A questionnaire method was carried out in patients who underwent tonsillectomy to evaluate their postoperative courses. The subjects consisted of 220 patients who underwent tonsillectomy at the Department of Otorhinolaryngology of Teikyo University Mizonokuchi Hospital in 1984 and 1985. Twenty-seven items including respiration disorders, infection signs, and eating habits were surveyed and replies were chosen among alternatives. Information was obtained from 58% of the subjects with a highest percentage of those between 6 and 10 years of age. As to respiratory disturbances, snoring improved in 75.8% of the subjects, mouth breathing in 54.4%, difficulty in breathing in 50%, and sleep apnea in 55%. With respect to signs of infection, susceptibility to a cold improved in 71.3% of the subjects, that to pharyngitis in 88%, and that to fever in 88%. As to eating disturbances, dysphagia improved in 48.1% of the subjects, the speed of eating in 21.8%, the amount of food consumption in 41.1%, and appetite in 41.7%. The ability to concentrate, patience, and character improved in about 25% and nasal symptoms in 52.4%. Surgery was considered to have benefited 95.2% of the subjects. These replies showed good late results of tonsillectomy performed at our department. When the decision of surgery is made, comprehensive evaluation of clinical signs including respiratory and swallowing disturbances besides infection signs appears to be important.
Two cases of fibrous dysplasia are reported. Case 1. was a 13-year-old female, who visited our hospital with a painless swelling of the left maxillary region. Case 2. was a 19-year-old female, who complained of a swelling of the right maxillary region. region and the skin pigmentation of the face, anterior chest and arm. Hyperthyroidism was found on case 2 two years later. For case 1. pathological examination revealed a monostotic type of fibrous dysplasia. Case 2. also had a monostotic type with other major signs seen in Albright Syndrome. CT scan was useful to make accurate diagnosis for these cases. Clinical and pathological differences among fibrous dysplasia, osteoma and ossifying fibroma are also discussed.
We treated 149 patients withc omplaints of abnormal sensation in the throat. Pharyngo-larngeal findings and the relation between the change of local findings and that symptom were investigeted by observing the clinical course. Inspection of the pharynx often revealed erythema and edema of the posterior oropharyngeal wall and the anterior pillar. Pus core or exudate on pressure was visible in the faucial tonsil. Inspection of the larynx revealed erythma and edema of epiglottis, arytenoid area and whole larynx. The mucosal inflammation findings in the pharynx and larynx were classified into local type and diffuse type. The symptom improved with the improvement of local findings in most patients of diffuse type, but don't changed in most patients of local type. The symptom improved regardless of continuation of exudate or pus core in the tonsil. We estimated that the abnormal sensation in the throat was caused by the mucosal inflammation findings in diffuse type, but was not always caused by the mucosal inflammation finding in local type.
Influence of maternal allergic factors on allergic rhinitis (AR) was felt a great interest to the author, and the following investigations were made. i) Intradermal tests were put to 47 AR patients and their 37 mothers. Some antibodies were found in 87% of 31 mothers without any symptoms. ii) In 20 cases (33.3%) out of 60 women selected at radom, of the same age as i), some RAST scores against 5 kinds of antigen were found positive. iii) As the result of the investigation upon 82 AR patients, the influence of maternal allergic factors was found much more than that of paternal. iv) As a result of making a searching inquiry in 670 students of a junior middle school, the influence of maternal allergic factors was also found more than that of paternal. Accordingly, it could be conjectured that the more powerful influence of maternal allergic factors on AR patients than that of paternal was found. The causes of such a fact were considered from different angles, and the probable existence of a certain unknown mechanism might be suggested.