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Volume 14, Issue 1
Displaying 1-12 of 12 articles from this issue
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Ikuichiro Hiroto, Yorikazu Toyozumi1968 Volume 14 Issue 1 Pages 1-5
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn the supraglottic horizontal laryngectomy, it is necessary not to injure the aryepiglottic muscle and the middle branch of superior laryngeal nerve to maintain the mechanism of deglutition. The aryepiglottic muscle is situated just beneath the mucous membrane at the inner surface and at one cm distance of the upper surface of the aryepiglottic fold. The superior laryngeal nerve is usually divided to the anterior, the middle and the posterior branch. The anterior branch is divided at the anterior part of the aryepiglottic fold 1.5 cm beneath the upper surface and innervates the epiglottis. The middle branch runs across the middle part of aryepiglottic fold at 5 mm distance of the upper surface toward the laryngeal vestibule. Both the aryepiglottic muscle and the superior laryngeal nerve may be preserved in ALONSO'S method ; in OGURA'S method to cases of expanded carcinoma, the considerable disturbance of swallowing seems to continue a few months after laryngectomy, because both bilateral aryepiglottic muscles and ventricular muscles may be removed and bilateral superior laryngeal nerves are in peril of injury.
The recurrent laryngeal nerve and the laryngeal arteries are situated between the thyroid cartilage and the inner laryngeal muscles. The laryngeal vein system is found in both inner and outer surfaces of the external thyroarytenoid muscle.View full abstractDownload PDF (570K) -
Toyoji Soda1968 Volume 14 Issue 1 Pages 6-18
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSVerletzungen des Kehlkopfes sind normalerweise sehr selten, aber man besinnt sich in letzter Zeit besonders durch die Zunahme der Verletzungen am Halse bei Verkers-, Sport- und Berufsunfällen darauf und weil im Verlauf und in der Therapie derselben vielfältige Komplikationen auftreten können. Es ist für die Ärzte schon lange ein Problem gewesen, daB man solche Verletzungen nicht immer routinemäBig behandeln kann, sondern daB die Behandlung von Fall zu Fall verschieden, nach eigener Ansicht des einzelnen Arztes, durchgeftihrt werden muB. So sind die Verletzungen, deren Auswirkungen von fast volliger Beschwerdefreiheit bis zur Dyspnoe und sogar bis zum Tod gehen, recht manigfaltig, und der Zusammenhang zwischen den einzelnen Verletzungen und den Gewalteinwirkungen ist nicht immer einfach. Aber gerade ftir die erfolgreiche Therapie ist es sehr wichtig caber die Art, Richtung, GröBe bei Einwirkungen und die Beschwerden genau Bescheid zu wissen. Obwohl schon hating darner berichtet wurde, mochte ich aus unserer Klinik noch einiges hinzüftigen.
Anatomisch werden Struktur und Funktion des Larynx forgendermaBen geschützt:
Nach hinten durch die Halswirbelsaule, nach vorn durch den Unterkiefer und die obere Thoraxapertur.
Es trägt auch wesentlich zum Schutze dazu bei, daB der Kehlkopf und die Trachea gegen die tibrigen Gewebe gut verschiebbar sind und daB ihre Wand aus elastischem Knorpel besteht. Die dicke Muskelschicht des Halses und das instinktive Herunterziehen des Unterkiefers bei einam Schlag spielen auch eine Rolle. Ob diese Schutzeinrichtungen unserer Annahme entsprechend funktionieren, mochten wir anhand des Zusammenhangs zwischen den auBeren Einwirkungen, den einzelnen Schadigungen und den Beschwerden hier darlegen. Es gibt verschiedene Einteilungen dieser Verletzungen:
a. Nervöse und morphologische Verletzungen nach JACKSON Cletztere werden noch in direkte und indirekte unterteilt).
b. Einteilung nach der Ätiologie (HOLINGER, JACKSON).
c. Klinisch-pathologische Einteilung (SCHWAB, EY, HOLINGER U. a.).
In diesem Bericht habe ich die letztgenannte, welche die Ätiologie bertick- sichsigt, genommen. Die Falle, welche hier als Unterlage dienen, stammen aus dem Patientengut, das in den letzten 50 Jahren in die HNO-Klinik der Kyushu Universität kam.View full abstractDownload PDF (1286K) -
Ryuichi Kubo, Toshiharu Egawa1968 Volume 14 Issue 1 Pages 19-24
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDie Fälle der Nervengewebe-Geschwtilste im Bereich der Hals-Nasen-Ohren- heilkunde sind verhältnismäBig selten. In letzter Zeit hatten wir Verfasser Gelegenheit 2 solche Fälle zu behandeln.
Beim 1. Fall handelte es sich urn einen 26 jährigen Fischer. Seit 10 Jahren hatte er an der linken Seite des Halses und Rachens eine schmerzlose Anschwel- lung. Da die Halsanschwellung langsam zugenommen hatte, kam er in unsere Universitatsklinik zur Untersuchung. Durch einen Schnitt an der Tumorseite des Halses gelangten wir an den Tumor. Hernach losten wir die Tumorwand mit dem bloBen Finger ab und extirpierten den Tumor vollstandig. Der Tumor war von einem Bindegewebe eingekapselt und wog 180g. Pathohistologisc: Ganglio- neurom.
Beim 2. Fall handelte es sich urn eine 57 jährige Bäuerin. Seit 9 Jahren hat sie an der linken lateralen Wand des Rachens eine schmerzlose Anschwellung. Bei der Untersuchung in unserer Klinik stellten wir einen halbkugligen Tumor an der linken Seite der hinteren Rachenwand fest. Der Tumor wurde durch einen Schnitt an der AuBenseite des Halses und an der hinteren Rachenwand freigelegt und mittels des Raspatoriums und des Fingers abgelöst und danach vollständig exstirpiert. Der Tumor war wie beim 1. Fall von einem Bindegewebe eingekapselt und wog 35g. Pathohistologisch: Neurilemmom.View full abstractDownload PDF (3602K) -
Tomio Nakano, Katsuzo Morita1968 Volume 14 Issue 1 Pages 25-30
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSOn the relation between blood pressure and audiogram in the human body by Dr. Densaburo Kobayashi, Dr. Takehiko Nagahama et al, were reported. We have studied on hearing loss of all officials in Fukuchiyama National Corporation at the medical examination. An audiographical classification in this study was made to the data of pure tone and was classified to the type of flat, horizontal, low tone deafness, gradual form, abrupt form, high and low tone deafness.
We obtained the results as follows.
1) Positive rate of hearing loss in both side was 25.7%, left side 37.2%, right side 37.7%.
2) The rate of the patient whose blood pressure was out of range was 18.7%, 105 of 906, classifying according to the dicision of the Japanese NationalView full abstractDownload PDF (751K) -
Ryuichi Kubo, Kensai Shirabe, Masateru Magata1968 Volume 14 Issue 1 Pages 31-33
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDie Untersuchungmittels Röntgenstrahlen ist eine wichtige diagnostische Methode bei Fallen von Fremdkörper der Speiseröhre oder der unteren Luftwege. Die Verfasser haben kürzlich die Gelegenheit gehabt, einen 13 jährigen Buben mit einem Kunstharz-Fremdkörper der unteren Luftwege zu behandeln.
Er hat ein Bruchstück eines Kunstharz-Kastens aspiriert. Durch die Röntgen-Untersuchung konnten die Verfasser die Gestalt und die Lokalisation des Fremdkörpers deutlich feststellen und endoskopisch entfernen.
Aus dieser Erfahrung heraus kann man sagen, dass ein Stück Kunstharz röntgenologisch einen Schatten geben kann. Das ist vermutlich durch den Tangenteneffekt der Röntgenstrahlen und das Zusatzmittel von Kunstharz verursacht. Bei Fällen von Kunstharz-Fremdkörpern soll man deshalb zur Diagnose unter verschiedenen Bedingungen und von verschiedenen Richtungen röntgenologische Aufnahmen machen.View full abstractDownload PDF (2544K) -
Kimi Suzuki1968 Volume 14 Issue 1 Pages 34-40
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAn autopsy case of squamous cell carcinoma of the middle ear who died of radiation effect after thirteen years of the surgery and radium treatment was reported.
A male aged 44 was operated upon under diagnosis of cholesteatoma-otitis. The papillomatous tissue taken from the middle ear at the operation revealed the squamous cell carcinoma microscopically.
The patient was treated with radium and sarcomycin and seemed to have recovered after seven years to the degree that he was able to be on duty ordinally. Duplicate radiation with cobalt and radium resulted in an apparent cure of the original cancer, but necrosis of bone, brain and dura due to radiation effect. Superimposing of infection caused complication of suppurative meningitis, and he died.View full abstractDownload PDF (9123K) -
Shigeaki Shirabe, Koichi Yasuda1968 Volume 14 Issue 1 Pages 41-44
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIn 11 cases of Ménière's disease and 8 cases of nerve deafness the authors employed betahistine sulfonate, a histamine-like molecule. This agent was administered in daily doses of from 24 mg to 36 mg and continued for several weeks. The patients were examined neurotologically every 14 days; tests of righting reflex, spontaneous and positional nystagmus and audiometric test.
Curative effects on vertigo and disappearance of nystagmus were observed in 67%, while there were no improvement of deafness and tinnitus aurium such as of vertigo. There was hardly any side effects from the use of the agent.
In the results of neurotological evaluation of betahistine sulfonate for the treatment of inner ear diseases, the agent mainly controlled the symptoms of vestibule.View full abstractDownload PDF (496K) -
Application in Otorhinolaryngological ClinicKatsuhiko Suemura, Tetsuo Yamamoto1968 Volume 14 Issue 1 Pages 45-51
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIntravenous anesthesia has several advantages for otolaryngological operations. This method does not interfere with the surgeon and expensive equipment like gas machine is scarcely needed. Moreover, the anesthetics can be easily administered and no tracheal stimulation occurs during anesthesia.
Recently, 4-Hydroxybutyrate (4-HB) was synthesized by H. LABORIT and associates. The drug, when given intravenously, produces a non-rousable state of unconsciousness without danger.
4-HB was applied in 115 cases of otolaryngological operations and endoscopic procedures. All the cases were received pethidine with atropine as part of premedication and in about two third of them, nitrazepam was added. 4-HB in a 20% aquaous solution was administered with a dose ranging from 35 to 100 mg per kg of body weight by a single shot or drip infusion. In all the cases, topical anesthesia was adequately performed, when the patients became a state of unconsciousness. During induction or operation, most cases were given small supplemental doses of thiamyral reducing troublesome movement.
There was a rough correlation between dose and duration of effect of 4-HB. With a dose of 80mg per kg of body weight, the patient could be expected to be non-rousable for two to four hours. Moreover, the longer duration could be expected in middle ear operation than sinusectomy, even if the same dose of the drug was administered. The administration of nitrazepam was effective in reducing the remarkable side effects. 4-HB has been safely handled and very useful to facilitate otolaryngological operation and endoscopic procedure.View full abstractDownload PDF (1439K) -
Yoshiki Yamasaki, Haruo Yoshimura, Jun Tateishi, Shinsaku Kunimitsu1968 Volume 14 Issue 1 Pages 52-57
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA case of divergence nystagmus due to mid-brain tumor is described in detail. The patient, aged 37 year old man, had been sent to hospital with the sign of double vision, paresis of right hand and right foot and left blephaloptosis. Right blephaloptosis were also found. Clinical diagnosis of Webers syndrome and oculomotor palsy had been made. Divergence nystagmus was recorded and the result of caloric test was DP to the left.
After 1 month hospitalization, the patient relapsed and died.
Postmortem examination revealed glioma of mid-brain which invaded both sides of stria longitudinalis medialis located lower part of aquaeductus mesencephali, the area of nucleus originis nervi oculomotorii, and partially infiltrated to rombencephalon.View full abstractDownload PDF (5423K) -
Hidehisa Tomita, Yuichi Koike, Akira Kawano1968 Volume 14 Issue 1 Pages 58-62
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe patient was a girl of 19 years old whose chief complaint was hard of hearing. No abnormal finding was seen on otoscopic examination, but the hypoplasia of the mandible and anti-mongoloid inclination of the palpebral fissures were found.
On exploring the middle ear cavity, it was found that the incus on each side were malformed. Tympanoplasty was performed on each ear with remarkable improvement of hearing.
It was suggested by operative findings that stapes and long process of incus were dirived from the second branchial arch (Reichert's cartilage).View full abstractDownload PDF (2391K) -
Takuya Uemura, Kikuko Kurosaka1968 Volume 14 Issue 1 Pages 63-66
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe authors have reported a case of enormous hypertrophy of lingual tonsil.
A man of 39-year-old complained foreign body sensation of throat, stridor and hoarseness for about one year. Laryngeal examination revealed caulif lowerlike masses on the both side of the base of the tongue. The operation using Takahashi's method was carried out and the masses were totally resected which weighed 6.5 gm of which from right side and 5.5 gm from left side.
Histologically, it showed hyperplasia of lymphoid tissue however, it did not show tumor-like invasion anywhere in the section. The postoperative course was uneventful.View full abstractDownload PDF (5735K) -
Jikyo Miyagi, Koichi Yasuda, Tetsuo Yamamoto, Susumu Yasumasu1968 Volume 14 Issue 1 Pages 67-72
Published: March 20, 1968
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe authors used 5% Epontol, a short-acting intravenous anesthetic agent, on 37 cases which were as follows, 15 cases of esophagoscopya nd bronchoscop3210, cases of painful postoperative treatment and 2 cases of reposition of nasal bone fracture. The 2 cases of endoscopy, we could not examine for periodic apnoea and pharyngeal reflex. All painful postoperative treatments (maxillectomy) vas able to be treated without pain.
This drug is especially effective for simple operative procedures and painful treatments for 3 to 7 minutes at the longest. To gain sufficiently the definite effect of anesthesia, it should be injected within 10 to 30 seconds.
The onset of Epontol induced anesthesia was showed by hyperventilation and soon after be followed by a phase of apnoea or hypoventilation, but normal respiration was returned after a few minutes. The blood pressure was decreased after the injection, while the pulse rate was increased, but are returned to normal rate in the following minutes.
After 20 to 30 minutes, patients were free of subjective disturbance and deficiency of psychological function.
The clinical complications as vomiting, visual and respiratory disturbance were rare.View full abstractDownload PDF (641K)
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