耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
19 巻, 3Supplement2 号
選択された号の論文の12件中1~12を表示しています
  • 志多 享
    1973 年 19 巻 3Supplement2 号 p. 431-436
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    Two types of the cochlear lesion due to intense sound exposure have been identified one is noise deafness as the chronic type, and the other, acoustic trauma as the acute type.
    In either case, the occurrence of hearing-impairments is controlled mainly b y the individual difference of the acoustic susceptibility. On the whole, the so-called acous tic susceptibility of the peripheral auditory organ is individually congenital, however, it might possibly be altered by some acquired conditions of the auditory organ. In this observa tion, the effects of conductive deafness and of medication with some ototoxic antib iotics were evaluated on the acoustic susceptibility. The significance of conductive deafness on the occurrence of noise deafness was investigated by observing the both side hearing of the long-term workers with unilateral deafness of conductive type in the noisy environment.
    From this clinical observation, it seems to be exact that conductive dea fness suppresses the occurrence of noise deafness. On the contrary, the administration of som e antibiotics such as Kanamycin, Kanendomycin accelerates markedly the acoustic susceptibi lity and acoustic trauma comes about easily under the medication with these drug s. This conclusion has been derived not only from some clinical observation but also from the experimental study of examining the cochlear hair cells functionally and morphologically. Consequently, it can be said, that conductive deafness is a suppressing factor for the acou stic susceptibility of the inner ear and the medication with some ototoxic antibiotics is an accelerating factor.
  • 立木 孝
    1973 年 19 巻 3Supplement2 号 p. 437-440
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    It was 27 years ago that the first case of streptomycin deafness had been reported by Hinshow and Feldman in Mayo Clinic. During this period, the streptomycin deafness has been reformed again and again, and we, clinical otologists, in studying the problems on the disease, have been puzzled many time. Very recently, however, as the results of the excellent number of the observations on the streptomycin deafness, it becomes possible to prevent the occurence of severe hearing loss due to this drug. In this paper, otologists' hostility to the disease was historically reviewed and our pains and gains were briefly discussed.
  • 上村 卓也
    1973 年 19 巻 3Supplement2 号 p. 441-446
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    Recent studies of the anatomy (McMasters et al., 1966), the electrophysiology (Highstein and Ito, 1972), and the behavioral effects of electric stimulation and selective destruction (Tokumasu et al., 1969; Uemura and Cohen, 1972) demonstrated that the superior vestibular nucleus has an essential role for mediating the eye movement of anterior semicircular canal type, i. e. upward movement in the ipsilateral eye and rotatory movement in the contralateral eye. This suggests that an understanding of function of the nervous system should be made by the results which were obtained from various lines of experiment and were able to reach the ultimate verification. The importance of behavioral study using newly developed techniques was also stressed to utilize present and future accumulation of the basic knowledge for the diagnosis and treatment of disorders of the nervous system.
  • 佐々木 寛
    1973 年 19 巻 3Supplement2 号 p. 447-450
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
  • 鼻アレルギー発症機序の理解のために
    奥田 稔, 小上 芳春, 打越 進, 庄司 光江, 打越 純子, 宇佐神 篤, 富山 俊一, 川堀 真一
    1973 年 19 巻 3Supplement2 号 p. 451-457
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    It has been revealed by Ishizaka, et al. that IgE is a carrier of human reaginic antibodies, and anti-sera specific for human IgE induces erythema-wheal reaction in normal individuals when small amounts of anti-IgE are injected. The skin reaction is considered to be mediated by anti-sera combining with IgE on skin cells.
    Injections with anti-IgE also produced reactions simi lar to atopic allergy in the normal skin, the mucous membrane of the oral cavity, trachea and conjunctiva in the present study. The tissues injected were removed and examined by light and electron microscope. The histological changes were characteristic in degranulation of the mast cell, local circulatory disturbance, edema, hypersecretion and eosinophilia. The ultrastructural examination revealed the endothelial vesiculation, dilatation of the interendothelial clefts, diapedesis of the plasma in the venules, and contraction of the arterioles. Furthermore, the specific granule of the eosinophil were changed markedly.
    Animal model of atopic allergy was made in rats by sensitization with dinitrophenylated ascaris extracts. When anti-rat IgE serum was given, the peritoneal mast cells showed degranulations, and the microcirculation of the mesenterium was changed in the following chronological processes: 1 slowing down or stasis of the blood flow and aggulutination of the red cells: 2 plasma skimming and contraction of the arterioles: 3 recovery of the blood flow.
    By injection with anti-IgE into varing tissues of human and rats, local atopic allergy were experimentally produced.
  • 岡本 途也
    1973 年 19 巻 3Supplement2 号 p. 458-462
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    At the invitation of the Chinese Medical Association, we visited China for nearly a month in June, 1972, observing the present situation in Chinese medicine and exchanging opinions with Chinese doctors.
    I was shown a thyroidectomy, stomach extraction and appendectomy under acupuncture anesthesia at the People's Hospital in Canton. In our field of otorhinolaryngology, they showed us many oparations (deviatomy, sinectomy, tonsillectomy, tympanoplastic etc) conducted under acupuncture anesthesia at other hospitals. The surgeons seemed to have great confidence in the method.
    To treat the children with impaired hearing the needles are inserted around the ears and hands, legs, on the school for the deaf as a part of the curriculum. With acupuncture therapy twelve percent of the deaf children regain normal speaking ability and sixteen percent the ability to understand conversations, but I found the diagnosis and hearing test in China insufficient; the patients receive no examination from otorhinolaryngologists, nor hearing tests by audiometer. Therefore, I have great doubt as to whether the rate of cure is as high as they claim.
    But Chinese medicine is no miracle. It embodies the wishes of the peoples. They recount some cases which Western doctors find hard to believe. It is our furture duty to probe these seemingly miraculous facts with the instruments of science.
  • 平野 実
    1973 年 19 巻 3Supplement2 号 p. 463-468
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    Our routine tests for patients of hoarseness may be classified into tow major categories: functional examinations and tests necessary for each causative disease. The significance of each tests is described in detail. Therapies for some diseases are also discussed.
  • 広戸 幾一郎
    1973 年 19 巻 3Supplement2 号 p. 469-473
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    The history of surgery for laryngeal carcinoma was surveied; the pathology of laryngeal carcinoma, especially its submucosal extension was discussed; Various methods of glottic reconstruction after hemilaryngectomy were reviewed and the author's new technique was presented.
  • 岩本 彦之亟
    1973 年 19 巻 3Supplement2 号 p. 474-476
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    The author experienced 14 cases of the carcinoma in situ of the larynx during the 3 year period from 1969 through 1971, histological classification of which was as follows anaplastic type 1 case, differentiated squamous cell type 8 cases, and intermediate type 5 cases. Clinically, the great majority of the cases appeared as leukoplakia originated from the vocal cord.
    All the cases were treated by cordectomy through endolaryngeal microlaryngoscopy, of which 5 cases received 6-Co-therapy after surgery and a recurrence of the lesion was seen in two cases after 3 or one year.
  • 久保 隆一
    1973 年 19 巻 3Supplement2 号 p. 477-481
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
  • 河田 政一
    1973 年 19 巻 3Supplement2 号 p. 482-485
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    There are few text- or hand-books, in which an allround expression of the nonconductive deafness adequately clarified, namely nerve deafness or perceptive deafness, or recently sensorineural deafness. The author recommended formerly to adopt a word “Shinkei-nancho” as the medical term for “nerve deafness” in Japanese in 1940, while there are many otologists who are accustomed to use a term “Shinkei-sei-nancho” for the same word nerve deafness. However, this word seems to be not appropriate, because it means “nervous deafness”, not “nerve deafness”. These both expressions differ essentially from each other. Historical and scrupulous consideration should be paid by adoption of a medical term.
  • 曽田 豊二
    1973 年 19 巻 3Supplement2 号 p. 486-490
    発行日: 1973年
    公開日: 2013/05/10
    ジャーナル フリー
    The judgement and the evaluation of EEG-audiometry by computer are influenced by many factors such as conditions of the patient, age, the stage of sleeping, developmental variations of the brain and the abilities of the so-called “skilled crew” for evaluation.
    Considering these difficulties, some factors were investigated in automatic evaluation of EEG-audiometry to standardize the method. The averaged auditory evoked responses consist of several characteristic narrow band frequencies. The pattern of the averaged auditory evoked responses in awaking adult corresponds mainly to the frequency-band of 3-7Hz, specially 5.0-7.1Hz, in drowsy of 3.15-5.00Hz, in a light sleeping of 1.80-3.15Hz, and in asleep of 1.80-2.50Hz.
    The author showed necessary factors in automatic evaluation of the responses in relation with each characteristic narrow band frequencies and each conditions in each responses. The author called this evaluating technique “multi-channel method ”.
    It is possible to shorten the testing time and to improve the judgement of the responses by use of “multi-channel method ”.
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