Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 73, Issue 11
Displaying 1-16 of 16 articles from this issue
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  • Etiologies of Bilateral and Recurrent Facial Palsies
    Koshiro Nakamura, Yasushi Matsumoto, Naoaki Yanagihara
    1980 Volume 73 Issue 11 Pages 1673-1678
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1673
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    Bilateral or recurrent facial palsies were found in 70 patients (3.8%) among the 1856 patients with facial palsy whom we treated during the last fifteen years. According to the clinical course, these 70 patients were classified into the following four groups.
    1) Bilateral simultaneous facial palsy (15 patients, 0.8%)
    2) Bilateral recurrent facial palsy (3 patients, 0.2%)
    3) Bilateral alternating facial palsy (24 patients, 1.3%)
    4) Unilateral recurrent facial palsy (28 patients, 1.5%)
    The bilateral simultaneous facial palsies were caused by Bell's palsy in five patients, head trauma in three, the Melkerson-Rosenthal syndrome in one, otitis media in two, myasthenia gravis in two, polyneuritis in two. The etiologies of four other patients were unknown. In contrast to multiple etiologies of the bilateral simultaneous facial palsies, bilateral alternating and recurrent palsies were caused mostly by Bell's palsy (22 patients) and the Melkerson-Rosenthal syndrome (3 patients). Although the majority of unilateral recurrent facial palsies were caused by Bell's palsy (22 cases) and the Melkerson-Rosenthal syndrome (2 cases), it is noteworthy that intratemporal tumors such as neurinoma of the facial nerve (1 patient) and cholesteatoma in the petrous apex (2 cases) could be the cause of recurrence.
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  • Entire Reconstruction of the Radically Operated Middle Ear
    Evaluation of Effectiveness of this Surgery in Terms of Long-Term Results
    Akira Kodama, Daiji Nagai, Jun-ichi Suzuki
    1980 Volume 73 Issue 11 Pages 1679-1686
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1679
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    Reconstructive surgery of radically operated ears is more difficult than fresh cases of chronic otitis media. There are more severe symptoms and complaints in many cases with operated ears than fresh cases. In considering the social and psychological aspects of such operated cases, the significance of surgical improvements is extremely important.
    Long-term results of the entire middle ear reconstruction surgery were statistically studied in this paper. The effectiveness of this surgery as well as problems are discussed.
    Aural discharge was arrested in all these cases except a very few. Hearing was restored in a relatively high percentage of patients. Some problems in a few cases remained after reconstructive surgery, but these were solved with simple, secondary treatment.
    Reconstruction of the operated middle ear is, therefore, entirely justifiable.
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  • Long-term Results of Endolymphatic Sac Operation in Meniere's Disease
    Part-I. Auditory Findings
    Takashi Fukaya, Masao Asai, Atushi Komatuzaki
    1980 Volume 73 Issue 11 Pages 1687-1692
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1687
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    Long-term results of endolymphatic sac operation for the treatment of Meniere's disease was evaluated in terms of hearing.
    Eighteen cases were followed in this study for a period of at least two years.
    In eight of the 18 operations [44%], the endolymphatic sac could not be identified. In most cases (78%), hearing was found to be practically unchanged. There was no correlation between the development of the endolymphatic sac and post-operative hearing. This suggests that exposing the posterior fossa dura in the region of the endolymphatic sac may contribute to controlling the symptoms of Meniere's disease.
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  • Four Cases of Carcinoma of the Auditory Organ
    Makoto Hamada, Tadao Enomoto, Kazuo Matsui, Tatsuko Enomoto, Kozo Shiz ...
    1980 Volume 73 Issue 11 Pages 1693-1697
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1693
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    Carcinoma of the auditory organ is relatively rare. We report four cases in this review. From 1970 through to 1978, these patients visited our hospital with complaints of otorrhea, feelings of ear obstruction or hearing loss. The origins of the four tumors were as follow: two in the external auditory canal, one in the mastoid, and one in the auricle. Three of them were squamous cell carcinoma, and the other was basal cell carcinoma. After treatment with surgery, chemotherapy and 60Co irradiation, the patients are doing well with no recurrence in any case.
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  • A Case of Osteochondroma of the Tongue
    Yukio Satoh, Yoshitsugu Ogawa, Jin Ouchi
    1980 Volume 73 Issue 11 Pages 1699-1705
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1699
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    A case of osteochondroma of the tongue was reported with a review of the literature.
    A 27-year-old woman was seen on August 19, 1975, with the complaint of “something growing on the tongue”. The lesion had increased in size in 23 years. A mass about the size of a walnut was found on the left side of the middle third of the tongue.
    The lesion was removed under general anesthesia on October 17, 1975.
    Benign bony and cartilagenous tumors of the tongue are quite rare. In the world-wide literature on the subject, 13 cases of osteoma, 17 cases of chondroma and 3 cases of osteochondroma were reported.
    The exact etiology of those lesions is not known, but two theories have generally been advanced to account for the formation of bony and cartilaguenous tumors of the tongue: the congenital theory and the metaplastic theory.
    The lesion in this case appeared to be metaplastic in origin.
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  • Pathogenesis and Drug Therapy of Nasal Polyp
    Effect of Lysozyme Chloride (Neuzym)
    Ichiro Furuuchi, Katuhiko Sato, Chuyong Wang, Kotaro Banba
    1980 Volume 73 Issue 11 Pages 1707-1718
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1707
    JOURNAL FREE ACCESS
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    Lysozyme chloride (Neuzym) was used in 18 patients with nasal polyp at the dose level of 270mg/day for long periods.
    1. The global assessment of the responses of 18 patients was such that the drug effect was excellent in 22.2% (4 patients), good in 16.7% (3) and fair in 38.8% (7). In short, the rate of effectiveness was 38.8% (7) when the “fair” response was excluded.
    2. The drug effect was excellent or good in many patients of the groups which received the drug for periods of 21 to 42 days. After 21 to 42 days of treatment, the rate of effectiveness was 33.3% (6 patients) which the “fair” response was excluded.
    3. The number of patients who showed a response better than “fair” was greatest among those who had a 3-years or shorter length of history of nasal polyp. In this group of patients, the rate of effectiveness was 50.0% (6 of 12 patients) when the “fair” response was excluded.
    4. The drug effect was better than “fair” when nasal polyps were P1 or smaller in size, whether they were isolated or multiple. In the case of P2 or smaller isolated nasal polyps, the rate of effectiveness was 50.0% (5 of 10 patients) when the “fair” response was not included and 90.0% (9 of 10) when the “fair” response was also taken into account, whereas in the case of multiple nasal polyps the corresponding figures were 40.0% (2 of 5), and 60.0% (3 of 5) respectively. In short, the rate of effectiveness was a little higher with isolated polyps than with multiple ones.
    5. The drug effect was excellent or good in a relatively larger number of patients without a history of nasal polypectomy.
    6. No side effects of the drug were elicited, nor were the laboratory data abnormal.
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  • A Study on the Organ Concentration of Cefamedin in ORL Region by Infusion
    Toyoji Miyoshi, Seiji Kishimoto, Michiaki Hiramoto, Masanao Ohkawa
    1980 Volume 73 Issue 11 Pages 1719-1727
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1719
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    The concentrations of cefamedin in the tonsil, mucous membrane of the nasalparanasal cavity, parotid and thyroid glands after infusion were studied.
    Two grams of cefamedin in 100ml saline had been administered for 30 minutes by infusion, the operation started and the above-mentioned organs were excised. These organs were homogenized in phosphate buffer and the concentrations of cefamedin in the tissues were measured by a bio-assay using the disc method. The organism tested was Bacillus subtilis.
    The serum concentration of the substance in the venous blood was also measured by the same method. Concentrations in the organs and in the serum were compared. The concentrations in the organs were always less than that in the serum and reached their peaks somewhat later than that of the serum. The concentrations were highest in the nasal-paranasal group, followed by the parotid and thyroid groups which had the same level and were lowest in the tonsillar group.
    The order of the transfer ratio, concentration in the organ to that in the serum, was as follows, nasal-paranasal mucosa>parotis=thyroid>tonsil. The transfer ratio reached its peak 30 to 60 minutes after infusion and decreased thereafter.
    By infusing cefamedin, tissue concentrations sufficient to produce prophylactic effects were obtained as confirmed at the moment of excision.
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  • Nasal Secretions from Patients with Chronic Sinusitis
    Yasuo Sakakura, Masuichi Ohi, Hiroshi Mitsui, Tsutomu Matsuba, Haruki ...
    1980 Volume 73 Issue 11 Pages 1729-1736
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1729
    JOURNAL FREE ACCESS
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    Physico-chemical properties of human nasal secretions from health and disease are not well defined. It is likely that nasal secretions reflect pathological circumstances in the nose and paranasal sinuses. Therefore, analysis of physico-chemical properties of the nasal secretions may lead to the better understanding of the pathogenesis and facilitate evaluation of the severity and therapeutic effects of the diseases in the nose and paranasal sinuses.
    Measurement was made of the pH, relative viscosity, dry matter, protein and polysaccharide in the nasal secretions from 16 patients with chronic sinusitis who were so diagnosed by rhinoscopy and radiology. The pH and relative viscosity averaged 7.50±0.66 and 17.4793±23.3786, respectively. Dry matter, protein and polysaccharide in the chronic sinusitic nasal secretions averaged 54.2mg/g±17.2, 30.5mg/g±19.1 and 3.53mg/g±1.92, respectively. They were considerably higher than those obtained from control subjects. Significant correlations were noted among dry matter, protein and polysaccharide.
    A nasally administered drug appears to be trapped in the mucus layer and interacts with nasal secretions. When passing through the nasal cavity to the pharynx by way of mucociliary clearance, the drug may be absorbed by or injure the nasal mucosa. The pH of pooled nasal secretions diluted 8-fold by distilled water of pH 3.0-7.0 turned out to be 7.0-8.0. The pH of pooled nasal secretions diluted 8-fold by various drug solutions in distilled water or saline of pH 5.0-7.0 was 7.0-8.0. DOX and lysozyme in a concentration of 2% in distilled water aggregated pooled nasal secretions in vitro. This indicates that the nasal secretions from chronic sinusitis patients possess a strong buffering capacity and the solvent used for dissolving the drug has an important role in the topical treatment of nasal illnesses.
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  • Follow-up Results of Ultrasonic Operation on Meniere's Disease
    Norimitsu Asai
    1980 Volume 73 Issue 11 Pages 1737-1780
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1737
    JOURNAL FREE ACCESS
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    Purpose:
    The purpose is to study follow-up results of ultrasonic operation.
    Subjects:
    The subjects are 23 patients with Meniere's disease who have undergone ultrasonic operation at the Department of Oto-laryngology, the Gifu University.
    Of them, 17 were subjected to radical irradiation aiming at destructive effect and 6 to conservative irradiation in the hope of therapeutic effect.
    The postoperative observation period was 1 to 5 years in 9 patients, 6 to 10 years in 9 and 10 years or more in 5.
    Parameters studied:
    1. Effect on recurrent attack of vertigo
    2. Postoperative hearing
    3. Function of equilibrium after surgery
    4. Evaluation on the follow-up results in accordance with the criteria of the AAOO (American Academy of Ophthalmology and Otolaryngology)
    Results:
    1. Vertigo disappeared in 20 cases (87%) and improved in 3 cases (13%).
    2. Hearing improved in 3 cases (13%), remained unchanged in 9 cases (39%) and worsened in 11 cases (48%). Tinnitus improved in 5 cases (22%), remained unchanged in 15 cases (65%), was aggravated in 2 cases (9%) and unknown in 1 case (4%).
    3. With the eyes opened, the standing disturbance was improved to near normaly about 1 to 3 months after operation in many cases.
    With the eyes closed, the standing disturbance persists relatively for a long time. The results of caloric tests are based on syringing with water at 30°C and 44°C, there being 17 disappeared cases (74%), 4 decreased cases (17%), 1 normal case (4%) and 1 unknown case (4%).
    4. Class A (vertigo controlled, hearing improved) 3 cases (13%)
    Class B (vertigo controlled, hearing unchanged) 9 cases (39%)
    Class C (vertigo controlled, hearing aggravated) 11 cases (48%)
    Class D (vertigo not controllable) 0
    Conclusion:
    The results were generally satisfactory in 23 cases with vertigo controlled completely and the hearing either improved or unchanged in more than half of the cases. Thus, it may be given as a conclusion that the ultrasonic operation is effective for cases of non fluctuating hearing with severe loss.
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  • Loucus Analysis of the Sway of the Body's Center of Gravity Seen in the Stepping Movement
    A Study on the Left and Right Step Movement Time
    Jin Okubo, Kunihiko Tsutsumiuchi, Takashi Yoshizumi, Norihiko Ishikawa ...
    1980 Volume 73 Issue 11 Pages 1781-1789
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1781
    JOURNAL FREE ACCESS
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    The body equilibrium control is maintained by two mechanisms. One is the mechanism of dynamic equilibrium control and the other is that of static equilibrium control. We designed a “Kinetogravicorder” for the analysis of the dynamic control mechanism and administered a “stepping test” (Fukuda's method) as the loading for the examination with this device. The stepping movement which we observed this time is an entirely different movement from the walking movement we had used before, and is an effective test method for the determination of stepping deviations.
    We made our analysis by loading different rhythms and different visual influences (light, darkness, eyes open and closed).
    The work required for stepping rhythms of the left and right feet coordinated with the central nervous system and the refractory system for movement. We, therefore, measured the duration of the contact of the left and right foot-soles with the floor, and the time it took for the swing to go from the left foot to the right and vice versa in the stepping movement, and analyzed the results.
    In the rhythmic stepping movement, the contact times of the left and right foot-soles at different rhythms of 0.8Hz, 1.0Hz and 1.2Hz were found to change proportionally to the rhythm. However, there was no significant difference in the time of the swing from the left to the right feet and vice versa between the frequencies of 1.0Hz and 1.2Hz, with no indication of a proportional relationship.
    We concluded from the above results that the central control factor working against the stepping rhythm was providing the control during the duration of the plantar contact and the swing duration had a great deal to do with the spinal level control of refractory function.
    With regards to the deviation produced under different visual influences, we discovered that when a person was right-handed, the left foot was the dominant supporter of the axis in the stepping movement. Therefore, from the variation of contact time of the right foot, we concluded that the time factor in the right foot contact duration would be an important factor of stepping deviation.
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  • How to Consider the Temporomandibular Arthrosis
    Takatoki Ono
    1980 Volume 73 Issue 11 Pages 1791-1794
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1791
    JOURNAL FREE ACCESS
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  • Etiology and Climical Symptoms of the Temporomandibular Joint Arthrsis
    Touru Oka, Keiko Shimizu
    1980 Volume 73 Issue 11 Pages 1795-1798
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1795
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  • Diagnosis of the Temporomandibular Arthrosis
    Yoshiharu Hara, Takatoki Ono
    1980 Volume 73 Issue 11 Pages 1799-1805
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1799
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  • Drug Therapy in Temporomandibular Joint Arthrosis
    Yasuharu Takenoshita, Masuichiro Oka
    1980 Volume 73 Issue 11 Pages 1806-1808
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1806
    JOURNAL FREE ACCESS
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  • Treatment of TMJ Dysfunction
    Prosthodontic Treatment
    Takao Maruyama
    1980 Volume 73 Issue 11 Pages 1809-1812
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1809
    JOURNAL FREE ACCESS
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  • Surgical Treatment of the Temporomandibular Arthrosis
    Susumu Takaku
    1980 Volume 73 Issue 11 Pages 1813-1817
    Published: November 01, 1980
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.73.1813
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