Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Search
Advanced search
OR
Browse
Search
Volume 79, Issue 11
Displaying 1-24 of 24 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • Medicinal Treatment for Otorhinolaryngological
    Infections with Special Reference to Antibiotic Therapy
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1737-1739
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1737
    JOURNAL FREE ACCESS
    Download PDF (355K)
  • [title in Japanese]
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1740-1742
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1740
    JOURNAL FREE ACCESS
    Download PDF (294K)
  • [title in Japanese]
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1743-1745
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1743
    JOURNAL FREE ACCESS
    Download PDF (337K)
  • [title in Japanese]
    [in Japanese], [in Japanese]
    1986 Volume 79 Issue 11 Pages 1745-1749
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1745
    JOURNAL FREE ACCESS
    Download PDF (544K)
  • [title in Japanese]
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1749-1753
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1749
    JOURNAL FREE ACCESS
    Download PDF (435K)
  • [title in Japanese]
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1753-1756
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1753
    JOURNAL FREE ACCESS
    Download PDF (315K)
  • Diagnostic Approach for the Neck Tumor
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1757-1759
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1757
    JOURNAL FREE ACCESS
    Download PDF (2265K)
  • Fistula Symptoms
    -2nd Report: Atypical Fistula Symptoms, Especially Eye Deviation-
    Kanji BABA, Eiji SAKATA, Kyoko OHTSU
    1986 Volume 79 Issue 11 Pages 1761-1769
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1761
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We reported fistula symptoms in three patients with congenital syphilis, one with sudden deafness and two with cochleovestibular disorders of unknown origin. Fistula symptoms in all six cases were atypical, so we emphasize that nystagmus is not the only symptom. Whether nystagmus or deviation is present depends upon the intensity of the stimulus and the degree of labyrinthine impairment. We observed pendular eye movements, when the external auditory canals were repeatedly compressed and decompressed with the patients' own fingers. Because of the various patterns on electronystagmography, it was suspected that the histopathology in these six patients was different.
    View full abstract
    Download PDF (719K)
  • Clearance Function of the Eustachian Tube in Chronic Otitis Media
    Masahiko HAYASHI, Hiroaki SATO, Iwao HONJO
    1986 Volume 79 Issue 11 Pages 1771-1777
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1771
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Mucociliary function of the eustachian tube was examined in 30 patients with chronic otitis media using a dye technique. Through a perforation of the ear drum, 0.02ml of dye solution (0.4% indigocarmine) was placed in the middle ear close to the tympanic orifice of the tube. The time for the solution to appear at the pharyngeal orifice of the tube was measured under endoscopic observation through the nose. The clearance time was found to be related to the ventilatory function of the tube and the pathological changes around the tympanic orifice. In 60% of the patients examined, the time for clearance was within 10 minutes. Except two patients with mechanical obstruction of the tube, all patients showed clearance times of less than 30 minutes. From these results, we concluded that clearance of the tube in chronic otitis media is not markedly impaired, although it is possible that our cases does not represent otitis media in general.
    View full abstract
    Download PDF (2079K)
  • The Experience of Otolaryngological Practice in a Neurological Hospital
    Masahiro MIZUNO, Keiichi ICHIMURA, Yasushi MURAKAMI, Ming-Jen CHOW
    1986 Volume 79 Issue 11 Pages 1779-1786
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1779
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    This study describes the experience of otolaryngological practice for three years at Tokyo Metropolitan Neurological Hospital. The average age of the patients in the study was 50.2, with patients in their fifties and sixties being the most common. Nearly 30% of the patients were bed-ridden, which necessitated otolaryngologists' ward visit. Examination and treatment were made more difficult by the lack of facilities in the ward. This study recommends the development of new devices for ward practice.
    Neurology, neurosurgery and pediatric neurology have three different objectives with regard to otolaryngological examinations. The neurologist is interested in vestibular function tests, the neurosurgeon is concerned with auditory function tests, and the pediatric neurologist mainly focuses on otolaryngoscopic findings. This study indicates that those varied demands pose problems in conducting effective otolaryngological examinations.
    Vestibular function tests, auditory function tests, examination and treatment of air and food passages using mainly fiberoptic endoscope, a test for olfactory function, a test for gustatory function and general otolaryngoscopic examination were performed. Surgical treatments for ears, nose, throat and tracheobronchial tree were also carried out.
    This study concluded that otolaryngologists should play a more important role in the diagnosis and treatment of patients with diseases of the central nervous system.
    View full abstract
    Download PDF (891K)
  • Indication and Effect of the Antiviral Drugs in Hunt Syndrome
    Katsuhisa IKEDA, Toshimitsu KOBAYASHI, Jun KUSAKARI, Minoru TAKEYAMA, ...
    1986 Volume 79 Issue 11 Pages 1787-1794
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1787
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Antiviral drugs (Ara-A and acyclovir) were used in 5 patients with Hunt syndrome. Facial palsy disappeared in 3 patients who were given the antiviral drug in an early stage of illness. The others who were treated after denervation of the facial nerve showed a poor prognosis. These drugs had less effect upon the cochlea and vestibular organ than the facial nerve.
    The antiviral drugs were thought to kill varicella-zoster virus and relieve facial palsy when they were given in an early stage of illness. No serious side effect was noted in the 5 patients.
    View full abstract
    Download PDF (845K)
  • Basophil Degranulation Test for Nasal Allergy
    Masaki OHNISHI, Minoru OKUDA, Kosaku SAKAGUCHI, Takao WATASE, Akinori ...
    1986 Volume 79 Issue 11 Pages 1795-1801
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1795
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Allergolam is a new kit (Institute Pasteur Production, Paris) for human basophil degranulation testing (HBDT) and is used to diagnose reaginic allergy.
    To test the reliability of this kit, we compared the results of HBDT with those of skin tests, RAST and nasal provocation tests in 49 patients. To test its reproducibility, we performed the HBDT four times in one patient, and twice in three patients. To test the specificity of this test to allergens, five patients allergic to Japanese cedar, were tested for house dust allergen (HD).
    We found a significant correlation between the results of the HD HBDT and HD provocation test and HD RAST. We also found a significant correlation between the results of mite HBDT and mite skin test or mite RAST. There was, however, no significant correlation between the results of HD HBDT and HD skin tests. In regard to the specificity to allergens, HBDT for HD allergen was negative in five patients with Japanese cedar allergy. The test results were not markedly different in two or four repetitions.
    The above results indicate that HBDT is highly reproducible, specific to allergen and useful in the diagnosis of reaginic allergy. In a comparison of HBDT with RAST, HBDT required a minimum equipment, was easier to perform and almost as reliable as RAST.
    View full abstract
    Download PDF (635K)
  • Changes in Clinical Symptoms and Dermatophagoides pteronyssinus Specific IgG Antibodies during House Dust Hyposensitization Therapy
    Tadao ENOMOTO, Hiroshi NAKANISHI, Daisuke IWAHASHI, Mitsuo YOSHIUCHI
    1986 Volume 79 Issue 11 Pages 1803-1809
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1803
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Sera from patients who were currently undergoing house dust hyposensitization therapy were used to measure specific antibodies to Dermatophagoides pteronyssinus (DP). Simultaneously, the total IgE and specific IgE levels were determined. No significant differences in total IgE and specific IgE levels during immunotherapy were found between patients who had had remission of clinical symptoms and who had not. DP specific IgG levels were elevated only in patients who had a good clinical course. DP specific IgG levels began to elevate 2-4 months after therapy, but, there were differences in IgG levels before and after therapy among patients. Elevated DP specific IgG levels were observed at the time when the patients experienced relief from symptoms.
    View full abstract
    Download PDF (709K)
  • Treatment of Frontal Sinus Cyst with a T-Shaped Bile Duct Tube
    Shun WATANABE, Shigeru WADA, Koichi MATSUO, Hiroshi WATANABE, Takemoto ...
    1986 Volume 79 Issue 11 Pages 1811-1814
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1811
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The major aspect of the surgical treatment of frontal sinus cyst (pyoccle and/or mucocele) is widening of the obstructed naso-frontal duct to allow drainage of the cyst. We usually take an extranasal approach to the frontal sinus (after Ogino's method) and put a silicon tube into the naso-frontal duct to drain it and to prevent re-obstruction of the duct.
    In our department during the past three years and eight months, 16 patients with frontal cyst were treated surgically. The first nine cases were treated by insertion of a simple tube and the next seven cases by insertion of a T-shaped tube.
    Simple tubes often slip out spontaneously before inner epithelization of the nasofrontal duct has taken place. Our T-shaped tube is adapted from the silicon drainage tube used for bile duct surgery. It is firmly placed in the naso-frontal duct, and is easily removed without complications.
    View full abstract
    Download PDF (3392K)
  • Two Cases of Nasopharyngeal Cyst
    Hiroyuki YOSHIMURA, Tatsuya FUJIYOSHI, Yuichi KURONO, Hideyuki KAWAUCH ...
    1986 Volume 79 Issue 11 Pages 1815-1821
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1815
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Two cases of nasopharyngeal cyst, which seemed to arise from the second branchial pouch, are reported. The first case was a 48-year-old female who had an abnormal feeling in the nasopharynx. Examination revealed a cystic mass attached by a peduncle to the right lateral wall of the nasopharynx. Case 2 was a 58-year-old male who developed hearing impairment and fullness of the ear on the right side associated with nasal stuffiness. Flexible fiberscopic examination disclosed a swelling of the right lateral wall of the nasopharynx so that the orifice of the tube could not be seen. These cysts were removed under general anesthesia. Although nasopharyngeal cyst is a rare disease, many cases are congenital. Congenital cyst of the nasopharynx is discussed.
    View full abstract
    Download PDF (3967K)
  • Clinical Study of Abnormal Sensation in the Throat
    Mikikazu YAMAGIWA, Masayoshi KITABATAKE, Haruki FUKUO, Masahiko KUBO, ...
    1986 Volume 79 Issue 11 Pages 1823-1840
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1823
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The authors treated 853 patients with abnormal sensations, exclusive of pain and difficulty in swallowing, in the throat from Aug. 1981 to May 1985. There were 363 males and 490 females (1:1.3). At the time of diagnosis, the majority of the patients were in the 3rd, 4th and 5th decades of life. The sensations, 72% of which were located in the middle of the neck, projected mostly (88%) on the level between the hyoid bone and the suprasternal fossa and were strongly felt during empty swallowing by 60% of the patients. In most of the patients, the hematological examination, chemical analysis of blood and serological test were within normal limits. When the answers of the patients to the Cornell Medical Index-Health Questionnaire were analysed by Fukamachi's method, 33% of the patients were classified as normal, 33% as almost normal, 25% as slightly neurotic and 9% as neurotic. The Maudsley Personality Inventory, however, revealed that the decreased score of the lie scale correlated significantly with the increased score of the neurosis scale. No hypopharyngeal malignancies have been detected so far in the patients in this study.
    View full abstract
    Download PDF (1993K)
  • Incidence of Laryngeal Carcinoma in Aichi Prefecture during the Past 5 Years
    Akio SUZUKI, Shigenobu IWATA, Akihiko TAKASU, Shigeki MORI, Katsuyuki ...
    1986 Volume 79 Issue 11 Pages 1841-1850
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1841
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    In co-operation with 15 main hospitals in Aichi prefecture, we investigated the incidence of laryngeal cancer from January 1980 to December 1984.
    There were 505 cases of fresh laryngeal cancer in Aichi prefecture included 477 in men, 28 in women. The rate was 1.60 per 100, 000 person-years (3.02 in men, 0.18 in women). There were 344 cases of the glottic type, 116 of the supraglottic and 23 of the subglottic type.
    Lymphnode metastasis occurred in 59.4% of the supraglottic type, and 30.3% of the subglottic type.
    The relative risk for smokers was 1.66 times that for non-smokers in this study.
    View full abstract
    Download PDF (897K)
  • Screening of Speech and Voice Disorders among School Children in Itabashi-ku, Tokyo
    Yoshiaki YOKOMI, Yoshitaka FURUYA, Tominosuke HAYAKAWA, Takeshi OTSU, ...
    1986 Volume 79 Issue 11 Pages 1851-1858
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1851
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Attempts were made to develop a test battery for screenings of speech and voice disorders among school children and to apply it to school children in Itabashi-ku, Tokyo. The test battery consisted of three tests for detecting articulation disorders and adiadockokinesis of articulators as well as four check items for detecting hearing probles, retarded development of language, voice disorders, fluency disorders and other speech disorders due to neurological problems.
    2, 011 children (group 1) were tested by twelve school doctors (otolaryngologists) at the physical examination prior to entering school, and 1, 698 school children in the first grade (group 2) were tested by ten otolaryngologists at the regular physical examination. Sigmatismus and Zetazismus were found in 5.3% of children if the group 1 and in 8.1% of children of the group 2. Adiadockokinesis of articulators were observed in 6.2% of children of the group 1 and 6.5% of children of the group 2. Voice disorders and stuttering were found in 1.0% and 0.6% of children of the group 1, and in 2.2% and 0.6% of children of the group 2, respectively. It took 40 to 50 seconds per child, and it was thought that this was somewhat long for the examiners.
    Through these experiences the following conclusions were directed:
    1) The results are influenced by examiner's auditor acuity as well as knowledges of speech and voice disorders.
    2) Our test battery must be more simplified for a practical use.
    View full abstract
    Download PDF (928K)
  • Adenoidectomy in the Treatment of Otitis Media with Effusion
    -Review of the Literature-
    Yasushi NAITO
    1986 Volume 79 Issue 11 Pages 1859-1865
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1859
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Adenoidectomy has been performed to relieve recurrent upper respiratory tract infection and inflammatory middle ear disease because it has generally been thought that adenoid vegetation may be one of the causes of these diseases. However, some people doubt the effect of adenoidectomy as a treatment of middle ear troubles, especially for otitis media with effusion. The literature is reviewed to find out whether this surgery is able to cure otitis media with effusion. Many clinical investigations have been done on this matter, but some of the studies seem to be based on inadequate selection of patients. Also, some problems have been found in deciding the indications for surgery. As a result, it is suggested that adenoidectomy can cure otitis media with effusion in certain cases. But it is still a question whether it adds any benefit to other treatments for otitis media with effusion such as ventilation tube insertion. Closer endoscopic observation of adenoid vegetation and quantitative evaluation of the Eustachian tube function should be employed to solve this problem.
    View full abstract
    Download PDF (857K)
  • The Observation of the Inner Ear of the Rat, Feeding Hyperlipid Food
    Susumu NAKAE, Masayoshi TACHIBANA
    1986 Volume 79 Issue 11 Pages 1867-1877
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1867
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We studied the morphology of the inner ear of Wistar Kyoto rat with hyperlypidemia, induced by hyperlipid food, using transmission electron microscopy.
    No changes were seen in the Preyer's reflex of the alimentary hyperlipidemic rats. In the organ of corti (middle turn of cochlea), the outer hair cell of 1st row showed marked degenerative changes such as extensive clear vacuolization, not limited by a membrane. In the ampulla of lateral semicircular canal, banded structures were observed in the supporting cell and Type I sensory hair cells. Lysosomal granules were diffusely scattered throughout the membranous cochlea and labyrinth, such as outer and inner hair cells of the organ of corti, vascular stria, and sensory hair cells of the ampulla of semicircular canal.
    View full abstract
    Download PDF (8931K)
  • Radiation Damage of the Salivary Gland and Effects of a Radiation Protective
    -Part 2: Histological Observations in Animal Experiments-
    Shigeto FUJIMURA, Norio MAEDA, Toshio YAMASHITA, Tadami KUMAZAWA, Take ...
    1986 Volume 79 Issue 11 Pages 1879-1885
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1879
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Histological observations were made on radiation damage of the parotid glands of rats. Changes in tissue occurred two days after exposure to various radiation doses, and specimens collected 1 and 2 weeks after radiation were observed with a light microscope and an electron microscope respectively. The observations were made in rats injected intraperitoneally with a radiation protectant (YM-08310, 200mg/kg) 30 minutes before radiation, and untreated controls.
    Light-microscopic observations showed vacuolar degeneration, agranulocytes, and celluar atrophy that became severer with higher radiation doses. Electron-microscopy revealed light bodies which were reported to be present soon after radiation. In the animals treated with YM-08310, the changes observed by light microscopy were found milder compared to those in the untreated animals, and no light bodies were observed. Therefore, YM-08310 was demonstrated histologically to have a protective effect on the parotid gland in animal experiments.
    View full abstract
    Download PDF (6657K)
  • Tissue Distribution of Latamoxef (LMOX) in the Middle Ear
    Minoru ISIDA, Hideharu ARUGA, Naozo TAYA
    1986 Volume 79 Issue 11 Pages 1887-1890
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1887
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Tissue levels of LMOX, an oxacefem antibiotic, were studied in surgical patients with chronic otitis media.
    LMOX was administered intravenously in a dose of 2g, 60 minutes or 120 minutes before the operation conducted under total anesthesia.
    Concentrations of mucous membrane in the middle ear after administration of LMOX were 44.9μg/g at 60 minutes and 30.5μg/g at 120 minutes. The ratio of LMOX in middle ear tissue to that in the serum was about 40-48 percent. The tissue concentrations exceeded the antibacterial levels of LMOX except for Pseudomonas aeruginosa and were thought to be sufficient for prophylaxis. No side effects and no abnormal laboratory findings were observed.
    View full abstract
    Download PDF (387K)
  • Clinical Evaluation of Ketotifen (Zaditen®) in Perennial and Seasonal Allergic Rhinitis
    Hideyuki FUKUSHIMA, Hideki INAI, Izuru MATUOKA, Mono YAMAUCHI, Hiroshi ...
    1986 Volume 79 Issue 11 Pages 1891-1902
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1891
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The effectiveness and safety of Ketotifen in the treatment of perennial and seasonal allergic rhinitis were evaluated. Ketotifen 1mg was orally given twice a day to 26 patients with perennial allergic rhinitis (Group A) and 17 patients with seasonal allergic rhinitis (Group B) for 4 consecutive weeks in principal.
    In the global evaluation, the effective rate was 92.3% in Group A and 52.9% in Group B. The utility rate was 88.4% in Group A and 52.9% in Group B. Therapeutic effects appeared within 3 weeks in 84.6% of those in Group A and in 52.9% of those in Group B.
    Three major symptoms of allergic rhinitis were objectively evaluated. In Group A, 70.8% had fewer sneezing attacks, 76.0% less nasal discharge, 68.0% fewer attacks of nasal obstruction. In Group B, 47.0% had fewer sneezing attacks, 50.0% less nasal discharge, 46.6% fewer attacks of nasal obstruction.
    In regard to side effects, drowsiness was noted in 3 patients (7.0%). Ketotifen was more useful for perennial allergic rhinitis than the seasonal type.
    View full abstract
    Download PDF (1156K)
  • [title in Japanese]
    [in Japanese]
    1986 Volume 79 Issue 11 Pages 1904-1905
    Published: November 01, 1986
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.79.1904
    JOURNAL FREE ACCESS
    Download PDF (1941K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top