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Volume 24 (1973)
- Issue 6 Pages 251-
- Issue 5 Pages 199-
- Issue 4 Pages 149-
- Issue 3 Pages 109-
- Issue 2 Pages 63-
- Issue 1 Pages 1-
Volume 24, Issue 6
Displaying 1-7 of 7 articles from this issue
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Shogo Awataguchi1973 Volume 24 Issue 6 Pages 251-258
Published: December 10, 1973
Released on J-STAGE: November 26, 2010
JOURNAL FREE ACCESSDuring past ten years, bronchoscopic examinations revealed tracheobronchial invasions caused by hilar lymph node tuberculosis in 8 cases: Perforation of floride stadium with expectration of a lot of tubercle bacilli was found in 1 young man and 2 young women with more or less abnormal hilar shadow on their chest x-ray films, intensive extrinsic stenosis of trachea in a 3-year-old girl suffering from primary infection of tuberculosis, residual scar in 3 male abults and pinhole-sized cicatricial stenosis of the right main bronchus in a young woman. From these observations, it could be stressed that even nowadays, tracheobronchial perforation caused by hilar lymph node tuberculosis should be carefully noticed under bronchoscopic examinations for the chest diseases suspected of tuberculosis.View full abstractDownload PDF (2725K) -
Hideo Kato1973 Volume 24 Issue 6 Pages 259-267
Published: December 10, 1973
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSPure cultures of each of the five bacterias (Candida albicans, E. coli, Klebsieila, Ps. aeruginosa and Sta. aureus.) were selected as possible sources of contamination and were placed in a separate petri dish. The mixed bacterial growth was prepared using a sample taken from each of the above. This bacterial growth medium was checked by colony count after being cultured for 24 hours using the wire-loop method of 100 and 1000 dilutions.
The F.F.B. which had been sterilized completely by Ethylen Oxide Gas or Formalin Gas, was immerced in the mixed bacterial growth for 15 to 20 minutes.
City water, Benzalkonium chloride (B.C.) 0.1% solution and Bronopol (well balanced electrolytes solution containing 0.1% of glucose) (B.P.) 200μg/ml were used for rapid sterilization of the F.F.B. after being contaminated by the above method.
Conclusive sterilization results of each solution were as follows.
City water cleansing was adequate in several cases but not 100% effective.
For the complete rapid sterilization of the surface of the F.F.B. it was necessary to use B.C. followed by city water and repeat the process twice. When B.P. was used three washings were needed to accomplish the same sterilization process. The scope is then rinsed with water to remove the B.P. from the F.F.B.
The complete rapid sterilization for the channel of the F.F.B., it was necessary to use B.C. (or B.P.), 10cc→City water, 10cc→B.C. (or B.P.), 100cc→City water, 10cc.View full abstractDownload PDF (1559K) -
Soyao Kuruma1973 Volume 24 Issue 6 Pages 268-275
Published: December 10, 1973
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSNobody can deny that laryngeal reflex closure is one of the inportant functions of the larynx, protecting the lower airway from the intrusion of foreign bodies.
Laryngeal reflex produced by stimulating the internal branch of the superior laryngeal nerve (SLN) was electrophysiologically studied in dogs, cats, rabbits and rats. In addition to that, the results were analyzed and discussed mainly from the viewpoint of histological study which was simultaneously carried out in regard to the arrangement of nerve fibers of the recurrent laryngeal nerve (RLN).
The conclusions are as follows:
1) Reflex response in RLN by stimulation of afferents in SLN was the most easily obtained in the cat.
2) The longest latent period was demonstrated in the dog, the second longest in the rabbit, the third in the cat, and the shortest one in the rat,
3) It was the RLN of the cat in which the nerve fibers related to the laryngeal functions were found the richest.
4) From the findings mentioned above, it seems likely that the cat is the most suitable for a neurophysiological study.View full abstractDownload PDF (3298K) -
Hiroyuki Fukuda1973 Volume 24 Issue 6 Pages 276-280
Published: December 10, 1973
Released on J-STAGE: November 26, 2010
JOURNAL FREE ACCESSagal afferents on laryngeal respiratory function were investigated with special regard to the effect of stretch and pressure afferents on phasic abductor activity.
Forced inflation of the lung reflexly abolished the activity of the posterior cricoarytenoid (PCA) muscle during inspiration. Forced deflation of the lung resulted in increased PCA activity.
After bilateral distol vagotomy, however, neither inflation nor deflation seemed to affect the PCA activity. In addition, continuous low frequencies of vagal stimulation caused reduction of the PCA activity. On the other hand, continuous high frequencies of vagal stimulation caused increased PCA activity.
The results of the experiments reported upon were discussed in regard to respiratory control mechanism.View full abstractDownload PDF (957K) -
Yoshitaka Kawabe, Takashi Kondoh1973 Volume 24 Issue 6 Pages 281-286
Published: December 10, 1973
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSOut of 114 cases of cancer of the larynx primarily treated with irradiation in the Aichi Cancer Center for the past seven years and eleven months, 27 cases received surgical treatment secondarily because of residual cancer, recurrence or radiotherapy complications.
On reviewing and analysing the contributing factors to the reasons why these 27 patients required the secondary surgeries from various points of view, the most frequent causes were not only residual cancer or recurrence of tumor but necrosis, ulceration or edema of the irradiated area of the larynx.
Moreover, the authors described the preventive measures to the develpoment of pharyngeal fistula which is the most problematic among the postoperative complications.View full abstractDownload PDF (1027K) -
Ryuichi Kubo, Masumi Matsumura, Masakazu Ohno, Yoshihiko Kamimura, Suk ...1973 Volume 24 Issue 6 Pages 287-292
Published: December 10, 1973
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSEs handelte sich um einen 44jährigen Mann, der sich wegen einer subarachinoidealen Blutung der Tracheotomie unterzogen hatte. Da die Tracheotomie technisch nicht geschickt durchgeführt worden war, konnte er wegen einer Granulationsbildung nicht durch den natürlichen Atemweg atmen.
Nachdem er in unsere Klinik aufgenommen worden war, unterzog er sich einer zweiten Tracheotomie unterhalb der vorigen Wunde. Da der Patient einen dicken Hals hatte, war die Operation sehr schwierig. Am 8. Tag nach der zweiten Tracheotomie trat eine ziemlich heftige Blutung an der Wunde auf. Die Blutung war so stark, daβ sie durch Drücken nicht gestillt werden konnte. Da die blutende Stelle in der Brusthöhle zu sein schien, wurde der Patient von einem Chirurgen trachotomiert. Dadurch wurde festgestellt, daβ die Blutung durch die Arrosion des Anfangsteils des Truncus brachiocephalicus verursacht worden war. Obwohl die Blutung durch die Naht der arrodierten Stelle der Arterie gestillt wurde, starb der Patient wegen eines Lungenödems am folgenden Tag.View full abstractDownload PDF (1903K) -
Satoshi Kitahara, Shigeji Saito1973 Volume 24 Issue 6 Pages 293-296
Published: December 10, 1973
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSOtolaryngologists have recently had a chance meeting with patients suffering from foreign body problems due to ingestion of plastic goods, for examples, plastic imitation lipsticks and doll bottle caps or the like which would normally be put in or near the mouth.
Of current note here are light, slippery, plastic, imtation bullets which are physically easy to ingest.
Three patients, aged 5, 7 and 8 with ingested plastic bullets were successfully treated with endoscopic procedure in our clinic during January of 1973.
Diagnosis of ingesting those foreign bodies in the bronchus was easily obtained thanks not only to radiographic examination in conjunction with careful physical examination but also to very clear history of aspiration.
Extraction of the plastic bullet, however, was not so easy because clear detection of the ingested bullet under ventilation bronchoscope was difficult due to its pinkish color, and because the bronchus was easily and completely obstructed by the bullet due to its funnel-like shape.
In this paper, our successful cases were reported and discussed mainly from the viewpoint of some devices or ideas how to find endoscopically such a plastic, pinkish and funnel-like shaped bullet.View full abstractDownload PDF (1378K)
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