jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 32, Issue 3
Displaying 1-14 of 14 articles from this issue
  • Kazuko IWATSUKA, Michihiro MASAKI
    1986 Volume 32 Issue 3 Pages 343-349
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    During tympanoplasty for various kinds of otitis media, two cases of osseous malleus fixation and two cases of osseous incus fixation were encountered accidentally. One case was a bony fixation of the malleus head by an anterior tympanic bony spur; wich was named by DAVIES in 1968. The others cases were caused by postinflammatory new bone formation. Each of these fixation was corrected using a low speed diamond burr (Tip: 1/2mm) without disrupting the ossicular chain. All cases had an air-bone gap of 15 dB or less for the speech frequencies and had no significant inner ear disturbances after surgery. The bone-conduction threshold for speech frequencies were improved in three cases after surgery. From the experiencies of these cases, osseous fixation of the lateral ossicle (malleus and incus) should be considered in addition to otosclerosis when diagnosing combined hearing losses with an intact tympanic membrane.
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  • Masaaki KUGA, Tatsuya FUJIYOSHI, Yuichi KURONO, Fumihiko HORI, Goro MO ...
    1986 Volume 32 Issue 3 Pages 350-354
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Thirteen children with mass lesion in the neck, which were managed in our Department during the past three years (November 1981 to October 1984), were surveyed. These masses included 6 inflammatory lesions (4 phlegmones, 1 lymphadenitis, 1 lymphadenitis coli tuberculosa), 5 congenital cysts (4 thyroglossal duct cyst, 1 branchiogenic cyst), one dermoid cyst and one benign tumor (lipoma). Diagnosis and treatment of mass lesions in the neck of young patients were discussed.
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  • Sankei NISHIMA, Atsunobu YAMADA
    1986 Volume 32 Issue 3 Pages 355-359
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Nasal allergy in children with bronchial asthma was studied. Complaints of allergic rhinitis were observed in 20% of the asthmatic children visiting the outpatient clinic. Detailed examination of the nasal mucosa and nasal smear, together with the nasal complaint, revealed that 96.5% of the asthmatic children had a nasal allergy, especially in those patients with high serum IgE values. This suggests that nasal allergy in asthmatic children might have existed since infancy, and complaints became prominant as the child became older.
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  • A Report of Two Cases
    Kunihiko TSUTSUMIUCHI, Yuzuru TANIKAWA, Hisao MIYASHITA, Nobuhiko KURI ...
    1986 Volume 32 Issue 3 Pages 360-363
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Osteomas of the external auditory canal are rare neoplasms. They are most commonly found in the outer half of the ear canal, attached to the tympanosquamous or tympanomastoid suture line. Two cases of the osteoma of the external auditory canal were presented. The first case was a 32-year-old male with a bleeding left ear. An 8×8mm hard mass was attached to the tympanomastoid suture line. The mass was removed utilizing a postauricular approach. The second case was a 17-year-old female with a mass in the left ear canal. A 6×6mm hard mass was attached to the tympanosquamous suture line. The mass was removed via the external auditory canal. In both cases, histopathologic examination revealed osteoma. Other reports on osteoma of the external auditory canal were reviewed.
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  • Takehiko NAGAHAMA
    1986 Volume 32 Issue 3 Pages 364-368
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    In this paper I gave an outline of clinical methods in the evaluation of the therapeutic efficacy of treating tinnitus aurium.
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  • Masahiro KAWAIDA, Seiji SATO, Ryoji OKAMOTO, Inaho IKEDA
    1986 Volume 32 Issue 3 Pages 369-373
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    A 11-year-old male complained of swelling of the cervical lymphnodes without fever and sore throat. On admission the patient exhibited hepatomegaly. On laboratory findings, hepatic dysfunction and 77% mononuclear leucocytes in the circulating bloods were found, although atypical lymphocytes were rare. High titer of EB viral capsid antigen IgG (VCAIgG) and EB early antigen-diffuse, restricted IgG (EA-DRIgG) was noted. EB nuclear antigen (EBNA) antibody and heterophile antibody were negative. The histological investigation of the lymphnode revealed chronic lymphadenopathy, and infectious mononucleosis was diagnosed. The patient recovered in 5 weeks from the onset.
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  • Takehiro HANADA, Ikuo OHNO, Sumiji YOSHIKAWA, Hirohumi MATSUYAMA, Yuta ...
    1986 Volume 32 Issue 3 Pages 374-377
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Statistical analysis of 216 cases of foreign body lodgement admitted to our ENT clinic from 1980 to 1984 was presented. These cases represented 1.6% of all out-patients seen during that five year period. The youngest patient was 6 months old and the oldest one was 81 years old. There were 73 male patients and 82 female patients. Sixty cases involved the external auditory canal. Most of them composed of worm such as cockroach. Fifty two cases involved fishbones in the oral cavity and pharynx. There were 34 cases involving the nasal cavity and 9 cases esophagus and stomach. No tracheobronchial foreign bodies were observed during this study.
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  • Taiji KATOH, Hitokazu KOBAYASHI, Saburo NAGAOKA
    1986 Volume 32 Issue 3 Pages 378-381
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    A 34 year-old female with so-called “LENNERT's lymphoma” was reported. She complained of hoarseness. Swelling of soft palate and left false vocal cord were noted by otorhinolaryngological examination. Cervical and inguinal lymph nodes were palpable. By histological examination of soft palate, she was diagnosed as having lymphoepithelioid cellular lymphoma, so-called “LENNERT's lymphoma”. Immediately, combination chemotherapy was carried out and then the lesions were reduced gradually and disappeared. No recurrence and metastasis have been noticed for the last 3.5 years.
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  • Masayuki KAMIMURA
    1986 Volume 32 Issue 3 Pages 382-396
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The mobility of the tongue was investigated in normal subjects (10 males and 10 females) and 32 patients with carcinoma of the tongue. Of these patients, 12 were treated with laser surgery and, on the other hand, 20 were treated with extensive surgical treatment. The utterance intelligibility test was also performed and the relationship between the mobility of the tongue and the utterance intelligibity was investigated. In normal subjects, there was significant difference in the tongue mobility neither between males and females nor among individuals. The mobility was found to be high in normals, moderate in laser group, and low in the extensive surgery group. The lateral movement of the tongue to the treated side showed no difference from that to the opposite in laser group, but, in contrast, it did show a significant difference in the extensive surgery group. It was revealed that the utterance intelligibility was rather high in laser group than in the extensive surgery group. In the latter, it was found that the poor mobility of treated tongue disturbed the articulation and the utterance intelligibility varied depending upon the place and extent of the surgery.
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  • Hitoshi OGINO, Hideyo ASAI, Yoshito OHYA, Kazuhiko GOTOH, Takayuki SHI ...
    1986 Volume 32 Issue 3 Pages 397-409
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The clinical effects of pranoprofen tablet (225mg/day×4days) were examined in 22 cases in acute upper respiratory inflammation. The results were as follows; 1) Final global improvement rate were; 9.1%-excellent effect; 36.4%-moderate; 22.7%-slight; 18.2%-no effect and 13.6%-worsening. 2) No side effect was noted in any of the cases. 3) Utility rate, considering final global improvement and side effect was: 27.3%-signif icant usefullness; 22.7%-fair usefullness, 27.3%-slight usefullness; and 22.7%-no usefull. From these results we conclude that pranoprofen tablet is as usefull as pranoprofen capsule for acute upper respiratory inflammation.
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  • Tadayoshi KOSUGI, Mariko NAKAMURA, Masaharu URA, Yutaka NODA
    1986 Volume 32 Issue 3 Pages 410-415
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Tranilast (Rizaben), anti-chemical mediator, is useful in treating nasal allergy. We expected that the heparin level in circulating blood would change following Tranilast administration, given the known pharmacology of the drug. After the administration of Tranilast, it was expected that some parameters in coagulation-fibrinolysis system and platelet function would decrease or increase. From the above-mentioned background, α2-plasmin inhibitor (α2-PI) activity, antithrombin III (AT-III) activity, Factor XIII (F XIII) activity, Fibrinogen (Fg) content, Fibrinogen or fibrin degradated product (FDP) content, Factor Mu ( F 1111co) agulation activity and heparin concentration were determined in 14 patients with nasal allergy before and after the administration of Tranilast. Furthermore, platelet functions (ADP and collagen-induced aggregation) were determined. The results obtained from this study were as follows: α2-PI activity, AT-III activity, F XIII activity, Fg content, F MI activity, ADP and collagen-induced aggregation were not significantly different before and after the administration of Tranilast. However, FDP content was significantly different before and after the administration. Heparin concentration was 0 IU/ml before and after the administration of Tranilast. From the above-mentioned results, it is suggested that the administraion of Tranilast did not affect coagulation-fibrinolysis system and platelet function.
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  • Prophylactic efficacy of Tranilast and DSCG
    Hiroyuki KIMURA, Hiroshi YAJIMA, Tatsumasa HANEDA
    1986 Volume 32 Issue 3 Pages 416-424
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    We evaluated the prophylactic efficacy of Tranilast and DSCG for patients with Japanese Cedar pollinosis. Each medication was taken four-times or twice daily throughout the pollen season from preseasonal period. The effective rates were 65% in Tranilast group, 44% in DSCG group. In this trial, Tranilast was more effective than DSCG. In the Tranilast group, the nasal symptom was improved, and the effective rate was as high as 70% in sneezing attacks, 59% in rhinorrhea and 59% in nasal obstruction. Tranilast inhibited the nasal provocation test, but gave no significant change of total IgE, IgE antibody and blood eosinophils. The prophylactic method of Tranilast administration was considered to be an available therapy for patients with Japanese Cedar pollinosis.
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  • Shunkichi BABA, Haruji KINOSHITA, Yoshito MORI, Kenji SUZUKI, Junichir ...
    1986 Volume 32 Issue 3 Pages 425-435
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Multicenter open trial of Cefixime (CFIX) on acute suppurative otitis media was carried out according to the same protocol. The results obtained were as follows. 1.105 children with acute suppurative otitis media entered into the trial and the overall clinical efficacy was evaluated by doctors in charge and the evaluation committee in all and 98 cases, respectively. The bacteriological efficacy was evaluated by the committee in 96 cases. 2. As to the overall clinical efficacy of CFIX, the effectiveness rate were 81.9% in doctor's judgement and 83.7% in committee's judgement. 3. As to the bacteriological response, the eradication rate was 89.6%. S. pyogenes, S. pneumoniae and H. influenzae were all eradicated. 4. There were no side effects or abnormal laboratory findings in any of the patients. 5. The MIC values of CFIX for clinical isolates of S. pyogenes, S. pneumoniae and H. influenzae were lower than those of CCL. These results suggest that CFIX is a useful antibiotic for the treatment of acute suppurative otitis media in children.
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  • Shunkichi BABA, Haruji KINOSHITA, Shozo KAWAMURA, Yutaka SAKAMOTO, Shi ...
    1986 Volume 32 Issue 3 Pages 436-449
    Published: May 20, 1986
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Clinical effectiveness and safety of CFIX for paranasal sinusitis was studied according to the same protocol in cooperation with multi-clinics. 1. Twenty-seven adult or infant patients entered into the trial and they consisted of 25 cases with acute sinusitis and 2 with acute exacerbation of chronic sinusitis. 2. The efficacy rate judged by the doctor in charge was 66.7% (18/27), by the unified criteria was 74.1% (20/27). 3. The bacteriological responses were evaluated in 18 cases. The elimination rate was 94.4% (17/18). 4. As the side effect, slight stomach discomfort was observed in 1 case out of 27 cases (3.7%). No abnormal laboratory findings were observed. From the above results, CFIX was considered to be a useful drug in the treatment for paranasal sinusitis.
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