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Volume 17, Issue 4
Displaying 1-7 of 7 articles from this issue
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Rikio ASHIKAWA, Michio SUEMITSU, Shinji SEKI, Yasuhisa KIKUCHI, [in Ja ...1974 Volume 17 Issue 4 Pages 435-440,428
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThe authors report a case characterized by a marked swelling of the maxillary bone and nasal obstruction.
The specimen obtained during the exploration of the affected bone showed pathological characteristics similar to fibrous dysplasia of the maxillary bone.
The patient however developed swellings of the knee joints after the operation and was found to have hemophilia.
A careful study of the maxillary bone specimen and the clinical course implied that the changes seen in the maxillary bone were reactive osteogenic process to the pathology caused by hemophilia.View full abstractDownload PDF (9213K) -
A CLINICO- ROENTGENOGRAPHIC STUDY[in Japanese], Kiyoshi KURODA1974 Volume 17 Issue 4 Pages 447-459,428
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSLateral skull x-ray films of 29 bleached skull specimens and of 1, 000 clinical cases were examined carefully for any degree of pneumatization of the anterior clinoid process of the sphenoid bone.
Some degree of pneumatization of the clinoid process was discerned in approximately one-third of the cases. Generally, the degree of pneumatization was more pronounced in those that showed greater development of the sphenoid sinus. In these cases the roof of the lesser wings of the sphenoid was elevated and protruded into the cranial cavity.
The appearance of the Eminentia optica on the postero-superior wall of the extreme posterior sinuses coincided closely with the degree of pneumatization of the clinoid process in the skull specimens. The x-ray findings in the clinical cases, however, were not always consistent with the operative findings in this respect, probably due to inadequate visualization of this region during operation or to unsatisfactory x-ray films for detection of any extension of pneumatization into the clinoid process.
Careful x-ray examination of the skull for any sign of pneumatization of the anterior clinoid process of the sphenoid bone preoperatively might therefore provide information concerning the degree of intrasinus projection of the optic nerve canal and help to prevent injury to the optic nerve during operation of the extreme posterior sinuses.View full abstractDownload PDF (19613K) -
Mitsuru FURUKAWA, Katsuya OHSHIRO, Akio MAESAKA, Ryozo UMEDA1974 Volume 17 Issue 4 Pages 465-469,429
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSChoanal atresia is a rare disease usually of congenital origin. The authors encountered a case with bilateral choanal atresia of acquired origin and report on surgery by transpalatal approach and also on postoperative local treatment with injection of steroid. Local injection with Rinderon produced a favorable result in suppression of granulation tissue which developed 30 days postoperatively, but failed to control cicatrization of tissues after operation.
The complete nasal obstruction, anosmia and persistent mouth breathing which were suddenly relieved after operation, as observed in this patient, presented evidence on which basis an interesting discussion could be made on the physiology of olfactory sense. The authors discussed the relation between hematogenous olfaction and accessory olfactory system and suggested that disuse atrophy of the olfactory cells seldomly occurs at least within 6 months.View full abstractDownload PDF (4993K) -
Jin KANZAKI, Tadahiko INO1974 Volume 17 Issue 4 Pages 471-473,429
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSA case of a giant cell tumor of the condyloid process of the mandible in a young woman of 24 years is reported.
Conservative parotidectomy preserving facial nerve function was applied for removing the tumor. This approach is well applicable for surgical removal of mandibular tumors as well as parotid tumors and enables us to preserve the function of the facial nerve.
Differential diagnosis of the tumors in the parotid region is also discussed.View full abstractDownload PDF (4771K) -
Yukihiro MIMURA, Shigenobu IWATA, Kousei IWAMI1974 Volume 17 Issue 4 Pages 475-481,430
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSTwo cases with laryngeal hemangioma are reported.
Case 1 is a housewife of 63 years who had been complaining of hoarseness for five months. Hoarseness, which was at first intermittent and then became continuous, gradually worsened and was associated with slight dyspnea. An index finger-tip sized red tumor was noted on the anterior aspect of the left vocal cord. This tumor was removed with laryngofissure after Co60 therapy (6000 rad). The section showed cavernous hemangioma.
Case 2 is a female of 9 years who had complained of aphonia with a slight degree of dyspnea for one month. The pedunculated tumor, ulcerated partially, was located between the anterior and middle thirds of the vocal cord. The tumor was removed with laryngomicrosurgery. The section showed hemangioma simplex. A review of literature in Japan revealed 32 cases with hemangioma of the larynx. Hemangioma of the larynx may be classified clinically into two groups: adult type and infact type.
The incidence of the adult type hemangioma is greater than that to the infant type. There is no difference in frequency between male and female. Main subjective symptoms are hoarseness and dyspnea. The 24 hemangiomas with detailed pathological descriptions were subclassified as follows: hemangioma simplex (12 cases), cavernous hemangioma (9 cases), hypertrophic (2 cases) and hemangioblastoma (1 case).View full abstractDownload PDF (5025K) -
1974 Volume 17 Issue 4 Pages 483-486
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (2963K) -
Hiroyuki ZUSHO, Michinari OKAMOTO1974 Volume 17 Issue 4 Pages 491-493,430
Published: August 15, 1974
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThe Foley balloon catheter is used for continuous evacuation of urine, yet this catheter has been found useful in various procedures in otolaryngology.
The authors described the following 3 different uses of the catheter;
1. For postnasal packing to control nasal bleeding:
The catheter is introduced through the nasal passage, on the side where bleeding occurs, then the balloon is inflated when the end reaches the nasopharynx. Nasal bleeding can be controlled by packing against the inflated balloon without causing much discomfort to patients.
2. To control postoperative bleeding from the maxillary sinus:
The catheter is introduced into the maxillary sinus through the nasoantral window, then the balloon is inflated to compress the bleeding points within the sinus.
3. For fixation, from underneath, of fractured maxilla or orbit:
After reduction of the fractured maxilla or orbit, the catheter is introduced through the constructed nasoantral window and the balloon is inflated by injecting urographin and methylene blue to sustain and immobilized the repositioned farctured segments of the bones.View full abstractDownload PDF (7056K)
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