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Volume 42, Issue 1
Displaying 1-14 of 14 articles from this issue
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[in Japanese]1999 Volume 42 Issue 1 Pages 6-7
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese]1999 Volume 42 Issue 1 Pages 8-22
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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Shinji Nishizawa1999 Volume 42 Issue 1 Pages 23-29
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSBy anatomical differences of the external auditory canal, or by inadequate way of placing the probe of the infrared tympanic thermometer (ITM) into the ear canal, the probe of the ITM may not be directed properly to the tympanic membrane. An ITM was examined to see the effect of the distance from the probe to water surface and by the angle between a line of the probe and water surface. In order for the influence of the distance to be examined, the probe was placed from the water surface for 0.5, 1 cm and from 1 cm to 10 cm by 1 cm step. In order for the effect of the angle to be examined, the probe with 2 or 4 cm from water surface was tilted from a vertical lineto 60° by 10° step. A water bath was kept 35.4°C and 37.7°C. Each reading was taken for 10 times. There was no significant difference between 1 and 2 cm readings from water surface. There was no significant difference from the vertical line to 30°.View full abstractDownload PDF (1246K) -
Kazuhiro Aoki, Nobumasa Yamaguchi, Masaya Fukami, Hiroshi Moriyama1999 Volume 42 Issue 1 Pages 30-34
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSRhinogenous intracranial complication has recently been considered as of rare occurrence for the rhinologist owing to the develoment of antibiotics. But now, intracranial abscess appears not to be rare case for the neurosurgeon.
Three cases, two young men with subdural empymas and one elderly man with a temporal lobe brain abscess are reported. Our findings suggested that expansion of infection in the frontal sinus could lead to subdural empyema or brain abscess in a few days. So when a rhinogenous intracranial complication is suggested, it is important to peform sinus surgery at an earliest possible time. In cases of intracranial complications, sinus surgery can be peformed together with cranitomy under general anesthesia. Endoscopic sinus surgery is a safe and exact means to operate an acute frontal sinusitis with intracranial complication.View full abstractDownload PDF (2062K) -
Fumihide Ito, Masahiko Muroi, Hideo Kamada1999 Volume 42 Issue 1 Pages 35-38
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDiseases which cause hyperactivity limited to the pharynx, larynx and trachea are unknown.
Diagnostic treatments were given to 16 patients who complained of a persistent non-infectious cough. The patients received 1 mg of emedastine difumarate (Remicut (R) ) and 0.2 mg of betamethasone (Rinderon (R) ) twice a day. A nasal aerosol of beclomethasone dipropionate (Beconase (R) ) was added if necessary. Three weeks after the initial treatment, all the patients showed moderate or better than moderate improvement. Of 16 patients, 13 (81.3%) showed remarkable improvement. Antibodies against general inhalation antigens were examined using radioallergosorbent tests (RAST). There was no significant difference in the improvement rate between positive and negative patients. An immediate allergy attack or allergy-like reactions may increase reactivity of the pharynx, larynx and trachea.View full abstractDownload PDF (566K) -
Takeo Sakai, Ken Kato, Satsuki Araki, Satoshi Iwasaki1999 Volume 42 Issue 1 Pages 39-45
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSPsychological acceptance in hearing-impaired patients is investigated by the questionnaire method. Questionnaires were consisted of the items about disability and communication disturbance accompanied by hearing loss and the items about psychological acceptance. We classified hearing loss less than 50 dB as mild hearing loss, from 50 dB to 70 dB as moderate hearing loss and more than 70 dB as profound heraing loss. In ninety patients, forty five suffered from profound hearing loss. Hearing aids were useful to relieve communication disturbance even in patients with profound hearing loss.
22.2% of hearing-impaired patients were suspected that they could not accept their disabilities psychologically. It was not decided whether the more profound hearing loss induced the more difficulty of the psychological acceptance. It was said that denials of their disabilities induced pshycological disorders. We concluded that there must be many patients with hearing loss who need psychological therapies.View full abstractDownload PDF (1098K) -
Kousei Takeda, Tomoaki Kai1999 Volume 42 Issue 1 Pages 46-49
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSSecondary hemorrhage following tonsillectomy, uvulopalatopharyngoplasty (UPPP) and laser midline glossectomy (MLG) is an uncommon complication. Usually, it occures within 10 days after the operations. We experienced three cases of secondary hemorrhage developed more than 10 days after the operations. Case 1 : A 21-year-old man had a tonsillectomy under general anesthesia. 11 hours after the operation, minor bleeding from the bilateral inferior tonsillar fossae occured, which was controlled by the pressing method only. He remained well until the 18th postoperative day when a sudden bleeding from the left inferior tonsillar fossa occured. The hemorrhage was controlled by the pressing method only, but he fell into shock. The patient's life was saved by resusciation. Case 2 : A 53-year-old man had UPPP and MLG under general anesthesia. He remained well until the 17th postoperative day when a sudden bleeding occured, which stopped spontaneously. Tongue base was considerd as the bleeding point. Case 3 : A 30-yearold man had UPPP and MLG under general anesthesia. He remained well until the 12th postoperative day when sudden hemorrhage occured, which arrested spontaneously. Tongue base was considered as the bleeding point. The causes of secondary hemorrhage of the three patients were considered as an increasing of the fibrolytic activity of blood following operations, and insufficient postoperative rest was also considered in case 2 and case 3. Furthermore, postoperative infection might have contributed to the hemorrhage in case 3. In this paper, we emphasize that postoperative 10 day is not a safe day for permission of discharge on tonsillectomy, UPPP and MLG in some cases, and also the importance of thorough implementation of prophylactic measures and adequate response to emergency.View full abstractDownload PDF (690K) -
Yoshihiro Ohno, Takanobu Kunihiro1999 Volume 42 Issue 1 Pages 50-56
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSNasopharyngitis is one of the most common inflammatory diseases in the head and neck region. The diagnosis of nasopharyngitis can easily be made by endoscopy when it is manifested as a local pain or urtication of the pharynx. In chronic stages, however, more general symptoms such as dizziness, chronic headache, tinnitus, and malaise are usually more prominent than those local symptoms, leaving it unnoticed and untreated for months or even years. A variety of medications have been administered but have usually been proven ineffective or have only a limited efficacy.
The aim of our study was to examine the effectiveness of topical treatment (application of 1%-zinc chloride, antibiotic, and steroid to the nasopharyngeal mucosa) to alleviate those symptoms. The treatment was carried out up to 8-10 times (1-2 times per week). The severity of each symptom was assessed by a questionnaire using a 5-grade method before and at the end of a series of treatment. The assessment of local inflammation was made on the basis of endoscopic findings.
Sore throat (22.1%) was the most common presenting symptom, followed by dizziness (19.1%), foreign body sensation in the throat (14.7%), choanal flow (13.2%), stiff shoulder (5.9%), and headache (5.9%). These symptoms were either eliminated or alleviated in 86.8% of the patients. Endoscopic findings also improved in 60.3%. (A significant correlation was seen between the severity of the symptoms and endoscopic findings.)
These results indicate that nasopharyngitis should always be kept in mind in clinical practice when the diagnosis is not otherwise established. Once diagnosed correctly, even the long-lasting symptoms of nasopharyngitis can be relieved by topical treatment in a short period of time.View full abstractDownload PDF (1560K) -
Takema Sakoda, Masanori Takahashi, Yuko Saitoh, Yoshihiro Dake, Tadao ...1999 Volume 42 Issue 1 Pages 57-58
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSA case of trichofolliculoma is reported. This report describes a case of a 51-year-old woman with trichofolliculoma of the nose which is located on the edge of the nostril. On histopathologic examination, a cystic space lined by squamous epithelium represented a “primary” hair follicle. Radiating from the wall of these “primary” hair follicles, epithelial strands with hair differentiation interconnect the “secondary” hair follicles.
Trichofolliculoma is a rare benign tumor found predominantly in the nose. The clinical and pathologic features of trichofolliculoma are discussed.View full abstractDownload PDF (678K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1999 Volume 42 Issue 1 Pages 59-65
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese]1999 Volume 42 Issue 1 Pages 66-72
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese]1999 Volume 42 Issue 1 Pages 73-97
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese], [in Japanese]1999 Volume 42 Issue 1 Pages 98-100
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese], [in Japanese]1999 Volume 42 Issue 1 Pages 101-103
Published: February 15, 1999
Released on J-STAGE: March 18, 2011
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