All issues
Volume 28, Issue 1
Displaying 1-10 of 10 articles from this issue
- |<
- <
- 1
- >
- >|
-
Masafumi Hosui, Keiji Bohno, Takeo Kobayashi, Makoto Hasegawa1977 Volume 28 Issue 1 Pages 1-9
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSSubglottic space is very difficult to observe under usual oral inspection or endoscopic method. Transconioscopy is performed by inserting endoscope through anterior neck into crico-thyroid space, it is the best way to inspect subglottic space and its surroundings. So it can be called retrograde laryngoscopy or subglottoscopy. Transconioscope which diameter is about 4mm has been already used in Sweden and Japan, but it needs skin incision and causes ill effects as bleeding or subcutaneous emphysema owing to its thick diameter.
New type of our transconioscope designed under selfoc lens system is very slender, its diameter is 1.7mm, so it can be stabbed into the subglottic space through guide of outer casing and trocar of 2.0mm diameter under light local anaesthesia withont skin incision, it gives no pain and almost all view is observed by moving this needle scope in different direction, color photography, and simple biopsy are also available with high powered light source. Thers is no contraindication on this method. More than 100 cases of various kinds of laryngeal diseases including inflammation, nerve paralysis, tumors, hoarseness, hemoptysis, ozaena, tbc. etc were inspected. And others endoscopy from tracheostoma, maxilloscopy, olfactoscopy, tympanoscopy were also experienced. I found it of much value on diagnosis and therapy in respective laryngeal and other diseases.View full abstractDownload PDF (7459K) -
Yasukiyo Tsubaki1977 Volume 28 Issue 1 Pages 10-17
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSFour patients who developed dyspnea after prolonged endotracheal intubation were referred from the thoracic surgery department.
They had been controlled their respiration under prolonged intubation after surgery.
In three cases, endotracheal granuloma at the site of the pressured cuffs were successfully removed and cauterized endoscopically.
In the fourth patient, who resisted the above treatment, a teflon tube was inserted into the trachea in order to keep the air-way patent. This patient has been tolerating the intubation for about sixteen months without any dyspneic spells.View full abstractDownload PDF (5098K) -
Kiyoshi Honda, Takeo Kobayashi, Yasukiyo Tsubaki, Tatsujiro Ushijima, ...1977 Volume 28 Issue 1 Pages 18-19
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSA new system for observation and recording of the laryngeal view has been attained by use of a mcdified oblique-angled type telescope conbined with a powerful light source. The scope can be connected to an ordinary 35mm camera with a motor-drive device, a 16mm cine-camera, or a video-TV camera.
The laryngeal view through the new scope is quite similar with that obtained by an indirect laryngoscopy. The oblique view angle is 70° for better visualization of the area near the anterior commissure of the vocal folds. We could obtain a clear picture of the laryngeal patholgy even in a 5 y-o child without any difficulty. For still photos a slide-type film (ASA 100) was used with no pushing and successful pictures were obtained in full-size.
It was considerd that our tystem is usefull not only for clinical but also for educational purposes.View full abstractDownload PDF (1847K) -
Using Double Blind TechniqueYutaka Sakamoto, Junichi Matsukawa, Yoshio Hommura, Kouji Okada1977 Volume 28 Issue 1 Pages 20-24
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSThe effect of butropium bromide, which is a synthetic anti-cholinergic drug and used as premedication mainly for depression of salivation inhibiting the endoscopic examination, was researched by the double blind controlled method.
Among 50 subjects, 25 cases were given butropium bromide (B.B. group) and the rest 25 were given a placebo.(placebo group).
They were examined on 4 items, i. e., the reflexion depressing effect, the secretion depressing effect, the movement depressing effect, and the antalgic effect.
On the test of the reflesion depressing effect, the effective ratio was 64% in both groups and no significant difference was obtained.
The effective ratio of the secretion depressing effect was 80% in the B.B. group and 36% in the placebo group. A significant difference was observed with a level of P<0.005.
The effective ratio of the movement depressing effect was 60% in the B.B. group and 36% in the placebo one: the difference was observed with a level of P<0.1.
The effective ratio of the antalgic effect was 60% in the B.B. group and 32% in the placebo one; the significant difference was at a level of P<0.05.
As side effects, 2 cases in the B.B. group showed nausea, etc., but they were slight.
It was concluded that butropium bromide given as a premedicament for endoscopic examination was particularly effective on depression of secretion, and was very useful.View full abstractDownload PDF (896K) -
Taketsugu Ikari, Yasushi Murakami, Mamoru Otsuka, Hideo Nameki1977 Volume 28 Issue 1 Pages 25-29
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSA case of an annular stenosis of the cervical trachea was presented here in this report, seen ina 46 year-old female as a complication of first-aid tracheotomy for traffic accident. End to endanastomosis of the trachea was successfully accomplished after resection of cicatrical stenosis togetherwith three tracheal rings.
Suprahyoid release was done at the same time to decrease an upward movement of the larynxduring deglutition. A gips-bed was effective to hold the head in a slightly bending position. Nasalintubation of a silicon tube was usefull as a stent of the trachea and also to control the lowerairway in some ten postoperative days. Highly humidified inhalation was good enough ot minimize crust accumulation in the tube.View full abstractDownload PDF (7202K) -
Seiji Saito, Jo Ono, Manabu Sato, Toshio Ishizaka1977 Volume 28 Issue 1 Pages 30-33
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSA newly developed ventilation bronchoscope with fiberscope for children has an image-fiber-scopeinstead of the optical light guide previously used, for optical ventilation bronchoscope. In paticular, the removal of foreign boodies from the trachea and bronchus is readily facilitated by using thisinstrument, which adds vision instead of relying on feeling alone. Several representative cases are discussed.View full abstractDownload PDF (3512K) -
Origine and an Operative ManagementYasushi Murakami1977 Volume 28 Issue 1 Pages 34-38
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSMuco-cutaneous fistula is popularly seen after reconstruction of the cervical esophagus withdelto-pectoral skin flap. Factors concerning fistula formation and an operative technique to closeit safely were discussed in this paper. 12 cases (40%) out of 30 in my own series showed thiscomplication. Most of them, however, were incomplete in type having no epithelial layer andhealed spontaneously by simple pressure, reaving minimal functional disturbance. Complete fistulaof about 10mm diameter developed in two cases just lateral to tracheostoma. They were successfullyclosed by a modified Z-plasty utilizing the uppermost portion of the same delto-pectoral skin flaphaving a vascular supply from the perforator 11 in the second intercostal space.View full abstractDownload PDF (3335K) -
Kenji Morimoto, Kazuko Enomoto, Tetsuo Kimura, Yasuyuki Doi, Akikatsu ...1977 Volume 28 Issue 1 Pages 39-43
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSAlthough endotracheal intubation is very useful for us, one of its severe complications is trachealstenosis whose treatment is very difficult in children.
Two cases of tracheal stenosis in children following prolonged endotracheal intubation after cardiovascularsurgery were reported. Two patients had their granulation removed under laryngofissureand their lumens of larynx dilatated with mold for 3-4months and recurrence was not observed.
The etiology, prevention and treatment of tracheal stenosis in children were briefly discussed.View full abstractDownload PDF (2432K) -
Yasuro Miyoshi, Masaru Ohyama, Kunio Shoji, Kenzo Morikawa, Tsuyoshi T ...1977 Volume 28 Issue 1 Pages 44-49
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSThe bioelectrical gradients of the rabbit tracheal wall after SO2 exposure were investigated bya capillary microelectrode. Various kinds of bioelectrical potential profiles such as the reductio nof amplirude or frequency of the epithelial layer and the occurrence of spontaneous randomdischarges of the smooth muscle were recorded in the experimental subjects.
Scanning elctron microscopic observations on the ciliated epithelia with a capillary microelectr odepenetrated into the specimen after bioelectrical activity study were also done. The surface architectureof the trachea exposed to SO2 could be demonstrated a much more thickness of the mucousblanket in sticky nature which had coated over the cell and cilia.
From these findings, it could be presumed thet the typical spike potentiel corresponded to ciliarymovemnt could not seen in the affected trachea in order to inhibit the proper function of the ciliasince the most of them were embedded in such gel layer.View full abstractDownload PDF (6861K) -
Akio Maesaka, Naoki Haoka, Kazuhisa Kitagawa, Shiro Murata, Yoji Ishib ...1977 Volume 28 Issue 1 Pages 50-54
Published: February 10, 1977
Released on J-STAGE: October 20, 2010
JOURNAL FREE ACCESSFive cases of infants, who had Peanuts as foreign bodies of bronchi, were reported.
It was proposed that in treating peanuts as bronchial foreign bodies, following notices must beborn in mind:
1) Precise and thorough informations must be inquired from the infant or persons accompanied, as to history of present illness, possibility of aspiration of peanuts, and situation of onset of coughor stridor.
2) Chest X-ray examination should be performed especially both in inspiratory and expiratory states.Differences in chest roentgenogram taken in inspiratory and expiratory states as well as atelectasis, emphysema of lung or deviation of mediastinum would often suggest lodging site of foreign bodyof bronchus.
3) Ventilation bronchoscopy must be carried out under total anaesthesia as soon as possible.
4) In removing peanuts through bronchoscope, fenesterated forceps are recommended to beused, not to crush peanuts softened during long lodging in the bronchus. The tip of forceps mustbe corrected to the gap around peanuts in bronchial wall.
5) In case remaining of a part of peanuts suspected, re-examination of ventilation bronchoscopyshould not be hesitated.
Postoperative course of the infant must be watched strictly and carefully.View full abstractDownload PDF (3249K)
- |<
- <
- 1
- >
- >|