Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 80, Issue 7
Displaying 1-25 of 25 articles from this issue
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  • Problems of Tympanoplasty
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1013-1014
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1013
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1014-1016
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1014
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1016-1018
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1016
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1018-1020
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1018
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1021-1023
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1021
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1023-1029
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1023
    JOURNAL FREE ACCESS
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  • Nasopharyngeal Angiofibromas
    -Juvenile Nasopharyngeal Angiofibroma, Juvenile Fibroma-
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1030-1031
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1030
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  • A Case of the Central Nervous Disease Initially Suspected of Being Typical Ménière's Disease
    Issei Tsujimoto, Yasuro Ito, Eiji Sakata
    1987 Volume 80 Issue 7 Pages 1033-1039
    Published: July 01, 1987
    Released on J-STAGE: December 12, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1033
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    We describe a case of Type I Arnold Chiari malformation and vertebulo-basilar artery insufficiency that was initially suspected of being Ménière's disease.
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  • Significance of Auditory Brainstem Response (ABR) in the Diagnosis of Multiple Sclerosis (MS)
    Masataka Murakami, Keigo Tatemoto, Seiichi Komiya, Masayoshi Tachibana ...
    1987 Volume 80 Issue 7 Pages 1041-1051
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1041
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    The Auditory Brainstem Response (ABR) was recorded in patients with Multiple Sclerosis (MS), and the relationship between ABR-views and clinical symptom was examined.
    The prolongation of I-III IPL, which suggests disorders in the inferior region of the pons, and the prolongation of III-V IPL, which suggests disorders in the superior region of the pons, showed a positive correlation with each clinical symptom. Therefore, ABR appearing to be a good diagnostic aid in determining brainstem foci by giving valuable and objective information as to the affected site and range, especially in patients without brainstem symptoms or signs and no obvious lesions. Further studies are needed on the differences of ABR-views in remissions and exacerbations and on the relationship between ABR-views and the treatment and prognosis of MS.
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  • Hearing Impairment Caused by an Air Bubblein the Perilymphatic Space
    Takashi Fukaya, Yasuya Nomura, Yasuhiro Kudo
    1987 Volume 80 Issue 7 Pages 1053-1057
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1053
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    A case of perilymphatic fistula is reported. The patient was a 58-year-old male, who initially showed moderate conductive deafness in the right ear. However, soon after the furosemide test, his hearing loss worsened and became sensorineural. Electrocochleography revealed the dominant negative SP, and a signs of endlymphatic hydrops.
    During exploratory surgery, a fistula was found in the posterior part of the round window membrane, and was closed, with improvement vertigo and hearing loss. As no middle ear disorder was found in otological and radiological examinations, the principal factor causing the conductive deafness was speculated to be an air bubble just beneath the footplate.
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  • A Method for Avoiding Lateral Healing in Myringoplasty
    Shinsuke Ito, Takao Mitsumasu, Toshiro Kawaguchi, Minoru Hirano
    1987 Volume 80 Issue 7 Pages 1059-1061
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1059
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    We developed a method to avoid lateral healing of an overlay graft in myringoplasty. A fold is made on the inside of the fascia. The tip of the manubrium mallei is passed through an incision in it to fix the center of the fascia.
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  • Evaluation of Intranasal Operation by Rhinomanometry
    Yoichi Ishizuka
    1987 Volume 80 Issue 7 Pages 1063-1069
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1063
    JOURNAL FREE ACCESS
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    Nasal resistance was determined in 14 patients with deviated nasal septum, 13 with complications of deviated nasal septum and chronic hypertrophic rhin.itis, 15 with chronic sinusitis and 16 with nasal allergy before and after intran.asal operation. Adrenaline contraction tests were performed in all patients before the operation. The postoperative nasal resistances was significantly decreased in all patients compared with the preoperative values. The preoperative nasal resistance after adrenaline contraction tests coincided with the postoperative nasal resistance. The result shows that rhinomanometry is useful for evaluations the effectiveness of intranasal operations for deviated nasal septum, chronic hypertrophic rhinitis, chronic sinusitis and nasal allergy. In addition, the preoperative adrenaline contraction test can be applied to the determination of indication of intranasal operation and assessment of the improvement rate of nasal obstruction after the operation.
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  • Frontal Osteoma Causing Headache by Compressing the Anterior Ethmoidal Nerve; A Case Report
    Jun Tsuji, Shoji Nishiyama, Tadashi Kimura, Seiji Kishimoto
    1987 Volume 80 Issue 7 Pages 1071-1074
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1071
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    Headache is a common symptom with various causes. Headache which originate in a frontal osteoma are generally caused by a mucocele or pyocele, which blocks the nasofrontal duct. We report an additional cause of headache due to compression of the anterior ethmoidal nerve.
    The headache of a 22-year-old female was completely relieved by removal of a small osteoma compressing the anterior ethmoidal nerve. The nasofrontal duct was patent and there was neither pyocele nor mucocele in the frontal sinus.
    On the basis of the operative findings and the relief of the headache, the authors conclude that osteomas accompanied by headache should be removed even when small without a suspected mucocele or pyocele.
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  • Foreign Bodies in the Maxillary Sinus Report of Two Cases
    Yasushi Furuta, Takeshi Sakamoto
    1987 Volume 80 Issue 7 Pages 1075-1079
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1075
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    Two cases of foreign bodies in the maxillary sinus are reported. The first patient was a 23-year-old male with a displaced tooth in the maxillary sinus for 6 years. The second patient was a 39-year-old male with many pieces of broken windshield glass in the maxillary sinus resulting from a traffic accident. In both cases, Caldwell-Luc operation was performed and the foreign bodies were removed.
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  • Sensation of a Lump in the Throat Elicited by Atropine Sulfate Injection
    Mikikazu Yamagiwa, Masahiko Kubo, Teruhiko Harada, Yasuo Sakakura
    1987 Volume 80 Issue 7 Pages 1081-1085
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1081
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    Several investigators have reported a considerable number of patients suffering from dryness of the oral cavity or throat along with abnormal sensation in the throat. It is necessary to clarify whether hyposalivation or decreased airway fluid is the cause of abnormal sensation in the throat.
    The authors investigated the occurrence or increase of the sensation of a lump in the throat after intramuscular or subcutaneous injection of atropine sulfate (0.5 mg).
    The subjects were 105 patients with various kinds of otolaryngeal diseases. Five of them reported the occurrence and one reported the increase of the sensation after the injection. Four of these 6 patients were females and 5 were over 50 years of age.
    It is quite certain that hyposalivation or decreased airway fluid can cause the sensation of a lump in the throat.
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  • A Case of Shy-Drager Syndrome with Bilateral Vocal Cord Dysfunction
    Ikuro Morikawa, Tadatsugu Maeyama, Takemoto Shin, Hiroshi Watanabe, To ...
    1987 Volume 80 Issue 7 Pages 1087-1092
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1087
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    We report a patient with Shy-Drager syndrome, a disease characterized by progressive degenerative change in autonomic nerves and cerebellar dysfunction accompanied by multiple system atrophy.
    The subject was a 62-year-old female who suddenly lost consciousness and underwent emergency tracheostomy. Three months after the operation, she was reffered to our clinic, because of persistent dyspnea. Laryngofiberscopic examination revealed that the bilateral vocal cords were adducted and fixed in the midposition. Shy-Dragersyndrome was diagnosed on the basis of hypotension and cerebellar type bilateral ataxia.
    Respiratory impairment was relieved by tracheal fenestration and the patient was discharged. At present, she is responding well to the therapy.
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  • Long-Term Results of Treatment for Carcinoma of the Maxillary Sinus
    Katsuhiro Hirakawa, Koji Yajin, Nobuharu Tagashira, Mamoru Suzuki, Shi ...
    1987 Volume 80 Issue 7 Pages 1093-1099
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1093
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    Seventy-three patients with previously untreated carcinoma of the maxillary sinus, treated during an 11-year period were investigated retrospectively
    The overall three-year and five year survival rates were 51.5% and 42.7% respectively. The five-year survival rate for the group treated with combined therapy consisting of local chemotherapy, radiation and necrotomy was 12.9%, it was 54.8% in the group treated with combined therapy followed by surgery, such as partial or total resection of the maxilla.
    The most successful treatment was intraarterial infusion of adriamycin (bolus) and 5-FU (continuous), combined with radiotherapy and necrotomy, followed by surgery. The five-year survival rate in this group was 61.7%.
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  • Clinical Evaluation of Neck Masses
    Toshio Ishibashi, Mamoru Miyata, Mamoru Morita
    1987 Volume 80 Issue 7 Pages 1101-1108
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1101
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    One hundred and one cases of neck masses seen over a ten-year period at our clinic in Jichi Medical School are presented and analysed.
    The incidence of tumors, especially malignant ones, increases in patients over 40 years of age. There are no difference in the mean duration of symptoms among infections, developmental anomalies and neoplasms. In seven cases the clinical diagnosis was different from the histopathological findings.
    It is stressed that neck masses require a thorough thoughtful evaluation and that early injudicious open biopsy is inadvisable.
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  • Psychosomatic Studies on Head and Neck Cancer Patients
    Masaaki Hori, Tetsuaki Kubota, Astumasa Yoshida, Hiroshi Kondou, Hiroy ...
    1987 Volume 80 Issue 7 Pages 1109-1116
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1109
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    We conducted a psychosomatic study on patients with cancer of the head and neck. The Yatabe-Guilford personality inventory was conducted repeatedly before and after treatment. The results revealed psychological instability in particularly in the patients with early cancer. In addition, the relax image method was employed in patients having psychological problems. This method was found to be useful in promoting psychological stabilization. The psychosomatic approach to the treatment of cancer will enable physicians to proceed with the treatment of cancer more positively.
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  • Preschool Integrated Education for Hearing Impaired Children
    Eiko Hirota, Yoshisato Tanaka
    1987 Volume 80 Issue 7 Pages 1117-1127
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1117
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    Thirty-five children with moderately severe and severe hearing impairment wersurveyed to assess their adaptability to kindertens. The subjects had previously received the speech training at our department. Speech training increased their ability to communicate with other children and gave them a positiveattitude. Three points were found to be necessary to achieve good results in preschool integrated education: 1)sufficient recognition by teachers of childrens' handicaps, 2) close communication among teachers, parents, speech therapists and doctors, 3)childrens' positive attitude towards adaptation as well as the achievements of the language ability. However, difficulties were found in integrated education; these involved problems in communicating and associating with normal children.
    These difficalties were mainly affected by the subjects' age and hearing level.
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  • Glycoconjugates in Normal Nasal and Maxillary Mucosa and Neoplasms
    Chun Shun Jin, Kimiko Ohishi, Kotaro Ukai, Yasuo Sakakura, Ryuichi Yat ...
    1987 Volume 80 Issue 7 Pages 1129-1136
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1129
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    Glycoconjugates in the nasal and maxillary mucosa of normal controls and of patients with inverted papilloma, epithelial dysplasia and carcinoma were studied by the lectins-HRP staining method. Four kinds of lectin were used: WGA, PNA, UEA-1, and RCA.
    1. Control nasal epithelium reacted to WGA and UEA-1. Some sugar residues stained with WGA, PNA, UEA-1 and RCA were detected in various amounts in the goblet cells and mucous cells of the subepithelial glands. Serous cells in the glands were stained by UEA-1.
    2. There was a similarity of WGA and UEA-1 staining in inverted papilloma, epithelial dysplasia, and control epithelium.
    3. Adenoid cystic carcinoma was not stained by any of the lectins. According to cellular differentiation, Squamous cell carcinoma showed various staining patterns depending on the degree of differentiation.
    4. Lectin staining may be a useful marker in the early diagnosis and cell differentiation of nasal and maxillary carcinomas.
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  • Mechanism of Anticancer Drug Action in Head and Neck Cancer Demonstrated by Flow Cytometry
    -First Report: Analysis of Mechanism of Cisplatin Action by Three-dimensional Color Display-
    Yasuhiro Wada, Shigeru Oka, Toshio Yamashita, Tadami Kumazawa, Keiji K ...
    1987 Volume 80 Issue 7 Pages 1137-1149
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1137
    JOURNAL FREE ACCESS
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    For the treatment of tumors in the head and neck region, surgery, chemotherapy and radiotherapy can be used. To obtain better chemotherapeutic results, it is important to know the antineoplastic mechanism and/or how to combine the drugs that are available at present. The effect of an anticancer drug, cisplatin, on cell dynamics was display two-dimensionally by flow cytometry with FITC-label bromodioxyuridine and propidium iodide, converted to a three-dimensional color display by computer processing. This makes it possible to demonstrate the cell dynamics changes better visually. Simultaneously, using fluorescein diacetate, the viability was measured to study the cytocidal effect. Three dimensional histogram by administration of cisplatin in concentration of 0.5μg/ml showed the cell accumulation in S phase on 1st day and then represented the block of G2M phase on 5th day.
    Newly deviced our methods could be applied to obtain the cell kinetics in vitro and also to solve the mechanism of other antineoplastic agents.
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  • Clinical Effect of AA-673 Nasal Spray in Allergic Rhinitis
    Tadao Enomoto, Hiroshi Nakanishi, Daisuke Iwahashi
    1987 Volume 80 Issue 7 Pages 1151-1162
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1151
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    Twenty patients with perennial allergic rhinitis were treated with AA-673 nasal spray for a mean period of 45 days. The global improvement rate after 4 weeks was 33% for “over moderate improvement” and 83% for “over slight improvement”. The global utility rate was 55% for “over fairly useful improvement”. The rate of improvement in those showing “over moderate improvement” was 39% for sneezing attacks, 18% for nasal discharge and 27% for nasal obstruction after 4 weeks. No side effects were observed.
    It is concluded that AA-673 nasal spray is useful in the treatment of perennial allergic rhinitis.
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  • Massive Antiemetic Therapy with Metoclopramide for Cisplatin-induced Emesis
    Hiroyuki Yamada, Masahiko Kubo, Sumiko Murai, Yasuo Sakakura
    1987 Volume 80 Issue 7 Pages 1163-1168
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1163
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    Large doses of metoclopramide as an antiemetics were administered to 9 patients recieving cisplatin (CDDP) (50mg/m2) for head and neck cancers. Metoclopramide, 2mg/kg was administered four times intravenously on the first day of CDDP therapy and once a day on days 2-7. Neither emesis nor nausea occurred in 8 of the 9 patients (89%). Side effbcts were minimal: mild sleepiness(66.7%)and diarrhea(22.2%). It is concluded that the antiemetic effect of intravenous metoclopramide in large amounts can prevent cisplatin-induced emesis.
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  • General Principles for Otolaryngological Surgery
    [in Japanese]
    1987 Volume 80 Issue 7 Pages 1170-1171
    Published: July 01, 1987
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.80.1170
    JOURNAL FREE ACCESS
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