巻号一覧
23 巻 (1972)
- 6 号 p. 295-
- 5 号 p. 241-
- 4 号 p. 175-
- 3 号 p. 123-
- 2 号 p. 51-
- 1 号 p. 1-
23 巻, 4 号
選択された号の論文の8件中1～8を表示しています
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続報; 臨床応用への基礎実験村上 泰1972 年 23 巻 4 号 p. 175-184
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーReinnervation of the larynx by end to end anastomosis of the recurrent laryngeal nerve is a method to expect functional recovery of the vocal cord, abduction during inspiration and adduction during phonation or reflex protection mechanism.
Abduction of the vocal cord by reinnervated posterior cricoarytenoid muscle is practically impossible because the adductor muscles contract at the same phase as a counterforce to abduction. which is originated from misdirection of respiratory nerve fibers into the adductors.
The auther studied on the operative method to cut the adductor branches of the recurrent laryngeal nerve selectively in the larynx. Utilizing this technique, primarily or secondarily, on some dogs whose recurrent laryngeal nerve had been cut in the neck and simplly anastomosed or transplanted with free autogenous nerve graft taken from the sternothyroid nerve, remarkable abduction was observed especially during dyspneic or hyperpneic respirations.抄録全体を表示PDF形式でダウンロード (5296K) -
野垣 俊幸1972 年 23 巻 4 号 p. 185-190
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーThis report is to describe a few characteristics of tuberculosis of the larynx recently observed in the author's clinic. Tuberculosis of the larynx is occuring less frequently than it did in years gone by because of the advent of antituberculosis chemotherapy, and the disease was once thought nonexistent. It became, however, slowly increasing in its incidence, even farely low, in past few years. The onset of laryngeal involvement is most frequently in the older age.
Granulomatous lesion is frequent and one should be careful to make the differential diagnosis from carcinoma of the larynx particularly in the aged patients. It is noteworthy that there may be patients in whom laryngeal tubereulosis is found as a primary although the advanced stage of pulmonary tuberculosis with the lack of subjective symptom is lately detected.抄録全体を表示PDF形式でダウンロード (4073K) -
浅野 尚, 北村 武, 金子 敏郎1972 年 23 巻 4 号 p. 191-198
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーTwenty cases of vocal cord paralysis, caused by the Influenza in Winter (1969/70), were statistically studied. One patient of them repeated the paralysis three times and her both vocal cords were fixed with difficulty of respiration and she was rescued by Kelly's operation.
The relation between vocal cord paralysis and the epidemic influenza was researched literaturally. After the influenza epidemic in 1889-1891 and 1899-1901, many Arthritis crico-arytaenoidea were reported. Some of them might be nerve paralysis.
Finally, the operative technique of the bilateral laryngeal nerve paralysis were discussed.抄録全体を表示PDF形式でダウンロード (1544K) -
斎藤 成司, 北原 哲, 秋田谷 直, 尾形 キヨウ子1972 年 23 巻 4 号 p. 199-200
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーIn laryngomicrosurgery, the authors frequently remove the lesion on the upper surface of the vocal cords. Upward and Straight Forceps were currently used, but they were not enough to proceed a successful operation on such regions. For the purpose of performing the operation on the horizontal plane of the larynx, a pair of forceps were newly designed. These consisted of a right-angular-open and a left-angular-open forceps.抄録全体を表示PDF形式でダウンロード (2984K) -
ALSの作成法について茂木 五郎1972 年 23 巻 4 号 p. 201-206
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーHorse anti-dog-thymocyte serum (ALS) was prepared for the purpose of applying it to laryngeal transplantation. Two different batches of ALS were made by two different immunization schedules. One of these schedules involved the repeated injections of thymocytes over a long period of time, thereby getting ALS with high cytotoxic and leukoagglutinin titers. The other regimen was characterized by two injections over a short period of time, resulting in production of low titer ALS.
The hemagglutinin activity against dog erythrocytes contained in the immunizing cell suspensions could be removed by absorption of the anti-plasma with washed dog erythrocytes. Complete absorption of the hemagglutinin activing in the high titer-ALS required large amounts of erythrocytes. The cytotoxic and leukoagglutinin titers of ALS were not reduced markedly by the absorption with dog erythrocytes.抄録全体を表示PDF形式でダウンロード (1391K) -
頸部食道に見られる胃粘膜島について板井 悠二, 木暮 喬, 秋山 洋1972 年 23 巻 4 号 p. 207-212
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリー15 cases with ectopic gastric mucosa in the cervical esophagus were reported, mainly from view points of endoscopic findings through fiberesophagoscopy.
Typical gastric islands are oval in figure, almost flat in height and more reddish in colour in comparison with the surrounding esophageal mucosa. The number of islands mostly ranges from one to two. They are located at the left side of the cervical esophagus and easily differentiated from such diseases as erosion and malignant tumor.
We could find out ectopic gastric islands at the rate of 3.2% out of patients examined with fiberesophagoscopy.
Patients showed no esophageal symptpms and no changes were observed in these islands in the course of the follow-up duration of about two years.抄録全体を表示PDF形式でダウンロード (4381K) -
遠藤 光夫, 中山 恒明, 竹本 忠良, 矢沢 知海, 羽生 富士夫, 小林 誠一郎, 鈴木 茂, 井手 博子, 飛田 洋一1972 年 23 巻 4 号 p. 213-218
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーThe early cancer of the esophagus was defined as the cancer in which the infiltration was limited as for as the submucosal layer.
In our clinic 13 cases have been found during the past seven years. Among these, one patient had two different lesions throughout the esophagus, so the total number of the lesions were fourteen. One lesion was in the cervical esophagus and thirteen were in the thoracic esophagus. The middle part of the thoracic esophagus was most frequently affected. Males were encountered about two times as many as females. The age distribution corresponded to so-called cancer age. As for the complaints, so-called indefinite complaints referrable to the esophagus were presented by the majority. The size of the cancer based on the resected specimen, was under 3cm in the majority. But a big lesion more than 7cm was seen. Histopathologically, the cancer was of the squamous cell type and the invasion of the cancer reached the submucosal layer in thirteen lesions. Only in one lesion the infiltration was limited to the mucosa. There were some specific findings in the esophagoscopic pattern of early esophageal cancer. Endoscopically the early esophageal cancer was classified into five types; tumorous protruded type, slightly elevated type, flat type, slightly depressed type similar to erosion and excavated type similar to ulceration. When our cases were placed in this classification, 7 were of the tumorous protruded type, 1 of the slightly elevated type, 2 of the erosion forming depressed type and 4 of the ulceration forming excavated type. There has been none of the completely flat type.抄録全体を表示PDF形式でダウンロード (2906K) -
大同 礼次郎, 恵谷 敏, 大西 淳夫, 水越 治, 斉藤 等, 佐藤 文彦1972 年 23 巻 4 号 p. 219-227
発行日: 1972/08/10
公開日: 2010/10/20
ジャーナル フリーOn the basis of our experiences, it may be recommended, the pedicle graft of the transverse-colon was adequate and safe to the reconstruction of the cervical esophagus after the resection of the hypopharyngeal cancer.
A series of patients with the hypopharyngeal cancer treated by the reconstructive procedures of the cervical esophagus after the hypopharyngeal resection is reported.
The reconstructive procedures of the cervical esophagus employed included the reconstruction by, the jejunal free graft (7 patients), the jejunal pedicle graft (1 Patient), the pedicle graft of the transverse-colon (6 patients) and the skin-roll graft (1 Patient).
Comparison of the follow-up results of various reconstructive operations suggest that, it is possible, in the reconstruction by the jejunal free graft the intravascular thromb osis caused of a troublesome blood vessel anastomosis gave rise to the necrosis of the transplanted graft, in the reconstruction by the jejunal pedicle graft the large segment of the jejunum must be sacrifised, and in the reconstruction by the skin-roll graft the very long time was needed to perfect the operative procedure.抄録全体を表示PDF形式でダウンロード (10996K)
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