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Volume 42, Issue 6
Displaying 1-17 of 17 articles from this issue
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[in Japanese]1999 Volume 42 Issue 6 Pages 562-563
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese]1999 Volume 42 Issue 6 Pages 564-575
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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Yuka Toyoda, Hirokazu Yoshida, Hideto Asaka1999 Volume 42 Issue 6 Pages 576-584
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSOutside the pollen season, 8 patients with Japanese cedar pollen allergy were exposed to pollen antigens once a day for 5 consecutive days, approximating conditions of the early pollen season, and were examined for changes in late phase responses.
We examined scores for nasal obstruction, nasal air way resistance, and the nasal lavage fluid during the 12 hours following antigen challenge, before and after repeated antigen provocation.
In addition, during the pollen season, 13 patients were examined using the same protocol after antigen provocation.
Scores for nasal obstruction increased during both the early and the late phase. The late phase response increased significantly with accumulation of antigens.
The number of incidences of late phase response also increased with accumulation of antigens and increased significantly during the pollen season.
Tryptase and histamine in the nasal lavage fluid increased during the early phase, but not during the late phase.
ECP in the nasal lavage fluid increased during both the early and late phase, and it also increased with accumulation of antigens, similar to the scores for nasal obstruction.
In conclusion, repetition of slight pollen exposures increased the late phase responses. Numerical accumulation of pollen was associated with increased late phase responses and the incidence of late phase responses. These results suggest that activation of the eosinophilic leucocytes is an important factor in these reactions.View full abstractDownload PDF (1203K) -
Yukiko Eno, Tetsuo Miyazawa, Yukako Imamura1999 Volume 42 Issue 6 Pages 585-590
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSAlthough macrolide therapy is very effective for the treatment of chronic sinusitis, its efficacy for otitis media with effusion (OME) in children remains to be determined. In the present study, we administered low-doses of clarithromycin to 55 children (96 ears) with OME for more than 2 months (CAM group), and usual-doses of cephems (4-days-taken and 3-days-quit) repeatedly for at least 2 months to 19 children (31 ears) with OME (control group). The cure rate of OME was 65.6% for the CAM group and 16.1% for the control group, and the difference was statistically significant. In the CAM group, a significantly higher cure rate was obtained in children with OME associated with sinusitis, and a significantly lower cure rate was seen both in children aged 2 years or younger and in children with adenoid vegetation. These results suggest that macrolide therapy may be effective for OME in which the main pathogenesis is primarily or secondarily caused by infection or inflammation. In addition, the effectiveness of macrolide therapy may not be due to an antimicrobial effect because of its incomplete eradication of pathogens in the nasopharynxes of children in whom macrolide therapy for OME was otherwise successful.View full abstractDownload PDF (972K) -
Yoshihiro Dake, Tadao Enomoto, Akira Shibano, Takema Sakoda, Yuko Sait ...1999 Volume 42 Issue 6 Pages 591-596
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSHitazyme Chlamydia, Peptide Chlamydia and Chlamydia Antibody Mitsubishi are the names of kits for detection of serum antibody of Chlamydia trachomatis (C. trachomatis). However, these kits use different antigens for assay of serum anti-C. trachomatis antibody.
We evaluated the efficacy of each kit by measuring sera from 41 pregnant women. In 41 serum samples that were analyzed by an immunoblotting method, 25 were positive for anti-C. trachomatis antibody and 16 were negative. The concordance rate to IgG and IgA antibody between detection kit and immnunoblotting method was 100% and 100%, respectively, with HITAZYME, 85.4% and 82.9%, respectively, with PEPTIDE, 97.6% and 97.6%, respectively, with MITSUBISHI. These results indicate that the frequency of false-positive or false-negative judgment depends on the antigen used for detection of anti-C. trachomatis antibody.View full abstractDownload PDF (776K) -
Shinji Nishizawa1999 Volume 42 Issue 6 Pages 597-603
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSA total of 2, 264 tympanic temperatures (TTS) of 1, 132 persons by an infrared tympanic thermometer were obtained five times and compared with axillary temperatures (ATs) of the same 1, 132 persons obtained by a digital electric thermomer from December 1992 to March 1996 in the otolaryngologic clinic at Bibai Rousai General Hospital. The sample consisted of 499 male and 683 females, ages ranging from 5 to 91 years (mean age 49.0). TTs were measured five times with an infrared thermometer by ThermoscanTM Pro-1, and AT was recorded with a digital electronic thermometer. The mean difference between the TT (36.54°C) and AT (36.53°C) was 0.01°C, and by paired t test, there was no statistical difference. Comparison by 10-year step, in TT there were statistical differences between the 40s age group and the 10s, 20s, 50s, 60s and 70 age groups and the 40 age group had higher TTs than those age groups. For males no statistical difference in TTs was found between the age groups. For females, statistical differences in TTs were noted between the 30s and 40s age groups and other age groups and TTs were higher in the 30s to 40s groups than in other groups. For subjects in the less than 30s age groups, ATs were higher that TTs, however, in the more than 40s age groups, TTs were higher than ATs.View full abstractDownload PDF (1135K) -
Daisuke Yamauchi, Hideya Wataya, Narihisa Ueda, Nobuyuki Shiga, Fumiak ...1999 Volume 42 Issue 6 Pages 604-608
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSA tooth developing at an abnormal position during the course of growth is called an ectopic tooth, and when the ectopic tooth develops in the opposite direction, it is referred to as an inverted tooth. In 1754, Albinus reported the first case of an inverted tooth in the nasal cavity. In Japan, 138 cases have been reported since 1901.
We encountered and surgically treated two patients, a 9-year-old boy and a 13-year-old boy, with an inverted tooth in the nasal cavity. The pathological diagnosis in both cases was an impacted supernumerary tooth associated with amelogenesis inperfecta. In both cases, the inverted tooth was surgically removed by the endonasal procedure using CO2 laser.
Early extraction of the tooth is recommended to prevent epistaxis and rhinolith.View full abstractDownload PDF (3095K) -
Hitoshi Enomoto1999 Volume 42 Issue 6 Pages 609-613
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSAspergillus rarely infects the larynx. Only 5 cases have been reported in Japanease and foreign literature, of primary laryngeal aspergillosis involving normal humans. Also, these past reported cases were superficial and invasive lesions, but, in this case, fungus balls had formed in the submucosa of the false vocal cord, so called aspergilloma.
A 60-year-old woman presented with a chief complaint of hoarseness for 3 months. During clinical examination, a bean-sized prominence was noted on the left false vocal cord.
In addition to this case report, a discussion on the formation of laryngeal aspergilloma and the occupational risk of fungal infection is included
Primary laryngeal aspergillosis is divided into 3 classes : superficial type, invasive type, and fungus ball type.View full abstractDownload PDF (4423K) -
Mamoru Yoshikawa, Shigeru Yoshida, Masato Matsui, Hiroshi Moriyama, Ma ...1999 Volume 42 Issue 6 Pages 614-618
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSWe report a sphenoid sinus mucocele, which was accompanied by bilateral visual disturbance. The preoperative computed tomography (CT) demonstrated the giant mucocele in the area ranging from the sphenoid sinus to the posterior ethmoid sinus. Furthermore, destruction of the surrounding bone and clivus with bilateral compression of the optic nerves was revealed. As for preoperative visual acuity, the right eye detected hand motion whereas the left eye showed blindness. The mucocele was quickly and adequately opened by endoscopic sinus surgery. Metylprednisolone sodium succinate was also administered at a daily dose of 125 mg by continuous intravenous instillation for 8 days after initial examination. On discharge, the visual acuity was markedly improved : the right eye, 1.2 and the left eye, 0.5. According to some reports, it is difficult for cases to recover sight when they progress blindness, but in the present case sphenoid sinus was safely opened by endoscopic sinus surgery. These results suggest that quick, less-invasive endoscopic decompression is important for the improvement of visual acuity in the case of sphenoid sinus mucocele.View full abstractDownload PDF (1759K) -
preliminary reportHinako Uno, Hideji Okuno, Yoshihiro Noguchi, Takeshi Tsutsumi, Ken Kit ...1999 Volume 42 Issue 6 Pages 619-623
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSA conventional hand drill was used for fenestration of the foot plate until a Skeeter drill, an electric micro-drill designed for ear surgery, became available at our institute in 1997.
In 1998, three patients with otosclerosis underwent stapedotomy using the skeeter drill. The surgical results of these cases are evaluated in this report and compared to the results of similar procedures performed using the hand drill (1997).
The post-operative results showed no difference between the two techniques. However, the electric drill is advantageous because it can create a fenestra with much less risk of inner ear injury.
In our experience, use of the Skeeter drill is highly recommended for training physicians because it is easier to use for and fenestration than the conventional hand drill.View full abstractDownload PDF (1017K) -
[in Japanese]1999 Volume 42 Issue 6 Pages 624-627
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese], [in Japanese]1999 Volume 42 Issue 6 Pages 628-629
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese]1999 Volume 42 Issue 6 Pages 630-633
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese], [in Japanese]1999 Volume 42 Issue 6 Pages 634-637
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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1999 Volume 42 Issue 6 Pages 638-648
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese]1999 Volume 42 Issue 6 Pages 649-662
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1999 Volume 42 Issue 6 Pages 663-671
Published: December 15, 1999
Released on J-STAGE: March 18, 2011
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