Through experience and reviewing the hirtherto literatures on the Plummer-Vinson Syndrome, the present author has confi med that there are two absolute different types of disease demonstrating this syndrome; dysphagia hysterica and dysphagia hypochromanaemia. These two should be handled and treated differently, and when using this term one should always indicate to which type it belongs to.
In the modern general hospital where the specialization is well established, not infrequently we face clinical problems for which the co-operation between related specialities bring successful solutions. The first case is a 27 years old male who referred from eye clinic with sudden loss of left vision after febrile episodes. Left nasal sinusitis was the likely cause of the existing optic neuritis. Local application of 10% cocaine and subsequent ethmoidectomy brought the complete recovery of vision with in a month. Ophthalmoscopic findings were recorded in the form of color slides during the course of treatment. These were of great help in the evaluation of the clinical management. The second case was a 57 years old house wife with a large mixed tumor of the hard palate. The surgery was temporary postponed by the advise of an anesthetist whose careful observation pointed out the extremely unstable hypertension of the patient which exceeded 280 mmHg on the operating table. After active hypotensive treatment by the staff of medical department, surgery was performed winthout complication under general endotracheal anesthesia. Through these cases we learned the importance of co-operative efforts between medical.specialities in order to provide the full benefit of medical progress for the patients.
The present authors have experienced several cases in whom method of opening optic fascicular bon canal was carried out inorder to improve eye-sight following injury of the optic. foramen a blow on the head. Although there was no improvement in 2 cases, one case showed. slight improvement. It is believed that this method is effective when there is compression or atrophy of the optic nerve caused by bone fragment or hemorrhage. Since such a diagnosis is. extremely difficult, this operation should be carried out immediately if injury of the optic foramen can be confirmed.