Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 71, Issue 1
Displaying 1-16 of 16 articles from this issue
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  • Sinusitis and Visual Disturbance, Especially on Rhinogenous Retrobulbar Optic Neuritis
    Hiromichi Ishigami, Takahiko Nomura
    1978 Volume 71 Issue 1 Pages 3-18
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.3
    JOURNAL FREE ACCESS
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    Although the relationship between sinusitis and retrobulbar optic neuritis and certain types of paralysis of ocular movement is a controversial problem, surgical treatment of sinusitis often results in a dramatic improvement in ocular symptoms. We reported herein five cases of sinusitis with visual disturbances, in which symptoms improved after sinus surgery. As all patients had few nasal symptoms, we were not aware of the sinusitis and the that fact these visual disturbances may be ocular related complications. Operative findings revealed the sinusitis to be of moderate to rather severe degree, and mucocele or pyocele was not apparent in any patient.
    Case 1: A 56 year old man with right oculomoter and trochlear nerve paralysis for 18 days.
    Case 2: A 56 year old man with vision reduced to bilateral hand movements for five years.
    Case 3: A 29 year old man with longstanding frequent episodes of diplopia and asthenopia.
    Case 4: A 13 year old boy with sudden onset of reduced vision in the right eye for 5 days.
    Case 5: A 31 year old woman with vision reduced bilaterally for a month.
    As to Cases 2, 4 and 5, the clinical diagnosis was rhinogenous retrobulbar optic neuritis, and after sinus surgery, dramatic improvement of vision was obtained except in Case 2 where the optic disc showed signs of atrophy.
    Ophthalmologists and rhinologists should be aware of a possible ocular involvement in nasal disease in order to establish proper diagnosis and treatment.
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  • Audiological Assessment of Middle and Low Frequency Thresholds by Brain Stem and Frequency Following Responses
    Osamu Yamada, Kazuoki Kodera, Hitoshi Yamane
    1978 Volume 71 Issue 1 Pages 19-25
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.19
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    The frequency specificity of the brain stem response (BSR) and the frequency-following response (FFR) evoked by 500Hz tone bursts were studied in 20 cases of flat, high-frequency and low-frequency hearing losses.
    In nine cases of flat sensorineural hearing loss, both the thresholds of the BSR and the FFR corresponded well to pure tone audiometric thresholds. In cases of both high- (five cases) and low-frequency (six cases) sensorineural hearing losses, the threshold of the 500Hz FFR corresponded well to the pure tone audiometric thresholds at 500Hz. At the same time, the thresholds of the 500Hz BSR corresponded well to the pure tone audiometric thresholds at 500Hz and 1, 000Hz.
    Thus, our conclusion was that the FFR evoked by 500Hz tone bursts was applicable in the objective assessment of the hearing threshold at 500Hz. At the same time, the BSR evoked by 500Hz tone bursts was also applicable in the hearing thresholds at 500Hz and 1, 000Hz.
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  • Air Caloric Test by Thermoelectric Air Stimulator
    Michiyuki Kita, Hiromu Mori, Masako Horiuchi, Kazuaki Kitahara, Tomiko ...
    1978 Volume 71 Issue 1 Pages 27-34
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.27
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    An air caloric test using the thermoelectric air stimulator was performed on 150 patients who complained of vertigo and dizziness, and suffered from chronic otitis media, Bell's palsy, Ramsay Hunt syndrome, central vestibular disturbonce, etc.
    The former criteria to the alternate hot and cold caloric test was applied for this air caloric test.
    In 9 patients out of 23 with chronic otitis media, abnormal findings of CP, DP, combined, vestibular hypofunction and afunction were observed. Peripheral vestibular disturbance was observed in a high percentage in cases of chronic otitis media.
    In 8 patients out of 21 with an ear drum defect, inverted caloric nystagmus was observed. This nystagmus was easily observed at 50°C air stimulus, and in only one case was this inverted nystagmus seen at 24°C and 50°C.
    We conclude from these findings that this test can be used routinely, but caution should be exercised in the case of an ear drum defect.
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  • Radiographic Anatomy of the Orbital Floor
    Toshitaka Iinuma, Kiichi Haruyama, Mariko Mitani
    1978 Volume 71 Issue 1 Pages 35-39
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.35
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    A lead-labelling study of the human dry skull was done to investigate the radiographic anatomy of the orbital floor (OF). PA views were taken with the central rays being varied from plus 10 to minus 40 degrees in 10 degree steps. Frankfort plane served as the reference. En face view of OF was obtained either in films of plus 10 or minus 40 degrees. In films of minus 20 degrees, the area of OF was minimal showing the central ray running near parallel to OF. In films of minus 30 and 40 degrees, (approximately Waters' view, ) the line corresponding to the deepest portion of OF was obtained. In further investigations of the relation between the orbit and maxillary sinus, a vertical line was drawn running in the center of the infraorbital canal in Waters' view, and the depth of the deepest portion of OF thus obtained was indicated as one of the reference points in evaluating the relation between the height of the orbit and that of the maxillary sinus.
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  • Reconstructive Surgery for Extensive Cancer of the Lower Lip
    Ryozo Asai, Hideaki Tsuyama, Takeo Kumoi
    1978 Volume 71 Issue 1 Pages 41-44
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.41
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    In amputation of the lower lip in cases of malignancy, an immediate repair of full-thickness structure can be achieved by different procedures of reconstructive surgery.
    As no other tegument from the body can equal that of the face itself for use in facial reconstruction, it is therefore logical to use the neighboring regional flaps whenever possible.
    Different methods of transfer-advancement, rotation, transposition can be used for this purpose. For instance, cheiloplasties of Dieffenbach, total forehead flap are very typical in such surgery. The procedure of submaxillary bipedicle flap which we used in repair of an extensive lower lip cancer in 69 year-old female is described herein.
    The sliding full-thickness submaxillary anterocervical flap upwards is described in detail and a discussion is made of reconstructive factors.
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  • Double Blind Clinical Studies of Fenbufen for Upper Respiratory Tract Inflammation
    Shuji Sawaki, Toshiki Manabe, Yasushi Ishibashi, Kurata Yuge, Kenichi ...
    1978 Volume 71 Issue 1 Pages 45-63
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.45
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    In our present studies, we investigated the therapeutic efficacy and safety of fenbufen (FB) (Lederle) for the inflammation of upper respiratory tract using a double blind technique.
    In a pilot study, FB 900mg/day was compared with oxyphenbutazone (OB) 600mg/day and lactose placebo (PL), and improvement rates with FB were the highest among the three. FB was significantly superior to PL.
    In a subsequent primary study, FB was administered in a dose of 600mg/day and OB, as a control, 600mg/day. The results of the study showed that FB significantly surpassed OB in overall evaluation, and, in 12 out of the 19 symptoms evaluated, FB demonstrated higher improvement rates than those of OB.
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  • Correlation Between the Cerebrospinal Fluid and Lymphatic System of Ear, Nose and Throat
    Toshio Yamashita, Nobuhiro Okazaki, Wolfgang Arnold
    1978 Volume 71 Issue 1 Pages 65-74
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.65
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    By injecting several kinds of tracers into the CSF of guinea pigs, it was shown by light, electronmicroscopy and roentgenography that close connections exist between the CSF and the lymphatic system in the region of the ear, nose, and throat.
    The injected tracers were found to take the following three paths, as shown in the figure. A was along the olfactory nerve to the submucous tissue of the nose, to that of the pharynx and then to the lymph nodes of the deep neck region. B was through the perilymphatic space of the inner ear and the round window to the middle ear, then along the Eustachian tube to the pharynx, and then to the lymph nodes of the deep neck region. C was also through the perilymphatic space of the inner ear and the round window to the middle ear but then went through the subcutaneous tissue of the outer ear to the postauricular lymph nodes.
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  • Clinical study on neck lymph node metastasis in head and neck cancer
    Yoshitaka Kawabe
    1978 Volume 71 Issue 1 Pages 75-76
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.75
    JOURNAL FREE ACCESS
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  • TNM-staging of cervical lymph node metastasis
    Fumiyuki Shimada
    1978 Volume 71 Issue 1 Pages 77-79
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.77
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  • Management of patients with primary unknown metastatic cervical adenopathy
    Isamu Ono, Hiroo Saito
    1978 Volume 71 Issue 1 Pages 80-82
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.80
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  • Metastatic carcinoma of the neck with an occult primary tumor
    Yujiro Matsumura
    1978 Volume 71 Issue 1 Pages 83-85
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.83
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  • Classification and indication for modified neck dissection
    Hidehiro Matsuura, Yoshitaka Kawabe
    1978 Volume 71 Issue 1 Pages 86-87
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.86
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  • Neck dissection with preserved spinal accessory nerve and internal jugular vein
    Shunichi Sakai
    1978 Volume 71 Issue 1 Pages 88-90
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.88
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  • Radiation therapy
    Toshio Kitagawa
    1978 Volume 71 Issue 1 Pages 91-92
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.91
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  • Chemotherapy for neck metastasis
    Yukio Inuyama
    1978 Volume 71 Issue 1 Pages 93-94
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.93
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  • [title in Japanese]
    1978 Volume 71 Issue 1 Pages 95-135
    Published: 1978
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.71.95
    JOURNAL FREE ACCESS
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