日本気管食道科学会会報
Online ISSN : 1880-6848
Print ISSN : 0029-0645
ISSN-L : 0029-0645
36 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
  • 廣瀬 肇
    1985 年 36 巻 5 号 p. 415-423
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    A review was made on the topic of recurrent laryngeal nerve paralysis based on a survey of recent literature. Both surgical and non-surgical causes of laryngeal nerve paralysis were analyzed and a high incidence of extralaryngeal malignancies causing laryngeal paralysis was noted. As for diagnostic procedures, significance of phonatory and respiratory function tests for evaluation of the pathological condition was emphasized. From therapeutic standpoints, different types of functional surgery were reviewed and the potential of voice training was discussed.
  • 永井 知幸
    1985 年 36 巻 5 号 p. 424-428
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    Five cases of bilateral vocal cord paralysis with dyspnea were treated by the method of submucous resection of vocal cord.
    The obtained thyroarytenoid muscles were studied under both light and electron microscope.
    Normal structure of muscle fibers and neuromuscular junctions was observed in all materials. Between the muscle fibers, the small-calibered myelinated nerve fibers with double-layered basal lamina were often encountered. Those findings suggest that the regeneration of recurrent nerve occurs and the regenerated intrinsic laryngeal muscles may shift the paralyzed vocal cords to more adducted position causing dyspnea consequently.
  • 細川 芳文, 堀江 孝至, 岡安 大仁
    1985 年 36 巻 5 号 p. 429-434
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    Fourty-seven inpatients with hoarseness were experienced in our department during the past five years. Male patients were more frequently affected and lung cancer was most frequently experienced as an etiological disease which was evident in 21 cases. Malignant diseases were found in 30 cases out of 47 patients (64%). Hoarseness was a chief complaint in 35 cases. Recurrent nerve paralysis was noted in slightly more than 80% of cases. There was no significant difference on chest X-ray film between the cases of hoarseness with and without recurrent nerve paralysis. The recovery from hoarseness was very low and it was depended upon the characteristic of the original diseases and the efficacy of the treatment.
  • 両側声帯麻痺例を中心に
    安岡 義人, 伊藤 文英, 松崎 充男, 亀井 民雄, 石井 英男
    1985 年 36 巻 5 号 p. 435-441
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    Longterm observation were made of 60 patients with vocal cord paralyses which frequently occurred during the 1970 influenza epidemic. There were 26 cases with left paralysis and 13 cases with right paralysis, while 21 cases had bilateral ones.
    The recovery of the vocal cord movement began 1 to 6 months after the onset of the paralysis in 41 cases, and more later in 9 cases. Forty-eight cases had full or nearly complete recovery in 3 to 16 months after the onset of their paralyses. In many cases with bilateral paralysis, the right vocal cord began to recover earlier than the left cord.
    Four cases of the bilateral paralysis still had persisting paralysis. Two of them repeated the paralysis. Their both vocal cords were at first fixed in the intermediate position and then completely recovered within 7 to 8 months. After 9 to 10 years, however, the both cords were fixed again in the paramedian position. In other 2 cases, the both vocal cords were fixed in the median position and did not recover for 14 years.
    Questionnaire was sent to all 60 patients for a survey of the outcome of symptoms in 1984. We received 42 responses and three patients were dead. The recovery of voice was satisfactory in almost all cases. However, one half of the patients of the bilateral vocal cord paralyses suffered from some sequelae such as stridor, snore, waterchoke and slight dyspnea.
  • 最近の5年間
    上出 洋介, 森山 寛, 佐野 典子, 部坂 弘彦, 本多 芳男
    1985 年 36 巻 5 号 p. 442-449
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    One hundred and forty-three patients with vocal cord paralysis, who were referred to our clinic for the past 5 years (1979-1984), were reviewed. Sixty percents of patients were male. The number of the left, the right and the bilateral recurrent nerve paralysis were 84, 49 and 10 respectively.
    The cause of 50 cases was surgical operation around the vagus and recurrent nerves. Malignant tumors were found in 35 cases. Twelve cases were caused by intracranial lesions. However, since the etiology of 40 cases was unknown, these were supposed to be idiopathic.
    Among 35 cases of malignancies, lung cancers with metastatic lesions were found in 16 cases. Thirteen of those had left vocal paralysis.
    Although some cases were diagnosed to be idiopathic at the first examinations, lung and mediastinal malignant tumors were finally found. From this study, it can be concluded that CT scan of the lung (particularly the region of aortopulmonary window) has great clinical value to diagnose correctly. We advocate to use CT scan especially in elder persons.
  • 進 武幹, 松尾 浩一, 渡辺 宏, 織田 正道, 森川 郁郎, 富田 まり子, 前原 法文
    1985 年 36 巻 5 号 p. 450-454
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    The main purpose of intracordal injection is to improve glottal closure during phonation. Endolaryngeal microsurgical technique under general anesthesia and/or peroral approach with indirect laryngoscopy have been reported in the majority of the studies dealing with this procedure.
    In this paper, a new percutaneous intracordal injection technique is introduced for improvement of the glottal closure during phonation in the unilateral recurrent laryngeal nerve paralysis.
    Phycon 6500 injection with Katsunuma's needle (bone marrow needle) was performed in six patients who complained of hoarseness. The voice improved satisfactorily on a postoperative phonatory function test in most of the cases.
  • 富田 正雄, 綾部 公懿, 川原 克信, 母里 正敏
    1985 年 36 巻 5 号 p. 455-459
    発行日: 1985/10/10
    公開日: 2010/02/22
    ジャーナル フリー
    A growing concern in advancing operative procedures for the treatment of carcinoma has focused attention on the occurrence of hoarseness related to operative invasion. To enhance the operative redicality, the operative procedures of radical node dissections in the neck and the mediastinum are of value. In order to avoid the occurrence of hoarseness, it is important to recognize the anatomical pathway of the recurrent nerve and vagus and to avoid the surgical injury to these nerves.
    It is well known that ipsilateral recurrent nerve paralysis is not a life-threatening disorder.
    we call attention to an alteration of cardiopulmonary hemodynamics when left vagal nerve is divided at high level. The treatment of recurrent nerve paralysis was also discussed in detail.
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