Fifty-five ear of 49 patients with otosclerosis were operated on with either large fenestra stapes (stapedectomy; SDE) or small fenestra stapes (stapedotomy; STO) surgery. Pre-operative average hearing levels for the speech frequency ranges (0.5,1,2 kHz) were 56.1 dBHL for SDE and 61.0 dBHL for STO. These improved to 39.0 dBHL and 35.0 dBHL. Statistically, significant hearing recovery was obtained for a frequency range from 0.125 to 2 kHz for SDE and from 0.125 to 4 kHz for STO (p < 0.05, Dunnett's multiple variance test). The degree of post-operative hearing improvement for STO was significantly higher at 0.5, 2 and 8 kHz than that for SDE (p < 0.05, Student's t-test). A pre-operative speech discrimination score of 80% was obtained at 68.9 dB for SDE and at 76.0 dB for STO. These values improved to 56.1 dB and 49.5 dB post-operatively. Thus, it was proved that STO results in better hearing than SDE does.

Much attention has been paid to hearing results after stapes surgery, but the risks of vestibular disturbance has not been extensively studied. Postoperative spontaneous nystagmus was measured daily at bedside by portable ENG in order to evaluate the vestibular damage from stapes surgery. Thirteen patients underwent primary stapedotomy or stapedectomy from August 1, 1992 to June 30, 1993. Nystagmus toward the operated ear was observed in 3 cases, that toward the opposite ear in 2 cases, that changing from toward the operated ear to toward the opposite ear in 2 cases, that changing from toward the opposite ear to toward the operated ear in 2 cases and no nystagmus in 4 cases. There was no relationship between duration of nystagmus and that of dizziness. Nystagmus was thought to be due to the following: i) inner ear damage by operation, ii) postoperative perilymphatic fistula, iii) floating footplate, and iv) stimulation of hair cells by high potassium ion in the perilymph due to blood flow into the inner ear.

We attempted to determine the relationship of nasal polyps to histamine (HA) metabolism. Compared to that in allergy-related nasal polyps and infection-related nasal polyps, the level of HA in aspirin-induced asthma—related polyps was significantly lower. Large differences between the groups were not observed in HA-synthesizing enzyme activity, but degradative enzyme activity was much higher in aspirin-induced asthma—related polyps than in other types of nasal polyps tested. These findings suggest the possibility that the amount of HA in polyps associated with aspirin-induced asthma was less because of greatly enhanced degradation. We found, in addition, that in nasal tissues such as polyps, histamine-N-methyl transferase, rather than histaminase, was the principal degradative enzyme.

Magnetic Resonance Imaging (MRI) has the potential to show normal anatomy and pathological changes in many of the body's organ systems. As with all imaging techniques, precise knowledge of the normal anatomy of a region is indispensable to diagnose disease states. In this study, human temporal bone blocks were studied with both MRI and light microscopy. All turns of the cochlea and the basement membranes of each turn were identified successfully with MRI. Part of the horizontal semicircular duct was also depicted with MRI.

Objectives: This study evaluated the design of a sustained-release contact lens (CL) device loading tranilast (TRA) and determined the usefulness of these CLs in Japanese albino rabbits. Methods: The sustainable CLs in this study were prepared by combining three CLs with different water contents and soaking methods under high-pressure and high-temperature using an autoclave method (AC-method). Results: Both the CLs prepared with the conventional soaking method (stir-method) and AC-methods were transparent in all three types of CLs. The loaded TRA contents in the CLs when using the AC-method were higher than those prepared using the stir-method for all three types of CLs. TRA contents were also higher when loaded into the cation-type lenses as compared to the other lenses. Moreover, the sustainable release of TRA from the TRA-loaded cation-type CL using the AC-method was significantly higher than those found for the other CLs. No corneal wounds were observed in any of the rabbits given the three types of TRA-loaded CLs for 7 days. Furthermore, the TRA-loaded CL sustainably released TRA into the lacrimal fluid in the rabbit. Conclusions: The TRA-loaded CL prepared using the AC-method overcame the limitations normally associated with the stir-method, such as the high burst release and low drug uptake.