Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
Volume 60, Issue 10
Displaying 1-17 of 17 articles from this issue
  • I. KIRIKAE, T. SATO
    1957 Volume 60 Issue 10 Pages 1357-1362
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    The authors reported a case of pinealoma of a 8 years old boy, who had an uneven form of bilateral hearing impairments, especially on the left side. At the time of autopsy, the degeneration of the corpus geniculatum mediale, bra- chium colliculi caudalis and lemniscus lateralis due to the presence of the tumor were revealed on the right side. These findings led us to the following conclusions: 1.This case has a type of midbrain deafness. 2.The crossed and the uncrossed central auditory pathways are almost equivalent with respect to auditory acuity. 3.The auditory pathways cross mainly through the trapezoid body.
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  • Y. HANAOKA
    1957 Volume 60 Issue 10 Pages 1363-1366
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    Hearing acuity was measured in 164 normal children aged from 4 to 6 years by means of play-audiometry, and, at the same time, the mental capacity of these children was examined using Tanaka mental test for young children. Contrary to the author's presumption, no correlation was found between the hear- ing acuity and the mental capacity in these children examined.From this fact the conclusion was drawn that the improvement of average normal acuity of hearing in young children in response to the getting older was probably due to other factors than the development of their mental capacity.
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  • S. SAKA
    1957 Volume 60 Issue 10 Pages 1367-1376
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    The following study has been made for how long inner ear cells survive after the decapitation. The cochlea of decapitated guinea pig was taken out and, after definite hours, was inserted into suitable environments such as cisterna magna, camera oculi, cavum abdo- minalis and nape-muscle of living guinea pig, where it was preserved for certain hours, , and then the morphological changes 6 hours after the death of the animal was in- spected. It was generally observed that the group, that was inserted into the suitable environments earlier, showed the changes the later, compared with the control group which was preserved in normal saline at 37- C for 6 hours wrapping with the retarda- tion of the postmortem changes indicate the survival of the cells when they were in- serted into the above mentioned suitable environments. A considerable number of spiral ganglion cells are able to survive for 3 hours spiral limbus cells almost for 4∼5 hours, and Deiters's cells, Hensen's cells, stria vas- cularis and Reissner's membrane for 3∼4 hours after decapitation of the animal.The other cells survive indefinitely.
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  • K. USAMI
    1957 Volume 60 Issue 10 Pages 1377-1394
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    A study was made on the cochlear response (CR) in guinea pigs with experimen- tally developed Meniere's disease.The disease developed following intracranial admi- nistration of pilocarpin and acetylcholine around the eighth nerve unilaterally.The development of the disease was confirmed clinically by the ocular symptoms of nystag- mus and deviation, and histopathologically by labyrinthine hydrops. The results obtained in these experiments were as follows : 1.The ocular symptoms appeared about 2 minutes after administration of acetylc holine.Suggesting an excitation on the affected side, CR began to diminish 15∼30 minutes after administration.CR reduced to the lowest (15∼20 db) 2∼3 hours after administration.The higher the frequency the more the reduction.A slight but steady recovery (5db) from the lowest CR appeared 4 hours after administration.After CR was studied, the treated inner ear was examined revealy a slight hydropic changes his- topathologically (convex Reisner's membrane, compression of tectoria and vascular dila- tation). 2.By the administration of pilocarpin, an excitation of the labyrinth, reduction and subsequent recovery of CR, and hydropic changes were observed. 3.The administration of adrenaline was followed by disturbed function of the labyrinth, showing no recovery of reduced CR.Histopathological examination showed collapse labyrinthi (concave Reisner's membrane and decompression of the tectoria).
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  • G. TOTSUKA, M. SATO, M. SAWASHIMA
    1957 Volume 60 Issue 10 Pages 1395-1397
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    Hypertrophy of the adenoid tissue in the naso-pharynx is closely connected with the disorders of the ear and nose, and it is necessary to estimate the size of adenoid tissue prior to the treatment of these disorders.In children, however, it is sometimes difficult to measure the accurate size of adenoid tissue. Authors studied the measurement of the size by X-ray. The conditions of radiography were as follows ;
    1)Tube voltage ......................................................140 kVp
    2)Tube current ......................................................2∼3 mAsec
    3)Exposure time ...................................................0.1∼0.2 sec.
    4)Size of the focus...................................................1.5x1.5mm
    On the lateral X-ray film of the head obtained with above mentioned conditions, we could clearly trace the figure of the adenoid tissue (See picture No.1 and 2).
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  • S. NAKAGAWA
    1957 Volume 60 Issue 10 Pages 1398-1407
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    Temperature change of the air in human and animal respiratory tracts was recoded and measured by thermocouple, special vibrator and oscillograph. Passing through the respiratory tract, the temperature of inspired air continuously rises, while that of expired gradually falls.In cases of atrophic rhinitis, both the rise and the fall of temperature of the air passing through the nose are not so remarkable as in normal subjects.After Kubo's maxilloturbinal plastic surgery, temperature change of the ais returns to that of normal subjects.With this in mind, the author discussed the dryness of the mucous membrane of respiratory tract of atrophic rhinitis on the concept of humidity of the air inspired and expired.
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  • Part 1:Statistical Observation of Clinical Materials
    S. ASAI
    1957 Volume 60 Issue 10 Pages 1408-1418
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    A statistical observation of clinical materials was made on 190 cases of malignant tumors experienced in the Department of Oto-rhino-laryngology, Yohohama University School of Medicine in the last ten years (1945∼1956). The cancer was 86.8%, among which cancer of larynx was 33.9% and that of ma- xilla was 30.3%.The highest incidence was seen among those in the 6 th decade.The incidence was highest in the 5th decade in females and in the 6th decade in males. The sarcoma was seen in 10.5% of the total cases and appeared the most frequently in pharynx and tonsils.The incidence was as high as three times in males than in fe- males and it was highest in the 4th or 5 th-decade, though it was also high in the 2 nd decade.Endotheliomas were only 2.6%.Adding to those, interesting data were found in the clinical and histopathological studies, and the results of treatments.
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  • T. GOTO, Y. KOBAYASHI, A. TAKASUGI
    1957 Volume 60 Issue 10 Pages 1419-1422
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    A40-year-old female noticed an irregular 2×2.5cm white, slightly elevated lesion which was resemble to that of leucoplakia, on the mucous membrane of her cheek. Histological examination of the biopsy specimen revealed hypertrophic, but not ke- ratinized squamous metaplasia of the mucous epithelium, round ce11 infiltration, spores and pseudo-mycelium in the epithelial iayer.In adition to these findings, the specific inflammatory changes due to caadida were found in the submucosa.Bacteriologically also candida albicans was identified by culture of the ground tissue.
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  • B. SAMBE, N. OHTA, Y. FURUYA
    1957 Volume 60 Issue 10 Pages 1423-1430
    Published: 1957
    Released on J-STAGE: July 31, 2008
    JOURNAL FREE ACCESS
    The authors reported a case of a 60-yearold female with cancer of petous pyra- mide which was metastatic from colon.She had a gastreintestinal trouble for about two pears.Several months ago she started to have deafness, vestibular dysfunction, facial nerve paralysis and trigeminal neuralgia.Operation was performed because of teh pyramide.The patient died on the 13th day after the operation Histological study revealed adenocarcinoma
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  • T. NAGAHAMA, Y. TAKEI
    1957 Volume 60 Issue 10 Pages 1431-1434
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    The authors examined the hearing of the patients before and after tympanoplasty by the pure tone and speech audiometry.As the standard of the evaluation of the bearing, Social Adequacy Index (S.A.I.)was adopte3 in the speech audiogram, and Average Hearing Loss (A.H.L.)in the pure tone audiogram. The following data were given. S.A.I.A.H.L. hearing improvement +15or more +11db or more hearing no change from+14 to-14 from +10db to -10 db hearing worse -15 or more -11db or more According to these data the hearing of 100 cases, operated in the Departmen of O- torhinolaryngology of Nagasaki University Medical School, was evaluated as follows: hearing improved 25 cases hearing no change 61 cases hearing worse 14 cases They studied also the relationship of the improvement of the hearing after the o- pperations to the grade of the preoperative hearing loss. A.H.L.before the op.the hearing after the op. from 0 db to 29 db worse from 30 db to 39 db no change 40 db or more (mostly)improvement The indication of tympanoplasty for chronic otitis media should be judged on the basis of this results.
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  • T. NAGAHAMA
    1957 Volume 60 Issue 10 Pages 1435-1445
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    The author classified tinnitus audiographically in the preceding report as follows, 1)non-deafness tinnjtus, 2)conductive tinnitus, 3)perceptive tinnitus etc. Under this classification the author studied the clinical characteristics of each type of tinnitus on 236 cases and obtained the followingresults. 1)All tinnitus, which were biaural, initiated mostly at the same time. 2)Most of perceptive tinnitus were continuous, stabile and irreversible, but con- ductive tinnitus was reversible and labile. 3)The tone of perceptive tinnitus was mainly of high pitch, but that of the con- ductive tinnitus was of low pitch. 4)The loudness of tinnltus was hardly changeble and the tone also stayed in the same character through its whole course. 5)The humming tone was most frequently noted in all types of tinnitus, especially in the perceptive tinnitus. 6)Tinnitus, either conductive or perceptive, beczme louder with the progress of fatigue and in the quiet room. 7)The biaural tinnitus was always seen in the case which had the same type of pnumatization on both sides. These findings suggest that tinnitus might have some relationship with the local anatomical structure of the ear.
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  • T. NAGAHAMA
    1957 Volume 60 Issue 10 Pages 1446-1453
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    The author made a follow-up study on the effect of the following treatment for tinnitus cf all types which he had classified by audiography. 1)The study was carried out on 236 cases, 303 ears and the following geeral re- suits were obtained. Tinnitus disappeared in 29ears, and decreased in 78 ears. 2)Canductive tinnitus proved the high sensitivity to all treatments employed, but perceptive tinnitus was not affected by any treatment. 3)The vaso-dilating agents were effectlve for conductive tinnitus, but were not so effctive for perceptive tinnitus. 4)The intravenous administration of Vitamin Bl in high dosage was effective for perceptive tinnitus. 5)The blockade of the ptergopalatine ganglion by Novocain was effetive for tin- nitus of perceptive type. 6)The air inflation and massage of ear drum were effctive for conductive tinnitus. 7)In order to evaluate the effect of the treatments for tinnitus he devised a audi- ogrophy technique of tinnitus which consisted of the masking level of tinnitus masked by pure tone, and he confirmed that the fluctuation of this tinnitus audiography pre- rented the change of loudness of tinnitus.
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  • T. NAGAHAMA
    1957 Volume 60 Issue 10 Pages 1454-1463
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    The author masked tinnitus by pura tone and established fous types of tinnitus au- d'ograms. The tinnitus audiogram which recorded the relationship between the threshold curve of air conduction hearing and the masking curve of tinnitus showed the characteristics of tinnitus most distinctly. Curve A represents the threshold curve of airconduction and curveB, the masking curve of tinnitus. Between these types of tinnitus audiogram and the types of tinnitus classified by author according to the audiography, there were following relationships. 1)Parallel-horizontal form(Curve A and curve B run almost parallel with zero level of normal hearing)was found frequently in conductive tinnitus. 2)Parallel form(Curve A and curve Brun almost parallel, but decline in the high tone zone)was seen frequently in percep tivetinnitus. 3)High-tone convergence form(Curve A and curve B converge in the high tone zone)was seen ferquently in non-deafness tinnitus. 4)High-tone divergence form(Curve A and curve B diverge in the zone of high tone)was seen frequently in perceptive tinnitus. 5)Low-tone convergence form(Curve A and curve B converge in the low tone zone)was seen frequently in non-deafness tinnitus and conductive tinnitus. 6)lrregular form(No definite relationship between curve A and curve B)was seen frequently in perceptive tinnitus.
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  • K. MATUBARA
    1957 Volume 60 Issue 10 Pages 1464-1479
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    Guinea pigs were exposed to X-rayirradiation, three droses of 600r and 4 doses of 400r.which developed no histopathological changes in auditory organs, and then aco- ustic stimuli were given. The acoustic stimuli given were 110 phon pure tone at 2000cps, 2 hours daily for 10consecutive days.It had been confirmed that the acoustic stimuli developed no pa- thological changes of the auditory organs, of healthy animals. The results obtained were as follows 1.The animals, general condition was poor.Preyer's reflex decreased above 2000 cps. 2.The hematologic study showed the signs of panmyelophthisis and remarkable leucopenia. 3.When the animals irradia'ed with X-ray were exposed to acoust'c trauma, re- markable atrophic degeneration was observed in Corti's organ localize in the 2nd turn. It was concluded that guinea pigs treated with X-ray irradiation had increased susceptibility to acoustic trauma.
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  • S. OYA
    1957 Volume 60 Issue 10 Pages 1480-1485
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    On the basis of the fact that the diameter of the monoaural skin-projection is pro- portional to the intensity of the tone perceived, the process of restoration from the au- ditory fatigue immediately after 5 minuites exposure to 65 db of pure tones or white noise was measured.The test-tone, identical or half octave higher pare tones or white noise of 30 db, was introduced instantaneously after taking off the exposure-tone and the gradual growth of the edge of the skin-projection in consequence of the restoration from the fatigue was continuously traced by the chymography. In the course of the restoration from the fatigue, 2 stages at the beginning quicker and then slower were found.And at the beginning, hearing loss was 20 db or more even at the exposure to the intensity of 65 db.The restoration in the case of higher tones was prolonged compared with that of lower tones or white noise, and less fatigue was observed at the exposure to the half octave lower tones.
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  • The 2nd Report :The results of examination of potassium concentration in the endolymph of normal guinea pig
    T. KIKUCHI
    1957 Volume 60 Issue 10 Pages 1486-1488
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    In the previous report a new method of determining potassium concentration in the ultra minute volume of endolymph obtained from an inner ear of the guinea pig was reported.The volume 0.0001 to 0.001 cc of the endolymph was determined accurately by a comparator, then the sample was diluted to 5 cc with by the distilled water, and its potassium concentration was determined by a flame spectrophotometer. Various samples of the known potassium concentration of 150, 100 and 70 mEq/1 were tested by this method and the experimental error was found to be as accurate as under ± 5 % (the first report). Applying this method to ten samples of the endolymph obtained from one inner ear of normal guinea pigs were examined.Their potassium concentration ranged from 122 to 166 mEq/1.
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  • The 3rd Report :The effects of atropine, pilocarpine, adrenaline and sodium bicarbonate to the potassium concentration of the endolymph
    T. KIKUCHI
    1957 Volume 60 Issue 10 Pages 1489-1493
    Published: 1957
    Released on J-STAGE: March 19, 2008
    JOURNAL FREE ACCESS
    As the first step to clarify the mechanism of secretion of the endolymph, changes of the potassium concentration of the endolymph of guinea pigs by giving atropine, pilocarpine, adrenaline and solution of sodium bicarbonate were observed examined by the microanalytic method developed the author.The results were as follows : 1) The potassium concentration in 15 samples of the endolymph obtained from one inner ear of untreated guinea pigs ranged from 128 to 166.7 mEq/1. 2) The potassium concentration in four samples obtained from guinea pigs previo- usly by an injection of 0.1 % solution of atropine sulphate ranged from 133.8 to 153.0 rnEq/1. 3) The potassium concentration in five samples obtained from guinea pigs previo- usly treated by an injection of 1% solution of pilocarpine hydrochloride ranged from 163.1 to 172.8 mEq/l. 4) The potassium concentration in ten samples obtained from guinea pigs previo- usly treated by an injection 0.1% solution of adrenaline chloride ranged from 126.5 to 166.5 mEq/1. 5) The potassium concentration in five samples obtained from guinea pigs previo- usly treated by an injection of 7 % solution of sodium bicarbonate ranged from 115.7 to 132.1 mEq/1. 6) Compared with the untreated group, no significant change in potassium concent- ration was observed in the groups treated with atropine and adrenaline. The group treated with pilocarpine showed high potassium concentration but the group treated with sodium bicarbonate showed low concentration.The difference in po- tassium concentration was significant at the 1 % level.
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