耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
1 巻, 4 号
選択された号の論文の13件中1~13を表示しています
  • 吉田 祺一郎
    1955 年 1 巻 4 号 p. 239-245
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    The author reviews the clinical observations of 25 hypopharyngeal cancer cases in the past 5 years, the progresses of which are known, comparing with laryngeal cancer cases at the otolaryngological clinic of Osaka University.
    His conclusions are as follows:
    (1) Patients of hypopharyngeal cancer are about 10 years younger than those of laryngeal cancer,
    (2) The attack rate is equal on males and females,
    (3) The cancer most frequently begins in the posterior wall,
    (4) The cancer spreads rapidly and infiltrates quickly not only all over the hypopharynx but the laryngeal area in the early stage,
    (5) Metastasis to the lymph nodes is apt to occur and the decline of the patient's strength progresses rapidly,
    (6) All of the hypopharyngeal cancer cases, if not operated, result in death within a year, but percentage of cure by surgical removal is about 50%.
    In addition, he describes some points by which diagnosis may be made and the influence of excessive use of alcohol or tobacco.
  • 高橋 忠敏, 藤崎 茂巳
    1955 年 1 巻 4 号 p. 246-248
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    Verff. haben beträchtliche Besserung des Ton- and Sprachgehörs ausser eincm Fall nach Tympanoplastik von 16 Fällen bekommen, vor allem sind ihre Hörbesserungen in Umgangssprache über 6 M. möglich geworden.
  • 内藤 儁
    1955 年 1 巻 4 号 p. 249-252
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    Three cases of Ménière's disease distinctly showing Tullio's reaction are reported.
    (1) 47-year-old man whose walk deviates to the right at large sound
    (2) 40-year-old man who has the rotating vertigo at large sound
    (3) A case of the vertigo fit at the noise of the street-car
    Tullio's reaction observed in Ménière's disease can be explained as follows by making reference to the findings with the internal ears of Ménière's disease, which have been made clear since 1938. When the sacculus enlarged by endolymphatic hydrops comes in contact with the inside of the stapes-plate and further the sacculus comes in touch with the utriculus, if either of these is impacted into the semicircular canals, the vestibule and the semicircular canals are stimulated by sound and may cause Tullio's reaction. The author does not deny the idea of the central cause, but it is his point that at least in case of Ménière's disease, it seems better to lay stress upon the periphery and to explain by the endolymphatic hydrops.
    The author wishes to make experimental studies of Tullio's reaction with Ménièr's disease in the future.
  • 官崎 正徳, 大橋 鎮子
    1955 年 1 巻 4 号 p. 253-259
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    This report covers a few points of the statistical studies of 118 cases (70male and 48 female cases) of esophagoscopical examinations carried out in the authors' clinic in six years and a half starting from 1948.
    1) In 48 cases of esophagitis (27 male and 21 female cases), 30 were trauma caused by foreign bodies, 8 cases acute symptoms caused by drugs, hot water, etc. and 10 chronic esophagitis.
    2) The foreign bodies in the esophagus in 40 cases (27 male and 19 female cases) included fish bones in 14 cases, coins in 12, false teeth in 2, etc. Studies were made as to their kinds, their relation to the age, their localities, the time while they were retained in the esophagus, therapeutic measures, their fate after falling into the stomach,periesophageal abscess, etc.
    3) In 21 cases of cancer of the esophagus (17 male and 4 female cases), the cancer was found in the upper part of the esophagus in 9 cases, in the middle part in 10, and in the lower part in 2. The classifications of these by their esophagoscopical and histological findings, the affected parts of the esophageal wall, and the therapeutic measures taken are related.
    4) 9 cases of esophagostenosis (5 male and 4 female cases) consisted of 8 cases of cicatrical stenosis and 1 case of spastic stenosis. Their symptoms, duration, esophagoscopical findings, treatment, etc. are covered. As regards the calendar years these cases were examined in, 11 cases were examined in 1948, 8 cases in 1949, 10 cases in 1950, 18 cases in 1951, 30 cases in 1952, 31 cases in 1953 and 10 cases in 1954 (April thru August). There has been noticed the upward tendency in the number of esophagoscopical examinations carried out in the authors' clinic.
  • 原口 静彦
    1955 年 1 巻 4 号 p. 260-261
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    The author examined the presence of tinnitus aurium in the silent room with 130 healthy boys and girls in puberty. Tinnitus aurium in the silent room was present with 93.8% of the examined, 62.3% of which had it in the bilateral ears or at the top of the head, 16.4% in the right ear and 21.3% in the left. 86.1% of tinnitus consisted of single tones, 13.1% of two tones and 0.8% of three tones.
    The author further classified the quality of the tones by the imitated tones expressed, and refers to the relation of tinnitus in the silent room to the pathologic tinnitus.
  • 長光 昭男
    1955 年 1 巻 4 号 p. 262-265
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    Sixty patients with tinnitus aurium have been treated by anesthesia of the sphenopalatine ganglion, eustachian inflation, administration of ammonium chloride and irradiation of the interbrain consecutively, and it has been found that the tinnitus can be treated by this method of consecutive treatment far more effectively than by separate treatments, and the tinnitus that was not healed by separate treatments can be healed by this serial treatments.
    It is shown numerically that tinnitus with lower tones can be healed more easily than that with higher tones, the shorter the duration of the tinnitus, the better is the healing effect, and that this treatment is not too effective with tinnitus of duration of over 2 years.
  • 篠原 靖, 岡本 途也, 石井 英男
    1955 年 1 巻 4 号 p. 266-270
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    A 19-year-old boy complained of intense deafness of the left ear. Deformity of the left auricle, narrowness of the external auditory canal and abnormality of the tympanic membrane were observed. The audiograph showed normal bone conduction but 70 db of hearing loss by air conduction over the speech frepuency range. The radical operation of the middle ear was performed and as soon as the amboss was removed from the tympanic cavity, hearing was improved about 30 db over the speech frequency range. The auditory ossicles removed from the tympanic cavity formed one block, the capitulum of the malleus adhering to the atrophic arnboss, as seen in the photograph. Adequate plastic operation was performed on the deformity of the auricle. Deformity of the middle ear like this case is rare in this country.
  • 藤崎 茂巳
    1955 年 1 巻 4 号 p. 271-273
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    Der Verfasser hat pflegt die Tympanoplastik nach vorheriger Chemotherapie oder unter Umständen nach der Antrotomie auszuführen, wenn reichliche Otorrhoe vorhanden ist.
  • 藤崎 茂巳, 毛利 茂男
    1955 年 1 巻 4 号 p. 274-275
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    In one of 16 cases of plastic operation of the middle ear performed in the authors' clinic, no increase of hearing was seen. By a reoperation, the authors saw fairly good increase of hearing. As the authors did not use the binocular magnifying glass with light in the first operation, they could not find the granulation surrounding the stapes and that the leg of the stapes was broken. In the reoperation the authors took off the granulation sufHciently and saw fairly good result.
  • 「ラングカイン」使用30例
    菱山 博文, 桂 弘道
    1955 年 1 巻 4 号 p. 276-279
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    There has recently been a remarkable increase in the number of indications for tonsillectomy, and focal infection of various kinds, pulmonary tuberculosis, etc. are now counted among the diseases fitting this surgical treatment. However, the operation is followed by considerably severe postoperative pain, which causes in turn diculty of food ingestion, undernou. rishment and general lassitude in no srnall number of cases. How to remove this postoperative suffering is a problem remaining still to be solved by the experts.
    The authors have lately used “langecain”, a depot solution for prolonged local anesthcsia, in 30 cases of tonsillectolny and report its excellent effect. The drug was injected in a dose of 20r 3 cc into the soft palate at a point near the capsule of the tonsil simultaneously with the preoperative local anesthetization. Most patients so treated felt no postoperative pain and had no difficulty in swallowing food. The drug injected enabled thcm to take supper on the day of the operation and resume their usual ingestion of food frdm the next morning on.
  • 小玉 隆一
    1955 年 1 巻 4 号 p. 280-281
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    A student was brought to the author's clinic after 12 hours after he had taken 18g of Brovalin. His case was serious, showing obvious stridor, cyanosis, dyspnoea and tachycardia. As soon as the fluid in the trachea and the bronchi was removed by bronchoscopy, the stridor stoPPed and all the symptoms disapPeared rapidly. He had had his stomach washed before he came to the author's clinic, and the stridor had apPeared immediately after the washing.
    Therefore, it is considered that the fluid flowed into the respiratory tract at the stomachwashing. The bronchoscopic suction is effectiVg for such dyspnoea caused by acute fluid aspiration, and in view of the fact that pneumonia aspirativa plays an important role in the death from acute soporific intoxication, this method should be tried in tho8e cases.
  • 中川 真五郎
    1955 年 1 巻 4 号 p. 282-286
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    Except a few special sarcomata, simple sarcomata very seldom develop multiple metastasis to the skin. Two cases of this multiple metastasis experienced by the author in his clinic are reported.
    Case 1: A man aged 57. The patient was affected by sarcoma infiltrating the skin and the subcutis of the left neck accompanied by metastasis to the skin of the chest, the shoulder and the back. It cannot be said definitely whether the sarcoma in this case originated in the skin or in the superficial lymphatic nodule of the left upper neck.
    Case 2: Aman aged 57. The sarcoma originating in the left nasal cavity presented symptoms like progressive gangrenous rhinitis accompanied by remittent fever. Finally the sarcoma developed diffusive metastasis to the general skin in spite of various treatments applied.
    The sarcoma was proved histologically. The conditions and the processes of this multiple metastasis to the skin are reviewed.
  • 調 賢哉, 木村 良一
    1955 年 1 巻 4 号 p. 287-289
    発行日: 1955/06/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors report a case of 33-year-old woman who suffered from mixed paralysis of the pharynx and larynx. Symptoms of emaciation, aglutition, left soft palate paralysis, left vocal cord paralysis and left facial paralysis began with fever and liquorpleocytosis. The authors diagnosed the case as acute inflammatory left side bulbar paralysis from,
    1. the fever and liquopleocytosis at the early stage, and
    2. the paralysis of VII N. facialis sinist., IX N. glossopharyngicus sinist., and X N. vagus sinist.
    The patient was recovered by the lumbar air insuMation into the intracranial space. The method and the indications of the lumbar air insuMation into the intracranial space are described.
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