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, 4 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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森本 賢治, 小笠原 英樹, 朝倉 光司, 形浦 昭克, 賀来 享1992 年 43 巻 4 号 p. 325-331
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーWe successfully removed the epiglottic cysts of 13 cases with laryngomicrosurgical technique. The histopathological study revealed that the wall of the cyst consisted of squamous cell with subepithelial lymphoid tissue and suggested the possibility of branchial cyst. Although it is generally accepted that epiglottic cyst originated in branchial organs is very rare, 10 of 13 cases presented in this paper were supposed to be the branchial cyst of epiglottis with respect to clinical and histopathological findings. The pertinent literature about the branchial cyst is reviewed.抄録全体を表示PDF形式でダウンロード (4233K) -
ランクCの寝たきり老人に対する経験森 泰雄, 黄永 信理, 大蝶 修司, 岩崎 聡, 久保田 賢三1992 年 43 巻 4 号 p. 332-338
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーIntractable aspiration is a severe and often fatal problem in patients with impaired protective function of the larynx. This problem is usually a result of central nervous system disorders such as a cerebrovascular accident. Surgical separation of the upper respiratory tract from the digestive tract can prevent recurrent contamination of the respiratory system in these patients.
From 1988 to 1991, we performed 8 laryngectomies for senile men who had been tracheostomized for more than one year due to complications of the cerebrovascular disorders. In these cases, laryngectomy was not avoidable to prevent bleeding from the trachea and/or aspirations with the overflowing saliva. The narrow-field laryngectomy or total laryngectomy was an excellent procedure for the definitive separation of the upper digestive and respiratory systems to prevent aspiration, resulting in the improvement of quality of life for the patients and their attendants.抄録全体を表示PDF形式でダウンロード (5521K) -
馬 燕, 福田 宏之, 牧野 克己, 酒向 司, 塩谷 彰浩, 神崎 仁1992 年 43 巻 4 号 p. 339-343
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーThe therapeutic method for laryngeal papilloma is still not definitely established. It is a general principle that the laryngeal papilloma should be surgically removed as much as possible. For the purpose, laser surgery has been used and therapeutic potency could be expected to some extent. However, since this disease is a high recurrence, especially in case of infant or child, it is easily induced to papillomatosis, resulting in the tracheal invasion.
Here, in this paper a case of laryngeal papillomatosis is reported. The patient is 10 years old, and received frequent surgical operations without any success. For this case, medication with the traditional Chinese medicine has been performed, resulting in no recurrence.抄録全体を表示PDF形式でダウンロード (4061K) -
山際 幹和, 坂倉 康夫1992 年 43 巻 4 号 p. 344-347
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーAcute epiglottitis in children is very rare in Japan. As far as we searched, there have beenonly two patients under 7 years of age reported in Japanese medical journals. Since this pathological condition is potentially lethal and supposed to increase its incidence, we have to know how to manage the condition. In this paper, we reported a child case of acute epiglottitis and would like to share the experience.
The patient was a 6.5-year-old boy. He visited a hospital complaining of sore throat, high body temperature (39.3°C) and dyspnea which had started 9 hours before hospitalization.
Fiberscopy of the larynx revealed the red and moderately swollen epiglottis. The diagnosis was acute epiglottitis.
Topical and systemic treatments mainly with steroid, antibiotics and oxygen inhalation were effectively done to improve the airway problems. The patient recovered completely without any airway preservation such as tracheotomy or tracheal intubation. However, previous reports on acute epiglottitis in children strongly recommend us to keep a good airway prior to the treatment.抄録全体を表示PDF形式でダウンロード (2744K) -
田辺 正博, 勝見 容子, 大西 かよ子, 石川 雅洋, 金丸 真一, 重松 聡子1992 年 43 巻 4 号 p. 348-352
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーAspiration becomes an intractable problem for some patients who have lost normal neurological functions of the larynx. Various surgical procedures have been devised to preserve the larynx and protect the lower airway. Although potentially reversible, the patients seldom recover sufficiently to justify repair of the larynx.
A modified Biller's technique to prevent aspiration and to reconstruct phonatory function is described. The laryngeal inlet was sutured with a small opening at the tip of the epiglottis which served as a neoglottis. This procedure has been successfully performed on two patients.抄録全体を表示PDF形式でダウンロード (3860K) -
内藤 健晴, 岩田 重信, 妹尾 淑郎, 石原 正健, 武田 伸郎, 井畑 克朗, 横山 尚樹1992 年 43 巻 4 号 p. 353-358
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーIn order to clarify the relationship between laryngeal carcinoma and eosinophils, the distribution of secretary ECP positive eosinophils in the larynx was investigated. The materials were ten larynges excised from the patients with laryngeal carcinoma. They were all negative for allergy.
In six cases, secretary ECP positive cell infiltration was detected. In this positive group, the eosinophil accumulation to the carcinoma was more prominent than that of the negative group. Degranulation of the eosinophils surrounding carcinoma was markedly revealed. In the vessels adjacent to the tumors, ECP positive cells often existed without degranulation.
It is suspected that eosinophils might take aim at the laryngeal carcinoma and play a role of cytotoxic action against the tumor.抄録全体を表示PDF形式でダウンロード (2609K) -
土師 知行, 片岡 英幸, 楯 敬蔵, 齋藤 春雄, 甲藤 洋一1992 年 43 巻 4 号 p. 359-362
発行日: 1992/08/10
公開日: 2010/09/28
ジャーナル フリーRemobilization of the paralyzed vocal fold was attempted using a small button magnet in three excised canine larynges. A button-shaped magnet which had a flux density of about 2000 Gauss with a diameter of 5mm and a thickness of 3mm was fixed on the muscular process of the arytenoid cartilage. Magnetic field was applied with another magnet placed about 5cm apart from the button magnet. This preparation could simulate the effect of the lateral cricoarytenoid muscle contraction and the posterior cricoarytenoid muscle contraction. The vocal fold was adducted when the button magnet was attracted to the antero-inferior direction. It was also abducted when the magnet was attracted to the postero-inferior direction. By alternating the magnetic polarity using an electric magnet, abduction or adduction of the vocal fold was obtained in one larynx, which was similar to the physiological vocal fold movement during respiration and phonation.
Possibility and problems for clinical application of this system were also discussed.抄録全体を表示PDF形式でダウンロード (4081K) -
山岨 達也, 菊地 茂, 大内 敏宏, 徳丸 阿耶, 水野 正浩, 小林 武夫1992 年 43 巻 4 号 p. 363-369
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーDiagnosis of a radiolucent foreign body in the lower airway is not always easy. Although Holzknecht's sign through conventional radiography has been considered most useful, it has some difficulties to obtain reliable information for detecting foreign bodies and determining the site of foreign bodies. In order to diagnose more accurately, several imaging methods have been used recently.
We applied magnetic resonance imaging (T1-weighted imaging) to two infant cases with radiolucent foreign bodies (peanuts) in the lower airway for diagnosis and follow-up study. Because a peanut shows a high signal on T1-weighted imaging due to its lipid content with short T1-value and long T2-value, high-intensity masses within the tracheobronchial tree were detected in both cases. In a case with the atelectasis, high intensity mass existed at the oral end of the lesion. Surrounding fatty tissues showing partial volume effect and pulmonaly vessels showing flow related enhancement must be kept in mind as differential diagnosis.
Magnetic resonance imaging is not necessarily recommended as a routine in the diagnosis of tracheobronchial foreign bodies. In this paper its capability in the more difficult cases is demonstrated.抄録全体を表示PDF形式でダウンロード (5561K) -
高木 健三, 滝 文男, 鈴木 隆二郎, 粟屋 雅就, 小川 清隆, 荒井 孝1992 年 43 巻 4 号 p. 370-377
発行日: 1992/08/10
公開日: 2010/06/11
ジャーナル フリーThe measurement of IgE antibodies with FAST (fluorescence allergosorbent test) system was evaluated using 86 serum samples obtained from patients with bronchial asthma. These samples were collected at the department of internal medicine of the hospital in Aichi and Gifu prefectures which each author is belonging to.
These data were compared with those of RAST, and also skin tests. Simultaneous measurements were made and an excellent correlation with RAST was observed with a concordance rate of 86.7% and correlation coefficient of 0.827. The positive rate for all 13 allergen-specific IgE antibodies was 35.3% of 86 subjects. It's order was House dust 1 (74.4%), Der. farinae (67.4%), Der. pteronyssinus (65.1%), House dust 2 (65.1%) and Japanese cedar (58.1%).
It is the most advantageous merit that FAST method does not utilize a radioisotope and causes no radioactive waste.
These results indicate the clinical usefulness of the FAST system in evaluating IgE antibodies.抄録全体を表示PDF形式でダウンロード (1400K)
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