All issues
Volume 36 (1993)
- Issue 6 Pages 677-
- Issue 5 Pages 545-
- Issue 4 Pages 419-
- Issue 3 Pages 251-
- Issue 2 Pages 113-
- Issue 1 Pages 6-
Volume 34 (1991)
- Issue 6 Pages 595-
- Issue 5 Pages 507-
- Issue 4 Pages 385-
- Issue 3 Pages 261-
- Issue 2 Pages 113-
- Issue 1 Pages 5-
- Issue Supplement8 Pag･･･
- Issue Supplement7 Pag･･･
- Issue Supplement6 Pag･･･
- Issue Supplement5 Pag･･･
- Issue Supplement4 Pag･･･
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 31 (1988)
- Issue 6 Pages 757-
- Issue 5 Pages 613-
- Issue 4 Pages 425-
- Issue 3 Pages 273-
- Issue 2 Pages 127-
- Issue 1 Pages 9-
- Issue Supplement9 Pag･･･
- Issue Supplement8 Pag･･･
- Issue Supplement7 Pag･･･
- Issue Supplement6 Pag･･･
- Issue Supplement5 Pag･･･
- Issue Supplement4 Pag･･･
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 36, Issue 4
Displaying 1-13 of 13 articles from this issue
- |<
- <
- 1
- >
- >|
-
[in Japanese]1993 Volume 36 Issue 4 Pages 419-423
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (686K) -
Masaji Lee1993 Volume 36 Issue 4 Pages 424-436
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThe observation focuses on endotoxins, a gram-negative bacteria, which are one of the factors in the development and prolongation of otitis media with effusion. In this experiment an animal model was drawn up induced by endotoxin. The changes in the submucosal blood vessels in the middle ear membrane were morphologically observed, using the Majno's vascular labeling method. Endotoxin was inoculated through the eardrum of a guinea pig into the middle ear cavity. Then, carbon particles were intravenously injected after the inoculation as a vascular marker. Serous effusion was detected from 24 hours until 7th day after the inoculation. No differences were detected between the inoculated ears and the controls on the 14th day. Under the light microscope, hemorrhages mainly on the venule were detectable from 12 hours until 7th day after the inoculation. Also, an increase in vascular permeability was indicated on the venular side from 24 hours until 7th day after the inoculation. Under the electron microscope, the endothelial cells were injured and the extravasation was observed. It is suggested that the main cause of the production of the middle ear effusion in this experiment is the leakage from the venule influenced by endotoxin. And endotoxin directly seems to cause the injury of the endothelial cells of venules and result in hemorrhage.View full abstractDownload PDF (17648K) -
HISTOPATHOLOGlCAL TEMPORAL BONE FINDINGSShin-ichi Haruna, Patricia A. Shachern, Yasue Haruna, Dragoslava R. Dj ...1993 Volume 36 Issue 4 Pages 437-445
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSFourteen temporal bones from seven infants (under two years) with histological evidence of otitis media who had died of meningitis were compared with controls (three bones) from infants with otitis media only in order to investigate a relationship between silent otitis media and meningitis. Tympanic membranes in the meningitic cases were intact in all bones and histologically normal in eight bones and the middle ears of them contained purulent effusions, residual mesenchyme and granulation tissue infiltrated with chronic inflammatory cells. Unlike controls, the meningitic cases showed chronic inflammatory cells in the round window membrane and within the perilymph, the modiolus, the internal auditory canal and the cochlear aqueduct. The above findings suggest that the presence of silent otitis media prior to meningitis promote a change in the permeability of the round window membrane or oval window membrane. This change may have allowed bacteria to invade the meninges from the inner ear, suggesting a tympanogenic source of meningitis.View full abstractDownload PDF (8797K) -
STUDY IN ACOUSTIC NEUROMA PATIENTSToshiaki Ouchi, Hiroyasu Mashino, Akira Ogata, Shigemitsu Yoshihara, Y ...1993 Volume 36 Issue 4 Pages 446-452
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSOnomatopoetic expressions for the test tones presented by pure-tone audiometer were investigated in 27 affected ears of surgically proven unilateral acoustic neuroma (AN) and were compared with them in 37 normal hearing ears. The test tones were pure-tones with the intensity of 10 dB above hearing threshold at 7 frequencies with an octave step between 125 Hz and 8 kHz. The test tones were presented through a headphone and the subjects were asked to describe their subjective expressions of the nature of test tones by using onomatopoeias.
The results obtained were as follows:
1) Although the subjects number of affected ears of AN was less than that of normal hearing ears, more various kinds of onomatopoeia were used as subjective expressions in affected ears of AN than in normal hearing ears at each of 7 frequencies.
2) When the onomatopoeias and the incidence in description at each of 7 frequencies were analysed, the incidence of the most frequently used onomatopoeia in normal hearing ears decreased in affected ears of AN. Also, other onomatopoeias were used in affected ears of AN at each of 7 frequencies, which were never used in normal hearing ears.
3) When the incidence in description of 4 representative onomatopoeias at each tested frequency was analysed, marked differences were found between affected ears of AN and normal hearing ears.
4) It was suggested that marked differences in onomatopoetic expressions against the external test tones between affected ears of AN and normal hearing ears could be caused by the deterioration of frequency selectivity in affected ears of AN which might be due to the intricate pathophysiology induced by the coexistence of cochlear and retrocochlear dysfunctions.View full abstractDownload PDF (827K) -
REVIEW OF REPORTED CASES OF ESOPHAGOTOMYMasato Matsui, Takakuni Katoh, Toshinobu Yashiro, Yuji Umezawa1993 Volume 36 Issue 4 Pages 453-460
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESS -
Chiaki Koide, Akio Imai, Toshiko Takahashi, Yutaka Yamamoto1993 Volume 36 Issue 4 Pages 461-468
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSThree cases of mediastinal abscess associated with cervical disorders are reported. Case 1 is a 67-year-old man who suffered from olivo-ponto-cerebellar atrophy and in whom tracheotomy was performed. Mediastinal emphysema and aspiration pneumonia occurred after tracheotomy, then pyothorax and mediastinal abscess followed. Case 2 is a 41-year-old man with a deep neck infection, following acute tonsillitis, that spread to the mediastinum. Case 3 is a 58-year-old woman who suffered cervical esophageal perforation during esophageal fiberscopy in whom cervical and mediastnal abscess occurred. We inserted a drainage tube from the lower neck to the upper mediastinum then, used antibiotics which were effective against anaerobic bacteria in all 3 cases.
The drainage route from the lower neck to the mediastinum was effective in upper mediatinal abscess in most cases, though mediastinotomy is needed in some cases. Antibiotics should be selected since anaerobic bacteria are involved in deep neck infections.View full abstractDownload PDF (9169K) -
Hirotaka Hara, Keiko Kanesada, Yuji Imate, Masahiko Ogata1993 Volume 36 Issue 4 Pages 469-476
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSA case of eosinophilic granuloma of soft tissue (Kimura's disease) involving the soft tissue of retroauricular lesion on both sides is reported. Blood examination showed a remarkable increase of eosinophils and serum IgE. Allergic RAST test was found positive to Candida and others.
Surgical treatment and steroid treatment were mainly performed then, tumor size of the retroauricular lesion on both sides were effectively reduced. Dissection of the tumor produced a favorable result cosmetically. The administration of steroids, especially injected into the tumor, reduced the tumorous swelling.View full abstractDownload PDF (11197K) -
Kenji Machiki, Masamitu Senarita, Akira Hara, Jun Kusakari, Yoshihisa ...1993 Volume 36 Issue 4 Pages 477-482
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSMagnetic resonance imaging (MRI) was performed in 15 patients with parotid tumors. These included 10 benign and 5 malignant diseases, of which pathological diagnoses were established by biopsy or surgery. The locations of the parotid mass were correctly diagnosed in approximately 90% by judging the displacement of retromandibular vein. Althogh we could not find any single specific finding which completely distinguished malignant tumors from benign ones, the following signs were thought to be important clues to suspect the possibility of malignancy;(1) low T2-weighted intensity signal relative to the normal parotid gland, (2) inhomogenous signal intensity in T2-weighted image, (3) irregular marginal appearance, (4) inhomogenous enhancement in gadolinium enhanced MRI.
MRI was thought to be useful in predicting the location and the nature of the parotid tumors.View full abstractDownload PDF (10336K) -
Tetsuya Tahara, Yoichi Ogata1993 Volume 36 Issue 4 Pages 483-488
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSPrimary carcinoma of the frontal sinus is extremely rare. As there is no characteristic clinical symptoms to the tumor, it is frequently mis-diagnosed as a mucocele or pyocele. But even with early detection and radical surgery the prognosis remains very poor. A case of primary carcinoma of the frontal sinus is reported. The patient, a 77-year-old female, was referred to with a painful swelling of the right frontal region, X-ray examination revealed clouding and a marked enlargement of the right frontal sinus. An extranasal frontal sinusectomy was performed under general anesthesia. Histopathological examination revealed squamous cell carcinoma Electron irradiation was given postoperatively. It is suggested that MRI contribute to differentiate the neoplasm from mucocele or pyocele.View full abstractDownload PDF (13100K) -
[in Japanese], [in Japanese]1993 Volume 36 Issue 4 Pages 489-504
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (27165K) -
Makoto Oda1993 Volume 36 Issue 4 Pages 505-514
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSAn importance of primary health care in ear, nose and throat clinic was discussed. In 1979, WHO proposed a concrete step for primary health care. And National Academy of Science of United States defined the characteristics of primary health care clearly as follows: accessibility, comprehensiveness, coodination, continuity and accountability. Then primary health care has been admitted in many developed countries.
Because of increasing of medical information or advanced medical technology, an integrated life long education has been needed to primary doctors. Literature which reported in United States showed that some of patients suffering from common ear, nose and throat disease as inflammatory disease in upper respiratory tract, tonsillitis or acute ear disease, visited to the primary doctors, family doctors or general physicians. Also, it has been thought that the nonear, nose and throat doctors who give a medical care to the patients with the disease as rhinitis, tonsillitis or otitis media are increasing in Japan. As increasing of these type of medical care has been forecasted in near future in our country, so it was stressed that ear, nose and throat doctors have to study an newly developed mediacal science or medical technology.View full abstractDownload PDF (1219K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1993 Volume 36 Issue 4 Pages 515-532
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESSDownload PDF (1703K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]1993 Volume 36 Issue 4 Pages 533-538
Published: August 15, 1993
Released on J-STAGE: August 10, 2011
JOURNAL FREE ACCESS
- |<
- <
- 1
- >
- >|