耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
17 巻, 3 号
選択された号の論文の15件中1~15を表示しています
  • 野村 恭也
    1971 年 17 巻 3 号 p. 155-159
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    Basic and clinical aspects of vidian neurectomy were mentioned by reviewing available medical literatures. Symptoms of chronic vasomotor rhinitis and allergic rhinitis are produced by cholinergic nerve stimulation. In the latter case, allergic reaction in the nasal mucous membrane could be a trigger which stimulates afferent fiber first and eventually the cholinergic efferent fiber to the nasal gland and vessels. Vidian neurectomy brings about a dramatic relief of symptoms in intractable cases of chronic vasomotor rhinitis as well as allergic rhinitis, as the nerve is the main route of cholinergic nerve fiber to the nose. A new transantral approach to the vidian nerve is described in details. Different from the conventional transantral approach, the new transantral subperiosteal vidian neu-rectomy does not require dissection of the content of the retroantral space. The canal is reached subperiosteally upward from the sphenomaxillary surface of the sphenoid. The vidian nerve is sectioned after electrocauterization within the canal. Therefore, the opera-tive procedure is less traumatic to the tissues in the retroantral space which contains the pterygopalatine ganglion and branches of the maxillary artery. No hazardous complica-tion has been encountered.
  • 熊沢 忠躬, 小島 通宏, 本田 啓二
    1971 年 17 巻 3 号 p. 160-163
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    It has already passed more than twenty years since tympanoplasty, originated by Wullstein and Milner in the middle of this century, was almost concurrently reported in Japan by Shuji Goto, Kazama, et al. During this period many basic studies have been made and operation methods have been developed to the present stage where about fifteen different kinds are reported. However, it is rather difficult to understand and master each of these methods, because they have their respective indications and lack an orderly relationship among them. Therefore, a systematic arrangement which includes every step of procedures, from the judgement of indication to the choice of operation methods, has been expected. From this reason we suggest a systematized procedure for tympanoplasty, as shown in Figure 2. If we follow this procedure, various methods of operation can be applied depending on the changes occurring during operation. Good results have been at-tained in our department.
  • 久保 隆一, 松村 益美, 大野 政一
    1971 年 17 巻 3 号 p. 164-167
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    Im Zeitraum vom April 1956 bis Dezember 1967 haben wir Verfasser 111 Fä lle des Kehlkopfkarzinomes behandelt, deren Prognose von uns ermittelt worden ist. Von diesen 111 Fä llen gibt es 15 Rü ckfä lle. Sechs Falle konnten wir durch Behandlung zur Heilung bringen, 9 sind aber daran gestorben. Durch klinische sowie histologische Untersuchungen der Rü ckfä lle ergaben sich folgende Tatsachen: (1) Es gibt einen kausalen Zusammenhang zwischen der Entstehung des Kehlkopfkarzinomes and dem Rauchen.(2) Die Todesf ä lle beim Rü ckfä ll werden hä ufiger in Fallen der fortgeschrittenen Krankheitsstadien festge- stellt.(3) Die Prognose bei Rü ckfä llen in der Kehlkopfgegend ist schlechter als die bei Halslymphknotenruckfallen. Die letzteren konnen durch Operation and Bestrahlung erfolgreich behandelt werden.(4) Bei Rü ckfä llen in der Kehlkopfgegend kann je nach der Art der Rü ckfä lle die Strahlentherapie zum Erfolg fü hren.
  • 武本 欣也, 設楽 哲也
    1971 年 17 巻 3 号 p. 168-174
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    A 21 year old female was injured in an automobile collision. She had a transient syncope at that time. Because of retrograde amnesia, she could not recall any injured sites except her buccal mucosa and bilateral knees. Thorough examination of the neck revealed no external sign of injury at that time. Approximately one month after the accident, she developed sudden dyspnea. Because of respiratory distress, an elective tracheotomy was performed. Direct laryngoscopy disclosed firm mass of granulation tissue in the glottic area. The larynx was explored by an external approach. Vertical fracture lines in both side of the thyroid alae were noted. It was noticed that the scar tissue was present between both vocal cords and almost obstructed the airway. By utilization of scar tissue, reconstruction of the glottis was done. A very satisfactory airway and voice were obtained. She was discharged on the fiftieth hospital day.
  • 荒牧 元, 荒牧 昌子, 窪 斐子, 安住 真理子, 山口 直弘, 岸 澄子
    1971 年 17 巻 3 号 p. 175-178
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    A case of rhabdomyosarcoma occurring in the wall of the retropharynx was observed in a male, 54 years of age. A case report and reviews of the literatures of such cases in Japan were made.
  • 山田 篤伸, 松村 祐二郎, 笠 誠一, 向野 興雄, 鳥居 浩, 村田 義治
    1971 年 17 巻 3 号 p. 179-184
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    Two cases of cervico-facial actinomycosis were reported. In the differential diagnosis of neck tumors, actinomycosis should be kept in mind. It is necessary for positive diagnosis to demonstrate sulfur granules in pus or granulation tissue. The patients were administered orally penicillin and potassium iodide. Tonsillectomies were also performed in both cases in order to remove the orgins of invasion of actinomyces bovis. These two patients have been in good health without recurrence more than one year after they left the hospital.
  • 黒川 博愛, 平野 実, 小池 祐一, 富田 春英, 広瀬 幸矢, 岡田 正直
    1971 年 17 巻 3 号 p. 185-188
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    The paper presents two cases of frontal pyocele caused by post-traumatic obstruction of the naso-frontal duct.
    Case 1. A twelve-year-old boy, who had suffered from a traffic accident, developed swelling of the frontal region, exophthalmus, motor disturbance of the eyeball and visual disturbance after an asymptomatic period of eight years. Frontal pyocele and obstruction of the naso-frontal duct were treated surgically with subsequent recovery of the eye function.
    Case 2. A thirty-three-year-old man, who had total maxillectomy for maxillary sarcoma, developed visual disturbance and exophthalmus after a good postoperative course of fifteen years. No sign of recurrence was found. A surgery revealed frontal pyocele with an obstruction of the naso-frontal duct. Visual function recoverd after the surgery.
  • 調 賢哉
    1971 年 17 巻 3 号 p. 189-192
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    Perforations of the tympanic membrane caused by scald seldom occur, as the tympanic membrane is situated in the deep portion of the auditory canal. A myringoplasty was performed to a 9-year-old boy with perforation of the tympanic membrane caused by scald, and his hearing recovered to normal level. The pertoration of the tympanic membrane caused by scald should be, if it is larger than one eighth of the entire tympanic membrane, closed by myringoplasty. In performing myringoplasty in such cases a wider bed for transplantation of the temporal fascia must be provided, as there is a tendency of cicatrization and undernourishment in consequence of scald.
  • 牧島 和見
    1971 年 17 巻 3 号 p. 193-195
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    The pocket ear (cryptotia) is often seen in Japanese and uncommon in European and American.
    Although various methods have been used correcting this deformity, the author has used a new surgical technique. The procedures are as follows: 1) An incision is made from the site of the anterior attachment of the helix posteriorly along the hair line to the retroauricular attachment. 2) After detaching upper portion of the auricle from the head, the auricle is fixed by sutures slightly projecting from the head. 3) Deformities of the cartilage are corrected by incisions. 4) The temporal skin is folded around the medial side of the auricle loosely. 5) The skin defect on the temporal and the auricle is covered separately by using two sheets of free full thickness skin graft.
  • 富田 英寿, 黒木 康二
    1971 年 17 巻 3 号 p. 196-199
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    Disturbances of movement of the jaw caused by the internal administration of tranquilizer (Novamin) were found in a 26-year-old male and a 15-year-old male who had a tympanoplasty six days ago. A suspicion of tetanus was initially entertained without considering the side effect of tranquilizer. Para-sympatholytic agents were effective in these cases.
  • 普通速度映画と高速度映画とより
    広戸 幾一郎
    1971 年 17 巻 3 号 p. 200-203
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
  • 馬場 駿吉
    1971 年 17 巻 3 号 p. 204-211
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    In this paper, recent advances of rhinology in Japan were reviewed. The following articles were demonstrated with special attention.
    1. Epidemiological studies on chronic paranasal sinusitis.
    2. Microbiological studies on chronic paranasal sinusitis.(a) Staphylococcus aureus (b) Gram negative bacilli (c) Anaerobes (d) Mycoplasma CO Virus.
    3. Histochemical observations on the mucous membrane of the nasal cavity and paranasal sinus.(a) Mucopolysaccharides (b) Vitamins.
    4. Anatomical studies on the mucous membrane of the nasal cavity and paranasal sinus.(a) Ultrastructure (b) Innervation of the autonomic nervous system.
    5. Physiological investigations in the nasal cavity and paranasal sinus.(a) Microcirculation of the nasal mucosa (b) Plasmin activity (c) Air flow and resistance of the nasal respiration.
    6. Chronic paranasal sinusitis and lower respiratory diseases.(a) Sinobronchitis (b) Abnomality of the general exocrine glands.
    7. Chronic paranasal sinusitis as focus infection.
    8. X-ray diagnosis in rhinology especially in modern techniques.(a) Evaluation of electrodensitometric sinograms (b) Modified sinograms (c) Panoramic radiography (d) Axial transverse tomography.
    9. Surgical treatments of chronic paranasal sinusitis.
    10. Olfactometry.(a) Routine tests (b) Objective tests.
    11. Nasal allergy.(a) Diagnosis and treatmets (b) Immunological studies (Ig E).
    12. Atrophic rhinitis. Immunological and epidemiological studies.
    13. Recostructive surgery in the nose and paranasal sinus injury.
  • 北村 武
    1971 年 17 巻 3 号 p. 212-216
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
  • 久保 隆一, 松村 益美, 伊東 祐久
    1971 年 17 巻 3 号 p. 217-221
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    Das Phencyclidin-Derivat (Ketamin) kann als Narkotikum ohne Intubation sicherer and einfacher bei Operationen oder bei endoskopischen Untersuchungen im Gebiet der Hals- Nasen- Ohrenheilkunde angewandt werden. Das Mittel wird intramuskulär 5-10mg/kg vor der Operation verabreicht. Zehn Minuten nach dem Verabreichen kann jede Operation durchgeführt werden. Wenn man die Operationsdauer verlängern will, so kann man je nach dem allgemeinen Zustand des Patienten, dem Alter oder der Operationsdauer durch das wiederholte Verabreichen des Mittels (die gleiche Dosis oder die Half te) den Zweck erreichen. Die Verfasser haben bei 15 Fallen von Mittelohroperationen (einschlieBlich der Tympanoplastik), bei 15 Fällen der endoskopischen Untersuchungen (einschlieBlich der Falle von Fremdkdrpern bei Kindern) dieses Mittel erfolgreich angewandt. Bei einem Fall der Nasennebenhdhlenoperation war aber die Blutung so stark, daB wir durch Transfusion das Blut ersetzen muBten. Bei einem anderen Fall muBten wir wegen des Kehlkopfspasmus unterwegs mit Intubationsnarkose die Operation fortsetzen. Die durchschnittliche Dosis des Mittels betrug bei Tympanoplastik 730 mg, bei Radikaloperationen des Mittelohres 470 mg and bei Endoskopien 65-200 mg. Es gab sonst keine bedrohlichen Komplikationen. Träume, die Übelkeit oder das Erbrechen als Nebenerscheinungen konnen durch die Pramedikation kontrolliert werden.
  • 織田 鹿之, 荒木 真澄
    1971 年 17 巻 3 号 p. 222-228
    発行日: 1971年
    公開日: 2013/05/10
    ジャーナル フリー
    The abnormal sensation of the pharyngolaryngeal region might be considered to depend on various factors which affect each other. A disorder of the autonomic nerve system may be the most important one. Hi-Z tablet (i-oryzanol), which seems to act on the hypothalamus, that is a center of internal endocritic sensation and of the autonomic nerve system, was found to be effective for the abnormal sensation of the pharyngolaryngeal region.
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