耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
14 巻, 3 号
選択された号の論文の12件中1~12を表示しています
  • 渡辺 勇, 岡本 保茂, 奈良林 繁
    1968 年 14 巻 3 号 p. 141-152
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    In order to study the influence of hormonal function upon the onset and course of Ménière's syndrome, the authors made observations on 22 cases, before, during and after the pregnancy and obtained the following results.
    1. Concerning the typical or true Ménières disease, a marked improvement or disappearance of vertiginous attacks was usually observed during the course of pregnancy. In some cases the attacks reappeared just after delivery, while in other cases the time of recurrence was several months or years after delivery.
    2. In two cases the hearing acuities were severely damaged just before the deliveries. One case showed bilateral deafness prior to pregnancy and the other case had suffered from unilateral inner ear deafness of sudden onset from several years prior and this time the opposite inner ear was suddenly affected. Both cases suffered from severe emesis during the course of pregnancy.
    3. There were five cases in which the syndrome appeared for the first time during the course of pregnancy. They didn't have the typical clinical figures of Ménière's disease and recurrences after delivery were rather rare.
    4. There were no difficult deliveries.
    5. According to the results of these observations, the authors discussed the mechanism of hormonal influences upon the inner ear and also the possibility of hormonal therapy of Ménières syndrome.
  • 久保 隆一, 松村 益美, 曲田 公光, 大野 政一
    1968 年 14 巻 3 号 p. 153-159
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Dank der Entdeckung und der Verbesserung der Antibiotika trifft man heutzutage nur selten Fälle von otogenen intrakraniellen Komplikationen an, wenn sie auch nicht ausgeschlossen sind. Vor kurzem haben wir Verfasser einen Fall angetroffen, der von seinem klinischen Verlauf die Diagnose auf Hirnabszess stellen ließ.
    Die 14 Fälle, einschließlich dieses Patienten, der otogenen intrakraniellen Komplikationen wurde im Zeitraum vom April 1956 bis März 1966 in der Universitätsklinik behandelt. Sie bestanden aus 3 Fällen von Sinusthrombose, 6 Fällen von Leptomeningitis, 3 Fällen von Leptomeningitis mit Hirnabszess, einem Fall von Extraduralabszess mit Leptomeningitis und einem Fall von Leptomeningitis mit Hirnabszess und Sinusthrombose.
    Alle Patienten waren schon von anderen Ärzten erfolglos behandelt und sind dann schlieBlich der Universitätsklinik vorgestellt worden. Außer 3 Fällen konnten alle anderen gerettet werden.
  • 曽田 豊二, 武末 正義, 松村 祐二郎
    1968 年 14 巻 3 号 p. 160-166
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Sixteen patients of the head and neck malignancies in our ENT Clinic of Kyushu University Hospital were treated with bleomycin and the adequate results for nine patients in this series were obtained. In general, the combined treatment of irradiation and bleomycin is more effective on the tumor than bleomycin alone. In some cases, local injections of bleomycin directly into the tumor tissue made the most cancer cells degenerated and remarkably destroyed. Administration of bleomycin produced temporarily slight fever and poor appetite, however, it was almost harmless for patients on condition within 250mg of bleomycin. Even when combined irradiation and bleomycin, the leukocyt ecount in the circulating blood was not decreased. Bleomycin has proved to be useful agent especially in the treatment of squamous cell carcinoma of the head and neck.
  • 垂直および水平成分の対比
    調 重昭, 徳永 修, 安田 宏一
    1968 年 14 巻 3 号 p. 167-173
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    The vertical and horizontal optokinetic nystagmus in human subjects were compared with their occurence. The tests were performed in 20 normal subjects and 28 cases suffered from vertigo and ataxia using the rotary drum of Bárnáy's type. The optic drum was worked electrically with three constant speeds of 16, 33 and 45 rotations per minute. The optic elicit nystagmus were investigated by electronystagmographic recording and their abnormalities were discussed. Frequency and total amplitude of nystagmus in each component for 10 seconds were employed as the indications of optokinetic reaction.
    The results were as follows:
    1) The vertical nystagmus appeared favorably and its occurence was comparable in number as well as amplitude to that of the horizontal nystagmus. Generally in vertical component the intensity of the up-beating nystagmus become stronger than low-beating one.
    2) In the cases of labyrinthine disorders including Ménière's disease, the value of optokinetic nystagmus test for clinical diagnostic purpose were little.
    3) Almost cases of lesions of central nervous system showed the disturbance on occurence of vertical nystagmus, and some cases showed DP-phenomenon or reduced reaction only in vertical component. Our vertical nystagmus test by Bárány's method is one of the important clinical test of vertigo and disturbance of equilibrium.
  • 土田 武正, 深江 健治, 遠山 健也
    1968 年 14 巻 3 号 p. 174-180
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Four cases of the tortuosity of the internal carotid artery experienced for the last seven years were reported.
    Arteriogram of the carotid artery of two cases revealed both of the right internal carotid artery weaved their ways on the frontal plane. On the other two cases having bilateral tortuosity, arteriography was not carried out.
    Authors' opinion about the etiology of this tortuosity is as follows; being accompanied by hypertension, senile alteration of blood vessel, senile atrophy of submucous and perivascular connective tissue or fatty tissue, congenital anomalous course of internal carotid artery becomes to be obvious in pharyngeal area.
  • 和田 秀一, 槻 陽一郎, 日比 正也
    1968 年 14 巻 3 号 p. 181-184
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    A rare case of plasmacytoma in the maxillary sinus is reported. A sixtyseven year old man complained of the swelling of his hard palate, which gradually increased about three months till his right cheek also began to swell. The X-ray examination revealed the destruction of the floor and lateral wall of the right maxillary sinus. Histologically the biopsy of the maxillary sinus proved to be plasmacytoma. In maxillectomy, the sinus was found to be filled with tumor, which was removed completely. No metastasis was present. Postoperatively, telecobalt irradiation was performed, with no sign of recurrence noted.
  • 朔 義一, 城崎 拓郎, 稲光 信二
    1968 年 14 巻 3 号 p. 185-191
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    A 8 year-old girl suffering from the recurrent occurrences of respiratory infections and the persistent bilateral otitis media was presented.
    Following the immunological examinations, she was found the “Antibody deficiency syndrome” and then the bilateral radical mastoidectomy was performed.
    After the left radical mastoidectomy, though she had gotten very well as far as left ear concerned, her pulmonary and meningeal signs had still exacerbated repeatedly.
    So, the right radical mastoidectomy was designed and performed.
    Her bilateral ear discharge and pulmonary and meningeal signs improved conspicuously.
    It was emphasized that the suitable surgical procedure for the chronic focus of infection was necessory as well as the antibiotics and the γ-globulin injection for the treatment of the “Antibody deficiency syndrome”.
  • 佐伯 宮彦, 上埜 光紀, 佐藤 維也
    1968 年 14 巻 3 号 p. 192-195
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Observations were made on the effects of the drug in the treatments of otorhinolaryngological disease; otofuruncle, acute otitis media, acute or chronic pharyngolaryngitis and sinuitis etc.
    The results obtained were as follows; 18 of 22 cases were effective and 4 were non-effective. The main effect of this drug was seemed to be analgetic for the acute inflammatory process.
  • 江川 俊治, 上村 良彦
    1968 年 14 巻 3 号 p. 196-198
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Bei einem 3jährigen Buben hat ein Stuck eines Bleistiftes beim Spiel zufallig vom Munde aus die rechte Nasenhöhle durchgestochen. Der Bub wurde zur Universitatsklinik gebracht. Bei der Untersuchung stellten wir Verfasser eine 0.8cm lange Stichwunde oberhalb des rechten oberen lateralen Schneidezahnes fest. Der Fremdkorper steckte sich in der rechten Nasenhohle fest und fullte sie aus.
    In allgemeiner Narkose wurde der Fremdkorper vom Munde aus leicht entfernt, indem man die Stichwunde ein biBchen vergrößerte und dann das untere Ende des Bleistiftes mit einer Zange fasste und nach unten herauszog. Der Fremdkorper war 5.4cm lang und hatte einen Durchmesser von 0.8cm.
  • スポンゼルの一利用法
    調 賢哉
    1968 年 14 巻 3 号 p. 199-200
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    In order to stop postoperative bleeding in polysinectomy or in radical mastoidectomy it is used to pack wounds with gauze tampons. Almost all patients, however, complain severe pain when tampons are removed. The author could succeed to alleviate the pain in covering the bony surface of the wound with “Spongel” and packing tampons on it. The bony surface may also be covered with several pieces of it just like stepping stones.
    By this procedure patients seldom complain of pain when tampons are removed.
  • 谷 一郎
    1968 年 14 巻 3 号 p. 201-206
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Twenty five subjects were treated who complained of vertigo. Fourteen of them suffered from Meniere's disease, two from paroxysmal auditovestibural disturbances, three from vertigo after middle-ear operation, two from sequela after head injury, and two from cerebral arterioscrelosis.
    They were treated with betahistine for two to twenty-six weeks. The effect of the drug is as follows; excellent 14 cases (56%), good 7 (28%), and ineffective 4 (16%).
    By this drug the vertigo caused by peripheral vestibular diseases got comparatively better. The patients almost ceased their complaints but they still kept most of the symptoms.
    Some of them suffered again from vertigo attack after taking placebo.
  • 松村 祐二郎, 坂本 守, 武末 正義, 野北 慶之助, 本村 一彦
    1968 年 14 巻 3 号 p. 207-215
    発行日: 1968/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    During these four years (1964-1967), the six cases of multiple primary malignant tumors were observed in the Department of Otorhinolaryngology, Kyushu University.
    These cases consisted of 1) 59 year-old male, carcinomas of the breast and the bottom of oral cavity, 2) 68 year-old male, carcinomas of the caecum and the maxilla, 3) 76 year-old male, the gastric and the laryngeal cancers, 4) 79 year-old male, cancers of the lower lip and the larynx, 5) 39 year-old male, the gastric carcinoma and reticulum cell sarcoma of the epipharynx and 6) 48 year-old female, carcinoma of the cervix and reticulum cell sarcoma of the epipharynx, and the diagnoses of malignancies in them were histologically confirmed.
    The incidence of the six cases of multiple primary malignancies corresponded to 1.4% of the 420 cases of malignant tumors in our clinic during the same period.
    In the three cases of them, the two primary malignant tumors were historically considered to have occurred independently almost at the same time. In the remaining three cases, the intervals between onset of the first malignancy and that of the second ranged from six months to three years.
    On the treatment of the patients with malignancy, the possibility of existence of the multiple primary malignant tumors should be always kept in minds for physicians.
    It should be especially remembered that the radiation therapy for the first malignancy has a tendency to cover the gastroenteric complaints originating in the second malignancy.
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