For the treatment of carcinoma of the cervical esophagus and corrosive esophagitis, skin roll has been used for reestablishing continuity of the alimentary tract, after removal of the cervical portion of the esophagus.
In the past two years, this skin roll method was changed with Beck-Jianu tube which is made by the greater curvature side of the stomach for the treatment of cases of carcinoma of the cervical portion of the esophagus, 3 cases of corrosive esophagitis: and 2 cases of carcinoma of the thoracic portion of the esophagus (conservative therapy).
This operative technique consists of, first splenectomy, second a right angle incision to the stomach near the pyloric portion of the somach, saving most of the gastrodiploec vessels and third, a roll of tube with 2.5 cms width which was made by a pararell incision with the greater curvature of the stomach.
This tube is raised either subcutaneously or retrosternally to the level of the cervical remnant and both edges are primarily anastomosed. This operative technique has an advantage of 1) maintaining better blood supply than other operative method, 2) maintaining gastric functions as food reservoir and digestive organ, 3) leaving vagal nerve intact, and 4) leaving no possibility of regurgitation of the intaken food and gastric contents into this reconstructed tube. Another big advantage of this technique over other method is that this operation can be performed in one stage. Clinical detail of three operative cases are discussed and medical record of this technique is also reevaluated.

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With the intention of surveying the exact form and situation of vocal folds, ventricles and hyoid bone on x-ray films, we worked out a new way by sagittal and bitemporal laryngeal photographing method. By means of this method, we observed 35 patients who complained of abnormal sensation in the throat. We found abnormal asymmetrical location and form of the vocal folds and hyoid bone at the time of phonation in 70%.
Moreover, those who had such abnormalities, often showed asymmetries in other regions, ……for existence of D.P. on the vestibular caloric test, strictures of intervertebral space, stiff shoulders of one definite side. At times we could also find among them symptoms of disharmony in autonomic nervous system.

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Removal of bronchial foreign body should be performed under general anesthesia, even though it has usually been done under local anesthesia because of many unfavorable factors of general anesthesia. Especially, pencil-cap in the bronchus is preferred to be removed under general anesthesia, because in the majority of cases it occurs in children.
We reported an anesthetic method applied in two cases of pencil-cap which we experienced recently. We made a new type of bronchoscope for using more safely under general anesthesia not only in removal of bronchial foreign body but in bronchoscopic examination, and reported its application under general anesthesia with flouthan and nitrous oxide.

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I developed a new technical method of direct laryngoscopy, which is safe and easily applicable even when there are many difficulties in direct laryngoscopy under local anesthesia because of brisk pharyngeal reflex and increased muscular tension.
I introduce direct laryngoscope under general anestnesia with intubation and controlled respiration by the adequate administration of muscle relaxant, then I push the tube backword, and the tube will be forced into the interartenoidal space and I can inspect completely through the vocal process and anterior commisure.
In this method, laryngoscope may easily be held by one hand, and long-time inspection or operation, if necessary, can be done with no fear of bleeding or dyspnea.
The case of broad based edema, granulation or hypertrophy of the vocal cords or false cords may be the best indication for this method.
In general anesthesia, thking a mask method without intubation, with a proper usage of O₂, gas and muscle relaxant, there comes stage of apnea for about 3 minutes, then the manupulation of laryngoscope will become easier.

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A case of cicatric oesophageal stenosis was reported.
17 years old boy at age of 3 years swallowed acetic acid accidintally. At age of 8 years the patient visited our clinic with complaint of gradually progressing dysphagea.
The author succeeded at that time, the dilatation of stenosed oesophagus with whalebone bougie.
But about 8 years after, he visited our clinic with complaint of severe dysphagea again.
This time we succeded in curing the patient with Tucker's retrograde bougie.

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The authors made statistical observations of the 20 cases of the foreign bodies in the larynx, trachea and bronchus, and 220 cases of the foreign bodies in the pharynx, esophagus and stomach in the past 15 years.

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