The author reported a case with congenital laryngeal stridor. This is rather a condition than a specific disease characterized by stridor appearing immediately or soon after birth, of which cause usually seen in abnormal anatomy of the larynx. The patient was a 34-day-old female who developed inspiratory stridor immediately after birth. The author described the case in details and reviewed those cases appeared in literature.
Bleomycin has been used for squamous cell carcinoma with favorable results. This drug brought into clinical field after numerous experiments done on animals and numerous test in the human. The author used Bleomycin for 41 cases of cancer in the head and neck-18 cases of cancer of the maxilla, 8 cases of cancer of the larynx, 6 of the tongue, 6 of the pharynxand one each of the oral cavity, of the external ear, and of the pharynx. Only two cases were found to have metastasis in the cervical lymphnodes. The drug was given in IV or in IM or in IA with single dose being 15 mg. This was given twice a week except in administration into the artery. The total dose given in one patient was 300 mg. In some cases, treatment was supplemented by 60Co irradiation. Results obtained were summarized that markedly effective in 13 cases, effective in8 cases, slightly effective in 7 cases and not-effective in 13 cases. Favorable results were seen in early cases rather than in late cases, in more localized type of carcinoma than in diffuse type and in well differentiated cases than in under differentiated cases. It is suggested that combined treatment with irradiation often yields better results than in sole treatment with Bleomycin. The side effect encountered included changes in the skin in hair and in blood vessels. Fibrosis of the lungs was also seen in some of the cases, however no changes were observed in the blood picture which is often a major complication of other chemotherapeuticagents.
Changes in blood pictures were studied in patients with nasal allergy more than three times in certain patients periodically. Of the 41 patients studied 21 were male and 20 were female. Among other findings, a marked decrease in number of leucocytes associated with an elevation of eosinophile count was confirmed during the attacks.Per cent of eosinophiles was observed to be greatest when the white blood cell count was between 4, 500 and 5, 500. The lymphcytes count was also seen to change periodically during the observation period.
Recurrent aphthous stomatitis encountered frequently in daily practice, often presents difficulties to oto-laryngologists as well as to the patients. The author studied a total of 32 cases with recurrent aphthous stomatitis by meansof various clinical tests. The author discussed in this paper the etiology of the disease and possiblerelation to Bechet's disease of which 40 to 60% were said to be preceeded by recurrent aphthous stomatitis.
A 35-year-old male, an inmate, was brought into attention, when he complained of pharyngeal pain, dysphagia associated with a high fever. The inmate, in suspicion of murder, admitted that he swallowed window paine after he broke it in small piece in an attempt to suiside. An X-ray examination revealed the foreign body in the esophagus between first and fourth thoracic vertebra. The esophagus was entered surgically to remove the foreign body successfully.
This is a report of an unusal case in which a 29-year-old female developed flue symptoms, i.e. fever, sorethroat and hoarseness soon suffered from dyspnea, for which tracheotomy was done. The dyspnea, persisted even after the tracheotomy, finally induced labor in this female at 9 months of pregnancy. A baby was delivered alive, but the patient died 16 hours after the delivery because of respiratory distress. The author underlined that utmost care should be practised in dealing with ENT diseases in pregnant females.
The author used various home utensils in daily life as ENT equipments and found somevery convenient. Here are some such suggestions from the author ; nylon brushes were used conveniently in removing cotton from the used applicators, Z-light was useful for illumination of the operative: fi eld, and home dish washer was nicely used as an ENT instruments washer.