posterior is a relatively uncommon disease and the recurrent cases are occasionally seen after surgical removal. Most of the granulomas are classified as post-intubation granuloma and idiopathic granuloma. In the past five years, six patients with post-intubation granuloma and eight patients with idopathic granuloma were examined. The treatment of granuloma starts with elimination of vocal abuse. If the granuloma is large, it is removed by laryngomicrosurgery. Then steroid injections to the lesion must be repeated. It was found that repetitive steroid injections to the lesion after surgical removal was very effective for all cases. This method was also good for recurrent cases.View full abstractDownload PDF (7031K) -
Akiko HIGUCHI, Chihiro NAKAGAWA, Setsuko IWAMURA, Kiminao OOISHI, Shuj ...1983 Volume 29 Issue 5Supplement2 Pages 783-788
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn many cases of the laryngeal trauma, the fractures of the thyroid cartilage can be observed. In some cases, the thyroepiglottic ligaments have ruptured and the cricoarytenoid joints are also involved. But single arytenoid cartilage dislocation is not so frequently observed. There was the case of a sixteen years old boy who sustained a severe rope injury to his anterior neck while riding a motorcycle. On the second day after the accident, he complained of hoarseness and an inability to swallow properly. Using the direct laryngoscope, it was observed that the left vocal cord was abducted to an intermediate position and the left arytenoid region was displaced anteriorly. At phonation, the space remained between both vocal cords. Horizontal CT film and frontal tomogram of the larynx showed that the left vocal cord level was higher than the right, and both arytenoids were asymmetrical. Four months after the accident, the operation of the arytenoid adduction technique (ISSHIKI) was performed. After the operation both arytenoids became symmetrical and the space between the vocal cords was diminished. Duration time of phonation was extended to 11 seconds from 5 seconds, and the air flow volume of expiration was reduced to 200ml/sec from 800ml/sec. His hoarseness lessened remarkably, and the beneficial effects of the operation were continuous.View full abstractDownload PDF (4788K) -
A Clinical and Pathological Study of 15 CasesKayoko MITARAI, Mamoru TSUKUDA, Shuji SAWAKI, Hitoshi KITAMURA1983 Volume 29 Issue 5Supplement2 Pages 789-795
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe papillomas arising from the mucous membranes of the nasal cavity and paranasal sinuses are relatively uncommon benign neoplasms. But clinically they must be treated cautiously because they have the capability of destroying the neighboring bones as well as a considerable tendency to recur. They are occasionally associated with malignancy. Fifteen cases were studied including the clinical and pathological findings. The incidence of papillomas was 6.6% of all nasal and sinus neoplasms. There were eight males and seven females with a peak age in the fifties. In three cases only the nasal cavity was involved, and in twelve cases both nasal and paranasal sinuses were affected. The histological pattern of growth was the inverted type in eight cases and the mixed type in seven cases. Four out of fifteen cases showed recurrence. There was no distinct difference in the recurrence rate between either histological types. No cases showed malignant change. The reported incidence of malignant change varies from 2% to 53%. However, it should actually be lower if cases of so-called coexistent papilloma and carcinoma were excluded. Surgical removal is the essential treatment. It is necessary to continue research on this type of tumor for a longer period of time.View full abstractDownload PDF (6082K) -
Yoshinobu TAKAHATA, Mamoru TSUKUDA, Kiminao OOISHI, Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 796-805
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSMalignant melanoma in the otolaryngological area is very rare. The prognosis of the melanoma of the mucous membrane is poor compared with those of the derma. This unfavorable prognosis derives from the high probability of recurrence and metastasis. Therapeutic procedures for this disease are operation, cryosurgery, chemotherapy, radiotherapy and immunotherapy. Recently immunotherapy with BCG is being given attention. However, we have no absolutely successful therapeutic method yet. Five cases with malignant melanoma in the nasal cavity and Paranasal sinuses were treated at our clinic during the past seven years. Two were males and the others females. The ages ranged from 51 to 79 years old, with an average of 64 years old. The chief complaints were epistaxis in 3 cases and nasal obstruction in two cases. Histopathologically, all of them had melanotic melanoma with one exception which had amelanotic melanoma. Metastasis was not detected in every case at the first hospital visit. Tumors were removed in three cases, and chemotherapy and immunotherapy were administered because of their being generally a poor risk due to advanced age. The three patients died of the disease six, nine and ten months respectively admission. Two cases are alive with no evidence of disease.View full abstractDownload PDF (8408K) -
Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 806-827
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwo hundred and seventy-four cases with the nasopharyngeal carcinoma, reported from eight hospitals in Japan, were examined from the point of view of the TNM and Stage classifications respectively. The survival rates between two classifications,-those of UICC and Dr. Ho, were compared. The following results were obtained: 1) The significant difference of the survival rate exists just between Stage I and IV by UICC classification. Almost the same tendency was observed on Ho's classification. Moreover, they were not ideal classifications. 2) There is no significant difference between the survival rate on either height of the metastatic cervical lymph node, or those positional laterality. 3) The prognosis of the NPC patient is influenced by his immunological functions. Therefore, the immunological status must be adopted as a factor of the Stage classification.View full abstractDownload PDF (7545K) -
Analysis of 198 CasesNoboru TAMAMUSHI, Yoshitane NISHIMOTO, Masaki FURUKAWA, Mamoru TSUKUDA ...1983 Volume 29 Issue 5Supplement2 Pages 828-833
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSBetween January 1972 and December 1981, 198 patients were treated for laryngeal cancer at Yokohama City University Hospital. There were 134 cases of the glottic type, fifty nine of the supraglottic and five of the subglottic type. According to the UICC (1978) TNM system, Stage I was 46, II 55, III 66 and IV 31. The calculated five year survival rate was 64.6% among the total cases; 66.2% (Stage I 100%, II 85.9%, III 37.1%, IV 0%) among the glottic type; 59.4% (Stage I, II 100%, III 48.7%, IV 22.7%) among the supraglottic type and among the subglottic type 75.0%.View full abstractDownload PDF (734K) -
Yoshitane NISHIMOTO, Mamoru TSUKUDA, Noboru TAMAMUSHI, Izumi MOCHIMATS ...1983 Volume 29 Issue 5Supplement2 Pages 834-840
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe immunological function of 61 patients with laryngeal carcinoma was studied using the delayed hypersensitivity test of skin reaction including PPD, PHA, Su-PS, SK/SD and Candida. The results were as follows: 1) It is difficult to estimate immunological function of these patients by simple parameter. 2) It is necessary to use these studies in combination to obtain an exact evaluation of immunological function. Only thus, can we estimate the effect of treatments and prognosis of patients. 3) The immunological functions deteriorate in relation to the advancement of clinical stages, and patients recover with treatment except for the cases of stage 4 and, recurrences. This is useful for determining the prognosis.View full abstractDownload PDF (992K) -
Mamoru TSUKUDA, Izumi MOCHIMATSU, Akira KUBOTA, Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 841-848
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDuring the past ten years, 920 new cases of head and neck malignancies were treated at our clinic. Among them, there were forty-six patients (5.0%) under forty years of age. Analysis of these patients indicated the following results. 1. The older the patients, the higher the ratio of male to female. 2. Among the squamous cell carcinoma cases, the anaplastic type has a high incidence. 3. In nasopharyngeal carcinoma cases, the prognosis of the younger cases is almost the same as that of the older patients, because the stage has already advanced in the younger group. In nose and paranasal sinus carcinoma cases, the prognosis of the younger group is better than those cases over forty.View full abstractDownload PDF (1211K) -
Izumi MOCHIMATSU, Mamoru TSUKUDA, Shuji SAWAKI1983 Volume 29 Issue 5Supplement2 Pages 849-853
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDuring the past thirteen years, seventeen cases with adenoid cystic carcinoma in head and neck were treated at our clinic. No sexual difference in prevalence could be observed. The ages ranged from 27 to 72 years old with a higher incidence in the fifties and sixties. The affected lesions were more frequently localized in the maxillary sinus, external meatal canal and nasopharynx. This is differs from the reports available up to the present. The therapeutic procedure depends on the primary site. But in principle surgical removal with sufficient margin is necessary. In some cases, irradiation and chemotherapy were combined with the operation. The survival rate for 5 years was 58%. However two cases revealed recurrence even after the five years period. One of them is still alive with the recurrent tumor. A characteristic of this type of carcinoma is that the tumor spreads gradually. Therefore, the cases can be followed up for a longer period.View full abstractDownload PDF (685K) -
Mamoru TSUKUDA, Izumi MOCHIMATSU, Akiko HIGUCHI, Masaki FURUKAWA, Yosh ...1983 Volume 29 Issue 5Supplement2 Pages 854-862
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDuring the past five years, 339 new head and neck carcinoma cases were treated at our clinic. Among them, cases with cervical lymph node metastasis were examined, and the following results were obtained: 1. The cases with the pharyngeal carcinoma most frequently had the metastatic lymph node at their first hospital visit. Among those cases, the nasopharyngeal carcinoma (NPC) revealed the highest incidence of the metastasis. 2. The ratio of metastasis was observed according to the exact location of each organ. a) NPC revealed no difference among the sites (superioposterio, lateral and inferior wall). b) In the hypopharyngeal carcinoma, the piriform sinus type showed a higher frequency than the other sites (postcricoid and posterior wall type). c) The supraglottic type of laryngeal carcinoma had a higher incidence than the glottic and subglottic type. 3. The side of the metastatic neck lymph node had an intimate relationship to the primary lesion. Therefore, with knowledge of this fact, the primary site can be conjectured. 4. In cases where NPC is suspected with the neck metastasis, the immunological examination of the anti EBV titer is recommended while a biopsy from the lymph node is prohibited. 5. Three cases were observed with neck metastasis, the origins of which unknown. For such cases, various kinds of therapeutic procedure should be performed.View full abstractDownload PDF (1152K) -
Hiroya YAMAGUCHI, Yoshie YOTSUKURA, Akira KUBOTA, Sozaburo INOUE, Yuri ...1983 Volume 29 Issue 5Supplement2 Pages 863-868
Published: 1983
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwenty-six cases subjected to neck surgery were operated under epidural anesthesia. These consisted of one case of laryngectomy, three cases of thyroidectomy, four cases of resection of median cervical cyst, twelve cases of thyroplasty type I, five cases of arytenoid aduction and one case of resection of lypoma. In the studies, it was shown that epidural anesthesia had benefits for thyroidectomy, thyroplasty type I and arytenoid aduction. The patients were conscious and without pain while undergoing the operations, allowing the surgeon to speak with them to make sure of the patient's voice changes. The anesthesia was also good for laryngectomy and radical neck dissection of its broad numbring area. Usually the patients were most uneasy bewfore and during their operations. Therefore, we used a much larger dose of tranquilizer before and during the operations. By using a smaller dose of anesthetics than is used for local anesthesia, we found that this anesthesia had a broader numbring area resembling general anesthesia. It was concluded that the epidural anesthesia should be used more frequently for neck surgery than types.View full abstractDownload PDF (5578K)
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