Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 81, Issue 7
Displaying 1-17 of 17 articles from this issue
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  • TNM Classification of Maxillary Sinus Carcinoma
    Shun-ichi Sakai
    1988 Volume 81 Issue 7 Pages 937-944
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.937
    JOURNAL FREE ACCESS
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    T category of the international TNM classification of maxillary sinus carcinoma was proposed in 1987. This paper reviews the past classifications of the extent of maxillary sinus carcinoma.
    The JJC proposal coincides with the UICC classification in 80% the cases. The differences between the two systems, however, are summarized as follows: 1) Erosion of the posterior bony wall is classified as T3 by the UICC but as T2 by the JJC, 2) Invasion to the posterior ethmoid sinuses is classified as T4 by the UICC but as T3 by the JJC, 3) Tumor visible on the hard palate, gingiva and/ or inferior nasal meatus is classified as T2 by the UICC but as T3 by the JJC, 4) Extension of the invasion beyond the midline of the hard palate and or ulceration of the skin is classified as T3 by the UICC but as T4 by the JJC.
    Examination of our series of 845 primary cases suggests that the group with erosion of the posterior wall can be classified as T3 according to the UICC but the other groups should be classified by the JJC proposal.
    The international classification was, however, useful considering that the 5-year survival rates for clinical stages I, II, III and IV were 69%, 46%, 31% and 19%, respectively.
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  • Heerfordt's Syndrome
    [in Japanese], [in Japanese]
    1988 Volume 81 Issue 7 Pages 946-947
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.946
    JOURNAL FREE ACCESS
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  • Aneurysm of the Anterior Inferior Cerebellar Artery at the Internal Auditory Meatus with Arteriovenous Malformation Presenting as Sudden Hearing Loss
    -A Case Report-
    Tadashi Kojima, Hideaki Shirasaki, Akikatsu Kataura
    1988 Volume 81 Issue 7 Pages 949-959
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.949
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    A patient with sudden hearing loss and cerebellopontine angle syndrome was found to have an aneurysm of the anterior inferior cerebellar artery (RICA) at the internal auditory meatus with arteriovenous malformation (AVM). The patient was a 51-year-old male with followed by dizziness and right tinnitus. Three days after admission, he had sudden right hearing loss and vertigo. Four days later right facial palsy appeared. Neurotological examination pointed to a retrocochlear disorder. CT scan showed a AVM at the cerebello-pontine angle (C-P angle). Left vertebral angiograms demonstrated an AVM in the right cerebellar hemisphere and two aneurysms on the feeding arteries, one on the superior cerebellar artery and the other on the meatal loop of the right AICA. Removal of the AVM and clipping of the necks of the aneurysms, which were unruptured, were performed through the right suboccipital approach.
    Disorders presenting as sudden hearing loss and C-P angle syndrome at the same time are generally acoustic neurinomas, and vascular disorders such as aneurysms, AVM and intrameatal vascular loop are relatively rare. AICA aneurysm are very rare. Only 33 cases have been reported. A statistical analysis is included.
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  • Neuro-otological Examinations in Nine Patients with Multiple Sclerosis (MS) Associated with Vertigo and Disequilibrium
    Akinori Itoh, Kyoko Ohtsu, Eiji Sakata
    1988 Volume 81 Issue 7 Pages 961-973
    Published: July 01, 1988
    Released on J-STAGE: December 12, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.961
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    Nine MS patients with vertigo and disequilibrium were neuro-otologically examined.
    Examination of the vestibulo-oculomotor system revealed that these patients had i) conjugated eye movenents disorder (MLF syndrome), ii) bilateral fixation nystagmus, iii) OKN disorder, iv) ETT disorder, v) vertical positional nystagmus and vertical positioning nystagmus, vi) rebound nystagmus which suggested in the dorsal parts of the brain-stem (i-iii) and in the vermis and nuclei of cerebellum (iv-vi).
    On auditory examination, the prolongation of the wave III-V IPL and the increased wave ITV amplitude ratio were characteristic findings of ABR. Since the auditory pathway runs in the dorsal parts of the upper brain-stem, the latter components of ABR seemed to be markedly damaged by MS.
    Neuro-otological examinations appear to be more sensitive than rutine neurological examinations for detecting multi-focal lesions in MS patients with vertigo and disequilibrium.
    MRI was found to be the most satisfactory technique for diagnosing MS.
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  • Quantitative Analysis Pursuit Eye Movement by Eye Tracking Test
    Yozo Okabe
    1988 Volume 81 Issue 7 Pages 975-993
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.975
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    Smooth pursuit eye movements when tracking sine waveform target movement of 30° amplitude and 1/3 Hz frequency (eye tracking test: ETT) were quantitatively assessed in 108 normal subjects and 47 patients with various central lesions. Normal subjects were divided into three age groups. Young volunteers were 20 to 39 years old, middle aged volunteers were 40 to 59 years old and elderly volunteers were over 60 years old. Four parameters (absolute error of eye position, absolute error of eye velocity, phase, summation of saccadic eye movents) were calculated. Smooth pursuit eye movements were linearly impaired with senescence. All patients with cerebellar and cerebellobrainstem lesions showed abnormal values in the parameters. Directional preponderance to the lesion side was seen in half the patients with hemispheric lesion. Patients with CP angle tumors without brain stem compression did not have impaired smooth pursuit. The absolute error of eye velocity increased in the ETT recordings when a saccadic pattern was present, while the absolute error of eye position increased in the ETT with an ataxic pattern.
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  • Examinations of Elderly Patients with Vertigo and/or Dizziness
    Kazutoyo Kobayashi, Noboru Yamanaka, Hidemitsu Isago, Toshio Suzuki, H ...
    1988 Volume 81 Issue 7 Pages 995-1002
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.995
    JOURNAL FREE ACCESS
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    Equilibrium examinations were performed in 133 patients over 60 years of age who complained of vertigo and/or dizziness.
    1. The incidence of vertigo or dizziness due to central nervous system lesions (central disorders) increased with age, while that of peripheral vestibular lesions (peripheral disorders) fell with age.
    2. Elderly patients with peripheral disorders had a incidence of abnormal caloric response (36.6%) compared with those with central disorders.
    3. The eye tracking test of patients with central disorders indicated that smooth pursuit eye movement tended to be more difficult.
    4. Nystagmus tests showed abnormal nystagmus in those with cerebellar and brain stem lesions.
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  • Nasal Glioma
    -Report of a Case-
    Yuji Nakano, Koji Asakura, Yasuaki Harabuchi, Akikatsu Kataura
    1988 Volume 81 Issue 7 Pages 1003-1009
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1003
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    Nasal glioma has been thought to be usually benign and composed of ectopic glial tissue and found at birth extranasally and or i.ntranasally.
    In Japan nasal glioma situated both extranasally and intransally (mixed type nasal glioma) has never been reported. Recurrence is rare if the first removal of the tumor is adequate. We report a case of mixed type nasal glioma which recurred 8 months after the first resection of the intranasal masses.
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  • A Case Report of Pleomorphic Adenoma of the Nasal Septum
    Kuho Ohara, Junya Naito, Kyozo Arimoto, Akio Konno, Koichi Nagao
    1988 Volume 81 Issue 7 Pages 1011-1016
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1011
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    A 17-year-old male in good general health complained of nasal obstruction and bleeding. Rhinoscopy revealed a dark red tumor with irregular surface in the left nasal cavity.
    The tumor, 3.0×1.5×1.5cm in size, was surgically removed by an intranasal approach under general anesthesia from the upper part of the nasal septum.
    The histological diagnosis was pleomorphic adenoma of the nasal septum.
    This is a very rare tumor. Although no recurrence has been observed so far, careful follow-up for a longer period is necessary.
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  • Paranasal Mycosis
    -A Clinical Study of Aspergillosis-
    Tohru Furusaka, Yukari Horikawa, Akinori Kida
    1988 Volume 81 Issue 7 Pages 1017-1022
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1017
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    Eleven cases of paranasal mycosis (aspergillosis) are reported along with etiological considerations based on the authors' own cases. Questioning of the patients did not reveal any particular environmental conditions suspected to be exogenous factors in the disease, and various immunological examinations of the patients' resistance provided no clear endogenic evidence. However, allergenic involvement was suggested in some cases. X-ray and operative findings revealed bone destruction in the inner wall of the maxillary sinus, especially in the natural holes, which makes it necessary to study the possible fragility of local resistance in cases of paranasal mycosis.
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  • Two Cases of Malignant Fibrous Histiocytoma of Maxillary Sinus
    Hiroyuki Takezawa, Koji Asakura, Katsufumi Hoki, Fumiaki Shido, Akikat ...
    1988 Volume 81 Issue 7 Pages 1023-1032
    Published: July 01, 1988
    Released on J-STAGE: December 12, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1023
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    Case 1. A 34-year-old male complained of pain and numbness of the left cheek. CT scan revealed a left maxillary sinus tumor which had destroyed the medial, posterior and lateral walls. The histopathological diagnosis was malignant fibrous histiocytoma (common type). Case 2. A 74-year-old female suffered from left dental and cheek pain. CT scan revealed a tumor mass which had destroyed the anterior, lateral and posterior walls and invaded pterygomaxillary fossa. The histopathological diagnosis was malignant fibrous histiocytoma (Giant cell type). Both patients were treated with radiation therpy, chemotherapy and surgery. Case 1 remains free of disease 4 year after surgery. Case 2 died of local recurrence and systemic matastasis 2 months the after surgery.
    Clinical stage of case 2 was more advanced than that of case 1. Giant cell type of malignant fibrous histiocytoma is more malignant than the common type. The early death of case 2 was presumably due to the more malignant histopathological type.
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  • Is Arteriosclerosis a Risk Factor for Microvascular Anastomoses?
    Naoyuki Kanoh, Junji Sakakihara, Jun Nomura
    1988 Volume 81 Issue 7 Pages 1033-1038
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1033
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    To assess whether arteriosclerosis is a risk factor for microvascular anastomoses in head and neck surgery, the grade of arteriosclerosis was investigated with respect to age, aortic pulse wave velocity, ocular fundus and the histopathological findings of recipient arteries in 40 patients with head and neck malignant tumors. As the arteriosclerosis was found to be mild, i t was not a contraindication of surgery. We are currently studying other possible risk factors in elderly patients.
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  • An Analysis of Emotional Responses in Children Facing Hospitalization and Otolaryngologic Surgery
    Jun Ogino, Minoru Uchida
    1988 Volume 81 Issue 7 Pages 1039-1049
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1039
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    Children who are admitted to a hospital and undergo an operation frequently exhibit emotional responses such as anxiety about the unknown and thier pain, fear of isolation from their families, etc. At present, there are few research reports on the emotional response that children experience.
    With questionaires and interviews, we investigated the emotional responses of 210 children, who had received adenoidectomies, tonsillectomies and or tympanostomy tube insertions from 1981 to 1983.
    1) Emotional responses were most frequently observed in children aged 5 years or less, and they tended to decrease with age.
    2) Interactions between parents and children, and parents and physicians may be related to the appearance of emotional responses.
    3) Emotional responses were most frequent in children who received tonsillectomies, since this operation was more apt to operative pain.
    4) Postoperative conditions can also influence the appearance of emotional responses.
    We conclude that it is necessary to explain the disease and the operation to the parents and the child: special preoperative and postoperative care is required in younger children: and the proper use of premedication and postoperative pain relief are also necessary.
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  • Cochlear Microphonic Changes after Application of Pressure to the Scala Media
    Nobuya Yagi, Hiroaki Sato, Sang Heun Lee
    1988 Volume 81 Issue 7 Pages 1051-1058
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1051
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    The measurement of pressure in the scala media during impaired hearing is of interest, because pressure changes may occur during attacks of vertigo in Meniere's disease.
    In this study, the changes of cochlear pressure and cochlear microphonics (CM), while acute pressure was applied to the scala media, were examined in 10 guinea pigs.
    Artificial endolymph was injected into the scala media (SM), and the endocochlear potential (EP) and CM were recorded simultaneously from an electrode within the scala media. Into another small hole opened in the scala vestibuli, a glass electrode was introduced to measure the pressure of the cochlear fluid by a WPI pressure measuring system.
    Apnea induced a decrease of EP & CM and increase of cochlear lymphatic pressure. This pressure had no direct relation to the decrease of EP & CM. When the pressure was applied to the scala media, the decrease of CM occurred exponentially.
    The lowest pressure applied, combined with complete disappearance of CM, was 2.4 mm H2O. This means that the CM generating system is completely destroyed by a pressure of 2.4 mm H2O.
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  • Action Mechanism of Tranilast in Secretory Otitis Media
    Satoshi Ogino, Tamotsu Harada, Torn Matsunaga, Yachiyo Tominaga
    1988 Volume 81 Issue 7 Pages 1059-1064
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1059
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    We examined the action mechanism of Tranilast (N-5') in secretory otitis media (SOM). Tranilast and the derivatives were detected in middle car effusion (MEE) of patients treated with Tranilast for 1 to 3 weeks. The levels of C3a and C5a in MEE were significantly high in all cases of SOM, but decreased with the duration of Tranilast treatment. When MEE was incubated with Tranilast at 37°C for 1 hr, the levels of C3a and C5a decreased. These results indicate that C3a and C5a are associated with SOM, and that Tranilast transfered into MEE decreases the levels of C3a and C5a, leading to improvement of SOM.
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  • Clinical Evaluation of Eperisone Hydrochloride (Myonal®) on Tinnitus
    Akio Yoshida, Ryuhji Nagano, Ken Okamoto
    1988 Volume 81 Issue 7 Pages 1065-1075
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1065
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    The clinical effects of eperisone hydrochloride (Myonal®) alone or combined with other drugs (vitamin, tranquilizer) on tinnitus was evaluated in 77 patients (43 males and 34 females).
    The clinical effects were excellent in 11 cases (14.3%), good in 12 cases (15.6%), fair in 10 cases (13.0%) and not effective in 43 cases (55.8%).
    The effective rate was over 50% in tinnitus patients with central vertigo, sudden deafness and Meniere's disease. As to age, the agent was most effective in the 4th and 5th decades. Administration for over 8 weeks was more effective than less than 8 weeks. High pitch tinnitus responded better to the treatment than low pitch tinnitus. Side effects were noted in 11 cases (14.3%). There were neurological and gastrointestinal complaints.
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  • Clinical Study of Traxanox Sodium, an Antiallergic Drug, in the Treatment of Perennial Nasal Allergy
    Yasuo Sakakura, Kotaro Ukai, Mikikazu Yamagiwa, [in Japanese], [in Jap ...
    1988 Volume 81 Issue 7 Pages 1077-1091
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1077
    JOURNAL FREE ACCESS
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    Traxanox sodium was given in a dose of 360 mg/day to 19 patients with nasal allergy. Improvement was “moderate” or better in 65% and “slightly” or better in 84%. The safety score was “safe” or “almost safe” in 95%.
    Its clinical usefulness was rated “moderately useful” or more in 68% and in “slightly useful” or more in 84%. Improvement in nasal symptoms was 76%, for sneezing attacks, 76%, for nasal discharges and 58%, for nasal obstruction. Adverse reaction were observed in 3 patients.
    It is concluded that the oral administration of traxanox sodium in a dose of 360 mg/day is usefull for patients with nasal allergy.
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  • Pharmacotherapy of Vertigo
    [in Japanese]
    1988 Volume 81 Issue 7 Pages 1092-1093
    Published: July 01, 1988
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.81.1092
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