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Volume 17 (1971)
- Issue 4 Pages 229-
- Issue 3 Pages 155-
- Issue 2 Pages 89-
- Issue 1 Pages 1-
Volume 17, Issue 1
Displaying 1-15 of 15 articles from this issue
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Ikuichiro HIROTO1971 Volume 17 Issue 1 Pages 1-5
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSBoth the vocal fold and the tympanic membrane are forced to vibrate on high speed during phonation and sound stimulation. The circulation in these structures was studied in comparison with their vibration.
Three experiments were carried out in the vibrating vocal fold.
1) An arterial or venous vessel graft was inserted into the vocal fold just beneath the mucous membrane in the excised canine larynx. The larynx was blown up after the vocal folds were fixed at the paramedian position. The inserted vessel graft was irrigated with water from its end. The fluid flow was markedly decreased during vibration of the vocal folds.
2) A Gelatin-India-Ink solution was perfused through the laryngeal vessels and the capillary vessels in the mucous membrane were stained. This procedure was done during the vibration of the vocal folds in one case, and was done in the other cases when they were not vibrated. In the former larynx, the mucous membrane was less stained than in the latter.
3) The same experiment as 1) was done, using the vessel graft with a small hole in the wall. When the vocal fold was not vibrated, the fluid flowed through the vessel without leakage; however, when the vibration began, the fluid leaked out in a moment from the small hole and the vocal fold became extremely edematous.
Two experiments were done on the vibrating tympanic membrane.
4) The blood vessels of the tympanic membrane of guinea pigs were stained with Benzidine solution after it was momentarily frozen with liquid nitrogen during sound stimulation. All the vessels were stained in the tympanic membrane frozen under quiet circumstances; however, the vessels were not observed first in the intermediate zone of the tympanic membrane and then in the peripheral zone with increasing sound intensity.
5) The blood volume of the tympanic membrane was measured by counting radioactivity of radioiodinated serum albumin which had been injected prior to sound stimulation. The blood volume of ca. 2000×10-6ml measured under quiet circumstances decreased less than one tenth during sound stimulation with a pure tone of 500Hz, 70 phon.
These experiments revealed the blood volume of the vocal fold and the tympanic membrane extremely decreases during vibration. It must be useful in the clarification of the pathology of these vibratory organs.View full abstractDownload PDF (5721K) -
Michinari OKAMOTO1971 Volume 17 Issue 1 Pages 6-13
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe nose locates in the center of the face. Therefore, it is apt to be injured with cellision and bruise. The nasal bone is easily fractured by a weak external force. Fractures of the nasal bone have many variations according to strength and direction of the external force. Although a simple fracture can be easily reposited by lifting, the fixation is complicated. There is a simple fracture which can be completely fixed with only tamponade in the nasal cavity. In complex cases, however, the fixation is made using button sutures or Kirschner's wire sutures from the external nose. When the nasal bone and the processus frontalis of the maxilla were fractured and displaced, it is necessary to reduce surgically from the nostril or per maxillar sinus and to fix each edge of the fractured bones. Facial trauma should be immediately operated. Fractures of the face are complex, although they often show very simple symptoms. The direction and displacement of fructures should be recognized with X-ray examination before the operation.View full abstractDownload PDF (13615K) -
Shigenobu MIHASHI, Akinori ICHIKAWA, Hiroyoshi KUROKAWA1971 Volume 17 Issue 1 Pages 14-18
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe purpose of the present experiment is to determine the speed of intra-arterial infusion adequate to rapid increase in local 5-Fu concentration up to the effectively high level and its maintenance. 5-Fu was administered to eighteen dogs either intra-arterialy or intra-venously at various infusion speeds (20mg/kg/one shot, 25 minutes, 60 minutes and 90 minutes). The 5-Fu concentration in the lingual tissue, cervical lymph and femoral venous blood was measured by a modified plate diffusion method (Higuchi's technique). The following results were obtained.
1) The 5-Fu concentration in the lingual tissue showed higher values when the drug was administered by intra-arterial infusion than by intra-venous. The local concentration showed higher value with the 25 minutes intra-arterial infusion than with the 60 and 90 minutes infusions. In the latter two infusions, the reduction of the 5-Fu concentration to the intra-venous level occurred rather rapidly after the infusion. On the other hand, with the 25 minutes infusion, a local concentration level was kept higher than intra-venous level for at least one hour. In the one shot infusion, the concentration decreased rapidly to the intra-venous level. On the basis of these findings, it seems to be desirable to infuse intra-arterialy 5-Fu solution for 30 minutes following irradiation when 5-Fu is applied as a radiosensitizer in the combined therapy with radiation.
2) Another interesting finding was that the 5-Fu concentration in cervical lymph was markedly higher after the intra-arterial infusion than after the intra-venous application. Because the drug is easily transferred to local lymph after the intra-arterial infusion, one may expect that the intra-arterial infusion is an effective treatment or preventive procedure of lymphatic metastasis.View full abstractDownload PDF (628K) -
Yutaka YOSHIMOTO1971 Volume 17 Issue 1 Pages 19-24
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSThe author regarded “positional vertigo of benign paroxysmal type”(Dix and HALLPIKE, 1952) as a single independent clinical entity. Strict criteria for the diagnosis of this disease were proposed eliminating the ambiguity in the diagnosis. Current problems, on positional vertigo of benign paroxysmal type were also discussed. It was proposed the diagnosis of positional vertigo of benign paroxysmal type could only be adequately made when following five conditions were confirmed. They are (1) paroxysmal postural vertiginous attack,(2) the attack not associated with auditory symptoms including impaired hearing, tinnitus and fullness,(3) rotatory nystagmus,(4) neither neural symptoms nor central disorders related to vertigo, and (5) no other causative disease directly related to vertigo. Only for the case which satisfies the above five conditions, definite diagnosis of positional vertigo of benign paroxysmal type should be made.View full abstractDownload PDF (1010K) -
Shigeaki SHIRABE1971 Volume 17 Issue 1 Pages 25-31
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSBei den Pat., die Universitäts HNO-Klinik wegen Schwindelgefühl aufsuchten, zeigte sich, dass in nicht wenig eine Beziehung zu Lärm and akustischem Trauma nachgewiesen werden konnte. Diese Pat. klagten nicht über Drehschwindel, and sondern über Schwankschwindel, und meistens zeigten sich Otolithenstörungen. Jetzt haben wir bei der Prüfung der Labyrinthreaktion beim Meerschweinchen nach Reintonbeschallung von 130Hz den experimentellen Nystagmus durch nystagmographische Ableitung beobachtet. Beschallung führt zu einer Verminderung der Reaktionsstärke bei der Drehprüfung. Die meisten Tiere hatten einen deutlichen optokinetischen Nystagmus and nach einer Beschallung zeigten sich fast keine Beeinflussung.
Ototoxizität der Streptomycin ist klinisch and experimentell durch vielen Autoren beschrieben worden. Das charakterische Bild der Streptomycinschäden vestibulären Sinneszellen wurde bekannt. Streptomycinsulfat bekamen 13 Tiere intramuskulär injiziert. Mit steigender Streptomycindosis ging' die vestibuläre Erregbarkeit zurück. Deutlich liessen Schlagzahl and Dauer des postrotatorischen Nystagmus nach. Trotzdem war eine Ataxie oder eine stärkere Beeinträchtigung des Hörvermögens (Preyer's Reflex) nicht erkennbar. Nach 10 tägiger Medikation war die Reaktion, gemessen an der Schlagzahl and Gesamtamplitude des optokinetischen Nystagmus schwächer, um aber nach 25 tägiger Behandlung die Ausgangswerte wieder erreicht zu haben oder diese sogar zu überschreiten. Daraus ist zu schliessen, dass die Untererregbarkeit des beiderseitigen Vestibularapparates auf den optokinetischen Nystagmus and die Amplitude des rotatorischen Nystagmus nicht hem mend wirkt.View full abstractDownload PDF (5613K) -
Ryuichi KUBO, Shigeru TAKAKI, Sukehisa ITO1971 Volume 17 Issue 1 Pages 32-34
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSIm folgenden handelt es sich um den Fall einer Pendeltonsille einer 36 jährigen Frau Die pendelartige Nebentonsille war aus dem Oberpol der linken Tonsille entstanden, deren GröBe 1.8×1.5×1.3cm war. Die Länge des Stiels betrug 0.6cm and der Umfang desselben war 1.3cm. In der Mitte der Nebentonsille befand sich eine groBe Lakune, die mit einem Eiterpfropf gefüllt worden war. Histologisch war die Nebentonsille mit der Muttertonsille ganz identisch. Ihre Lymphfollikel and Keimzentren waren aber im Vergleich zu denen Muttertonsille kleiner and weniger an Zahl. AuBerdem war ihre Gestalt unvollkommen. Dagegen war die Bindegewebswucherung der Nebentonsille weiter ausgebildet als die der Muttertonsille.View full abstractDownload PDF (5298K) -
Fumiro SUGA, Hiroshi WATANABE1971 Volume 17 Issue 1 Pages 35-39
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSChronic tonsillitis and benign tumors of the tongue were treated with a Keeler's ENT Cryosurgical Unit utilizing compressed N2O gas. Papilloma and hemangioma in the dorsum of the tongue were frozen in each two cases. The tumors almost disappeared after few months without restriction in movement of the tongue. Four adults with chronic tonsillitis were also treated with cryogenic surgery. Two of them were suffered from purpura and rheumatic heart disease. There was no severe difficulty in oral feeding following the cryosurgery, although a marked edema occurred in the soft palate. The tonsil became atrophic, but some remnants were observed. The hypertrophic tonsil was not indication of the cryosurgery. Cryogenic effects appeared to be limited in the deep tissues. Biopsies after several days of the cryosurgery revealed granulative tissues with hyaline degeneration and fibrin thrombosis.View full abstractDownload PDF (8576K) -
Koichi YASUDA, Yusuke IKEDA, Kentaro INOUE1971 Volume 17 Issue 1 Pages 40-43
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA newborn with a goose egg sized tumor in the left neck was often led into a cyanosis. A puncture of the tumor was done, and 10ml gas and 1ml yellow fluid were obtained. As the puncture was repeated, the gas percentage decreased and the fluid percentage increased. But, in the next day of the puncture, the tumor returned to the former size. An incision was made after several times of the puncture. At that time, we recognized the tumor was composed of two or more cysts. Escherichia coli (E. coli) were cultivated from the fluid of the first puncture, and B. pyocyaneus changed the place. The newborn had pus in the lacuna of the palatine tonsil. A cystic hygroma was the most suspective neck tumor which was very large and multilocular. The cyst appeared to have an intercouse with the palatine tonsil and to be infected with E. coli. The E. coli may resolve carbohydrate to gas. E. coli were replaced by B. pyocyaneus and the bacteria were eradicated by Gentamicin. The wall of the cyst adhered and the tumor disappeared.View full abstractDownload PDF (1546K) -
Hajime ARAMAKI, Teruo KOBAYASHI, Kiwako KOBAYASHI, Hisako KANEKO, Yasu ...1971 Volume 17 Issue 1 Pages 44-46
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSA foreign body in the thoracic esophagus of a 59-year-old male was removed with a specially designed esophagoscope. This instrument consisted of a Jackson's esophagoscope (0.9×45cm) and a cuff for an intratracheal tube. The esophagoscope was sheathed with a cuff at the tip. It was introduced near the swallowed artificial teeth under general anesthesia with full relaxation of muscles. The cuff was ballooned to enlarge the esophageal lumen and make the edge of the teeth free from the wall. Thus, the large swallowed teeth was removed without giving an external incision.View full abstractDownload PDF (6058K) -
Ayao WADA, Masuyuki MIYAO1971 Volume 17 Issue 1 Pages 47-50
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSTwo cases of acute maxillary osteomylitis in the infant were described. Both infants were born in the same hospital at the same time. Bacteriological examinations revealed staphylococcus aureus infection. The infection was probably derived from either cracked nipples in the mother, or infected fingers of the accoucheur and midwife, or Nelaton's catheters or gauzes used after the birth. One of them was accompanied by severe staphylococcal pneumonia. An immediate operation should be made before administration of antibiotics.View full abstractDownload PDF (5397K) -
Takeo SATO, Shunichi SAKAI, Hiroshi IKEDA1971 Volume 17 Issue 1 Pages 51-57
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAmong 1319 patients of cancers of the larynx, hypopharynx and paranasal sinuses, 63 double carcinoma were treated. Thirty-six of 692 patients (5.2%) of laryngeal cancer, 18 of 169 patients (10.5%) of hypopharyngeal cancer and 9 of 458 patients (1.9%) of maxillary cancer were double cancer. Patients who have carcinoma in the hypopharyngeal region have a high risk developing to cancer of the digestive system where dysplastic changes occur in the epithelial region. A possibility of multifocal field-carcinogenesis was discussed in patients of hypopharyngeal cancer.View full abstractDownload PDF (885K) -
[in Japanese]1971 Volume 17 Issue 1 Pages 58-61
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESS -
Shun'ichi SAKAI1971 Volume 17 Issue 1 Pages 62-68
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSConcerning recent studies on head and neck tumors, the following articles which were offered from cancer clinics in Japan were reported.
1. Maxillary cancer
(1) Irradiation with Co60 gamma-ray or supervoltage X-ray as the first choice of treatments.(2) Trial of irradiation with the supervoltage X-ray in the hyperbaric oxygen tank.(3) Irradiation with the intraarterial infusion technique of various radiosensitizer.(4) Irradiation with the intraarterial infusion of 5-FU and BUdR with special reference to the therapeutic allotment.(5) En bloc resection after irradiation or chemotherapy.(6) Surgery for base of the skull and the dura mater.(7) Plastic surgery for facial skin defect after maxillectomy.(8) Prothesis technique for deformation of the face after the maxillectomy.
2. Tongue cancer
(1) Ra-needle implant technique for early cancer.(2) Electron beam irradiation.(3) Combination of percutaneous and interstitial irradiations.
3. Laryngeal cancer
(1) Partial resection and its indication.(2) Radiotherapy and its indication.(3) Rehabilitation of the laryngectomized patient.
4. Hypopharyngeal cancer
(1) Comparison of the value of irradiation with that of surgery.(2) Primary or secondary reconstruction of the esophagus using anterior part of the larynx, delto-pectoral skin flap and colon transplantation.
5. Metastasis to the cervical lymphatic node.
(1) Radical neck dissection as the leading part of treatments.(2) Bilateral functional neck dissection leaving the jugular vein and the accessory nerve.(3) Special irradiation technique with massive doses.
6. Chemotherapy
(1) Various administrations of the cytostatic with references to the effect and the side effect.(2) Results of the treatment with Bleomycin and PC-B-45.(3) Comments concerning the side effect, treatments for the advanced case and prophylactic effects for metastases.
In progress of the therapeutic methods for head and neck cancers, the most characteristic thing was an establishment of the cooperation between radiotherapists and surgeons.View full abstractDownload PDF (1046K) -
[in Japanese]1971 Volume 17 Issue 1 Pages 69-74
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSDownload PDF (5180K) -
Yukiaki NISHIDA, Yusuke IKEDA, Koichi YASUDA1971 Volume 17 Issue 1 Pages 78-88
Published: 1971
Released on J-STAGE: May 10, 2013
JOURNAL FREE ACCESSAvailabilities of a new antibiotics “rifampicin” for infectious diseases of the upper respiratory tract was examined by a double blind method. The drug was administered by mouth with a dose of 600mg per day. The effect was compared with that of cephalexin, 1000mg per day, which was recognized as an excellent antibiotics. The effect of the drugs was evaluated from changes of pain, feeling of fullness in the throat, cough, hoarseness, local findings and body temperatures. There was no significant difference between their effects in every aspect. It was concluded that rifampicin was effective for infectious diseases of the upper respiratory tract.View full abstractDownload PDF (1233K)
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