Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
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Volume 83, Issue 3
Displaying 1-27 of 27 articles from this issue
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  • Indications for Thyroid Surgery and Operative Techniques
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 345
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.345
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  • [title in Japanese]
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 345a-347
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.345a
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  • [title in Japanese]
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 347-350
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.347
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  • [title in Japanese]
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 350-353
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.350
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  • [title in Japanese]
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 353-355
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.353
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  • [title in Japanese]
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 356-358
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.356
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  • Congenital Middle Ear Cholesteatoma
    [in Japanese], [in Japanese]
    1990 Volume 83 Issue 3 Pages 360-361
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.360
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  • Two Cases of Oculopalatal Myoclonus
    Masaharu Terashima, Arihiro Fujino, Ryoji Hamamura, Shinpei Urabe
    1990 Volume 83 Issue 3 Pages 363-372
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.363
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    We describe here two patients with oculopalatal myoclonus (OPM) after brainstem hemorrhage.
    The first patient, a 56-year-old hypertensive woman, had regular, persistent, vertical pendular oscillations (frequency 2.2Hz, amplitude 3-13 degrees) and palatal myoclonus which was purely vertical at the same frequency of ocular oscillation. The first case represented the midline form of OPM.
    The second patient, a 60-year-old man had regular, persistent jerky nystagmoid horizontal oscillations (frequency 1.3Hz, amplitude 2-4 degrees), palatal myoclonus which jerked obliquely to the left, and myoclonus of the upper lip and larynx. The second case represented the lateral form of OPM.
    The term myoclonus has been applied to a variety of involuntary, short-term, shocklike contractions of one or more muscles. In this meaning, “ocular myoclonus” is misleading, because it is a regular, rhythmic ocular oscillation which is persistent. Therefore, “ocular myoclonus” has frequently been confused with opsoclonus, which is a chaotic, rapid, involuntary ocular oscillation. We suggest that “rhythmic ocular myoclonus” or OPM is appropriate instead of the term “ocular myoclonus”.
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  • Problems and Improvements in Cochlear Implant Surgery
    Juichi Ito, Hajime Nakamura, Iwao Honjo, Tomoyuki Haji
    1990 Volume 83 Issue 3 Pages 373-376
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.373
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    Cochlear implant surgery has been reported to be easy to perform. We have performed cochlear implantation on eight deaf patients and experienced some difficulties. In order to make this surgery easier, the following points must be kept in mind. 1) Before the operation CT and MRI must be done in order to determine the condition of the cochlea. To determine the condition of the round window, probe tympanotomy was performed at least one month before the operation. 2) After setting the electrode in the cochlea, an X-ray film should be taken to confirm that the electrode is suitably positioned in the cochlea.
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  • A Case of First and Second Branchial Arch Syndrome
    Yasutaka Nawata, Ginichiro Icjolawa, Norio Uehara, Hiroaki Iazwa, Taka ...
    1990 Volume 83 Issue 3 Pages 377-381
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.377
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    A 6-year-old girl who had bilateral congenital pre-auricular fistulas, bilateral congenital cervical fistulas, right auricular malformation and bilateral mixed hearing toss.
    Surgical removal of the cervical fistulas was carried out.
    A review of the literature suggested that the cause of these malformations is a developmental anomaly of the first and second branchial arches.
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  • Relationships Among Olfactory Epithelium Appearance, Olfactory Test Results and Prognosis
    -Analysis of Eight Patients with Olfactory Disturbances Caused by the Common Cold-
    Masuo Yamagishi, Hideo Nakamura, Shoji Suzuki, Satoshi Hasegawa, Yuich ...
    1990 Volume 83 Issue 3 Pages 383-390
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.383
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    Morphological and immunohistochemical examinations were performed on the olfactory mucosa of eight patients with olfactory disturbances caused by the common cold (viral infection). The results of olfactory testing and of follow-up examinations were analyzed.
    H. E. staining revealed three patterns of degeneration. In Group 1 (3 patients) the olfactory epithelium had adequate thickness and a basic arrangement of supporting cells, olfactory receptor cells, and basal cells, but slightly fewer than normal receptor cells. In Group 2 (3 patients) olfactory receptor cells were greatly decreased. Group 3 (2 patients) had olfactory epithelium which was thin and atrophic with no receptor cells or olfactory vesicles, and only the supporting and basal cells remained. Group 1 patients had Grade 2, Group 2 patients Grade 3, and Group 3 patients Grade 4 damage according to our classification of degeneration proposed in 1988.
    Immunohistochemically, neuron-specific enolase (NSE) immunoreactivity was found in a number of receptor cells in Group 1 with Grade 2 damage and in some in Group 2 with Grade 3 damage. In Group 3 with Grade 4 damage, there was no NSE-immunoreactivity in the epithelium. Glia-specific S-100 protein immunoreactivity was found in Bowman's glands and olfactory nerve bundles in the lamina propria of Group 1 and 2 patients with Grade 2 and 3 damage. Cytokeratin immunoreactivity was found in the basal cells on the basement membrane in all three groups.
    Seven patients were found to be anosmic with T & T olfactometry, but the three patients in Group 1 responded well to Alinamin- intravenous injection test, and two of them recovered.
    These results indicate that there is a strong relationship among the appearance of the olfactory epithelium, results of the Alinamin- test and the outcome of olfactory disturbance caused by the common cold. When an olfactory mucosall biopsy performed at the first visit of the patient shows enough functional receptor cells and the Alinamin- test is positive, it is possible that the olfactory disturbance may improve.
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  • Effect of Irradiation on Olfactory Function
    Tsunemasa Aiba, Midori Sugimoto, Yasuaki Matsuda, Yoshikazu Sugiura, Y ...
    1990 Volume 83 Issue 3 Pages 391-395
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.391
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    The effects of therapeutic irradiation on olfactory function were investigated in 20 patients who received radiation therapy because of a malignant tumor of the nose or paranasal sinuses. The standard olfaction test with a T&T olfactometer and an intravenous olfaction test were given before the radiation therapy, during the period of radiation therapy and 1, 3, 6 and 12 months or more later.
    Five patients whose olfactory epithelium was outside the radiation field showed no damage to olfactory function. The olfactory function of the other 15 patients whose olfactory epithelium had been exposed to radiation was not obviously changed or damaged at the time of radiation therapy. However, 6 months after irradiation, some patients showed a decline in olfactory function, and after 12 months, 4 of 7 patients showed severe damage to olfactory function.
    These results suggest that a therapeutic dose of irradiation will not cause severe damage to the olfactory function during the period of radiation therapy, but could cause delayed olfactory disorders in some patients after a few years. These olfactory disorders might be caused by damage to or degeneration of the olfactory epithelium or olfactory nerve.
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  • Pneumosinus Dilatans and Pneumocele; A Report of Two Cases
    Yoshihiro Tsuruta, Nobuya Fujita, Noriko Kashiwagi, Osamu Tanaka, Hiro ...
    1990 Volume 83 Issue 3 Pages 397-402
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.397
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    A case of pneumosinus dilatans and one of pneumocele are reported. These rare entities are characterized by expansion of a paranasal sinus that contains only air.
    In a 27-year-old man with intermittent retro-orbital pain and left frontal bossing due to focal expansion of the frontal sinus just to the left of the midline pneumocele was diagnosed. In a 33-year-old man with intermittent headaches and frontal bossing due to enlargement of both frontal sinuses pneumosinus dilatans was diagnosed. The principal difference between pneumosinus dilatans and pneumocele is the presence of focal or generalized bony thinning in the latter entity.
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  • Bilateral Parotid Gland Tumors
    Yasushi Ohta, Isuzu Kawabata, Shigeo Masuda, Masaichi Nakamura
    1990 Volume 83 Issue 3 Pages 403-409
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.403
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    Bilateral parotid gland tumors are uncommon. We report the first known case of pleomorphic adenoma on the left and monomorphic adenoma on the right. Histologically, the left tumor had the typical features of a pleomorphic adenoma. There were many areas of epithelial tumor cells associated with typical myxoid areas. In the right tumor, the trabecular pattern contained epithelial tumor cells, and neither myxoid nor chondroid components were seen. The diagnosis was trabecular adenoma. Among bilateral parotid gland tumors, Warthins tumor is the most common, and pleomorphic adenoma is very rare. We review the literature on bilateral pleomorphic parotid gland adenomas and discuss the reason for their rarity.
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  • Two Cases of Pharyngeal Syphilis
    Keiko Nishikawa, Masutoshi Nishikawa
    1990 Volume 83 Issue 3 Pages 411-414
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.411
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    Two Cases of secondary syphilis of the pharynx are presented. Both patients complained of pharyngeal pain and hoarseness. A whitish and arch-shaped mucous membrane lesion with clear margins was seen on the soft palate. No skin lesion typical of secondary syphilis was observed. The patients were treated with penicillin. Although syphilis of the pharynx is rare, otolaryngologists should have a knowledge of the diagnosis and prevention of syphilitic infection.
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  • Cystic Lymphangioma of the Nasopharynx in an Adult Man
    Yulchl Kato, Yuji Yaku, Koichi Ami, Norio Endo
    1990 Volume 83 Issue 3 Pages 415-419
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.415
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    A 24-year-old Japanese man was admitted to the Kohjinkai Hospital, with complaints of severe obstructive dysphagia and dyspnea. Fiberscopic examinations showed a large yellowish tumor occupying the epi- and the mesopharyngeal cavity and the posterior half of the oral cavity. The stalk of the tumor was present at the right pharyngeal side of the soft palate, near the pharyngeal orifice. The tumor was removed and cystic lymphangioma of the soft palate was diagnosed histopathologically. The tumor also contained a lymphangioendothelioma-like area.
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  • Hypoglossal Schwannoma Compressing the Brain Stem; A Case Report
    Shoji Nishiyama, Tadashi Kimura, Seiji Kishimoto, Haruo Saito, Masahir ...
    1990 Volume 83 Issue 3 Pages 421-427
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.421
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    Schwannomas of the hypoglossal nerve are interesting because of the variety of associated symptoms. We describe here a Schwannoma of the hypoglossal nerve with extra and intracranial extensions which compressed the brain stem.
    A 62-year old female was admitted to our hospital because of a tumor on the right side of the neck and occasional headaches. Cranial nerves I to XI were intact, but paralysis and atrophy of the right side of the tongue were noted. She had signs of increased intracranial pressure. Computed tomographic scans were quite useful to delineate the destruction of the hypoglossal canal and jugular foramen. Magnetic resonance imaging scans were also informative, showing the relationship between the tumor and the surroundings. Staged otological and neurosurgical resections were required because of the size of the intracranial extension. The infratemporal fossa approach was used to resect the extracranial tumor.
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  • Four Cases of Parapharyngeal Space Tumors
    Hiroko Kosaki, Minoru Shouji, Muneo Hiratsuka, Yasuji Toriyama, Kazuhi ...
    1990 Volume 83 Issue 3 Pages 429-442
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.429
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    Four cases of parapharyngeal space tumors are reported.
    Case 1, a 19-year-old woman, had a huge neurinoma.
    Case 2, an 81-year-old woman, had a huge liposarcoma.
    Case 3, a 60-year-old man, had a huge pleomorphic adenoma.
    Case 4, a 42-year-old man, had a huge neurinoma.
    In all four cases, CT scan showed the tumors were so huge that they filled the parapharyngeal space and almost reached the skull base, but the patients had few symptoms. These tumors were removed by a cervical approach.
    We compared them with other Japanese cases reported from 1977 to 1987. There were 116 cases of parapharyngeal space tumors. The male to female ratio was 2:3. Neurinoma and pleomorphic adenoma were most common, but there were 15 malignant tumors. Since many organs are located in the parapharyngeal space, many kinds of tumors were reported. We think dynamic CT scan is useful in pre-operative quantiative study. Intra-oral incision and extra-cervical approaches were both used, the latter when tumors were big.
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  • Analysis of Patients with Non-Hodgkin's Lymphoma Resistant to Therapy
    Kenji Suzuki, Shunkichi Baba, Hisato Motai, Takehiro Kobayashi, Sumita ...
    1990 Volume 83 Issue 3 Pages 443-448
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.443
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    Twenty-one newly-diagnosed cases of non-Hodgkin's lymphoma (NHL) were treated with the same therapeutic protocol in our department between January 1984 and December 1986.
    One patient had a recurrence, and five died. The following results were obtained.
    1. With combined radiotherapy, VAPE chemotherapy and OK-432 immunotherapy the mean survival rate and the relapse-free survival rate were 76.2% and 71.4%, respectively.
    2. Adriamycin is useful for NHL. We conclude that even in the early stage, NHL should be treated with full dose VAPE therapy.
    3. Surgical therapy is presumably useful for a solitary lesion which resists to all conservative therapies.
    4. Second line chemotherapy for patients who are resistant to VAPE therapy should be established. MTX, CDDP, BLM and Etoposide have possibilities of usefulness as second line chemotherapy.
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  • Pressure Transmission to the Inner Ear
    -A Review of the Literature-
    Shinsei Nishihara, Taisuke Kobayashi, Kiyofumi Gyo
    1990 Volume 83 Issue 3 Pages 449-456
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.449
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    The literature on the mechanism of pressure transmission to the inner ear and its effect on the inner ear tissues were reviewed. The pressure of the cerebro-spinal fluid is transmitted to the inner ear via both the cochlear aqueduct and the endolymphatic duct, especially the former. External ear pressure is transmitted more via the round window through the middle ear cavity than via the ossicular chain. The cochlear aqueduct can transmit low frequency changes in pressure but not high frequency changes in pressure. Rupture of the inner ear window and/or the membranous labyrinth appears to be caused by pressure differences between the middle ear and the inner ear, and/or between the perilymph and the endolymph, respectively.
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  • Effect of Isosorbide on Experimental Endolymphatic Hydrops in Guinea Pigs
    Yoshiro Yazawa, Masaaki Kitahara
    1990 Volume 83 Issue 3 Pages 457-462
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.457
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    Isosorbide was administered to guinea pigs with experimentally induced endolymphatic hydrops, and endolymphatic space cross sections were measured with a microscope, video camera, and computer arrangement. The results were then compared with those in control guinea pigs which had not received isosorbide. Decrease in endolymphatic hydrops was most pronounced in the saccule and the basal turn of the cochlea, where hydrops was reduced by 25-30%. The decrease became progressively smaller towards the apex. The utricular space was virtually unaffected.
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  • Immunohistochemical Demonstration of Catecholamine- and Neuropeptide-Containing Nerve Fibers in the Human Palatine Tonsil
    Kageyuki Kozuki
    1990 Volume 83 Issue 3 Pages 463-470
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.463
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    The distribution of Catecholamine- and neuropeptide-containing nerve fibers was examined immunohistochemically in the human palatine tonsil. Frozen sections of immersion-fixed palatine tonsils were immunostained for tyrosine hydroxylase (TH), vasoactive intestinal polypeptide (VIP), neuropeptide Y (NPY), somatostatin (SOM), substance P (SP) and calcitonin gene-related peptide (CGRP).
    Fine nerve fibers with a varicose profile which contained distinct immunoreactivity to each marker substance were found localized to the tonsillar hilus, connective tissue, septum and/or blood vessel wall in the interstitial spaces. In the germinal center and the extranodular lymphatic tissue of the tonsil, TH-, VIP-, NPY- and SOM-immunoreactive nerves were seen to travel for a short distance over lymphocytes. VIP-immunoreactive fibers were also distributed densely around the glandular mucous cells situated adjacent to the tonsil. In regard to the chemical innervation of other lymphatic tissues reported previously, both autonomic inflow systems and peripheral afferents were found to contribute directly to the neuro-immune communications in the lymphatic areas and the interstitium of the palatine tonsil.
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  • Acoustic Analysis of Vocal Problems Resulting from Laryngeal Pathology
    Tomoaki Sanada
    1990 Volume 83 Issue 3 Pages 471-486
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.471
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    Acoustic analysis of the voices of 195 patients with vocal polyps, unilateral recurrent laryngeal nerve paralysis, and laryngeal carcinoma were performed. Five acoustic parameters were derived: pitch perturbation quatient (PPQ), amplitude perturbation quatient (APQ), normalized noise energies a and b (NNEa, NNEb), and spectral slope (LD). Analyses were performed both before and after treatment. Size of the lesion and the dimensions of the glottal gap during phonation were determined from fiberstroboscopic video images before treatment. Results were as follows: (1) PPQ, APQ, NNEa, NNEb, and LD varied greatly within each disease group, and there was overlapping of parameter values among the disease groups. Therefore, the selected acoustic parameters did not prove to be useful in differential diagnosis. (2) Polyp size was significantly correlated to PPQ, APQ, NNEa, and NNEb. (3) Post-treatment changes were found in PPQ, APQ, NNEa and NNEb in cases of polyps; in APQ, NNEa, and NNEb in cases of carcinoma; and in NNEb in cases of paralysis.
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  • Clinical Effect of Bif emelane Hydrochloride in Patients with Vertigo
    Haruhiko Masutani, Hideo Yamane, Kazuo Konishi, Masahiko Sugita, Kouji ...
    1990 Volume 83 Issue 3 Pages 487-493
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.487
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    The therapeutic effect of Bifemerane Hydrochloride was studied in 43 patients with vertigo. The patients were given a 50mg tablet of Bifemelane Hydrochloride three times daily for over 8 weeks.
    Evaluation of the final global improvement showed it to be very effective in 7 patients (16.3%), moderately effective in 15 (34.9%) and slightly effective in 13 (30.2%), giving a total efficacy rate of 81.4%.
    No side effects were noted.
    Bifemerane Hydrochloride tablets were considered to be useful for patients with vertigo.
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  • A Clinical Study of the Therapeutic Effect of Norfloxacin on Acute and Chronic Otitis Media
    Yo Kimura, Masaru Aoyagi, Akihiko Ichige, Masashi Yokota, Koji Harada, ...
    1990 Volume 83 Issue 3 Pages 495-501
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.495
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    Norfloxacin (NFLX) was administered to 19 patients with acute otitis media and 27 patients with chronic otitis media.
    1. It was effective in 15 of the patients with acute otitis media and in 19 of the patients with chronic otitis media.
    2. The bacteriological efficacy rate was 90% (36/40).
    3. NFLX was moderately or markedly effective in all of the four patients who had not responded to previous medications.
    4. Dizziness was observed in one of the 46 patients treated with NFLX.
    5. NFLX is a very useful antibiotic agent for patients with acute or chronic otitis media.
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  • Clinical Evaluation of Tofisopam for Abnormal Sensation in the Throat
    Kenji Okami, Toru Sekitani, Takaaki Noguchi, Michihiko Ogata, Koichiro ...
    1990 Volume 83 Issue 3 Pages 503-508
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.503
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    A series of 21 patients who complained of an abnormal sensation in the throat without any organic pathology were treated with Tofisopam (Grandaxin®). The patients were given 3 tablets daily for more than 4 weeks.
    The overall effectiveness was excellent in 1 case, good in 7 cases, fair in 6 cases, and poor in 7 cases. Thus the drug was clinically effective in 67%.
    The effects appeared to be reduced in the patients with less neurotic or autonomic imbalance symptoms.
    No side effects were noted.
    Tofisopm was considered to be useful for the treatment of abnormal sensation in the throat.
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  • Diagnosis and Treatment of Ossicular Anomaly without External Ear Anomaly
    [in Japanese]
    1990 Volume 83 Issue 3 Pages 510-511
    Published: March 01, 1990
    Released on J-STAGE: November 04, 2011
    DOIhttps://doi.org/10.5631/jibirin.83.510
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