巻号一覧
43 巻 (1992)
- 6 号 p. 467-
- 5 号 p. 383-
- 4 号 p. 325-
- 3 号 p. 227-
- 2 号 p. 65-
- 1 号 p. 1-
43 巻, 6 号
選択された号の論文の10件中1～10を表示しています
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北原 哲, 田村 悦代, 大前 由紀雄, 羽生 耀子, 小倉 雅實, 佐藤 道哉, 井上 鐵三1992 年 43 巻 6 号 p. 467-470
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーPercutaneous silicone injection for unilateral recurrent laryngeal nerve paralysis is reported. The viscosity of silicone is 1000c/s, mixed with phycon 6500 and phycon 6500 additive. The injectable instruments are 2.5ml disposable syringe and 21G needle. The position of the patient is supine. The monitors for injection are a trans-nasal laryngofiberscopy and the voice change of the patient. The route of the injection is selected in three ways, from the lower edge of the thyroid cartilage, from the thyroid notch and through the crico-thyroid membrane.
From 1985 to 1991, 40 cases were treated by percutaneous injection in successful results except only one. The advantages of this method are simple for the operator and small discomfort for the patients.抄録全体を表示PDF形式でダウンロード (777K) -
大村 正樹, 山本 悦生, 水上 千佳司, 老木 浩之, 辻 純, 宗田 由紀, 田辺 牧人, 船曳 和雄1992 年 43 巻 6 号 p. 471-474
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーCombined therapy of CO2 laser and irradiation (LINAC 60 Gy) was performed in cases of T1 and T2 laryngeal cancer. We studied the prognosis and the postoperative vocal function in these patients followed for one year. Twenty-two of twenty-three patients are alive without cancer, while one patient died of other cause. The preservation rate of larynx was 95.5% (21/22 cases). CO2 laser therapy and radiation therapy, which have previously been used for the treatment of laryngeal cancer, were utilized more widely in the present study. The good results appeared to be obtained.抄録全体を表示PDF形式でダウンロード (1058K) -
岡本 英樹, 大橋 淑宏, 杉浦 欣一, 大野 義春, 中井 義明1992 年 43 巻 6 号 p. 475-481
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーGuinea-pigs were exposed to 3 ppm or 9 ppm of nitrogen dioxide (6 h/day, 6 days/week) for two weeks. They were sacrificed to examine the mucociliary pathology of the trachea at 24 h postexposure. Ciliary activity was reduced in the tracheal mucosa. Deterioration of ciliary activity was more prominent in the 9 ppm exposure group. The most conspicious findings observed in the tracheal mucosa were accumulation of eosinophils into the mucosa. The number of eosinophils infiltrated in the epithelial layer was not different between the two groups. However, a larger number of activated eosinophils was observed in the 9ppm group. Also in the 9 ppm group, the epithelium showed, unlike the control group and 3 ppm group, minor changes up to major changes such as vacuolization and shedding of ciliated cells.
Such pathological changes as mentioned above could contribute to the menifestation and chronicity of respiratory allergic lesions. It is therefore possible that environmental nitrogen dioxide might have an important role for a burst of respiratory allergic diseases in modern times.抄録全体を表示PDF形式でダウンロード (2676K) -
石井 豊太, 井口 芳明, 古沢 慎一, 秋山 一男, 信太 隆夫, 佐野 肇, 馬越 智浩, 新井 基洋1992 年 43 巻 6 号 p. 482-487
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーAsthma, aspirin intolerance and nasal polyps form the triad of aspirin-induced asthma (AIA). We report seven cases of AIA in which sinus surgery was performed over one year. Surgery does improve the patient's asthma and nasal symptoms. Main focus of sinuses should be the area of the ethomoid sinuses.抄録全体を表示PDF形式でダウンロード (3380K) -
木村 貴昭, 田端 敏秀, 垣内 弘, 加藤 寛, 斎藤 匡人, 木下 和也, 寒川 高男, 川口 隆明, 嶽 良博, 田村 真司, 與田 ...1992 年 43 巻 6 号 p. 488-491
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーPapilloma is a typical laryngeal benign tumor. Although a laser surgery was used to treat this tumor, recurrence often occurred. In this report, two cases of laryngeal papilloma effectively treated with β-interferon are presented. Case 1 had received laser operations repeatedly. Finally, we did not succeed to remove the tumor by laryngofissure. We then injected 3, 000, 000 IU of β-interferon at the posterior commissure by a direct laryngoscope. As a result, the tumor disappeared. Case 2 was treated with the local injection of β-interferon. The laryngeal papilloma was completely disappeared. We may consider that β-interferon is an expectable agent for papilloma-treatment, not only tumor diminishing factor, but also recurrence preventing factor.抄録全体を表示PDF形式でダウンロード (1524K) -
小出 千秋, 今井 昭雄, 高橋 淑子1992 年 43 巻 6 号 p. 492-499
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーA 54-year-old male with a hypopharyngeal squamous cell papilloma and a 67-year-old male with a hypopharyngeal cavernous hemangioma are reported. Neither had symptomatic complaints and the tumors were found incidentally in both cases. Direct laryngoscopy was performed and the papilloma which had a long stalk on the posterior hypopharyngeal wall, was removed. The papilloma was suspected to be a virus associated tumor on the basis of koilocytosis but no human papillomavirus was detected immunologically. Lateral pharyngotomy was performed and the cavernous hemangioma was removed from the left pyriform sinus. The pertinent literature on benign hypopharyngeal tumors is reviewed.抄録全体を表示PDF形式でダウンロード (2429K) -
丹生 健一, 高橋 久昭, 加藤 孝邦, 内田 正興, 鎌田 信悦, 川端 一嘉, 中溝 宗永, 苦瓜 知彦, 島田 士郎, 保喜 克文, ...1992 年 43 巻 6 号 p. 500-505
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーFrom 1989 to 1991, MRI was performed in 29 patients with hypopharyngeal and cervical esophageal carcinoma at Cancer Institute Hospital. We assessed the value of MRI in these lesions compared with CT and fluoroscopy, and MRI was found to be useful to evaluate the following points: 1) upper skip lesions, 2) lower limits, 3) invasion to the prevertebral lesions, 4) invasion to the larynx, 5) metastasis to the paratracheal spaces and upper mediastinal lymphnodes, and 6) metastasis to the Rouviere's lymphnodes. MRI was especially useful when patients could not undergo the fluoroscopy because of severe aspiration or dyspnea, and when direct esophagoscopy could not be performed because of severe obstruction of the cervical esophagus.抄録全体を表示PDF形式でダウンロード (3696K) -
与座 朝義, 中村 匡, 我那覇 仁1992 年 43 巻 6 号 p. 506-509
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーWe used MRI (T1 weighted image) for the diagnosis of the case of the bronchial peanuts foreign body in which usual endoscopic procedure was very difficult because of reactive bronchial stenosis. The patient was a 1-year 2-month old boy and his body weight was 8.0 kg. MRI could visualize the figure of peanut which was not visible in the plain X-ray film because of radiopacity. At the time of removal of foreign body, we intubated unilaterally to the affected bronchus using the endotracheal tube (3.5 mm ID.) in which two additional pores was made, under the guidance of a fiberscope (diameter 1.8 mm)
This procedure was very effective to the observation of the stenotic bronchial mucosa and to the approach to the foreign body through the bronchial stenosis.抄録全体を表示PDF形式でダウンロード (1415K) -
内藤 永恵, 加我 君孝, 柳川 幸重1992 年 43 巻 6 号 p. 510-514
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーA 1-month-old girl of left recurrent laryngeal nerve paralysis due to total anomalous pulmonary venous connection (Ortner's syndrome) has been reported with review of relevent literatures. She was admitted because of weak crying. After extensive examinations, she was diagnosed as TAPVC type Ia.
Pulmonary artery hypertention is proposed as a cause of the left recurrent laryngeal nerve paralysis抄録全体を表示PDF形式でダウンロード (3178K) -
森田 裕人, 守 純一, 片桐 史郎, 大島 一紀, 吉村 博邦1992 年 43 巻 6 号 p. 515-518
発行日: 1992/12/10
公開日: 2010/06/11
ジャーナル フリーXylocaine is an anesthetic agent which is widely used by many physicians for fiberoptic bronchoscopy. However, they rarely pay attention for the amount of Xylocaine which were given to the patients during each examination. We have performed fiberoptic bronchoscopy, including such procedures as inspection, biopsies, brushings and washings for 642 patients, using a small amount of Xylocaine (average dosage per patient was 240 mg), sprayed by the use of Jackson's neblizer and instilled through the catheter inserted into the channel of the bronchoscope. No patients who developed Xylocaine poisoning were seen. We could have managed bleeding and subsequent cloudiness of the fleid during the examination by retructing the catheter a bit into the channel and instilling a small amount of saline and Xylocaine through the catheter, which would be of use for preventing cough and subsequent new bleeding.抄録全体を表示PDF形式でダウンロード (1028K)
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