Nihon Kikan Shokudoka Gakkai Kaiho
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
Volume 24, Issue 3
Displaying 1-6 of 6 articles from this issue
  • Shigeto Buma, Ikuichiro Hiroto, Sotaro Komiyama, Seiichi Ryu, Hiroshi ...
    1973 Volume 24 Issue 3 Pages 109-116
    Published: June 10, 1973
    Released on J-STAGE: October 20, 2010
    JOURNAL FREE ACCESS
    Both laryngograms during phonation and inspiration illustrate the same figure at the portion of the trachea. When both laryngeal figures are superimposed at the tracheal portion, movement of the vocal fold is to be quantitatively measured in two dimensions, horizontally and vertically. This method was applicated to cases of the recurrent laryngeal nerve paralysis and the laryngeal carcinoma. In the former, it was clarified that the paralysed vocal fold slightly adducts during phonation especially in all cases it shows no atrophy. In the latter, the invasion of carcinoma into the vocal muscle was more exactly diagnosed by the extent of adduction of the diseased vocal fold.
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  • T. Kobayashi, S. Funasaka, K. Numata
    1973 Volume 24 Issue 3 Pages 117-121
    Published: June 10, 1973
    Released on J-STAGE: October 20, 2010
    JOURNAL FREE ACCESS
    Direct laryngoscopy under NLA without intratracheal intubation is useful for observing the vocal cord movements during patients' phonation, for easy insertion of the scope and for excellent visualization of the larynx.
    However, prolonged surgery is not feasible owing to occasional suppression of breathing by NLA. We deviced a new technique of Non-intubation Oxygen jet method. A small tube was attached to the conventional scope. Once a patient was sedated, muscle relaxant was administered. Oxygen jet was injected into the trachea via the above mentioned tube, which was connected to Oxygen source, by controlling a flush valve of a anesthesia machine.
    Arterial Po2 and Pco2 levels were satisfactory during laryngomicrosurgery.
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  • Masumi Matsumura, Sukehisa Ito
    1973 Volume 24 Issue 3 Pages 122-125
    Published: June 10, 1973
    Released on J-STAGE: October 20, 2010
    JOURNAL FREE ACCESS
    Ein 33jähriger Mann hat während der Haft im Gefängnis absichtlich eine Zahnbürste verschluckt. Nach 2 Stunden wurde der Schatten des Fremdkörpers in der Höhe des Zwerchfells und nach 4 Stunden im Magen festgestellt. Durch die Oesophago-Gastroskopie mit einem Jackson-Rohr (0.8×45cm) unter der allgemeinen Narkose konnten die Verfasser das Ende des Bürstengriffes feststellen, das von der oberen Zahnreihe 45cm entfernt vorhanden war.
    Der Fremdkörper konnte verhältnismäßig leicht herausgenommen werden, indem die Verfasser das Griffende mit einer Zange fassten und zusammen mit dem Rohr hinau-fzogen. Die Zahnbürste bestand aus Plastic und Nylon-Borsten, deren Anklebstellen röntgenologisch verhältnismäßig deutliche Schatten darboten.
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  • Hideo Kato, Susumu Nakamura, Kosyu Nagao, Eikichi Ikeguchi
    1973 Volume 24 Issue 3 Pages 126-131
    Published: June 10, 1973
    Released on J-STAGE: October 20, 2010
    JOURNAL FREE ACCESS
    Tracheobronchopathia osteochondroplastica is a benign disease of the multiple osteocartilaginous formation in the wall of the trachea and bronchi which project into the internal surface of those structures, producing a variable amount of obstruction and abnormal stimulation of the airway. It was first described by Wilks in 1857, and termed tracheopathia osteoplastica by Aschoff in 1910.
    In Japan some of the documented cases of this disease were diagnosed at autopsy.
    However, Kidokoro in 1938 and Hayashi in 1957 made the diagnosis at bronchoscopy.
    We presented a 34 year old special training school instructor who was demonstrated to have bronchopathia chondroplastica by flexible fiber-bronchoscopy with the diagnosis confirmed histopathologically. The results of two bronchoscopic examination both before and after resection of the lesion are presented. Speculation as to the possible etiology of this interesting entity is also made. We are going to follow up this patient with further bronchoscopic examination.
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  • Tetsuzo Inouye, Koichi Miyakawa, Atsuko Mizutani, Yasukiyo Tsubaki
    1973 Volume 24 Issue 3 Pages 132-137
    Published: June 10, 1973
    Released on J-STAGE: October 20, 2010
    JOURNAL FREE ACCESS
    Two cases of Tracheal tumor are presented.
    47 year old male, complaining of intermittent dyspnea getting worse past 6 months, was admitted for removal of the tumor from tracheal wall.
    Under local anesthesia, patient was placed in supine position, and the Tracheotomy was carried out on 3rd through 6th tracheal Ring.
    The tumor which was well pedunculated was removed from posterior wall of trachea, and electrocautery was applied at steeled area.
    Tumor was proved to be adenoid cystic carcinoma histologically. The incision was well closed in usual maneuver.
    54 year old male was admitted to the Department of Chest Surgery on emergency base of acute dyspnea.
    Patient had had intermittent dyspnea past 1 year.
    Patient was prepared in same manner as former patient was done. The tumor, arising from right lateral wall, was removed without any disturbance of Respiration in quick procedure.
    Recurrence was noted 3 months after operation, and the patient is ready for resection of trachea.
    Literatures were reviewed together and the management of rescue of airway problems was discussed.
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  • Hirotoshi Sato, Mitzumasa Oshibe
    1973 Volume 24 Issue 3 Pages 138-144
    Published: June 10, 1973
    Released on J-STAGE: October 20, 2010
    JOURNAL FREE ACCESS
    During the past six years, three hundreds ninety one out of seven hundreds ninty six cases on whom bronchoscopy was performed under the suspician of long cancer have had primary lung cancer in our hospital. Based on the bronchoscopic findings, histological findings of the specimens removed bronchoscopicaly and bronchoscopic cytology, bronchoscopy was evaluated for the diagnosis of primany lung cancer.
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