巻号一覧
33 巻 (1982)
- 6 号 p. 409-
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- 3 号 p. 211-
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33 巻, 3 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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斉藤 彰, 鈴木 徹, 古川 浩三, 新美 誠司, 代田 正道, 武本 欣也1982 年 33 巻 3 号 p. 211-216
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーIn this study, we reported 18 patients with post-intubation granulomas of the larynx who were treated in our clinic from July, 1971 to July, 1981. Fourteen out of 18 patients were female. Their ages ranged from 9 to 68 years. An average was 38.2 years. All were non-specific inflammatory granulomas. In all but one case, the lesions were at the site of the vocal process of arytenoid. Six of them were on the right, four on the left and seven on both sides. In the remaining one case, the lesion was developed in the subglottic area.
Twenty cases had their granulomas removed by laryngeal forceps through direct laryngoscope under local anesthesia, four by laryngomicrosurgery under general anesthesia and one was removed under indirect laryngoscopy. The remaining one which developed in the subglottic area was removed through laryngofissure approach.
The etiology of post-intubation granuloma of the larynx was discussed, and we emphasized that the abrasive action of the tube against the laryngeal mucosa caused by the movement of endotracheal tube or of the patient's larynx was thought to participate in the development of granuloma.抄録全体を表示PDF形式でダウンロード (3050K) -
中島 格1982 年 33 巻 3 号 p. 217-225
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーThe author has studied the development of local immune system of the human larynx (57adults and 16 fetuses), by examining the distribution and secretory activity of the glands.Glandular distribution was observed in the laryngeal surface of the epiglottis, false vocal cords, ventricle and subglottis in each human adult larynx. Glandular bud was first observed in the fourth month and became evident in the fifth month of the fetal larynx. Immunofluorescent studies demonstrated the presence of IgG and other immunoglobuli ns in each adult larynx. In particular, distribution of IgA was most evident not only in the submucosal or periglandular connective tissue, but in the intraepithelial or submucosal glandular tissue. SC synthesis was found in every glandular cell. On the contrary, immunofluorescent study of the fetal larynx revealed the absence of IgA. SC synthesis, however, was noted in each serous-type glandular cell from the fourth month fetus. These observations suggest that local imm une system by glandular system is active in adult larynx. Sc synthetic activity in glandular cell is inherently acquired in at least fourth month fetus and SIgA synthesis might begin postnatally.抄録全体を表示PDF形式でダウンロード (9778K) -
家兎の嚥下第2期の喉頭運動との関係についての検討棚橋 汀路1982 年 33 巻 3 号 p. 226-232
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーThe movement of the larynx is greatly related to aspiration. In this research muscles which are attached to the hyoid bone and thyroid cartilage were detached, and the relationship between the abnormal movement of the larynx and aspiration was studied. To measure the movement of the larynx, a silver marker used as a target, measuring 3×3 mm, was attached to the thyroid cartilage and the motion was observed and measured by X-ray cinematography. The wall of the pharynx, the tongue, entrance of the esophagus and the larynx (silver target) were selected as sites to measure. The results were normalized and comparison was made under each condition. The motion of the larynx of normal rabbits is divided in two factors which are vertical and horizontal direction and it has the exact temporal relation with other motions. In the cases whose geniohyoid muscles, stylohyoid muscles and thyreohyoid muscles were detached the movement of the larynx was severely suppressed. Consequently aspiration was observed though the closing mechanism of the larynx was prevented. Even though the cricopharyngeal muscles were cut, aspiration was still observable. After the muscles were reattached, aspiration disappeared. In the cases whose sternohyoid muscle and sternothyroid muscle were detached or cricopharyngeal muscle was cut deglutition was not changed.
It is concluded from the present results that the motion of the larynx is the most basic factor of the 2nd stage of deglutition and of preventing aspiration.抄録全体を表示PDF形式でダウンロード (5284K) -
村上 正文, 大谷 巌, 小玉 直志, 佐藤 幸雄, 大内 仁1982 年 33 巻 3 号 p. 233-236
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーA foreign body of a staple in the airway has been reported only as a bronchial foreign body and the method of its removal has been investigated in the literature. But no case of a staple in the larynx has been reported. Recently, we experienced a case of a staple fixed into the glottis. The patient was a 1-year and 8-month-old boy. We used suspension laryngoscope under general anesthesia from tracheostoma and could successfully remove it utilizing two forceps held by both hands. We reported this case and discussed the laryngeal foreign body.抄録全体を表示PDF形式でダウンロード (1794K) -
椿 康喜代, 井上 鉄三, 平出 文久, 都川 紀正, 沢田 正道, 田中 英一1982 年 33 巻 3 号 p. 237-244
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーThe authors reported two cases of laryngeal and tracheal stenosis who were cured completely by a long-term intubation of a microporous EPTFE (teflon) tube and a T-shaped silicone tube. In one case, a cuffed cannula was used in the long term for controlling respiration by mechanical ventilator. Subsequently, tracheal stenosis occurred. In the other case, emergency tracheotomy was done on suspicion of the foreign body in the respiratory tract. Subsequently, laryngeal stenosis occurred. At the time of admission to our hospital they were in worse physical conditions caused by tracheal and laryngeal stenosis. However, we could treat them completely and safely without any trouble. They are living comfortably without any respiratory trouble. The authors stress that laryngeal and tracheal stenosis can be treated more easily, safely and successfully by the conservative manipulation. The conservative treatment will be more and more applicable for various patients with severe respiratory distress caused by stenosis of the inferior respiratory tract.抄録全体を表示PDF形式でダウンロード (8183K) -
気管支異物存在部位と関連して東 紘一郎, 戸川 清1982 年 33 巻 3 号 p. 245-249
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーSeveral parameters which affect the side of location of bronchial foreign bodies were measured by high-voltage roentogenography. They were the diverging angle of the main bronchus, diameter of the main bronchus, location of carina, vertical length of opening plane of the main bronchus in the line which was drawn downward from the tracheal wall, and its upper part from carina.
All parameters, except for the last one, showed that foreign bodies will enter to the right bronchus easier than to the left bronchus even in children. Only the last parameter showed a reverse result in children.
Other factors than morphological ones should be considered to explain the fact that in children the foreign bodies are most frequently found in the left bronchus.抄録全体を表示PDF形式でダウンロード (585K) -
李 同海, 飯塚 俊勝, 荒井 潤, 林 永直, 遠藤 ゆり, 今野 董夫, 沖倉 一彰1982 年 33 巻 3 号 p. 250-253
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーA dissection of the larynges of 7 mature dogs was performed and the existence of anastomotic branches between the bilateral laryngeal nerves was histologically confirmed. The motor nerve branches were found to make an anastomosis in all of the 7 dogs. In 2 of the 7 dogs, the sensory branches were also found to make an anastomosis, while this was not confirmed in the remaining 5-possibly due to technical failures. The branches of the recurrent laryngeal nerve to the arytenoid (transversus) muscle were found to ramify into two smaller branches just before its entrance to the muscle. One of the two smaller branches made an anastomosis with the corresponding branch of the opposite side beneath the lower margin of the arytenoid muscle. This seemed to be a motor anastomosis. Accordingly, the arytenoid muscle appeared to be supplied not only from the branch of the recurrent laryngeal nerve directly, but also via the anastomosis. The sensory nerve anastomosis appeared to be derived from the bilateral Galen's loop at the level of the posterior upper margin of the cricoid cartilage. The motor and sensory anastomoses described above have not been reported in the previous literature.抄録全体を表示PDF形式でダウンロード (3494K) -
酒井 昇1982 年 33 巻 3 号 p. 254-271
発行日: 1982/06/10
公開日: 2010/10/20
ジャーナル フリーElectron microscopic observations of the differentiating processes of the tracheal mucosa in various fetal stages have been done mostly on experimental animals, but scarcely on human fetuses. In this study, the differentiating processes of the tracheal mucosa of human fetuses aged from 6th week to 23rd week of gestation were observed using scanning and transmission electron microscopes. Results obtained were as follows:
1. Ciliated cells appeared at 8th week of gestation in the membranous portion of the trachea, but in the cartilaginous portion of the trachea, the appearance of ciliated cells was at 14th week of gestation. After 15th week of gestation, the number of ciliated cells increased rapidly in both the membranous and cartilaginous portions of the trachea.
2. Primary cilia were observed at 8th and 10th week of gestation in the membranous portion of the trachea, and at 10th week of gestation in the cartilaginous portion of the trachea. Among these primary cilia, very long ones (approximately 7μ length) which had never been found in experimental animals, could be observed.
3. In fetus at 11th week of gestation, immature goblet cells appeared. After 14th week of gestation, goblet cells possessed many typical secretory granules.
4. Glycogen cells containing abundant glycogen granules within the light area of their cytoplasm were mostly observed at 8th and 10th week of gestation, and then the number of these cells decreased gradually. After 18th week of gestation, glycogen cells disappeared. These glycogen cells were supposed to be tentative features in the course of cell lysis.抄録全体を表示PDF形式でダウンロード (28070K) -
J.M. Dubois De Montreynaud1982 年 33 巻 3 号 p. 272
発行日: 1982/06/10
公開日: 2010/11/26
ジャーナル フリーPDF形式でダウンロード (1806K)
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