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Volume 32, Issue 2
Displaying 1-14 of 14 articles from this issue
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To-oru SUZUKI, Kazuo YAO, Akira SAITO, Hiro-omi TAKAHASI1986 Volume 32 Issue 2 Pages 199-205
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of a 37-year-old farmer with Wegener's granulomatosis is reported. The nasal cavities, paranasal sinuses, gingivas, lungs and the skin were involved, but no evidence of renal disturbance was observed. He was initially treated orally with a daily dose of 30mg prednisolone in April, 1977. The patient also received electron irradiation with a total dose of 3000 rads because of persistent pain in the face. The irradiation partially remitted the disease, and the daily dose of prednisolone was decreased to 20mg. In September, 1977, another course of prednisolone, 50 mg daily, and cyclophoshpamide, 100mg daily, was administerd, since he developed general malaise, persistent fever, pain in the face and the pulmonary lesions. This treatment was so effective that tapering the dose of prednisolone and cyclophosphamide was attempted several times thereafter. Neither prednisolone nor cyclophosphamide could be entirely omitted. The patient eventually has been maintained on a daily dose of 30mg prednisolone and cyclophosphamide 50mg daily from March, 1981. He was able to return to farming and is free from the disease at present without singificant complications.View full abstractDownload PDF (6274K) -
Takehiko NAGAHAMA1986 Volume 32 Issue 2 Pages 206-211
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSOutlined and critically examined are new therapies to cure tinnitus aurium, which were published in Japan from 1970 to 1979. The major therapies are; blocking with 4% lidocaine, acupuncture, nerve block of the greater occipital, intravenous xylocaine administration, amidotrizoate administration and lucidril or antidepressants.View full abstractDownload PDF (849K) -
Hitoshi MAEDA, Takashi MAKI, Tetsuzo FUJITANI1986 Volume 32 Issue 2 Pages 212-215
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 68-year-old woman came to our clinic complaining of mandibular pain. Physical examination, sialography and computed tomography showed a tumoral lesion with no distinguishing changes. A parotidectomy was performed, histopathological findings of the specimen and cervical lymph nodes revealed typical tuberculous changes. The patient had a past history of pulmonary tuberculosis. The patient was treated by antituberculous agents and has been followed up for past eight months without recurrence.View full abstractDownload PDF (4556K) -
Shigeru YAMASAKI, Norihiro SUGI, Tsutomu IKAWA, Kaoru TOSAKA1986 Volume 32 Issue 2 Pages 216-222
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of non-Hodgkin's lymphoma of the soft palate in a child is reported. The patient, a ten-year-old girl, complained of a swelling of the soft palate on the right side, dysphagia and speech disturbance. Several cervical lymph nodes were also palpable. The histopathological diagnosis was non-Hodgkin's lymphoma (diffuse lymphoblastic type) and the clinical stage was classified as II by the Murphy's classification. Radiation therapy was initiated. Massive infiltration in the abdomen was found two weeks later. The patient was traeted with intensive combination chemotherapy with Adriamycin, Cyclophosphamide, Vincristine and Predonisolone. Complete remission was observed with repeated cotmbination chemotherapy of three series. A four-month follow-up showed no recurrence. Non-Hodgkin's lymphomas in children differ from those seen in adults. Non-Hodykin's lymphomas in children are usually diffuse in pathologic pattern, commonly are wide spread at diagnosis, and tend to disseminate early, often having leukemic manifestations. In this paper, we emphasized that intensive combination chmotherapy should be employed in the treatment of Non-Hodgkin's lymphomas in children.View full abstractDownload PDF (6956K) -
Yasuaki SADANAGA, Masao EURA, Yorinori KAMISAKI, Yasuhiro SAMEJIMA, Ts ...1986 Volume 32 Issue 2 Pages 223-227
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSRecently, three cases of congenital choanal atresia were observed. We emphasized in this paper that the transnasal approach under the microscope is a valuable method because of shorter operative time and mininal potential for damage. Case 1. A two-day-old girl with multiple congenital anomalies had difficulty in breathing at birth. A diagnosis of bilateral choanal atresia was made when a catheter failed to pass through the nose into the pharynx. At two months of age, a trans - septal approach was performed. She died of respiratory distress two months after the surgery. Case 2. A 8-day-old boy with multiple congenital anomalies was found having bilateral choanal atresia. At two years of age, a transnasal correction was performed under the microscope and a rubber tube was secured in each choana for two months. The patient has no apparent complications after the surgery. Case 3. The patient, a 31-year-old woman, have complained of nasal obstruction and nasal discharge since childhood. She had been treated as chronic sinusitis and a diagnosis of unilateral choanal atresia was made when she became an adult. The left choanal atresia was corrected by a transnasal approach under the microscope. Her nasal passage improved without difficulty.View full abstractDownload PDF (4763K) -
Atsushi SHINKAWA, Mamoru MIYANAGA, Masatoshi HORIUCHI, Keisuke TAKEDA, ...1986 Volume 32 Issue 2 Pages 228-231
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA 43-year-old man with bilateral progressive hearing loss following a head injury due to a traffic accident is reported. His hearing decreased progressively 2 years after the accident. In spite of his bilateral profound sensorineural hearing loss, speech discrimination was better than that expected given the severity of hearing loss. ABR, which was performed after admission, exhibited the same hearing loss as the pure tone threshold on the last audiogram before progression.View full abstractDownload PDF (489K) -
Clinical effects of elemental diet containing small peptidesKunihiko TSUTSUMIUCHI, Yuzuru TANIKAWA, Hisao MIYASHITA, Tomohiko NIGA ...1986 Volume 32 Issue 2 Pages 232-238
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA comparative study between elemental diets containing small peptides (T group) and liquid diet (L group) was performed in 20 patients with head and neck cancer after the operation. Eight patients were given an elemental diet containing small peptides and twelve were given a liquid diet through a nasogastric feeding tube. Although there was no statistically significant difference, higher caloric intake was maintained in the T group. Compared to the L group, the incidence of abdominal fullness and diarrhea was rare in the T group. Defecation was less frequent in the T group; therefore nursing care was not troublesome. No severe nutritional disturbance of organs was found in either the T or L group. The present study demonstrates that an elemental diet containing small peptides is useful both clinically and nutritionally for patients with head and neck cancer after surgery.View full abstractDownload PDF (714K) -
Thoru SUENAGA, Junichi SAITO, Nobukiyo SATO1986 Volume 32 Issue 2 Pages 239-241
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of 18-year-old male with foreign bodies in the frontal sinus caused by a traffic accident is reported. Loosing control of the steering wheel, he ran into an electric-light pole and hit his forehead on the windwhield. An X-ray study revealed many pieces of glass in the right frontal sinus. Extranasal osteoplastic frontal surgery was performed and 17 pieces of the glass were removed. No obstruction of the naso-frontal duct was observed. We found 13 cases of the foreign bodies in the frontal sinus in the Japanese literatures from 1892 to 1984.View full abstractDownload PDF (2271K) -
Nobukiyo SATOH, MASAMI Ohhashi, Nobuko DOTA, Yuhko KONARI, Yuhko TACHI ...1986 Volume 32 Issue 2 Pages 242-246
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of 21-year-old female suffering a sensorineural hearing loss due to acute carbon monoxide intoxication is reported. The audiogram showed severe hearing loss, especially in the high frequency range. She underwent hyperbaric oxygen and steroid therapy. The hearing impairment gradually improved well enough to understand daily conversation. Audiological examinations suggested that the hearing loss was due to both cochlear and retrocochlear lesions.View full abstractDownload PDF (554K) -
Hiroshi MUTA, Hiroyuki FUKUDA, Manabu SATO, Tadashi FUJIOKA, Meiying L ...1986 Volume 32 Issue 2 Pages 247-255
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSPressure-flow relationships in the experimental phonation of the excised canine larynges were examined under the condition that the vocal cord mucosa was kept intact or artificially stiffened by intra-mucosal injection of cyanoacrylate glue. In addition to mean air flow rate and subglottic pressure, mean glottal area was simultaneously measured by the method of photo-glottography. As a result, according to the increase of air flow, mean glottal area was increased and mean glottal resistance was decreased in the normal subjects. On the contraly, in the stiffened subjects, mean glottal area was relatively steady in spite of the increase of air flow, and that was associated with the increase of mean glottal resistance. It was speculated that these results were due to the dif f ecrence of flexibility of the vocal cord mucosa effecting the variable range of amplitude of the wave motion in the vocal cord mucosa.View full abstractDownload PDF (1212K) -
Kunitoshi ENATSU1986 Volume 32 Issue 2 Pages 256-269
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSSeveral types of ossicular prosthesis have been used for surgery of the conductive deafness with a ossicular deficit or fixation. Even the experienced otological surgeons, however, feel a difficulty in fixing the prosthesis because of a deep and limited surgical field. Although surgical procedures are carried out carefully under a operating microscope, there are many reports of cases whose prostheses are slipped out or whose ossicles are eroded by the tightly fitted prosthesis. In this study, a new type of prosthesis was developed using shape memory alloy, and its biocompatibility with the long crus of the incus was examined in cats. The prosthesis was made with Ni-Ti shape memory alloy wire (Tohokukinzoku Co. V-4332, As point of 33° and diameter of 0.1mm) by twining around a mold and placing in a 500° vacuum furnance for 60min for a memory treatment. Before surgical use, the prosthesis was stretched in ice water. Implantation of the prosthesis was performed in ten cats (20 ears). The stretched prosthesis could be twined easily and securely around the long crus of the incus by warming with water of 45°. The biocompatibility of the implanted prosthesis onto the incus was examined 62 to 262 days after the operation. All prosthesis were found to exist at the implanted position twining firmly around the incus. In 70% ears, however, deformities of the long crus of the incus were observed with the histological finding of bone absorption. Examinations of the surface of the prosthesis with SEM and x-ray microanalyzer revealed Ni in the shape memoey alloy melted out into the surrounding tissues. From these results, it is concluded that the ossicular prosthesis using Ni-Ti alloy can relieve the difficulty in fitting it to the ossicle, but some surface treatment or coating is necessary for clinical use because of the toxic effect of Ni melting from the prosthesis on the incus.View full abstractDownload PDF (11622K) -
Shunkichi BABA, Junichiro SHIMADA, Haruji KINOSHITA, Yoshito MORI, Ken ...1986 Volume 32 Issue 2 Pages 270-274
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFrom the clinical studies on Fosfomycin otic solution for chronic suppurative otitis media (5 cases), its acute exacerbations (17 cases) and acute suppurative otitis media 2 cases), the following results were obtained. 1) The overall clinical effect for suppurative otitis media was excellent in 16 cases, good in 3 cases, fair in 5 cases and poor in no case. The clinical effectiveness rate was 79.2%. 2) No side effect was observed in any case.View full abstractDownload PDF (536K) -
Multi-center Open Clinical Study: Comparison of Two Different Daily Doses of Kallikrein Tablets in the Treatment of VertigoHitoshi OGINO, Toru MATSUNAGA, Yasuo WATANABE, Kazuhiko GOTO, Takayuki ...1986 Volume 32 Issue 2 Pages 275-303
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA multi-center clinical study was carried out to evaluate the therapeutic effects of kallikrein tabllets in different doses in the treatment of patients with vertigo of peripheral origin (mainly Meneiere's disease). A total of 95 patients in 8 hospitals were treated with kallikrein in daily doses of either 6 or 9 tablets for 4 weeks. The therapeutic effectiveness after 2, 4 weeks was evaluated on the basis of subjective symptoms (mainly vertigo) and objective findings (equilibrium function tests, audiometry etc.). Nineteen patients were excluded from the analysis, and the results in 76 patients were as follows: 1) Global improvement was evaluated on the basis of subjective symptoms and objective findings combined. The percentage of patients rated as slightly to markedly improved after 2, 4 weeks was 67%, 78% in the 6-tablet group and 77%, 83% in the 9-tablet group, respectively: it was higher in the 9-tablet group, but the difference was not significant. However, the percentage of moderately to markedly improved patients in general improvement of objective findings after 2 weeks tended to be significantly higher in the 9-tablet group than the 6-tablet group (p<0.10). 2) Adverse reactions were noted in three patients: stomach discomfort in one patient in the 6-tablet group and numbness of the limbs plus of the head and nausea in two patients in the 9-tablet group. There was no significant difference in the incidence of adverse reactions between the two groups.View full abstractDownload PDF (3021K) -
Makoto ODA, Atsushi KOMATSUZAKI, Tetsuo ISHII, Michinari OKAMOTO, Mino ...1986 Volume 32 Issue 2 Pages 304-309
Published: March 20, 1986
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSFuludiazepam (Erispan®) was administrated to 198 patients suffering from subjective tinnitus. Before and after administration of Fuludiazepam, patients were asked about perplexity by loudness and pitch in their tinnitus, and then a battery of aduiological examination was performed. At that time, MAS test was carried out for anxiety by tinnitus. After administration of drug, 17 out of 198 patients (8.6%) had no complaint of tinnitus. Tinnitus in this 17 cases were completely disappered. And in 42 patients (21.2%), their tinnitus had been almost disappered. In 63 patients (31.8%), loudness of tinnitus diminished slightly. Tinnitus of 76 patients (38.4%) had not been changed in nature. Loudness and pitch of their tinnitus was almost same as before treatment. By evaluation of MAS test, perplexity of tinnitus in female cases seemed to be slightly diminished by using this drug.View full abstractDownload PDF (701K)
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