Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 81, Issue 6
Displaying 1-20 of 20 articles from this issue
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  • Cochlear Implantation
    Juichi Ito
    1988 Volume 81 Issue 6 Pages 779-786
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.779
    JOURNAL FREE ACCESS
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    Most patients with profound or total hearing loss cannot hear even with powerful hearing aids. Over the last two decades a number of medical centers have attempted to implant one or more electrodes in the cochlea of deaf patients to stimulate electrically the residual auditory nerve.
    This paper reviews the history, and discusses the various devices employed throughout the world, selection of patients, preoperative examinations, surgical approaches, assessment of the implants, postoperative problems and finally the future of cochlear implants.
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  • Adenoid Cystic Carcinoma of the Submandibular Gland with the Definite Neural Invasion
    [in Japanese], [in Japanese]
    1988 Volume 81 Issue 6 Pages 788-789
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.788
    JOURNAL FREE ACCESS
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  • Assessment of Cerebrovascular Diseases with Auditory Brainstem Response
    Takeo Fuse, Toshihisa Suzuki, Akira Kikuchi, Masaru Aoyagi
    1988 Volume 81 Issue 6 Pages 791-795
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.791
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    The auditory Brainstem responses (ABR) recorded from 22 patients with cerebrovascular diseases were analyzed within 2 weeks after the onset. The patients were divided into the following three groups according to the site of damage: supratentorial lesion, infratentorial lesion, and aneurysm.
    In those with supratentorial lesions, ABR were sensitive to supratentorial herniation and useful for predicting the prognosis. On the other hand, there was a poor correlation between the prognosis and ABR findings in patients with infratentorial lesions or aneurysms.
    The condition of patients with aneurysm varied with vascular spasm and rerupture, and it was difficult to predict the outcome at an early stage. In patients in deep coma due to infratentorial lesions, no ABR were detected in the early stage, and later V waves were seen. These data suggest that the absence of all ABR waves does not always indicate brain death.
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  • Opsoclonus and Its Related Abnormal Eye Movements
    -Discussion of Their Characteristics-
    Ken Kitamura
    1988 Volume 81 Issue 6 Pages 797-803
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.797
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    We described three patients with abnormal eye movements and acute cerebellar ataxia.
    The first patient, a 57-year-old man, had irregular paroxysmal ocular oscillations in the horizontal and vertical direction. These ocular movements lasted 0.2-5 seconds at a frequency of 4-5 Hz and an amplitude of 10°-20°. Two months after the onset of his illness, these ocular movements disappeared. His abnormal eye movements were considered to be opsoclonus.
    The second patient, a 50-year-old man, had paroxysmal horizontal ocular oscillations lasting 0.2 seconds at a frequency of 10 Hz and amplitude of 10°. Three weeks after the onset of his illness, his abnormal eye movements disappeared.
    The third pal:ient, a 37-year-old man showed bursts of horizontal saccadic oscillations at a frequency of 4-10 Hz. A single burst of oscillations lasted for 0.2-0.9 seconds. Their amplitude was 10-20. They were still present, but had diminished, one month after the onset. The abnormal eye movements observed in the latter two cases were considered to be flutter-like oscillations.
    Opsoclonus is a distinct clinical entity, a bizarre oculomotor disturbance with chaotic conjugate accadic eye oscillations in all directions. The term “ocular myoclonus” has also been used to describe opsoclonus. The pendular ocular oscillations associated with regular palatal myoclonus have also been called ocular myoclonus. The term “acquired pendular nystagmus” is much more appropriate to describe the ocular oscillations associated with palatal myoclonus.
    Flutter-like oscillations are intermittent horizontal oscillations of the eyes lasting not more than a few seconds. They are sometimes observed in patients with opsoclonus, either simultaneously or in sequence. However, the characteristics of opsoclonus are quite different from those of flutter-like oscillations. Therefore, they should be classified as two different entities.
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  • Chondroblastoma of the Temporal Bone
    -A Case Report-
    Eni Naito, Nobuya Yagi, Yasushi Naito, Masatsune Ishikawa, Yasuaki Nak ...
    1988 Volume 81 Issue 6 Pages 805-810
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.805
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    This patient had chondroblastoma of the temporal bone. The initial symptom was vertigo induced by opening the mouth. Bone destruction of the anterior end of the superior semicircular canal, revealed by high resolution CT, was thought to have caused the peculiar vertigo of this patient. The middle cranial fossa approach provided an excellenti view of the infra-temporal fossa, which was of great help for safe and almost complete resection of the tumor situated here. Although chondroblastoma is classified as a benign tumor, there are some reports of persistent recurrence or metastasis. A long and close follow-up is necessary for this case.
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  • Radiological Diagnosis of Round and Oval Window Niches with High Resolution CT Scanning of the Temporal Bonene
    Kiyotaka Murata, Michio Isono, Hiroyuki Oiki, Fumihiko Ohta, Akio Yosh ...
    1988 Volume 81 Issue 6 Pages 811-814
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.811
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    Air and/or soft tissues in the oval and round window niches were diagnosed by high resolution CT scanning of the temporal bone with a slice thickness of 1.5mm at intervals of l .Omni. The window level was fitted to +100, and a window width of 4000HFU was used. The results of 61 ears (29 male ears, 32 female ears) were compared with the surgical findings. It was possible to diagnose air and/ or soft tissue in the round window niche with an 80% chance of being correct and in the oval window niche with a 70% chance of being correct.
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  • Research in the Development of a Facial EMG Topography System and Its Clinical Application
    Etsuro Obata
    1988 Volume 81 Issue 6 Pages 815-832
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.815
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    To evaluate tc tal facial movement, the author developed color EMG mapping of the face (Face EMG Topogram) using a multi-practicable computerized topography system. Du ring voluntary contractions of mimetic muscles, such as lifting the skin of the forehead, closing the eyes, pushing the eyes and blowing out the cheeks, 16 monopolar EMG are concurrently recorded from the surface of the face bilaterally: frontal, orbicularie oculi, orbi.cularis oris, etc. The data are fed to an on-line computer and integrated and calculated with interpolation formulae. To emphasize the activity of each recording area, the author used an 11-color computer-graphic display or an 11-plotting-pattern display. These grades of display are considered to be related to the amount of muscular activity. The results obtained from normal subjects were reliable and reproducible. Next, the author applied this system to patients with facial nerve paralysis and discussed the differences between the facial grading methods which depend on visual determination or topographic grading. In the topographic grading method the area ratio of the paralytic side to the normal side was calculated in each class (CO to CX).
    The results showed little variation of each facial movement, but some significant differences were obtained between the methods of evaluation. The Face EMG Topogram was a precise, non-invasive objective technique of quantifying facial movements and facial palsy.
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  • Distribution of 99mTc in Human Nasal Cavity after Use of Flunisolide Nasal Spray
    Toshio Ogoshi
    1988 Volume 81 Issue 6 Pages 833-838
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.833
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    Technetium phytate was administered intranasally by Flunisolide nasal spray, and its distribution and deposition were measured.
    Volunteers were divided into three groups: Nasal spray during inspiration in normal subjects, during breath holding in normal subjects and during inspiration in patients with nasal obstruction.
    Furthermore, in normal subjects during inspiration, the distribution was compared immediately and 20 minutes after use of the spray. (1) Influence of breathing and nasal obstruction.
    1. Considerable individual variation in the amount of deposited technetium was detected in all groups.
    2. The total amount of deposited technetium was largest in the normal inspiration group, followed by the normal breath holding group and the nasal obstruction group.
    3. Almost no difference in the amount of deposition was detected among the three groups in the three nasal regions. (2) Distribution change with time
    1. Immediately after the spray, 80% of radioactivity was detected in the anterior half of the nasal cavity, 19% in the posterior half, and 1% in the pharynx.
    2. At 20 min after the spray, the sum total of radio-activity in the nasal cavity, pharynx and chest through abdomen was 90% of the initial radioactivity. Ten percent could not be located. The anterior half showed 48%, the posterior half 9%, the pharynx 19%, and the chest and abdomen 14%.
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  • Chondroma of the Nose and Paranasal Sinuses
    -A Case Report-
    Takuya Yamakawa, Ginichiro Ichikawa, Ichiro Ando
    1988 Volume 81 Issue 6 Pages 839-845
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.839
    JOURNAL FREE ACCESS
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    A 4-month old baby with nasal obstruction, mild exophthalmus, and poor weight gain was found to have a chondroma. It is usually stated that the best therapy for chondroma is total resection of the tumor as thought it was malignant, although chondroma is a benign tumor. In this case, we tried end nasal partial resection to eliminate nasal obstruction, postponing total resection.
    Three months after surgery, the milk intake was increased and body weight had become normal. Now, six month after surgery, there are no signs of enlargement of the tumor. Intending to perform total resection when it is indicated, we are following the baby carefully.
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  • Bacteremia after Tonsillectomy
    Rinya Sugita, Koki Nakaigawa, Hiroaki Izawa, Koichi Deguchi
    1988 Volume 81 Issue 6 Pages 847-853
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.847
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    Bacteremia after tonsillectomy was investigated in 40 patients with chronic tonsillitis, recurrent tonsillitis, and peritonsillar abscess. The patients were devided into three treatment groups: no chemotherapy (20), ampicillin (13) and clindamycin (7).
    The right tonsil was usually resected first. Immediately after tonsillectomy 15 ml of venous blood was placed in culture bottles (Eiken No. 1 to No. 3), 5 ml in each bottle.
    Blood cultures were positive in 17 (56.7%) of the 30 controls and in 8 (61.5%) of ampicillin group. In the clindamycin group all cultures were negative.
    A total of 18 species and 38 strains of bacteria were isolated and indentified from the 25 positive blood cultures, 21 strains (55.2%) of aerobes and 17 strains (44.7%) of anarobes. The most frequently isolated bacteria were: Streptococcus sanguis (28.9%), S. pneumoniae (5.3%), S. anginosus (5.3%), Haemophilus influenzae (5.3%), S. intermedius (10.5%), Peptostreptcoccus asaccharolyticus (7.9%), S. morbillorum (5.3%) and P. anaerobius (5.3%).
    The incidence of bacteremia was much higher than had been expected. Although bacteremia after tonsillectomy might be transient, it seems mandatory to use a second generation cephalosporin or clindamycin during and after surgery.
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  • Effect of Tonsillectomy in Patients with Intercostoclavicular Ossification and Pustulosis Palmaris et Plantaris
    Kazuo Umemura, Izuru Matsuoka, Koji Iwasaki, Masako Murakami
    1988 Volume 81 Issue 6 Pages 855-861
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.855
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    This is a report of patients with 36 pustulosis palmaris et plantaris (P. P. P.), 11 cases of whom also had intercostoclavicular ossification (I. S. C. C. O.). 1. Tonsillectomy was effective for both P. P. P. and I. S. C. C. O. 2. Tonsillectomy was especially effective when preoperativ ESR and CRP were high. 3. The treatment for I. S. C. C. O. has not been yet decided, but tonsillectomy appears to be effective.
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  • Neonatal Lymphangioma
    -A Case Report-
    Takao Samukawa, Toshihide Tabata
    1988 Volume 81 Issue 6 Pages 863-866
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.863
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    A 3-day-old girl, with tumor of the chin was examined in our clinic. The tumor grew rapidly and enlarged to occupy the floor of the mouth. Severe dyspnea was noted. Surgical removal of the tumor was planned to improve her dyspnea. However, it could not be removed completely because of widespread invasion of the adjacent tissues. The histological findings were those of lymphangioma. Local injections of bleomycin into the residual tumor eliminated the tumor and there have been no recurrences.
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  • Giant Aspergilloma Extending from the Mesopharynx to the Cranium
    -A Case Report-
    Hiroshi Orita, Hidekazu Yamamoto, Takeshi Akisada, Yukihiro Sato
    1988 Volume 81 Issue 6 Pages 867-874
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.867
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    A giant aspergilloma extending from the mesopharynx to the cranium was seen in a 56-year-old male patient.
    The patient was sent to our department with the chief complaints of right nasal closure, right otorrhea, and hoarseness.
    A firm tumor was found on the right side of the pharynx, and the soft palate was deviated to the left. A giant tumor spreading from the right side of the pharynx to the right cranium was noted on CT. It was immediately removed by craniotomy on oral approach. Histopathological examination showed the tumor to be an aspergilloma. The patient's condition improved after surgery. Oral administration of 5-fluorocytosine has been continued, and there is no sign of recurrence.
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  • Peripharyngeal and Periesophageal Abscess
    -A Review of 8 Cases-
    Kiminori Sato, Shigejiro Kurita
    1988 Volume 81 Issue 6 Pages 875-879
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.875
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    Eight patients with peripharyngeal or periesophageal abscess treated from January 1, 1984 through December 31, 1986 at Kurume University Hospital, are reviewed. 1. The age range was 41 to 65 years. Seven patients were male and one was female. 2. Seven patients had peripharyngeal abscesses, and two of these developed peritonsillar abscesses. One patient had a periesophageal abscess. Mediastinitis was a complication in two patients. 3. The cause was by foreign body, in two patients, endoscopy in two, and tonsillitis in two. The etiology was not known in two patients. 4. Streptococcus was isolated in all eight patients, Klebsiella pneumoniae in two and anaerobic bacilli in one. 5. Three of the patients had diabetes mellitus. 6. Drainage was performed in all eight patients. Tracheotomy was required in three who complained of dyspnea. 7. Seven patients were cured. One of the two who developed mediastinitis died.
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  • A Case of Deep Neck Infection Requiring Thoracotomy
    Yoshiharu Ohuchi, Hidekazu Yamamoto, Makoto Kawata, Yozo Orita
    1988 Volume 81 Issue 6 Pages 881-886
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.881
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    The incidence and mortality of deep neck infections have decreased in recent years following the development of strong antibacterial antibiotics. However, severe deep neck infections may develop in patients with collagen diseases, diabetes mellitus, or immunodeficiency, or during long-term steroid therapy, etc. We have recently treated a patient with deep neck infection which advanced rapidly to mediastinitis. He was saved by thoracotomy and drainage, etc. We describe the findings, the probable cause and route of infection, the pathology and treatment, in addition we review the literature briefly.
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  • The Characteristics of the Strial Capillaries in Each Turn of the Cochlea
    Kensuke Watanabe
    1988 Volume 81 Issue 6 Pages 887-893
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.887
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    Guinea pigs were killed by decapitation, and blood sludging and HRP (horseradish peroxidase) leakage out of the capillaries was examined in the stria vascularis. This phenomenon was observed in almost all of the upper three turns, but it was less marked in the basal turn. It is thought that this discrepancy is caused by the difference in the number of capillaries which first enters the stria vascularis, leave it and then pass through the spiral ligament at each turn. In the basal turn larger numbers of capillaries enter the stria vascularis and pass through the spiral ligament and a smaller number of capillaries leave the stria vascularis than in the upper turns. The difference between the numbers of capillaries entering and leaving the stria vascularis is thought to influence the strial blood flow, especially when a capillary leaving the stria vascularis is constricted as after decapitation.
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  • Histological Study of Human Palatine Tonsillar Capsule with Respect to Aging and Pathology
    Norio Maeda
    1988 Volume 81 Issue 6 Pages 895-907
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.895
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    The structure of the human tonsillar capsule and its changes with age were histologically investigated. The tonsillar capsule is a thick connective tissue layer surrounding the tonsil. The tonsillar capsule matured together with the tonsil until the age of 10 years. The age-related changes, which began in the 6th decade, were follicle's atrophy, fibrillation of septum and peripheral regions, and finally fibrillation, hyalinization and fatty degeneration of capsule. Collagen fibers of the tonsillar capsule were fine in pre-school children, but increase in size until the age of 40. The amount of interfibrilar substances began to decrease after the 6th decade. Under age of 20, the thickness of tonsillar capsule was significantly larger (p<0.05) than normal in chronic tonsillitis. It is speculated that inflammation inside the tonsil reached the tonsillar capsule due to the tonsillar immaturity. In normal subjects, Weber's glands showed no structural changes with age, whereas in acute and chronic tonsillitis cases, pre-ductal cell infiltration and duct dilatation were observed, and seem to be related to the occurrence of peri-tonsillar abscess.
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  • Effect of L-cysteine Ethyl Ester on Viscoelasticity of Nasal Mucus in Patients with Chronic Sinusitis
    Yuichi Majima, Yasuo Sakakura, Keisuke Hirata, Kazuhiko Takeuchi, Atsu ...
    1988 Volume 81 Issue 6 Pages 909-915
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.909
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    This study evaluated the effects of L-cysteine ethyl ester, a sulf hydryl-type oral mucolytic, on the viscosity and the elasticity of nasal mucus in 13 adults with chronic sinusitis. The drug was administered at a dose of 300mg/ day orally for 4 weeks. Twenty specimens of mucus were collected from the nasal cavity before and 4 weeks after the start of the administration.
    The dynamic viscosity (v') and storage modulus (G') of each specimen of nasal mucus were determined by an oscillating sphere magnetic rheometer at frequencies of 0.5, 1, 5, 10 and 20 Hz at a constant temperature of 25°C.
    Both the dynamic viscosity and the storage modulus of the mucus after 4 weeks were significantly lower than those before treatment at the all frequencies examined. These results indicate that L-cysteine ethyl ester reduces the viscosity and the elasticity of the nasal mucus in patients with chronic sinusitis. It may facilitate the elimination of increased nasal secretion from the nasal cavity and paranasal sinuses by mucociliary clearance and blowing in patients with chronic sinusitis.
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  • Clinical Evaluation of AA-673 (Amlexanox) Tablets in Perennial Allergic Rhinitis
    Tomonori Takasaka, Yoshihiro Shibahara, Motoaki Ishigaki, [in Japanese ...
    1988 Volume 81 Issue 6 Pages 917-932
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.917
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    The therapeutic effects and safety of AA-673 tablets were studied in 67 patients with perennial allergic rhinitis at 9 institutions. The patients were generally prescribed a 50 mg tablet of AA-673 three times daily for at least 4 weeks.
    Evaluation of the final global improvement revealed “moderate to marked improvement” in 53% of the patients, and “slight to marked improvement” in 85%. Subjective improvements of sneezing attack, nasal discharge and nasal obstruction were noted in 38%, 31% and 36% of the patients, respectively.
    Side effects observed in 7 patients (10.4%), were all mild and transient. AA-673 tablets were considered to be effective for the treatment of the perennial allergic rhinitis.
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  • Notes on Diagnosis of the Head and Neck Malignancies
    [in Japanese]
    1988 Volume 81 Issue 6 Pages 934-935
    Published: June 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.934
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