Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Search
Advanced search
OR
Browse
Search
Volume 72, Issue 1
Displaying 1-17 of 17 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • Labyrinthine Fistulae and Postoperative Hearing
    Haruo Saito, Kiyotaka Murata, Seiji Kishimoto, Kazuo Miyamoto, Hideo H ...
    1979 Volume 72 Issue 1 Pages 3-7
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.3
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A retrospective study of 498 cases of ear surgery revealed 41, or 8.23%, labyrinthine fistulae, 33 of which were caused by cholesteatoma and 8 by a fistula related granulomatous osteitis.
    Positive fistula sign was noted on only 18, or 46.5%, patients.
    Seven total deafness was seen preoperatively, and in 3 the fistulae was larger than 2mm in diameter.
    Incidence of postoperative sensorinerual deafness increased with the size of the fistulae. Four of the eight large size fistulae, larger than 2mm, 3 of the 9 medium size fistulae, between 1 and 2mm, resulted in sensorineural deafness, postoperatively. However, in 76.5% the hearing was preserved.
    In two ears, profound deafness was noted on the 7th post-operative day and such recovered completely in about one month. Serous labyrinthitis appeared to be involved here.
    In 23.7%, draining ears with fistulae progressed to sensorineural deafness, including 2 with a total deafness, postoperatively.
    The following was concluded:
    There is good chance of preserving hearing even with a large open labyrinthine fistula in the semicircular canal, and in cases of infected large fistula, the cholesteatoma matrix and granulation tissue should be left untouched and then removed in a second stage operation.
    View full abstract
    Download PDF (418K)
  • A Case of Atlanto-Axial Dislocation with Oscilloptic Vertigo
    Akira Tamada
    1979 Volume 72 Issue 1 Pages 9-19
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.9
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A 55 year old male was hit on the neck from the back while riding in a car, approximately 8 years ago. Transient episodes of tinnitus resulted. He did well until 3 years ago when he was climbing up a ladder to trim blossoms on the trees in his orchard. At that time he suddenly noted for the first time a oscilloptic vertigo, followed by nausea, tinnitus and headache. He immediately went home to bed for about one week, during which time, all the symptoms completely subsided without special treatment, and there was no recurrence.
    The following spring, he again developed the episode of the same symptoms as those seen in the previous year and he visited our ENT clinic in Shizuoka City Hospital. Otoneurogical examinations revealed a canal paresis on the right side. He was then refered to the neurosurgical unit for vertebro-basilar angiography and was found to have atlanto-axial dislocation with complete abscence of dens axis, the occipitalization of the atlas, the fusion of C2 and C3 vertebra and hypoplasia of the right vertebral artery. The possible diagnosis of basilar impression was also considered from evidence on radiological findings. He was treated with Cephadol and Isomenyl alternately, according to the symptoms, with good clinical results. In the spring of 1977, he again developed the same episode of one week duration although such was less severe compared to the previous year.
    He was also found to have diabetes mellitus which may be associated with the compression of the lower medulla oblongata.
    This syndrome is considered to be brought on by the compression of the upper spinal cord and lower medulla oblongata due to the C1-C2 dislocation or basilar impression rather than the insufficiency of the right vertebral artery.
    View full abstract
    Download PDF (7212K)
  • Necrotizing External Otitis in a Child
    Kiyofumi Gyo, Yasushi Matsumoto, Hiroshi Okamura, Naoaki Yanagihara
    1979 Volume 72 Issue 1 Pages 21-26
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.21
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A 6 year-old child came to our clinic with complaints of necrosis of the right external auditory canal and obstruction of the left. The patient had had a bilateral otorrhea and hearing loss from the age of 4. In spite of intensive treatment the otorrhea had never disappeared and necrosis of the both ear canals had developed. The left ear canal was soon closed by granulation, but necrosis of the right had progressed to the surrounding tissue and the entire cartilaginous part had been absorbed.
    Repeated bacteriological examination showed staphylococcus aureus. General examination revealed no abnormality.
    Extensive surgical debridement of infected tissue was carried out on both ears and an effective antibiotic (Cephalosporin) was prescribed. The postoperative course was favorable and healthy granulation appeared on both sides. To prevent closure of the canals, silastic tubes were left in place. However in the left ear, the growth of the granulation was so rapid that the wound closed immediately after the operation.
    View full abstract
    Download PDF (3956K)
  • Motion Sickness and Nasal Allergy among Preschool and School-age Children
    Hiroaki Miyamoto, Toru Matsunaga, Osamu Tanaka, Takatsugu Kataoka, Ich ...
    1979 Volume 72 Issue 1 Pages 27-34
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.27
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A survey of 7, 200 preschool and children between ages 6 and 15, for motion sickness and nasal allergy showed that 2, 600 (35.7%) habitually experienced motion sickness, with the incidence being higher among females, and that 1, 000 (13.7%) had symptoms of nasal allergy with its predilection for males.
    Comparison of these data with the data in 1963 showed that the incidence of motion sickness has increased tenfold during this 14 year period probably due to increased utilization of cars and buses.
    View full abstract
    Download PDF (669K)
  • Mesenchymal Chondrosarcoma of the Right Maxilla
    Yuko Minami, Akinori Ichikawa, Shigeyoshi Fujiwara
    1979 Volume 72 Issue 1 Pages 35-40
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.35
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We report herein a case of mesenchymal chondrosarcoma occurring in the right maxilla of a 24-year old Japanese female. This is a rare neoplasma and was first described by Lichtenstein and Bernstein in 1959. Since then, 65 cases have been reported by Guccion et al in 1973.
    In Japan, the first case was reported by Masuda et al in 1965 and 10 cases have been reported including the present one. Only one other case of occurrence in the maxilla has been reported.
    This neoplasma is charactarized by unique histopathologic features which consist of undifferentiated mesenchymal and well differentiated chondroid tissue.
    View full abstract
    Download PDF (3920K)
  • Primary Care in Cases of Trauma to the Larynx and Trachea
    Shigejiro Kurita, Minoru Hirano, Takemoto Shin, Shigenobu Mihashi, Yos ...
    1979 Volume 72 Issue 1 Pages 41-49
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.41
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Primary care should be first directed to maintenance of an adequate airway. Tracheostomy may be required.
    The soft tissue should be preserved. Intralaryngeal wound (s) should be primarily sutured.
    The cartilagenous framework should be repositioned if dislocation is present.
    Antibiotics and steroids should be given in cases of fresh injuries in order to minimize infection and development of scars.
    View full abstract
    Download PDF (2501K)
  • A Case of Cat Scratch Disease
    Sanetomi Eguchi, Yujiro Matsumura, Yasushi Nomura, Tomoko Yanagita, Ak ...
    1979 Volume 72 Issue 1 Pages 51-55
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.51
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We encountered a 49yr. old Japanese male with Cat Scratch Disease. The chief complaint was lymph node swelling in the right upper neck. There was a local redness, slight pain, headache and stiffness in the shoulders. He had fed cats since childhood and clinical and patho-histological evidence confirmed the diagnosis. Virus infections were absent but a corynebacterium was present.
    Tetracycline and Macrolide were effective.
    View full abstract
    Download PDF (2475K)
  • Treatment for Nasal Allergy
    Comparison of Effects between Administration 1 Vial and 2 Vials of Histaglobin
    Hiroaki Miyamoto
    1979 Volume 72 Issue 1 Pages 57-62_1
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.57
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Study was made on 50 patients with allergic rhinitis and those suspected of allergic rhinitis whose main complaints were nasal allergy conditions, namely, sneezing, nasal secretion, in cases of nasal obstruction, etc. Twenty-six patients were given 1 vial of Histaglobin (10 vials over a course of treatment) and 24 patients 2 vials (20 vials over a course of treatment) to compare the effect.
    1) The effect ratio of 1 vial group was 69.2%, and that of 2 vial group was 87.5%.
    2) In both groups results were excellent for sneezing attacks, nasal secretion, but the efficacy in cases of nasal obstruction was considerably less.
    3) No adverse reaction was observed in either group.
    View full abstract
    Download PDF (535K)
  • A Double-Blind Clinical Trial of Diclofenac Sodium Suppositories for Pain and Inflammation after Tonsillectomy
    Fumio Azuma, Jyuichi Itoh, Taizo Takeda, Izuru Matsuoka
    1979 Volume 72 Issue 1 Pages 63-75
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.63
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    A double blind trial for a new anti-inflammatory agent in suppository form, diclofenac sodium (Voltaren), was conducted together with indomethacin suppository administration regarding efficacy and tolerability for treatment of pain and inflammations after tonsillectomy. An equal number of patients in both groups (diclofenac sodium groups: 25 men and 33 women, indomethacin group: 34 men and 24 women) were administered a daily dose of 100mg of each drug for six days. The results obtained from this trial did not reveal any statistical difference in overall efficacy and utility between both groups.
    In the diclofenac sodium group, however, a significantly higher percentage of improvement in pain at the time of swallowing on the day of operation was observed (P<0.05). Adverse reactions were observed with 8 cases (13.8%) of diclofenac sodium group and in 5 cases (8.6%) in the indomethacin group. There were no serious side effects in either group.
    Laboratory tests were normal in patients on diclofenac sodium, but abnormalities such as decreased RBC, decreased Hgb and elevated GPT, were noted in two patients in the indomethacin group.
    View full abstract
    Download PDF (1122K)
  • The Influences of Sympathomimetic Drugs on the Perilymphatic Oxygen Tension in Cats
    Nobuya Yagi
    1979 Volume 72 Issue 1 Pages 77-88
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.77
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The perilymphatic oxygen tension was studied in 67 cats with the polarographic method, in response to sympathomimetic drugs. Noradrenaline, Adrenaline and Methoxamine induced increases in the perilymphatic oxygen tension. With these drugs, the ratios of the perilymphatic oxygen tension to blood pressure were greater than that of Angiotensin possibly because of the permeability change due to the stimulants. An α blocker drug, such as Ergotamine, produced no remarkable change in the perilymphatic oxygen tension. However, Regitine®, Tolazoline® and POB produced progressive decreases in the perilymphatic oxygen tension, mainly the decrease in blood flow, with a weak blockade of α receptor. Also, POB inhibited the increase in the perilymphatic oxygen tension in response to Noradrenaline, but had no effect on the response to Angiotensin. Alupent, Isoproterenol and β blocker, Inderal® produced no remarkable changes in the perilymphatic oxygen tension. The oxygen permeability of the cochlear vessel wall is weakly influenced by α receptors.
    View full abstract
    Download PDF (1193K)
  • Surgery following unsuccessful radical middle ear procedures: a special technique
    Jun-Ichi Suzuki
    1979 Volume 72 Issue 1 Pages 89-91
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.89
    JOURNAL FREE ACCESS
    Download PDF (300K)
  • Management of radical surgery in chronically inflamed ears
    Yuichi Nakano
    1979 Volume 72 Issue 1 Pages 92-94
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.92
    JOURNAL FREE ACCESS
    Download PDF (370K)
  • Surgical procedures in the middle ear for treatment of cavity after radical surgery
    Yoshio Honda, Kazuo Seki
    1979 Volume 72 Issue 1 Pages 94-95
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.94
    JOURNAL FREE ACCESS
    Download PDF (216K)
  • Tympanoplasty in cases of radical surgery
    Tetsuya Shitara
    1979 Volume 72 Issue 1 Pages 96-98
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.96
    JOURNAL FREE ACCESS
    Download PDF (358K)
  • Indication and technique for reoperation of the middle ear
    Isao Takimoto
    1979 Volume 72 Issue 1 Pages 98-100
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.98
    JOURNAL FREE ACCESS
    Download PDF (348K)
  • Surgery for uncontrolled otorrhea after radical mastoid surgery: concept and principle
    Naoaki Yanagihara
    1979 Volume 72 Issue 1 Pages 100-102
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.100
    JOURNAL FREE ACCESS
    Download PDF (355K)
  • Selection of surgical approach in cases of radical surgery in the middle ear
    Tamotsu Morimitsu
    1979 Volume 72 Issue 1 Pages 103-105
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.103
    JOURNAL FREE ACCESS
    Download PDF (317K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top