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15 巻, 2 号
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桧 学1969 年 15 巻 2 号 p. 75-92
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーUsing newly devised equilibrium tests, i. e., equilibrium test with adrenalin loading and that with anodic low frequency pulse stimulation of the neck, vertigo cases following lesions of the head and the neck were examined, and the following results were observed. The majority of these vertigo cases showed appearance or intensification of disequilibrium as results of adrenalin loading and of low frequency pulse stimulation. From these facts, we pointed out that in the background of vertigo following lesions of the head and the neck there often exist disturbances of the brain stem as well as abnormal excitability of the nuchal soft tissues. As to mechanism of vertigo in these cases, our opinion is that abnormal centripetal impulses arising from the injured cervical soft tissues would possibly hit the brain stem so as to make latent dysfunction of this brain manifest. Thus notable ataxia of the eye and the body could be produced, which, of course, leads to vertigo in the cases at hand. This consideration can be supported by our previous investigation that in an electroencephalographic study using rabbits, functional disorders of the cervical soft tissues can produce functional disturbances of the brain stem reticular formation.
Therefore, treatment for this kind of vertigo should be directed to recovery of normal function both (i) in the cervical region and (ii) in the brain stem. Among reasonable methods of the first type there were cathodic low frequency pulse stimulation of the neck, procaine injection into sore points of the cervical soft tissues and fixation of the neck with a collar. In an early stage following cervical lesions, cervical traction should be avoided. Among methods of the second type administration of Centrophenoxine as well as C. D. P.-choline was a hopeful one according to our clinical experience.
The results of the above-described two types of equilibrium tests and subjective sensation of vertigo showed a fairly close parallelism between each other through the course of the treatment. Thus these two methods of examinations are, I think, quite effective not only in diagnosis of vertigo following lesions of the head and the neck, but also in observing clinical course of vertigo objectively.抄録全体を表示PDF形式でダウンロード (2474K) -
久保 陸一, 曲田 公光, 鹿島 直子, 大野 政一, 遠城寺 宗知, 井川 睦章1969 年 15 巻 2 号 p. 93-99
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーTwo cases of pseudosarcomatous carcinoma of the larynx are presented. The lesions are polypoid in one and sessile in the other. The tumors microscopically manifest sarcoma-like areas with squamous cell carcinoma, the sarcoma-like component being apparently infiltrative spindled squamous cell carcinoma. The neoplastic spindle cells do not appear to be truly anaplastic, but represent loss of cohesiveness of the basal or prickle cell layer of the squamous cell carcinoma which is usually superficial or occupies a small portion of the tumor. A marked proliferation of granulation tissue is also associated with the infiltrating spindle cell carcinoma.<BE>The origin and relationship of the two types of tissue, the sarcoma-ike and the squamous cell, in this lesion have not been clearly established. However, the findings in the present cases support the view that the lesion represents a unique variety of squamous cell carcinoma.
Clinically, it is generally agreed that the tumors do not metastasize and afford the more favorable outlook than ordinary squamous cell carcinoma of the larynx. If one is aware enough of this tumor, more conservative treatments may be applicable to it under certain circumstances.抄録全体を表示PDF形式でダウンロード (1826K) -
豊住 頼一, 高瀬 晴朗1969 年 15 巻 2 号 p. 100-112
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーExcised larynges of men, monkeys, dogs, cats, horses, cows, sheep, goats, pigs and rabbits were studied from an aspect of comparative anatomy.
The morphological structure was related to phonatory f unction.
It seems reasonable to conclude that the larynx evolutional from phonatory point of view should cover the following conditions:
1. The vocalis muscles are developed strongly,
2. The arytenoid cartilages are small,
3. The vocal cords are inclined backwards,
4. The angle between the alae of the thyroid cartilage is obtuse, and
5. The vocal cords are pliable.
Among the animals investigated, man, monkey and dog have the most developed larynges, whereas pig and rabbit have the poorest developed Larynges.抄録全体を表示PDF形式でダウンロード (17307K) -
調 賢哉1969 年 15 巻 2 号 p. 113-117
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーDer Verfasser hatte neulich eine Gelegenheit, eine 70 jährige Frau mit Schluckbeschwerde und Gehstörung zu behandeln. Diese Symptome, die das Wallenbergsche Syndrom erinnerten, schienen durch die Thrombose der A. cerebelli post. inf. verursacht zu sein. Der Verfasser konnte die Patientin durch das Verabreichen von Vitaminen (B1, B6, u. B12) und zirkulationsbefördernden Mitteln (Capilan, Hexanicit, Kallikrein usw.) nach 3 Monaten fast zur vollkommenen Heilung bringen. Es wird vom Standpunkt des Hals-Nasen-Ohrenarztes über dieses Syndrom diskutiert. Der Verfasser betont auch, daß Hals-Nasen-Ohrenärzte zureichende Kenntnisse daüTiber haben sollen, da Patienten mit diesem Syndrom außer Schluckbeschwerde über den Schwindel klagen können.抄録全体を表示PDF形式でダウンロード (594K) -
黒木 康二1969 年 15 巻 2 号 p. 118-120
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーA lady, who had developed hearing impairment suddenly, presented a shocklike symptom associated with complete deafness, when a stellate block was given. A careful study of life history and following observations revealed that the hearing disorder was one of hysterical basis.抄録全体を表示PDF形式でダウンロード (371K) -
田尻 稔1969 年 15 巻 2 号 p. 121-126
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーIbunac was administered for the purpose of examining the effects to the diseases in oto-rhino-pharyngo-laryngology, especially to inflammatory pains.
1. In tonsillitis, there was reduction of 0. 9 (actually for 1 day) in the exponent for pain disappearance and 1.3 days' reduction in the duration of a treatment by the administration of Ibunac for 2 days.
2. In acute and chronic otitis media, there was 0.5 days' reduction (actually for about 0.5 days) in the exponent for pain disappearance but there was almost no change with respect to the duration of a treatment by the administration for 1.3 days on an average.
3. In ear-and nose-ache, there was reduction of 0.7 (actually for a little less than one day) in the exponent for pain disappearance and 1. 7 days' reduction in the duration of a treatment by the administration for 2.0 days on an average.
4. As this medicine was administered to the patients with pains in particular as mentioned above, and the administration of Ibunac was discontinued after 1.3 to 2.0 days.
This medicine has also a remarkable antifebrile function (No.38 & 42), therefore it may furthermore be possible to reduce a total duration of a treatment by 3 to 5 days' administration.
5. No side effect was observed at all.抄録全体を表示PDF形式でダウンロード (510K) -
松下 英明1969 年 15 巻 2 号 p. 127-142
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーThe mechanism of vocal cord vibration was investigated with excised larynges of men and dogs. High speed motion pictures of the vibrating vocal cord were taken not only from the above, but also from the side and the below. Careful observation and frame-by-frame analysis of the pictures led to the following conclusions:
1. The vocal cord, which has been set in paramedian position, begins to vibrate with an outward movement. This suggests that the roll of Bernoulli effect is not important to the vocal cord vibration.
2. Prior to the onset of vibration, the vocal cord and mucosa of the subglottic space are pushed upwards and outwards by an increasing subglottic pressure. There develops a mucosal ridge between the vocal cord and the subglottic space. The ridge does not vibrate noticeably. Movement of the subglottic mucosa appears not essential to the vocal cord vibration. It is the portion upper to the mucosal ridge where wave-like movements of the mucosa occurs
3. The vocal cord vibration is no other than periodic repetitions of wavelike movements of the glottal mucosa. A given point on the mucosa presents three-dimensional elliptic motion during vibration of the vocal cord.
4. There are differences in phase of movement between the upper and lower portion of the vibrating vocal cord.抄録全体を表示PDF形式でダウンロード (21815K) -
立木 孝, 村井 和夫, 村井 盛子1969 年 15 巻 2 号 p. 143-147
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーBilaterality of the chronic otitis media was studied on 353 patients sufferd from this disease.
Main conclusions were as follows.
1) Of 353 cases with chronic otitis media, 220 were unilateral and 133 bilateral. Eighty cases showed symmetrical audiogram.
2) Several findings were discussed on the cases operated bilaterality. Correlations were found on the shape and the site of ear drum perforation, the audiogram and the average hearing level between both ears of the case.
3) Based upon the above mentioned findings, it was concluded that the individual disposition may play some role in the occurence and progression of this disease.抄録全体を表示PDF形式でダウンロード (574K) -
野村 和, 萩尾 良介, 末吉 楠雄1969 年 15 巻 2 号 p. 148-153
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーLymph flow of the neck was studied in seventy preoperative and fifty-three postoperative cases of radical neck dissection. Movement of radio isotope 198Au injected in the soft palate or the retroauricular region was investigated on scintigram. The results are summarized as follows:
1. In one preoperative case 198Au moved into the contralateral lymphatic system.
2. In forty-four of postoperative cases 198Au injected in the soft palate was traced. The radio isotope moved into the contralateral lymphatic system in ten (twenty-two percent) of the cases. The movement of 198Au into the normal side was found more often in cases of “total neck dissection” than in those of “conservative neck disse ction”.3. Six of the forty-four patients presented lymphatic flow into the ipsilateral nuchal or supraclavicular region.
This never happened in the preoperative cases.
4. The 198Au injected in the retroauricular region did not flow into the lymphatic system on the other side even in the postoperative cases.抄録全体を表示PDF形式でダウンロード (588K) -
河田 政一, 曽田 豊二, 森満 保, 松村 祐二郎, 武末 正義, 本村 一彦, 山田 篤伸, 前田 辰夫, 松岡 順之介, 武田 晃一, ...1969 年 15 巻 2 号 p. 154-167
発行日: 1969/06/20
公開日: 2013/05/10
ジャーナル フリーSix cases of the cervical esophageal carcinoma were treated with bleomycin. The drug was effective even for the advanced cancer. Excluding two cases, four of them are going on well.
By administration of bleomycin, the remarkable degeneration and necrosis of the tumor cells were microscopically observed. When the drug was applied during radiation therapy, most cancer cells were destroyed.
The combined use of 60Co 3000 rads and bleomycin was thought to be more effective than irradiation of 60Co 6000-7000 rads. In other words, when bleomycin was used during radiation, it seemed to act multiplicatively on the tumor cells. Based on the histological changes of the tumor cells, some cases of the cervical esophageal carcinoma might be cured by the adequate combined treatment of bleomycin 200-300 mg and irradiation of 60Co 4000-5000 rads in tumor dose.
Direct injections of bleomycin to the primary tumor or to the metastatic neck tumor through the skin were significantly effective.
No favorable result was obtained in the case whom bleomycin was given after radiation therapy.
Administration of bleomycin produced the ill effects such as fever, anorexia and pigmentation of the skin, but these were not so severe. Even in the cases which were treated with the combined method of bleomycin and irradiation, no leukopenia occurred.抄録全体を表示PDF形式でダウンロード (8330K)
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