According to the auther's statistical study, the incidence of air-sickness among 1370 domestic airline (DC-3) passengers in Japan was only 7%.to 8%.Among thoese suffering from air-sickness, in 71 percent past history of motion sickness and in 34 percent familial susceptibility were observed. After performance of the swing test, blood pressure (the maximam and minimam), Volar-Electro-skin-resistance and puls interval were periodically examined. The results of these examinations did not differ between people who were susceptible to air-sickness and those who were not.Howevere, it was revealed, as the result of Wenger's test of the automatic nerves undr normal conditions, that people who were particularly susceptible to air-sickness indicated a tendency of parasympathicotonia.As to the influence of emotional factors on the susceptibility to air-sickness, no close relation to any one characteristic type of people was observed, but a relatively higher incidence of air-sickness was confirmed among persons with extreme characteristic traits, regardless of the type To test the vestibular function in regards to the susceptibility to air-sickness, cupulometry was carried out, the results of which show that inclination of over 10 seconds duration in the cupulogram is of significance in judging whether an individualis prone to air-sickness or not.
The base of the tongue and epiglottis were removed from 66 cadavers and subjected to pathological examination. The following rerults were obtained: 1.Individual variation in development of the lingual tonsil is great and the lymphoid tissue in comparison with the palatine tonsil is not fully developed. 2.The ducts of all the glands open in the crypts of the lingual follicles and serve to irrigate the crypts.At times, development of retention cysts is seen. 3.Inflammation or hypertrophy of the lingual tonsils is mostly found in adults and chronic inflammatory changes are frequently seen near the epiglottic vallecula.The reasons for this are 1)the deficiency of glandular tissue in the vallecula and thus the minimal irrigating action, 2)its complicated structure, and 3)as a result the activity of bacteria is facilitated. 4.The lymphoid tissues of the lingual and laryngeal surfaces of the epiglottis are different.The lymphoid tissue of the lingual side of the epiglottis is the same as that at the base of the tongue, whereas the laryngeal side shows the same structure of tissue as that in the laryngeal mucosa. 5.The ducts of the glands in the epiglottis run in a distinctive fashion and mostly open upon the laryngeal surface.Only a few open on the lingual surface and most of these spring from the small glandular tissues in the epiglottic vallecula. It is probable that the lymphoid and glandular tissues of the epiglottis owe their peculiarities to the paticular way in which the epiglottis is formed during its developmental stage. 6.Numerous cysts are found on the lingual surface of the epiglottis, the reasons for which are deeply related to the observations stated in(3) and(4). In reports concerning the origin of epiglottic cysts, conclusions pointing to the congenital nature of these cysts are frequently encountered, but the validity of these conclusions is extremely doubtful.Minute study will usually disclosed that they are mostly acquired cysts.
The authors statd that psychosomatic disorders are not at all uncommon in the fi eld of otolaryngology and that emotional disturbances are always present when psychosomatic symptoms are manifested. They present three representative cases. The first case is a 33 year old male who developed symptome of organic neurosis(hysteria), resulting from an abnormally strong impulse to escape from incompatible environmental conditions. The second case is a 44 year old female with antisocial feelings from which had sprung two conflicting enotional urges.She showed symptoms of neurasthenia with strong emotional inhibition. The third case is a 15 year old girl who had in addition to strong emptional inhibition as seen in the second case, a desire to escape from her environments as in the first case.This stress manifested itself in the form of volitional deafness. Fortunately in this case the tensed emotional condition was mild and the symptoms easily disappeared. Considering the above cases, although it is important to treat the affected organs and tissues, the authors emphasize that it is of equal if not of more importance to gain full knowledge of the patient's character, environment, living conditions, etc. and treat the patient himself as a sick human being.
A brief review of salivary fistula of the parotid gland and it's treatment is given with a presentation of Wakeley's modification of Leriche's Operation which the author is at present employing. In conclusion, based on the author's experience, a more favourable postoperative course especially less undersirable sequelae with this modified method by Wakely are reported.
Clinical and histo-pathological studies were carefully carried out in a case with complaints of persistent nasal hypersecretion in spite of repeated radical operations of paranasal sinuses. Between the left ethmoid and sphenoid sinus a small cavity with a pusdraining fistula was found. Histopathologically the specimen removed at operation revealed old and fresh signs of absorption of bonytissue, showing degeneration and fibrous osteitis. This diseased bony tissue might be recognized as the source of the persistingly discharging nose. On the other hand, regeneration of epithelium was seen, lining the inner surface of the small cavity with the fistula. Furthermore, a nasal septum operation had been performed in this patient, and as the left superior and middle turbinates were missing, it should be referred to as post operative atrophic rhinitis. Re-insertion of a piece of preserved cartilage between the mucous membrane of the nasal septum was performed with favorable results.
T. T. G. is a substance extracted from Pseudomonas fluorescens, a non-pathogenic microorganism found in the earth earth.It has a ACTH-like action but, unlike ACTH or cortisone, there is no danger of it causing degenerative changes in the respective endocrine glands with continuous use.It is believed, rather, that it acts in the form of a suitable stressor which plays a part in improving the constitution impaired by dysfunction of the endocrine system. This action of T. T. G. has prompt us to give this substance a trial in the treatment of chronic sinusitis in children. After thorough clinical examinations, 35 patients were selecteds fo this study. T. T. G. in tablet from, one tablet daily, was given for over 5 weeks to each of these patients and the clinical effects were minutely observed. The treatments were very effective in 4 cases, effective in 27 and ineffective in 4 as recurrences occurred, showing an overall effective rate of 89%. The good therapeutic results obtained were more than we had anticipated. From the point of view of its mode of action, there is rationality in its therapeutic effects and, moreover, as it is suitable for prolonged continuous use, we believe T T G offers new significance in the treatment of a sinusitis.
Of 118 outpatients seen at the medical clinic of our hospital complaining chiefly of hemoptysis, bronchoscopy, bronchography and histopathological examination were performed in 44 in whom bronchial examination was considered necessary for diagnostic purposes.As a result of these examinations, the cause and site of the bloody sputum were clearly revealed in 33 of these cases(75%).Especially, it was found that the occurrence of hemoptysis in non-tuberculous diseases was unexpectedlyfrequent. This study impressed upon me the importance of actively cooperating with other services and utilizing fully the special techniques of otorhinolaryngology and bronchoesophagology in related fields whenever bronchoscopic or esophagoscopic examinations are considered necessary for diagnostic and therapeutic purposes, not only in diseases with hemoptysis, but in other diseases as well.
The authors report a case of atypical trigeminal neuralgia observed in a 33 year old male patient with complaints of persistent ophthalgia, frontal headache and transantralextirpation of the pterygopalatine ganglion on both sides.