巻号一覧
17 巻 (1971)
- 4 号 p. 229-
- 3 号 p. 155-
- 2 号 p. 89-
- 1 号 p. 1-
17 巻, 4 号
選択された号の論文の14件中1～14を表示しています
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久保 隆一, 松村 益美, 大野 政一1971 年 17 巻 4 号 p. 229-233
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーDie Verfasser haben bisher 4 Fälle der gutartigen Rachengeschwülste C 1 Fall des Neurilemmomes, 1 Fäll des Ganglioneuromes und 2 Falle der Mischgeschwulst) behandelt und Ausführlichkeiten darüber schon veröffentlicht. Neulich haben sie auch je 1 Fall des Neurilemmomes, des Ganglioneuromes und der Mischgeschwulst des Mesopharynx behandelt. Also haben sie insgesammt 7 Fälle solcher Rachengeschwtilste erfahren.
Zur Diagnose solch eines mit der normalen Schleimhaut bedeckten und mit der bindegewebigen Htille eingekapselten Tumors, möchten die Verfasser betonen, daß zuerst die bindegewebige Kapsel des Tumors festgestellt und das Probestück dadurch entfernt wird, indem die bedeckende Schleimhaut 1 oder 2cm lang geschnitten und submukas zur Kapsel abgeldst wird.
Die Bestrahlung des Tumors als Malignom muß vermieden werden, bevor die Diagnose des Tumors pathohistologisch festgestellt wird. Die Exstirpation des Tumors kann vom Munde aus oder vom äußeren Hals aus verhältnismaßig leicht vorgenommen werden, wenn der Tumor vorher nicht bestrahlt worden ist. Wenn man vom außeren Halse aus auf den Tumor vorgeht, muß man darauf achten, die 10, 11. und 12. Hirnnerven nicht zu quetschen, da sie leicht gelähmt werden.抄録全体を表示PDF形式でダウンロード (5470K) -
松村 祐二郎, 本村 一彦, 徳永 修1971 年 17 巻 4 号 p. 234-240
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーCancer of the tongue (eighteen cases), cancer of the gum (three cases) and non-cancerous ulcer of the tongue (five cases) were clinicopathologically examined, and carcinogenesis and histogenesis were discussed. It was supposed that cancer of the tongue or gum in our series may be caused by caries and unadequate metal crown or denture. Especially, the troubles of the lower second premolar or the lower molars hurt the mucous membrane. Leukoplakias were observed in the seven patients among twenty-one patients of cancer. Precancerous lesions in the three patients who had non-cancerous ulcer of the tongue were found.抄録全体を表示PDF形式でダウンロード (7437K) -
Takeo SATO, Shigemitsu UTSUMI, Minoru ISHIDA1971 年 17 巻 4 号 p. 241-245
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリー全世界を通じて喉頭癌は女性に少なく男性の10%以下である. この事実は興味深く, 同一の形態と機能を持ちながら何故に発生頻度に差が起こるのかは全く不明のままであろ.
この論文は女性喉頭癌の臨床的特色について研究した結果を述べたものである.
1. 根治治療を行なつた695例の喉頭癌のうち, 女性は60例 (約9%) であつた.
2. 彼女らの生活環境は比較的貧しく, 主人とは生別, 死別している者が多く, このため老年でも働らかざるを得ない人が多かった. 学歴は97%が小学校卒程度であった.
3. 性格は男性的で多弁, 色黒, 92%はヘビースモーカーであつた.
4. 婦人科的には33%は不妊症の傾向を認め, 過去は子宮筋腫, 卵巣嚢腫などのため手術を受けた者が多かった.
5. 喉頭癌の分類ではsupraglottic優勢で90%を占め, glotticが10%に過ぎなかった. これも女性喉頭癌の大きい特色である. 男性ではsupraglottic 63 %, glottic 37%であつた. これは男と女では発癌要因に多少差があるものと考えられる.
6. 治療成績は5年粗生存率でglottic 100%, supraglottic 75%であった.
7. 無喉頭者の管理とリハピリテーシヨンにあたつては, 同性同病のよいopinion leaderの指導を受けることが大切である. また女性は特に冬期のTracheo-bronchitis sicca hemorrhagica diffusaに注意して管理すべきである.
8.63才婦人の剖検所見から, 卵巣における男性化胚細胞腫を発見した. この事実は潜在的な男性化の傾向を示しており, 喉頭癌の発癌機構を考察するのに興味ある症例と考えた. したがつて女性喉頭癌患者の内分泌環境の検討は喉頭癌の発癌メカニズム解明上の重要なポイントと考えている.
9. 性器癌は別として, 人癌で男性優位の癌として, 喉頭, 食道, 肺, 口腔底, 軟口蓋, 梨子状窩などの癌があげられ, 女性優位の癌としては甲状腺, 輪状軟骨後部の癌があげられるが, この発癌頻度差の説明はなされていない.抄録全体を表示PDF形式でダウンロード (5482K) -
形浦 昭克, 小杉 忠誠1971 年 17 巻 4 号 p. 246-249
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーLaryngeal sarcoidosis in a 42-year-old female was studied with histopathological examination of the larynx and Kveim's reaction. A papillomatous tumor in the right false vocal cord was removed by means of the laryngomicrosurgery. The histopathological finding of the removed tumor was epitheloid cell tubercle which suggested a granulomatous inflammation of the larynx, especially tuberculosis and sarcoidosis. Bilateral hilar lymphadenopathy was observed in roentogenological examinations of the lung. In Kveim test of the forearm, epitheloid cells and Langhans giant cells were microscopically found in the resected skin. It means that, according to Nelson and Schimmer, Kveim test was positive.抄録全体を表示PDF形式でダウンロード (5327K) -
船坂 宗太郎, 安部 治彦, 戸塚 元吉, 徳増 厚二1971 年 17 巻 4 号 p. 250-257
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーAnomaly of the ossicles has not been frequently observed in a patient without any congenital anomalies of the external ear. However, increasing use of the stapes surgery procedure has brought us more chances to find it. This presentation of 4 cases is concerned primarily with the restoration of hearing in the ear with blocked sound conduction, and secondarily with embryological problems in this kind of malformations.
Case 1 and 2. A 44-year-old female had had hearing impairment in both ears since child- hood. Audiometric test proved hearing loss of approximately 50 dB. Tympanotomy revealed absence of a long process of the incus and a distorted head of the stapes. A polyethylene tube was inserted between the manubrium of the malleus and the head of the stapes. Post-operative hearing losses have been improved up to approximately 20 and 5 dB.
Case 3. A 36-year-old male had had a slowly progressing hearing impairment on the left ear since childhood. No discharge was noted in the history. X-rays revealed the sclerotic mastoid of the left side. A scopic examination revealed the slightly retracted dull membrane. Audiogram showed conductive hearing losses of approximately 50 dB in the left ear. Tympanotomy revealed there were no long process of the incus and superstructure of the stapes. The L-shaped tip of a gelfoam-wire was inserted into the tiny hole made at a handle of the malleus and the gelfoam was placed on the stripped footplate of the stapes. Post-operative hearing losses were approximately 20 dB.
Case 4. A 9-year-old male had been noticed as hard of hearing since a young child. There was no abnormal finding in the eardrum and the pharynx. Tympanotomy revealed the absence of a long process of the incus and the thickened stapes with a small piece of bone on the head. A polyethylene tube was inserted between the malleus handle and the small piece of bone. Post-operative hearing losses were approximately 20 dB.
It seems to be embryologically strange that these ears have normal manubria and no long processes because they develop from the same origin. However, a detailed review on the origin and development of the ossicles has made us convinced that this kind of anomalies resulted from developmental arrest in the small area of the so-called second interconnecting bridge at embryonic stage of 6 and/or 7 week.抄録全体を表示PDF形式でダウンロード (1219K) -
実地医家の立場より調 賢哉1971 年 17 巻 4 号 p. 258-263
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーMeniére's disease is usually treated conservatively. If the disease is, however, stubborn for conservative treatments, it will be unavoidable to be treated surgically. In the case of surgical treatment, endolymphatic shunt operation is considered to be the most rational method from the pathophysiological point of view. Especially subarachnoid shunt operation has been generally preferred. Yet chorda tympanectomy, despite of its simple procedure, has proved so effective by author's experiences that it can not be neglected at all. The author recently had a chance to perform chorda tympanectomy after Rosen on fourteen cases. After this operation nine patients were cured of attacks of vertigo, four patients got better, and only the remaining one case little improved.抄録全体を表示PDF形式でダウンロード (759K) -
白戸 勝1971 年 17 巻 4 号 p. 264-271
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーIn order to study the influence of caloric stimuli on optokinetic nystagmus, 10 normal subjects were tested by applying to them horizontal optokinetic stimulation together with the caloric stimulation. The optokinetic stimuli were given by a slit projection type stimulator. Twelve white stripes (3cm wide) were projected on the screen at equal distance, rotated with an angular acceleration of 4°/sec2 until stimulus speed attained to 180°/sec and uniform velocity (30°/sec, 60°/sec and 120°/sec). The caloric stimuli were the same as those applied by Hallpike, i. e. each ear was irrigated with water of 30° for 40 seconds. The optokinetic nystagmus was recorded by ENG (time constant 3.0 and 0.03).
The results obtained as follows:
1) The optokinetic nystagmus was increased in total frequency, maximum eye speed of retinal nystagmus and optokinetic adaptation limit when the simultaneously applied caloric stimulation created identically directed eye motions. On the other hand, the optokinetic nystagmus was decreased when the caloric stimulation was reversed.
2) The foveal nystagmus was not increased, but decreased in eye speed of the slow phase by the caloric stimulation.
3) The retinal nystagmus was increased and decreased in frequency and eye speed of the slow phase by the caloric stimulation.抄録全体を表示PDF形式でダウンロード (1134K) -
陽性所見出現率の検討と眼振との関係を中心に野末 道彦1971 年 17 巻 4 号 p. 272-276
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーThe righting reflex and deviation phenomena of the limbs and body and the spontaneous nystagmus were examined in patients with vertigo and normal persons. The diagnostic significance in these examinations was discussed. The conclusions were as follows:(1) Positive findings (tendency to fall or unstableness of the body) in the standing test with eyes closed and the standing test on one foot with eyes open as well as closed in patients with vertigo appeared at a higher rate than in normal persons.(2) Appearance of staggering in stepping test and of ataxic letters in vertical writing was significantly different between the vertigo cases and the normal persons. In the normal persons these findings were not seen at all.(3) Nystagmus in gaze, positional and positioning nystagmus tests were not found in normal persons at all, while noticed at a high rate in the patients with vertigo. So these tests mentioned in (1),(2) and (3) are available for the diagnosis of vertigo.(4) No significant difference was noticed in deviation in stepping test and vertical writing test between the patients with vertigo and normal persons. So deviation phenomena are not appropriate to objectify vertigo.(5) Significant relations were not found between the direction of nystagmus and of the deviation in stepping test and vertical writing test.抄録全体を表示PDF形式でダウンロード (734K) -
久保 隆一, 高木 茂1971 年 17 巻 4 号 p. 277-281
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーDas Vorkommen der Mucocele der beiderseitigen Siebbeinzellen ist verhaltnismäBig selten. Eine 42jährige Frau hat mit seit 3 Jahren vorhandenen lanzinierenden Schmerzen der Stirngegend, beiderseitigem Exophtlalmus and linksseitigem Tränenf luB unser Ambulatorium besucht. Durch klinische Untersuchungen ergab sich, daß ihre Beschwerden durch die Mucocele der beiderseitigen Siebbeinzellen and die narbige Verwachsung des Tränennasenganges verursacht worden waren. Durch die linksseitige Pansinektomie and die Radikaloperation der rechten Kieferhöhle and der Siebbeinzellen gingen ihre Klagen außer dem Tränenfluß rasch zurück. Da die Patientin sich von Augenärzten mehrmaligen Bougierungen des Tränennasenganges erfolglos unterzogen hat, führten die Verfasser die intranasale Dacryocystorhinostomie durch. Dadurch verschwand der linksseitige Tränenfluß, ihre langjährige Beschwerde, gänzlich.抄録全体を表示PDF形式でダウンロード (5711K) -
南立 昌幸, 森満 保1971 年 17 巻 4 号 p. 282-288
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーCase 1: A 36 years old female, who had been operated on bilateral maxillar and ethmoidal sinuses 14 years before, complained of the deep pain and sudden blindness of the left eye. Tomograms of the skull revealed a marked cloudness of the left sphenoidal and ethmoidal sinuses. Three months after the visual loss, she was admitted to our clinic as left sphenoidal mucocele. A radical operation via the frontal sinus was performed, and an ethmoidal cyst and a sphenoidal cyst were found and removed. These cysts were completely seperated each other and had some different colored and natured contents. Cystgraphic examinations with injection of a contrast medium revealed clearly their characteristic location.
Case 2: A 39 years old male complained of oculomotor palsy with blepharoptosis of the right eye suddenly. He had not been suffered from any nasal desease, although he had been treated for bleeding in vitreous body of the right eye for 2 years. Plain skull films disclosed loss of the floor of the. sella turcica. Tomograms of the skull suggested that the erosion of the floor of the sella turcica was from below rather than from above. One month after the onset of ptosis, an extranasal operation through the frontal sinus was performed. Two cysts in the posterior ethmoidal and sphenoidal sinuses were found and removed as well as in the Case 1. Cystgraphic examination with a contrast medium during the operation revealed the anatomic relationship of two cysts. On the first postoperative day, the ptosis disappeared completely.
From the operative and radiological findings, it was suggested that the cyst in the posterior ethmoidal cells caused sphenoidal mucocele secondarily.抄録全体を表示PDF形式でダウンロード (10740K) -
徳永 修, 曾田 豊二, 松元 一郎1971 年 17 巻 4 号 p. 289-291
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーThe patient was a six months old male, who complained of redness and swelling of the right palpebra and cheeck. He was given a diagnosis of sinusitis maxillaris neonatorum and was operated. Surgical findings showed abscess in the palpebra and no inflammation in the maxillar bone. After about 4 weeks complications of skull osteomyelitis and brain abscess was followed and completely cured by neuro-surgical treatments.抄録全体を表示PDF形式でダウンロード (6655K) -
石井 英男1971 年 17 巻 4 号 p. 292-295
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリー最近喉頭の写真撮影は一般化し, 簡単な装置で良い像が得られるようになった. 従って既に立派な図譜がいくつか発表されているので, 今回は白黒写真でも分り易いことと, ほかでは此較的取り上げられていない写真を出してみたい. 私は町田製作所の喉頭用fiberscopeに35mm半截のカメラを取りつけたものを用い, 声帯ポリープを摘出する時と同じような条件で前処置し, 喉頭直達法と全く同じ方法で喉頭蓋を挙上し, fibrescopeを喉頭内に挿入し, 観察後撮影する.抄録全体を表示PDF形式でダウンロード (5098K) -
茂木 五郎1971 年 17 巻 4 号 p. 296-299
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーDepartment of Otolaryngology, Yamaguchi University School of Medicine, Ube, Yamaguchi-ken, Japan Allergic rhinitis is among the atopic allergic diseases. Sera from patients with atopic disease possess reaginic antibodies that are positive Prausnitz-Kustner reaction substances. Recently, a new immunoglobulin class-IgE-was discovered, in which the reaginic antibodies are present in high concentration. The chemical structure and biologic properties of this new immunoglobulin is described, and further investigative efforts for IgE was proposed to clarify the defence mechanism of IgE.抄録全体を表示PDF形式でダウンロード (528K) -
広戸 幾一郎1971 年 17 巻 4 号 p. 300-305
発行日: 1971年
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (10918K)
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