耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
28 巻, 3 号
選択された号の論文の9件中1~9を表示しています
  • 平野 実, 川崎 洋, 三橋 重信
    1982 年 28 巻 3 号 p. 449-453
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    In two patients who had undergone laser cordectomy for glottic carcinoma, phonatory function was examined. In psychoacoustic evaluatin, the two patients presented a very slight degree of hoarseness. Aerodynamic tests revealed normal values. Ultra high speed photography demonstrated that the vibration of the operated vocal fold was very small, presenting no wave on the mucosa. The cycle-to-cycle variations in the glottal area waveform were greater than normal. In general, the phonatory function appeared to be slightly inferior to cases treated by radiation therapy.
  • 松井 克明, 橋本 公夫, 岡本 公夫, 小野 一乗
    1982 年 28 巻 3 号 p. 454-457
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    This paper reported a rare case of malignant pleomorphic adenoma in the larynx. The patient was a 34-year-old housewife complaining of hoarseness for 14 months.
    Laryngoscope revealed that the tumor was located on the left subglottic area. Initially, the tumor was diagnosed as chondrosarcoma, and a total-laryngectomy was performed.
    The extirpated tumor was 2.5X1.5 cm, revealing a smooth surface with cartilage-like consistence. The cut surface was solid and yellowish white or greyish white in color. Histologically, the tumor was encapsulated with thin connective tissue and revealed mixed appearances of chondromatoid, osteoid, myxoid and glandular structure. The interstitial tissue of the tumor was composed of fibrous or hyaline materials. Some mitosis and evident capsular infiltration of the tumor cells were observed, thus we diagnosed the tumor as a malignant pleomorphic adenoma.
    Two years and two months after the operation, the patient is in good health without any signs of recurrence.
  • 鳥谷 陽一, 永井 知幸
    1982 年 28 巻 3 号 p. 458-463
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Longitudinal and horizontal sections were made in the stria vascularis of the guinea pig, and the fine structure of microtubules and microfilaments in the marginal cell was studied with the electron microscope.
    Many microtubules were found in the interdigitated portion of the marginal cell. Fine connective tissue was observed between these microtubules. The diameter of the microtubules was about 24-25 nm. Microfilaments, 6-7nm in diameter, were observed directly under the surface of the marginal cell.
    These microtubules and microfilaments seemed to support the external form of the marginal cell. In addition, the microtubules seemed to be associated with intracellular ionic transpotr.
  • 緑川 周子, 上村 卓也, 高山 幹子, 岸 恵子, 三浦 直久
    1982 年 28 巻 3 号 p. 464-468
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    The patient was a 33-year-old male who had never had any nasal disease. He first noticed visual disturbances in his left eye nine months prior to admission. Examination revealed left optic nerve atrophy, right choked disk, and left anosmia. Plain X-rays and tomograms of the skull showed opacification in the left ethmoid sinus and destruction of the roof of the ethmoid. CT scan demonstrated a low density area in the anterior cranial fossa.
    A left external ethmoidectomy showed the presence of a ethmoid mucocele extending to the anterior cranial fossa. After the mucoid material of approximately 100ml was aspirated, the dura became widely exposed. Eight months later his left middle nasal meatus was widely open, and the pulsation of the dura was still seen in the meatus. The postoperative course, however, exhibited no complicalion.
  • 滝元 徹, 石黒 英世, 森下 和男, 古川 仭, 梅田 良三
    1982 年 28 巻 3 号 p. 469-472
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    The principal target site for EBV seems to be complement and EBV receptor-bearing B lymphocytes. Therefore, it is possible that the lymphocytes in tonsils may have been infected by EBV. In this paper, the presence of EBNA in the tonsil lymphocytes and malignant lymphoma cells was investigated using the anticomplement immunofluorescence test of Reedman and Klein. In 5.6% of 91 patients diagnosed as having chronic tonsillitis, EBNA was demonstrated in the purified B lymphocytes of TDLs. Tonsils may serve as a reservoir for EBV car
  • 伊藤 和也, 河本 和友, 佐久間 真弓, 柴原 義博, 大山 健二, 橋本 省, 金子 豊, 沖津 卓二
    1982 年 28 巻 3 号 p. 473-478
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    We have examined secretory otitis media of children since the autumn of 1976. A computer system has been utilized for data analysis because of increased quantity of data. Investigations were performed twice a year, in spring and in autumn. Until the end of 1980, the data obtained from 204 seven years old, children, 212 eight years olds, and 181 ten years olds have been recorded in the computer system. Two programs for selection of groups and individual histories have been designed. The data at each examination were stored in the files of the computer system, and kept separately for two programs. It is also possible to access the data according to several different parameters. Five examples of the search programs are shown in this paper. Periodic collection of data in screening investigations and periodic input of them in the computer system is particularly useful in analyzing patients' history.
  • 藤代 武久
    1982 年 28 巻 3 号 p. 479-489
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    Compensatory Eye Movement and Gaze Fixation During Active Head Rotation and Passive Head-and-Body Rotation Compensatory eye movement and gaze fixation were compared between passive head-and-body rotations with a rotatory chair and active head rotations (amplitude 40°, frequency 0.2-0.85Hz) using 20 normal subjects. After establishing the control data, passive head rotations were undertaken on patients with unilateral and bilateral loss of labyrinthine function.
    The following results were obtained from the control group.
    1. At some frequencies, the ratio of the slow-phase eye speed to the corresponding head rotation speed (gain) while doing mental arithmetic in the dark was larger during active than passive rotations. However, there was a large variation among the subjects.
    2. Visual fixation on a lamp on the wall was complete under both conditions.
    3. Visual fixation on a lamp fixed to the subject's head became poorer by increasing the turning frequency of the head. The fixation was slightly but significantly better during passive than active rotations.
    The following results were obtained from five patients with unilateral lesions in the early stage of the disease and six patients with bilateral lesions.
    1. Patients with unilateral lesions showed quite different values of gain in the dark when the direction of the head rotation was shifted. The values during rotations to the affected side resembled those in bilateral lesions.
    2. Visual fixation on a lamp on the wall was well maintained during rotations to the intact side in patients with unilateral lesions. However, it worsened during rotations to the affected side and in patients with bilateral lesions with increasing frequency.
    3. Visual fixation on a lamp fixed to the head worsened with an increase of frequency during rotations to the intact side in unilateral lesions. Rotations to the affected side in unilateral lesions and bilateral lesions showed a good gaze fixation even at 0.85Hz.
    4. Pathological findings of compensatory eye movement and gaze fixation during passive rotations resembled those found in active head rotations. Thus, a passive sinusoidal rotation test is a good clinical tool for detecting disorders of the vestibulo-ocular reflex.
  • 奥田 稔, 大塚 博邦, 矢島 洋, 海野 徳二, 小崎 秀夫, 林 奈美江, 今野 昭義, 藤原 隆行, 高坂 知節, 郭 安雄, 佐々木 ...
    1982 年 28 巻 3 号 p. 490-518
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
    In the treatment of perennial rhinitis, with intranasal beclomethasone dipropionate(BDN) alone for one week, similar success rates were obtained as those previously reporled by us. Concomitant therapy with BDN and d-chlorpheniramine maleate (Polaramine) was markedly effective in patients who had responded poorly to the treatment with BDN alone in the previous week. The efficacy rate obtained by the concomitant therapy was almost equivalent to that obtained with a two week treatment with BDN inthe effective patients group. Thus, the concomitant therapy of BDN with Polaramine was recommended for the treatment of patients who failed to respond to the therapy with BDN alone. It may be advisable to use BDN and Polaramine concomitantly in all patients, but further study is required to confirm this regime.
  • 渡辺 晋
    1982 年 28 巻 3 号 p. 519-521
    発行日: 1982/05/20
    公開日: 2013/05/10
    ジャーナル フリー
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