巻号一覧
33 巻 (1982)
- 6 号 p. 409-
- 5 号 p. 351-
- 4 号 p. 281-
- 3 号 p. 211-
- 2 号 p. 71-
- 1 号 p. 1-
33 巻, 5 号
選択された号の論文の7件中1～7を表示しています
- |<
- <
- 1
- >
- >|
-
石塚 洋一1982 年 33 巻 5 号 p. 351-358
発行日: 1982/10/10
公開日: 2010/10/20
ジャーナル フリーOut of 193 cases with complaint of pharyngo-laryngeal abnormal sensation, 101 cases (52.3%) were revealed to have organic abnormalities on clinical examinations mainly in the larynx. The site of organic abnormalities varied depending on the location of abnormal sensation. Close laryngeal examinations are mandatory particularly when the abnormal sensation is well-localized or strictly unilateral.抄録全体を表示PDF形式でダウンロード (5984K) -
水野 正浩, 木村 徹男, 宮田 守1982 年 33 巻 5 号 p. 359-361
発行日: 1982/10/10
公開日: 2010/10/20
ジャーナル フリーA short ventilation bronchoscope was deviced for the treatment of tracheal lesions in children. The bronchoscope could be inserted through the tracheostoma under local or general anesthesia. It was useful for the lesions of the trachea between the tracheostoma and carina, and the upper portion of the main stem bronchus.
Two cases of tracheal papilloma and tracheal cast were reported who were successfully treated using this bronchoscope.抄録全体を表示PDF形式でダウンロード (2056K) -
滝川 弘志1982 年 33 巻 5 号 p. 362-375
発行日: 1982/10/10
公開日: 2010/10/20
ジャーナル フリーSerial esophagograms were obtained from 143 normal subjects who showed no abnormal findings in clinical examinations including fiberscopy and brushing cytology. The subjects were kept at the right antero-oblique position and 5 pictures were serially taken at 1, 3, 5, 7, and 9 seconds after a swallow of contrast medium using quarter size films. Although comprehensive observations of the entire esophagus with filling, double-contrasted and mucosal fold images were hardly made due to rapid passage of contrast medium through the esophagus, observations were made at the 7 different levels and the following findings were obtained. The 7 levels were; A: 3 cm above the clavicle, B: clavicle, C: aortic arch, D: tracheal bifurcation, E: upper 1/3 between bifurcation and esophagocardiac junction (ECJ), F: lower 1/3 of the above.
The transverse diameter of esophagus was the largest after 1 second, and the size was the largest at E, followed by D, F, A, B and C in this order.
The esophagocardiac junction (ECJ) was wider in the male than in the female, and the peak was observed after 3 seconds in both sexes. The width of ECJ was wider in the case in which the medium was more quickly exhausted from esophagus.
Contraction of esophageal wall first occurred at D in the thoracic esophagus, and the peristalsis developed to E and F. Then, the second peristalsis occurred in A and B.
In general, 1 to 8 (2.9 on the average) folds were seen on the esophagograms. When the transverse diameter of esophagus became larger, the number of the esophageal folds increased proportionally. The width of the esophageal fold was from 0. 3 to 5. 0 mm with a mean of 1. 52 mm. It tended to be a little wider in the lower esophagus (D, E, F) than in the upper (A, B, C.)抄録全体を表示PDF形式でダウンロード (7275K) -
田井 良明, 大竹 英夫, 中島 幸洋, 戸田 行雄, 北原 哲, 河合 清隆, 竹山 勇, 丸山 毅, 桜井 栄1982 年 33 巻 5 号 p. 376-383
発行日: 1982/10/10
公開日: 2010/10/20
ジャーナル フリーUse of a compound d-p flap for hypopharyngo-esophageal reconstruction is reported. The flap consists of two portions; one is a d-p flap preserving the second, third and fourth branches of the internal thoracic vessels, while the other is a bipedicle tubed flap having a lumen prepared from the skin immediately superior to the d-p flap. The width of the bipedicle skin flap is 7 cm, and its inferior margin is used as the superior border of the d-p flap. The d-p flap is then transposed to cover the tubed flap for facilitating new vascularizations. Three to four weeks later, the two pedicles of the tubed flap are cut and the entire compound d-p flap is re-transposed to reconstruct the defect in the neck at the time of radical surgery. The tubed flap is sutured to the hypopharyngeal orifice superiorly and to the esophagus inferiorly in the fashion of end-to-end anastomosis. This is thus completed as a primary reconstruction of the new hypopharyngoesophagus. The advantages of the present method are as follows.
1. Primary reconstruction of the hypopharyngo-esophagus is possible simultaneously with radical surgery.
2. The tubed flap is long enough to suture to the esophagus in the upper mediastinum, since it is partially separable from the d-p flap.
3. The patient can take diet perorally 10 days postoperatively.
4. The lumen of the reconstructed esophagus is adequate for esophageal voice.抄録全体を表示PDF形式でダウンロード (5276K) -
末永 通, 平井 敏文1982 年 33 巻 5 号 p. 384-388
発行日: 1982/10/10
公開日: 2010/10/20
ジャーナル フリーGranular cell tumor arising in the larynx is very rare. The present authors report the third case of this tumor in the Japanese literature. A round dark-red tumor was found at the posterior end of the right vocal cord of a 56 year old woman, who visited to our clinic with chief complaint of hoarseness. She underwent total excision of the tumor under direct laryngoscopy. The tumor was characteristically hard. No relapse of the tumor was seen twenty months after the excision. The light and electron microscopic examinations of the tumor confirmed the diagnosis of granular cell tumor. As to the histogenesis of the granular cell tumor, our histopathological examination showed the basement membrane surrounding each tumor cell and, in cytoplasm, many lysosome-like vacuoles containing electron dense particles or myelin figure. But myofibrils, Luse body and angulated body were not found. Thus the evidence for either myogenic or neurogenic origin of the tumor was not demonstrated.抄録全体を表示PDF形式でダウンロード (4586K) -
中川 千尋, 石橋 康1982 年 33 巻 5 号 p. 389-396
発行日: 1982/10/10
公開日: 2010/10/20
ジャーナル フリーDuring the past 3 years, 3 cases with severe airway obstruction due to enlargement of tonsils and adenoid during asleep have been observed with cardiorespiratory complications as cor pulmonale. These cases showed typical symptoms such as dyspnea with retractions, noisy mouth breathing, somnolence and sleep apnea. X-rays showed cardiac enlargement and an ECG showed evidence of right ventricular hypertrophy. Cardiac catheterization revealed pulmonary hypertension. All the 3 cases were successfully treated by adenotonsillectomy and their cardiac conditions were improved. Otolaryngologists should be alerted for the recognition of sleep apnea in children with airway obstruction. The authors emphasized the importance of prompt diagnosis of this completely reversible form of cor pulmonale, since its potential lethal sequelae can be prevented by early removal of the obstructive tonsils and adenoid.抄録全体を表示PDF形式でダウンロード (6313K) -
E. Carlens, P. D. M. Barretto, Luis Vinatea M., J. Blasiak, J. Marquet1982 年 33 巻 5 号 p. 398-399
発行日: 1982/10/10
公開日: 2010/11/26
ジャーナル フリーPDF形式でダウンロード (331K)
- |<
- <
- 1
- >
- >|