No abstract available.
Korea* ; Otolaryngology*

The authors examined 312 outpatients, including 100 with otorrhea, 144 with rhinorrhea and 68 with pharyngeal discharge. The pH of otorrhea was generally acid, except in 2 cases of diffuse otitis externa where the discharge was strongly alkalihe. Otorrhea in purulent otitis media was mucopurulent or purulent and was strongly acid. The pH of rhinorrhea ranged from 6.6 to 7.4, being generally weakly alkaline. In acute rhinitis, it was alkaline in half the cases; a tendency to greater alkalinity showed in cases of marked swelling of the inferior nasal conchae. In chronic paranasal sinusitis, the pH generally shifted to the acid side; in acute paranasal sinusitis and in nasal polyps, it was weakly alkaline in all cases; and in allergic rhinitis it was neutral with in a narrow range. the usual pH of oral and pharyngeal discharges ranged from 6.4 to 7.0, being generally weakly alkaline. The character of inflammatory discharges was serous or mucous in all cases, except for a case of peritonsillar abscess with mucopurulent discharge; the pH was weakly alkaline in 5 cases (7.4 per cent), neutral in 26 (38.2 per cent), and acid in 37 (54.4 per cent). When these discharges changed in character from seromucous to purulent, their pH was lowered.
Humans ; Hydrogen-Ion Concentration* ; Nasal Polyps ; Otitis Externa ; Otitis Media, Suppurative ; Otolaryngology* ; Outpatients ; Peritonsillar Abscess ; Rhinitis ; Sinusitis ; Turbinates

One hundred and one cases with allergic rhinitis were statistically analysed and 40 students without any allergic symtoms as control group were chosen and nasal eosinophile count were performed. The following results were obtained: 1. Among 101 allergic cases the male and female ratio was 4:5. 2. In 54.5%(55 cases) of the allergic group and 15%(6 cases) of the control group showed a positive reaction in the allergic skin test, but no significant sex difference was found. 3. In the 55 allergy positive cases. the peak incidence was in the 4th decade (27.3%) and next in order was the 3rd and 5th decade age group (21.8%). 4. Twenty six causative allergens by skin test were identified and the most frequent allergens were the animal hairs (43.3%) pre dominantly cat, dog and horse and next in frequency were the pollens (34.7%) and house dust (14.0%). 5. The most sensitive allergic reaction was to the house dust and appeared before the 5th year, animal hairs from 6~9 years, and pollens in the 2nd~3rd decade groups. 6. Among 150 positive reactions in 55 patients, ++(60) was the most frequent reaction level and next in order was +(58), +++(26) and ++++(6). 7. The allergic rhinitis due to food was only 2% which included two cases of mussel and a case of mushroom sensitivity. 8. Only 27% of the cases with positive skin, test showed single allergen sensitivity and 73% were multiple allergen sensitivity. 9. The most common combination of multiple allergens was between a variety of animal hairs, animal hairs and house dust, animal hairs and pollens, a variety of pollens and house dust in that order. 10. Among 101 cases of allergic rhinitis, 56.4% (57 cases) showed nasal eosinophilia and 64.9% (30 cases) of these revealed a positive skin test.
Adolescent ; Adult ; Aged ; Allergens/classification* ; Child ; Child, Preschool ; Dust ; Female ; Hair ; Hay Fever/immunology* ; Human ; Male ; Middle Age ; Pollen ; Skin Tests

During the four-year period from 1954 to 1958, a roentgenological and morphological study of the paranasal sinuses in Koreans, especially of the frontal and maxillary sinuses, was made. In these studies, postero-anterior and lateral radiograph, life-size, of the normal frontal and maxillary sinuses were measured to obtain standard values for the Korean peop1e, together with their sex ratio, age distribution, and septal features of the sinuses.
Age Distribution ; Maxillary Sinus ; Paranasal Sinuses* ; Sex Ratio

Since the early part of the twentieth century, many authors have claimed that eosinophilia is found in the nasal secretions and blood of patients with allergic diseases. This observation has now become an established fact, and recent evidence based on extensive investigation, suggests that the eosinophil may play an active role in allergic disease. Thus, we report changes in nasal eosinophils in a group of nasal allergy patients treated by specific hyposensitization. The following results were obtained; 1. Eosinophilia was noted in 52.8 percent of untreated nasal allergy patients. 2. The eosinophilic count was gradually decreased with increasing S.D.V.(specific desensitizing vaccine) hyposensitization.
Eosinophils* ; Hay Fever/pathology* ; Human ; Leukocyte Count ; Mucus/cytology ; Nasal Mucosa/secretion*

The author has made the electron microscopic study of enzymes in eosinophils in order to clearify the influence of hyposensitization in allergic rhinitis to the activity of enzymes in eosinophilic granules and the following results were obtained. 1. In all 3 control, hyposensitization and allergic groups, eosinophilic granules with matrix and crystalloid core in circulating blood and tissue was observed. 2. In all 3 groups, activity of acid phosphatase was not found in neutrophil, basophil, macrophage and glands as a form of coagulated activating colony of acid phosphatase. 3. In control and hyposensitizing groups, number of eosinophils were smaller than that was counted in allergic group. Activity of peroxidase in granule was weak and granular out flowing and rupture of cell membrane were not observed. 4. In allergic group, eosinophil count was high, activity of peroxidase in granule was strong and granular out flowing and rupture of cell membrane were severe. At the same time, many vacuoles, which were suspected to be the result of phagocyte the protein as foreign substance, wag observed. Judging from the fact that eosinophil has a specific relation to allergic diseases and the activity of peroxidase that exist as an enzyme in eosinophilic granule is strong, it is believed that the major function of eosinophil is phagocytosis of antigen, or antigen-antibody complex. On the other hand, the fact that activity of peroxidase was weak in hyposensitizing group lead us to believe that the activity of peroxidase may be used as an indicator for detecting hyposensitizing status in the treatment of allergic disease.
Acid Phosphatase/metabolism* ; Adolescent ; Adult ; Child ; Desensitization, Immunologic* ; Eosinophils/enzymology ; Eosinophils/ultrastructure* ; Female ; Hay Fever/therapy* ; Human ; Male ; Middle Age ; Peroxidases/metabolism*

The author, since 1969, has established and had experience with an ideal antral window operation as a simple type of intranasal surgery using a double flap mucous-plasty in the treatment of chronic maxillary sinusitis. This intranasal antrostomy with nasoantral window-plasty is an ideal technique in sinusitis cases with mildly infamed and reversible conditions, without polypoid and highly thickened mucosa of the maxillary antrum, and has provided satisfactory surgical results with the following advantages: 1. It prevents the postoperative occurrance of unpleasent complications such as cheek swelling, dental and labial numbness, obstruction of the nasolacrimal passage due to over-curettage, osteomyelitis and postoperative cheek cyst as in cases following radical surgery. 2. The technique of two mucosal flaps taken from the nasal cavity and the maxillary antrum covers the up-and down-margin of the window and can prevent postoperative bony bleeding and reclosing of the window due to over-granulation, and consequently can keep the nasoantral window permanently open for free drainage. 3. The operation is very simple and conveniently performed under local anesthesia and requires minimal hospitalization. 4. There is minimal reaction, and minimal injury to the mucosa which rapidly returns to normal function. 5. High antroscopic visibility, to determine the status of the antral interior at all times during the surgery and the postoperative treatment, is provided. 6. In consideration of excretory function, ventilation and directional ciliary beating of the antral mucosa, the author believes that this intranasal antrostomy with nasoantral window- plasty is ideal and a better procedure than other simple antrostomies and better than Boenninghaus's single flap-plasty in the choice of different plastic techniques of the mucosal flap, and also this operation can proceed to a radical antral procedure.
Human ; Methods ; Nasal Mucosa/surgery*

Electrogustometry has become one of the most important and useful diagnostic methods as has audiometry and vestibular function tests in the otolaryngological field. Although much literature, concerning the facial nerve and gustatory function have appeared, still problems remain to be solved in future research. To these points of view, the anatomical relationships of the nerves associated with gustatory function were reviewed and discussed. And also the clinical importance and usability of electrogustometry is emphasized.
Chorda Tympani Nerve/anatomy & histology ; Facial Nerve/anatomy & histology* ; Facial Nerve/physiopathology ; Human ; Taste* ; Taste Disorders/physiopathology

We have reported a case of granular cell myoblastoma of the larynx which is considered to the first reported case in the Orient. A review of the literature is given with special emphasis on the pathology, various theories of histogenesis, diagnosis, treatment and prognosis.
Asian Continental Ancestry Group ; Human ; Korea ; *Laryngeal Neoplasms ; Male ; Middle Aged ; *Neoplasms, Muscle Tissue

No abstract available.
Animals ; Brain Stem* ; Brain* ; Cats* ; Laryngeal Nerves*