巻号一覧
23 巻, 6 号
選択された号の論文の18件中1～18を表示しています
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大内 仁, 中野 雄一, 本多 芳男, 柳原 尚明1977 年 23 巻 6 号 p. 749-754
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーIndications and contraindications to tympanoplasty were discussed and classified based upon surgeon's technical skill as follows:
I) Contraindications
a) Absolute contraindications -Patients who should be rejected even by skilled surgeons.-1) No cochlear reserve or severe sensorineural hearing loss. 2) Systemic diseases. 3) Non-patent eustachian tube. 4) Haemorrhagic diathesis. 5) Associated intracranial complications or apecitis. 6) Psychosis or psychoneurosis. 7) One-hea-ringear. 8) Age factor (children under 5 years; 60 years and older patients). 9) Long discharging ears due to non-sensitive bacteria. 10) Cleft palate patient and postoperative case. 11) Associated nasal allergy.
b) Relative contraindications-Staged operations should be recommended.-1) Large area of absent mucosa in tympanum. 2) Ears in which removal of pathology is in danger of inner ear lesions. 3) Fixation of foot plate. 4) Cholesteatosis in children. 5) Questionable removal of cholesteatoma. 6) Ears in which primary ossiculoplasty is not suitable.
II) Relative indications-Trainees should not do tympanoplasty.-1) Tubal insufficiency. 2) Mixed deafness. 3) Multioperated or severely destroyed ears. 4) Patients with chronic otitis externa, septal deformity, chronic paranasal sinusitis etc. 5) Discharging ears. 6) Associated labyrinthine fistula with cholesteatoma matrix difficult of removal. 7) Ears with otogenic complication. 8) Fixed stapes due to tympanosclerosis.抄録全体を表示PDF形式でダウンロード (3186K) -
中野 雄一, 今井 昭雄, 伊藤 享子1977 年 23 巻 6 号 p. 755-758
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーWhen tympanoplasty surgery first became popular, the results were far from ideal. Therefore, the methods and the grafts have largely changed in the course of the development of the tympanoplasty procedure. However, there are still many problems to be solved for further development of the surgery.
In this paper, improved results in recent tympanoplasty are presented from both functional and anatomical points of view, while factors influencing failure of the surgery are discussed.抄録全体を表示PDF形式でダウンロード (595K) -
本多 芳男1977 年 23 巻 6 号 p. 759-763
発行日: 1977年
公開日: 2013/05/10
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柳原 尚明, 丘村 煕, 暁 清文, 松本 康, 湯本 英二, 玉貫 真比古1977 年 23 巻 6 号 p. 764-770
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーChange of mastoid operation in tympanoplasty during last twelve years was reviewed. The tympanoplasty without mastoidectomy or with mastoidectomy of limited extent had been enthusiastically accepted because of easy postoperative care and satisfactory hearing result. About a decade of experience was needed to establish that such tympanoplasty should not be applied to the ear having cholesteatoma or active infection. Recurrence of disease, particularly cholesteatoma, retraction or adhesion of the grafted membrane, and deterioration of the tissue utilized for reconstruction not infequently occurred for long postoperative period. In order to avoid these delayed failures and to preserve the important structures for hearing improvement, either single or staged tympanoplasty using intact canal wall technique has been recognized to be a reliable procedure. The value of tympanoplasty with radical mastoidectomy combined with mastoid obliteration has remained unchanged or even increased because of its enduring safety. The analysis of the findings in reoperation of 104 ears indicated that a more careful eradication of the disease was needed in the perilabyrinthine, perifacial, mastoid tip cells, tympanic sinus, and hypotympanic cell in order to achieve one of the objectives of tympanoplasty, elimination of the disease and restoration of the safe ear.抄録全体を表示PDF形式でダウンロード (932K) -
-手術とくに聴力改善手術について-鈴木 淳一1977 年 23 巻 6 号 p. 771-775
発行日: 1977年
公開日: 2013/05/10
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富山 知隆, 海野 徳二, 小宮山 荘太郎, 西納 真介1977 年 23 巻 6 号 p. 776-780
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーA case of a traumatic foreign body in the maxillary sinus is reported. A 45 year old wood worker was struck in the left face by a piece of grindstone that broke off accidently. This remained in the maxillary sinus and caused secondary symptoms of bloody and purulent rhinorrhea, nasal obstrution and swelling of the left cheek. It was removed operatively 45 days after the accident.
Similar cases in the literature are reviewed and diagnosis, symptoms and treatments are discussed.抄録全体を表示PDF形式でダウンロード (4193K) -
森満 保, 松元 一郎, 落合 洋一郎, 小宗 静男, 高橋 政見, 江夏 国寿1977 年 23 巻 6 号 p. 781-785
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーThe four cases of acoustic trauma which were typical in each character were applied and we discussed about presumable pathology through their clinical pictures and experimental studies.
In the case of a patient whose hearing loss was induced by an acoustic experiment, the audiogram showed a C5 -dip type of hearing loss with 25 dB, medical therapy had no effects at all. It was considered that hairs of the sensory hair cells might have been injured physically. In the case of a patient who used to expose to intense sound of model airplanes' engine for four years, the audiogram showed a C5-dip with 50 dB less, medical therapy had also no effects. It seemed that hair cells might have been impaired irreversible. In the case of a patient who experienced an explosion of fireworks near his ear, the audiogram showed a horizontal type of hearing loss with 50 dB, medical therapy was ineffective and any responses did not appear. It was considered that the cochlear partition or the window membrane might have been ruptured. In the case of a patient who attended to a rock-and-roll music concert, the audiogram showed a C5-dip with 50dB loss, Co. Q10 (Neuquinon) was dosed and two weeks after his hearing loss was recovered completely. Therefore, we formed a conclusion that hearing loss in this case should be caused by disturbance of metabolism in hair cells and the drug helped recovery from the disease.抄録全体を表示PDF形式でダウンロード (764K) -
三橋 勝彦1977 年 23 巻 6 号 p. 786-806
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーThe purpose of this paper is to clarify various factors in obtaining a good phonatory function following vertical partial laryngectomy.
Fifty patients with or without glottic reconstruction following vertical partial laryngectomy were investigated in the view point of phonatory function. Each case was examined with laryngogram and phonatory function tests which are maximum phonation time, mean air flow rate, phonation quotient, stroboscopy and listenability.
The following conclusions are obtained:
1) The defect after removal of the cancerous lesion following vertical partial laryngectomy should be filled with a muscle flap large enough to assure a complete glottic closure.
2) The muscle flap should be covered with oral or pharyngeal mucosa in order to obtain the smooth surface.
3) The top of the musclar bulge constructed on the affected side should be located at the level of the healthy vocal cord during phonation in order to prevent the false cord vibration.
4) The Hirano's technique for glottic reconstruction was estimated as the good method to satisfy those conditions described above.
5) The filled muscle flap became atrophic about 30 % in its size within the first month after surgery. The atrophy had been progressed approximately initial first year.
6) Since atrophy is expected, the musclar bulge should be made larger in size or the non-atrophic material should be applied.
7) A free graft of oral mucosa is more convenient than pedicle pharyngeal mucosa for the covering over the muscle flap, however, it should be considered that there is the risk that occasional necrosis will occur.抄録全体を表示PDF形式でダウンロード (7620K) -
Aminobenzyl penicillinとの二重盲検比較試験による検討三辺 武右衛門, 馬場 駿吉, 岩沢 武彦, 杉森 久一, 戸村 卓爾, 阿倍 隆夫, 三ケ田 昭是, 伊藤 孜, 佐々木 亨, 粟田口 省 ...1977 年 23 巻 6 号 p. 807-827
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリーA multi-clinical, double blind controlled study was carried out to evaluate objectively the efficacy of pipemidic acid (PPA) on chronic suppurative otitis media using aminobenzyl penicillin (ABPC) as the standard drug. The following conculusions were obtained.
1) In the cases of single infections due to GNB, PPA was significantly superior to ABPC in regards of overall clinical efficacy judged by the doctor and committee, and utility judged by the doctor.
2) Moreover, in the same cases as described above, PPA was significantly superior to ABPC in point of elimination of GNB isolated from otorrhea and disappearance of otorrhea.
3) PPA tended to be more effective than ABPC in regards of infections due to Pseudomonas, although there was no significant difference between both the groups.
4) Frequency of side effects was no significant difference between both the groups. But, frequency of allergic symptoms such as eruption in ABPC group was significantly higher that that of PPA.抄録全体を表示PDF形式でダウンロード (2283K) -
調 賢哉1977 年 23 巻 6 号 p. 831-832
発行日: 1977年
公開日: 2013/05/10
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西尾 正寿, 毛利 学, 毛利 純, 島津 薫, 浅井 良三1977 年 23 巻 6 号 p. 833-835
発行日: 1977年
公開日: 2013/05/10
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L字鋼状肋軟骨フレームと有茎骨膜弁による前壁形成法関谷 透1977 年 23 巻 6 号 p. 836-839
発行日: 1977年
公開日: 2013/05/10
ジャーナル フリー先天性外耳道閉鎖症に肋軟骨を用いてone stageに外耳道形成を行う術式を述べた.
基本的に, 1. 耳後切開法, 2. 広い鱗状骨部有茎骨膜と耳介窩皮膚により形成外耳道の前壁を作り, 3. 工状軟骨フレーム (彫骨後) を前壁下に挿置, 4. 有茎筋膜弁と鼠蹊部遊離皮膚弁にて耳介窩 (皮膚欠損部) 外耳道後壁を被覆形成する.抄録全体を表示PDF形式でダウンロード (426K) -
高原 定幸1977 年 23 巻 6 号 p. 840-842
発行日: 1977年
公開日: 2013/05/10
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原 薫1977 年 23 巻 6 号 p. 843-846
発行日: 1977年
公開日: 2013/05/10
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対孔ドレーンの考案窪田 哲昭, 片山 洋一, 渡辺 悟郎, 秋山 太一郎1977 年 23 巻 6 号 p. 847-850
発行日: 1977年
公開日: 2013/05/10
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佐竹 文介, 松橋 敬一, 牧野 総太郎, 松浦 鎮, 境野 宏治1977 年 23 巻 6 号 p. 851-854
発行日: 1977年
公開日: 2013/05/10
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沢木 修二, 大石 公直, 広瀬 肇1977 年 23 巻 6 号 p. 855-858
発行日: 1977年
公開日: 2013/05/10
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梅田 悦生, 坂田 英治1977 年 23 巻 6 号 p. 859-862
発行日: 1977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 (450K)
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