Abnormal feeling in the throat and its relation to anemia were presented. It was found that the related anemia was of iron deficiency type, which could be studied only by measuring unsatu-red iron binding capacity (abbrev. UIBC). On 80 patients with the abnormal feeling of the throat, actual measurements of the UIBC were performed. About 20 % of the patients examined were found to have abnormal iron level. One fifth of these patients were inflicted by latent irondeficiency anemia and they were detected only by measurements of the UIBC. Thus, it was emphasized, that the UIBC is indispensable to detect the blood dyscrasia of the patient with abnormal feeling in the throat. Method of measurement was described in detail. Their methodusing Radioisotope is simpler and more precise than previous method. It was predicted that tne-method would be used widely as a routine test in near future.
It is a well known fact that early diagnosis is a deciding factor to improve clinical results of malignanttumors. So it is as for the head and neck tumors and oncologists emphasize that each practitioner should be aware of the tumors. Manifesting little symptons, most patients with carcinoma in early phase visit not necessarily Tumor Clinic, but are first seen by the practioioners. As pointed by Dr. Shambough, considarably dependable can be made of the head and neck tumors even at doctor's office with routine facility. Therefore every physician should be alert and remindful of the carcinomas. Authors, practicing ENT specialists, reported all carcinomatous cases experienced for past 15 years. Specimen obtained during the operations amounted to 11, 638, and 1, 130 of those were subjected to histopathological examinations. One hundred and ninteen specimen were reported as malignant and 21 out of these 119 specimen were of the early carcinomas. Several practical points were made on biopsy to establish the kliagnosis. The Cases, in which palpation was greatly contributory, were also reported.
Since introduction of the antibiotics, acute suppurative diseases have favourable outcomes, and it is rare to encounter postoperative sepsis. Recently, however, authors treated a 25 year-old male patient with resistent acute superative otitis media. The petient was treated by antibiotics, several tympanitic paracentes is and a mastoid exploration. But all failed to impaove the patient. Following the mastoid exploration, he developed arthralgia, muscle sching, bloody stool, subcutaneous hemorrhage along with temperature elevation up to 38C. Diagnosis such as rheumatic fever, dysentery, purpura, leukemia, etc. were entertained but the patient died before the definitive diaguosis was establishea. Autopsy revealed that the patient died of sepsis. From the case presented, the authors cautioned that surgeons should be attentive not only of local postoperative wound healing but also of general condition.
Transseptal hypophysectomy, performed on a 43 year old house with advanced carcinoma of the breast, was reported. The patient was previously treated by the radical mastedtomy but was later followed by recurrence in the axilla and by metastasis in the femur. Endocrine ablatory treatment for the advance carcinoma of the breast and occasionally resulting postoperative cerebrospinal rhinorrhea were discussed.
Since 1947, author operated on more than 1, 000 cases of the chronic paranasal sinusitis. Good results, the author claims, can be obtained by simultaneous use of chemotherapeutic agents with conventional Caldwell-Luc procedure. The operatively opened maxillary sinus is closed for about 48 hours by obliterating both fenestrated opening in the nasal cavit y and gingival wound in the mouth. Then antibiotics such as Terramycin and/or Marfanil is instilled into the sinus cavity with hyauronidase. The operative technigue and method were described.
A case report was made on a 55 year-old male. Originally the patient contracted extensive generalized paranasal sinusitis and later developed suppurative meningitis and brain abscess. His fatal outcome was brought by suppurative ventriculitis which was caused by above meningitis and abscess. On his admission, the patient was thought to be hopeless because of his poor general condition and of his age. From Japanese literatures, author collected all cases of rhinogenic brain abscess. or intracranial abscess aed analysis was made. Cases which failed to demonstrated any suggestive find in gsoftheso-called space occupying lesions by routi neneurologic examination, cerebral angiographies and ventricular aspirations, were attentively reviewed. All 10 cases of postoperative meningitis survived. Among 15 cases of naturally acquired meningitis, 8 had brain abscesses and 3 of them were recorded dead. As pointed out by Dr. Hirose, fhe naturally contracted meningitis tends to show higher mortality, because 1) the specific treatment is instituted too late in most cases, 2) primary focus is hard to locate and theinfection spreades en route of the vascular tree, 3) many patients are attended by severe complications. Meniegitis resulted from postoperative radiation treatments for the maxillary carcinoma amounted to 5 cases in the auther's review. It was asumed that increasing number of this typeof meningitis would appear in the literatures.
Partial thyrotomy, developed by author, has not jeopardized phonation, but afforded adequate and satisfactory operative vision of the pharynx. Thyrotomy (laryngofissure), currently in use, often results in web formatiin at the anterior commissure and often causes hoarseness. Dr. Hayashi intended to prevent this web formation by making incision only at lower half of the thyroid cartlage. But the devision was not adequated and intraphayngeal operation was difficult. With Huet and Thomson's extended thyrotomy in mind, the author introduced new approach partial thyrotomy. Its operative technique is as follows; first anterior lower portion of the thyroid cartilage is incised being carefule not to damage the M. crico-thyroideus, then mucosallining