耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
18 巻, 6 号
選択された号の論文の14件中1~14を表示しています
  • 菅 文朗, 中島 元雄
    1972 年 18 巻 6 号 p. 371-377
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    The electro-olfactogram (EOG) is a generator potential of the olfactory receptor produced by an odorous stimulation. This potential has been extensively studied in the frog, but it was not measured in hyposmic human subjects. The EOGs were measured in 12 healthy human subjects and 32 hyposmic subjects.of various origins. Nasal mucosa was anesthetized with xylocaine spray. A silver-silver chloride wire electrode was placed on the olfactory epithelium. An odorous gas of Skatol was introduced into the nasal cavity and the potential in the olfactory mucosa was recorded with a pen oscillograph. Skatol odor produced a slow negative potential of a negative-on-type in the olfactory epithelium in 11 out of 12 healthy subjects. A small positive potential was recorded in a few cases with congenital anosmia and with hyposmia due to head trauma. No normal EOG was recorded in anosmic patients with fracture of the skull. Patients with anosmia following non-fractured head trauma and whiplash injury showed normal EOG, although they complained of complete loss of smell. These cases may be attributed to central olfactory lesions or simulation. The EOGs in patients with hyposmia following cold were small or nonexistent. A remarkable recovery was observed in the EOG of a hyposmic patient when his olfaction improved with a medical treatment. The EOG appeared to be a reliable indicator of the olfactory receptor function in man.
  • 広戸 幾一郎, 本村 一彦, 朝隈 真一郎
    1972 年 18 巻 6 号 p. 378-382
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    Olfactory acuity was tested in 50 patients who were underwent laryngectomy from 1 to 19 years ago. Two of 20 cases who had esophageal voice and 13 of 30 cases who had no esophageal voice complained total loss of smell in their daily lives. The average value of olfactory threshold determined with dl-camphor and skatol was 10-2.77 in the group of esophageal speech, 10-0.7 in that of non-speaker and 10-3.7 in 10 normal control cases. It was concluded that (1) olfaction was significantly changed with disuse,(2) training for esophageal speech prevented the decrease of olfactory acuity following laryngectomy.
  • 調 賢哉
    1972 年 18 巻 6 号 p. 383-387
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    During last 4 years (1968 to 1971), 37 cases of foreign bodies in the oesophagus were treated in the author's clinic. As for the kind of the foreign bodies, 15 cases were of coins, 8 cases of chicken bone, another 7 cases of fish bone, etc. In these cases those of an opener (attached to a milk can) and a nursing-bottle lid were described as comparatively rare cases. In Japan coin cases have been found much more frequent than those in Europe and U. S. A. This may be referred to the size of Japanese coins. They are 20mm 24mm in diameter, which is the fittest size to stay in the infant's esophagus, while those of Europe and U. S. A. are smaller or larger. The reason why, compared with the past, the author have recently had so many chicken bone cases was suspected to have some relation with the rapid increase of the consumption of chicken.
  • 森園 哲夫, Brain M. JOHNSTONE
    1972 年 18 巻 6 号 p. 388-391
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    著者らは長期間にわたり慢性電極を植込んだ家兎の聴覚変動を観察しているが, 補聴器用の骨導端子を頭蓋上に接着することで無麻酔の家兎から安定した蝸牛反応を得られることを見出した. これは極めて簡単な方法であり, 動物の聴覚の研究に種々の応用範囲も広いと思われるのでここに報告する.
  • 柴田 浩一
    1972 年 18 巻 6 号 p. 392-394
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    The patient was a 52 years old male, who accidentally injured the right preauricular portion and the right neck by shot gun bullets while hunting. He was first seen at our clinic ten days after the injury, complaining slight pain of the wound. X-ray examinations showed two bullets in the deep part of the neck, one was in front of the 2 nd cervical vertebra and an other was in right side of the 4 th cervical vertebra. Extirpation of the bullets was performed under general anesthesia utilizing a two-faced X-ray fluorscopy. Two bullets, which existed in M. sternocleidomastoideus and in the connective tissues just under N. accessorius, were successfully removed after the repeated X-ray fluorscopy. Literatures of foreign body cases (bullet), refered particularly as extirpation techniques and danger of lead poisoning from long staying bullet, were also discussed.
  • 木下 勉
    1972 年 18 巻 6 号 p. 395-400
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    The presence of acetone bodies in urine was examined in 155 cases which underwent tonsillectomy. The highest acetonurea after tonsillectomy was obtained in the groups of infant and lower school age. Acetonurea after tonsillectomy showed higher value than that after otorhinolaryngological operations, including the nasal cavity, paranasal sinuses and middle ear under general anesthesia.
    Prevention of this ketosis attempted by medication. Five per cent xylitol (500ml) and vitamin B12 were effective to prevent acetonuria. Tontillectomy seems to have a strong influence on acetone-metabolism in human body.
  • 生駒 尚秋, 佐々木 寛
    1972 年 18 巻 6 号 p. 401-405
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    Sixteen cases of vestibular neuronitis, fourteen cases of sudden deafness with vertigo, and twelve cases of sudden deafness without vertigo treated from 1968 to 1970 were reported. Cochlear symptoms of sudden deafness with vertigo and sudden deafness without vertigo were very similar. Vestibular symptoms of vestibular neuronitis and sudden deafness with vertigo showed similar characteristics in sudden onset, duration, later course of vertigo. Neurological equilibrium examinations of vestibular neuronitis and sudden deafness with vertigo showed similar results. The authors insist to treat these three groups of diseases as “cochleo-vestibular paresis of sudden onset”.
  • 河原田 和夫
    1972 年 18 巻 6 号 p. 406-410
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    For the purpose of tonsillar immunological response in respiratory infection, tonsils of thirty adult patients with acute pharyngitis were investigated by immunofluorescent staining method. The number of cells containing immunoglobulins agA, IgG and Secretory IgA) increased significantly 5 to 9 days after pharygeal pain. This result proved that tonsillar immunoglobulin producing cells responded to infection, and suggested a valuable immunological function.
  • 野副 功, 平野 実, 進 武幹, 前山 忠嗣
    1972 年 18 巻 6 号 p. 411-417
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    Four hundred cases of recurrent laryngeal nerve palsy which were examined in our clinic from 1960 to 1970 were investigated clinically. In 357 cases unilataral vocal cord was affected. The vocal cords were affected bilaterally in 42 cases. In one case the description of the affected side was inadequate. The left vocal cord was paretic in 248 cases (69%) of unilateral recurrent laryngeal nerve palsy. The most frequent etiolo- gical factor was common cold which was noticed in 77 cases. In 59 cases thyroid operation resulted in recurrent laryngal nerve palsy. No etiological factors were determined in 155 cases (39%). One hundred and sixty-four patients were investigated in terms of hoarseness one year or more after the onset. Complete recovery was found in 50 cases (31%) and a decrease in the degree of hoarseness was found in 64 cases (39%). Mobility of the vocal cord was examined in 115 cases one year or more after the onset. Complete recovery was found in 19 cases (17%) and, in 36 cases (31%), partial recovery was observed. The rate of recovery of voice or mobility was markedly high in recurrent laryngeal nerve was found in palsy resulted from common cold or in palsy of unknown etiology. Among various treatments, stellate block and application of steroid seem to be effective for certain groups of recurrent laryngeal nerve palsy.
  • 上西 創造, 森 崇, 久保村 雅夫, 水町 俊郎
    1972 年 18 巻 6 号 p. 418-423
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    The authors continuously measured maximum blood pressure of 28 adult stutterers and 10 adult non-stutterers. Results obtained were as follows: 1. Maximum blood pressure of the non-stutterers, even if they imitated to stutter, showed no excessive change and remained to the stable state. The pressure was not influenced by speaking and reading. 2. When the stutterers were subjected to psychological stress in speaking and reading, three patterns of changes occurred in their maximum blood pressure. 3. There was high correlation between the stuttering type and the pattern of maximum blood pressure changes. Maximum blood pressure of the hesitating type person and the spastic type person showed excessive changes. In the blocking type person, changes of the pressure was not so excessive. 4. As the stuttering therapy proceeds and the stutterers become to be able to tolerate the psychological stress, changes in maximum blood pressure diminish. 5. From the clinical point of view in stuttering, it is meaningful to measure continuously the blood pressure of the stutterers. 6. By measuring continuously the blood pressure, we could screen the stutterers and further classify them to several types objectively.
  • 佐藤 武男, 高山 将, 前田 和雄
    1972 年 18 巻 6 号 p. 424-427
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    Two cases of glottic cancer with congenital muscular torticollis were reported. There were some deformities of the larynx in these cases. Lamina of the thyroid cartilage in the tortile neck side was notably subjected to pressure and was wry towards the inner cavity of the larynx. Nevertheless, the cricoid cartilage was well kept up the shape to normal. It was confirmed that the cricoid cartilage used the thyroid cartilage as a shield against pressure in the torticollis. Because cancerous growth was found in the vocal cord of the tortile neck side, it was suggested that the chronic mechanical stimulation to the vocal cord led to cancerization.
  • 小宮山 荘太郎
    1972 年 18 巻 6 号 p. 428-440
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
    Voice intensities in fortissimo and pianissimo were measured at various pitches with a high speed level recorder. The data were recorded on a graph of which horizontal scale indicated pitches and vertical scale indicated intensities in desibels. This graph was named a “phonogram ”. The “volume of voice” was obtained from a voice intensity curve in fortissimo phonation at !various pitches. In this study, it was calculated from the area between the fortissimo line and the 70 dB SPL line. Voice characteristics of each subject were visualized by a figure enclosed with two curves obtained in pianissimo phonation and fortissimo phonation at various pitches. The size of this figure gives an “effective value of voice ”. The examinations were performed in 139 healthy subjects. Their ages were from 6 to 30 years old. The same examinations were also carried out in 54 cases with laryngeal disorders. The results were as follows:
    1. The volume of voice appeared to greatly increase between ages of 10 to 14.
    2. The effective value of voice gradually increased after 8 years old in the male and 10 years old in the female.
    3. In healthy subjects, the voice intensity proportionally increased as the pitch of voice increased.
    4. Intensity range of voice between pianissmo and fortissimo phonation at varirus pitches showed the maximum at a slightly higher pitch than the speech range.
    5. Changes in intensity of voice were marked in the register transition.
    The pattern of the phonogram may offer more valuable informations evaluating voice characteristics and disorders than the conventional examinations of voice and the classifi- cation of hoarseness with “semantic differential method”.
  • 久保 隆一
    1972 年 18 巻 6 号 p. 441-445
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
  • 広戸 幾一郎, 武馬 成人, 小宮山 荘太郎
    1972 年 18 巻 6 号 p. 446-449
    発行日: 1972年
    公開日: 2013/05/10
    ジャーナル フリー
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