Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 74, Issue 3
Displaying 1-14 of 14 articles from this issue
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  • Treatment for Fresh Cases of Bell's Palsy
    Etsuo Yamamoto, Setsuko Morinaka, Michitaka Iwanaga, Hideyuki Fukushim ...
    1981 Volume 74 Issue 3 Pages 275-282
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.275
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    The courses of recovery of 64 patients with Bell's palsy for which our definitive treatment was started within 14 days were investigated and the following results were obtained.
    1) Sixty-three of 64 cases showed clinically complete recovery (palsy score over 36 points) and the associated movements (synkinesis) were observed in only five patients.
    2) This good result proves that our treatment is appropriate and is assumed to be partly due to the energetic conservative treatment in the hospital (mental and physical rest).
    3) For selection of the method of treatment, clinical grading by means of the palsy score is useful. Decompression operation should be performed on the patients who did not show significant recovery after two to three weeks of conservative treatment.
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  • Evaluation of 67Ga Scintigraphy in Local Diagnosis of Facial Palsy
    Koichi Tomoda, Tadami Kumazawa, Toshio Yamashita, Takayuki Nakayama, Y ...
    1981 Volume 74 Issue 3 Pages 283-288
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.283
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    A new test of the lacrimal gland function is being developed bases on the observed accumulation of 67Ga radioisotope in the lacrimal gland. Twenty-one patients with peripheral facial palsy have been examined by this method.
    In normal subjects, gallium accumulates at the same rate in both lacrimal glands. However, in almost all the patients with facial palsy, accumulation is higher on the affected side.
    Patients were examined scintigraphically at different stages following the onset of the disease. Gallium accumulation in the affected gland was lower in patients at more advanced stages of recovery.
    Patients examined 1 week after onset showed a higher accumulation rate on the affected side. The highest accumulation was observed in patients examined 2 weeks to 2 months after onset. In patients examined 2 months to one year after onset (i. e., those in the most advanced stages of recovery), gallium accumulation declined.
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  • Unilateral Dilatation of the Internal Auditory Canal without Acoustic Neuroma
    Takashi Fukaya
    1981 Volume 74 Issue 3 Pages 289-293
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.289
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    A case of unilateral dilatation of the internal auditory canal without acoustic tumor is presented. The patient was found to have a bilateral C5 dip and canal paresis in the left ear.
    Marked dilatation of one canal was demonstrated on temporal bone tomography. The left canal was 2mm higher than the right. The left posterior wall was 3mm shorter than the right. Pantopaque cisternography revealed a large intracanalicular extension of the subarachnoid space with no evidence of tumor.
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  • Temporal Bone Study on a Case of Chronic Myelocytic Leukemia
    Mineko Tsuchida, Isuzu Kawabata, Yasuya Nomura
    1981 Volume 74 Issue 3 Pages 295-301
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.295
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    A study of the temporal bones of a 38-year-old man with chronic myelocytic leukemia was reported. He manifested profound bilateral deafness four days before his death.
    The study revealed the following findings: massive bleeding in the cochlea (both in the scala vestibule and the scala tympani) as well as in the perilymphatic space of the vestibule. The organ of Corti was destroyed in all the turns of the cochlea on both sides. Reissner's membrane collapsed except in the left basal turn. The spiral ligament was infiltrated with leukemic cells. The maculae of the saccule and the utricle as well as the cristae of semicircular canals were markedly infiltrated with leukemic cells. The mucosa of the middle ear was slightly edematous and fluid was retained in the tympanic cavity. Bleeding and cell infiltration were observed in the nerves in the internal meatus. The temporal bones showed bilaterally similar findings.
    The literature for aural manifestation in leukemia was reviewed.
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  • An Aspect of Recurrent Otits Media in Infants
    Yasuo Koike, Tadahide Nishimae, Fumihiko Ohta
    1981 Volume 74 Issue 3 Pages 303-307
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.303
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    A series of clinical investigations was carried out on 7 infants with recurrent otitis media. The X-ray study revealed sinusitis in all subjects, though in certain cases no abnormal finding was obtained on rhinoscopic examination. Bacteriologic tests on secretions in the middle meatus were performed in 5 patients. Haemophilus influenzae was depicted in 4 out of the 5 cases. Most of these stocks were resistant to some antibiotics such as AB-PC and CEX. An aerosol treatment with DKB (Dideoxikanamicin B) was done on all 7 subjects. In all patients the recurrence of otitis media ceased, and the pathologic findings in the paranasal sinuses showed improvement in the majority of cases. The importance of detailed examination of the paranasal sinuses in the treatment of otitis media was emphasized.
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  • The Influence of Atmosphere on the Frequency of Sneezing
    Koei Nakamura, Akimasa Nakamura, Hirosi Koyama, Takaharu Okawa, Yasuhi ...
    1981 Volume 74 Issue 3 Pages 309-315
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.309
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    We studied the influence of atmosphere on the frequency of sneezing in 450 patients for 15 months (from Feb. 1978 to May 1979).
    The frequency of sneezing had the closest relation with change of temperature in early spring and early autumn, particularly with day-difference of highest and lowest temperature.
    Other conditions such as air pressure, humidity, wind velocity, weather, daylight-hours, etc. had little to do with it.
    The allergen test suggested that the number of patients with pollinosis caused by Ambrosia elator would be largest in August and September, but it turned out that the actual number was doubled in February, March and April.
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  • Rhabdomyosarcoma of the Nasopharynx in the Child a Report of One Case
    Keiko Nishikawa, Touru Sekitani, Masutoshi Nishikawa, Hideki Ohyama, T ...
    1981 Volume 74 Issue 3 Pages 317-323
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.317
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    A case of rhabdomyosarcoma botryoides in a male child of age seven is reported. The patient's chief complaints were nasal obstruction and nasal discharge for the previous one year. He was referred to our clinic because of nasal bleeding following nasal polypectomy on the left side. Examination showed the left nasal cavity, choana, and oropharynx obstructed with polypoid tumors. These tumors originating in the nasopharynx were removed under general anesthesia and diagnosed as rhabdomyosarcoma botryoides. This patient was treated postoperatively by means of irradiation and chemotherapy (VCR, AMD, CTX). He has been well for nine months.
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  • The Mucoepidermoid Tumor of the Parotid Gland
    A Clinicopathological Review of Five Cases
    Naoyuki Kanoh, Yasuaki Nakajima, Tatsuya Fukazawa, Eiichi Fujimura, Ku ...
    1981 Volume 74 Issue 3 Pages 325-332
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.325
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    A review of five instances of the mucoepidermoid parotid tumor showed that clinically these tumors were found to have a good prognosis and histopathologically, PAS-staining appeared to be useful in differentiating this tumor from well-differentiated squamous cell carcinoma.
    A patient with skin invasion experienced regional recurrence five times and received four operations as well as cobalt radiation of 6, 000rads during a period of ten years.
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  • A Case of Dermoid Cyst Developing in the Deep Lobe of the Parotid Gland
    Fumi Sakata, Yasuo Sakakura, Kotaro Ukai, Yukiko Ito, Yukiyoshi Hamagu ...
    1981 Volume 74 Issue 3 Pages 333-340
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.333
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    A 40-year-old male was admitted to the Department of Otolaryngology, Mie University Hospital on January 29, 1979 because of a mass in the left infra-auricular region of six years' duration. There were pain and left facial paralysis. The patient first noticed a mass, a golf-ball in size, in the left parotid region in 1974. The mass was incised and drained, and it disappeared. In December 1978 a mass developed in the same region and was biopsied. Histopathologically chronic inflammatory change was obtained. Eight months later, the mass rapidly increased in size and the patient developed left facial paralysis. On admission, the mass, measuring 4×5×5cm, was hard, tender and fixed to the deep structure and skin. On February 16, 1979 under general anesthesia the mass in the parotid region was surgically excised through an S-shaped skin incision. After lateral lobectomy a capsulated tumor mass was found in the deep lobe of the parotid gland. The main trunk of the facial nerve was firmly adherent to the tumor. Because the buccal branch was encompassed by the tumor, it had to be sacrificed.
    The removed tumor was 6.5×5×4cm in size and weighed 115g. It contained about 90ml of a gray gruel-like substance containing hairs. Although the stratified squamous epithelium was noted without skin appendages on histopathological examination in the cyst wall and the muscle structure, the final diagnosis was dermoid cyst developing in the deep lobe of the left parotid gland.
    Etiology and statistics of this cyst in the head and neck were discussed.
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  • A Case of Anomaly of the First Branchial Cleft
    Midori Hori, Yasuo Sakakura, Kotaro Ukai, Chieko Taniguchi, Hiroyuki N ...
    1981 Volume 74 Issue 3 Pages 341-348
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.341
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    Anomaly of the first branchial cleft is relatively rare when compared with those of the second. Aronsohn showed that the incidence of this anomaly was less than 1% of all the branchial anomalies.
    A case of the first branchial anomaly occurring in a girl aged 5 years is presented. She was admitted to Mie University Hospital on November 1, 1979, because of painful swelling beneath and posterior to the left ear lobe, and an abscess adjacent to the hyoid bone which had been incised and drained. A contrast X-ray study was carried out and revealed a tract of 7cm in length extending down from the postauricular region to the left part of the hyoid bone. The diagnosis of the fistula of the first branchial cleft was made. On November 13, 1979, the fistula was dissected under general anesthesia. The fistula lay deep to the main trunk of the facial nerve, extended down along with the stylohyoid muscle and ended in the left part of the hyoid bone. The upper part of the fistula ended blindly at the cartilage of the external auditory canal. The excised fistula was 7cm in length and 0.5cm in diameter. Histopathological examination revealed a sinus tract lined by stratified squamous epithelia containing hair bulbs and sweat glands.
    Seventy one cases of the first branchial cleft anomaly collected from the international literature were analyzed in terms of histopathological findings and the relationship of the fistula to the facial nerve based on the classification proposed by Belenky and Medina. The case of a first branchial anomaly reported here is believed to be the 14th such case ever reported in the Japanese literature.
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  • A Case of Relapsing Polychondritis
    Toru Nakajima, Senri Ando, Hiroaki Takahashi, Akira Takano, Kazuki Mat ...
    1981 Volume 74 Issue 3 Pages 349-356
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.349
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    Relapsing polychondritis is a rare disease in which several cartilaginous structures are involved in an inflammatory and degenerative process.
    In the past, only 20 cases of this disease have been reported in Japan. Recently we experienced another case.
    The patient was a 37-year-old female who complained of hoarseness with stridor and dyspnea, fever, and painful swelling of the auricles. Histological examination of a specimen taken from an auricular cartilage with the use of light microscope as well as electron microscope revealed that the disease was relapsing polychondritis. Although steroid therapy showed dramatic effects on the symptoms, it could not produce complete cure.
    She is now alive with a permanent tracheostoma because of laryngeal stenosis due to the destruction of the laryngeal cartilages.
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  • Transitional Point from Nasal to Mouth Breathing
    Nobuo Usui
    1981 Volume 74 Issue 3 Pages 357-365
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.357
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    A number of procedures are available for objective evaluation of nasal passage. Our knowledge is still limited, however, with respect to the transition of ventilation from nasal to mouth breathing caused by increasing nasal obstruction.
    We selected seven patients who had to breathe through the mouth besides the nose in unilateral nasal breathing because of severe nasal obstruction, measured nasal resistance, total and unilateral (right, left), as well as pulmonary resistance in nasal and mouth breathing among them, and analyzed the obtained data with Rohrer's formula.
    The results were as follows:
    1) The patient breathed through the nose when nasal resistance was equal to pulmonary resistance consistent with mouth breathing.
    2) The patient complained of a suffocating sensation when unilateral nasal resistance exceeded pulmonary resistance consistent with bilateral nasal breathing, and began to breathe through the mouth.
    3) In concomitant mouth breathing initiated to remove the suffocating sensation due to unilateral nasal breathing, pulmonary resistance was lower than that in bilateral nasal breathing.
    4) Pulmonary resistance in simultaneous unilateral nasal and mouth breathings fell to 1.8 times that in mouth breathing.
    The above findings indicate that the point of transition from nasal to mouth breathing lies where pulmonary resistance in nasal breathing becomes roughly twice as high as nasal resistance in that or pulmonary resistance in mouth breathing.
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  • Clinical Studies on the Kampo Preparation, SHOSEIRYUTO, to Cases of Nasal Allergy
    Hideto Okazaki, Eiko Kawamoto, Yasuo Harada
    1981 Volume 74 Issue 3 Pages 367-380
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.367
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    The expected results were obtained from our clinical studies on administering the Kampo preparation, Shoseiryuto, to 60 patients with rhinallergosis (composed of 33 difficult cases and 27 fresh cases).
    Based on this studies, the Kampo preparation may be considered to be a useful adjuvant for supporting the conventional therapeutic system of rhinallergoses; subsequently, it will have an adequate meaning of clinical use in the field of Western Medicine.
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  • Clinical Effect of an Anti-histaminic Agent; Mequitazine (LM209) on Perennial Nasal Allergy
    Double-blind Study with Clemastine Fumarate
    Kazuo Takeda, [in Japanese], [in Japanese], [in Japanese], [in Japanes ...
    1981 Volume 74 Issue 3 Pages 381-400
    Published: 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.381
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    The usefulness of LM-209 on perennial nasal allergy was compared with that of clemastine fumarate (CF) at 15 institutions using the double-blind. 28 of them either were excluded or dropped out. The number of patients used for analysing effectiveness, safety and utility were 157, 174 and 160, respectively.
    The following results were obtained.
    1) The rate of effectiveness (excellent and good) of LM-209 and CF as judged by doctors was 57% and 51.3%, respectively. The utility rate (excellent utility and utility) of LM-209 was 52.5%, while that of CF was 47.5%.
    2) The rate of effectiveness (excellent and good) of LM-209 and CF as judged by patients was 34.2% and 30.8%, respectively.
    3) As far as the patients who had been sick for less than three years and whose time of disease attack did not fluctuate were concerned, the rate of effectiveness of LM-209 was superior to that of CF.
    4) The rate of side-effects of LM-209 and CF were 14.0% and 21.6%, respectively, especially the rate of drowsiness for LM-209 was significantly lower in comparison with that of CF.
    5) Abnormal values attributable to the drugs used were observed in a few patients, but administration of drugs was not discontinued in any patient.
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