耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
23 巻, 3 号
選択された号の論文の10件中1~10を表示しています
  • 小宮山 荘太郎, 笠 誠一, 渡辺 宏, 西納 真介, 広戸 幾一郎, 柳内 統
    1977 年 23 巻 3 号 p. 385-390
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Several cases of dysphagia (Wallenberg syndrome 1, amyotrophic lateral sclerosis 1, pseudobulbar paralysis 2, and laryngotracheal trauma 2) were clinically investigated and treated with cricomyotomy. Cineradiographic and electromyographic observations revealed that dysphagia in all cases were caused by some problems in the second stage of deglutition and that the discoordination of hypopharyngeal muscles such as the hyopharyngeus, thyropharyngeus and cricopharyngeus muscle. All cases with cricomyotomy easily swallowed and didn't complain of any discomfort. We assured of its being significant. Furthermore, clinical entities of these various malfunctions were discussed with special reference to their pathogenesis and therapeutic problems.
  • 調 賢哉
    1977 年 23 巻 3 号 p. 391-395
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Secretory otitis media is usually treated conservatively. However, approximately 10% of secretory otitis media cases treated are found to be highly resistant to various conservative treatments and sometimes require mastoidectomy.
    A 35-year-old male with secretory otitis media was for 6 years under conservative treatments inclusive of transmyringeal intubation. But since he could not be relieved of the symptoms, mastoidectomy was finally preformed with marked success.
    This intractable type of secretory otitis media is considered tubotympanomastoiditis from the pathological point of view. The elimination of the mastoid reservoir alone is not satisfactorily effective. In this case, the transantral drainage with the insertion of polyethylen tube into aditus was performed after radical mastoidectomy.
  • 西納 真介, 森満 保
    1977 年 23 巻 3 号 p. 396-400
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of the nasal glioma has been reported in the literature, this being the extranasal type of the glioma. The extirpation was done with a paranasal incision under the general anesthesia. The tumor was tightly adhered to the sorrounding tissue, but any branches didn, t extend beyond the frontal sinus or the cranium. The prosthesis made by Phycon was inserted preventing from the saddle nose, after the tumor was extirpated in a lump. Turning over the !ipsilateral nasal ala gave the adequate visual field.
  • 松下 了, 川崎 洋, 進 武幹, 進 保政, 佐田 通夫
    1977 年 23 巻 3 号 p. 401-405
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Sjögren's syndrome is considered as a collagenous disease which is not very common among lesions of the salivary glands.
    A 43-year-old female presented various clinical manifestations of this clinical entity, such as rheumatic arthritis, pharyngitis sicca and keratoconjunctivitis. An enlargement of the salivary gland which is often associated with Sjögren's syndrome was not observed in our case. Sialography of the parotid gland showed a typical inflammatory pattern and laboratory tests revealed an increase in IgM and IgG, a positive RA test, and a rapid blood sedimentation rate. She was successfully treated with administration of steroid hormon of low dosage for a month and no recurrence occurred until now, that is three months after the end of the treatment.
  • 小宗 静男, 柴田 浩一
    1977 年 23 巻 3 号 p. 406-411
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    A 67-year-old male had been treated as the right maxillary sarcoma 7 years ago. The tumor was recurred in orbita at this time, and histopathologically was malignant extramedullary plasmacytoma. A sample of tumor 7 years ago was reviewed histopathologically, and proved to be malignant extramedullary plasmacytoma. The initial site of the tumor in this case seemed to be the right ethmoidal sinus, and such case is rare.
  • 高橋 政見, 柴田 浩一
    1977 年 23 巻 3 号 p. 412-417
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of neurilemmoma of the larynx was reported. A 28-year-old woman complained of dyspnea, pain in swallowing and snoring. Indirect laryngoscopy revealed a large smooth globular tumor in the larynx, the vocal cords could not be seen.
    The tumor was removed under general anesthesia by the pharyngotomia lateralis. It was measured 22mm×23mm×35mm in size, 11.0g in weight. The patient maintained a normal laryngeal function after the surgery.
  • 重森 優子, 平野 実, 渡辺 陽子, 川崎 洋, 野副 功, 大西 克貞
    1977 年 23 巻 3 号 p. 418-432
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
  • 小西 静雄
    1977 年 23 巻 3 号 p. 433-437
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Measurements of auricle (width of “top to bottom” and “front to rear”), head (length of “front to rear” and “left to right”) and height were taken from 628 persons (male 328, female 300) who were living in Okayama city and under 20 years old.
    Result of the study was as follows
    The auricle is fully developed at about 10 years old, and it is earlier in completion of development than head and height. In a fully developed auricle the width of “top to bottom” is 6-6.5cm and of “front to rear” is 3.5-4cm. It is also noted that in a female, the completion of development of the auricle is earlier and smaller in size. than that of the male.
    Moreover, the comparison of development of the auricle, head and stature was discussed in detail in the paper.
  • 岩沢 武彦
    1977 年 23 巻 3 号 p. 438-450
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Antibacterial activity and clinical evaluation of a new antibiotic, Amikacin were performed.
    The results obtained are as follows:
    1) In vitro antibacterial activity: The minimal inhibitory concentration (MIC) of Amikacin was measured by an agar plate dilution method using heart infusion agar (Eiken). Amikacin reveald an excellent, broad spectrum antibacterial activity against 25 standard strains of various bacteria. Amikacin had same antibacterial spectrum like those of other aminoglycoside antibiotics. The MIC of aminoglycoside against 80 strains of coagulase positive Staphylococcus aureus isolated from otorrhoea was distributed over range of 0.39 to 50mcg/ml. with being observed particulary at 3.13mcg/ml. Further, the MIC of Amikacin was 0.39 to 12.5mcg/ml against Escherichia coli, Proteus mirabilis, Klebsiella pneumoniae, and 0.78 to 25mcg/ml against 33 strains of Pseudomonas aeruginosa.
    2) Stability of Amikacin solution: As to the stability of 10mg/ml, Solution of Amikacin, there was no change in its colour, pH and antibacterial activity when the solution were kept at 5°C and 37°C for 14 days.
    3) Results of clinical treatment: When Amikacin was applied locally in 40 cases of the acute or chronic purulent otitis media, it was good in 17 cases, fair in 12 cases, and poor in 11 cases, a rate of effectiveness being 72.5 per cent.
    4) Side effect: No side effect was observed when Amikacin was locally used.
  • 調 重昭
    1977 年 23 巻 3 号 p. 451-452
    発行日: 1977/05/20
    公開日: 2013/05/10
    ジャーナル フリー
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