耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
27 巻, 4 号
選択された号の論文の11件中1~11を表示しています
  • 牧島 和見, 宗 信夫, 増田 玄彦, 南立 昌幸
    1981 年 27 巻 4 号 p. 577-582
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    Pure blowout fracture often causes permanent disability and deformity such as diplopia and enophthalmus. Twenty seven cases of such the fractures were treated surgically by transantral approach. Autogenous bone graft from the anterior maxillary wall, gelform sheet and antral mucoperiosteal pocket were used in the reconstruction of the orbital floor defect. Postsurgical results were relatively satisfactory.
  • 中島 恒彦
    1981 年 27 巻 4 号 p. 583-587
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
  • 池上 彰博, 岡本 牧人, 高橋 廣臣
    1981 年 27 巻 4 号 p. 588-591
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    Post blood transfusion liver function of patients with head and neck cancer were studied. From July, 1971 till June, 1979, ninety three patients of head and neck cancer which were treated in department of otolaryngology, Kitasato University Hospital were carried out blood transfusion. Twenty five cases out of these cases showed high serum GOT, GPT, LDH, AIP. On the other hand only 2 cases of 77 cases without blood transfusion revealed liver disfunction.
    Post-transfusion hepatitis can be classified into 3 groups by the time course of serum transaminase. Group 1 shows high serum transaminase immediately after blood transfusion and becomes normal range of serum transaminase within 2 weeks. This group is supposed to have light degree of liver disturbance and might be caused by general anaesthesia. Group 2 shows high serum transaminase from 2 weeks till 6 weeks. This group was mostly administered by gammagloblin and had a tendency of mild degree of liver disturbance. Group 3 shows high serum transaminase after 6 weeks. This group contained some cases with sever liver disf unction. A few case of this group was administered by gammagloblin.
  • 井本 龍彦, 橋本 紘治
    1981 年 27 巻 4 号 p. 592-594
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of primary nasopharyngeal tuberculosis resulted in nasopharyngeal obstruction was reported.
    A-44-year-old female, visited our clinic because of purulent postnasal drip. The ulcer coated with viscid pus was seen on the roof and posterior wall of the nasopharynx. The throat culture reported positive for tubercle bacilli. Histopathological eximination showed chronic inflammation. After a year of combined streptomycin, PAS and INH therapy, she recovered from tuberculosis, but nasopharngeal obstruction occurred. Obstructed region was almost as wide as total nasopharyngeal space. She underwent an operation for reconstruction of nasopharynx after which the nasopharyngeal space was patent.
    The primary nasopharyngeal tuberculosis is now very rare and we could not find a case with such widespread cicatrix and reconstructive operation as seen in this case, in Japanese literatures.
  • 堤内 邦彦, 渡辺 勅
    1981 年 27 巻 4 号 p. 595-599
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of salivary calculi of the parotid gland was reported. The patient, 52-years old male, visited our clinic with chief complaint of left parotid gland swelling and pain.
    The sialography revealed a intraductal stone. Seventeen days after his first visit of our clinic, the stone was excreted spontaneously, and the patient recovered completely.
    Other reports on sialolithiasis were reviewed and discussed.
  • 市野 幸則, 猪川 勉, 渡辺 敬, 石川 哮
    1981 年 27 巻 4 号 p. 600-603
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    Two cases of maxillary sinus mucocele were reported in this paper.
    Case 1: The patient, a 64 year old female, complained of painful hard mass formation of right cheek region which had been found two years before the first visit of our clinic. X-ray film showed diffuse enlarged shadow in right maxillary sinus and sharp bony defect of maxilla. At the time of surgery, suspection of maxillary cancer was still remained. However, it was confirmed that right maxillary sinus was enlarged and showed bony defect on lateral and medial wall but no tumorous mass. The surgical and histological findings indicated maxillary sinus mucocele.
    Case 2: The patient, a 17 year old male, complained of recurrent swelling and compressive feeling of right cheek region. X-ray film showed that there was diffuse shadow in right enlarged maxillary sinus with markedly thined bony walls. The surgical operation showed very enlarged maxillary sinus and egg-shell like bony wall on medial, basal and anterior parts.
    A review was made in paticular on the histology of maxillary sinus mucoele.
  • 三好 彰, 河本 和友
    1981 年 27 巻 4 号 p. 604-607
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
  • 内藤 義弘, 海野 徳二, 中村 晃, 白戸 勝, 柳内 統, 小野寺 哲
    1981 年 27 巻 4 号 p. 608-612
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    X-ray opacity of the maxillary sinus were evaluated using a microdensitometer. The microdensitometer consisted of a luminescent supply, detector system and direct writing recorder. Blackning of the films affects the permeability of the light according to its degree. One can assess the cloudiness of the objected area from the recorded curve as a numerical value. Waters' views were used for the following analyses. A vertical line passing through the infraorbital foramen was assumed to get a continuous measurement of the opacity. The mean density between 1 cm and 2 cm above the foramen was used as the index of the orbita and that between 0.5 cm and 1.5 cm below the foramen as the index of the maxillary sinus. The ratio of these two indices were calculated to facilitate the comparison among subjects and within a subject. The data were firstly compared with macroscopic classification of four graduations. Secondly, comparisons were made before and after conservative treatments.
    Densitometric evaluation of the films minimize errors caused by the radiographic technique and subjective variations among the examiners. It is also an excellent method to evaluate therapeutic effects within a subject.
  • 吉田 雅文, 朝隈 真一郎, 伊藤 正博, 中島 恒彦
    1981 年 27 巻 4 号 p. 613-618
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    The effects of Nitrogen mustard N-oxid (Nitromin) on the bioelectric phenomena of the inner ear of guinea pig were studied. 20mg/kg of Nitromin was administered intravenously. The amplitude of cochlear microphonics diminished within several hours after the administration and no recoveries were observed. The magnitudes of endocochlear DC potential (EP) began to decrease several hours after the administration and 24 hours later the magnitudes of EP reached the minimum level, between +20 mV and +50 mV. Then in all animals the magnitudes of EP seemed to recover gradually, and some of them reached the normal range. There can be two possible speculations considered about the mechanism of the diminution of EP. One is the functional derangement of the generator system of EP in the stria vascularis and the other is the electrical leakage of EP from scala media due to the decrease of electrical resistance of the cochlear partition. However, no remarkable changes in the ultrastruetures of the stria vascularis were found, and no significant changes in the electrical resistance of cochlear partition.
  • 細菌学的, アレルギー学的考察
    調 賢哉
    1981 年 27 巻 4 号 p. 619-621
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
  • 井手 稔, 岡田 修一, 江夏 国寿, 松元 一郎, 森満 保
    1981 年 27 巻 4 号 p. 622-632
    発行日: 1981/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    The therapeutic effects of CEROCRAL fine granule (Ifenprodil tartrate) on the cases with peripheral vertigo as an open trial were studied. The cases were consisted of 13 cases of Meniere's disease, 6 cases of benign paroxysmal positioning vertigo and 1 case of labyrinth-syphilis. The results obtained were as follows.
    1. The rate of general improvements were 65 % on subjective symptoms, 56 % on objective findings and as a whole, general improvements showed 65 % in the rate.
    2. CEROCRAL was most effective for stopping fits of vertigo and disturbance of equilibrium. These rate of the efficacy were 65 % on the former and 100 % on the latter. On the other hand, there were little effects for the associated tinnitus and deafness.
    3. There was an interesting case that showed a significant improvement of hearing.
    4. As the side effect, a slight intestinal disorder was recognized in 1 case.
    CEROCRAL fine granule was fairly effective on the cases with peripheral vertigo. The effects of CEROCRAL fine granule were almost same to those of CEROCRAL tablets reported before.
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