JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
Volume 33, Issue 5
Displaying 1-8 of 8 articles from this issue
  • Hitoshi Nagakura
    1990 Volume 33 Issue 5 Pages 363-380
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Many epidermiological studies have demonstrated a close relationship between air pollution and the increasing number of patients with allergic disease. We have attempted to determine if increased airway permeability induced by air pollution could be one of the pathogenic factors leading to nasal hypersensitivity.
    The penetration of horseradish peroxidase (HRP) into nasal mucosa was examined electron microscopically after transtracheal instillation in 66 guinea pigs. HRP was instillated immediately, 15, 30 min., 1, 2 and 4 hr after exposure of 1 ppm ozone for 1 hour. Nasal membrane were surgically obtained and electron microscopic examination was performed. In the control group, a very small amount of HRP was taken up by endocytosis and HRP did not penetrate the epithelium. In the ozone exposed group, however, a large amount of HRP was taken up into the epithelium and HRP penetrated into cell junctions, which was not observed in controls. Some of the tight junctions were found to be “leaky”. Increased permeability was observed as long as 2 hours after ozone exposure.
    These findings suggest that permeability of nasal membrane increases after ozone exposure and that this mechanism might lead to easy penetration of allergens into nasal epithelium.
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  • Norihide Nishikawa, [in Japanese], [in Japanese], [in Japanese], [in J ...
    1990 Volume 33 Issue 5 Pages 381-390
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Using 40 albino ginea pigs, the effect of an intense sound (2 kHz, 100 to 130 db, 3 or 30 minutes) upon the threshold of AP and CM was investigated at frequencies ranging from 2 to 16 kHz. The threshold shift in AP was severer than that in CM at almost all frequencies. This finding seems to reflect the morphological results of other investigators that the damages to the stereocilia of the inner and first row outer hair celis are the most sensitive in case of a permanent threshold shift. As a greatest shift in the AP threshold became severer, the frequency at which the threshold was the greatest moved toward the higher frequency. Assuming that the half-octave shift in TTS is a phenomenon reflecting the basilar membrane nonlinearities, our resuslts suggest that the maximum amplitude point of the traveling wave envelope moves toward the stapes beyond the half-octave point along the basilar mombrane with increase of the stimulus strength
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  • Fumihisa Hiraide, [in Japanese], [in Japanese], [in Japanese], [in Jap ...
    1990 Volume 33 Issue 5 Pages 391-396
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Eleven nasal polyps surgically removed from 6 adult patients were examined immunohistochemically to identify presence of the following substances: keratin, transferrin, lactoferrin, fibrinogen, lysozyme, vimentin, factor VIII, EMA (Epithelial Membrane Antigen) and S-100 protein.
    A great amount of transferrin, flbrinogen and factor VIII was noted in the subepithelial tissue of the polyps, primarily of the edematous type.
    Since these substances are serum protein, this suggests that they were derived from serum due to increased vascular permeability.
    Immunostaining for S-100 protein revealed no nerve fibers in the nasal polyps except for the pediculate portion. Therefore, the authors have considered that the nasal polyps develop because of lack of the autonervous innervation.
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  • Kazuo Matsui, [in Japanese], [in Japanese], [in Japanese]
    1990 Volume 33 Issue 5 Pages 397-402
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    We recently encounterd a case of Castleman's lymphoma occurring in the neck of a 10-year-old male patient.
    The present case was a hyalinevascular type which comprises abaut 80% of Castleman's lymhoma, in head and neck region in Japan.
    The most common site of Castleman's lymphoma is the mediastinal region, followed by the head and neck region. In Japan, there have been only a few reports. The number of the tumor occurring in the neck is only 54 in the literature, including this case.
    The usual treatment is excision and the prognosis is usually good. We must take this tumor into account in the differential diagnosis of head and neck masses.
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  • Morihiro Seki, [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1990 Volume 33 Issue 5 Pages 403-408
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Eighteen patients with Meniere's disease were treated with the comibined therapy of urea medication and endolymphatic sac surgery.
    1) According to the AAOO (1972) criteria, the results of treatment were evaluated as follows:
    There were 3 cases (17%) class A, 9 cases (50%) class B, 2 cases (11%) class C, and 4 cases (22%) class D.
    2) According to the AAO-HNS (1985) criteria the results were as follows:
    i) Vertigo: 9 cases (50%) had a complete control of definitive spells, and 8 cases (44.5%) had substantial or limited control of definitive spells.
    ii) Hearing loss: Hearing improvement was observed in 4 cases (22%), unchanged in 11 cases (61%). In 3 cases (17%), hearing bacame worse after the operation.
    These results suggest that the cambined treatment of urea medication and endolymphatic sac surgery is effective in the treatment of frequent vertiginous attacks.
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  • Takanobu Kunihiro, [in Japanese], [in Japanese], [in Japanese], [in Ja ...
    1990 Volume 33 Issue 5 Pages 409-417
    Published: October 15, 1990
    Released on J-STAGE: September 13, 2011
    JOURNAL FREE ACCESS
    A case of Melkersson-Rosenthal syndrome is reported.
    The patient, 44-year-old male, presented to our hospital complaining of right-sided hearing loss of one month's duration. Otoscopic examination revealed a presence of effusion in the right middle ear and the patient was diagnosed as having otitis media with effusion (OME). Puretone audiometry showed a moderate degree of mixed hearing loss. However, physical examination at the time of presentation revealed an asymmetrical swelling of the upper lip marked on the right side, right facial weakness with associated movements of a moderate degree and lingua plicata as additional findings. Swellings of both upper and lower gums were also noted. Significant past medical history included rightsided recurrent migraine-like attacks and an episode of transient visual disturbance.
    Although neither relapse of facial swelling nor recurrence of facial palsy has so far been recognized and histological examination of the upper lip did not necessarily demonstrate the pathognomonic findings of “cheilitis granulomatosa”, those clinical features mentioned above strongly suggested that this case be the complete form of Melkersson-Rosenthal syndrome.
    Electromyographic findings and results of the blink reflex test were presented, and possible mechanism, topognosis and treatment of the facial palsy associated with this syndrome are discussed.
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  • Ichiro Fukunaga, [in Japanese], [in Japanese], [in Japanese], [in Japa ...
    1990 Volume 33 Issue 5 Pages 419-426
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    A clinical study was performed on 260 children who were diagnosed as having otitis media with effusion (OME).
    It is supposed that the onset of OME is usually during infancy. As children cannot complain of their symptoms, we generally become aware of this disease when their families notice hearing losses or when children are checked by usual screening tests of the ear, nose, and throat. But earaches in the early stages and nasal symptoms, such as nasal discharge or congestion, are important signs. These are common complaints by the patients. The pure tone audiometry alone cannot diagnose OME satisfactorily. But the tympanometry can diagnose OME more accurately.
    In addition, we also made a proposition regarding preventive medicine of OME in this paper.
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  • Shinya Takano, [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1990 Volume 33 Issue 5 Pages 427-432
    Published: October 15, 1990
    Released on J-STAGE: August 10, 2011
    JOURNAL FREE ACCESS
    Tow cases of parotid gland tuberculosis have been reported.
    The invasion of tubercle bacilli was thought to have taken the lymphogenous route from the ear in Case 1, and from the tonsils, nasal cavity, and pharyngeal region in Case 2.
    CT scans showed a pattern suggentive of the presence of a mass lesion.
    Ultrasonograhy gave a tumor-like delineation in Case 2.
    In patients with a family history of tuberculous disease, parotid tuberculosis should be excluded before starting treatment.
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