巻号一覧
21 巻, 6 号
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酒井 俊一, 尾崎 正義, 池田 寛, 山本 邦之, 吉田 淳一, 矢野 和栄1975 年 21 巻 6 号 p. 859-884
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリー1) From 1957 to 1974, 908 cases of malignant tumors of the nose and paranasal sinuses were statistically observed. The most frequent site of origin was the maxillary sinus (91.4%) and the most common histological diagnosis was carcinoma (92.5%).
2) The crude survival rates for each treatment method were caliculated in January 1975. The number of cases and the 5-year crude survival rates of the main groups were as follows:
I. Primary cases of malignant tumors (761 cases) 21.3%
A. Carcinoma (709 cases) 21.4%
B. Sarcoma (45 cases) 19.4%
II. Primary cases of maxillary sinus carcinoma (561 cases) 22.0%
A. Period 1957-1966 (282 cases) 18.4%
1. Combination of irradiation and surgery (114 cases) 31.6%
a. Stage I (43 cases) 37.2%
b. Stage II (62 cases) 29.0%
2. Irradiation alone (168 cases) 9.5%
a. Stage I (23 cases) 21.7%
b. Stage II (81 cases) 8.6%
B. Period 1967-1969 (130 cases) 30.0%
1. 5-FU intraarterial infusion (25 cases) 32.0%
2. Intraarterial infusion of other drugs (35 cases) 31.4%
3. Irradiation only without infusion (45 cases) 31.1%
C. Period 1970-1971 Linac X-ray irradiation (61 cases), 4-year crude survivai rate 14.8%
D. Period 1972-1973 5-FU infusion (80 cases), 2-year crude survival rate 51.9%
3) The following stage-grouping of maxillary sinus carcinoma was recommended for the comparison of survival rates based on the classification of tumor spread used in the TNM system.
Stage I T1-2 N0 M0
Stage II T3 N0 M0
Stage II T4 N0 M0
T1-4 N1 M0
Stage IV T1-4 N2-3 M0
T1-4 N0-3 M1
4) The best treatment method at present is 60Co γ-ray irradiation (5000 rad/25 fr/5wk.2 portals with right angle, wedge pair filter) with a continuous intraarterial infusion of 5-FU (amount of 1500-2000mg). An antrostomy is necessary and curretage is recommended during the irradiation. A maxillectomy must be performed in the event of the failure of irradiation. If the recurrence lesion is small, intracavitary irradiation may be adopted.Otherwise external irradiation is given again. A neck dissection is preferable if there is neck metastasis.抄録全体を表示PDF形式でダウンロード (2927K) -
その1難聴児の始語石沢 博子, 行徳 多恵子, 江口 泰子, 黒川 雅子, 平野 須磨子1975 年 21 巻 6 号 p. 885-889
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーThe authors studied the age at which the first word appeared and a variety of first words in 788 children with perceptive deafness by a question to their mothers in a first consultation in Visual and Auditory Research Institute of Fukuoka Medical Association during last 4 years. The results were as follows:
1. In all children with deafness within 30 dB, The first word appeared up to the end of one year of age and in all cases with deafness within 45 dB, the first word appeared up to the end of 2 years of age. In 96% cases with the hearing loss within 60 dB, the first word appeared up to the end of 2 years of age.
2. There were 197 children who did not speak any word in a first consultation. 98 % of these cases had the hearing loss beyond 61 dB and the greater part of these cases had the severe hearing loss beyond 91 dB.
3. Speech sound of a first syllable of the first word was studied. The percentage of labial sounds were 50.8 %, the most of all and that of vowels were 42.6%, next to labial sounds. In comparison with the data in children with speech disorders without deafness, there was the more percentage of vowels and the fewer percentage of another consonants except for labial sounds in deaf children than in children with speech disorders without deafness.
4. With regard to a variety of the first word, there was the greatest percentage of words with foods and those with family members were in the next place. In comparison with the data in cases with speech disorders without deafness, there was the graeter percentage of words with foods and the fewer with another articles in deaf children than in speech disordered without deafness.抄録全体を表示PDF形式でダウンロード (678K) -
井上 憲文1975 年 21 巻 6 号 p. 890-898
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーThe cystic lesions of the maxillary sinus are not so rare in E. N. T. clinic. These include, odontogenic cyst, retention cyst, mucocele, pyocele and postoperative cyst. In contrast to rather common odontogenic and retention cyst, mucocele and pyocele are extremely rare. Each one case of the radicular and retention cysts and two cases of the pyocele in the maxillary sinus are here reported. None had a history of sinus operation.
The first case with a painless swelling of right cheek and the second case complaining of attacks of right facial pain were investigated radiologically. Preoperative diagnosis were radicular cyst and retention cyst, respectively. The diagnosis turned out to be correct by surgery and histopathological examination.
The third case with a fluctuant swelling had a history of trauma in right cheek. The puncture revealed the presence of the purulent content. The fourth case had a painful swelling of left cheek. Three previous incisions were done to drain the pus from the cyst. In both cases, X-ray examination showed an expansive lesion of the antrum with bony involvement. Preoperative diagnosis for them was pyocele of the maxillary sinus. The surgery and histopathological examination confirmed the diagnosis.抄録全体を表示PDF形式でダウンロード (10340K) -
久保 隆一, 大野 政一1975 年 21 巻 6 号 p. 899-905
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーIm Zeitraum zwischen 1956 bis 1973 wurden 61 Fälle des Kehlkopfkarzinoms in der Univ. -HNO-Klinik Kagoshima behandelt. Seitdem die Mikrolaryngoskopie 1969 in die Klinik eingeführt worden ist, haben sich die FFälle vermehrt, in denen frühzeitig das Karzinom entdeckt wurde. Deswegen ist die 5 jFährige berlebensziffer viel größer geworden (28/32, also 87.5 96). Die Kehlköpfe der Überlebenden in 78.2% erhalten.
Die Fälle bestehen hauptsäch-lich aus glottischen Karzinomen, mit Ausnahme von 4 Fällen eines supraglottischen und 6 Fällen eines fortgeschrittenen glottischen Karzinoms(T3).
Unter 8 Rückfällen waren in 5 Fällen die Tumoren trotz der Vollbestrahlung d. h. über 5000R nicht gänzlich verschwunden, in einem Fall war das Karzinom in die vordere Kommissur und in einem anderen Fall war der Tumor in den Ventrikel infiltriert. Im letzten Fall trat eine Halslymphknotemetastase auf, obwohl der Primärherd mikrolaryngoskopisch genesen war.
Auf Grund dieser Behandlungsergebnisse kOnnen die Verfasser folgende Schliisse ziehen:
1) Zur Durchfiihrung der Strahlentherapie des Kehlkopfkarzinoms ist die Frühdiagnose desselben unentbehrlich.
2) Die Mikrolaryngoskopie, Laryngographie oder sonstige endskopische Untersuchungen sind zur Frühdiagnose und Diagnosenstellung unbedingt notwendig.
3) Das erste 1 Jahr scheint uns zur Beobachtung des posttherapeutischen Verlaufes das wichtigste zu sein.抄録全体を表示PDF形式でダウンロード (880K) -
菊池 尚子, 上村 卓也, 梅津 亮二1975 年 21 巻 6 号 p. 906-910
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーA 2-year and 7-month-old boy had developed ataxia and nystagmus since the age of 1 year and 4 months. Hemangioblastoma was removed from the left cerebellar tonsil at the age of 1 year and 5 months.
Electronystagmography revealed that horizontal nystagmus changed its direction alternately with the period of approximately 90 seconds including a 20-second rest period. Characteristic was the nature that for forward gaze his head was rotated to the direction of the quick phase and was maintained in its direction during the nystagmus to the same side (Fig. 2). The direction of the head rotation shifted to the opposite side following change in the direction of nystagmus. The nystagmus disappeared at the age of 3 years and 11 months. Our findings may support the theory that the lesion responsible for periodic alternating nystagmus is in the cerebellum.抄録全体を表示PDF形式でダウンロード (716K) -
小林 仁和, 涌谷 忠雄1975 年 21 巻 6 号 p. 911-915
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーA case of neurinoma in 28-year-old house wife with right nasal obstruction is reported.
Anterior rhinoscopy of the patient revealed a reddish mass of the fore-finger size in the right middle nasal meatus. X-ray of the nose and paranasal sinuses showed a hasy soft tissue shadow occupying the whole of the nasal cavity and maxillary antrum on the right side. The tumor was removed with Denker's partial resection tecknique. Histological examination revealed a neurinoma of a mixture of Antoni A. type and Antoni B. type. The case showed good postoperative course and no signs of reccurence for 16 months.抄録全体を表示PDF形式でダウンロード (3518K) -
黒川 博愛, 小倉 義郎, 田中 徹, 松村 元良1975 年 21 巻 6 号 p. 916-922
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーThree cases of fibrous dysplasia of the maxilla and facial bone were reported.
Case 1. A 24-year-old woman complained of swelling and deformity on the left side of her face especially on the nasal region. The diagnosis of fibrous dysplasia of facial bone was made histologically under exploratory and conservative operation. No recurrence was seen postoperatively.
Case 2. A 10-year-old girl developed swelling of the left zygomatic region but had no symptom on the nasal region. Partial resection and curettage of tumor was made under exploratory maxillary srugery, with recovery of the figure of the face.
Case 3. A 10-year-old girl sufferd from swelling of the right zygomatic region and nasal obstruction. Under roentgenological examination, no infiltration of the tumor was seen to the lateral and frontal wall of the maxi llary cavity. Under surgery, tumor was located in maxillary and ethomoidal sinuses, and was removed completely.抄録全体を表示PDF形式でダウンロード (14490K) -
平島 直子1975 年 21 巻 6 号 p. 923-928
発行日: 1975/11/20
公開日: 2013/05/10
ジャーナル フリーA 16-year-old boy developed bilateral sensoryneural hearing loss in Feburary, 1973. The audiogram showed a bilateral sharp high frequency loss. There was no recruitment. He was found to have discrimination scores of 54% in the left ear and 24% in the right ear. The caloric response was absent bilaterall and nystagmus was found. He had a cervical meningioma in 1966. The cervical meningioma was removed by an operation. He found a facial palsy in March 4, 1975. A café-au-lait spot was noted on the right leg. He was diagnosed von Recklinghausen's disease.抄録全体を表示PDF形式でダウンロード (9611K)
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