日本気管食道科学会会報
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
15 巻, 5 号
選択された号の論文の7件中1~7を表示しています
  • 北村 武
    1964 年 15 巻 5 号 p. 217-221
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    A partial laryngectomy was discussed, and two modification technics were presented. One of them is the vertical partial laryngectomy. The wound surface in the larynx is covered by the mucosa of the nasal septum to prevent the stenosis through the proliferation of granulation. The another is the supraglottic horizontal laryngectomy. Cancer at the upper part of the larynx is extirpated by means of the resection of the hyoid bone, epiglottis and the upper one-third of the thyroid cartilage symmetrically, but the preepiglottic space is not opened. The large pharyngostoma is closed with the skin-platisma flap. The result of both methods is excellent.
  • 粟田口 省吾, 古沢 昭, 渡部 昭, 根谷崎 敏彦, 松山 靖, 押部 光正
    1964 年 15 巻 5 号 p. 222-226
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    A case of 57-year-old man who had suffered from Squamous cell cancer of larynx and undergone total laryngectomy before one and half year could not help to receive radical neck dessection due to repeated metastatic lymphnodes complications.
    In the course of operation, A. carotis communis (left) was found to have diffuse adhesion with fibrotic cervical lymphnodes including metastatic cancerous lesions, which developed following previousre moval of affected lymphnodes and repeated irradiation therapies (12, 000γ).
    This adhesion was apparently too intensive to separate the fibrotic tissue from arterial wall without injury, so that a portion of A. carotis communis was resected together with these fibrotic lymphnodes and replaced with Teflon blood-vessel graft in about 2.5cm. length to keep the continuity of circulation.
    Postoperative follow-up for about two years revealed no significant symtoms of malignant metastasis and circulatory disturbance, excepting persistence of partial ulcerative skin-defect on the skin-incision scar.
  • 坪井 栄孝, 池田 茂人, 十林 賢児, 松江 寛人, 下里 幸雄
    1964 年 15 巻 5 号 p. 227-233
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    In general, the patients of early lung cancer produce scanty amount of sputum. Therefore, it is impossible to make a cytological examination for definite diagnosis of the disease.
    A new method, which is a transbronchial biopsy utilizing a newly designed small curette throgh the Métras' bronchial catheter under the fluoroscopic control, was devised.
    Since 1957, this method has been used on 100 cases of lung cancer, and correct diagnosis of 91% was obtained in small foci of 2.0cm in diameter.
    It is believed that his method is extremely useful in diagnosing an early lung cancer.
  • 浜口 健, 角 郁夫, 伊原 健一
    1964 年 15 巻 5 号 p. 234-237
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    The patient was a 16-years old male who had visited our department with main complaint of hoarse voice and dyspnea.
    Findings of the first diagnosis were paralysis of the vocal cords, mild deviation of the tip of the tongue and uvula, dysphagia, decreasing tendon reflex of the limbs and slight leucocytosis. No other findings were found.
    By the 40th day his condition became serious with disorders of cranial nerves such as trigeminous, facial, abducense and vestibular nerves, but gradually the function of speech and ability of swallowing came back.
    At the 273rd day he was discharged from the hospital though with perceptual and motor difficulties on both hands and legs.
    With these clinical symtoms injured parts in the bulbul were discussed. The case was diagnosed as having acute bulber paralysis due to the inflammation of upper respiratory tract and a few considerations were given here.
  • 石井 英男, 馬場 隆
    1964 年 15 巻 5 号 p. 238-244
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    Patients with vocal cord polyp who visited our clinic in the past 5 years numbered 154. Polypotomy was performed on 75 cases of them, and immediately after the operations the size of the excised polyps were measured. When it was more than 10mm long, it was designated as large polyp. Seventeen cases with large polpy were investigated both clinically and histologically, with reference to the relevant literatures.
  • 高山 乙彦, 石山 英一, 菊池 寛, 杉浦 昭義, 山本 亨, 馬場 英昭
    1964 年 15 巻 5 号 p. 245-248
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    The authors present ten cases of esophageal foreign bodies in subjects between one and seven years old in which they have used a general anesthetic, with no complications either during or after operation. Nine out of ten foreign bodies were easily removed by esophagoscopy under endotracheal anesthesia with ether, following induction with cyclopropane. Ayre's Y-tube was used after intubation. Adult esophagoscope gave the wide field of vision and made the extraction easy even for the foreign bodies in infants and children. This is thought to be due both to the tranquility and muscle relaxation secured by the general anesthetic for pharyngeal and esophageal muscles. Eight out of nine cases in which the extraction was successful were of ten-yen coin and another case was of a toy.
    One foreign body a “Ohajiki” (marble) which passed down into the stmach, was not remove. In such a slippery object, operation should be performed with great care.
  • 我が教室過去15年間における食道・下気道異物の統計的観察
    上田 直昭, 小田 道夫, 永井 武, 小野 文孝
    1964 年 15 巻 5 号 p. 249-252
    発行日: 1964/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    A case of foreign body (a piece of an egg-shell) in the larynx in a female child, aged 4, was reported, especially because of the interesting finding on the Xray-picture.
    Adding to this case report, statistical review was made of the 196 cases of the foreign bodies in the food and lower air passages during the 15 year period from 1949 to 1963 at the Dept. of Otolaryngology of Hiroshima University School of Medicine.
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