jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 4, Issue 4
Displaying 1-21 of 21 articles from this issue
  • Asaichi Ogino
    1958 Volume 4 Issue 4 Pages 221-245
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The author formerly reported on his new method of osteoplastic operation of frontal sinuses and anterior portion of ethmoidal sinuses in “The Otologia Fukuoka”,(Vol 3 No.3 57).
    The author has since been receiving quesions from many following experimenters about his operation method. These questions are almost concerning the technique of loosening a bone graft, or the ugly scar left on the face, the questioners seem to confuse this with the method of Killian.
    The keypoint of this operation is to loosen a bone graft properly, but that of the method of Killian is to remove the mucous membrane completely through a small bone aperture. If this important process is accomplished succesfully, the operation is as good as accomplished. Therefore, the operator must concentrate his whole energies for this purpose without any attention to the expenditure of time.
    Further more, if the 5 rules emphasized by the author are strictly observed, this process can be accomplished easily and properly.
    The rules are:
    1. The keypoint of this operation is to loosen a bone graft.
    2. The following 3 rules for chiseling should be observed.
    a. The chisel should be kept at 45 degrees to the bone surface.
    b. Chisel-marks should be left zigzag in chiseling.
    c. The power driving the chisel should be uniform.
    3. The operator should use sharp chisel specially made for this operation.
    4. Sufficient time should be spent for loosening a bone graft.
    5. The operator should be in no hurry if much time is spent.
    To satisfy the questioners, the author has illustrated the method of operation exhaustively sb that even a beginner may accomplish this operation.
    He also repots the postoperative treatments, results and complications of this operation based on his experiences of 300 patients.
    Download PDF (12442K)
  • A Case Report g.u speeted of Vestibular Dysfunction due to Streptomycin
    Rinnosuke Osawa, Jiro Muto, Koji Miyano
    1958 Volume 4 Issue 4 Pages 246-250
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The author reports here a case of essential epilepsy and pulmonary tuberculosis, a young man aged 21 and male, who is suffering from vertigo, locomotive ataxia aud tremor, which have been proved to be the reaction of Aleviatin he has been using more than 5 years, but which had been suspected to be due to the vestibular disturbance by streptomycin taken to cure his pulmonary tuberculosis
    Download PDF (674K)
  • Yutaka Toyoshima
    1958 Volume 4 Issue 4 Pages 251-256
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The author experienced a transitory disturbance of the hearing organ when the eye of a typhoon, a change in the natural circumstances, passed. This was caused by a slight change in the atomospheric pressure, but the greater the pressure change, the greater the disturbance. This is a transitory disturbance in the hearing organ caused by the disharmony of the ear-drum caused in its turn by the mechanical factor of the atmospheric pressure change, and will recover in due course of time in a hyperbola-curve if one remains in the same atmospheric pressure. But this disturbance in the ear is intensified by the general disturbance in the bodily function in case the atmospheric pressure is lower than half the normal one.
    In the same way, a change in the atmospheric temperature causes a transitory disturbance in the hearing organ. But this is also a transitory disharmony of the'hearing function caused by the physical influence of the cold-stimulus, and will recover by degrees by the adjus, tment to the same temperature. If the cold-stimulus is too long or too intense for an organism to adapt, this disturbance will grow to lesion, or to one step t6 death from cold, and to be a partial disturbance at the ear of genera1-1iving-influence.
    Furthermore, when the atmospheric pressure and temperature simultaneously become lower, if the chages are great, the effects on the hearing organ are not only phygiological as mentioned above, but are aggravated by the addition of the physical factors.
    Download PDF (975K)
  • Asahimaru Ishikawa, Akio Matsui, Yukinori Mori, Hideo Hasebe
    1958 Volume 4 Issue 4 Pages 257-258
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Following Dr. Fukuda's theory that the fact that an experimental nystagmus hardly appears in superior sportsmen does not mean a decreased but an increased function of their inner ear, the vestibular tests were performed on the base-ball players of the Osaka Tetsudo Hospital.
    The results of the stepping-examination and post-rotation nystagmus on these players showed better balancing ability than average men, but far worse than best professional players.
    Download PDF (200K)
  • Itsuo Iwata
    1958 Volume 4 Issue 4 Pages 259-260
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Regarding the etiology of Meniere's syndrome, there have been theories of the allergy, of the disturbance of the labyrinthine ve, sels, of labyrinthine hydropsy, of the disturbance of water or salt metabolism, of the intoxication, etc.- all attributing it to the disharmony of the autonomic nervous system. But recently the stress theory has been introduced, which explains it in terms of the adaptation syndrome against the hormonal unbalance of the pituitary and adrenal cortex system.
    But the author is inclined to think that the irritation(Reilly)or the oscillation(Laborit)of the autonomic nervous system arises, and at the same time not only the adrenal cortex, but the other ductless gland systems become unbalanced; and consequently, the undulation by the so-called adaptation syndrome and the reversible change take place.
    Download PDF (306K)
  • Kunio Kitano, Hiroko Suzuki
    1958 Volume 4 Issue 4 Pages 261-270
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    By a high power C-R oscillator, audible pure tones of 110 phones were given at the frequency of 1,000c/s, 6,000c/s or 12,000c/s for 20 minutes to rabbits with those extremities liberated.
    Changes in their blood sugar levels were observed by a quantitative analysis of an Electric Spectrophotometer according to the ferricyanidferric iron method.
    The results obtained were as follows.
    1) In the non-treated rabbits, a rise in the blood sugar following the stimulation of 6,000 c/s was the most remarkable, followed by 1,000c/s and 12,000c/s in order.
    2) The animals whose ears had been plugged by cotton, showed a sound-proof effect obviously at 1,000c/s and 6,000c/s. But the effect was not observed at 12,000c/s, the animals showing a similar result to that of the untreated rabbits.
    3) Onchi's ear plug proved remarkably sound-proof at 6,000c/s, but it did not seem so effective at 1.000c/s.
    Download PDF (1412K)
  • Shoichiro Ueno
    1958 Volume 4 Issue 4 Pages 271-273
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    There have been reports of the various cases and their causes of the objective vascular ringing in the ear, but they are fewer in number than the reports of the subjective ringing in the ear. The vascular objective ringing in the ear of an electric industrial worker, 57 years old and male, which the author experienced, was considered as carotidal in view of the fact that it coincided with his cat's purr pulsation of the heart, that it was weakened by the pressure of the carotid, and that its maximum sound-wave recorded synchronously with his E. C. G. coincided with the period of the ventricular contraction. The symptoms and treatments of this patient are also reported, together with the literature available on this disease.
    Download PDF (684K)
  • Ichiro Owada, Fumiaki Yoneyama
    1958 Volume 4 Issue 4 Pages 274-278
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The authors tried a few investigations mainly for the relationship between the hearing loss and the position of the body in 14 cases who complained deafness and tinnitus by the streptomycin injection into the subarachnoidal space. They obtained the following findings which differ from those obtained in the cases injected intramuscularly.
    1) The hearing loss of the ear which was situated below when injected is apt to appear earlier and more severely than that of the other ear. The suboccipital puncture seems to cause the loss more suddenly than the lumbar puncture.
    2) The disturbance of the vestibular function is not always parallel to that of the hearing, and appears bilaterally.
    3) These disturbances generally happen quickly and severely, and the tinnitus is of low and mixed tone. The appearance of vertigo by the change of the head position and the demonstration of the recruitment phenomenon suggest that these disturbances are peripheral.
    Download PDF (673K)
  • Masao Ichihara, Kenzo Shirakura, Akira Komatsu, Yoshifusa Sakuma, Shoi ...
    1958 Volume 4 Issue 4 Pages 279-282
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Liver function of 27 patients of chronic sinuitis was examined by the Bromsulphalein test, Bilirubin test of the serum, Urobilinogen test of the urine, and Takada's reaction of the serum, etc.
    The results obtained were positive in either of the tests, and proved the existence in the patients of the latent form of liver functional disturbance.
    Download PDF (338K)
  • Tetsuya Adachi
    1958 Volume 4 Issue 4 Pages 283-285
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Nasal bleeding is a symptom commonly seen clinically. Its causes, however, are of various kinds, local or general. A case reported in this paper came to our clinic because of a severe nasal bleeding seemingly caused by an injury. The family history of the patient did not reveal any hemorrhagic tendency, and hereditary hemorrhagic diseases were, therefore, ruled out from the possible diagnosis.
    The case was diagnosed as a Waterhouse-Friderichsen's syndrome on the basis of the clinical findings, i. e. sudden onset and rapid course, petechiae, fever, collapse, and the hematological data, i. e. neutrophilic leucocytosis, thrombocytopenia and prolonged bleeding time.
    The author concludes that this syndrome was caused by symptomatic Werlhof's purpura due to rubella, subcutaneous bleeding and additional infection.
    Download PDF (361K)
  • Atsushi Kida, Tamizo Kukita
    1958 Volume 4 Issue 4 Pages 286-290
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Es handelt sich urn eine 61 jährige Frau mit hochgradiger Verschiebung des linken Augapfels und dem Exophthalmus derselben Seite. Die Patientin hat die Augenbeschwerde seit 8 Jahren her bemerkt, aber sie liess sich von niemand behandeln. Dass die Augenbeschwerde war sich eingestellt von typischer Mucocele der linken Stirnhohle, wurde von Pansinektomie konstatiert.
    Die Verfasser gehen über die Aetiologie, Symptome, Operationsbefunde und das histologische Bild ein, und weiter über die Bedeutung des ROntgenbildes bei der Diagnose derselben Krankheit und den Heilungsmechanismus solches hochgradigen Exophthalmus in Betracht ziehen.
    Download PDF (8671K)
  • Yasuhide Tominaga, Tsukushi Harada, Yoshimasa Taketomi
    1958 Volume 4 Issue 4 Pages 291-294
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    A thirty-one years old, male adult has been complained with the ocular pain repeating every year since five years ago. This symptom is vanished by the operative treatment in our clinic, after frequent visits to ophthalmologists. After the opening of ethmoidal cells, the total lack of tegmen of anterior group of ethmoidal cells which made it possible to observe the brain tissue through a pulsatory outflow of clear liquor, was seen. In a day after operation, the roentgenogram of ethmoidal sinus which was filled with moljodol gauze introduced through maxillary sinus showed the lack of ethmoidal tegmen and the invasion of gauze into intracranial cavity. But this case was fortunately healed, without any complication, by postoperative use of antibiotics.
    Download PDF (3445K)
  • Moriaki Suzuki, Takeo Minakawa
    1958 Volume 4 Issue 4 Pages 295-298
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Of the cyst in the vestibulum nasi reported for the first time by Zuckerkandl in 1893, reported cases have increased, and in our country more than 70 cases have so far been reported. The authros report here one case of this disease which they have recently experienced clinically.
    The patient, aged 19 and male, called because he was reminded of the swelling in the left wing of his nose. An examination revealed a diffuse soft swell in the left wing of his nose, upper lip and maxillary parts; its fluctuation and the disappearance of sulcus nasolabialis; the Gerber's upheaval on the front end of his meatus nasi inferior. The probe puncture needle cculd not suck the gluey liquid, which blocked it up. His X-ray photograph showed that the bony line of the nasal bottom was strongly bent downward. An inflammation ocurring in the punctured parts, with pain and discharged pus, necessitated his operation. The operation showed the cyst adhering tightly to the periostium of the maxillary bone on account of the inflammation; spina nasalis anterior becoming hollow; the cyst also adhering tightly to the mucous membrane of the nasal bottom, a part of which was extracted with the cyst. In the histology of the cyst, the authors found a layer of cubic epithelium cells on its inner wall, while in another place they found the sights of inflammation. The progress of the patient after the operation is good.
    There have been many theories concerning the causes of this disease. They ate divided into 2 main groups; the theory of retention (Kubo) and the theory of facial fissure (Klestadt). The latter theory is based on an impediment of the development in the viviparous poriod. The difference of the theories is due to that of its glowing part and of its histological sight. Their histological observation led the: authors to favoring the theory of facial fissure (Klestadt).
    Download PDF (4946K)
  • Takayasu Takamoto, Shozo Hiraoka
    1958 Volume 4 Issue 4 Pages 299-300
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Hyperkeratosis of palatine tonsil is a comparatively rare disease and usually occurs in patients, 16-25 years old. The authors report a case of this disease, a girl aged 6, recovered surgically. The histopathologic examination of the enucleated tonsil showed the picture of hyperkeratosis of palatine tonsil, and the examination of the tissue dyed by the Gram stain further showed masses which were considered to be formed by fungi.(Fig.I) This case is of the lowest age yet discoverd in this country, and the authors considered this to come from her congenital disposition.
    Download PDF (2240K)
  • Masao Kubomura
    1958 Volume 4 Issue 4 Pages 301-302
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The chewing approach advocated by Dr. E. Fröschels has been applied by the author, as a therapy for cerebral infantile paralysis and stammer, and the results have been fairly successful.
    An improved method of this therapy is reported here.
    The therapy of cerebral infantile paralysis should be started as early as possible, from 2 or 3 years of age.
    But, for fear that the child might accidentally swallow the chewing gum, a piece, 2cm × 7 cm large, of a tangle or dried cuttlefish is given to the child to suck at first, and then the child is encoiiraged to practise chewing step by step.
    Since cases of this therapy are now being collected, the term of therapy and its results are to be reported in the mean time.
    Download PDF (289K)
  • Hirosi Makiyama, Akio Kikui, Osamu Kokubu
    1958 Volume 4 Issue 4 Pages 303-306
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    In about one year from April, 1955 to May, 1956, at their clinic, the authors experienced 5 cases of postdiphtheric paralysis who had been treated by antibiotics only. These reported cases, infants from 7 to 12 years old, complained of the disturbance of speech and on all of them the authors found paralysis of the soft palate.
    The authors concluded the paralysis to be postdiphtheric in view of the fact that it was cured by the injection of the therapeutic serum for diphtheria and by the local injection of Vit. B1 and of 0.8% saline solution. The diagnosis and the application of serumtherapy with the cases reported here were delayed by the ameliorated picture of the disease caused by an excessive use of antibiotics therapy in the early stage.
    Download PDF (566K)
  • Takejiro Yamasaki
    1958 Volume 4 Issue 4 Pages 307-310
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The author reports a rare case of left recurrent nerve paralysis in an infant aged 1 year and 10 months and male. He refers to cardiac diseases as its chief causes. The main cause is the compression of the nerve by the aorta and left pulmonary artery. Concerning other etiologic cardiac diseases he further states that in the stenosis of the mitral valves or their insufficiency, the dilatation of the 2nd cardiac arch is remarkable in X-ray findings.
    Download PDF (2036K)
  • Masanori Miyazaki, Shiro Sadaoka
    1958 Volume 4 Issue 4 Pages 311-316
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The authors report here a case of the diverticulum of the esophagus in a patient, a housewife aged 29. A plastic tooth-denture with 4 wire hooks had been found to remain in the third contraction of the esophagus in her X ray photograph at her first medical examination, and later in her Barium-X ray photograph it had been found to form an expansive diverticulum in the esophagus in the upper part of the diaphragm. Although later the foreign substance had not been found either by the esophagoscopy or by the retrograde esophagoscopy through the wound after the stomach incision, it was fortunately excreted through the natural way without any accident in 31 days after she misswallowed it.
    In connection with this, the authors have made an examination of 7 cases of misswallowed tooth-dentures in the esophagus treated in the Oita Prefectural Hospital in the last 10 years; 4 cases of successful extraction and 3 cases of excretion through the natural way. Fiveamong these 7 cases were tooth-dentures with wire hooks, 2 cases of which were extracted by the esophagoscopy, 1 case by the operation of the esophagus, and 2 other cases were excreted through the natural way. The position of existence of the foreign substance was all in the first contraction of the esophagus, except the present case which was in the third contraction.
    Download PDF (9920K)
  • Tsuyoshi Inoue, Hideo Goto
    1958 Volume 4 Issue 4 Pages 317-320
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The influenza by Tokyo A 57-type virus was spread vigorously in May, 1957 in the city of Wakamatsu. The authors report otorhinolaryngological observation in 97 cases of clinical treatment.
    1) We found 12 cases of influenza otitis media; 9 blood blister and 2 bleeding cases. But all these symptoms were not severe.
    2) A case of aroused impairment of internal ear and acoustic nerve was not seen.
    3) The mouthmucosa showed submucosal bleeding punctum in 80 per cent cases.
    4) One third of the cases showed remarkable rubeosis and swelling at arythenoideus and subglottis.
    5) The nose and above portion of larynx did not show any particular change.
    Download PDF (480K)
  • Toshiyuki Sakaguchi, Mamoru Masuda, Shigenori Sagara, Chosuke Kuroki
    1958 Volume 4 Issue 4 Pages 321-323
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    With 60 cases of the radical operation of sinuitis maxillaris bilateralis, the authors investigated the analgesic action of “Noblon”, each tablet of which containing Grelan 150 mg, Chlorpromazine 12.5 mg, and Chlorphenylane malate 2.0 mg, by giving it to the patients one hour before the operation when they had one side of their jaws operated, leaving them undosed in the operation of the other jaw, and comparing the intensity of the pain in both sides during and after the operation.
    The results obtained were: markedly successful, 23% ; successful, 27% ; slightly successful, 18% ; and failures, 32%, by which the authors were convinced of the excellent action of this analgesic.
    Download PDF (357K)
  • Seiichi Kawata, Koichi Kubo, Masayoshi Tsuji
    1958 Volume 4 Issue 4 Pages 324-333
    Published: October 10, 1958
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Authors experienced the treatment of tinnitus and deafness with “Stopmin”, contained the vasodilators, such as coffein, papaverin, nicotinic acid and vitamin B1, etc, administrating 2 tablets 3 times a day.
    Those tinnitus (158 ears) and deafness (84 ears) included various kinds of impairment, such as nerve deafness of unknown cause, acoustic trauma, streptomycin deafness, Ménière's disease, intoxic deafness, catarrh of middle ear, perforation of tympanic membrane, otitis media etc.
    The results were as follows
    (a) For tinnitus
    (1) The effectiveness was performed in 64.0% of the cases. Tinnitus disappeared perfectly in 15.1% of all cases.
    (2) Especially effective for the cases with tinnitus which caused in chronic middle ear catarrh, nerve-deafness of unknown cause, cranial trauma and streptomycin-intoxication.
    (3) Effective not only for the lowtone tinnitus but also for the high tone tinnitus.
    (4) Unexpectedly effective for the protracted tinnitus, such as for several years or ten years.
    (5) To get a favorable effect,“Stopmin” should be administrated for more than 20 days.
    (b) For deafness.
    (1) The efficacy was 47.6% in the lump.
    (2) Effective not only for nerve deafness of unknomin cause, acoustic trauma, cranial trauma, but also for streptomycin-deafness finely.
    (3) Regarding to the types of audiogram, remarkably effectivs for the horizontol type and the concave type, even for the abrupt type in high frequencies.
    (4) Preferable to administrate “Stopmin” for more than 40 days to get a good efficacy. Authors confirmed that “Stopmin” was finely effective for tinnitus and deafness.
    Download PDF (945K)
feedback
Top