Nihon Kikan Shokudoka Gakkai Kaiho
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
Volume 35, Issue 3
Displaying 1-7 of 7 articles from this issue
  • Shimao Fukai, Tsuneo Ishihara, Koji Kikuchi, Estuo Nemoto
    1984 Volume 35 Issue 3 Pages 229-232
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    In this study, we examined the canine tracheal blood circulation using a method of microvascular “Casting” by silicone rubber which permits filling of selected regions of vascular tree, including the capillaries, under controlled physiological conditions. In the dog, small paired arterial branches arise from the longitudinal posterior anastomosis along the lateral wall, and take a circumferential path forward to the right and to the left between the cartilaginous rings. These transverse intercartilaginous arteries in turn give rise to a continuous submucosal capillary plexus. Although the vascularization pattern of this capillary plexus is diffuse and present throughout the entire endotracheal submucosa, there are two characteristic regions; the microvessels in the zone directly beneath the tracheal cartilages and those in the intercartilaginous portion.
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  • Shuji Takeshita, Riichiro Mikami, Masayoshi Sawaki, Mikikazu Kunimatsu ...
    1984 Volume 35 Issue 3 Pages 233-240
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    It is recognized that some patients with chronic respiratory diseases, such as emphysema, bronchial asthma or chronic bronchitis, manifest respiratory symptoms when they enter a cold environment suddenly. Mikami has already reported these symptoms as cold-air inhalation phenomenon. In order to research the mechanism of this phenomenon, 34 asthmatics and 10 normal controls were subjected to clinical evaluation and respiratory function tests after breathing cold air, (a) by a nose mask (nasal breathing), (b) through a mouthpiece (oral breathing) using a new apparatus which produces cold air. The results were as follows:
    1) Cold-air inhalation by a nose mask produced respiratory symptoms in 3 of 34 asthmatics with slightly decreased FEV1.
    2) Cold-air inhalation through a mouthpiece produced respiratory symptoms in 24 of the 34 asthmatics with sigaificantly decreased FVC, FEV1, FEV1%, PEFR and V50.
    3) Normal controls were not affected by cold-air inhalation either by a nose mask or through a mouthpiece.
    The results indicate that cold-air inhalation phenomenon would be produced by breathing cold air through the oral route.
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  • Toshihiro Mori, Hiroshi Okamura
    1984 Volume 35 Issue 3 Pages 241-249
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    The measurement of swallowing pressure is one of the methods to analyze the swallowing mechanism, but it has not been utilized clinically yet. The purposes of this paper are to clarify practical problems of the measurement of swallowing pressure through a survey of literature and to evaluate a posssibility of utilizing it for clinical use. It was considered that an intraluminal miniature pressure transducer was more accurate in measuring swallowing pressure than an infused water-filled catheter. The measurement of swallowing pressure can be an useful diagnostic method for investigating swallowing mechanism at the pharyngeal and cervical esophageal regions, especially in combination with cine-fluorography.
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  • Shingo Kataoka, Tadao Wakutani, Hisao Kitamura, Hitokazu Kobayashi
    1984 Volume 35 Issue 3 Pages 251-256
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    We reported a case of so-called primary tuberculosis of the larynx in a 56-year-old male, who complained of hoarseness and dyspnea. Laryngoscopic examination showed mucosal swelling in the right subglottic space with fixation of the right vocal cord. High voltage X-ray film of the larynx indicated a shadow in the posterior portion of the subglottic space, and computed tomography revealed partial destruction of the cricoid cartilage. Therefore, it was difficult to be differentiated from laryngeal cancer. Histological examination of biopsied material revealed typical findings of tuberculosis. A course of treatment using SM, INH, RFP was effective and 2 months later, the swelling disappeared and mobility of the right vocal cord improved slightly.
    Tuberculosis of the larynx is usually secondary to pulmonary tuberculosis, but so-called primary tuberculosis of the larynx has occasionally been reported in literature.
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  • A Case Report and Review of Literature
    Kunihiko Makino, Mutsuo Amatsu
    1984 Volume 35 Issue 3 Pages 257-262
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    Candida albicans is a common inhabitant of the throat and not ordinarily a pathogen. But in debilitated seniles and infants, in immunodeficient diseases, in the presence of altered normal flora by antibiotics, or in the condition of lowered host resistance by the therapy cf corticosteroids, immunosuppressive drugs and antitumor drugs, candida albicans may become pathogenic. In Japan candida pharyngolaryngitis has been often reported, but candida pharyngo-laryngo-esophagitis was not documented in literature.
    Recently we experienced a rare case of candida pharyngo-laryngo-esophagitis. The patient visited our clinic for evaluation of hoarseness. Under indirect laryngoscopy the larynx and pharynx were covered with whitish coating, and the surrounding mucous membrane was reddish and swollen. Histopathologically fungus was revealed and mycologically candida albicans was identified. The cobble stone pattern in esophagogram and a fiberscopic study of the esophagus led to the final diagnosis as candida pharyngo-laryngo-esophagitis. The patient was treated by intravenous drip of amphotericin B, and complete remission was obtained within one month. Related literature was reviewed and discussed.
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  • Report of a Case
    Sumiko Niitsu, Morito Satoh
    1984 Volume 35 Issue 3 Pages 265-268
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    A case of a rare benign tumor, leiomyoma of the trachea was reported. The patient was a 34-year-old female, and admitted with a complaint of hemosputum. A pedunculated tumor was found to occupy the space through the first to third tracheal rings, arising from the posterior wall between the first to second rings with a stem of 5mm in diameter. The tumor was successfully removed and histologically diagnosed as leiomyoma.
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  • Akihiro Yoshitoshi, Misao Yoshida, Tsuneo Hayashi, Hiroko Ide, Koushi ...
    1984 Volume 35 Issue 3 Pages 269-273
    Published: June 10, 1984
    Released on J-STAGE: February 22, 2010
    JOURNAL FREE ACCESS
    A case of esophageal mucosal carcinoma resected by a blunt dissection is reported.
    A 75-year-old man visited a local physician with a complaint of loss of appetite. Esophagogram showed slight deformity at the distal esophagus which implies a compression by enlarged heart. Upper G-I endoscopy revealed an erosion in the lower esophagus. Histologic study of bite biopsy specimens showed severe dysplasia. He was admitted to the Institute of Gastroenterology, Tokyo Women's Medical College for further examination. A small eroding lesion among irregularly thickened mucosa in the distal esophagus was found by esophagofiberscopy. Endoscopic staining method aided by Lugol's solution delineated a broad unstained area.
    For his poor condition due to past cerebral thrombosis with hemiplegia and myocardial infarction, thoracotomy was not indicated. Esophagectomy by a blunt dissection without thoracotomy was performed with subsequent ante-thoracic esophagogastrostomy.
    Histologic study of the resected specimen showed squamous cell carcinoma limited within the mucosal layer. There foumd no lymph node metastasis among those removed from the abdomen and lower mediastinum.
    Seven cases of mucosal carcinoma of the esophagus underwent radical resection at our Institute, all of which were diagnosed as mucosal carcinoma through preoperative examinations and showed no lymph node metastasis. Thus the present case was expected to be one of early esophageal carcinoma. For possible lymphatic invasion, the patient was strictlly followed and showed no sign of recurrence for two years after the operation
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