Practica Oto-Rhino-Laryngologica

A Cured Case of Radiation Ulcer

K. TAKAHASHI, A. MATSUMOTO, R. UNO

1963 Volume 56 Issue 2 Pages 45-48
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.45

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A case of 71 years old male suffering from radiation ulcer in the anterior cervical region after laryngectomy was reported. In this case, a skin grafting by use of pedicle flap from lateral neck after complete resection of pathological tissue around the ulcer was performed to effect.

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A Case of Reticulum Cell Sarcoma of the Epipharynx with the Extension up to the Posterior Cranial Fossa

H. TAKAHASHI, K. MAKIMOTO, R. UNO, R. NAGANE, K. MORI

1963 Volume 56 Issue 2 Pages 49-54
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.49

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A 36 years old male was admitted with complaints of headach and disturbance in articulation. Physical findings on admission were as follows: paresis of the right IX, X, XI and XII cranial nerves; narrowing of visual fields; cerebrospinal hypertension up to 400mm H₂O. The patient had had irradiation therapy under the diagnosis as reticulum cell sarcoma of the epipharynx prior to the admission. He was biopsied from the epipharynx three times in the admission not to be diagnosed as tumor of the epipharynx.
Internal suboccipital decompression was performed as symptomatical treatment. At that time, marked infiltration of the tumor-like mass around the atlas and foramen magnum came into view.
In the postoperative course he deteriorated gradually and finally died in spite of hypothermia.
Postmortem examination revealed that tumor had its origin at the back side of the epipharynx, and extended up to the posterior part of the base of skull, and distended into the both jugular foramina. The atlas was matted togetherr with tumor mass.
The authors discussed about this extension.

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A Case of Epiglottic Cyst

T. KAIDA

1963 Volume 56 Issue 2 Pages 54-56
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.54

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A case of 33 years old male. He was admitted with the complaints of foreign body sensation in the larynx, nausea and abnormal sound by swallowing.
At the examination of the larynx on admission, cyst-like tumor was found in the ilngual side of the epiglottis. For the removal of the tumor, anterior aproach with the transverse incision at the subhyoid portion was taken. From the operative and histological findings, the turner was designated as epiglottic cyst due to the residual thyroglossal duct.

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A Case of Sudden Deafness Followed an Exstirpation of an Aneurysm of Abdominal Aorta

T. MOCHIZUKI

1963 Volume 56 Issue 2 Pages 57-61
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.57

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A case of sudden deafness followed an exstirpation of an aneurysm of abdominal aorta in 59 years old male was reported.
The author observed the clinico-pathological signs of “angioueurosis” about this patient, and treated him with 7% solution of sodium bicarbonate intravenous injection.

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A Statistical Observation on the Vertigo Complained by Out-Patients of Psychiatric Clinic

R. UNO, K. MAKIMOTO, M. SAKAMOTO, M. ANDO, M. TAMURA

1963 Volume 56 Issue 2 Pages 62-67
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.62

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A statistical observation was donee in regard to the subjects consisted of 3223 out-patients at psychiatric clinic of Kyoto University in 1960.
The results were as follows.
1) The percentage of the patients with vertigo was 4.9% of the total cases.
2) The percentage was higher at two groups of exogenic and organic disease, i. e. at the group with arteriosclerosis and residue of head injury. On the other hand, the percentage was lower at the three groups of endogenic diseases, i. e. at the group with manic depressive psychosis. epilepsy and schizophrenia.
3) Especially at the group with schizophrenia the patient with vertigo was very infrequent.
The authors discussed about these results.

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Experimental Studies on the Shift of Equillibrium Function in Regard to Age

-Observations on the Sway of Human Body by Means of Accelerometer-

R. UNO

1963 Volume 56 Issue 2 Pages 68-86
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.68

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The shift of equillibrium function of human body in regard to age is observed by accelerometer at the situations of the static and the passive posture.
The series of subjects is classified into three groups, i. e. the adults ranging from 25 years Qld to 30 years old, the children ranging from 5 years old to 6 years old and the aged men ranging from 70 years old to 80 years old. In the study on the static posture, the sway of body is recorded by accelerometer and apparatus for the measurement of gravity, and in the study on the passive posture by movement, parallelswinger and goniometer are used.
The results obtained are as follows:
a. At the situation of static posture.
1. The degree of head sway is highest at the children, relatively low at the aged men and lowest at the adults.
On the other hand, the degree of hip sway is highest at the aged men, relatively high at the children and lowest at the adults.
In regard to the center of the gravity, the adults are highest, the aged men are relatively high and the children are lowest in degree of the swaying.
2. There is the close correlation between swaying of the center of gravity, and acceleration components of head and hip sway.
In conclusion, the children have the tendency to stimulate the labyrinth and the proprioceptor in order to maintain their body equillibrium. On the other hand, the aged men seem to maintain their body equillibrium by avoiding the stimulation.
b. At the situation of the passive posture.
1. When the plane supporting the feet is tilted.
At the children, the head is tilted towards the tilting direction of the plane, showing the higher degree of head sway.
At the adults, contrary to the children, the direction of head tilting is opposite to the tilting direction of the plane, with the lower degree of sway.
At the aged men, the head is tilted to the tilting direction of the plane, with the lowerr degree of sway, but they have the tendency to fall down easily even by the smaller tilting of the plane.
2. When the body moves in parallelswing.
At the beginning of parallelswing, the head is tilted to the opposite direction to the movement, in all cases of the adults, the children and the aged men. The degree of head tilting is highest at the children, next at the aged men and lowest at the adults.
During the parallelswing, the adults take the same direction as the parallelswing in their head tilting. On the other hand, this is reversed at the children. The aged men take the midposition between the adults and the children.
Considering of these results, though the adults are apt to maintain soon their body equillibrium from the head deviation caused by inertia at the beginning of parallelswing, the ability to maintain their body equillibrium is poorer in the passive movement at the children. On the other hand, the parallelswing brings equillibrium disorder to the aged men because of the rigidity of muscles and joints.

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Experimental Studies on Sound Pressure in the Nasal Cavity during Phonation of Speech Sounds

M. HIRANO, Y. TAKEUCHI

1963 Volume 56 Issue 2 Pages 87-102
Published: 1963
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.56.87

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Sound pressure in the nasal cavity during phonation of speech sounds was measured by a probe tube microphone in eight normal adults (four males and four females). Simultaneously, the sounds in the nasal cavity were recorded by a tape-recorder and analysed by a Sonagraph. The measurements of the sound pressure was made about sixty-seven japanese monosyllable speech sounds. The results are as follows:
(1) The sound pressure in the nasal cavity differs in compliance with individuals; generally, in the individuals with soft and beautiful voice the sound pressure is larger.
(2) Difference of the sound pressure in the nasal cavity are observed also in compliance with vowels and consonants.
(3) In vowels, generally, an order as follow is observed;
I>U>E>A, O in each individual, however, some different orders are revealed.
(4) Concerning consonants, the sound pressures of nasal-syllables are extremely larger than the others. In the others, vowel-, glide-, voicedconsonant- and [h]-syllables reveals larger sound pressures than voicelessconsonant-syllables.
(5) In nasal consonant waves and preceding waves of the voicedconsonant-syllables, a marked rise of sound pressure in the nasal cavity is observed compared with at the front of the mouth.

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