巻号一覧
20 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
- |<
- <
- 1
- >
- >|
-
広戸 幾一郎1974 年 20 巻 6 号 p. 701-705
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーVarious skin incisions have been employed in the radical neck dissection. The double Y incision gives the most excellent exposure with the easiest technique to dissect the lymphoid tissue of the neck; however, it occasionally causes the necrosis of tip of the skin flap and is vulnerable over the carotid artery. Such unpleasant conditions are mainly due to the subcutaneous hematoma trapped in the dead space after the surgery. The author deviced a new Z incision similar to the double Y incision in order to diminish the dead space and protect the carotid bulb while getting the best exposure.
Comparing the length of the neck on the operated side to that on the healthy side in cases after the radical neck dissection, the former is vertically about 4cm longer and horizontally about 3cm shorter than the latter. It indicates that the skin of the neck is vertically insufficient and horizontally excess to cover the raw area just after the surgery. The subcutaneous dead space remains for this reason.
In the author's technique, the upper horizontal incision is made 2cm below the margin of the mandible and the lower horizontal one is done 2cm above the clavicle. Two horizontal incisions are connected with the oblique incision along the sternocleidmastoid muscle. When the surgical field is closed, both skin flaps are 2cm advanced and sutured each other. By this procedure, the length of the skin of the neck becomes about 4cm shorter in the horizontal direction and about 4cm longer in the vertical direction. If necessary, the anterior chest flap is peeled off and advanced upward to extend the vertical length of the skin of the neck. Since both skin flaps closely cover the raw area and no dead space remains, unpleasant complications are never noticed in this incision.抄録全体を表示PDF形式でダウンロード (582K) -
森園 哲夫1974 年 20 巻 6 号 p. 706-709
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーExperimental deafness caused by preoperative antiseptics with surface acting agents (detergents) has been studied by the author. In this study, one of the common cationic detergents, Cetrimonium bromide, has been chosen.
It was found both membrane resistance of the cochlea and endocochlear DC potential decrease markedly after application of the detergent on the round window membrane. It is thought that the lowering of the membrane resistance caused by the chemicals could well be one of the major mode of the action that would cause ototoxicity. From the observation above, it may be wise not to use anti-septics and ear drops with detergent in it to the middle ear cavity.抄録全体を表示PDF形式でダウンロード (547K) -
平島 直子, 森満 保, 朝隈 真一郎1974 年 20 巻 6 号 p. 710-715
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーThe effect of acetazolamide on the endocochlear DC potential was studied in guinea pigs. With the injection of 50mg/kg of acetazolamide the EP decreased to 75.8±24.7% of the initial value at the 20th minute, recovered to 91.8±9.6% at the 60th minute and then gradually decreased. It decreased to 89.6±7.5 96 at the 120th minute, 88.3±7.0% at the 180th minute and to 85.5±9.0% at the 240th minute. With the injection of 200mg/kg of acetazolamide the EP also decreased to 27.0±16.8% within 5 minutes, recovered to 76.3±17.0% at the 40th minute and decreased. It decreased to 70.4±16.4 at the 60th minute, to 57.5±21.1% at the 120th minute and to 53.8±18.2% at the 180th minute. It was characteristic that the depression of EP after the injection of 200mg/kg of acetazolamide was more severe and the process such as the primary depression, recovery and the second depression was more rapid as compared with the EP after the injection of 50mg/kg of acetazolamide.
The changes of EP after the administration of acetazolamide was similar to those of CM. Acetazolamide would act to the stria vascularis, cause the changes of the endolymphatic ion composition, the volume of the inner ear fluids and the pressure of the inner ear fluids and secondly, produce the changes of the CM.抄録全体を表示PDF形式でダウンロード (9620K) -
篠崎 直子, 森満 保1974 年 20 巻 6 号 p. 716-721
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーSixty cases of sudden deafness were observed statistically. Thirty-six cases that could be followed up were analyzed from the symptomes, sex, age, method of treatment, audiogram types and prognosis. The prognosis of them was divided into four parts. 1) complete recover (11.1%), 2) clear recovery (16.7%), 3) slight recovery (33.3%), 4) unchangeable (38.9%). The improvement of hearing were observed in 10 cases (27.8%), and the possibility of hearing improvement was limited within one month from the onset of hearing loss. The authors emphasized that the most important factor was “early treatment.”
We could not conclude that the audiogram types were related to prognosis, because, we must consider the changes of the audiogram following the day elapsed from the onset of hearing loss.抄録全体を表示PDF形式でダウンロード (732K) -
朝隈 真一郎, 森満 保, 平島 直子, 大塚 幸1974 年 20 巻 6 号 p. 722-726
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーA 22-year-old male with mental defficiency underwent ear surgery (tympanoplasty) four times, but postoperative infection with severe otorrhea occurred every time. After the fourth surgery we found out perineal Eczema marginatum. It is highly suspected that the patient scratched his perineum because of itch and contaminated the surgical wound unconsciously with his dirty hand. The fifth operation was carried out with severe postoperative control of sterility and the infection was no more observed. The difficulty of management of mentally defficient patient and the irresponsible dependence on antibiotics were discussed.
We found five crystals in the granulations at middle ear cavity. Investigating them by IR absorption spectroscopy, etc, we could know that chief element of them was CaCO3.抄録全体を表示PDF形式でダウンロード (7547K) -
平島 直子, 森満 保, 渡辺 晋1974 年 20 巻 6 号 p. 727-729
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーA 51-year-old woman had a traffic accident on Nov. 15, 1973. She complained of the tinnitus and loss of hearing on the left side on Dec. 10, 1973. She was referred to this hospital on Jan. 29, 1974. Her audiogram showed a hearing loss for the lower frequencies on the left side. A roentgenologic examination revealed considerable increased density in the left external auditory canal. A red membrane, resembling granulation tissue, appeared at the bottom of the canal adjacent to the drum and coalescent with it at the anterior part of the drum. It was removed. The tinnitus was disappeared after the operation, but the loss of hearing was severer after the operation. Histologically the tumor was diagnosed as the capillary hemangioma.抄録全体を表示PDF形式でダウンロード (8657K) -
上野 聖二, 南立 昌幸, 森満 保1974 年 20 巻 6 号 p. 730-734
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーThe term blowout fracture refers to fracture of the orbital floor caused by a sudden increase in the intraorbital pressure. The pressure force applied over the soft tissue contents of the orbit has caused an increase of intraorbital pressure, and the fracture of the thin portion of the floor causes a blowout of the orbital contents into the maxillary sinus. Surgical repair may be necessary when diplopia due to the impairment of ocularotary movement is present. Enophthalmus also necessitates surgical treatment cosmetically. The surgical approaches for this purpose are as follows:
1) trans-maxillary approach
2) trans-orbital approach
3) combined method of 1) and 2)
The trans-maxillary approach is considered to be the most advantageous because the incancerated tissue can be adequately freed by this method and because this approach permits the packing of the maxillary sinus to support the fractured orbital floor, and leaves no visible scar.
Two cases of the blowout fracture are reported. The first case is a 5-year-old boy. The patient was treated by combined method. The second is 31-year-old male and was treated by trans-maxillary approach. The maxillary sinuses of these cases showed high development which is considered to be a important factor of the cause for the blowout fracture.抄録全体を表示PDF形式でダウンロード (5655K) -
久保 隆一, 松村 益美, 二宮 俊一郎, 貴島 徳昭1974 年 20 巻 6 号 p. 735-739
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーEs handelt sich hier urn den Bericht über das seltene Vorkommen der Papillome der Nasen- und Nasennebenhöhlen. Die Patienten waren respektiv 34-, 38- und 63-jährige Männer, die alle über Nasenverstopfung, Nasenblutung oder Wangenanschwellung geklagt hatten. Sie lieBen sich von den Verfassern zur Wegnahme der Tumoren nach Denker oder Luc-Caldwell operieren. Die histologischen Bilder der ersteren 2 Fälle warenepitheliale Papillome “ und beim letzteren Fall erwies sich der Tumor histologisch als-inversiertes Papillom”.
Da ein japanischer Autor in Papillom-Zellen reichlich Glykogen-Ablagerung festgestellt und er damit die Theorie der Glykogenablagerung als ätiologischer Faktor vorgeschlagen hat, haben die Verfasser mittels PAS-, Muzikarmin- und Hämatoxylin-Färbung das Glykogen-Ablagen in Papillomzellen mikroskopisch festzustellen versucht. In jedem Tumor war das Glykogen in Papillom-Zellen zu geringfügig, um diese Theorie zu unterstützen.
Die Patienten sind alle zur Zeit rezidivfiei.抄録全体を表示PDF形式でダウンロード (6565K) -
広瀬 幸矢1974 年 20 巻 6 号 p. 740-762
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーLight microscopic and electron microscopic observations were carried out with 18 specimens of laryngeal polyp in order to elucidate pathology in the ultra structure of the polyp and discuss the etiology of the vocal cord polyp. Seven normal human vocal cords were also studied as a control. The results are as follows:
I. Normal
1) The normal lamina propria mucosae can be divided into three layers histologically: the superficial layer, the intermediate layer, and the deep layer.
2) The superficial layer is abundant in capillaries compared with the others. Within the superficial layer, there are two types of capillaries: capillaries with pores found in the area closer to the epithelium, where as in the area closer to the deeper structures, there are capillaries without pores.
II. Vocal cord polyp
1) Distribution of the capillaries with and without pores is identical to that in the normal.
2) In the area of the superficial layer closer to the vocal ligament, endothelial cells of the capillaries are thin, and the basement membrane is also thin and uncontinuous. Some capillaries without pores are ruptured.
3) Fibrin, erythrocytes and fibroblastes, which are not found in the normal lamina propria mucosae, are often observed abundantly in the deep area of the superficial layer in vocal cord polyp.
4) From the results described above, it appeares that ruptures of the capillaries without pore in the deep area of the superficial layer of the lamina propria mucosae are closely related to the cause and the growth of vocal cord polyp.抄録全体を表示PDF形式でダウンロード (32756K) -
高橋 健一, 荒井 英爾, 高橋 剛, 小林 義臣1974 年 20 巻 6 号 p. 763-767
発行日: 1974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 (644K) -
岩沢 武彦1974 年 20 巻 6 号 p. 768-778
発行日: 1974年
公開日: 2013/05/10
ジャーナル フリーAs the results of laboratory investigation with a new cephalosporin C derivative, Cephalexin (CEX), the following conculsions were obtained.
1) In vitro antibacterial activity: CEX has a broad spectrum activity against gram positive and gram negative species of standard test organisms. The minimal inhibitory concentration of CEX against 80 strains of coagulase positive staphylococcus aureus isolated from otorrhoea was distributed over range of≤0.19-to≥100mcg/ml, with a peak being observed particullary at 6.25mcg/ml. Further, in 24 strains of streptococcus hemolyticus and diplococcus pneumoniae CEX inhibited their growth from≤0.19 to 25mcg/ml. while, that of CEX inhibited in most of the an agar cultures of gram negative bacteria, except pseudomonas aeruginosa and aerobacter aerogenes, against which the MIC of CEX ranged from 0.78-to≥100mcg/ml.
2) Concentration in blood: The blood level of CEX in healthy adults who were given 500mg of CEX orally reached maximum of 14.5mcg/ml 2 hours after the administration. Even at 6 hours after oral administration clinically effetcive serum CEX concentration of 1.04mcg/ml was still demonstrable.
3) Urinary excretion: The CEX was excreted in urine with high concentration until 6 hours and about 81.3 per cent recovered from urine up to 8 hours after oral administration in healthy adults.
4) Concentration in tissues: At 2 hours after a single oral dose 500mg, the concentration in the tissues of palatine tonsilla was 1.2mcg/g as against 9.3mcg/ml in the serum, and the concentration in the tissues of mucous membrane of maxillary sinus was 2.4mcg/g as compared with 8.3mcg/ml in the serum.
5) Clinical results: CEX was given orally in 38 cases with typical infection in the field of otorhinolaryngology. As a result, there were 16 “Excellent” responses, 17 “Good” responses, 5 “Fair” responses. CEX (Syncl) was effective in 33 cases, 87 per cent.
6) Side effect: The comparative examination of liver, electrocyte and audiogram before and after the admistration showed no significant disturbances, and CEX showed no side effect at all in administration.抄録全体を表示PDF形式でダウンロード (1078K) -
松川 純一, 坂本 裕, 本村 美雄, 新川 敦1974 年 20 巻 6 号 p. 779-784
発行日: 1974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 (861K) -
平本 道昭, 丘村 熙, 柴 正記, 柴 良武, 西村 宏子1974 年 20 巻 6 号 p. 785-787
発行日: 1974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 (407K) -
佐々木 治夫1974 年 20 巻 6 号 p. 788
発行日: 1974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 (131K)
- |<
- <
- 1
- >
- >|