耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
29 巻, 4 号
選択された号の論文の13件中1~13を表示しています
  • 河合 清隆, 菱沼 文彦, 高木 朝子, 岩沢 寛, 佐竹 純一, 田畑 久美子, 漆畑 保, 竹山 勇
    1983 年 29 巻 4 号 p. 431-438
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    Histaminopexic power (H. P. P.) was measured in 221 cases of hyperesthetic rhinitis before and during treatment using the Shimatani, Sakano method. Hyposensitization was used for treatment. 1) Of 20 healthy subjects, 512-times or more of H. P. P. was observed in 19 cases and 256-times or less in one. 2) Among the patients, H. P. P. before treatment was 256-times or less in 110 cases and 512-times or more in 111. These were lower values than those of healthy subjects. 3) Changes of H. P. P. during a short period were observed in 5 cases. H. P. P. changed in a relatively short period in which it declined from 1, 024-times to 128-times or increased from 265-times to 1, 024-times in two weeks. 4) With the group of house dust allergy patients with a favorable course, H. P. P. changed markedly for about one year after the commencement of treatment, after which it tended to become stabilized. This tendency was not found with the group in which the course was unfavorable. 5) The increase of H. P. P. was more marked in cases of histamine gammaglobulin conjugate nebulization than in those of beclomethasone dipropionate inhalation. 6) No correlation was found between the IgE level and H. P. P. before the treatment.
  • 有馬 敏夫, 松村 祐二郎, 野村 和, 井上 定三, 小川 雄司
    1983 年 29 巻 4 号 p. 439-442
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of metachronous triple cancer is reported. The first cancer (pathology: mucinous adenocarcinoma) arised in his stomach and gastrectomy was performed by the Billroth II method when he was sixty-two years old. Eight years later, the second cancer (moderately differenciated squamous cell carcinoma) of the larynx occured at the age of seventy and was treated by irradiation by tele-cobalt sixty (6000 rads) of the tumor of his right vocal cord. Eight years after this, a roentogenogram revealed a third cancer (poorly differenciated squamous cell carcinoma) of the esophagus in the thoracic medial segment. He was treated with 10-MeV X-ray therapy and a dose of 6080 rads was given, however, a tumor of the esophagus spread out in the surrounding tissue and metastasis to the lungs occurred in the next year. Then he died at the age of seventy-nine. On the follow up of the cancer patient, the probability of a second or third cancer should be kept in mind.
  • 原 芳美, 永井 知幸, 日高 せつ子, 森満 保
    1983 年 29 巻 4 号 p. 443-446
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A rare case of postoperative maxillary cyst which developed after partial maxillectomy is reported. A 68 year-old man was admitted to our clinic because of a huge swelling of his left cheek and left exophthalmus. Partial maxillectomy had been performed because of left maxillary cancer 13 years ago. A large maxillary cyst was diagnosted by puncture and radiological examinations. The cyst was widely opened to the maxillectomized cavity and copious mucopurulent content was removed. The histlogical study of the wall revealed the pseudostratified ciliated columnar epithelium with many goblet cells which was similar to paranasal sinus epithelium. Postoperative maxillary cyst was first reported by I. Kuso in 1933. It usually develops after a Caldwell-Luc operation and many explanations as to its onset are being made. This case seems to support Kubo's theory that the cyst develops from the remaining mucous membrane independently of the closure of the inframeatal window.
  • 竹内 亘, 鈴木 健男, 卜部 信行, 門脇 秀夫, 山本 哲夫, 角 滋子, 堀江 貴
    1983 年 29 巻 4 号 p. 447-450
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of Warthin's tumor is reported. The female patient, 60 years old, had had a tumor close to the right angle of the mandible for sixteen months and it enlarged gradually. No facial palsy and no swelling of lymphnode on the neck was recognized. The tumor was removed surgically together with the lower portion of the parotid gland, to which the tumor had been tightly attached. The tumor was histologically demonstrated to be Warthin's tumor. The postoperative course of the patient was favourable. The problems of its etiology, pathology, clinical features, diagnosis, treatment and prognosis are discussed with reference to the relevant literature
  • 渡部 俊, 松尾 浩一, 進武 幹, 前山 忠嗣
    1983 年 29 巻 4 号 p. 451-455
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of actinomycosis originating in the parotid gland is reported. A 66-year-old woman had complained of a hard mass in the right parotid area. Sialography and CT scan showed a tumor-like lesion in the right parotid gland. The patient was treated with subtotal parotidectomy and penicillin administration. Histological examination showed typical actinomycosis. In this case, infections may be caused by actinomyces carried through Stenon's duct.
  • 山崎 芳樹, 藤本 政明
    1983 年 29 巻 4 号 p. 456-458
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A 42-year-old woman became aware of a mass formed in the left parotic region in September 1979. On February 4, 1980 she had the mass removed surgically under general anesthesia. The tumor was located in the superficial lobe of the parotid gland. The tumor was elastic in consistency and enclosed with a thin capsule. It was 1.7×1.5×1.5 cm in size, 4.2 gr. in weight and its cut surface was yellowish red in color. Histopathological examination revealed that the tumor cells were arranged in glandular structures, which led to a diagnosis of tubular adenoma. In Japan, tubular adenoma of the parotid gland is rare.
  • とくにペプロマイシン著効例を中心にして
    仙波 治, 佐藤 武男, 宮原 裕, 吉野 邦俊, 馬谷 克則, 井上 俊彦, 井上 武宏
    1983 年 29 巻 4 号 p. 459-464
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    Nasopharyngeal cancer (NPC) remains one of the poorest prognostic lesions among head and neck cancers. Radiotherapy plays a dominant role in the treatment regimen, but the frequency of distant metastasis and primary or nodal recurrence is very high. Some of NPC patients die because radiotherapy cannot control local or distant progress of the lesion. Recently, the role of chemotherapy has increased in the treatment of NPC. From July 1977 to June 1982, 37 patients were treated for NPC in which 32 patients were treated for the first time. Sixteen patients were nonkeratinizing squamous cell carcinomas, 15 undifferentiated squamous cell carcinomas and 1 adenoid cystic carcinoma. Peplomycin alone was used for 2 patients in the treatment of far advanced and recurrent NPC, and resulted in complete remission without distant metastases at 16 and 10 months respectively.
  • 4症例を中心に
    堤内 邦彦, 渡辺 勈, 大久保 仁, 今井 祥二, 石田 明允
    1983 年 29 巻 4 号 p. 465-470
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    In order to study the relationship between the imbalance of the autonomic nervous system and the respiratory function in Meniere's disease, the pupil diameters of both eyes were measured simultaneously on 39 patients with Meniere's disease. Seven of the 39 patients showed hippus and the hippus disappeared during breath-holding or hyperventilation in 2 of these 7 patients. Fifteen of the 39 patients showed a delay of the redilation phase of the light reflex, and the delay of the redilation phase disappeared during the breath-holding or hyperventilation in 2 of these 15 patients. In the literature, breath-holding i ncreases the blood CO2, and hyperventilation decreases the blood CO2. It is said that the autonomic nervous system is influenced by the blood CO2. From these observations, the authors hypothesize that Meniere's disease is closely related to a functional abnormality of the autonomic nervous system.
  • 松岡 秀隆, 上村 正行, 栗田 茂二郎, 三橋 重信
    1983 年 29 巻 4 号 p. 471-476
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A 38-year-old female compained of an abnormal sensation of the throat and pain during swallowing. A tumor, 3cm×3cm in size and covered with normal epithelium, was located on the base of the tongue. The tumor was vaporized by the use of a CO2 and Nd-YAG laser with a transoral approach. Little bleeding was observed during the surgery. The postoperative thyroid function remained within normal range.
  • 妹尾 一雄, 吉田 哲二, 三橋 重信
    1983 年 29 巻 4 号 p. 477-483
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of monostotic fibrous dysplasia originating from the sphenoid bone was reported. The patient was 35-year-old male and complained of headache on the temporal region. X-ray film revealed a high-density lesion in the sphenoid sinus and the posterior ethmoid sinuses. A exploratory sphenoidotomy via maxillary sinus was done on September, 25, 1982. A biopsy specimen was diagnosed as a monostotic fibrous dysplasia. Complete removal of the tumor was not done. The patient was followed up at the out-patient clinic. The tumor did not tend to increase during six months.
  • 徳橋 宏俊, 丘村 煕, 柳原 尚明, 榊 三郎, 渡辺 英俊
    1983 年 29 巻 4 号 p. 484-490
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors reported a case of chordoma which extended from the clivus to the skull base. The patient was a 17-year-old female, and the physical examination revealed the existence of paresis of the various cranial nerves and cerebellar disorder. The treatments were done by the combination of the staged operation and radiation. The trans-antral and the trans-palatal approaches were chosen for partial removal of the tumor at first. Then, 60Co (6000 rad) was irradiated to the skull base, and the remaining tumor was removed through the trans-labyrinthin approach 6 months after the first operation. The pathological examination of the specimen at the final operation showed that the tumor was sensitive to radiation. The obserbation during two and half years revealed no evidence of recurrence of the tumor. The authors also discussed the clinical features of chordoma through a survey of the literatures.
  • CefmenoximeとGentamicinの比較成績
    昇 卓夫, 小幡 悦朗, 花牟礼 豊, 花田 武浩, 島 哲也, 溝井 一敏, 大山 勝
    1983 年 29 巻 4 号 p. 491-495
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    Although their influences on ECoG or morphology of the cochlea following general administration of aminogricosides were extensively studied in the past, the comprehensive studies on the changes of ECoG with the morphological characteristics after topical administration of the drugs into the tympanic cavity were limited. 19 guinea pigs were treated with topical administration of the drugs into the tympanic cavity through a tube which has been inserted and fixed operatively on the retroauricular portion. The experimentally used drugs were composed of Gentamicin (GM) in a dose of 8 mg/day and Cefmenoxime (CMX) 2 mg/day respectively. And, ECoG examination and the electron microscopic study for these animals were performed at pre-and post-treatment days. It was revealed that the Ototoxicity of GM was observed functionally and morphologically in almost same manner. On the other hand no ototoxicity of CMX was found. From the results which has been thus obtained, clinical significance and usefulness of the topical administration into the tympanic cavity of these antibiotics were discussed briefly.
  • 福武 知重, 楠本 健夫
    1983 年 29 巻 4 号 p. 496-504
    発行日: 1983/07/20
    公開日: 2013/05/10
    ジャーナル フリー
    The clinical effect of E-0659, a newly developed antiallergic agent (azelastine hydrochloride), was determined in patients with vasomotor rhinitis or patients with symptoms of allergic rhinitis who gave a negative reaction to the skin test for antigens. Eleven patients who were found negative for antigens in the scratch tests with 11 kinds of antigens, received E-0659 in a dose of 3 mg daily for 2 consecutive weeks. As a result, 8 of the 11 patients had improvements in symptoms. The results of this clinical trial provided suggestive evidence that E-0659 is beneficial for vasomotor rhinitis or allergic rhinitis.
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