巻号一覧
25 巻, 3 号
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喉頭・気管端々吻合加藤 功, 山崎 久生1979 年 25 巻 3 号 p. 791-795
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーA 61 year old female patient suffered from complete obstruction on the portion of the cricoid as a result of high tracheotomy following operation for esophageal carcinoma. Various kinds of both operative and palliative treatments were performed without success. About one year later, the operative procedures were performed by a block excision of the cricoid cartilage and first tracheal ring, and with reanastomosis of the trachea to the remaining larynx over a stent. The important points in the operation are as follows:
1) Laryngofissure is mandatory to adjust the diameter in the subglottic space with that in the trachea.
2) The division of the inferior constrictor muscle is also necessary. This procedure allows the larynx tilt forward. This change in position is advantageous when the apposition is performed.抄録全体を表示PDF形式でダウンロード (8370K) -
森満 保, 落合 洋一郎, 高橋 政見, 小杉 忠誠1979 年 25 巻 3 号 p. 796-801
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーTwo cases of posttraumatic stenosis of air way treated successfully were reported.
A 61-year-old farmer had crushed his cervical trachea by a flying block of wood. Two months after the accident, annular excision of the stenotic cervical trachea of 3 segments and end to end anastmosis were performed. To confirm the anastmosis, suprahyoid release by Montgomery was done and a polyethylen tube of 14mm diameter and 50mm long was detained to avoid the developement of recurrent stenosis. One month after the surgery, it was confirmed that the patient was in good condition.
A 64-year-old farmer had thrust his neck for the purpose of suicide. Forty five days after the injury, his completely stenotic larynx was opened by laryngofissuure and labial mucosa of 15×30mm was transplanted on the rough surface in the glottis after the complete resection of scar tissue. A core mold made of a rubber film, a surgical glove was utilized, was set to press the transplant, to keep the glottic space and to avoid maldeglutition. After 2 weeks, the core mold was extracted and his larynx was reconstructed with sufficient laryngeal functions.抄録全体を表示PDF形式でダウンロード (9092K) -
涌谷 忠雄1979 年 25 巻 3 号 p. 802-804
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーA case, 21 years old, who had suffered from reticulosarcoma of left palatine tonsil (Stage 2) and gave birth to normal infant during the remission time, was reported.
When the patient had no-recurrence over two years, we should permit her to progress of the pregnancy.抄録全体を表示PDF形式でダウンロード (391K) -
松本 康, 柳原 尚明, 丘村 煕1979 年 25 巻 3 号 p. 805-810
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーDuring last fifteen years, about 1700 patients with facial palsies were treated at our clinic. Among those, there were two cases with bilateral palsies of otitic origin ocurred simultaneously. In the first patient, one-year-eleven-month old boy, the electrodiagnostic examinations showed the signs of pronounced denervation of bilateral facial nerves ten days after the onset of the palsies. Mastoidectomy and decompression of the facial nerve were performed on both ears and normal facial movements were restored in a year. In the second patient, four-year-eight-month old boy, the left facial palsy improved by a myringotomy performed on eighth diseased day. The right facial nerve showing severe denervation needed decompression. Normal facial movements were restored six months after the operations. In three decompressed facial nerves, the inflammation extended into the perineural tissue through a dehiscence or a paper thin bony wall of the facial canal in the tympanic segment. This perineuritis caused a marked edematous swelling of the nerve leading to the facial palsy.抄録全体を表示PDF形式でダウンロード (8952K) -
平川 勝洋, 杉本 嘉朗1979 年 25 巻 3 号 p. 811-815
発行日: 1979年
公開日: 2013/05/10
ジャーナル フリーPatients suspected of having neuralgia of the superior laryngeal nerve were treated by nerve block. The block was performed using the technique originated by Hoffman, using 1% lidocaine as the anesthetic. Fifteen of eighteen patients (83.3%) responded with diminution or disappearance of pharyngo-laryngeal pain.
Patients with a history of pain of long duration tend to respond less well than patients with a shorter duration of symptoms.
There were no complications. We conclude that patients suspected of superior laryngeal nerve neuralgia, which is characterized by pharyngo-laryngeal pain, tenderness midway between the hyoid bone and thyroid cartilage 1 cm anterior to the superior thyroid cornu, and no known organic lesion, may benefit considerably from this technique. Alcohol block or neurectomy should be considered for patients with severe pain who do not respond to the lidocaine block.抄録全体を表示PDF形式でダウンロード (565K) -
SK反応性proactivatorの化学的性質小杉 忠誠, 森満 保, 平野 一弥, 浜谷 松夫1979 年 25 巻 3 号 p. 816-821
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーThe nasal polyp and antrochoanal polyp were by product of a chronic inflammation in the paranasal cavity. They were formed on the association with the paranasal mucous membrane. So that, it was an important factor forming them that the paranasal mucous membrane pathologically proliferated and invaded into the nasal cavity. On the other hand, it was established that in tissue culture using the human embryonic kidney cell and the transformed cell, the growth and production of their cells were closely related to the activity of protease and antiprotease in them.
We suggested that the enlargement of nasal polyp might be subjected to a protease-antiprotease system in this tissue. At first, in order to clarify the relationship of nasal polyp and the activity of protease-antiprotease, we observed the activity of their enzymes in tissue extract of an antrochoanal polyp.
The results obtained from this experiment were as follows:
1. It was observed in tissue extract that the activity of plasminogen tissue activator was scanty but the activity of SK-proactivator was remarkable.
2. This SK-proactivator was stable at acid and neutral pH, but was labile at alkaline pH in thermostability.
3. The inhibitory activity to some proteases, so that, trypsin and papain was not observed. From these results, it became appeared that the fibrinolytic enzyme, especially a SK-proactivator was a dominant enzyme in a protease-antiprotease system of the antrochoanal polyp tissue. Furthermore, this paper was described about the property of the proactivator in blood and body fluid in comparison with it in the antrochoanal polyp. Until the present time the existence of a SK-proactivator has not been reported in body tissue, although it has been known in human blood and body fluid. This is the first report to deal with SK-proactivator in the tissue.抄録全体を表示PDF形式でダウンロード (678K) -
年令による変化河原田 和夫, 友野 時雄, 平井 靖人1979 年 25 巻 3 号 p. 822-823
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーRosette formation and “active” rosette formation of human lymphocytes with sheep erythrocytes were examined.
Compared to peripheral blood lymphocytes, the cell-mediated immunological abilty of human tonsil lymphocytes was found to be increased, and more important in children's group.抄録全体を表示PDF形式でダウンロード (242K) -
吉田 哲二1979 年 25 巻 3 号 p. 824-872
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーNormal deglutition was investigated by the use of a new system of apparatus which enables simultaneous recordings of four-channel electromyography superimposed on fluoroscopic X-ray images. Four normal male adults served as the subjects. The muscles investigated were the genioglossus, geniohyoid, thyrohyoid, thyroarytenoid, thyropharyngeal and cricopharyngeal muscles. The thyropharyngeal muscle was investigated at two different places: upper portion and lower portion.
Movements of the food channel, including elevation of the larynx, supraglottal closure, and opening and closing of the hypopharynx were graphically shown as a function of time. Movements of the tip and the end of bolus were investigated. All these movements were related to the muscular activity.
The results are summarized as follows:
1. Among the muscles investigated, the genioglossus muscle first starts being activated. The geniohyoid muscle follows. Contraction of the thyrohyoid and thyroarytenoid muscles and relaxation of the cricopharyngeal muscle begin nearly at the same time. The relaxation of the cricopharyngeal muscle lasts for approximately 500 msec. The thyropharyngeal muscle presents a series of peristalsislike activation transmitting from above to below during the cricopharyngeal relaxation. The sequence of all the events does not significantly differ according to the body position or to the nature of bolus.
2. The elevation of the larynx begins before the activation of the genioglossus muscle. It reaches to the peak after the thyrohyoid muscle is activated. The peak occurs earlier for deglutition of saliva than for that of barium solution.
3. The supraglottal closing also begins before the contraction of the thyroarytenoid muscle. A complete supraglottal closure takes place around the beginning of the thyroarytenoid contraction and lasts near to the end of the cricopharyngeal relaxation.
4. The pharyngeal cavity at the level of the sixth cervical vertebra starts opening after the cricopharyngeal muscle begin to relax, and it is closed nearly at the same time of the end of the cricopharyngeal relaxation.
5. The tip of the bolus appears near the uvula when the cricopharyngeal muscle is relaxed. The end of the bolus pass the entrance of the esophagus during the cricopharyngeal relaxation.抄録全体を表示PDF形式でダウンロード (12052K) -
単独療法とパントシンとの併用療法について木村 洋, 鈴木 八郎, 青柳 優, 加藤 功, 小池 吉郎, 大竹 欣哉1979 年 25 巻 3 号 p. 873-879
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (893K) -
Ampicillinとの二重盲検比較試験馬場 駿吉, 加藤 滋郎, 和田 健二, 波多野 努, 鈴木 康夫, 岩田 重信, 西村 忠郎, 江崎 俊夫, 高須 昭彦, 内藤 雅夫, ...1979 年 25 巻 3 号 p. 880-894
発行日: 1979/07/20
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (1402K)
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