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Volume 31, Issue 2
Displaying 1-15 of 15 articles from this issue
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Akihiko Aoki, Harumi SUZAKI, Mitsuya SUZUKI, Takashi FUTAKI1985 Volume 31 Issue 2 Pages 189-191
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 25-year-old female with external dental fistula caused by incomplete treatment of the second mandibular molar caries was reported. At first, it was difficult to make a definite diagnosis because of no dental complaint. On examination of a patient with an incurable fistula of the facial or cervical area, it should be emphasized that the external dental fistula should be taken into consideration in diagnosis and treatment.View full abstractDownload PDF (2874K) -
Hideyuki KAWAUCHI, Tatsuya FUJIYOSHI, Hiroyuki YOSHIMURA, Goro MOGI1985 Volume 31 Issue 2 Pages 192-195
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of polyostotic fibrous dysplasia of the maxilla and mandibula, seen in a 35-year-old female, was reported. The patient had a progressive swelling on the right side of her face with nasal stiffness during the past year. X-ray examination revealed a high density lesion in the right maxillary sinus. CT examination on the maxillary sinus disclosed a mass lesion that consisted of many irregular high density areas with expansive low density mass. A similar lesion was also seen in the mandibula. Fibrous dysplasia was diagnosed by histologic examination of the biopsy specimen that was taken from a mass in the maxillary sinus. Removal of the mass in the maxillary sinus was done. Four months after the surgery no sign of recurrence was observed.View full abstractDownload PDF (5163K) -
Haruhiro HAYASHI, Minoru ISHIDA, Shinji OOHIRA, Shuji ARUGA1985 Volume 31 Issue 2 Pages 196-201
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIncreased incidence of facial fractures is seen in the daily practice of otolaryngology, especially due to traffic accident. Recently, we experienced two cases, a nasal fracture and a zygomaticomaxillary fracture, which are reported here. We analyzed twenty-two cases of facial fractures in relation to sex, age, cause, and etiology. The majority of cases were due to traffic accidents. Twenty were males and two were females. The highest incidence was in lower age groups, usually due to sports accidents and street brawls. We employed several different treatments for the fracture, depending upon the conditions. In all cases, antral packing immobilization was used and this method has given satisfactory results.View full abstractDownload PDF (3160K) -
Hideaki KOYAMA, Yuichiro SAITO, Hitoshi MATSUYAMA, Hiroshi TOMITA, Yos ...1985 Volume 31 Issue 2 Pages 202-216
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwo years clinical experience with human fibrin tissue adhesive (Tisseel-kit, FKS-Z) in 91 cases of otolaryngological surgery is reported here. The results were as follows: 1) Middle ear surgery was performed on 59 cases with the aid of fibrin tissue adhesive (FKS-Z). During ossicular reconstruction FKS-Z was used for fixation of total or partial ossicular replacement prosthesis (TORP or PORP) and allowed the accurate reconstruction of the sound conductive mechanism. Reconstruction of the posterior wall defects was accomplished by using periosteum or cartilage which were fixed by the tissue adhesive. All cases of perforated tympanic membrane were also closed by temporal fascia with the aid of the fibrin tissue adhesive. Toxic abnormality did not occur in any of the cases. 2) In six cases of nasal septal surgery using FKS-Z, successful results were obtained. The singificant feature of this technique was that nasal breathing was not obstructed or inter rupted after the operation. 3) FKS-Z was also used for facial nerve grafting as a substitute for suturing technique. Favourable results were obtained from all cases. FKS-Z clearly is beneficial for facial nerve grafting. 4) Similar favourable results with FKS-Z were also obtained in various other reconstructive head and neck surgeries, especially in trachea, oral cavity and hypopharynx surgery. 5) No case of infection with hepatitis or toxicosis occured.View full abstractDownload PDF (11887K) -
Toko TATEHARA, Yutaka SAKAMOTO, Yasuko URAO, Yoshihisa KAWASAKI, Keiko ...1985 Volume 31 Issue 2 Pages 217-222
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS110 cases of sudden deafness encountered in our department were statistically ana lyzed. 1. Subjects between 30 and 60 years old were most frequently encountered. Most of the mild cases were between 20 and 50 years old. 2. The therapeutic result was favorable in younger patients. 3. In mild cases, the prognosis was generally good, suggesting a need for early diagnosis and treatment. 4. A change of hearing level often occurred at the end of or immediately after a the steroid administration.View full abstractDownload PDF (604K) -
Effect of an Antiplateiet Drug(Diiazep)Yutaka NODA, Tsutomu TSUKAYAMA, Masaharu URA, Mariko NAKAMURA, Machiko ...1985 Volume 31 Issue 2 Pages 223-228
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSRecently an increase in the number of patients suffering from vertigo has been noted in our clinic. Furthermore, it has been reported that an insufficiency of cerebral circula tion is important in the pathogenesis of vertigo. Antiplatelet drugs are known to improve insufficiency of the circulation. In this paper, an antiplatelet drug was administrated to the patients with vertigo. Some parameters of coagulation-fibrinolysis system and platelet function were measured before and after the administration of an antiplatelet drug. The effect of antiplatelet drug on vertigo was determined by both patient's subjective reports and objective laboratory findings. Fibrinogen (Fg) content was measured according to QUICK'S method. Plasminogen (Plg), α2-macroglobulin (α2-M), α1-antitrypsin (α1-AT), and Cl-inactivator (Cl-inact.) content were measured according to the single radial immunodiffusion method. FDP content was determined using latex aggregation. a2-plasmin inhibitor (α2-PI) activity and antithrombin-III (AT-III) activity were determined using a synthetic substrate. Platelet aggregation was determined using an aggregometer. These parameters were determined before and after the administration of an antiplatelet drug (Dilazep) and these determinations were compared with those of healthy adults. The results obtained from this study were as follows: 1) Fg, Plg, FDP, α2-M, α1-AT, Cl-inact. content before and after the administration of Dilazp compared with those of healthy adults were not significantly different. 2) α2-PI activity and AT-III activity before and after the administration of Dilazep were significantly reduced (both at p<0.001) in the vertigo group compared with those of healthy adults. 3) Platelet aggregation before and after the administration of Dilazep was compared with those of healthy adults, and then, ADP and collagen-induced aggregation of platelet significantly enhanced (p<0.001). 4) After the administration of Dilazep, improvement of subjective symptoms and laboratory findings were seen in 78.8% of the patients with vertigo. From these results, it is suggested that the administration of an antiplatelet drug (Dilazep) is useful in treating patients with vertigo because of improvement of the cerebral circulation.View full abstractDownload PDF (820K) -
Tamotsu MORIMITSU, Ichiro MATSUMOTO, Tomoyuki NAGAI, Midori NAGAI, Kun ...1985 Volume 31 Issue 2 Pages 229-237
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe surgical correction of congenital ear canal atresia is one of the most difficult technique in the field of otomicrosurgery. From 1978 to 198a, 34 ears of 31 cases were operated in our clinic and the results obtained were reported in this paper. The surgical procedure used in this series of operation is a direct drilling method through the tympanic cavity without mastoidectomy. Transplantation of a skintube, made water-tight with a full thickness skin graft is combined with Tanzer's auriculoplasty. Hearing gain 6 months or longer after surgery was excellent in 15/34 ears, excellent but reversed in 1/34 ears, a slight audiometric improvement of over 10 dB in 3/34 ears and less than 10 dB improve ment in 15/34 ears. The reasons for the unsuccessfull 15ears are; fixed stapes (1 ear), stapes aplasia (2 ears), not comfirmed stapes (3 ears), undeveloped tympanic cavity (2 ears), infected cavity (2 ears), impossible to exposure (2 ears), and unknown reason (3 ears). All of 6 cases with grade 1 microtia showed excellent hearing gain, although all 4 cases with grade 4 microtia showed minimum improvement. Fifty percent of the cases with grade 2 and 3 microtia showed excellent hearing gain. The facial nerve was exposed at the external ear canal wall in 3 cases during drilling. One of these exhibited ficial palsy for three month. In one case facial palsy had occured without exposure of the nerve, and a decompression operation was performed with a good recovery in 4 months. In 5 cases with an infected tympanic cavity, tympanomeatoplasty was done and all cases resulted in a discharging ear. In 4 of these cases skin grafting was performed again and excellent hearing gain was achieved in all but one case. Here the tympanic cavity was closed completely, as infection was found to continued even in the second stage of Tanzer's ope ration. In 8 cases, postoperative continuous discharge occured. The cause was an infected tympanic cavity in 5 cases, suture insufficiency of skin tube in 2 cases and exposure of the parotid grand. All of these were re-operated with good results.View full abstractDownload PDF (1282K) -
Tatsuo MAEDA1985 Volume 31 Issue 2 Pages 238-254
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSExtensive surgical resection for carcinoma of the tongue have yielded high cure rates. However, they result in considerable articulation disorders. In our department, HIRANO and his colleagues developed a combination therapy consisting of laser surgery and chemo radiotherapy for the purpose of minimizing post-therapeutic articulatory disorders. This study compares post-therapeutic speech intelligibility of 100 Japanese monosyllables fol lowing laser-chemo-radiotherapy (laser group, 12 cases) and that following extensive surgery (extensive surgery group, 20 cases). The results are as follows: 1. The speech intelligibility was significantly higher in the laser group (84.4-94.8%, 91.3% in average) than in the extensive surgery group (28.2-92.0%, 69.5% in average). 2. In the laser group and the extensive surgery group, the speech intelligibility was significantly lower for “yo-on” than for “choku-on”. 3. In both treatment groups the intelligibility of vowel syllables and semi vowel syllables was higher than that of other syllables. 4. With respect to the place of articulation, glottal sounds had a higher intelligibility than the other sounds such as bilabial, alveolar, palatal and velar sounds. Considering the difficulty in determining the intelligibility of 100 monosyllables, the author proposes a 25-monosyllable list for clinical use.View full abstractDownload PDF (2081K) -
Yoshio UMEDA, Mototoshi KIMURA1985 Volume 31 Issue 2 Pages 255-259
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSInner ear anaesthesia is effective for the treatment of vertigo due to peripheral lesions, positional vertigo and tinnitus. The authors have engaged in this method for ten years. In the present paper, we showed disagreeable reactions following inner ear anaesthesia. They were facial nerve paresis of peripheral type, severe vertigo and delayed discomfort. Fortunately, all of these reactions were reversible.View full abstractDownload PDF (2971K) -
Its Clinical Implication for Daily WorkEtsuyo TAKAYAMA1985 Volume 31 Issue 2 Pages 260-269
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAs phonosurgery is widely performed, phoniatric examination is getting popular in many clinics. However, nobody knows its exact clinical implication. Hence, it is very reasonable to analyze the results of the phoniatric examination from the viewpoint of clinical application. In this study, conditioned voices in four groups, normal, massive, stiffened and insufficient glottal closure were employed for the measurement of simultaneous display of the pitch, intensity and airflow during phonation. Examinees phonated at easy, minimum and maximum intensity. The phoniatric data obtained were statistically analyzed. The results are as follows;(1) At easy phonation, significant difference was obtained between normal and pathological groupes at least in one of parameters of pitch, intensity and airflow.(2) At minimum intensity phonation, significant difference was observed between normal and massive vocal folds like polypoid and nodules in every parameter.(3) At maximum intensity phonation, significant difference was not obtained between normal and stiffened vocal folds like vocal cancer, while it was observed in every parameter at minimum intensity phonation.(4) In cases of insufficient glottal closure like unilatral recurrent laryngeal nerve paralysis, it was revealed that there was significant difference from the normal only in one parameter, intensity, at maximum intensity phonation.View full abstractDownload PDF (3406K) -
Keisuke MASUYAMA, Kaoru TOSAKA, Yuko KITAO, Kenjiro KITAO, Takeru ISHI ...1985 Volume 31 Issue 2 Pages 270-275
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTo evaluate the clinical effects and safety of mequitazine, we prescribed 6 mg day by for two weeks for 18 patients with nasal allergy. Nasal symptoms and signs, side effects and laboratory data were examined before and after the administration of mequitazine. The results are as follows: 1. Overall effectiveness was 77.8%. 2. Nasal symptoms such as sneezing and rhinorrhea were alleviated but the rate of improvement of nasal blockage was poor. Furthermore, in patients with severe nasal symptoms, a greater alleviation of sneezing and rhinorrhea was observed. 3. Intranasal signs were scarecely improved after the administration of mequitazine. 4. No side effects were observed and there were no marked findings in the laboratory data.View full abstractDownload PDF (656K) -
Tsutomu IKAWA, Shigehiko YOSHIDA, Kazuhiro KOBA, Masao EURA, Tatsuhiko ...1985 Volume 31 Issue 2 Pages 276-282
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSWe have examined the serum and tissue concentrations of fosfomycin socium (FOM-Na) in patients with chronic tonsillitis and chronic sinusitis. At different times after the drip infusion, samples of serum, palatine tonsil, and mucous membrane of the maxillary sinus were taken, and the concentration of FOM-Na was determined by a microbiological plate diffusion assay using Proteus S. P.(MB 838) as a test bacteria. There was a dose dependent relationship between a 2g and 4g administration of FOM-Na and the serum concentration. The concentration of FOM-Na in palatine tosil was influenced by the degree of adhesion found during the surgery. The concentration in the mucous membrane of the mixillary sinus was influenced by the condition of the mucous membrane. The highest concentration was observed in polypous cases. The diffusion ratio of FOM-Na was higher than other antibiotic, probably due to its lower molecular weight and the absence of serum protein binding.View full abstractDownload PDF (3545K) -
[in Japanese], [in Japanese]1985 Volume 31 Issue 2 Pages 283-284
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (215K) -
1985 Volume 31 Issue 2 Pages 285-286
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (208K) -
[in Japanese]1985 Volume 31 Issue 2 Pages 287-293
Published: March 20, 1985
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (941K)
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