Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
Search
Advanced search
OR
Browse
Search
Volume 82, Issue 6
Displaying 1-22 of 22 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • Head-Shaking Nystagmus
    Tamio Kamei
    1989 Volume 82 Issue 6 Pages 747-755
    Published: June 01, 1989
    Released on J-STAGE: December 12, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.747
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Head-shaking nystagmus (HSN) is provoked by rapid side-to-side movements of the head (head-shaking test: HST). This paper reviews the literature on HSN and HST. 1) HSN is always pathological, as long as it is observed under Frenzel's glasses in a dark room. Many authors assume that it is identical to latent spontaneous vestibular nystagmus.
    2) HST is the most suitable test for screening purposes in clinical vestibular examination because of its simplicity in manoeuvre and capability in provoking nystagmus. Usually, 20 to 30 cycles of head-shaking horizontally (with an excursion of about +/- 45 degrees and a frequency of about 2 Hz) are a suitable stimulus.
    3) HSN appears as monophasic or biphasic nystagmus, and as horizontal or vertical nystagmus. A monophasic vertical HSN strongly suggests a lesion in the posterior fossa.
    4) In monophasic horizontal HSN, the nystagmus is directed in most of the patients with unilateral labyrinthine lesions to the contralateral side of the lesion. This nystagmus (deficiency-type HSN) follows immediately after the head-shaking as a briskly beating nystagmus and regresses rapidly, usually in 10 to 20 seconds. In a minority of the patients with unilateral peripheral lesions, the nystagmus is directed ipsilateral to the site of lesion. This nystagmus (recovery-type HSN) occurs after a short latency (several seconds) following the head-shaking as a lightly beating and somewhat irregular nystagmus, which generally lasts for about 30 seconds or more. The latter type of monophasic HSN is frequently encountered in patients with Menière's disease.
    5) Biphasic HSN is mainly found in connection with peripheral vestibular disorders and particularly with unilateral disorders. The first phase nystagmus, which appears immediately after the head-shaking, generally represents a deficiency nystagmus. The second phase nystagmus, which appears in the opposite direction after a short latency following the disappearance of the first phase, represents a recovery nystagmus, the direction of which indicates the side of the lesion. This rule is widely applicable except in patients with additional central vestibular imbalance or in patients with Menière's disease in which a reversed response of biphasic HSN may occur.
    View full abstract
    Download PDF (1296K)
  • Complications of Tympanostomy Tube
    [in Japanese], [in Japanese]
    1989 Volume 82 Issue 6 Pages 756-757
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.756
    JOURNAL FREE ACCESS
    Download PDF (1137K)
  • Computer Simulation of Movements of Arytenoid Cartilages
    Kazunori Mori, Hisayoshi Kojima
    1989 Volume 82 Issue 6 Pages 759-763
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.759
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Three-dimensional computer graphics and computer simulation should be useful to clarify the relationship between the three-dimensional movement of the arytenoid cartilage and the contraction power of the internal laryngeal muscles. The literature is reviewed in an attempt to clarify this relationship.
    It is necessary to identify both the three-dimensional structure of the crico-arytenoid joint and the direction of the internal laryngeal muscle fibers by observation of the threedimensional computer graphics reconstructed from cross sections of the larynx. It is also necessary to draw the glottal shape transformed by electrical stimulation, using computer graphics, and to calculate the contraction power of the laryngeal muscles, using three-dimensional vector analysis. Then it will be possible to simulate the relationship between the condition of the internal laryngeal muscles and the position of the arytenoid cartilage.
    The computer simulation of the glottal shape should make it possible to know the condition of the internal laryngeal muscles in phonation.
    View full abstract
    Download PDF (661K)
  • Post-Rotational Visual Suppression Test in Patients with Cerebellar Lesions
    Kazuhiro Teramoto, Eiji Sakata, Kyoko Ohtsu
    1989 Volume 82 Issue 6 Pages 765-774
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.765
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We examined 145 patients with cerebellar disturbance by post-rotational visual suppression test.
    Fifty-six patients with cerebellar lesions showed normal fixation suppression in visual suppression test, whereas the remaining seventy-six patients showed no fixation suppression in bilateral nystagmus slow-phase.
    Our results indicated that patients with disturbance of post-rotational visual suppression had a lesion in the vestibulo-cerebellum.
    In 13 patients who showed no fixation suppression in ipsilateral slow-phase nystagmus, the lesion always existed in the direction toward the quick phase of nystagmus.
    View full abstract
    Download PDF (6039K)
  • Changes in Tinnitus after Stapedectomy for Otosclerosis
    Kiyofumi Gyo, Hidemitsu Sato, Naoaki Yanagihara
    1989 Volume 82 Issue 6 Pages 775-778
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.775
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    During the last 12 years, twenty nine ears were treated by stapedectomy for otosclerosis. Various types of tinnitus were present in 25 ears. After the operation, tinnitus disappeared in 6 ears, was reduced in 15 ears and unchanged in 4 ears. Pulsating tinnitus and low tone tinnitus were relieved more than high tone tinnitus. Relief of tinnitus was closely related to the improvement of hearing after surgery; patients with good postoperative hearing also had less tinnitus, while those with poor postoperative hearing did not. Mechanism of improvement of tinnitus after stapedectomy is unclear, but is assumed to be due to surgical relief of stapes fixation, which inhibited transmission of surrounding ambient noise to the inner ear, thereby caused “tinnitus in a sound-proof room”.
    View full abstract
    Download PDF (494K)
  • Two Cases of Spontaneous CSF Otorrhea
    Etsuo Yamamoto, Yoshinobu Hirono, Mani Imura
    1989 Volume 82 Issue 6 Pages 779-784
    Published: June 01, 1989
    Released on J-STAGE: December 12, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.779
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Two cases of spontaneous CSF otorrhea are presented. The initial presentation of both patients was the appearance of a serous otitis mediaa and persistent clear otorrhea following tube insertion. In one patient, a 50-year-old male, cerebrospinal fluid from tegmen defect was confirmed by surgery. The second patient, a 56-year-old female, was found to have the fistulas in the internal anditory meatus and the stapes foot plate, from which the fluid exuded.
    View full abstract
    Download PDF (4187K)
  • Usefulness of Tamponade with Chitin-Coated Gause following Endonasal Operation
    Hitoshi Saito, Yasuhiro Manabe, Michinari Okamoto, [in Japanese], [in ...
    1989 Volume 82 Issue 6 Pages 785-790
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.785
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Chitin extracted from the shells of Japanese pink crab accelerates wound healing. The usefulness of gauze coated on both sides with chitin after endonasal operation was evaluated in clinical trials at six hospitals. Coated gauze tampons were used in 37 patients after repairs of deviated septum, conchotomy, nasal polypectomy, etc. Although insertion was difficult, chitin-gauze tampons were more useful than conventional gauzetampons with respect to extractability and manageability.
    View full abstract
    Download PDF (608K)
  • Two Cases of a Bifid Nose
    Kenichi Maruoka, Michinari Muraoka, Yoshiaki Nakai
    1989 Volume 82 Issue 6 Pages 791-797
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.791
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We encountered a 7-month-old female and a 15-year-old male with bifid nose which was treated surgically.
    In the first patient, thick skin with a longitudinal fissure extending along the nasal dorsum was excised in a spindle-shape. Four incisions parallel to the nasal septum were performed, two of which were made along the nasal septum; the other incisions ran lateral to them. Thus, the nasal cartilages were sutured centrally for augmentation. The remaining orbital hypertelorism will require correction by craniofacial surgery in the future.
    In the second patient, the nasal dorsum was flattened and covering skin was normal. However, a small concavity was detected on the nasal tip. This deformity was easily corrected by augmentation rhinoplasty using a silicone prosthesis.
    The classification and etiology of a bifid nose are reviewed, and introduce the ‘Cleft Numbering System’ of Tessier.
    View full abstract
    Download PDF (5048K)
  • Effect of Pharyngeal Flap Surgery on the Nose and Nasal Airway Resistance
    Yasuyuki Ishikawa, Michio Kawano, Iwao Honjo
    1989 Volume 82 Issue 6 Pages 799-803
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.799
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    There is a possibility that pharyngeal flap surgery has an adverse effect on the nose, but little is known about this problem. We examined the incidence of sinusitis, sensation of nasal obstruction and disturbed olfactoryacuity in 25 cleft palate patients over 15 years of age who had had pharyngeal flap surgery. Nasal airway resistance was determined by the active-anterior method. The control group consisted of 43 cleft palate patients over 15 years of age without pharyngeal flap surgery.
    Fourteen cleft palate patients were examined before and after pharyngeal flap surgery with anterior rhinoscopy and determination of nasal airway resistance by the active-anterior method. The subjective sensation of nasal obstruction was also noted before and after surgery.
    Furthermore, the nasal airway resistance was measured in 23 cleft palate patients with pharyngeal flap by both the active-anterior and active-posterior methods to determine whether the pharyngeal flap increases resistance.
    1) There was no significant difference in the incidence of sinusitis, sensation of nasal obstruction or disturbed olfactory acuity between patients with and those without pharyngeal flaps. The difference in nasal airway resistance between the two groups was not significant.
    2) In 14 cleft palate patients, there was no increase of anterior rhinoscopic findings after the pharyngeal flap surgery and there was no significant change in nasal airway resistance after the surgery, but 2 of the 14 complained of slight aggravation of the sensation of nasal obstruction 5 months or more after surgery.
    3) The difference in the nasal airway resistance measured by the active-anterior and active-posterior methods in patients with pharyngeal flap was slight. It was considered that on nasal airway resistance the pharyngeal flap has little effect.
    View full abstract
    Download PDF (596K)
  • Miniplate Osteosynthesis in Maxillo-Facial Surgery
    Masaharu Terashima, Taiji Kato, Hitokazu Kobayashi, Yasuaki Miyakuni, ...
    1989 Volume 82 Issue 6 Pages 805-817
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.805
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Otteosynthesis using Champy's miniplates was performed in 8 patients with mid-face injuries. Since no patients complained of discomfort, we did not remove the miniplates which are thin and light. Miniplate osteosynthesis may be very useful in case of complicated fracture or old fracture of mid-face.
    View full abstract
    Download PDF (13040K)
  • Multiple Odontogenic Keratocysts in Maxilla and Mandible; A Case Report
    Masanori Sakaguchi, Isao Asawa
    1989 Volume 82 Issue 6 Pages 819-825
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.819
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Otolaryngologists in Japan seem to be unfamiliar with the odontogenic keratocyst, because no report of this disease has appeared. A review of the clinical and histological characteristics of odontogenic keratocysts indicates that they belong to the same category as epidermoid cysts or cholesteatomas in the maxillary sinus.
    A 32-year-old man had complained of right cheek swelling since September, 1983, and was referred to our clinic (Nagano Red Cross Hospital) in December, 1983. Radiological examination revealed four cysts accompanied by bone destruction in both maxillas and mandibles. In May and June, 1984, four cysts were totally removed. Histological examination showed that the epithelial lining of each cyst was covered with stratified squamous epithelium accompanied by parakeratosis. A diagnosis of odontogenic keratocyst was made. No recurrence has been evident 4.5 years after treatment.
    View full abstract
    Download PDF (5397K)
  • Parotid Salivary Flow after Middle Ear Surgery
    Hiroyuki Oiki, Kiyotaka Murata, Fumihiko Ohta
    1989 Volume 82 Issue 6 Pages 827-834
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.827
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Parotid salivary flow in 53 patients with chronic otitis media and in 20 normal control subjects was measured pre- and postoperatively. There were no statistically significant differences between the right and left parotids. Neither chronic otitis media nor cholesteatoma disturbed parotid salivary flow. Resection of Jacobson's nerve or the chorda tympani reduced parotid salivary flow. Resection of both nerves doubled the reduction of parotid salivary flow. These results suggest that the chorda tympani affects parotid secretion. The chorda tympani may contain secretory fibers to the parotid gland or autonomic nerve fibers which influence the parotid salivary secretion. However, this assumption is difficult to confirm, partly because of species differences or even differences in a single species of the innervations to the parotid gland. In our study contralateral parotid salivary flow did not reveal significant changes postoperatively. Postoperative reduction of parotid salivary flow was nearly fully restored approximately 9 months after middle ear surgery.
    View full abstract
    Download PDF (1084K)
  • Two Cases of Verrucous Carcinoma in the Oral Cavity
    Hideki Imokawa, Takeyuki Nakamura, Yukio Toda
    1989 Volume 82 Issue 6 Pages 835-841
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.835
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We encountered two cases of verrucous carcinoma in the oral cavity. One patient was a 71-year-old male who complained of right lip swelling of 6 months duration. The second patient was a 37-year-old male who complained of a tumor in the oral floor of 2 years duration. Resection followed by reconstruction were performed in both patients.
    View full abstract
    Download PDF (4299K)
  • Four Cases of R eccurent Ulcers in the Pharynx
    Shinya Fukuse, Kazuo Makimoto, Osamu Noi, Kensi Omori, Yuzo Yamamoto, ...
    1989 Volume 82 Issue 6 Pages 843-850
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.843
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Four patients were treated for reccurrent ulcers in the pharynx for 16 months to four years. Three of them had higher than normal complement titers (CH50, C3, C4), indicating possible immunologic deficiency. Local treatment and various agents were used for the relief of pharyngeal pain and healing of the ulcerative lesions. Clinical studies are needed to clarify the pathogenesis of the disease and to develop rational and effective treatment.
    View full abstract
    Download PDF (4267K)
  • Local Injection of Bleomycin Emulsion in Therapy of Cystic Lymphangioma of the Head and Neck Region
    Yoshihiko Kohno, Tomohito Date, Masafumi Nikaido, Ryoji Goubara, Haruo ...
    1989 Volume 82 Issue 6 Pages 851-856
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.851
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Three patients with the cystic lymphangioma of the head and neck region were treated with local injections of Bleomycin emulsion 1-3 times over the period of 1 month. In one patient, bleomycin injection was used following partial resection of the tumor. In the other 2 patients bleomycin emulsion was used as primary treatment. All 3 tumors decreased in size, and no severe complication was observed. Local injections of bleomycin emulsion may be indicated as the first choice for head and neck lymphangioma, since total removal and plastic reconstruction are technically difficult.
    View full abstract
    Download PDF (4585K)
  • Combination Chemotherapy with Cis-Platinum and Peplomycin for Non-Hodgkin's Lymphoma of the Head and Neck
    Kentaro Ochi, Sumio Onishi, Kenji Machiki, Norihide Nishikawa, Koichi ...
    1989 Volume 82 Issue 6 Pages 857-865
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.857
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Cis-platinum (CDDP) is well known as an effective and safe drug in the treatment of malignant tumors, especially squamous cell carcinoma. Although it is effective against malignant lymphoma, only a few reports have been published on its use in patients with malignant lymphoma.
    We treated eight patients with non-Hodgkin's lymphoma of the head and neck region with a combination of CDDP and Peplomycin (PEP).
    Six patients had complete remissions, and two patients had partial remissions. All side effects were mild and transient.
    The combination of CDDP and PEP is effective against malignant lymphoma and should have merits incorporation into protocols of chemotherapy for malignant lymphoma, especially non-Hodgkin's lymphoma.
    View full abstract
    Download PDF (5411K)
  • Repair of Tracheal Stoma! Stenosis for Voice Prosthesis
    Kazuhiko Shoji, Koichi Omori, Hideyuki Fukushima, Hisayoshi Kojima
    1989 Volume 82 Issue 6 Pages 867-869
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.867
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Laryngectomized patients with tracheal stomal stenosis cannot use a voice prosthesis because of possible dyspnea. We have repaired four stenotic tracheal stomas for voice prostheses. The technique of stomal reconstruction consists of insertion of a triangular skin flap to the longitudinally incised anterior wall of the trachea and laterally located Z-plasty. None of the patients had a recurrence of tracheal stomal stenosi s. Three patients now use a voice prosthesis with no dyspnea.
    View full abstract
    Download PDF (1627K)
  • Clinical Study of Tuberculous Cervical Lymphadenitis
    Meijin Nakayama, Kazuo Yao, Makito Okamoto, Hiroomi Takahashi
    1989 Volume 82 Issue 6 Pages 871-878
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.871
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Twenty patients with tuberculous cervical lymphadenitis, aged 11 to 74 years (mean age, 40) were treated in the Department of Otorhinolaryngology, Kitasato University Hospital from 1971 to 1988. The neck lesion was resected, and tuberculosis was confirm histologically in all 20 patients. The clinical features were discussed retrospectively. The disease is not frequent today but can still occur. One or Two patients with this disease visited the Department every year. Painless swelling of the upper and/or middle cervical lymph nodes was the most common feature. Immunodeficiency of moderate grade was present in 50% of the patients. A positive tuberculin skin test, elevation of the erythrocyte sedimentation rate, chest X-ray abnormalities and calcification of the cervical lymph nodes revealed by plain X-ray or CT scan were important diagnotic tests.
    View full abstract
    Download PDF (5495K)
  • Time Course of Production of SRS-A in the Nasal Mucosa after Antigen Challenge
    Akiyoshi Konno, Nobuhisa Terada, Eiko Ito
    1989 Volume 82 Issue 6 Pages 879-886
    Published: June 01, 1989
    Released on J-STAGE: December 12, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.879
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We evaluated the time course of production of SRS-A in the nasal mucosa after antigen challenge in the guinea pigs with nasal allergy and the effect of Ketotifen sprayed topically over the nasal mucosa on SRS-A production. Fifty-six Hartley strain guinea pigs were sensitized passively by intravenous injection of 0.4 ml of sera containing antiovaTbumin IgE and γ1 antibody (7 days' PCA titer, ×1664; 48 hours' RCA titer, ×5632). After 7 days, all animals received nasal challenge with 50 μl×2 of 1 % ovalbumin. Thirty-two animals were subdivided into 8 groups that were killed before the challenge and 15 min, 30 min, 1 hr, 3 hr and 12 hr after antigen challenge. The nasal mucosa was removed and the amount of LTC4, LTD4 and LTE4 in the nasal mucosa was measured using high-powered liquid chromatography combined with radioimmunoassay. In 12 animals, nasal spray of 0.1 mg Ketotifen dissolved in normal saline was given once a day for 6 days until the day of antigen challenge and another 12 animals were given nasal spray of normal saline as a control. Thirty minutes after nasal antigen challenge, the animals were killed and the nasal mucosa was removed to measure the amount of SRS-A. LTC4, LTD4 and LTE4 in the nasal mucosa increased significantly between 15 and 60 min after antigen challenge and then decreased markedly. Ketotifen sprayed topically over the nasal mucosa significantly inhibited production of LTC4, LTD4 and LTE4 by as much as 50%.
    View full abstract
    Download PDF (2538K)
  • Various Tonsillar Diseases and Sympathetic Nerves
    Kageyuki Kozuki
    1989 Volume 82 Issue 6 Pages 887-893
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.887
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    To clarify the function of the autonomic nervous system in patients with various tonsillar diseases, the microvibration (MV) pattern and R-R interval of EGG were studied in these patients at rest and after tonsillectomy.
    R-R interval was below normal and MV frequency was abnormal in those with habitual tonsillitis or focal infection.
    After tonsillectomy, the R-R interval was significantly decreased in those with habitual tonsillitis or focal infection, compared with those with simple hypertrophic tonsil.
    The MV pattern showed a significant increase in the sympathetic nerve activity after tonsillectomy in those focal infection, compared with those with habitual tonsillitis or simple hypertrophic tonsil.
    View full abstract
    Download PDF (902K)
  • Treatment of Sudden Deafness with Abbokinase®
    Kiyoshi Yonei, Katsuhiko Tamaki, Kiyotaka Murata, Fumihiko Ohta
    1989 Volume 82 Issue 6 Pages 895-899
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.895
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    We studied the therapeutic effect of high-dose administration of a thrombolytic agent (Abbokinase®) in 33 patients with sudden deafness.
    The treated group received 120, 000IU of Abbokinase for 7 days and the results were compared with those in an untreated group.
    In terms of clinical efficacy, the treated group showed 9 higher rate of recovery from sudden deafness than the untreated group.
    Abbokinase was considered to effective in patients with sudden deafness.
    View full abstract
    Download PDF (520K)
  • Cases of Psychosomatic Dizziness
    [in Japanese]
    1989 Volume 82 Issue 6 Pages 900-901
    Published: June 01, 1989
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.82.900
    JOURNAL FREE ACCESS
    Download PDF (296K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top