Hirohiko Kawade

Case of Perforation of the Tympanic Membrane with Inner Ear Impediment

We report four case of the perforation of the tympanic membrane with inner ear impediment caused by direct trauma of earpick, which were suspected perilymph fistula. Two patients showed improvement by conservation therapy. In the other two, perilymph fistula was observed and repaired. After the operation, hearing in one patient returned to normal except the high register but the other showed little improvement. From the present findings, immediate operation should be considered for patients whose hearing dose not improve, or these in whom number of perilymph fistula dose not decrease.

Nasal Septal Abscess

Abscess of the nasal septum is rare, but immediate diagnosis and surgical drainage are necessary to prevent significant complications.A 1.5-month-old girl was admitted to our hospital with fever, mouth breathing and feeding difficulty. Both nasal cavities were occluded by septum swelling with serous rhinorrhea. In spite of immediate puncture, drainage and administration of antibiotics, she developed meningitis and saddle nose, but she improved gradually and was discharged 19 days after admission.Ninety cases (including our case) of nasal septal abscess reported in the Japanese literature from 1914 to 1982 are reviewed.