巻号一覧
18 巻 (1972)
- 6 号 p. 371-
- 5 号 p. 293-
- 4 号 p. 221-
- 3 号 p. 151-
- 2 号 p. 75-
- 1 号 p. 1-
18 巻, 4 号
選択された号の論文の13件中1～13を表示しています
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慢性中耳炎を中心として桑原 章吾1972 年 18 巻 4 号 p. 221-226
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーThe author discussed the special characteristics of microbial infections in the otolaryngeal field, taking the chronic otitis media as an example. In chronic otitis media, local use of antimicrobial agents may be the chief method of therapy, but the result is not always satisfactory, since the microorganisms primarily responsible for the infection may be replaced by those insensitive to the used drug. It is therefore necessary to use, in adequate combinations, drugs with strongly bactericidal action and extremely wide spectrum. Furthermore, it is important to pay attention to the antigenicity of the used drug, since, when applied to mucous membrane or skin, it may induce drug allergy. For the exact evaluation of availabilities of antimicrobial agents, we must, on one hand, establish adequate criteria for the diagnosis of symptoms of each infection in otolaryngeal field, and on the other hand, we should like to emphasize the necessity of precise and objective comparative trials including the double blind test.抄録全体を表示PDF形式でダウンロード (746K) -
菅 文朗, 田原 睦郎, 永吉 実光1972 年 18 巻 4 号 p. 227-234
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーSix cases of congenital deafness with retinitis pigmentosa (Usher's syndrome) and one case of congenital deafness with retinitis punctata albescens were found among 143 deaf school children. Five out of the seven cases had deaf siblings. Parents of one case were consanguineous marriage. Two of them were total deafness, three were subtotal deafness and the remaining two showed severe sensorineural hearing loss in middle to high frequencies. There were similarities in the audiograms of the deaf siblings. No unilateral deafness was seen. Four cases showed canal paresis. Most cases were under-grown and their intelligence quotients were relatively low. The association of congenital deafness and retinitis punctata albescens, which was seen in a 17-year-old girl, appeared also to be an autosomal recessive hereditary disease.抄録全体を表示PDF形式でダウンロード (4169K) -
石沢 博子1972 年 18 巻 4 号 p. 235-237
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーThe author tested the hearing acuity in 1989 persons aged 14 to 25 years at a physical examination for an employment in the Fukuoka Communications Hospital. In 1989 cases tested during last five years, 134 cases (6.7%) who had hearing loss without consciousness of deafness were found and 94% of these cases had the hearing loss in 4000Hz and/or 6000Hz. In 12 cases, possible causes of deafness were found and 9 cases had work histories in noisy environments. The author tested 402 cases in last one year and found 37 hard of hearing cases (9.2%) who were unconscious of deafness. There was a tendency for young persons with unconscious deafness to increse.抄録全体を表示PDF形式でダウンロード (373K) -
広戸 幾一郎, 松村 祐二郎, 武井 修1972 年 18 巻 4 号 p. 238-245
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーCombined therapy of surgery, irradiation and regional chemotherapy were done in 30 cases of carcinoma of the paranasal sinuses 1967 to 1969. They were divided into two groups: one was treated with MMC and the other with 5FU as an anticancer drug. No recurrence of the tumor after six months was noticed only in 25% of the former 12 cases and in 93% of the latter 15 cases. In all cases of 5FU-group, removal of the necrotizing tumor by suction in the paranasal sinuses was daily done in course of the irradiation. The total or partial maxillectomy was carried out after the irradiation in 11 cases, 10 of which survived for more than 2 years except one case died of liver sclerosis. In 4 cases, such a surgical procedure was not done, because the tumor disappeared clinically and histologically for 6 months; however, all of them died of local recurrence within 2 years. It was concluded from above mentioned results that 1) Surgical complete removal of the tumor was necessary, 2) Infusion of 4000mg of 5FU was a minimal amount to obtain good results, 3) Irradiation of more than 4000 rads should be delivered in cases the surgical procedure was carried out.
The author's present method of the combined therapy to retain the function and the normal form of the face was proposed as follows.
1) A window is created at the anterior wall of the maxillary sinus. Necrotic masses in the paranasal sinuses are sucked out through the window.
2) Infusion of 250mg of 5FU through the superfical temporal artery and irradiation of 200 rads from 2 directions are daily delivered.
3) At the time when 2000 rads or 3000 rads has been irradiated, the tumor is completely salvaged with forceps and curette through the window under general anesthesia. The ethmoid sinus is also salvaged. The bone structure of the maxilla is not removed except the lateral wall of the nasal cavity.
4) Irradiation and infusion of 5FU are continuously delivered with a pause of one or two days for salvage operation till the dosis of irradiation reaches to 6000 rads and the amount of 5 FU to 5000mg.
This therapy has been done in 20 cases for one year from 1971. No evidence of recurrence of the tumor has been noticed clinically and histologically in 19 cases up to date.抄録全体を表示PDF形式でダウンロード (5184K) -
谷 一郎1972 年 18 巻 4 号 p. 246-248
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーA rare case was reported with true neoplasm of the minor salivary gland which developed on the ventral surface of the tongue and was histologically diagnosed as acinic cell adenocarcinoma. The patient, 56-year-old male, underwent surgery and radiotherapy by radium and the linear accelerator for carcinoma of the tongue at a surgical clinic in September, 1967. He came to our clinic on October 30, 1970 complaining of a tumor of the tongue which he noticed the day before his first visit. Examination revealed a rice grainsized tumor under the mucous membrane of the right ventral surface of the tongue. The tumor was rather firm and nontender. The tumor was excised on November 4. Histologic diagnosis was acinic cell adenocarcinoma of low grade of malignancy originated from the minor salivary gland. Polyhedral or rounded clear neoplastic cells had a broad, cytoplasm in which a small darkly-stained nucleus was eccentrically placed. The cells formed acinous nests. Vacuoles were found in some of the neoplastic cells, suggesting a serous secretion. Malignancy was indicated by infiltration of the neoplastic cells in the interstices around the nerves. Radium therapy, 1, 372mg/h, and chemotherapy consisting of 24mg mitomycin C intravenously, 3,000mg 5-Fu intravenosly and 5,600mg cyclophosphamide orally were given after surgery. The patient took a favorable course and was discharged from the hospital on December 28.抄録全体を表示PDF形式でダウンロード (466K) -
増田 守1972 年 18 巻 4 号 p. 249-254
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーThree cases of abnormally large salivary calculi in the Wharton's duct were reported. Their chemical composition were analyzed by use of a X-ray diffractor and an infrared spectrometer. Analysis showed that they mainly consisted of phosphatic salt of calcium and magnesium. Statistical review and the genesis of the salivary calculus were discussed.抄録全体を表示PDF形式でダウンロード (589K) -
山田 篤伸, 松村 祐二郎, 本村 一彦, 徳永 修1972 年 18 巻 4 号 p. 255-261
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーFive cases of acute gastric and duodenal ulcer following, operation of cancer of the maxillary sinus and the larynx were reported. This disease is one of the most serious complication with hemorrhage or perforation, and it does not show histological evidence of chronic inflammatory response. It should be kept in mind that various stresses, for example, burn, trauma or postoperative conditions might cause acute peptic ulcer.抄録全体を表示PDF形式でダウンロード (1306K) -
松村 祐二郎, 森満 保, 河田 藤治1972 年 18 巻 4 号 p. 262-266
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーTwo cases of sarcoma of the larynx were reported. One was a 78-year-old man who was admitted to hospital in November, 1968 with marked hoarseness and stridor. Laryngoscopy revealed a tumor of the left vocal cord and false cord which had spread to involve the arytenoid. Section showed a reticulum cell sarcoma. Total laryngectomy was performed and he has been well for three years. The other patient was a 27-year-old woman who had complained of hoarseness for 15 months was seen in May, 1965. She was found on examination to have a tumor of the larynx which showed to be a lymphosarcoma and had been treated with 60Co 5200 rads. At present she is well six years after radiation. Both primary tumors were considered to arise in the submucous lymphoid tissue of the laryngeal ventricle. Biopsy of sarcoma of the larynx occasionally does not succeed, because the surface of the tumor is mostly covered with normal mucous membrane or nectrotized mass. The radiation therapy of malignant lymphoma of the larynx is better than resection, but the other kind of sarcoma should be surgically treated.抄録全体を表示PDF形式でダウンロード (933K) -
山口 宏也, 柏戸 貞一, 澤木 修二, 佐竹 虔介, 吉村 醇, 牧野 康人, 佐伯 宏三1972 年 18 巻 4 号 p. 267-272
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーCase reports of nasal and paranasal diseases with orbital complication and their statistical review are presented. In the group of 0 to 20 year-old patients, most orbital complication was induced by inflammation. In the group of 21 to 40 year-old patients, both inflammatory and cystic diseases of the nose and paranasal region caused orbital complication. Malignant tumors were often found in the older group of the patients. The importance of early diagnosis and early treatment of the disease was emphasized.抄録全体を表示PDF形式でダウンロード (5001K) -
北村 武1972 年 18 巻 4 号 p. 273-279
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (7420K) -
菅 文朗, 菊池 昌弘1972 年 18 巻 4 号 p. 280-281
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (2698K) -
松原 浄, 小坂 直也, 田中 徹, 滝口 峻1972 年 18 巻 4 号 p. 282-283
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (2915K) -
音声研究の立場から沢島 政行1972 年 18 巻 4 号 p. 284-289
発行日: 1972/06/20
公開日: 2013/05/10
ジャーナル フリーSome of the current techniques for observing glottal conditions without interfering with natural articulatory movements of the subjects were discussed. The techniques mentioned here are also harmless to the subject. 1) Ultrasonic-pulse method (Ultrasonoglottography) gives absolute values of the displacement and velocity of the vibrating vocal fold. Closed period and variation in glottal contact are also detectable by recording ultrasonic pulses passing across the glottis. 2) Photo-electric technique (Photo-electric glottography) is a straitforward method for recording glottal area variations, in both vibratory cycles and gross abducting and adducting movements of the vocal folds. The absolute area of the glottis is not obtainable. 3) Recording of electrical impedance across the glottis (Electrical glottography) reflects the glottal condition during closure, i. e. variation in the contact area of the vocal folds, better than during the vocal folds are apart. 4) Use of a flexible fiberoptics inserted through the nose gives clear view of the larynx, with a minimum discomfort of the subject, during natural speech articulations. Simultaneous recording of cinephotography of the larynx and photo-electric glottography is possible with the fiberscope. Some of the technical problems and possible error sources in each method were also discussed.抄録全体を表示PDF形式でダウンロード (4276K)
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