Fifty-two patients with persistent otitis media with effusion (OME) who were treated by longterm transtympanic ventilation tube (VT) therapy were evaluated regularly for at least 5 years postoperatively. From the results obtained, an indwelling period of no less than 18 months was found to be necessary for patients under 15 years of age, and permanent ventilation seemed to be necessary for patients over 30 years of age with recurrent OME. The incidence of abnormal ear drum findings that were considered to be sequelae of VT therapy was less than 8% in both age groups. Therefore, long-term VT therapy was considered to be useful in patients with persistent OME. We feel that there is a need to study further the relationship between VT therapy and postoperative ear drum findings especially sequelae, as well as the indications for VT therapy.
A case of a 70-year-old male who was found to have a foreign body, a fish-hook in the cervical esophagus is reported. The patient suddenly suffered from a sereve pain in the neck and difficulty in swallowing while eating. He visited our hospital three days after the incident. One day after admission, a foreign body was successfuly removed by emergency endoscopy under general anesthesia. We discuss here how to remove a fishhook foreign body in the esophagus under endoscopy.
The authors report an unusual case of primary frontal sinus cyst. The patient is a 26-year-old man whose chief complaints were a swelling and pain at the left frontal sinus. At operation, the frontonasal duct was found to be wide open and the main frontal sinus to be intact with normal mucosal lining, but with a cyst at the lateral aspect of the sinus. The authors speculated the cause of the disease to be that either one of the partitions of the frontal sinus had undergone inflammation with subsequent scar formation isolating a lateral cell or a cell within the depth of the frontal bone had been isolated after inflammatory obstruction of its draining outlet.
During the years 1978-1982, 65 patients with nasomaxillofacial fractures were treated. Patients under 30 years old were 90%, and men were three times as many as women. Many nasal fractures happened on sports, while facial fractures were caused by traffic accidents with strong force.
It has often been said that it is difficult to accurately determine the primary lesion when a malignant lymphoma occurs. However, in view of the nature of the or primary lesions, it is conceivable that malignant lymphomas can develop in organs other than lymphatic glands. The following are the findings obtained from our clinical experience in the treatment of two patients with malignant lymphoma which was presumed to have originated in the maxillary sinus. The patients were a 57-year-old female and a 76-year-old male each of whom was diagnosed as essential malignant lymphoma (large cell type) of the right maxillary sinus. The former was treated with VEPM method, and the latter with BACOP and COP methods and radiotherapy. However, both patients died of septicemia which developed approximately 6 months after the treatment was initiated. Malignant lymphoma is often accompanied by primary symptoms such as nasal obstruction and or buccal swelling. However, it is difficult to distinguish local symptoms from those of caricinoma because of lack of symptom specificity. It is, therfore, necessary for physicians to accurately determine the duration of the disease and the type of the tissues involved.
We report a new hemostat sponge framed with Ti-Ni shape memory alloy wire. The Ti-Ni alloy wire frame was pretreated by a shape memory process, the original shape of the wire could be easily resumed by treatment with electric current using a mangan dry cells. Since not heating was effective, autoclave did not cause not difficulities. The hemostat sponge was used for cases of epistaxis and post-operative bleeding. The sponge can be rolled up, folded or crampled into a small ball. When used for a case with bleeding from Kieselbach's area, it expanded widely in the nasal cavity due to the shape memory process by a treatment with electric current and the patient could breathe through the lumen with the pack in place.