A male, 23-year-old medical student, showed meningeal symptoms with very slight otological symptoms from 13 to 16 hours after he had felt otalgia, and was completely cured by chemotherapy alone each time. Therefore, the authors were hesitant to give the diagnosis of otogenic meningitis, but it was finally determined by the bacteriological examination which proved diplococci pneumoniae at the time of the third occurrence, that the symptoms were of otological origin. As for the infection route, the pyramid may be considered from the operative and roentgenological observations.
A radical mastoidectomy was performed after the recovery of meningitis in order to prevent relapse.

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A female farmer, 54 years old, who had a tumor in the soft palatine for about 20 years, began to complain of the obstruction of the nose, failure of speech, and dyspnea, recently.
The orange-sized tumor found on the right soft palatine had expanded beyond the median line, almost filling up the oral cavity and the epi- and hypo-pharynx. The surface of the tumor was smooth and swollen hemispherically, its consistency was elastic hard, and the covering mucous membrane assumed a light redness.
The tumor was extirpated under tracheotomy. The tumor had been completely enveloped in a capsule measuring 6.0 x 5.0 x 4.5 cm and weighing 65.5 gr.
The compression of epiglottis by the tumor accounted for the dyspnea. Histologically it was a mixed tumor (chondromucoepithelial endothelioma).

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A radical mastoidectomy for the purpose of improving hearing, given to a 32-years-old man who was suffering from otitis media chronica simplex, disclosed that his well-developed middle-ear cells contained a large quantity of cholesterin crystals and a large number of giant-cells, a probable product of the curative reaction to the foregn body. It was presumed from the clinical progress of the conditions and the histological observations that this was one of the cases of the so-called “Otitis Media Chronica Cholesteatosis” without forming cholesteatoma.

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The author reports a rare case of agranulocytosis caused by the use of anodyne for the dental caries of 4. The patient was cured from the hopeless condition by intensive blood transfusion.

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A report is made on a case of a 52-year-old woman who suffered from sudden nervous deafness in both ears caused by the internal administration of anthelmintics (nematol and ethylene tetrachloride).
The deafness of this patient fulfilled the three items set forth by Niemyer as the causative factors for auditory disorder due to anthelmintics. It occurred suddenly at the onset and is afairly intense deafness of the type of fall in higher tones. From these symptoms and others, this differs from the so-called “nervous deafness of unknown cause”. The vestibular functions, as is well known, were not affected. BAL was used in the treatment without any success.

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The patient had been given the tracheotomy before he was brought to the author's clinic, under the diagnosis of pseudo-croup and asthmatic bronchitis. Decanulation became difficult because the treatment was concentrated on the high fever and the difficult breathing.
The cause can be summarized as follows:
1. Proper attention to decanulation was lacking, overshadowed by the treatment of high fever and the difficulty in breathing.
2. The disproportion of the age and the tube size was not noticed till the end of the treatment.
3. The removal of the granulation tissues at the upper part of tracheotomic wound was incomplete.

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Der Verfasser erklärt über die Gaumenplastik mit Rücklagerung besonders über die Beobachtungspunkte wie die Entspannungsschnitte, die Ablösung and dreischichichtige Nahtanlegungen.

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A case of periostal fibroma on the left lateral wall of meatus nasi inferior is reported.
The patient was a woman aged 48, and the fibroma grew at the vestibulum nasi sinistra and showed pressure symptoms on the left eye. A perfect recovery was effected rapidly by enucleation.

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Although the important point of the radical treatment of the chronic sinusitis is the complete removal of the sinus mucosa, the opening of the ethmoidal sinus is very difficult because of its anatomical complexity.
The authors present a conclusion derived from their experiences of 297 cases of pansinectomy in the recent one year and a half. They employed a combinaton of Caldwell's method and Goto's extranasal method with incision in the eyebrow.
Thickening and swelling of the mucous membrane of supraorbital sinus and stagnation of mucus or pus in it were observed in all cases with complaints of pain or oppressive feeling on the forehead or the supraorbital region and showing pathological roentgenological pictures. A complete opening cannot be expected with the intranasal or the transmaxillar method because of high anatomical individuality of the sinus. Because the general concern for this fact seems to be very low, it is emphasized that the opening of the “paraethmoidal sinus” should be carried out as well as that of the anterior and posterior ethmoidal sinus group. The name “paraethmoidal einusis” proposed clinically by the authors.
It is added that recently the pansinectomy can be performed very rapidly, in about three quarters of an hour, under clear vision with a reduced blood pressure by the use of hexamethonium.

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In the serial examination of chest, accidentally a girl patient, of 3-1/3 years of age, was found to be suffering from an esophageal foreign body. The foreign body was a sharp toy made of small tin plates and was located at the first esophageal constriction. She was cured after a severe pathological course. Her chief complaints were difficult swallowing, fever and attacks of cough, and in the first examination she showed a remarkable general emaciation.
This case was difficult to heal on account of the formation of tracheal fistula even after the extraction of the foreign body, but she recovered fortunately.

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A case of a large right temporal abscess (containing about 50 cc), in a 25-year-old man, which was caused by diplococci and pneumococci following the chronic otitis media, is described in the present report.
The pus in the abscess did not decrease in spite of the application of both continuous withdrawal of pus by insertion of a glass drain tube after the radical operation and the massive injection of penicillin. Then the abscess was completely cured by the per-oral administration of 12.0 gr of Terramycin without any successive or sequential disease.

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It has been clinically recognized that the labyrinthine functions are probably influenced by local blood pressure surrounding there. Recently, Prof. Kawata (1951) reported that the irradiation to the superior cervical sympathetic ganglion was very effective to the nervedeafness (Nerven schwerhörigkeit) and he explained the mechanism of this effect from the standpoint of autonomic nervous function.
Using eight ears of the conditioned four dogs of normal hearing, the effects of autonomic drugs, antihistamine preparation, anticholine preparation, and hormons of circulatory system upon the hearing were investigated by the aid of objective audiometry with conditioning response, and at that time the suitable dose of drugs for injection was calculated from the experiments in the human body.
The augmentation of hearing was observed in the injection of Kalliklein, Newrogirt and Imydalin, and especially all ears of cases to which Kalliklein was injected revealed the temporary lowering of threshold.(Some cases showed the augmentation of hearing as about 20 db.)
The drugs as Bosmin, Adopon, and Benapon acted to decrease the hearing. Above all when Bosmin was injected all ears showed the temporary increasing of threshold namely the temporary decreasing of hearing which was amounted to 15 db.
Ryegostine which was ergot preparation gave no typical results.
From the data described above the authors concluded that the changes of hearing when various drugs were applied were presumably produced by the temporary change of labyrinthine blood vessel and hence blood stream.

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Eighty-one infants, of ages ranging from 5 to 14 years, with infantile sinusitis accompanied by adenoid vegetation were treated by adenotomy alone with a view to investigate the influence of adenotomy upon the chronic sinusitis.
The therapeutic effect of this treatment was: 24 cases of healing (29.6%), 13 cases of significant improvement (16.0%), 10 cases of decrease of symptoms (12.3%) and 34 cases of ineffectiveness (41.9%). The effect of this surgical treatment, observed from the intranasal symptoms classified as slight, medium and advanced degrees, revealed that the healing and the significant improvement were 75% in the slight cases and 46.6% in the medium cases, while ineffectiveness was 82.6% in the advanced cases. When classified by the age, the healing tendency was greater with the infants under 8 or 9 years of age than with those above that age.
Summarily, the slighter the clinical symptoms and the younger the patient, the more therapeutic effect can be expected from adenotomy.

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