耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
2 巻, 4 号
選択された号の論文の19件中1~19を表示しています
  • 颯田 琴次
    1956 年 2 巻 4 号 p. 179-180
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
  • 山川 強四郎
    1956 年 2 巻 4 号 p. 181-185
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Statistically observing the cases of foreign bodies treated in the author's clinic in the period from 1936 through 1955, the author noticed that the kinds of foreign bodies were closely related with the food. In 1945 many soya-beans were found in the ear, the nose and the bronchus, and during World War II the number of coins decreased as foreign bodies in the esophagus.
    Owing to the development of chemotherapy after World War II, esophageal abscess and its mortality have decreased.(Esophageal abscess decreased to 1/5 and mortality also to 1/5.)
    A few interesting cases of foreign bodies in the bronchus are appended.
    1. 20-year-old man. After tracheotomy the patient noticed a feeling of foreign body in the larynx and it lasted for a long time. A piece of suturing thread was found in the subglottic space.
    2. One-year-and-3-month-old boy. The boy swallowed a pin by accident. A doctor had tried the X-ray examination and said that it was in the stomach, but the author found it in the trachea.
    3. 39-year-old man. The patient swallowed an artificial tooth by accident. Although it was not easy to extract it for it had the projection, the author succeeded in removing it.
    4. 12-year-old boy. As the boy was playing with a blowpipe, he inhaled one of the needles and it stuck in the pharynx. Presently it moved into the right upper bronchus.
  • 大藤 敏三
    1956 年 2 巻 4 号 p. 186-190
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    In the histological study of the internal ear, the study has been hindered by the impossibility of fixing the living body of the internal ear andthe difficulty in judging the changes after death.
    The author has developed the method of irrigating fixation of the auditory organ and studied histological changes with the progress of time. As a result of this study, it was found that the histological picture of the auditory organ remains the same as before death, if this method of fixation is applied within 3 hours after death.
  • 小野 譲
    1956 年 2 巻 4 号 p. 191-193
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    The endoscopic examination that was introduced into Japan by the late Prof. Ino. Kubo has been improved greatly in many respects, its merits recognized, and the bronchoesophagological department has been established as an independent branch of medical science.
    The author states on the diagnosis and treatment of the tracheobronchial tuberculosi sthat is observed in 10 to 15% of pulmonary tuberculosis observed endoscopically, and on the early diagnosis and determination of possibility of surgical treatment of lung cancer that has doubled in the recent three years in Japan. He adds that the biplane-thrughscope is very useful in the extraction of bronchial foreign bodies which cannot be seen even under endoscopy.
  • 今井 環
    1956 年 2 巻 4 号 p. 194-195
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    The growth of the, cancer is not constant but quite variable, and it is correlated to the malignancy of cancer parenchyma and the resistance of the individual.
    Histologically, there are.
    1) Sprouting type without interstitial reaction. A picture of sprouting parenchyma of less differentiated cells lacking in the interstitial reaction.
    2) Lymphatic and blood-vessel permeation type. A picture of the cancer parenchyma of less differentiated cells proliferating to fill up local lymphatics or blood vessels.
    These histological findings are characteristic of the cancer in the stage of the so-called growth acceleration (Schub), leading to an early death after the operation. Shirabe.
  • 沢田 信敏
    1956 年 2 巻 4 号 p. 196-199
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Experimental studies were made on the function of the tympanic muscles, especially on the influence of the sound reflecting contraction of these muscles on the transmission of sound. The experiments were carried out with the electrical cochlear response led from the round window of the guinea pig as the indicator.
    The experimental data led to the conclusion that the function of the tympanic muscles constitutes a part of the protecting function of the middle ear apparatus, and hence they regulate the degree of tension of the hearing apparatus.
  • 仙頭 哲夫
    1956 年 2 巻 4 号 p. 200-202
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    A report is made on a case of mucocele which was suspected of malignancy by many oculists and surgeons because of the tumor-like swelling in the upper eye-lid and the exophthalmos.
    The tumor was identified by operation as mucocele of the ethmoidal sinus, and moreover, it was found that it had extended to another side. Findings by the operation and the X-ray photograph are stated and attention of the clinicians in the other field than otorhinolaryngology, especially of oculists, is called to this case.
  • 鳥居 作夫
    1956 年 2 巻 4 号 p. 203-204
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Five cases of successful treatment of peritonsillitis and secondary trismus with local injection of 1 % procain solution are reported. The two cases are peritonsillitis which were hard to cure with penicillin and sulfa-drugs, and the rest of three cases are trismus caused by peritonsillitis and gingivitis, for which local injection of 1 % procain took marked effects.
  • 向野 興雄
    1956 年 2 巻 4 号 p. 205-210
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    The author performed a pathological study of the cysts of the tonsil in chronic tonsillitis and a statistical observation of patients with the so-called peritonsillar abscess in the last 15 years at the Otorhinolaryngological Clinic of Kyushu University.
    The following facts were noted in some cases of tonsillitis abscedens (Sasaki).
    1) The cysts presented histological pictures of primary infection in the tonsils removed at the acute inflammatory stage of the disease.
    2) A temporary improvement was clinically followed by a severe condition in some cases of acute tonsillitis.
    3) The epithelial layer of the mucosa was found in part in the wall of the abscess.
    4) The abscess was anatomically found in infants and old people with whom the lacuna is simplified.
    5) The history of habitual angina was not traceable in some cases of the abscess.
    6) The abscess was located at some distance from the bifurcation of the superior tonsillar fossa in some cases.
    7) A formation of abscess was found in the cicatrized part several years after an incomplete tonsillectomy in some cases.
    From these facts it was deduced that the abscess may be caused by infection and suppuration of the cysts of the tonsil or its acute inflammation.
  • 久保村 雅夫
    1956 年 2 巻 4 号 p. 211-212
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Observations of the uvulas were made both morphologically and functionally, and the uvulas were classified into three types ; normal, sub-normal and abnormal.
    Most of the idiopathic uvulitis were in Type III of the abnormal type and most patients who had essential stertor were in the sub-normal type.
    Good results in treating stertor were obtained by injecting paraffin into the uvula.
  • 久保 隆一, 宮崎 捷
    1956 年 2 巻 4 号 p. 213-216
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    A case of amyloid tumor in the pharynx and laryngeal region of a man, aged 49, is reported. The amyloid tumor is rare in the E. N. T. field.
    The amyloid mass was observed histologically. Noting the eosinophily of the blood, the authors consider that this is a sort of allergic disease. The treatment was the extirpation of the amyloid mass.
  • 牧野 敏雄
    1956 年 2 巻 4 号 p. 217-218
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Two cases of foreign bodies are reported. One is a foreign body of a part of a leaden toy trumpet that stayed in the glottis for 3 years and was extracted by direct laryngoscopy. The other case is two pieces of 1 sen copper coins and one 1 sen aluminum coin in the esophagus, which were extracted simultaneously by direct esophagoscopy.
  • 窪 敦子, 池 香子, 久田 タカ
    1956 年 2 巻 4 号 p. 219-225
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Observations were made of the influence of the endotracheal intubation on the larynx with 55 cases who underwent the intrathoracal operation of the heart and the lung under the anesthesia by endotracheal intubation, and the following results were obtained.
    1) Subjective symptoms appeared in 100 % of the cases. The main symptoms were pain, hoarse voice, stridor, dyspnea, cough, hemoptysis, and feeling of foreign body. These symptoms disappeared in 2 weeks.
    2) Objective symptoms appeared in 92.7 % of the cases. The main symptoms were hyperemia, paleness, hemorrhage, excoriation, swelling, roughness of chordal margin, and granulation, and these symptoms disappeared rapidly in 2 weeks, except roughness and granulation. Bleeding and excoriation occuring as a result of the trauma to the vocal chord were limited to the cartilaginous part of the vocal chord. This is to be noted in correlation to the origin of laryngeal granuloma.
  • 佐藤 イクヨ, 津田 昭子
    1956 年 2 巻 4 号 p. 226-230
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    A girl, aged 10, often vomited from an unknown cause. Her case was diagnosed in the authors' clinic as functional spontaneous esophagus dilatation by the X-ray examination, esophagoscopy and the examination of the autonomous nerves function.
    The treatment by means of atropin sulfate and dilatation of cardia with the bougie of whalebone improved her case.
  • 竹田 磋智夫
    1956 年 2 巻 4 号 p. 231-235
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Statistical observations were made of 53 cases of periesophageal abscess examined at Sasaki's Clinic in the last 20 years. Reports are made on various observations regarding the frequency of the disease; the age, sex, and occupation of the patient; the subjective symptoms and its cause ; the kind of foreign bodies; the time of the day when the foreign bodies were erroneously swallowed ; the duration of hospital treatment ; the locality of the fistula; and the method of treatment.
    The preventive methods are;1) early diagnosis, 2) special attention to artificial teeth, 3) avoidance of non-esophagoscopical examinations and of unreasonable esophagoscopy.
    The ideal treatment of the abscess is the intraesophageal incision, but the extraesophageal incision must be resorted to without hesitation when the condition takes a protracted course.
  • 山本 哲
    1956 年 2 巻 4 号 p. 236-238
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    In an operation, the operator should not adhere too much to shortening the operating time, but he should know how long it will take him to carry out the operation. Actually, there are so many factors affecting the operating time that it is difficult to predict the time of operation.
    In the author's opinion, to shorten the operating time is to eliminate the wasted time and to deal with the bleeding properly. Namely, the selection of the operating instruments, operator's mental concentration, hemostasis before the operation, etc. are most important.
    The author's average operating time is as follows: Tonsillectomy (one side)1-2 min.
    Deviotomy 10-15 min.
    Radical operation of sinusitis maxillaris and ethmoidalis (one side) 22 min.
    Radical operation of otitis media 30-40 min.
    Radical operation of cholesteatomotitis 20-30 min.
  • 菱山 博文, 桂 弘道
    1956 年 2 巻 4 号 p. 239-241
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    A 5-year-old boy who given a hit on the pharynx with the handle of a duster 4 days before, complained of rigidity of the neck.
    A wound was found in the posterior wall of the pharynx, and the X-ray photograph revealed the fracture of the proc. articularis caudalis of the 2 nd cervical vertebra and its horizontal luxation.
    Gibson's sling was applied for treatment.
  • 亀田 神三宝
    1956 年 2 巻 4 号 p. 242-245
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    From the author's long clinical: experience, the following points are emphasized in the diagnosis of diphtheria.
    1. Without the pseudomembranes, one should not diagnose a case as diphtheria only with the proof of the bacillus diphtheriae.
    2. Always the nasal cavity should be examined.
    3. A patient may have soft pseudomembrane accompanied with no pain in swallowing.
    4. The pseudomembrane may not be dirty-colored, but may be semi-transparent and milkwhite colored.
    5. Examination for the bacillus should be made in the case of tonsillitis lacunaris.
    6. Attention should be paid to the case where the pseudomembrane extends outside the tonsils.
    As for the treatment, the author usually injects 10,000 units of the serum in a serious case and injects again 7,000 units on the following day if there is no sign of improvement.
    Horizontal incision is recommended for beginners in tracheotomy.
  • 佐々木 寛, 山形 雅俊
    1956 年 2 巻 4 号 p. 246-253
    発行日: 1956/07/15
    公開日: 2013/05/10
    ジャーナル フリー
    Wir hatten Gelegenheit, 64 Patienten mittels Stellatumblockade zu behandeln. Das Resultawastolgend ; erfolgreich in 83% mit Ménière'schen Schwindelanfällen, 100% mit Bell's Paralyse, 75% mit Trigeminusneuralgien und in 78% mit Ohrensausen.
    Aber nur wenige bei den Nerven-Schwerhörigkeit und, keine Erfolge bei Ménièreschen Schwerhörigkeit.Im allgemeinen sind-Gewonnen.
    Bei frischen neuralgischen Schmerzen und solchem mit Trigeminusneuralgien erzielten wir erhdbliche Besserung. Erfolglos sonst rezidivierend wares bei veralteten Faäen.
    In dieser Arbeiten wollten wir der mit der Beschreibung der einzelnen Falk betonen, dass der Wirkungsmechanisnius der Stellatumblockade sich teils auf die Verbesserung der Blutzufuhr, teils auf die Unterbrechung des Autonomenervenreflexes und auf der assozierten Wirkung der motorischen und sensiblen Nervenfaser zurtick zu führen lässt.
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