Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 76, Issue 2
Displaying 1-10 of 10 articles from this issue
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  • Development and Clinical Significance of Body Sway Measurement
    Kiichiro Taguchi
    1983 Volume 76 Issue 2 Pages 133-147
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.133
    JOURNAL FREE ACCESS
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    Recent progresses of the research in posture and movement and clinical applications of many techniques devised for body sway measurement were reviewed.
    The world-wide tendency, in which the body sway recording has been performed using the straingauge technique to estimate dynamic equilibrium rather than static balance, is going to be prevailing throughout the research institutes of vestibulospinal disorders in Japan. One of the current topics on the body sway is how to record and analyze the stepping or walking movements. The author introduced two new techniques of body sway recording while stepping. Registration of head movement by accelerometers and recording change in shoulder angulation are useful tools for evaluation of ataxia. The application of those techniques to differential diagnosis of ataxic and vertiginous disorders will be expected in near future.
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  • Three Cases of Asymmetrical Internal Auditory Meatus without Acoustic Tumor
    Diagnostic Value of Metrizamide Computed Tomographic Cisternography
    Satoru Hosokawa, Tetsuzo Inouye, Fumihisa Hiraide, Kazuhiro Hohjo, Yuh ...
    1983 Volume 76 Issue 2 Pages 149-157
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.149
    JOURNAL FREE ACCESS
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    In this paper, the diagnostic value of metrizamide computed tomographic cisternography (metrizamide CTC) is evaluated in six patients with unilateral dilatation of the internal auditory meatus. Using this radiological technique, three patients were found to have small tumors sized 1cm. The findings were verified during surgery.
    Metrizamide CTC is of especial value in tumor masses less than 1.5cm that are not detected on the conventional CT-scanner. The adverse effects of headache, nausea, vomiting and dizziness were reported in this mode of examination, but only two of our patients had slight headache only. The cause of unilateral dilatation of the internal auditory meatus without acoustic tumor is suspected to be a variation of the internal auditory meatus.
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  • An 11-year Follow-up Study of Patients with Cholesteatoma Who were Surgically Treated
    Morihiro Irifune, Hiroaki Miyamoto, Toru Matsunaga
    1983 Volume 76 Issue 2 Pages 159-165
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.159
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    The purpose of this report is to analyse the results of a long-term follow up of the 222 patients operated on in the 11 years from 1965 to 1975.
    Relationships among patients' age, type of operation and postoperative conditions were studied using questionnaires.
    The following results were obtained:
    1) The incidence of cholesteatoma has increased recently among those operated on for chronic otitis media.
    2) In case of cholesteatoma, the Wullstein III type operation was mainly performed.
    3) Many patients who had been operated on more than twice, were under age at the time of first operation.
    4) Disappearance of otorrhoea was noted in 58.8% of those answering our questionnaires.
    From these results, we concluded that the operation method must be reconsidered for cholesteatoma, especially in the case of young patients. In these patients staged operation, open method or radical operation are probably more effective than the meatotympanoplastic method.
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  • An Electrophysiological Study of a Case of Hypoglossal-facial Nerve Anastomosis
    Mikikazu Yamagiwa, Keizo Fukukita, Hiroyuki Nishioka, Masahiko Kubo, Y ...
    1983 Volume 76 Issue 2 Pages 167-174
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.167
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    A 34-year-old female patient treated with hypoglossal-facial nerve anastomosis was presented with special attention to the electrophysiological findings which had been recorded continuously for 2 years after the anastomosis. The anastomosis was made for the reconstruction of the left facial nerve after a surgical removal of acoustic neurinoma. Electrophysiologically detectable improvement in facial muscles appeared at 120 days and it ceased at day 280 after the anastomosis. The recovery of the function of the facial muscles, however, was not complete. The blink reflex (orbicularis oculi reflex) with a latency of 22 msec could be elicited on the operated side by a single pulse stimulation of the ipsilateral supraorbital branch of the trigeminal nerve.
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  • Two Cases of Waardenburg's Syndrome without Dystopia Canthorum
    Tatsuaki Kuroda, Yuko Kitao, Sigehiko Yoshida, Yorinori Kanzaki, Kenic ...
    1983 Volume 76 Issue 2 Pages 175-181
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.175
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    A man and his son with Waardenburg's syndrome (WS) Type-2 (WS without dystopia Canthorum) were presented in this paper. It was characteristic in both patients that heterochromia iridum had been observed only in infancy and motor development, such as that of walking, was retarded. Unilateral blephalo-ptosis was observed in one of them.
    Among those who are diagnosed as WS with heterochromia iridum and congenital deafness, there are some patients who have different accompanying symptoms from those diagnosed to be WS Type-1 (WS with dystopia Canthorum) and who do not show autosomal dominant inheritance unlike WS Type-1. Therefore, WS is supposed to be genetically heterogenous. The two patients reported here have accompanying symptoms different from those of the patients previously described as WS. These patients also demonstrate the heterogeneity of WS.
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  • Analysis of Body Sway of the Center of Gravity
    A method for quantification of the pattern of stabilogram using the test of Wilks Λ
    Masahiko Yamamoto
    1983 Volume 76 Issue 2 Pages 183-196
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.183
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    While few reports are available on the quantification of the pattern of the stabilogram, the objective classification of the pattern was attempted by Tokita in 1972, who recognized four patterns. We tried to quantify the pattern through a statistical approach in the present study.
    Analysis was done using the method of Wilks Λ. This consists in dividing a sequence of changes in the location of the center of gravity into successive groups of change in a certain unit time and comparing the mean change in the location among different time groups.
    As a result, the patterns of the stabilogram were quantitatively classified into three types, the fixed center, unfixed center and multiple center types. The Λ value at 12sec was 1.00-0.65 in the fixed center type, 0.65-0.35 in the unfixed center type, and 0.35-0.00 in the multiple center type. We then drew a graph from the unit time and Wilks Λ value, and named the curve thus obtained “Body sway pattern curve”.
    The multiple center type in the three patterns seems to have peculiar means that concern with the oculo-spinal reflex.
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  • Measurement of Deviation Using Posturography
    Ikuo Nagayama
    1983 Volume 76 Issue 2 Pages 197-222
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.197
    JOURNAL FREE ACCESS
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    Posturography has been used for evaluating deviation in the Romberg test. For this purpose, the curves of body sway were analyzed with the aid of a signal processor, using the program of probability density histogram. According to this analyzing system, the center and the magnitude of curves of body sway are expressed in terms of mean values and variation, respectively. The difference between the center of body sway with the eyes open and that with the eyes closed is considered to represent the deviation in the Romberg test. In this paper, the standing posture is evaluated mainly in terms of deviation during the Romberg test.
    1. Normal subjects tend to shift forward when their eyes are closed.
    2. Of the patients with equilibrium disturbance, there are many who deviate backward when their eyes are closed.
    3. The forward deviation is restored when the patient with equilibrium disturbance recover from vertigo.
    4. It seems that vision controls the body sway in the lateral direction.
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  • A Clinical Trial of Adriamycin and OK-432 for Maxillary Cancer
    Masakaze Nakata, Yoshinori Kikuya, Yuzuru Murakami
    1983 Volume 76 Issue 2 Pages 223-229
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.223
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    Eight patients with maxillary cancer had Adriamycin patched in the maxillary sinus and OK-432 locally injected into the tumor tissue. As a result, remarkable reduction of the cancer was recognized.
    Twenty-four hours and 48 hours after Adriamycin patching, the Adriamycin concentration in the blood and in the tumor tissue were measured. The transition to the blood was low, whereas the transition to the tissue was high.
    Side effects of fever and edema of the face were observed, but these disappeared quickly and were not serious.
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  • The Effect of Kyo-leopin on Emaciation Produced by Radiotherapy or Chemotherapy in the Head and Neck Tumor
    Minoru Toriyama
    1983 Volume 76 Issue 2 Pages 231-240
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.231
    JOURNAL FREE ACCESS
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    Kyo-leopin was administered for 8 weeks to 30 patients who were suffering from malignant tumors in the head and neck whose general conditions were deteriorating because of radiotherapy or chemotherapy. The results were extremely effective in 1, effective in 1, moderately effective in 19 and non-effective in 8 patients. The proportion of more than moderately effective was 70.0%. This drug was useful in alleviating anorexia and fatigue and produced a tendency to enhance one's will for a struggle against one's disease.
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  • [title in Japanese]
    1983 Volume 76 Issue 2 Pages 241-291
    Published: 1983
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.76.241
    JOURNAL FREE ACCESS
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