Practica Oto-Rhino-Laryngologica

Considerations on Surgical Indications for Intratemporal Facial Paralysis

Hiroshi ISONO, Hiromu MORI, Masako HORIUCHI, Harumi SUGIYAMA, Keiko KO ...

1964 Volume 57 Issue 10 Pages 559-568
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.559

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A lesion within the temporal bone is responsible for 90 per cent of all the cases of peripheral facial paralysis, so that it is the otologist's duty to undertake the investigation and treatment of them.
From the point of up-to-date electrodiagnosis as well as Seddon's classification of nerve injuries, changing concepts about the indications for surgical decompression of the facial nerve are reviewed.
We have arrived at the following conclusions I. Life-saving decompression: —Saving the nerve fibers from degenerating, decompression should be done before it is too late (by the seventh, at the latest the fourteenth day), as soon as loss of nerve excitability occurs.
II. Life-giving decompression: —Activating the “potential” vitalities of injured nerve to the “actual” ones, decompression should be done when and after fibrillations are found. The term of validity usually covers from a few weeks to a few months, exceptionally extends over a few years from the onset of the paralysis.
Now we would be inclined to say daringly: “Facial paralysis, a medical emergency; if the facial nerve starts losing its excitability, then a surgical emergency!”

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The Results of Treatments for Cancer of the Maxilla in Our Clinic

Yoshitaka KAWABE

1964 Volume 57 Issue 10 Pages 569-576
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.569

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135 cases of cancer of the maxilla observed in a 10-year period were clinically investigated. For treatments operation was principally employed which was combined with irradiation effected by radium-implantation within the wound immediately following the operation.
Post oparative survival rate was 34% for 3 years, 32% for 5 years.
Seven types were classified according to the presumptive site of origin, and the prognosis were immediately concermed with these classified types and the operation's method.
The prognosis of the posterior type was poor, because the tumor involved the base of the skull and the pterygoid process, and the operation schould be employed the total resection of the maxilla.

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A Case of Pharyngeal Neurinoma

Sonoji HINE, Hiroshi NIKI, Shuii OKADA

1964 Volume 57 Issue 10 Pages 577-580
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.577

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One case of neurinoma of the lateral wall of the right pharynx, 4.4×3.0×1.8cm³ and weighing 26.7gr, in a 60 yearold male patient, is presented in this paper, together with some review of the literature. The age of the patient was highest reported in Japan.

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Clinical Experiences with BTDS (Beston) in the Treatment of Inner Ear Deafness

Tohru SASAKI

1964 Volume 57 Issue 10 Pages 581-587
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.581

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Patients who had the main complaints of dysacousis and tinnitus and were diagnosed as possible inner ear deafness were treated with a large dose (150mg. daily) of BTDS (O-Benzoylthiamine disulfide) in tablet form for a long period of time, 28-170 days. This paper reports clinical course of 12 cases in whom auditory examination could be made after the treatment.
Among these 12 cases, the drug was remarkably effective in 3 and effective in 2 cases. It was failed in 7 cases but the tinnitus was relieved in 3 of them. In no case side effects were observed.
Some of the patients had previously received various other therapies, especially massive administration of vitamin BI preparations other than BTDS. In these patients vasodilators or metabolic stimulants were concurrently given with BTDS. In general BTDS afforded a greater benefits to those having no previous treatment.
The onset of hearing improvement was not always clearly observable. There were no cases, in which immediate effect was seen but some improvement or other was obtained in 2 or 3 weeks. During the long-term treatment with BTDS, the improvement of hearing acuity was seen not always progressively but the period of follow-up examination for half a month to 30 months, there were no worsened cases.

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The Effect of ‘γ-Oryzanol’ upon Perceptive Deafness and Tinnitus

R. NAKAJIMA, H. HAZAMA, H. UEMATU, T. MIYAZAKI, R. NAKAYA

1964 Volume 57 Issue 10 Pages 588-590
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.588

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We treated 30 patients suffering from perceptive deafness and tinnitus with ‘γ-Oryzanol’ for 2 to 8 weeks (in daily doses of 30mg). As following tables, we had considerably good results but observed no remarkable side effects.

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Therapeutic Experiences with Cor-Tyzine (Tetrahydrozoline Hydrochloride+Predonisolone) Nasal Solution in Several Diseases of Naso-Antral Regions

Sonoji HINE, Seiichi SHIMIZU, Tadakazu SEKINE

1964 Volume 57 Issue 10 Pages 591-596
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.591

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Nasal solution of Cor-Tyzine which consists mostly of Tetrahydrozolin hydrochloride that has a powerful anti-hyperemic effect on the mucous membrane and Predonisolone which is prominently anti-inflammatory and anti-allergic was used in the treatment of several diseases of the naso-antral regions, getting the following results.
1) In the patients with chronic catarrhal rhinitis, the ciliated epithelial cells of the mucous membrane of the nasal cavity were noted so improved at 30 days after the use of the nasal solution as to be nearly the same as the ciliated epithelial cells of the mucous membrane of the nasal cavity in normal subjects.
2) In the patients with chronic catarrhal rhinitis, hypertrophic rhinitis, acute catarrhal rhinitis, and allergic rhinitis, the results of use. of Cor-Tyzine were very good. In the patients with chronic sinusitis, the drug produced little or no improvements in objective signs but improved subjective 'symtoms to some extent. In the patients with post-operative chronic sinusitis, too, the drug was found to be worthy of use.
3) Scarcely any side effect was observed except that 2 or 3 cases complained of a bitter taste at the naso-pharyngeal region and another case had nasal discharge and sneezing gradually after the nasal instillation of the drug. Those side effects which are generally known to be peculiar to adrenal cortical hormone did not occur at all following the administration of Cor-Tyzine. The therapeutic experiences with the drug have made us presume that it is suitable for administration over long periods of time.

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Studies on The tonsillar Focal Infection

Hidehiro KIKUCHI

1964 Volume 57 Issue 10 Pages 597-615
Published: October 01, 1964
Released on J-STAGE: October 14, 2011

DOIhttps://doi.org/10.5631/jibirin.57.597

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Immunoserological researches and experimental studies on the tonsillar focal infection by hemolytic streptococci were explored to clear the mechanism of the occurence of secondary deseases.
The results were obtained as follows.
1) Immunof luorescent antibody staining method, Lancef field's precipitin reaction and Fuller's precipitation proved the presence of the streptococcal polysaccharide antibody in focal infectious tonsilles.
2) M precipitin reactions were positive for the patients serum with focal infectious tonsillitis, chronic tonsillitis with high ASL-O titer and paralleled Lancefield's precipitation.
3) Streptococcal antibody and focal antigenity were found in patient' serum with focal infectious tonsillitis.
4) Rabbits were produced experimentally nephritis, the hemolytic streptococcal antibody were proved all Organs sudh as kidney, heart, lung, liver, spleen etc. and focus itself was proved antigenic by immunnfluorescent antibody staining method.

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