巻号一覧
33 巻, 1 号
選択された号の論文の9件中1～9を表示しています
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その基礎と臨床応用牧野 克已1982 年 33 巻 1 号 p. 1-15
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーIt is well known that silicone injection is one of the effective methods for dysphonias due to unilateral recurrent laryngeal nerve paralysis and sulcus vocalis.
Two kinds of silicones have been mainly employed, fluid type silicone and silastics. The latter has an advantage because normal restoration of voice is permanently obtained by vulcanization in the tissue after injection. Silicone injection precisely into the paracordal area is not always an easy way because it is difficult to know where and how the silicone is in the tissue during injection.
For direct observation by use of an X-ray image scope, silicone was mixed with iodine oil. Using this silicone, the surgeon can observe it on the TV monitor scope. Histological studies were done, prior to the clinical application, by animal experiments to confirm the safety of this silicone. The result of this technique was good enough to obtain full restorations of voise in 19 among 21 cases of paralytic dysphonia and 4 among 7 cases of sulcus vocalis. The relationship betweenlocalization of the silicone and the quality of voice was phonodynamically studied in every case. When the silicone was localized just under the mucous membraneof the vocal fold, voice could not be satisfactorily restored. When the injection was performed exactly in the paracordal area, on the other hand, excellent result in voice was obtained.抄録全体を表示PDF形式でダウンロード (14580K) -
大塚 博邦, 鈴木 文雄, 渡辺 雄司, 関根 修二, 富山 俊一, 坂口 幸作, 坂口 喜清, 谷垣内 由之, 奥田 稔, 弓崎 明輝1982 年 33 巻 1 号 p. 17-19
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーFlexible fiberoptic endoscopy is now indispensable for diagnosis and treatment for the lesions of the respiratory and digestive tracts. Saito (1979) developed anew therapeutic laryngofiberscope having a small side way for forceps, and we employed it for the treatment of vocal cord polyps-7 cases of pedunculated polyps and 4 cases of small nodules.
The patients were premedicated by intramuscularinjectioonf atropine, and topical anesthesia with 4% Xylocain was applied.
Flexible fiberscope was inserted into the laryngeal vestibule through the nose, and the polyps were removed by forceps.
This technique was considered good enough to remove small lesions on the laryngeal mucosa such as polyps of the vocal cord with easy manipulation for the surgeon and minimum distress for the patient.抄録全体を表示PDF形式でダウンロード (1238K) -
北原 哲, 戸田 行雄, 飯田 順, 中島 久美, 河合 清隆, 竹山 勇1982 年 33 巻 1 号 p. 21-24
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーThe number of cases of retropharyngeal abscess has been decreasing because of the development of antibiotics. Less than 20 cases have been reported in Japan since 1950.
Severe problems such as dyspnea or spread of the abscess into the mediastinum may occur, and it is necessary for otolaryngologist to have detailed knowledge of this disease.
Two cases of retropharyngeal abscess, one in an adult and the other in an infant, were reported in this paper and techniques of surgical incision and drainage, especially continuous drainage were discussed, which should be the main treatments along with antibiotics. For infants, general anesthesia is recommended for surgery.抄録全体を表示PDF形式でダウンロード (2171K) -
西蔦 渡, 竹生田 勝次, 枝松 秀雄1982 年 33 巻 1 号 p. 25-30
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーA new surgical technique of permanent tracheal fenestration developed by Fee and Ward (1977) was applied to three cases of tumor of the head and neck. The first case had far advanced hypopharyngeal tumor with fixed vocal cords at the midlineand the second had post-irradiation fibrosis of the larynx. The third case showed abnormal movements of the epiglottis as a result of surgery for carcinoma of the tongue, in which the epiglottis stood in the normal position during expiration, while it obstructed the airway during inspiration. The technique proved to besuccessful in the three cases. Comparisons were made between the Fee-Ward's method and those of Rockey and Hiroto.抄録全体を表示PDF形式でダウンロード (6897K) -
金子 省三, 日野原 正, 秋山 欣治, 高津 忠夫, 平林 秀樹1982 年 33 巻 1 号 p. 31-36
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーA total of 292 cases of bronchial foreign bodies, with the age of 15 years or younger, were compiled from Japanese literatures during the period from 1950 to 1978 and analysed of the involved site by classifying them according to the age, sort of foreign bodies and duration of staying period. It was found that the foreign bodies were more often seen in the right bronchus, with no correlative relation between the age and the involved site. In cases of short staying period less than one week, the foreign bodies were seen overwhelmingly in the right side, with a decreasing tendency in the difference in affected sites with the prolongation of the staying period.
The laterality of the bronchial foreign bodies may be determined by various combinations of conditions of foreign bodies and those of hosts. We studied the tracheal curvature, branching angle of bronchi, inner diameter of bronchi and the posture of the patient as the factors giving influences on the laterality of the bronchial foreign bodies. Moreover, the relation between the staying period and the involved side was also reviewed.抄録全体を表示PDF形式でダウンロード (4292K) -
飛沢 志朗1982 年 33 巻 1 号 p. 37-44
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーIn order to clarify the inhibitory effects of corticosteroid on the histamine release in vitro with house dust antigen, intravenous administration of corticosteroid to asthmatic patients was performed and the following results were obtained.
1. Histamine release on challenge with house dust antigen was suppressed;
1) by intravenous administration of 4mg dexamethasone in 10 asthmatics. The inhibition rate was 24%, 60% at intervals of 3 and 6 hours, respectively.
2) by intravenous administration of 1000mg hydrocortisone in 5 asthmatics. The inhibition rate was 53%, 54% at intervals of 3 and 6 hours, respectively.
3) by intravenous administration of 30mg prednisolone in 5 asthmatics. The inhibition rate was 52%, 21% at intervals of 6 and 24 hours, respectively.
2. The inhibition rate reached a maximum extent in 6 hours after the intravenous administration of various corticosteroids.
3. Basophil count was reduced to a significantly low level after the intravenous administration of various corticosteroids. Eosinophil count was reduced to a significantly low level after the intravenous administration of either dexamethasone or hydrocortisone.
4. After the intravenous administration of various corticosteroids, neither released histamine levels nor whole blood histamine levels correlated with basophil count.
The above results suggest that the histamine release in vitro with house dust antigen in asthmatic patients was inhibited by corticosteroids such as dexamethasone, hydrocortisone, prednisolone.抄録全体を表示PDF形式でダウンロード (1389K) -
Hajime Goto, Hideo Kato, Yoju Miyamoto, Jun Yamauchi, Tomo Wakabayashi1982 年 33 巻 1 号 p. 45-50
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーWe recently encountered two cases of pulmonary hamartoma. One (Case 1) was an endobronchial, and the other (Case 2) was an intrapulmonary hamartoma. Case 1 involved a 50-year-old man who had experienced recurrent bloody sputa. The sagittal tomographic study showed a round mass in the right upper bronchus. Under fiberoptic bronchoscopy, a smooth orange-colored and relatively fragile tumor was found. A right upper lobectomy was performed and the tumor was diagnosed histopathologically as an endobronchial hamartoma. Case 2 involved a 44-year-old man who had a coin lesion in his mid-left lung. A segmentectomy of the left S5 was performed. The histopathological diagnosis of this case was intrapulmonary hamartoma. Endobronchial hamartoma is fairly rare and this case is thought to be the eighth reported case in Japan.抄録全体を表示PDF形式でダウンロード (5849K) -
行木 英生, 藤田 真知子, 岡田 拓治, 田中 寿一, 藤田 博正1982 年 33 巻 1 号 p. 51-58
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリーRadiological and fiberendoscopical observations of the cervical esophagus reconstructed by such three kinds of pedicled anterior chest flap techniques as DP flap, pectoral island skin flap and pectoralis major myocutaneous island flap (PMMCF) were discussed on six clinical cases which have been surviving from one and a half years to 8 years postoperatively.
From esophagographical findings, pectoral island skin flap was proved to be most smooth in shape at the lower anastomosis and new esophagus of PMMCF tended to bend at the lower anastomosis with the pedicle of pectoralis major muscle. A larger space of tubed esophagus of the skin flap arose a relative stenosis at the lower mucocutaneous junction to the esophagus.
By fiberendoscopical observations, the surface of the reconstructed cervical esophagus showed no difference in all kinds of skin flaps, although the cases with shorter period of reconstruction had more debris and drainings. Suture knotches, therefore, should be buried in the tissue to prevent micro abcesses around them.
It is also necessary for us head and neck surgeons to take preventive measures against scared stenosis, dead space, infection, fistula formation and tension around the mucocutaneous junction.抄録全体を表示PDF形式でダウンロード (10796K) -
日本気管食道科学会からの質問に答えてCharles M. Norris1982 年 33 巻 1 号 p. 60-61
発行日: 1982/02/10
公開日: 2010/10/20
ジャーナル フリー本会報に連載中の特別寄稿を諸外国の方からも頂戴する企画が樹てられ, 小野譲名誉会長にお願いして, 各国の代表的な気管食道科学者に私信の形で問合わせをお送りしたところ, 早速Dr. Norrisから返事が寄せられました。ここにその要約をご紹介します。全文をお読みになりたい方は, 学会事務局までご連絡下さい。また, 回答の中にある, 米国気管食道科学会の歴史に関する二つの論文のコピーも事務局にございますので, 興味のある方はご照会下さい。抄録全体を表示PDF形式でダウンロード (1527K)
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