Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 72, Issue 4
Displaying 1-20 of 20 articles from this issue
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  • Evaluation of DLSI-test
    Fumihiko Ohta, Hiroshi Hosoi
    1979 Volume 72 Issue 4 Pages 483-489
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.483
    JOURNAL FREE ACCESS
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    The short increment sensitivity index (SISI) test, published by Jerger in 1959, has been generally used as an indirect method for the diagnosis of recruitment phenomenon. Accordingly, the auditory disorders revealing a negative SISI-score, should include either normal hearing or various types of hearing loss such as conductive, retrocochlear hearing loss etc. We attempted to measure the difference limen for sensitivity of short increment for the purpose of differential diagnosis of retrocochlear deafness. This measurement was termed as difference limen for short increment (DLSI) test. The DLSI-value was measured in dB as a function of intensity jump of short increment.
    Nine hundred and forty-two ears with sensorineural hearing loss were tested by DLSI-test routinely as well as by a battery of audiological examinations for differential diagnosis of perceptive deafness. The affected lesions of 73 cases showing abnormally large DLSI-values were investigated. Thirty-five cases showed a large DLSI-value bilaterally. Almost all except for some with head and neck injury and dizziness were patients with brain stem lesions such as cerebellopontine angle tumour, medullar tumour, vertebro-basilar artery insufficiency, cerebellar ataxia, multiple sclerosis. In 38 unilateral cases, a similar tendency was found. It was concluded that the DLSI-test is useful rather as a test for diagnosis of retrocochlear auditory disturbances than as a recruitment examination.
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  • Facial Paralysis caused by Metastatic Brain Tumor
    Satoshi Ogino, Hiromu Uetsuka, Hanako Nakatani, Toshifumi Tatsumi, Hir ...
    1979 Volume 72 Issue 4 Pages 491-497
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.491
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    A 46 year old male complained of left facial paralysis and lumbago of a few days duration. After admission, facial paralysis of opposite side and other cranial nerve paralysis occurred and advanced. Malignant cells were observed in the cerebrospinal fluid, but primary origin of this cancer was unknown. At autopsy, a very small adenocarcinoma, 7 millimeters in diameter, was noted at the right lower pulmonary lobe and there were diffuse metastasis in the brain and meninges.
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  • A Case Report of Trigeminal Hemianesthesia Alternans with Thalamic pain from the Point of View of the Otoneurologic Examination
    Akira Tamada
    1979 Volume 72 Issue 4 Pages 499-510
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.499
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    A 61 year old female was involved in a car accident 3 years ago and sustained a depressed fracture of the skull on the right temporofrontal forehead.
    In the early course of the injury, she noticed the disturbance of the temperature sensation on the right half of her face, and the left extremities and the left half of the body alternately.
    Such was considered to be the appearance of the hemianesthesia alternans.
    After several months, she was found to have a central pain with hyperpathia on the same areas, namely the development of the hemianesthesia dolorosa alternans.
    The mode of the appearance of the thalamic pain was considered to be as follows.
    At the time of the accident, both the spinothalamic and trigeminothalamic tracts were damaged by injury at the level of the right upper side of the pons.
    Each of these tracts would have gradually degenerated retrogradelly up to each nerve cell in the posteroventral nuclei in the thalamus.
    In these nuclei the nerve cells involved in pain-temperature sensation are assumed to be present and have an inhibitory effect on the nuclei of the intralaminar zone in the thalamus.
    When the former cells eventually degenerate, there would be no inhibition on the latter cells and such would in the usual manner. Thus the thalamic pain would gradually appear several months after the accident.
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  • Anaerobic Bacteria in Otitis Media Chronica and Antimicrobial Agent Susceptibility
    Rinya Sugita, Ginichiro Ichikawa, Shigeo Goto
    1979 Volume 72 Issue 4 Pages 511-520
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.511
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    1) Two cases of chronic otitis media are reported. Anaerobic bacteria were found in both cases.
    The first case concerns a 32 year old woman who complained of hearing disturbance of a long duration and an aural discharge. Nature of the aural discharge was pus and fetid secretion. She had been suffering from recurrent postoperative middle ear infection with granulation and narrowing of the external ear canal. Four kinds of anaerobic bacteria were found in her ear discharge. These bacteria were Peptococcus, Fusobacterium, Bacteroides and micro-anerobic streptococcus. After treatment with Lincomycin, the fetid aural discharge disappeared.
    The second case was a 34 year old man.
    He complained of left earache, left ear discharge and vertigo. Surgical intervention revealed that the patient have advanced chronic otitis media with cholesteatoma.
    Four kinds of anaerobic and 3 kinds of aerobic bacteria were found.
    Anaerobic bacteria were Bacteroides, Fusobacterium, Peptococcus and Clostridium. Inoculum size of these anaerobic bacteria was numerous and aerobic bacteria were few.
    2) Antimicrobial agents were studied. Eighty-one strains were recovered from 62 patients with chronic otitis media. The three-disc method with Petri dishes was used for the antimicrobial agents susceptibility test.
    The results were as follows:
    Peptococcus have a considerable sensitivity for many different antibiotics except Kanamycin and Gentamicin. Bacteroides were resistant to PCG, MCIPC, ABPC, SBPC, CER, KM, GM, and EM. On the other hand, Bacteroides were highly sensitive to CP and LCM.
    Our conclusion is that CP should be used as the first choice antibiotic for anaerobic ear infection.
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  • Foreign Bodies in the Auditory Tube
    Minoru Toriyama, Satoru Eguchi, Minako Takeuchi, Kensuke Watanabe
    1979 Volume 72 Issue 4 Pages 521-524
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.521
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    A rare case of foreign bodies in the auditory tube is reported. Pieces of gauze, which had been inserted as a drainage for dental abscess into the space between hard and soft palate, were found in the auditory tube and had caused a suppurative and exudative otitis media.
    The gauze had apparently passed through the soft palate into the nasopharynx, produced a chronic inflammation of the soft tissue around the auditory tube, emerged into the auditory tube and was enforced deep into the tube by catheterization for treatment of the patent auditory tube. The gauze was removed with a forceps and using the celpoc endoscope.
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  • Clinical Evaluaticn of the Streptozyme Test in Habitual Angina and Tonsillar Focal Infection
    Hirotaka Ito, Yoshimasa Sekiya, Isamu Todoroki, Shunkichi Baba
    1979 Volume 72 Issue 4 Pages 525-530
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.525
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    Serological methods for the diagnosis of group A streptococcal infection have proved to be of considerable importance both to the clinical investigator and to the practicing physician. Currently, most clinical diagnostic laboratories perform only a single streptococcal antibody determination the antistreptolysin O (ASLO) test. Unfortunately, some of habitual angina patients have normal serum titers of ASLO, and these problems may be largely overcome by measuring, in addition to ASLO, serum antibodies to the other known extracellular enzymes of group A streptoccoci. A simple and rapid procedure, capable of sinultaneously detecting serum antibodies to a variety of streptocal extracellular products, would be desirable. The streptozyme test may possibly meet these specifications. In the studies reported here, streptozyme test was compared with a battery of conventional antibody determinations (ASLO, Blue ASO, Latex ASL, ASK-SD, Precipitating antibody to SK-SD) in diagnosis of a variety of streptococcal diseases. The relationship between the streptozyme test and other anti-streptococcal antibody titers was studied. Correlation coefficients between streptozyme test and ASLO, ASK-SD, Blue ASO, Latex ASL and Precipitating antibody to SK-SD were r=0.458, 0.528, 0.442, 0.581, and 0.355, respectively. The results suggest that the streptozyme test may indeed be a useful procedure for routine serological diagnosis of group A streptoccal infection.
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  • Three Cases of Primary Malignant Tumors Associated with Primary Cancer of the Larynx
    Michiaki Yokoyama, Hisaaki Ikoma, Tomokazu Shimizu
    1979 Volume 72 Issue 4 Pages 531-540
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.531
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    From 1968-1978 we encountered three cases of multiple primary malignant tumors associated with primary laryngeal cancers.
    Case 1, a 53-year-old male underwent total laryngectomy for squamous cell carcinoma and 89 months later the prostatic cancer was detected.
    Case 2, a 59-year-old female had a successive association of laryngeal and bladder cancers. Her mother had died of the bladder cancer.
    Case 3, a 50-year-old man, the synchronous laryngeal and pharyngeal cancers. He had been at Hiroshima within 1.5Km area of the atomic explosion.
    On the other hand, 105 cases of multiple primary malignant tumors associated with primary laryngeal cancer were reported in the literature in Japan. The most frequent association was stomach cancer followed by lung cancer. The importance of inquiry regarding other malignancies in treatment of laryngeal cancer is discussed.
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  • Surface Markers and Tissue Ig in Non-Hodgkin's Lymphoma
    Hiroshi Ogasawara, Tetsuzo Fujitani, Gentaro Mizojiri, Seishi Hakosaki
    1979 Volume 72 Issue 4 Pages 541-544
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.541
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    In studies of diffuse lymphoma, morphological methods and immunological analysis was done. Tumor cell markers indicated that 5 were B-cell type, 3 were T-cell type, 4 were Null cell type and one was Histiocytic type. The immunoglobulin concentration in tissue homogenates was examined by radial immunodiffusion. Four of these B-cell type showed a significant increase of one of the Ig type. We consider that the same immunoblast produces and accumulate Ig. Tissue Ig analysis proved to be useful in determining the B-cell neoplasia.
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  • Consideration on Assessment of Drug Effect for Vertigo
    Observation of Cases Treated by YC-93
    Jiro Hozawa, Fumihito Suzuki, Akiko Takagi, Ryo Yuasa, Yoshitaka Sasak ...
    1979 Volume 72 Issue 4 Pages 545-549
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.545
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    To assess the effect of YC-93 on vertigo, results of patients treated in Hirosaki University Hospital and Tohoku Rosai Hospital were compared.
    These patients were given per os 6 tab/day (3×1) in 4 weeks, and cupulometry was done 3 times: i) before, ii) 2 weeks after treatment, and iii) 4 weeks after treatment. No differences were noted. 73% of the 15 with aural vertigo (10 Hirosaki, 5 Tohoku) showed improvement of cupulogram. 63% of 8 cases with cervical vertigo (3 Hirosaki, 5 Tohoku) were improved.
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  • Effect of 2% Solution of Disodium Cromoglicate on Perennial Nasal Allergy
    Kazuhito Nakanishi, Kazuo Makimoto, Michiaki Hiramoto, Shinsuke Ito, M ...
    1979 Volume 72 Issue 4 Pages 551-564
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.551
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    To determine clinical effectiveness, clinical safety and convenience of administration, a 2% solution of Disodium Cromoglicate (DSCG) was prescribed for 30 patients with perennial nasal allergy. Responses to DSCG were measured by both subjective and objective parameters.
    Results: 1) The effectiveness was obtained in 73.4% of the patients and onset of the effect appeared within 2 weeks in more than 60% of cases. 2) The solution of DSCG was more effective in patients within one year than those with over a one year history of the disease. 3) The solution was also more effective in patients with Types I and II than those with Types III and IV by CMI test. 4) Subjectively, nasal obstruction showed the greatest improvement and objectively, watery secretion and swelling of the mucous membrane improved markedly. 5) The effectiveness and the safety of the solution were considered to be almost equal to those of the powder form. However, the solution was found to be superior to the powder form in convenience of use. 6) There were no side effects attributed to a 2% solution of DSCG.
    From these results, we summarize as follows: 1) A 2% solution of DSCG is effective in the treatment of perennial nasal allergy. 2) The solution is more easily applied than the powder form and is particularly useful for the treatment of young children.
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  • Immediate Modification of Vestibulilo-ocular Reflex by Visual Stimuli
    Isao Kato, Tadashi Kawasaki, Masaru Aoyagi, Yu Sato, Yoshio Koike
    1979 Volume 72 Issue 4 Pages 565-571
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.565
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    Loss of visual suppression (VS) of caloric nystagmus was produced after creating flocculus lesions. The flocculus receives visual signals through a climbing fiber pathway via the inferior olive (IO) and through a mossy fiber pathway (MF) presumably via the superior colliculus (SC). In order to elucidate the prefloccular nuclei responsible for VS of caloric nystagmus, VS of caloric nystagmus was investigated after making lesions in such nuclei as the SC and the IO in 42 cats under halothane or α-chloralose with pentobarbital sodium anesthesia. After the IO lesion, VS of caloric nystagmus was revealed in all IO-lesioned cats throughout the whole experimental course. After the SC lesion, loss of VS was constantly observed and persisted in 7 out of 9 cats. Hence, the MF pathway via the SC is considered to be the most likely candidate for the immediate modification of the vestibulo-ocular reflex by visual stimuli.
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  • Further Studies on the Oxygen Tension of Human Perilymph
    Kiyotaka Murata
    1979 Volume 72 Issue 4 Pages 573-578
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.573
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    Oxygen tension of human perilymph was measured in patients with sudden deafness and otosclerosis.
    Inhalation of 5, 7 and 10% CO2 of pure oxygen increased in otosclerosis the perilymphatic oxygen tension by 100, 200 and 300%, respectively.
    It seems likely that during inhalation of air, there is a significant difference between the absolute values of the perilymphatic oxygen tension in the two diseases.
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  • Surgical Treatment of Eustachian Tube Dysfunction
    Experimental and Clinical Study
    Iwao Honjo, Tadami Kumazawa, Keiji Honda, Nobuhiro Okazaki
    1979 Volume 72 Issue 4 Pages 579-585
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.579
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    Two surgical procedures for improvement of tubal function were experimentally tested and applied to patients with severe tubal dysfunction, such as stenosis or patency of the tube. By electrical muscle stimulation, it was found that in dogs, a procedure of cutting the tensor veli palatini muscle; the most important muscle for tubal opening, produced consistent tubal obstruction, while shortening the tensor muscle by suturing it around the hamular process resulted in a consistent increase in tubal patency. These procedures were utilized in cases of 5 patients with severe tubal disturbance, and postoperativelythese patients were followed-up utilizing tubo-tympano-aerodynamic gram and tympanogram. All patients with an abnormal tubal patency showed immediate relief but no long-lasting effect, indicating the unsatisfactory result of this procedure for clinical application. In one patient with the obstructive tube, gradual improvement to nearly normal function was noted one month after the surgery.
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  • Increasing tendency in occurrence of secretory otitis media
    Kazutomo Kawamoto
    1979 Volume 72 Issue 4 Pages 587
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.587
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  • Applications and methods of transtympanic tube insertion for secretory otitis media in children
    Toshihiko Yokoyama
    1979 Volume 72 Issue 4 Pages 588-590
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.588
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  • Clinical observation of secretory otitis media in chidren
    Tamotsu Miyoshi
    1979 Volume 72 Issue 4 Pages 590-593
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.590
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  • The management of secretory otitis media and its difficulty
    Keijiro Koga
    1979 Volume 72 Issue 4 Pages 593-595
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.593
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  • Secretory otitis media and its management
    Isao Kowata
    1979 Volume 72 Issue 4 Pages 596-598
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.596
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  • Treatment of secretory otitis media
    Kenji Nakamura
    1979 Volume 72 Issue 4 Pages 599-601
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.599
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  • Treatment for secretory otitis media
    Kensai Shirabe
    1979 Volume 72 Issue 4 Pages 601-603
    Published: 1979
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.72.601
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