Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 78, Issue 9
Displaying 1-18 of 18 articles from this issue
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  • Surgical Decompression of the Optic Nerve
    Yasuo Harada, Ototaka Kaki, Nobuharu Tagashira
    1985 Volume 78 Issue 9 Pages 1871-1882
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1871
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    Various aspects of optic nerve canal fracture, such as diagnosis, mechanism and management, are reviewed and discussed.
    In our department during the past 15 years, 53 patients with optic nerve canal fracture were treated by a transmaxillary approach. For statistical analysis, these patients were divided into 2 age groups: adults (over 19 years) and juveniles (under 19). When surgery was performed within 2 weeks after injury, 11 of the 16 adults (69%) and 9 of the 14 juveniles (64%) showed visual improvement. When surgery was performed more than 2 weeks after injury, the improvement rate was still high in the juvenile group (60%), but only 8% in the adult group.
    These results indicate that decompression surgery is indicated in young patients even more than 2 weeks after injury.
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  • Observations of Posterior Nasal Pathology
    K. YAMASHITA
    1985 Volume 78 Issue 9 Pages 1883-1885
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1883
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  • Clinical Course of Bilateral Vestibular Neuronitis -A Case Report-
    Motohisa Ikeda, Yasushi Ishizu, Isamu Watanabe
    1985 Volume 78 Issue 9 Pages 1887-1896
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1887
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    A 43-year-old man with sudden bilateral loss of vestibular function without any obvious cause was observed for two years and three months. Neurotological examinations were repeated many times, and several kinds of exercises for recovery of his balance were tried. For example, going up and down steps, going through the balance bar, and while he was jogging, he tried to gaze at a definite spot. His caloric response did not return to normal. Equilibrium improved somewhat. The “jumbling phenomenon” did not disappear.
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  • Vertical Rebound Nystagmus Directed Upwards Appearing When the Gaze Moves from Downward to Forward
    Kazuhiro Teramoto, Koki Nakaigawa, Kyoko Ohtsu, Eiji Sakata
    1985 Volume 78 Issue 9 Pages 1897-1905
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1897
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    In recent years, attention has been focused on the relationship between cerebellar disturbance and abnormal eye movement, and discussions have been lively. It is widely known, for example, that Horizontal Rebound Nystagmus or contrast nystagmus seen on horizontal gaze accompanies cerebellar lesions.
    We have found that Vertical Rebound Nystagmds may also occur during vertical gaze. Our patient lead rebound nystagmus directed upwards when there was a rapid shift from downward to forward gaze.
    This may be the first description of Vertical Rebound Nystagmus from downward gaze to forward gaze, as demonstrated by ENG recording.
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  • Auditory Tube Function during Changes in Pressure in the Tympanic and Mastoid Cavities
    Jin Okubo, Isamu Watanabe, Norihiko Ishikawa, Mitsunobu Shibusawa, Hid ...
    1985 Volume 78 Issue 9 Pages 1907-1915
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1907
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    Recently, reports have appeared on barotrauma of the middle and inner ears in hyperbaric and hypobaric environments as well as on basic experiments on this disorder.
    It is said that in many cases this disorder originates from dysfunction of the auditory tube. Therefore, studies were made of the function of the auditory tube in controlling the tympanic pressure during positive and negative pressures produced in the tympanic cavity (including the mastoid cavity) in normal human subjects and animals.
    1. In conscious subjects, a difference in the pressure in the tympanic and mastoid cavity caused by an outer pressure of 300mmH2O caused an escape of gas via the auditory tube.
    2. In anesthetized animals, pressure exchange occurred when a definite difference was produced in the pressure even without swallowing motions of either pressurization or depressurization, similar to the pressure open aspect of the auditory tube in children.
    3. Under N2O anesthesia, gas escape occurred when the pressure in the tympanic cavity and mastoid cavity reached approximately 300mmH2O, similar to the value for gas escape via the auditory tube in man.
    4. Positive pressurization seen in the tympanic cavity and mastoid cavity in sleeping man is an interesting finding which is presumed to be a natural protective mechanism.
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  • Incidence and Clinical Features of Otitis Media with Effusion in Children Aged Three to Five Year
    Sugata Takahashi, Yayoi Sato, Akio Imai, Hajime Ootaki, Yuichi Nakano
    1985 Volume 78 Issue 9 Pages 1917-1922
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1917
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    Otoscopic, audiometric and tympanometric screening test were performed on 892 children aged 3 to 5 years. Abnormal findings were noted in 206 of the children (23%). These were re-examined in our clinic, and in 57 of them (6% the total number) otitis media with effusion (OME) was diagnosed. Their clinical features were slightly different from those of most children treated in our clinic. Most of the children with OME found by this medical survey had well-developed mastoid air cells and mild adenoid vegetations. The authors consider that they may have a good prognosis for complete cure.
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  • Tuberculous Otitis Media -A Case Report-
    Yayoi Sato, Sugata Takahashi, Akio Imai, Yuichi Nakano
    1985 Volume 78 Issue 9 Pages 1923-1927
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1923
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    A 58-year-old woman with no known previous contact with tuberculosis complained of right otorrhea and hearing loss but no facial nerve paralysis. Her tuberculin test was positive, but her chest X-ray showed no signs of lung tuberculosis. Tympanoplasty was performed, and antituberculous chemotherapy (RFP, INH, EB) was given for nine months.
    Antituberculous chemotherapy reduce the need for a destructive surgical procedure and allow more conservative tympanoplastic procedures to be carried out.
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  • Auditory Disturbance Following Transmastoid Decompression of the Facial Nerve
    Etsuo Yamamoto, Hiroko Nishimura, Michiyuki Kita, Michitaka Iwanaga
    1985 Volume 78 Issue 9 Pages 1929-1934
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1929
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    The incus is disarticulated and temporarily removed in order to decompress the entire facial nerve from the geniculate ganglion to the stylomastoid foramen. Auditory disturbance by incus disarticulation is anticipated. In 36 patients who underwent transmastoid decompression of the facial nerve and were observed more than 6 months, auditory disturbance following surgery was investigated by the evaluation of hearing loss and tinnitus before and after surgery.
    Hearing loss of more than 15dB at more than one frequency after surgery was observed in 20 of the 36 patients (55.6%). However, in only 3 cases (8.3%) was there a hearing loss of more than 15dB in the speech range (0.5-2KHz). In 15 cases (41.7%) there was post-operative sensorineural hearing loss limited to 4 and/or 8 KHz. Five of the 20 patients (13.9%) who suffered postoperative hearing loss had conductive hearing loss. Seven of the 36 patients (19.4%) had tinnitus following surgery.
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  • CT Findings of Fungal Infection of Maxillary Sinuses
    Hirobumi Kumazawa, Akihiko Nakamura
    1985 Volume 78 Issue 9 Pages 1935-1941
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1935
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    In recent years, fungal infection of the paranasal sinuses has increased. However, the preoperative diagnosis is often difficult. We report four cases of fungal infection of the paranasal sinuses. Their CT scans.
    Showed:
    1) A high density area in the homogeneous shadow.
    2) A mass suspected of being a fungus ball surrounding the opening of the maxillary sinus to the nasal cavity.
    3) Thickening of bone in the maxillary sinus except in the inner wall.
    These results indicate that CT scanning is useful in the diagnosis of fungal infection of the paranasal sinuses.
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  • Results of Treatment for Nasopharyngeal Carcinoma
    Toshio Taniguchi, Tetsuo Hoshino, Kazuhiro Fujimoto, Kenichi Yamagata, ...
    1985 Volume 78 Issue 9 Pages 1943-1948
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1943
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    Thirty-eight patients with nasopharyngeal cancer were treated at Kobe University Hospital from 1973 to 1978.
    1) The male: female ratio was 2:1.
    2) The highest incidence was in sixth decade.
    3) The most frequent complaint was cervical mass.
    4) The crude 3-year and 5-year survival rates were 39% and 29%, respectively.
    5) There was little correlation between prognosis and histopathological classification.
    6) There was a significant correlation between the survival rate and TN classification.
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  • A New Technique for Laryngeal Electromyography with a Flexible Fiberscope
    Jiro Udaka, Kayoko Takeichi, Tatsuya Ishida, Kaneyoshi Katsura, Hiroyu ...
    1985 Volume 78 Issue 9 Pages 1949-1955
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1949
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    Electromyography of the intrinsic laryngeal muscles is one of the most effective methods of diagnosing laryngeal disorders. For general otolaryngologists, however, conventional electromyographic techniques are too complicated for clinical use. We therefore contrived a new technique with a laryngeal flexible fiberscope which has recently been greatly improved. It is hoped that this technique will be used widely, as it is easy and stable in the production of laryngeal electromyograms.
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  • Lymphangioma of the Larynx
    Report of a Case
    Yasushi Murakami, Yasuji Toriyama
    1985 Volume 78 Issue 9 Pages 1957-1962
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1957
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    Lymphangioma of the larynx is an extremely rare benign tumor of the larynx. Since Robinson (1908) had described the first case, only a few cases have been reported in the world literature. This paper describes a case of lymphangioma of the larynx being treated recently. A 50-year-old male first visited Musashino Red Cross Hospital in November, 1983, complaining of sorethroat after eating fish. Laryngoscopy revealed a fishbone in the left hypopharynx and a light purple tumor in the left laryngeal ventricle. Initially, a submucosal hematoma or a hemangioma of the larynx was suspected, and the patient was observed carefully. Because of slight enlargement of this tumor within two months, laryngeal microsurgery to remove this tumor was performed under general anesthesia. A diagnosis of cavernous lymphangioma of the larynx was made histo-pathologically. There was no recurrence for ten months after surgery. The etiology and management of this tumor are discussed and the literature is reviewed.
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  • Morphological Study of Newcastle Disease Virus Infection in Chicken Nose
    Keizo Fukukita
    1985 Volume 78 Issue 9 Pages 1963-1975
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1963
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    Newcastle disease virus infection following intranasal inoculation of chicks with a mesogenic strain of the virus produced a localized infection of the middle turbinate which was histologically demonstrable 3 days after inoculation. There was destruction of mucous cells of individual acini in the inner surface of the middle turbinate, and the infection spread rapidly to ciliated and goblet cells and to neighboring acini.
    By day 3, there was undulation or disappearance of the cilia and lymhoid cell infiltraion under epithelium. On day 5 the inflammation in the infected middle turbinate was more severe than on day 3, but by day 7 light microscopy showed almost complete recovery. However, scanning electron microscopy showed cilia of various lengths. The cilia did not return to normal until day 14. On day 21 and thereafter, the mucociliated epithelium was essentially normal.
    The infection is sequentially similar to acute mild rhinitis in humans.
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  • Quantitative Analysis of IgE Antibodies in Nasal Polyps
    Junko Nakata, Yoshihiro Ohashi, Kenichi Maruoka, Shoko Kihara, Naonori ...
    1985 Volume 78 Issue 9 Pages 1977-1982
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1977
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    Nasal allergy has long been regarded as one of the causes of nasal polyps. However, allergy in the nose cannot be demonstrated in all patients with nasal polyps. Since relationship of allergy in the nose and nasal polyps has not yet been clarified completely, the amount of specific IgE antibodies in nasal polyps was determined by tissue-RAST.
    Two groups of patients, 8 with all 3 perennial symptoms of sneezing attacks, serous hypersecretion, and nasal blockage due to nasal polyps (symptom group) and 20 with only one symptom-nasal blockage due to nasal polyps (negative symptom group) were examined. The patients were subjected to a series of conventional allergy tests: skin tests, nasal provocation tests, RAST, and nasal smears. After these conventional tests, the volume of IgE antibodies in the nasal polyps removed surgically was measured by t-RAST.
    1. IgE antibodies were detected in the nasal polyps in some, but not all, cases of nasal allergy.
    2. IgE antibodies were demonstrated in the nasal polyps of some patients without nasal allergy.
    3. The consentration of IgE antibodies in the nasal polyps of patients with nasal allergy was far lower than that in the inferior turbinate mucosa.
    These results strongly suggest that IgE antibodies in nasal polyps do not always indicate nasal allergy and that the symptoms of nasal allergy may not be manifested because of scanty of nerve endings in nasal polyps.
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  • Effects of Autonomotropic Drugs on Allergic Nasal Mucosa
    Takao Watase
    1985 Volume 78 Issue 9 Pages 1983-1990
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1983
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    The purpose of the present study was to elucidate the effects of different kinds of autonomotropic drugs on the nasal mucosa and on the nasal provocation reaction to specific allergens in patients with nasal allergy.
    1) Phenylephrine (α-agonist), phentolamine (α-antagonist), isoproterenol (β-agonist) propranolol (β-antagonist), methacholine (choline agonist) or ipratropium (choline antagonist) was applied to the nasal mucosa with an atomizer. Saline was used as a control.
    Denfinitive effects occurred after α-agonist and choline agonist spraying. Phenylephrine reduced the nasal airway resistance, and methacholine increased the amount of nasal secretion.
    2) After pretreatment with the drugs, nasal provocations were performed. The statistically significant effects were: phenylephrine spray inhibited the increase of nasal airway resistance while phentolamine and isoproterenol enhanced it; and methacholine enhanced nasal secretion, while ipratropium inhibited it. None of the drugs, however, had any effect on the number of sneezes.
    The present results suggest that adrenergic receptors are distributed mainly on the vessel walls and cholinergic receptors mainly on the secretory glands. Local autonomic nervous conditions affect the nasal response in different ways under different conditions.
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  • Clinical Evaluation of Dilazep in Patients with Vertigo due to Cerebrovascular Disturbances
    Dilazep Alone and Combined with a Minor Tranquilizer
    Koji Tokumasu, Eiji Sakata, Atsushi Komatsuzaki, Masahiko Yamamoto, Ta ...
    1985 Volume 78 Issue 9 Pages 1991-2006
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.1991
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    Vertigo or dizziness in 88 patients with cerebral arteriosclerosis, or following cerebral infarction or hemorrhage, or TIA or RIND was treated with 300mg/day of dilazep hydrochloride orally for 8 weeks.
    1) Dilazep alone was given to 34 patients, and subjective improvement was noted in 78.6%, reduction of disturbance of equilibrium in 68.0%, and both subjective and objective improvement in 75.0%.
    2) Dilazep plus a minor tranquilizer was given to 54 patients. Subjective improvement was reported in 86.0%, reduction of equilibrium disturbance in 62.5% and both subjective and objective improvement in 81.4%.
    3) Minimal side effects, such as abdominal pain, sleep disturbance and or itching skin were noted in only 3.4%.
    Dilazep may be considered to be a useful medication for vertigo or dizziness due to cerebral vascular disease.
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  • Clinical Effects of Antiallergic Substance MS-Antigen 40®
    In Patients with Perennial Nasal Allergy
    Masuo Yamagishi, Shigeo Komita, Satoshi Hasegawa, Yuichi Nakano
    1985 Volume 78 Issue 9 Pages 2007-2015
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.2007
    JOURNAL FREE ACCESS
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    MS-Antigen 40 was given to 19 patients with perennial nasal allergy twice a week for a total of 15 times (total dose 550mg).
    1. The clinical efficacy was rated as “good or moderate” in 73.7%.
    2. Subjectively, 57.9% of the patients reported “good or moderate improvement”.
    3. The general usefulness was considered “good or moderate” in 73.7%.
    4. Side effects were noted in 15.8%. These were mild and all patients could continue taking the drug.
    5. The only abnormal laboratory finding was an increase of WBC.
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  • Effect of Metharmon®-F in Middle-aged Female Patients with Abnormal Sensation in the Throat
    Mikikazu Yamagiwa, Haruki Fukuo, Masahiko Kubo, Hiroyuki Nishioka, Yuk ...
    1985 Volume 78 Issue 9 Pages 2017-2029
    Published: September 01, 1985
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.78.2017
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    The authors administered Metharmon®-F, one tablet of which contains 1.0mg of pregnenolone, 0.1mg of testosterone, 1.0mg of androstenedione, 5μg of estrone, 0.5mg of androstenediol and 7.5mg of desiccated thyroid, orally for two weeks in a dosage of 3 tablets/day to 53 female patients aged 35 to 67 years with abnormal sensation in the throat. In 4 patients, side effects (sleeplessness, perioral paresthesia, nausea and diarrhea) were so severe that the medication had to be suspended. The therapeutic effects of the medication were evaluated in 49 patients at the end of the first and second week of administration and one week after the termination of treatment. It was considered to be effective when the abnormal sensation improved subjectively by 50% or more. The medication was effective in 39% of the patients within one week, in 49% in two weeks and in 51% in three weeks (one week after the termination of treatment). Recurrence of the symptoms shortly after the termination of treatment was rare and some patients showed further improvement.
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