耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
27 巻, 5 号
選択された号の論文の12件中1~12を表示しています
  • 上顎洞根本手術と歯根嚢腫発生との関連性について
    毛利 学, 西尾 正寿, 島津 薫, 小宮山 寛芳, 浅井 良三
    1981 年 27 巻 5 号 p. 659-665
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Thirty six cases of postoperative maxillary cysts closely related to teeth were observed, and divided into three types based on clinical findings. Type I is designated by the term of postoperative radicular cyst.
    Based on the clinical findings that roots exposed in cysts are apparently healthy, but actually pulpless teeth, the process of cyst formation is believed to occur in the following manner.
    Pulp necrosis causes by apical root injury at the time of radical surgical procedures to the maxillary sinus. The pulp necrosis leads to apical periodontitis, apical granuloma, and finally development of radicular cyst.
    Histlogical examinations of the linings of the cysts demonstrated that cyst wall is lined with not so much squamous epithelium characterized by radicular cyst as ciliated columnar epithelium. This cyst is, therefore, distinct from the cyst development associated with the dental caries.
  • 鳥山 稔, 田内 光, 皿井 靖長, 上野 則之, 石戸谷 淳一
    1981 年 27 巻 5 号 p. 666-671
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    For the purpose to make an early diagnosis of hypopharyngeal and cervical esophageal cancer from so called hypopharyngeal neurosis patients, Cornell Medical Index was performed to all patients to visit to our clinic during last 6 months. There was no meaningfull difference in the score of C. M. I. between the vertigo and dizziness patients and hypopharyngeal neurosis patients.
    Eighteen of twenty patients of hypopharyngeal and cervical esophageal cancer were died during these five years, caused from emaciation, local bleeding, metastasis, pneu-monia, tetany and kidney disease. Only one case was survived over five years, the other two cases were survived over two years now. There were no meaningfull difference of the survival rate to the size of the tumors, metastasis of regional lymphnode and the location of the primary tumors, and the method of the treatments. The location of the primary tumor was mostly found in pyriform fossa, then postcricoid and cervical esophagus, and posterior wall. And most of them mere classified to well differentiated squamous cell carcinoma in 15 cases, and undifferentiated squamous cell carcinoma in 4 cases moderately differentiated squamous cell carcinoma in one case, by histopathological study.
  • 末期癌における動向
    河原田 和夫, 平林 源, 広瀬 毅, 友野 時雄
    1981 年 27 巻 5 号 p. 672-674
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    As immunological parameters in patients with head and neck cancer, the authors adopted the following simple, comvenient, repeatable and routinely-usable figures for the treatment of head and neck cancer:
    1) In vitro PPD
    2) The rate of active E rosette formation
    The figures are considered useful as parameters for the purpose, since some changes were observed at terminal stages of carcinoma.
  • 山下 信昭, 中村 明正, 小山 弘, 岡本 康比古, 大川 和春
    1981 年 27 巻 5 号 p. 675-679
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of primary cancer of the frontal sinus was reported. A 66-year old male had complained of exophthalmus in the right eye from six months ago.
    Roentgenograpically, the superior internal wall of orbita was destructed. pathological diagnosis was squamous cell cacinoma. Surgey was repeated three times with radiotherapy of 2, 400 rads. After one year, recurrence was not recognized. 77 cases were reviewed and discussed.
  • 大久保 泰, 三橋 重信, 平野 実
    1981 年 27 巻 5 号 p. 680-684
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    A very rare case of pleomorphic adenoma of the epiglottis is reported. Surgical remorval of the tumor of the epiglottis was done with laser under an laryngomicroscope. This operation with laser had little bleeding and the capsule of the tumor was not injured. Pathological studies of the removed tumor revealed pleomorphic adenoma. In Japan, no other cases of pleomorphic adenoma of the epiglottis have been reported.
  • 安田 宏一, 西田 之昭, 中島 元雄, 原田 幸男
    1981 年 27 巻 5 号 p. 685-690
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    The internal auditory meatus of otologic patients were x-rayed by Stenvers' method, Towne's method and occipitofrontal projection in an attempt to compare the competence of these 3 methods for evaluating inner ear pathology. Stever's method was used in 22 cases, Towne's method was used in 12 cases and occipito-frontal projection, in 10 cases. The x-ray films thus obtained were evaluated by otologists and classified into 3 grades, i. e., excellent, readable and poor.
    With Stevers' method the percentage of excellent films was highest (68-77%), with 18% of films being quite unreadable. Towne's method provided an extremely low percentage of excellent films (0-42%) with the highest percentage of poor films (25-75%). With occipito-frontal projection, on the other hand, the percentage of excellent films was somewhat lower than with Stenvers' method (60-70%), but few films were labelled as poor (0-20%).
    Roentgenography by occipito-frontal projection, being simple to perform, is considered to be the procedure of choice for use in private offices and clinics as a screening test for pathology of the internal auditory meatus.
  • 暁 清文, 玉貫 眞比古
    1981 年 27 巻 5 号 p. 691-694
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Averaging of blink reflex responses was of particular value in detecting a very small potential of R1 in patients with severe facial nerve palsy when the conventional single stimulation was inefficient. To find the most suitable stimulus interval for averaging, recovery cycle of R1 was studied. The R1 recovery curve could be divided into four phases. The initial facilitation phase at the interval of 5 msec was followed by a brief phase of depression. It was further followed by a second facilitation phase with the maximum of about 60 msec. Lastly the recovery curve returned to almost 100% level after 100 msec. Due to the second facilitation phase, stimuli given at the interval of 60 msec were efficient for averaging blink reflex responses. Though Ri to the second stimulus at the interval may have overlapped with R2 to the first stimulus, averaging of responses made R1 more prominent and R2 more inconspicuous, because R1 had a constant latency while R2 a variable one to each stimulus.
  • 槇野 博規
    1981 年 27 巻 5 号 p. 695-700
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Auditory nerve action potentials (APs) were recorded by four kinds of electrodes from the external ear canals of 91 ears. Silver small ball electrodes made by 200μ enamelled silver wire, were fixed by narrow adhesive tape on the external canals. On 41 ears, clear APs were recorded on 36 ears, on 15 ears recording was not succeeded by failure of fixation of the electrode on ear canals. Silver foil electrodes were made by a 5mm×10mm rectoangular silver foil solderd on the top of silver wire, also fixed on ear canal. This electrode technique was very easy and pain-less procedure. Tube electrode made by pen-shaped soft rubber or silicon tube, was fitted the ear canals of patients. On the top of pen-shaped tube a small silver ball electrodes or looped silver wire was placed as a inducing electrode. Eartip electrodes were made by hearing aid-tips. Silver wire was bended over an umbrella of eartip. The fixation of the tube and eartip electrodes was easier than the other procedure. Clear APs were recorded by four kind of electrodes. Those extratympanic procedure was very usefull for the recording of APs as an office procedure. This extratympanic procedure was also applicable as a training technique of the recordings of APs and ECochG for beginners or non-otologist doctors.
  • 今井 昭雄, 高橋 姿, 後藤 京子, 山岸 益夫
    1981 年 27 巻 5 号 p. 701-706
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Microorganisms in otorrhea of 894 specimens from patients with chronic suppurative otitis media were isolated and examined for sensitivity to antibiotics. A total of 2353 bacterial isolates were present.(aerobic GPC 30%, GPR 40%, GNR 20% and anaerobes 10%)
    It indicates the complexity of pathogenesis of chronic suppurative otitis media that plural microorganisms were isolated in 76% of culture positive specimens.
    The authors placed emphasis on Proteus inconstans, glucose non-fermentative GNR and anaerobes as pathogens of chronic suppurative otitis media, in addition to Staph. aureus, Ps. aeruginosa and Proteus mirabilis.
  • 藤田 信一, 吉田 知孝, 尾角 信夫, 松原 藤継, 石橋 陽二, 梅田 良三
    1981 年 27 巻 5 号 p. 707-713
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    The chronological variations of isolates from otorrhea referred to our laboratory during the last 8 years were studied. Of 149 strains isolated from 105 patients with acute otitis media, 34 (22.8%) were Staphylococcus aureus, 25 (16.8%) H. influenzae, 19 (12.8%) Streptococcus pneumoniae and 18 (12.1%) A-β-streptococcus. There were 32:patients with acute and chronic otitis media caused by H. influenzae, of whom 90.6% were the children of age below 4 years. Three of 8 strains of H. influenzae isollated from otorrhea during the recent 2 years produced β-lactamase, and two of these 3 strains were isolated from patients undergoing antibiotic therapy such as ampicillin and cephalexin. Susceptibility of 53 isolates of H. influenzae including 9 β-lactamase-positive strains, was tested by an agar diffusion method using 106 CFU/ml as an inoculum. All the strains of β-lactamase-positive H. influenzae were inhibited by 3.13μg/ml of cefaclor and 0.79μg/ml of chloramphenicol.
  • 馬場 駿吉, 和田 健二, 波多野 努, 村井 兼孝, 木下 治二, 河合 窄, 森戸 貞良, 小山 賢吾, 月山 昌夫, 本堂 潤, 野田 ...
    1981 年 27 巻 5 号 p. 714-737
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
    Cefroxadine dry syrup was administered to 120 infants and children of acute purulent otitis media and the following clinical results were obtained: The responses were excellent in 42 cases, good in 50, fair in 11 and poor in 17. The efficacy rate including good and excellent responses was 76.7%. The administered doses in 89 cases (74 %) ranged from 30mg/kg to less than 35mg/kg. From the 120 patients, 136 strains were isolated in the descending order of S. aureus (28.7%), S. pneumoniae (14.7%), H. influenzae (8.8%) and β-Streptococus A group (7.4%). Side effects reported were rash and diarrhoea in 1 case each but were not so severe as to discontinue the treatment.
  • 長岡 滋
    1981 年 27 巻 5 号 p. 739-755
    発行日: 1981/09/20
    公開日: 2013/05/10
    ジャーナル フリー
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