巻号一覧
26 巻, 1 号
選択された号の論文の6件中1～6を表示しています
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小野 譲1975 年 26 巻 1 号 p. 1-9
発行日: 1975/02/10
公開日: 2010/10/20
ジャーナル フリーPDF形式でダウンロード (1581K) -
福永 武之, 浅野 庄三, 野坂 保次1975 年 26 巻 1 号 p. 10-14
発行日: 1975/02/10
公開日: 2010/10/20
ジャーナル フリーIt is suspected that there are some changes of ventilatory function in larygectomized persons who compel to unnatural respirate through the tracheostoma. From this points, the ventilatory function in the laryngectomee was studied by spirography and radiography of the chest. The subjects were 25 male cases aged 50 to 76 years old, 8 months to 13 years after laryngectomy.
On the lung volume which was measured in recumbent position, there were founded the decrease of vital capasity, the lowering tendency of value of FEV1.0%, abnormal value of tidal volumes and residual volumes, and increase of RV/TLC ratio. Restrictive, obstructive, or combined impaii ements were seen in 18 cases (76%) on the ventiratory functions. In addition, some abnormal findings such as emphysema or bronchitis were fouded in 14 cases on the radiogic examination of the chest. About the size of tracheostoma, it was considered that the size was at least nessesary above 0.9 cm2, because the lowering of FEV1-0% were founded in the cases of which size were beneath 0.6 cm2.抄録全体を表示PDF形式でダウンロード (2851K) -
海野 徳二1975 年 26 巻 1 号 p. 15-22
発行日: 1975/02/10
公開日: 2010/10/20
ジャーナル フリーCoughing maneuvers and forced expirations were observed in seven laryngectomized patients. Flow (V), air actually respired through the tracheostoma (VATPS), volume change of the body rlethysmograph (VB0X) and intraesophageal pressure (P) were simultaneously recorded.
A paroxysm of a normal cough is divided into the inspiratory, minimum flow and expiratory phases. A coughing maneuver of the laryngectomized is lacking in the minimum flow phase. This is the most apparent and conclusive characteristic since the “tussive squeeze, ” a drainage mechanism of coughing, for the considerable part occurs in the minimum flow phase. Their intrathorathorcic airway compressions do not always accelerate the linear velocity of the expiratory air. In addition to the absence of protective upper airways in laryngectomized patiets, inefficient coughs are also related with latent or manifest existence of chronic obstructive pulmonary diseases. An efficient cough for them seems to be a preceding big inspiration immediately followed by successive several bursts with mild expiratory efforts.抄録全体を表示PDF形式でダウンロード (3073K) -
北原 哲, 斎藤 成司, 福田 宏之, 尾形 キョウ子, 粉川 信行1975 年 26 巻 1 号 p. 23-27
発行日: 1975/02/10
公開日: 2010/10/20
ジャーナル フリーAlthough microsurgery of the larynx is now widely and successfully performed, surgical procedure under indirect laryngoscope is still playing a very important role in daily clinical work. especially in the cases of pedinculated polyps, hemangio: n of the vocal cords or the like and in the instance of excisional biopsy.
In order to perform surgical manipulations or examinations more precisely under indirect laryngoscope, a newly designed head mirrow with 2X binocular telescope and with a built-in lighting apparatus was initially employed by us. In addition to that, several forcipes just suitable for this method were newly designed in our clinic.
Although this method needs fairly skillful hands as compared with technique in microsurgery of the larynx under general anesthesia, this allows us to treat patients with laryngeal lesions very easily and also presicely especially in the cases mentioned above.
Moreover, when a stroboscopic light source is employed in place of a conventional light source, stroboKopic vibratory pattern of the vocal cords are able to be very easily observed pre and postoperatively.抄録全体を表示PDF形式でダウンロード (2423K) -
岩嶋 恵美子, 菊池 尚子, 白幡 裕子1975 年 26 巻 1 号 p. 28-32
発行日: 1975/02/10
公開日: 2010/10/20
ジャーナル フリーAn interesting case of dysphasia as a chief complaint which was relieved by the surgical operation was reported.
The patient was 72 years old male who had been complaining of dysphasia for 4 years and the symptom became exacerbated since October 1973 when he was unable to ingest liquids.
On X-ray examination of cervical vertebrae, ossification of anterior longitudinal ligament and osseous bank formation of both margins of anterior bodies of C5 and C6 were observed. The barium esophagogram revealed compression profile of esophagus.
The symptom was completely improved by the excision of the hemispherical osteophyte projects from the anterior bodies of C5 and C6, 3cm in diameter so that solid intake became possible without difficulty after operation.
This type of dysphasia was concluded to be due to friction of the osteophyt projects against esophagial wall associated with ingesting movement, elicited in esophagitis.抄録全体を表示PDF形式でダウンロード (2613K) -
粟田口 省吾, 斎藤 久樹, 米谷 卓三, 広田 敬吾1975 年 26 巻 1 号 p. 33-39
発行日: 1975/02/10
公開日: 2010/10/20
ジャーナル フリーTwo cases of laryngeal injury were reported. One case was a man aged 58, who had been nearly strangulated, when a vinyl rope hanging from a driving truck coiled around his neck accidentally. Operation was done under the emergency tracheotomy, and cervical contusion and rupture of hypopharyngeal wall with a moderate amount of bleeding were success fully treated. However, stenosis of the food passage remained persistently and gastrotomy was done. 2nd operation revealed partial fracture of the left inferior corn of thyroid cartilage and posterior dislocation of cricoid cartilage, which were completely repaired. He was discharged 87 days after the admission, with slight hoarseness.
Another case was a man aged 18, who fell into a ditch with a motor cycle on full drive and was injured at the anterior portion of the neck. Five months after this injury, when he was transferred to our clinic, he was tracheotomized and had gastric fistula, not able to speak any word nor swallow any food. Reconstructive operation revealed the complete obstruction of larynx and esophagus, because epiglottis was almost completely torn off and adhered closely with the hypopharyngeal mucosa. After removal of epiglottis, the larynx was sutured with the base of the tongue including hyoid bone. He was discharged 338 days after the admission to our clinic, having good phonation but a slight difficulty in swallowing liquid food.抄録全体を表示PDF形式でダウンロード (5141K)
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