日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
83 巻, 4 号
選択された号の論文の8件中1~8を表示しています
  • 神津 典男
    1980 年 83 巻 4 号 p. 383-394
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    AP, BSR, MLR and SVR were recorded from 14 normal subjects and 16 adults with inner ear deafness using the so-called simultaneous recording.
    These results obtained from this survey were as follows:
    1) Mean thresholds of these responses in normal subjects were: AP-16.1±10.1dB SL, BSR(V)-23.6±8.4dB SL, MLR(Pa)-22.4±10.9dB SL, SVR(NI)-50.9±22.6dB SL. In some cases, the responses with a later latency showed a lower threshold than the response with an earlier latency.
    2) In subjects with inner ear deafness, it was considered that AP was most reliable to measure the threshold, though it was not always in parallel with threshold for pure tone. The later the latency was, the more difficult to obtain the responses.
    3) The latency of AP and BSR decreased as a function of intensity, but there was no significant change in latencies of MLR and SVR.
    4) In the repeated examinations on an individual subject, the response with longer latency tended to show the changes in the waveforme, the peak latency and the amplitude of each trial, and consequently there were no test reliability for this long latency response.
    It was concluded that it was necessary to observe various kinds of the responses in examining the hearing thresholds though AP was the most reliable response, and to pay attention to the distinction of each response in neurological examinations.
  • 杉田 麟也, 河村 正三, 市川 銀一郎, 内田 利男, 藤巻 豊
    1980 年 83 巻 4 号 p. 394-401
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    Two cases of Mycoplasma pneumoniae pneumonia, which were first diagnosed as acute nasopharyngitis and acute pharyngo-laryngitis by an ENT doctor, were presented. The characteristics of the cases were as follows:
    1) The chief complaints were sore throat, intermittent fever and ear fullness.
    2) Diffuse inflammation of the upper respiratory tract was noticed. One patient had a strong inflammation of the nasopharynx and it looked like a nasopharyngeal tumor. Whitish coating covered on the nasopharyngeal inflammatory site.
    3) One patient had a tubal stenosis, and the other one had acute otitis media. Hearing examinations of the two cases showed a conductive deafness with a stiffness curve.
    4) Paracenthesis of the tympanic membrane was carried out on the acute otitis media case. A milky and sereous middle ear effusions was found in the middle ear cavity.
    5) Many kinds of examinations were carried out to make the correct diagnosis. Rising titers of blood coagulutiation were discovered, and sera tested for complement fixation antibodies was extremly elevated. From these results, the two cases were diagnosed as M. pneumoniae infection.
    6) Although patients were treated with many antibiotics, aminobenzylpenicillin, cephalosporin and aminoglycoside, they were not cured. Tetracyclin and clindamycin were very effective.
  • 調所 廣之, 竹内 美奈子, 時田 信仁, 鳥山 稔, 岡本 途也
    1980 年 83 巻 4 号 p. 402-409
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    A study was made on patients with traumatic olfactory disturbance who had been seen at the Department of Otorhino-laryngology of this hospital in the past 15 years. As a result, findings as presented below were obtained.
    1) Of 4, 340 cases of the sequelae of head and face injuries, 152 cases (3.5%) showed the olfactory disturbance.
    2) The severity of the olfactory disturbance were anosmia in 121 cases (79.6%) and hyposmia in 31 cases (20.4%).
    3) The olfactory disturbance was mainly observed in males whose age ranged 30 to 50 years old.
    4) The most frequent site of trauma was the occipital region followed by the facial region and frontal region. The olfactory disturbance occurred often after contusion in the posteroanterior direction of the head.
    5) As for the olfactory disturbance after contusion in the facial region, there were few cases of anosmia.
    6) As a result of a follow-up investigation, improvement was noted in 8 (14%) out of 56 cases. The improvement was observed from 6 months to 7 years after the treatment. Six out of the 56 cases showed aggravation.
    7) The fragmentation of olfactory nerve fiber appeared to be the most frequent cause of the olfactory disturbance after head contusion.
    Many cases of the respiratory olfactory disturbance were supposed to be included in the cases of the olfactory disturbance after facial contusion.
  • 牧島 和見
    1980 年 83 巻 4 号 p. 410-414
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    Computer tomography (CT) was used in the evaluation of otorhinolaryngologic lesions. CT was capable in imaging of profile of lesion characteristics. Extension of the lesions especially to soft tissue, orbit and pterygopalatine fossa, was well demonstrated. CT provided helpful preoperative information of the lesions especially in the cranium and paranasal sinuses. As a noninvasive diagnostic modality, CT can be usefully included in a battery study of otorhinolaryngologic diseases.
  • 森 弘, 北原 一明, 北 真行, 高橋 晴雄, 中井 義尚
    1980 年 83 巻 4 号 p. 415-423
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    Tympanograms and stapedial reflexes using otoadmittance meter, and audiograms were analyzed in 215 children (430 ears) between 4 to 12 years of ages who were diagnosed as having adenoid vegetation in ENT clinic of Kitano Hospital during january in 1975 and September in 1978. Adenoidectomy was performed in 109 patients under general anesthesia.
    In children of adenoid vegetation, B type tympanogram was observed in more than half cases. Many cases with B type tympanograms showed hearing disorders and negative stapedial reflexes. On the other hand, normal audiograms were obtained in the most cases with A type tympanograms.
    After adenoidectomy, the improvement of hearing threshold in an averaged speech frequency range and 4kHz was observed in the first place, then, B type tympanogram was aluered to A or C type, and lastly, stapedial reflexes became positive in about 70 percent of the operated cases. The improvement in the hearing threshold, the tympanogram pattern and the stapedial reflex were noted within 30 to 60 days after adenoidectomy. It was concluded that adenoidectomy was indicated in the cases showing B type tympanogram with hearing disorder, and the postoperative observation should be continued til the positive stapedial reflex was obtained.
  • 仁保 正和
    1980 年 83 巻 4 号 p. 424-433
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    Maxillary sinus irrigation with a Schmidt's maxillary antrum trocar was applied to one hundred and four children with chronic sinusitis between the ages of two and eleven years. They received the treatment 4 to 525 times averaged 88 times during the last seven years. The children suffered from the severer disease than adult patients and they commonly developed another complicated disorder in both/either the ear and/or the lower respiratory tract.
    Most of children had familial tendencies and their symptoms appeared at the age of two to three years, became the severest between the ages of four and eight and became milder according as the development of the physical strength. The frequent irrigation therapy had a favourable effect to such children. Their symptoms and the course of the disease became better and the duration of the severe stage was also shortened without an administration of any anti biotics except at a time of acute exacerbation. Most of the patients kept the disease in chronic but better condition with aging, and only a few of them were completely cured of.
    Moreover, the irrigation therapy gave a better result to the patients without familial tendency and dispositions. They all are healed of the disease by the treatments of a few months. They were composed of, in number, about 15 percent of all the patients and were suspected to developed chronic sinusitis owing to the reduction of the systemic and the local resistance to microorganisms followed by other disorders, fatigue and so forth. There were very few cases in whom only adenoid without any other disorders caused chronic sinusitis.
    Conclusively, the present result indicates that the frequent sinus irrigation is an ideal treatment for children with chronic sinusitis, because they can receive an effective treatment without any disturbance of the sinus development and use of a large dose of antibiotics.
  • 耳鼻咽喉科疾患における血中ノルエピネフリン値
    吉田 淳一, 吉野 邦俊, 松永 亨
    1980 年 83 巻 4 号 p. 434-438
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    In ordea to determine the sympathetic nervous function, plasma norepinephrine (NE) level in patients with otologic disease was examined using specific, sensitive gas chromatography-mass spectrometry system. Mean NE level at rest was 0.244ng/ml in the cases of Meniere's disease (n=15). These values were 0.273ng/ml in peripheral vestibular impairment (n=16), 0.326ng/ml in central vestibular impairment (n=11), 0.244ng/ml in vertigo with unknown cause (n=15), 0.267ng/ml in post-traumatic vertigo (n=3), 0.200ng/ml in hypotension (n=2), 0.280ng/ml in vertebro-basilar insufficiency (n=2), 0.243ng/ml in sudden deafness (n=11), 0.238ng/ml in recurrent sensory neural hearing loss (n=4), 0.365ng/ml in low tone deafness (n=2), 0.225ng/ml in sensory neural hearing loss (n=2), 0.350ng/ml in dysautonomia (n=2), 0.438ng/ml in others (n=12) and 0.304ng/ml in healthy subjects (n=9).
    There was no significance difference in resting NE level between healthy subjects and patients with above-mentioned diseases.
  • 松居 敏夫
    1980 年 83 巻 4 号 p. 439-452
    発行日: 1980/04/20
    公開日: 2008/03/19
    ジャーナル フリー
    In this paper the following items were studied and discussed.
    1. Mechanism of Stapedius Reflex (SR) decay.
    It has been claimed that SR decay could not be attributed only to the stapedius muscle fatigue.
    In this experiment, second stimuli of lower tone were added to an ipsilateral ear and SR of the contralateral ear was recorded in the adult cat, while SR decay was observed by continuous 4kHz stimuli. The response magnitude of obtained SR induced by second tone stimuli was dependent on the difference of the frequency of second stimulus tone, in that second stimuli of lower tone (eg. 1kHz) elicited bigger SR magnitude than higher tone (eg. 2kHz).
    From the above results, it was concluded that SR decay was not only caused by the stapedius muscle fatigue, but also by the acoustic fatigue.
    2. Influence of anestheticus on the SR decay.
    The magnitude of SR induced by 1kHz pure tone stimuli was compared among slightly anesthetized and well-anesthetized cats with pentobarbital-Na by intra-peritoneal administrationand the cat anesthetized with Ketalar which has only slight influence on the brain stem. The following results were obtained.
    In the well-anesthetized cat marked SR decay was recorded by continuous 1kHz pure tone stimuli, while in the slightly anesthetized cat and the cat anesthetized by intra-muscular administration of Ketalar no change in the magnitude of SR was observed. From these results it was concluded that the shift of acoustic threshold in well-anesthetized cat was due to SR decay.
    3. SR test for the evaluation of prognosis of peripheral facial nerve palsy.
    In 107 cases of Bell's palsy, 86 cases showed almost complete recovery of facial movement in which SR was first recorded within 40 days from the onset, while 21 cases showed incomplete recovery whose SR was first recorded after 40 days. In the cases with Ramsay Hunt syndrome the relation was the same as was observed in Bell's palsy.
    From this fact it was concluded that SR test was useful for the evaluation of prognosis of peripheral facial nerve palsy.
feedback
Top