巻号一覧
10 巻 (1964)
- 4 号 p. 199-
- 3 号 p. 147-
- 2 号 p. 83-
- 1 号 p. 1-
- Supplement1 号 p. 1-
10 巻, 4 号
選択された号の論文の11件中1～11を表示しています
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後藤 敏郎1964 年 10 巻 4 号 p. 199-206
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーThe author classified the cholesteatoma of the ear region into 3 groups, that is, middle ear cholesteatoma, meatal cholesteatoma, and inplantation cholesteatoma, and assumed their origin.
Further, middle ear cholesteatoma was divided in the epitympanal type (attic type), the mesotympanal type (tensal type) and the non-perforative type.
Statistically, 58 cases of the attic type, 82 cases of the tensal type and one case of the non-perforative type were obtained. The attic type might be originated from the invagination of Shrapnell's membrane provoked by the inflammation of the external meatus, while the tensal type caused by the metaplasia of mucous membrane of the tympanic cavity during the course of chronic otitis media.
Meatal cholesteatoma was seen in 2 cases.
The foundamental conditions originating cholesteatoma were considered as follows;
1) Epidermis must be kept in such situation as a sack form or a cavity form. 2) Stimulation provoking ablation or proliferation into deep layer must be given to the epidermis.
3) Tissue surrounding that cavity-formed or sack-formed epidezmis must be solid as to produce the higher pressure in the cavity as the result of ablation and accumulation of epidermis.
As the predispositions of cholesteatoma, low age and the limited pneumatization of the middle ear are needed. Pneumatization may have not a certain correlation with the type of cholesteatoma probably because of its original diversity. In the attic type, only 15 cases showed remarkable pneumatization, while 43 cases showed limited pneumatization. In the tensal type, remarkable pneumatization was seen in 44 cases, while limited pneumatization in 38 cases.抄録全体を表示PDF形式でダウンロード (1130K) -
橋本 泰彦, 小林 定武1964 年 10 巻 4 号 p. 207-213
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーThe theoretical and clinical discussion were made about the form, the mass and the elasticity of columella used mainly in the operation of otosclerosis, particularly taken into consideration the form and the function of stapes and oval window.
A columella was used in 52 cases among 500 cases of tympanoplasty.
Hearing recovery of 20 db on an average in 500-2000 cps was made and the recovery in 2000 cps was most remarkable. In 28 cases, the recovery was good enough for daily life.
In the cases, which are devoid of the foot of stapes, but have the flexible membrane of oval window, we must make the foot of the suitable columella securely kept in its proper place. Dexterity and care is necessary to perform vestibulotomy in the case of otitis media chronica.抄録全体を表示PDF形式でダウンロード (4762K) -
森満 保1964 年 10 巻 4 号 p. 214-224
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーThe relationship of carbon dioxide to cochlear function was discussed in the light of literature and the author's own experimental results.
Carbon dioxide is the most potent agent to increase the cochlear blood flow as well as the cerebral blood flow. This fact has been confirmed in living guinea pigs by impedance plethysmography.
Gellhorn and Spiesman (1935) and Nagatani (1955) reported that the inhalation of dilutecarbon dioxide slightly decreased hearing acuity, but showed hyperacusis after the cessation. The author reported the rapid recovery from noise induced temporary threshold shift experimented through 7% carbon dioxide inhalation.
With the usual histological technique, the changes induced in the cochlear structures by anoxia were not clear, but with the electrophysiological techniques a number of papers concerning the influences of anoxia have been reported.
Fernandez (1949), Gulick (1952) and Tonndorf (1954) reported that carbon dioxide could influence upon the cochlear microphonics with endocochlear DC potential showing remarkable overshooting. In the author's experiments, the overshooting of cochlear microphonics was seen in the same phase coincident with the increase of the cochlear blood flow. This fact was attributed to high CO2 concentration in blood.
In the clinical aspect, dilute carbon dioxide inhalation has been used for the treatment of cerebral vascular diseases. Kawata. et al.(1963) reported the effect on inner ear diseases such as Menière's disease, sudden deafness, and acoustic trauma.抄録全体を表示PDF形式でダウンロード (1697K) -
調 重昭, 武井 隆, 鳥居 浩, 中島 雅子1964 年 10 巻 4 号 p. 225-231
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーAt the beginning of driving our new rotatory apparatus of positional table system, the basic experiment was designed to study with E N G the influences of centrifugal force on nystagmus in normal subjects, whose labyrinths were kept about 60 cm from the pivot of the apparatus.
Postrotatory nystagmus and perrotatory nystagmus caused by centrifugal force had more variabilities of duration and amplitude than calorigram, so that attention must be paid to such conditions as the opening of eyes, the brightness of the room and others.
Vertical nystagmus was seen after the rotation, but the threshold of response to the stimulation was higher than in horizontal nystagmus.
During the rotation, the tremor of vertical components came out, probably provoked by eyemuscle cramp, which the authors considered to be an otolithreflex. The direction of quick component of vertical tremor had a tendency to go the other way according as the eyes were opened or closed. We made plans to examine this phenomenon in detail and to devise the quantitative method of vestibular functions.抄録全体を表示PDF形式でダウンロード (956K) -
印南 美津枝1964 年 10 巻 4 号 p. 232-240
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーTakahashi's intranasal plastic operation was performed in 26 cases (48 sides ) of allergic rhinitis which had not been able to be cured by other methods of treatment.
The results were excellent; Nasal obstruction recovered in 96%, watery discharge in 90%, fits of sneezing in 100%.
Various patho-physiological examinations were made pre- and postoperatively. The remarkable diminution of the glands, cell infiltration, edema and the regeneration of the epithelium with ciliary activity were the most prominent patho-histological changes observed postoperatively.抄録全体を表示PDF形式でダウンロード (6219K) -
中野 富夫1964 年 10 巻 4 号 p. 241-244
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーA joint operation on the para-nasal sinus is different from a usual surgical operation, and it often happens that ligation is impossible for the reasons that the bleeding region is deep, that bleeding of bone accompanies, and that the visual field for operation is limited. Accordingly, a medicine as a stanching agent occupies an important position.
The present writer administered H. M. B.(Hexamethonium bromide) in 20 cases (patients) as an agent to lower the blood pressure. As a result, the anthor discovered that it was more effectiv to use H. M. a over the whole body for lowering the blood pressure on the basic policy of stanching than to use it singly, and that, for stimulating the property of blood to coagulate, a joint use of Manethol and Adrenocromazone was more effective.抄録全体を表示PDF形式でダウンロード (516K) -
平野 実, 吉田 義一1964 年 10 巻 4 号 p. 245-249
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーA case of so-called bleeding nasal polyp is presented. This case was considered as a very rare one because of following three points: 1) the patient had no complaint about epistaxis, 2) the polyp had its origin in Concha nasalis media, and 3) it had unusually large size, i. e., about 40g in weight. It was concluded from the histological findings of this case that the nature of the “bleeding nasal polyp” is a hemoangiofibroma, though the cases in the literature showed variant histological pictures.抄録全体を表示PDF形式でダウンロード (5957K) -
中野 富夫1964 年 10 巻 4 号 p. 250-255
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーPatients with epistaxis seen in the clinic in 1956 and 1963 were investigated from the points of etiology, incidence (age, sex), site of bleeding and treatment.
The results were as follows
1. Female patients with epistaxis were 2.8 times as many as male patients.
2. The patients, ranging 16 to 25 years of age, were found to be most predisposed to epistaxis.
3. Epistaxis occured more frequently (58.4-53.8%) at the right side of nose than the left.
4. Most of the epistaxis (88.3%) took place from the Locus Kiesselbachii.
5. Lately there were a number of cases called “Spontaneous epistaxis” in which the patient had been suffered from bleeding of unknown etiology.
6. Most of the patients (62.4%) were relieved from epistaxis after the treatments of three times.
7. Hemostatics were apparently more effective when two or more were used together.抄録全体を表示PDF形式でダウンロード (621K) -
久保村 雅夫1964 年 10 巻 4 号 p. 256-260
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーClinical effects of KB-227, a nasal decongestant, are reported, especially in comparison with Adrenalin and evaluating the duration of its effect followed by tomogram. It was used with nasalspray and took effect through the day by using 2 times a day抄録全体を表示PDF形式でダウンロード (567K) -
上村 卓也, 中西 宜子, 荒牧 元, 徳永 恵美子1964 年 10 巻 4 号 p. 261-263
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーEs wird tuber einen 73 jährigen Patienten berichtet, der die ätiologisch nicht fassbare, typische Neuralgie des N. laryngeus cranialis akquiriert hat, und damit die Diagnose auf die primäre Neuralgie des N. lar. cran. gestellt wurde.
Fur die Therapie hat sich bei uns die Durchschneidung des inneren Astes des N. lar. cran. bewahrt, und vollige SchmerLlosigkeit wurde ohne Residuen erzielt.抄録全体を表示PDF形式でダウンロード (2708K) -
食道内圧測定法と気流阻止法西田 之昭, 周防屋 洋1964 年 10 巻 4 号 p. 264-270
発行日: 1964/12/15
公開日: 2013/05/10
ジャーナル フリーThe resistance and the efficiency of the glottis as the generator of voice production are important factors, but it has been impossible to measure them, because we have no practical measuring method of the subglottic pressure except in the patients with a tracheostoma.
The intention of this paper is to offer the measuring method of the subglottic pressure in normal persons and to develop the investigation of the regulation mechanism of voice.
The relation between the intraesophageal pressure and the subglottic pressure was examined and a new interruption method was tried.
The change of the intraesophageal pressure during the phonation has a close relation with the expiratory level and it is not parallel with subglottic pressure. But both pressures have equal deviations and synchronized changes only in the beginning or the stopping of voice. Van den Berg's intraesophageal method-measuring the pressure deviation at the abrupt stop of voice, with the relaxed diaphragm and thorax and the open glottis-is certified as an almost accurate method. In this method, it is not always easy to swallow the esophageal balloon, and the complicated technique is required.
The interruption method-at first devised to measure the alveolar pressure in the respiration- was examined.
The examiner let the subject put on a mask, which is airtight and connected with shutter and pneumotachograph. During the phonation, the pressure elevation was produced in the mask by the momentary interruption of the air-flow by means of the shutter. This pressure elevation was equal to the subglottic pressure. This fact was ascertained in the patient with a tracheostoma and the interruption of air-flow gave little effect to the subglottic pressure. This method was painless and easily performed.
As is stated, we have two methods concerning the measurement of the subglottic pressure. The interruption method is better for the measurement of the resistance and the efficiency of voice production, and the intraesophageal method is better for the observation of the changes of subglottic pressure in the beginning of phonation or in the production of consonants in which the change of the expiratory level is little.抄録全体を表示PDF形式でダウンロード (924K)
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