JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
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Volume 35, Issue 2
Displaying 1-8 of 8 articles from this issue
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  • LARYNGEAL PALSY
    IN PARTICULAR PALSY CAUSED BY MALIGNANT TUMORS
    Kensaku Saneyoshi, [in Japanese], [in Japanese], [in Japanese], [in Ja ...
    1992 Volume 35 Issue 2 Pages 121-126
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.121
    JOURNAL FREE ACCESS
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    A total of 117 patients with laryngeal palsy seen by us during a 6-year period from July 1984 through June 1990 were reviewed. The palsy was recognized to be due to malignancy in 31.6%, idiopathic in nature in 21.4% and of postoperative type in 24.8% of these patients. An impressive and characteristic feature of this series was an increased relative proportion of palsies caused by malignant tumors and a decreased proportion of those of idiopathic type as compared to the previous series encountered during a 5-year period from July 1979 through June 1984. Of all malignant tumors identified as causative of laryngeal palsy, lung tumors were most frequent, followed by tumors of the thyroid or esophagus. Among 14 cases of head and neck malignancies there were those in which the laryngealpalsy was caused by thyroid tumors, jugular foramen syndrome or metastatic tumors of the neck from unknown primary lesions. In most instances initial symptoms were hoarseness and a tumor mass in the neck, while in some other instances hoarseness was the only initial manifestation or dysphagia was also present. The present study points to the necessity for the physician to keep malignant tumor always in mind as a likely cause of laryngeal palsy, as already emphasized by us in our previous study and also by other authors.
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  • ACUTE MASTOIDITIS
    Chieko Hayashi, [in Japanese], [in Japanese], [in Japanese], [in Japan ...
    1992 Volume 35 Issue 2 Pages 127-132
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.127
    JOURNAL FREE ACCESS
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    Thirteen patients with acute mastoiditis were hospitalized for treatment at the Tokai Univ. Hospital during the past sixteen years. Our criteria for diagnosis of acute mastoiditis that required hospitalization were the combination of the following signs: 1) postauricular swelling and erythema, 2) protrusion of the auricle, 3) pulsating otorrhea. These symptoms did not improve by conservative therapy, and clouding of mastoid air cells was prominent on radiographs. In no cases intracranial infection was proved. Simple bacilli were cultured from 6 patients and complex bacilli were cultured from 3 cases. Ten cases recovered with medical treatment consisting of intravenous antibiotics such as ampicillin and cefem derivation. Three cases (2 cases were combined with labyrinthitis, 1 case was combined with cholesteatoma) were treated surgically. First choice of management in acute mastoiditis should be medical, usually with ampicillin or cefem derivation. Operation should be performed when intracranial complication develops.
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  • [title in Japanese]
    [in Japanese]
    1992 Volume 35 Issue 2 Pages 133-140
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.133
    JOURNAL FREE ACCESS
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    [in Japanese]
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  • THE CURRENT STATE OF AUDIOMETER AND EAR-NOSE-THROAT SCREENING EXAMINATION IN SCHOOLS
    QUESTIONNAIRE SURVEY
    Ryuzo Fujisaki, [in Japanese], [in Japanese], [in Japanese], [in Japan ...
    1992 Volume 35 Issue 2 Pages 141-147
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.141
    JOURNAL FREE ACCESS
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    New Japanese Industrial Standard (JIS) was introduced for audiometers in schools from August 1988 following a notification from the Japanese Ministry of Education. This paper reports the current states of hearing test using audiometer and ear-nose-throat screening examination in schools on the basis of results of a questionnaire survey carried out by the present local branch on September 1990.
    This survey covered all 955 public elementary and junior high schools in Niigata prefecture. With the cooperation of the Education Agency of Niigata Prefecture, nurse-teachers at respective schools were asked to respond to the questionnaire. All the schools responded to this questionnaire; made 100% response rate. Following is summarized results. (1) Hearing examination by audiometer was performed at 99.7% of the schools, and 83.7% of them used the new JIS audiometer. (2) 57.3% of schools in urban areas had their own audiometers, whereas the corresponding rate in country side schools was 34.8%; showing a regional difference. (3) Calibration is not always done in every audiometer. (4) Enforcement of hearing tests to all the students in school were 55.7% of the elementary schools and 47.0% of the junior high schools. (5) Ear-nose-throat screening examination was done in 87.0% of the schools every year, and in 87.0% of the elementary schools and 40.4% of the junior high schools for all the students.
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  • [title in Japanese]
    1992 Volume 35 Issue 2 Pages 149-164
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.149
    JOURNAL FREE ACCESS
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  • PERCUTANEOUS REPOSITION OF NASAL BONE FRACTURES
    Ikuo Nagayama
    1992 Volume 35 Issue 2 Pages 165-168
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.165
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    A new method by percutaneous reposition of nasal bone fractures is presented. For this purpose, a single hook was converted into right angled shape with its tip sharpened. Operative technique is as follows: skin incision is laid horizontally on the nasal bone which form convex plain contrary to the indentation on injured side. An operator put the single hook on the nasal bone and pull it to medially till the gap between nasal bone and maxillary process diminishes. The skin incision is sutured and a nose protecter is placed. All of 13 patients assesed the results to be well. Post operative course was not eventful and the scars by skin incision were not visible. This method is a sure and excellent technique for reposition in the convex of nasal bone fracture.
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  • [title in Japanese]
    [in Japanese]
    1992 Volume 35 Issue 2 Pages 169-175
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.169
    JOURNAL FREE ACCESS
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    [in Japanese]
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  • [title in Japanese]
    [in Japanese]
    1992 Volume 35 Issue 2 Pages 177-181
    Published: April 15, 1992
    Released on J-STAGE: August 10, 2011
    DOIhttps://doi.org/10.11453/orltokyo1958.35.177
    JOURNAL FREE ACCESS
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    [in Japanese]
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