Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
Volume 64, Issue 4
Displaying 1-9 of 9 articles from this issue
  • M. FUKASAWA
    1961 Volume 64 Issue 4 Pages 825-837
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    I The author observed the location of the second tympanic membrane through the perforation of the first t. m. on 200 patients with chronic middle ear infection and 13 patients with the traumatic injury of the tympanic membrane using otoscope.
    They were located postero-inferiorly to the first membrane.
    II Next, the author made microscopic examination of both membranes by serial sections of the ears of 10 rabbits and 7 human cadavers. The dimensional mutual relation ships of the membranes were studied by the projection method.
    By these methods, the ratio of the dimensions, the length and width, the angles and distances were measured.
    (1) The 2nd membranes was found to be more complicated in its shape, and was markedly concaved.
    (2) Portion of the connective tissue of the second membrane was loose and thickened, and some of the perilymphatic spaces were dilated.
    (3) The first and second membrane of the rabbits were 43.1mm2 and 3.5mm2 in dimension respectively. Those of the human cadavers were 58.7mm2 and 3.4mm2 respectively. The ratios of the dimension were 1 to 12.3 in rabbits and 1 to 17.3 in human cadavers.
    (4) The upper portion of the second membrane was almost rectangular to the first one, but the lower portion of the second menbrane formed more sharpe the curvature, the angle with the first membrane. was decreased.
    In average, the angles 61° horizontally, and 76° vertically.
    (5) It was 2.6-4.2mm on the rabbits, and 5.3-6.9mm on the human cadavers, from the posterior border of the first membrane to the anterior or posterior border of the second membrane in horizontal section.
    III On the ears of 7 human cadavers, the angles and distanoes between the main planes of the both membrnes were calculated by the trigonometry with X-ray photographs, which were taken solidgeometrically.
    They were 78° angle and 5.8mm in length.
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  • S. SUZUKI
    1961 Volume 64 Issue 4 Pages 838-847
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    The author made histological and cystological studies of excretory passage of the nasal gland in on the mucous membrane of the human inferior nasal turbinate.
    The results were summarized as follows :
    1. It was confirmed that there were two morphological varieties in the human nasal glands, one with excretory duct and the other without duct.
    It was considered that, in the case of the latter, one withont an excretory duct, a tubular gland duct performed the role of an excretory duct.
    By many past investigators, it has been said that the nasal glands with excretory ducts consist of the secretory portion and the excretory duct, and do not possess "striated portion" and "intercalated portion "
    But in the author's study, it was noted that in 9 out of 11 cases, nasal glands had "striated portion" in the transitional part between the secretory portion and the excretory duct.
    2. These glands were found in the auterior one half portion of the inferior turbinate where the nasal glands were densely distributed.
    3. The striated portion of the nasal glands showed some dilatation ofthe lumen. It was tortulous and passed into the terminal portion (secretory portion), demonstrating simple branching. Sometimes considerablly long ducts were seen.
    The striated cells were fairly large, tall and columnar, and contained granules in the cytoplasmThey were stained ligtitly with eosin, although the cells in the secretory portion suere stained much, darker.
    Usually, individual cells contained one nucleus, which located in the center of the cell, but, sometimes. the nucleus located in the distal portion of the cell.
    And beneath the nucleus, the peculiar basal striations were noticed.
    4. It is considered, therefore, that these striations consist of the striated cytoplasm, including the tortulous-shaped mitochondria and the clear interspaces between rows of striated cytoplasm.
    5. It has been reported that the presence striated cells in the parotid gland is the proof of endocrine activity of the gland.
    However, the author has not been able to obtain the evidence suggesting endocrine activity of the: human nasal glands.
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  • Y. KAMIJO
    1961 Volume 64 Issue 4 Pages 848-854
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    As a foundamental examination on the possibility of audiometry to new-born infants, both respiratory changes recoded on the kymograph (pneumogram) and other responses to auditory stimuli which contain the pure tone (500cps) and the imitation sound of animal (mooing) were investigated.
    There was no significantly different effect between the pure tone and mooing. The majority of the infants showed some responses to auditory stimuli at intensity of 40-80db above the audible threshold of healthy adults. The most prominent and frequent responses were temporary appearanceof big wave on the pneumogram and responses such as blinking and body startle.
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  • Y. OGIBA
    1961 Volume 64 Issue 4 Pages 855-870
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    Conditioned orientation reflex audiometry (COR-audiometry) is based-on. the fact that a child, being given a strange stimulus, always looks toward the source of the stimulation. This reflex is called "orientation reflex". If the reflex is conditioned with a pure tone, hearing of children under three years of age is to be easily measured by using the reflex as the indicator of hearing.
    Hearing acuity of 250 children under 4 years of age was measured by means of COR-audiometry. COR-audiometry was successful in 44.8 per cent of the children under 1 year, 85.1 per cent in the group aged 1 to 2 years, 87.9 per cent in the group aged 2 to 3 years and 56.3 per cent in the group of 3 to 4 years. The most suitable age of a child for the test is found to be from 12 months to 3 yaers.
    The average thresholds decreased toward the 0db as the age increased. The average thresholds was 30db in the children under 1 year, 15 to 25db in 1 to 2 years and 10 to 15db in 2 to 3 years of age.
    From the comparison of the thresholds obtained by the first and the second test, the comparison with the other objective audiometry and the comparison with the data obtained by the other examiners, the conclusion seems to be drawn that the COR-audiometry is one of the most reliable method for pure tone audiometry young children under three years of age.
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  • T. GOTO
    1961 Volume 64 Issue 4 Pages 871-874
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    Candida albicans infection of the mouth and pharynx is divided into two types, namely superficial candidiasis and deep-seated submucous candidiasis. The former is well-known to public as thrush. Histologically it is a localized necrosis of the superficial layer of the mucosa.
    The latter is rare and it is called sometimes chronic thrush, which shows strong resistance against any treatment and takes prolonged course.
    It is not easy to diagnose this chronic candida ulcer, because the histological findings are not well known.
    The author and his co-operators had studied clinically as well as experimentally on this problem.
    The characteristic findings of oral and pharyngeal ulcer will be described briefly in this paper.
    The fixed tissue of this granulation is consisted of fibroblasts and endothelial cells. Proliferation of the endothelial cells has close relationship to regeneration of the capillaries. Remarkabl regeneration of the capillaries is the most chareacteristics findings of the granulation in this disease. The histiocytes were found commonly among the infiltrating cells. The giant cells are usurely present, it is not easy to confirm it, unless one recognize carefully the none-typical or abortive, which must have emerged from the edndothelial cells of the capillaries.
    For exact diagnosis of candidiasis it is required to confirm the presence of candida in the granulation tissue. It is, however, highly difficult to discover the myces in the granulation tissue. Therefore, the author feels at present that the diagnosis of candidiasis should be made if the specimen from the ulcer reveals the above mentiond findings, even without confirmation of typical myces in the granulation nissues.
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  • DILATATION SOUS L'INFLUENCE DES SUBSTANCES HORMONALESAVEC UNE OBSERVATION PERSONNELLE
    R. KUBO, T. KUKITA
    1961 Volume 64 Issue 4 Pages 875-879
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    Il s'agit d'un malade de 37 ans qui avait avale une cuilleree a bouche d'acide chlorhydrique en tentative de suicide. Apparition progressive d'une gene au passage des aliments solides, malgre quelques ameliorations de son etat general par le traitement conservatif.
    Soit 6 mois apres l'ingestion du caustique, il est admis dans notre Service. La radiographie nous a montre une stenose en hauteur de D8 et aussi une oesophagoscopie a revele a 32cm des arcades dentaires un retrecissement cicatriciel du calibre soit de 4mm.
    Nous avons entrepris 5 fois des dilatations bougiraires puissantes dans la lumiere de l'oesophagoscopie. Durant le traitement dilatateur, les hormones cortico-surrenales et les antibiotiques sont administrees. Apres environ 5 semaines du traitement, la lumiere de la partie stenosante ancienne est dilatee jusqu'a 12mm de diametre. Un an apres perfectionnement du traitement dilatateur, le malade est en bon etat.
    Cette methode therapeutique inventee par Burian qui pratique la dilatation bougiraire sous l'action inhibitoire de la substance hormonale sur l'activite des fibroblastes, semble etre une methode excellente, tres efficace qui est capable de reussir a la dilatation de l'oesophage dans un temps tres court, en comparaison du traitement dilatateur ancien. Toutefois, a propos de la recidive et de la fonction de l'oesophage, une discussion ulterieure doit etre demandee. (Resume par les auteurs)
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  • Y. YAMAKAWA
    1961 Volume 64 Issue 4 Pages 880-894_3
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    Part 1. Clinical observation
    The author performed various examinations about the equilibrium function on patients, who had received the fenestration operation of labyrinth, and observed the corelation between the restoration of hearing and equilibrium function. A parallel relation between the two was noted.
    Part 2. Experimental investigation on animals.
    The author performed the fenestration operation on the horizontal semicircular canal of rabbits, and observed its influence upon the vestibular function, i. e. the spontanous nystagmus, the disturbance of equilibrium, the postrotatory nystagmus, and the caloric nystagmus during and after the operation, and the specimens obtained were studied histologically.
    As the results, it was noted that the appearance of the symptoms of the inner ear stimulation showed some variation depending on the extent of the operation and especially on the presence of labyrinthine hemorrage or the secondary infectionn during or after the operation.
    The results of postrotatory nystagmus, caloric nystagmus and histological examination affirmed the propriety of the clinical observation reported in Part 1.
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  • S. HARAGUCHI, Y. TSUTSUMI
    1961 Volume 64 Issue 4 Pages 895-898
    Published: April 20, 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
    A case of primary cancer of the frontal sinus in a 57 years old male was reported. Radical operation was not indicated in this case.
    The author reviewed Iiteratures on primary cancer of the frontal sinus and found that there had. been 30 cases reported in Japan. Ther were 94 cases reported in foreign countries by 1958.
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  • 1961 Volume 64 Issue 4 Pages e1
    Published: 1961
    Released on J-STAGE: December 16, 2008
    JOURNAL FREE ACCESS
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