Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 72, Issue 2
Displaying 1-14 of 14 articles from this issue
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  • Otosclerosis and the Diagnosis in Japan
    Haruo Saito, Kiyotaka Murata, Taizo Takeda
    1979 Volume 72 Issue 2 Pages 107-110
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.107
    JOURNAL FREE ACCESS
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    The incidence of otosclerosis in Japanese is low and accordingly most of the otosclerotic ears have escaped attention.
    One of the authors (H. S.) studied the stapedectomized footplates from ears with fixed stapes syndrome and confirmed foci which belonged to the classification of a true otosclerosis.
    Detections of otosclerosis in Japan at the present time depends upon the physician actually looking for evidence of same. Tympanometry and stapedial reflex are particulary helpful in the diagnosis, in combination with conventional pure tone audiometry.
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  • Cogan's Syndrome: Report of a Case
    Masahiro Mizuno, Atsushi Komatsuzaki
    1979 Volume 72 Issue 2 Pages 111-122
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.111
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    An 18-year-old female student had had recurrent bilateral ocular symptoms for eight years and arthralgia for three years. The ocular symptoms subsided each time steroid eye drops were applied. Recurrent vertiginous attacks appeared fifteen months previously and she had noticed bilateral tinnitus and hearing impairment during the past five months. Hearing impairment had been fluctuant and progressive despite oral steroid therapy.
    Ophthalmologic examination revealed iritis, episcleritis and peripheral corneal deposits. Neurotological examination demonstrated bilateral sensorineural deafness of the cochlear type and bilateral severe vestibular dysfunction. Steroid therapy had no apparent effects on either hearing or vestibular dysfunction. Visual acuity was well preserved.
    The etiology of Cogan's syndrome remains to be elucidated. In this case, no interstitial keratitis was demonstrated, and such was attributed to the steroid therapy in the early stage of ocular signs. The possible relationship between Cogan's syndrome and systemic vascular disorders was suggested.
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  • Bilateral Acoustic Tumors (3)
    Neurootological Findings
    Ken Kitamura, Atsushi Komatsuzaki
    1979 Volume 72 Issue 2 Pages 123-134
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.123
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    Twenty Japanese patients with bilateral acoustic tumors were treated at Tokyo University Hospital during the period of 1960-1977. We have already reported the clinical signs, symptoms and the auditory findings. An analysis was made of the neurootological findings of 20 patients.
    Among the forty ears of 20 patients, the caloric test results were as follows: no response in 29 ears, decreased response in 8, and normal response in 3 ears.
    Only 3 of 16 patients revealed positional nystagmus. The presence of positional nystagmus in bilateral acoustic tumors was less frequent than unilateral acoustic tumors, as most patients with bilateral acoustic tumors had a bilaterally decreased caloric function.
    Regarding spontaneous nystagmus in 18 patients, gaze directional nystagmus was noted in 11 cases, and no nystagmus in five cases.
    The patients who showed no evidence of spontaneous nystagmus and good response of optokinetic nystagmus were considered to have small sized tumors. However, neuroradiological findings, particularly CT scan, showed relatively larger sized tumors in these patients.
    We have already reported that there is less correlation between auditory findings and tumor size of bilateral acoustic tumors than unilateral acoustic tumors. Such behavior of bilateral acoustic tumors was also seen in the neurootological results.
    Even in some patients with large sized bilateral acoustic tumors which were assumed to adhere to the brain stem, several patients showed no sign of brain stem dysfunction. Bilateral acoustic tumors have less influence on the surrounding tissues than do unilateral tumors. These results suggest that the etiology of bilateral acoustic tumors differs considerably from that of unilateral acoustic tumors.
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  • A case Report of Castleman Lymphoma Arising from the Left Parotid Region
    Satoshi Koike, Toshiaki Ogawara, Yasushi Kojo, Shosuke Moriwaki, Yoshi ...
    1979 Volume 72 Issue 2 Pages 135-140
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.135
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    A 14 year-old female complained of a tumor arising from the left parotid gland region and a histological diagnosis of Castleman lymphoma (hyaline-vascular type) was made.
    She showed hypoplasia with poor secondary sex characteristics. There was no definite evidence in hormonal examinations between the endocrine abnormality and the immune complex disease due to the lymph node swelling.
    Castleman lymphoma must be differentiated from other diseases of the cervical lymph node such as lymphosarcoma, giant follicular lymphoma and reactive lymphadenopathy. The most common site of Castleman lymphoma is in the mediastinal region and the next in the cervical area. The usual treatment of Castleman lymphoma is excision and the prognosis is usually good.
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  • Effects of ROIN® (Cinnarizine) on Vertigo
    Masaaki Suzuki, Tohru Shida
    1979 Volume 72 Issue 2 Pages 141-148
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.141
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    Cinnarizine was administered to a total of 35 patients with vertigo, and the therapeutic effects were reviewed. As a result of efficacy-judgement of the whole improvement rate on subjective and objective findings, effectiveness of this drug was observed for the treatment of Meniere's disease, “forme fruste” Meniere's disease, benign paroxysmal cephalic vertigo, and spondylocerebro-basal arteriocirculatory insufficiency. Moreover, the effect was observed on concomitant symptoms such as nausea, vomiting, heavy feeling of the head, and headache. The effect on tinnitus was minor, and no effect was observed in cases of “hard of hearing”. As for the side effects, one patient complained of somnolence.
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  • Alternative Step-Rotation Test
    An Active Rotation Test
    Masakiyo Yoshii
    1979 Volume 72 Issue 2 Pages 149-155
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.149
    JOURNAL FREE ACCESS
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    A new dynamic equilibrium test of the step-rotation method was devised to determine the labyrinthine function during programmed movement.
    This method consisted of a combination of one-four rotation and steppings. Each active rotation was performed in two steps; 90° rotation was made with the first step in I-V method, with the second step in method VI.
    Rotation and stepping were designed in the following manner:
    1) Method I-IV (90°-360°)
    1-,
    1-2-, 1234, 5678×4 times
    1-2-3-,
    1-2-3-4-,
    2) Method V (Combined)
    (1-, 12345678)-(1-2-, 12345678)-
    (1-2-3-, 12345678)-(1-2-3-4-, 12345678)
    3) Method VI (Rhythm)
    (1234) (1234) (----)×12-16 times
    =rotation
    1) Latent deviation often appears more clearly with these programmed movements.
    2) Effects of active rotation are somewhat different from those of passive rotation, as there are prolonged rotatory after-effects.
    3) Even in cases of latent labyrinthine deviation with negative results of the examination, patients often complained of a sense of difficulty with the active rotation in the direction against latent labyrinthine deviation.
    4) The methods of I-V may be useful for estimating the healing process of vertigo. These methods may also be used as aptitude tests for sportsmen and/or pilots.
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  • Alternative Step-Rotation Test
    Masakiyo Yoshii
    1979 Volume 72 Issue 2 Pages 157-167
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.157
    JOURNAL FREE ACCESS
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    A new dynamic equilibrium examination of alternative step-rotation test was reported in a previous paper.
    In the present paper, the following points were discussed.
    1) Alternative step-rotation as programmed movements.
    2) Appearance of latent deviation during these movements.
    3) A prolonged rotatory after-effect resulting from active rotation.
    4) Afferent vestibular information related to the sense of difficulty of active rotation. (Also cerebral dominance.)
    5) Rhythm and programmed movements.
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  • Psychosomatic factors and cochlear symptoms
    Jin Kanzaki
    1979 Volume 72 Issue 2 Pages 169-172
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.169
    JOURNAL FREE ACCESS
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  • Neurotological study on diagnosis and treatment of neurotic vertigo
    Analysis of neurotic vertigo with “equilibrium tests for neurotic vertigo”
    Kazuhito Nakanishi, Manabi Hinoki
    1979 Volume 72 Issue 2 Pages 173-185
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.173
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  • Psychosomatic factors in nasal allergy
    Minoru Okuda, Mitsuaki Takahashi
    1979 Volume 72 Issue 2 Pages 186-189
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.186
    JOURNAL FREE ACCESS
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  • Psychosomatic approach to voice and speech-disorders
    Yoshiteru Ohno
    1979 Volume 72 Issue 2 Pages 190-193
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.190
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  • Psychosomatic approach to foreign feeling in the pharyngolaryngeal region
    Tadashi Hinohara
    1979 Volume 72 Issue 2 Pages 194-197
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.194
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  • Summary of reports and a consideration on psychosomatic diseases in otolaryngology
    Manabi Hinoki
    1979 Volume 72 Issue 2 Pages 198-203
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.198
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  • [title in Japanese]
    1979 Volume 72 Issue 2 Pages 205-246
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.205
    JOURNAL FREE ACCESS
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