Tsutomu Enatsu

Clinical Study of Abnormal Sensation in the Throat

From Jan. 1981 to Dec. 1983, 307 outpatients complained of abnormal sensations in the throat. No significant sex difference was noted. Most of them were in the fourth to seventh decades.Their complaints were varied, most of them feeling a lump or foreign body sensation. Further examinations revealed paranasal sinusitis in 62 cases, abnormal esophageal roentogenological findings in 22 and serum iron deficiency in 34.Of the 307 patients 175 responded to questionnaries: 50 were asymptomatic. The others had some symptoms but tried to ignore them and live with their disease.

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.