日本気管食道科学会会報
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
22 巻, 6 号
選択された号の論文の6件中1~6を表示しています
  • 粟田口 省吾, 今 一郎, 橋本 弘茂, 井上 哲
    1971 年 22 巻 6 号 p. 253-258
    発行日: 1971/12/12
    公開日: 2010/10/20
    ジャーナル フリー
    A polypous fibro-papilloma deevloped in the upper trachea, just below the larynx of a 51-year-old farmer, who had been suffering from increasing cough and progressive dyspnea began two months prior to consultation, was extirpated under general anesthesia performed by intubation through tracheotomy opening. This tumor protruded into the tracheal lumen with broad basement including the second tracheal cartilage, and was 18×9×8mm in size. Microscopically, the core of this tumor consisted mainly of hyalinized, fibrotic tissue containing partially calcified cartilage and scattered leucocytic infiltrations, and its periphery was covered with epithelial lining with papillary proliferation of squamous epithelium, and characterized by the marked proliferation of the underlying mucous glands. At the surgical removal of this tumor, anomalies of the thyroid cartilage and weakness of the arcus of cricoid cartilage were manifested, and also, weakness and undernumerary development of the tracheal cartilages were noted.
    In conclusion, the abnormal movement of larynx due to these developmental anomalies of laryngeal and tracheal cartilages could be considered to have the causative relationship to the development of this rare polypous fibro-papilloma in the upper trachea.
  • 岩本 彦之亟, 熊谷 昌悌, 赤坂 和美, 小林 喜和子
    1971 年 22 巻 6 号 p. 259-264
    発行日: 1971/12/12
    公開日: 2010/10/20
    ジャーナル フリー
    A 52 year old male developed hoarseness from 6 months ago and consulted us. The left vocal cord was fixed and tumorous swelling with smooth surface was noted from the left vocal cord to the subglottic.
    Histological examination of the excised specimen revealed only acute inflammation. However, clinical manifestations indistinguishable from those of malignant tumor led us to perform hemilaryngectomy.
    The resected tumor was of walnut-sized, with elastic firm consistency. The cut surface was yellowish white. As the result of pathohistological examination, diagnosis of malignant neurilemmoma was made.
    After the surgery, 4000R of telecobalt was irradiated. After the surgery, hoarseness still remained but no signs of local recurrence was noted. From the 9th month after surgery, abnormal density was found in chest X-ray. The density gradually increased in size, suggesting poor prognosis.
    This case is presented with some discussion on literature.
  • 森満 保, 松村 祐二郎, 遠城寺 宗知, 菊池 昌弘, 吉田 春彦
    1971 年 22 巻 6 号 p. 265-269
    発行日: 1971/12/12
    公開日: 2010/10/20
    ジャーナル フリー
    A case of benign rhabdomyoma which was found in the left laryngeal ventricle of a 43-year-old man is reported. The tumor was previously considered as oncocytoma, the diagnosis being revised after additional light- and electron-microscopic studies. Mention is added of the criteria for differentiation between the two tumors. One must aware that the rhabdomyoma is a rare tumor but the majority of cases have been observed in the tongue, pharynx and larynx.
  • 高山 将, 佐藤 武男
    1971 年 22 巻 6 号 p. 270-274
    発行日: 1971/12/12
    公開日: 2010/10/20
    ジャーナル フリー
    Statistical investigation on recurrent nerve paralysis found in patients visited the Department of Otolaryngology of Osaka University in a period from 1966 to Aug., 1960 was reported.
    Special attention was given to six cases of unusual occurrence of bilateral vocal cords paralysis prevalent in winter and spring of 1970.
    Characteristics of the paralysis were as follows:
    1) Mixed type of paralysis was observed in three cases
    2) Paralysis followed upper respiratory infection, and onset was rather abrupt.
    3) Motor fibers of the cranial nerve was involved.
    4) Prognosis was rather good
    The author made a conclusion from the above mentioned facts that this syndrome was a type of polyneuritis, polyneuritis cranialis.
  • 山下 憲治, 山崎 万里子, 山下 敏夫
    1971 年 22 巻 6 号 p. 275-278
    発行日: 1971/12/12
    公開日: 2010/10/20
    ジャーナル フリー
    A new simple mask for protecting the examiner, especially his vision from the sputa coughed at bronchscopy was designed. It consists of a forehead band with braod and thin steel plate and another band with magnets. On the latter a sheet of cellophane is hanged. The band with cellophane is movable easily and when a portion become dirty by the sputa coughed out to disturb the vision of the examiner, it is moved to put the clear portion of the cellophane before the examinig eye. Moreover it is a beneficial characteristic of cellophane that the warm air saturated with water both of the patient and examiner do not make it opaque. After the examination or intrabronchial manipulation the cellophane is discarded.
  • 鈴木 安恒, 秋田谷 直, 斉藤 成司, 北原 哲, 宇津見 瑞雄, 田村 宏之, 尾形 キョウ子, 小野 譲
    1971 年 22 巻 6 号 p. 279-284
    発行日: 1971/12/12
    公開日: 2010/10/20
    ジャーナル フリー
    Although liquid iodinated contrast agents has ben used extensively in roentgenographic examination of the airways major disadvantages are associated with their use. For example, a relatively large amount of contrast material is required to fill rather than coat the surface of the airways and interferes the pulmonary function. Nadel et al. reported a new method using powdered tantalum as a contrast medium for bronchogarphy, and described its advantages.
    We have obtained laryngograms using powdered tantalum in patients with laryngeal stenosis. Laryngography using powdered tantalum has several advantages compaired to other techniques:
    1) No complication of dyspnea has been noted.
    2) The laryngeal structures and fine mucosal detail were outlined with sharp contrast.
    3) Coughing, swallowing, or phonation did not affect the roentgen appearance significantly.
    4) Position of patient was arbitrary during roentgenological study.
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