Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 74, Issue 6
Displaying 1-15 of 15 articles from this issue
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  • Auditory Brainstem Response in Patients with Cerebellar Disease
    Satoru Hosokawa, Kazuhiro Hohjo, Hiroshi Sohma
    1981 Volume 74 Issue 6 Pages 1377-1384
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1377
    JOURNAL FREE ACCESS
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    Eleven patients with cerebellar disorder were studied neuro-otologically. These cases consisted of seven tumors, three vascular disturbances and one cerebellitis seqella. The electronystagographical findings suggested brainstem and cerebellar involvement. Auditory brainstem responses were recorded in all of the eleven patients. The auditory brainstem responses were normal except in one patient with infarction in the cerebellum and brainstem, which was determined by computerized tomography. Thus, we have concluded that the auditory brainstem response is helpful in differentiating cerebellar disease from brainstem disease.
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  • Bacteria in Chronic Otitis Media and its Antimicrobial Agent Susceptibility
    Morio Yamauchi, Etsuo Yamamoto, Kazuhiko Shoji, Yasushi Naito
    1981 Volume 74 Issue 6 Pages 1385-1392
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1385
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    Retrospective study of chronic otitis media on 339 cases was carried out. The results were summarized as followed;
    1) Many kinds of pathogenic micro-organisms were isolated, consisting of 25 species with 427 strains. The frequency of mixed infection was 23.0 percent of the total cases.
    2) Staphylococcus aureus was the most frequent species detected from otorrhea, followed by pseudomonas aeruginosa, proteus inconstans, proteus mirabilis, staphylococcus epidermidis and the other 20 species of low incidence.
    3) Genus proteus bacilli were isolated with significantly higher incidence from otorrhea of cholesteatoma than that of chronic suppurative otitis media.
    4) The results of the antimicrobial agent susceptibility test revealed that the combined use of SBPC with GM was the most effective regimen for the emergent stage of chronic otitis media such as otogenic intracranial complications.
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  • Auditory and Equilibrium Findings of Bell's Palsy and Hunt's Syndrome
    Michiyuki Kita, Hiromu Mori
    1981 Volume 74 Issue 6 Pages 1393-1400
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1393
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    Auditory and equilibrium function tests were performed in 22 patients with fresh Bell's palsy and 14 patients of fresh Hunt's syndrome. The seral antibody titer of the following 6 viruses was measured by the complement-fixating reaction. The 6 viruses were herpes zoster, herpes simplex, adeno, mumps, and influenza type A and B viruses.
    In Bell's palsy, viral infection was found in 10 cases of the above 22 cases. Auditory and/or equilibrium dysfunction were observed in 12 cases of Bell's palsy and 9 cases of Hunt's syndrome. In Bell's palsy, mainly auditory dysfunction was observed in the viral infection group, and equilibrium dysfunction was observed in the uninfected group. In Hunt's syndrome, auditory dysfunction was observed in 8 cases, and equilibrium dysfunction was observed in 5 cases. In 4 of these, both auditory and equilibrium dysfunctions were observed.
    According to the above results, it is suggested that the viral infection group, especially zoster sine herpete, comes in the middle of the non-viral infection group of Bell's palsy and Hunt's syndrome.
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  • Prognostic Value of Stapedial Reflex Measurement in Bell's Palsy
    Yasushi Matsumoto, Naoaki Yanagihara, Koshiro Nakamura
    1981 Volume 74 Issue 6 Pages 1401-1407
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1401
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    Stapedial reflex (SR) measurement was made in 69 patients with fresh Bell's palsy of one week duration or less. The results were compared with electrodiagnostic findings (NET, S-D curve) and recording scores of facial palsy. In 46 of the 69 (67%), the SR was absent at the first examination. The remaining 23 with positive SR were diagnosed to be neurapraxia by the electrodiagnostic methods and their prognoses were excellent. Recovery of the SR usually occurred within four weeks. The mean curative days for the 35 cases with good prognosis were 26.3 days. Patients with positive SR were cured faster than those with negative SR. In nine of the 35 with good prognosis, the SR was absent even after the facial movements were restored to normal. The mean curative days of these nine patients were 23.4 days. In such cases the recovery of SR followed the normalization of facial movements, which may be attributable to the higher vulnerability of the stapedius muscle than facial muscles. SR measurement was concluded to be complementary in prognostic diagnosis of Bell's palsy.
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  • A Report of Three Cases of Paranasal Mucocele with Blindness
    Yukinori Ichino, Kenichiro Miyamura, Norio Tanaka, Masahiro Obuchi, Ke ...
    1981 Volume 74 Issue 6 Pages 1409-1415
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1409
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    Three cases of paranasal mucocele with blindness were reported.
    Case 1. The patient, a 69-year-old female, complained of headache, right blindness, and right exophthalmos which took a very slow course. CT showed a large high density area in the sphenoid sinus and right ethomoid cells. Under the suspection of a sphenoid mucocele or a pituitary tumor, an operation was undertaken. It was confirmed that a large sphenoid mucocele had destroyed the orbital wall and was pressing upon the optic nerve.
    Case 2. The patient, a 58-year-old male, complained of left exophthalmos and left blindness which took a very rapid course. He suffered from fever, left orbital pain and swelling of the left eye for about ten days, and then he lost his sight. It seemed that these symptoms were caused by orbital cellulitis complicated with frontal pyocele.
    Case 3. The patient, a 36-year-old female, complained of left blindness without exophthalmos. On operation it was revealed that ethomoid mucocele pressed against the optic nerve and caused the loss of sight in the left eye.
    Although other symptoms were alleviated, the visual acuity remained null in all three cases. Review was made in particular of the mechanism of blinding caused by mucocele.
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  • Application of Xerosialography to the Diagnosis of Salivary Gland Diseases
    Hirotoshi Tokuhashi, Hiroshi Okamura
    1981 Volume 74 Issue 6 Pages 1417-1422
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1417
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    In xerosialography a xeroradiographic technique is applied to the conventional sialography. Xerosialograms of normal and diseased salivary glands were compared with those of conventional sialograms. On account of the edge effect of xeroradiography, fine branchings of the salivary ducts and glandular structures are clearly delineated by the xerosialography. The technique is particularly advantageous when the conventional sialogram fails to demonstrate the ducts and the glands overlapping the bone. Differentiation between normal and abnormal tissues is clearer, and location of the neoplasma in the parotid gland is more easily recognizable. Further improvement is needed, however, in order to reduce radiation exposure.
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  • Operation for Pitch Problems
    Shinzo Tanaka, Masahiro Tanabe, Nobuhiko Isshiki
    1981 Volume 74 Issue 6 Pages 1423-1430
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1423
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    Patients with vocal pitch problems were treated surgically.
    Section of the cricothyroid muscle in one case and the thyroplasty type III operation in four cases were performed to lower the pitch. The thyroplasty type III operation means shortening of the antero-posterior distance of the thyroid ala by vertical strip excision to relax the vocal cord. The effects of surgery were remarkable. All these cases were mutational voice disorders which had resisted conservative treatment such as voice training, long psychotherapy or hypnosis. It is not advisable to administer long conservative treatment to such patients, and operative treatment is strongly advocated.
    The thyroplasty type IV operation was performed in nine cases to increase the vocal pitch. In this operation, the antero-posterior distance of the larynx is lengthened by crico-thyroid apprpximation or antero-posterior enlargement of the thyroid ala. In all of the nine cases, which contained five androphonias, the pitch increment obtained was substantial. Especially for androphonia which is said to be irreversible, crico-thyroid approximation was an effective and reliable operation.
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  • Morphological Study of thg Effect of Cephadol (Diphenidol) on the Peripheral Vascular System of the Inner Ear
    Saburo Yano, Masatoyo Akiyoshi, Takayoshi Imazawa
    1981 Volume 74 Issue 6 Pages 1431-1438
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1431
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    The present study was conducted to evaluate the effect of Diphenidol on the peripheral vascular system of the inner ear of guinea pigs.
    Diphenidol was administered at 100mg/kg into the stomach of guinea pigs under a Nembutal anaesthesia.
    The following conclusions were obtained.
    Sixty minutes after the administration of Diphenidol, increase in the diameter of the blood vessels was noted in the radiating arterioles and the capillary network of the stria vascularis at every turn of the cochlea. The increase in diameter was also seen in the subepithelial capillary networks of the maculae and cristae ampullares of the vestibule.
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  • A Clinical Study on the Effect of Histaglobin for Seasonal Nasal Allergy (Cedar Pollinosis)
    Kazuo Takeda, Masao Yoshida, Itoji Shibata, Shunji Fujisawa
    1981 Volume 74 Issue 6 Pages 1439-1449
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1439
    JOURNAL FREE ACCESS
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    Study was made on the effect of Histaglobin for the patients suffering from cedar pollinosis.
    Of the 30 patients, 10 were administered 2 vials per week, and 20 were administered 3 vials per week. Total dosage was 18 vials for both groups. The effects for the 2 groups were compared from each other.
    Histaglobin was proved to be very effective for cedar pollinosis in both groups, in terms of subjective as well as objective symptoms.
    The effect for the second group was higher than the first group.
    No adverse reaction was observed in either group.
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  • Effects of Acetylcholine and Atropine Iontophoretically Applied onto Lateral Vestibular Nucleus Neurons
    Izuru Matsuoka, Juichi Ito, Sakae Fujimoto, Masashi Sasa, Shuji Takaor ...
    1981 Volume 74 Issue 6 Pages 1451-1457
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1451
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    Electrophysiological study was performed to determine the role of acetylcholine (ACh) on the vestibular transmission using iontophoresis method. Monosynaptic spike generation of lateral vestibular nucleus (LVN) neuron with vestibular nerve stimulation was blocked by iontophoretic application of atropine and GABA. In addition, iontophoretic ACh and glutamate produced an increase in spike firing of the monosynaptic neurons in the LVN. Atropine antagonized spike firing elevation with ACh unaffecting that with glutamate, however, GABA blocked both ACh- and glutamate-induced spikes. These results strongly suggest that ACh plays the role in neurotransmission from the vestibular nerve to the LVN monosynaptic neuron.
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  • Use of Averaged Potential Graph, Lid Vibration Test and Quantative Measurement of Microvibration on Lid Surface for Diagnosis of Facial Paralysis
    Shiro Murata
    1981 Volume 74 Issue 6 Pages 1459-1489
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1459
    JOURNAL FREE ACCESS
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    A completely ideal and handy diagnostic test for facial paralysis has not yet been established. The effectiveness of the electrical test has been reported. It has, however, a few faults. For example, its reliability, the uneasiness patients feel and the actual impossibility of daily and continual testing. We, therefore, had to devise a surer electrical method as well as some supplemental methods for easier and handier diagnosis of facial paralysis.
    (I) The averaged potentials of the orbicularis oris muscle (ORm) and the orbicularis oculi muscle (OLm) was registered which were evoked by supramaximal electrical stimulation (from 8 to 32 times) by way of coaxial needle electrodes. Statistically, the latencies from 60 normal subjects were less dispersed (mean 3.2msec, standard deviation 0.45; ORm: mean 2.9msec, Standard deviation 0.42; OLm) than both their duration and amplitude. There were variously oifferent features in 120 patients. In patients with moderate denervation longer latency and reduced amplitude were found. In patients with advanced denervation, reduction of amplitude and intermittent lack of response in the graph were occasionally observed.
    (II) The lid vibration test (vibration divided into four stages from “0” to “3” according to its intensity) was performed on 60 patients. Some patients healed completely. The vibration stage of these patients went down at first but without getting to “0” (no vibration at all) it recovered speedily to “3” (normal condition). Other patients whose vibration stage once reached “0” had difficulty in recovery except for 18% of the people. This lid vibration stage has a correlation with the NMU-spike-discharge stage of OLm in the process of recovery.
    (III) Twenty-two subjects were examined quantatively with respect to microvibration (MV) on the lid surface with a crystal pick up and analyzed by a data analyzer. Ordinarily, voluntary contraction of OLm brought enlarged amplitudes compared with that when not contracted. But in the case of paralyzed patients, the contraction did not show such noticeable amplitudes. Therefore, the ratio of the mean MV amplitude when contracted to the mean when not contracted showed whether a patient was recovering favorably or not.
    (IV) The lid vibration test is a handy and both diagnostically and prognostically effective method which supplements the electrical test. Quantative measurement of MV on the lid surface is also an effective diagnostic method.
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1981 Volume 74 Issue 6 Pages 1491-1494
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1491
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1981 Volume 74 Issue 6 Pages 1495-1498
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1495
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1981 Volume 74 Issue 6 Pages 1499-1503
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1499
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1981 Volume 74 Issue 6 Pages 1504-1508
    Published: June 01, 1981
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.74.1504
    JOURNAL FREE ACCESS
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