耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
3 巻, 3 号
選択された号の論文の15件中1~15を表示しています
  • 荻野 朝一
    1957 年 3 巻 3 号 p. 127-133
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    When the frontal sinuses are very large and complicated, even the doctors well skilled in the operation by Killian's method sometimes fail to remove the mucous membrane completely, in spite of a great consumption of time and energy.
    The author has developed a new rational method of operation eliminating the technical difficulties of Killian's method. By the author's method, the frontal sinuses and the anterior portion of the ethmoidal bone are loosened as a bone graft and they are restored after the operation. Because this method makes a very broad field of operation, a complete, removal of mucous membrane can be effected easily in a short time without any danger. The procress after the qouerally operation is very good and is characterized by the continual opening commnuication to the nasal cavity for a long time. There has been no case of relapse among 130 patients who had been ope- rated by author.
    When taking the bone graft described above, the following three conditions must be fulfilled so that the natural state of the tissue may not be disturbed.
    I The chisel must be kept at 45 degrees to the bone surface.
    II In chiselling, wavy chisel marks should be left.
    III The power driving the chisel must be uniform.
    If these conditions are not fulfilled, the restoration of the bone graft becomes difficult because of its destruction or deformation.
  • 菊池 三通男
    1957 年 3 巻 3 号 p. 134-139
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Of 42 patients of anosmia who have been treated by the inductive electric therapy since January 3. 1953, thirty-two patients, or 76% of the patients, recovered their sense of smell.
    1) The recovery rate for atrophic rhinitis was 60.
    2) For sinusitis, the rate was 74%, and the recovery rate was greater with the patients who were operated on than with those who were not.
    3) In a few cases of acute rhinitis without any symptom of sinusitis or atrophic rhinitis, the recovery rate was 100%.
  • 水河 忠敬, 東川 清彦
    1957 年 3 巻 3 号 p. 140-144
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Otorhinolaryngological Clinic, Okayama University School of Medicine Mixed laryngeal paralysis on one side is a very rare disease. The authors experienced two cases of simultaneous paralysis of N. vagus, N. accessorius and N. hypoglossus, and a case of simultaneous paralysis of N. glossopharyngicus, N. vagus and N. accessorius. The focus of each case was anatomically traced and investigated by Claude C. Cody's classification. And it was confirmed that the former two were Jackson's syndrome with Nucleus ambiguus, Nucleus nervi hypoglossi, N. vagus and N. accessorius affected, and the latter Vernet's syndrome with N. vagus, N. glossopharyngicus and N. accessorius affected near the foramen juguralis.
    Since the cause could not be discovered, continual injection of vitamin B1 was given as a common method, and no effect was seen in one case but two cases were improved in two weeks or a month.
  • 大坪 芳彦, 落合 安家
    1957 年 3 巻 3 号 p. 145-149
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    It is difficult to give the precise diagnosis of the chronic parotitis only by the finding of opening of Stenon's duct, the external findings of parotid region or subjective symptoms, and the therapy of it is also difficult.
    As the recent interesting experience, the diagnosis of right chronic suppurative parotitis with the dilation of parotid duct and that of left intermittent parotitis were exactly determined by their sialogram. And the washing of parotid gland or the administration of drugs to parotid gland by the technic similar to that for obtaining the sialogram accelerated the recovery of various diseases of that gland.
  • 江崎 優, 江崎 嘉秋
    1957 年 3 巻 3 号 p. 150-160
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    The influence of vibration on the acoustic sensation, in spite of the existence of a few experiments, has been discussed as an attendant problem of the noise without distinct views.
    The conditioned guinea pigs which were placing in. the recently reported rotating cage were exposed to the floor vibration in frequency of 230/60 Hz and in amplitude of 3 mm of up- and down-ward vibration for four hours every day.
    For the purpose of comparative experiment, the experimental animals were Classified by a group of 120-125 phon of white noise, a group of vibration, and a group of white noise plus vibration. The loss by exposure for 20 hours of the total time was 25 db in low frequency tone and 40 db in higher frequency in the group of noise alone, was 10 db in the group of vibration, and was 30 db in the group of noise plus vibration. By increasing the duration of exposure, the disturbance of noise plus vibration group slightly increased, and that of vibration group which rapidly recovered was less. These interrelations were also observed through Preyer's reflex.
  • 土井 勝三郎, 国分 統
    1957 年 3 巻 3 号 p. 161-164
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Otorhinolaryngological Clinic, Okayama University School of Medicine The author's report a case of an inverted tooth, which grew by way of the maxillary sinus into the nasal cavity in a woman aged 36. This inverted tooth is considered to have originated in consequence of the survival of the deciduous tooth which hindered the normal growth of the left permanent canine tooth of the upper jaw. The case reported here, therefore, belongs to Group I of Scheier's classification. The tooth extirpated was the left permanent canine tooth of the upper jaw.
  • 森本 二郎
    1957 年 3 巻 3 号 p. 165-169
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Since the theory of focal infection such as oral sepsis was first advocated by Passler in 1909, many primary foci, e. g. tonsillitis, decayed teeth, sinusitis, metritis, etc., and various diseases occurring from these foci, e. g. oral sepsis, endocarditis, nephritis, rheumatism, polyneuritis, chorea, etc., have been described. The basis of the theory is shifting from Rossenow's bacteria theory to allergy theory, as the latter has been gaining influence, but it has not yet been established.
    The author reports two interesting cases of focal infections with tonsils as foci, and stresses, from his statistical observations of 300 cases of tonsillectomy, the necessity of positive examination of focal infections on the basis of the importance of tonsillitis as the primary focus. Also the necessity is stressed of the tonsillectomy for the purpose of removing primary foci.
  • 森本 二郎
    1957 年 3 巻 3 号 p. 170-174
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    In the preceding report, the author stressed the importance of habitual palatine tonsillitis as the primary focus of focal infections, and the necessity of positive examination of focal infections, based on his statistical observations of 300 cases of tonsillectomy. The author furthered his studies in this problem by clinical experiments. In the experiment, allergen was prepared out of the tonsillar tissues removed from patients of habitual tonsillitis, and the Prausnitz-Kustner reaction test with this allergen was given to eight patients and healthy persons. The function of the vegetative nerve system was also examined, and the relationship between the constitutional predisposition and the focal infection was studied.
    The results of experiment are as follows:
    1) The response to the P. K. R. test was;
    a) highly positive in the patients with focal infections,
    b) not always positive in the patients with habitual palatine tonsillitis but without focal infection, and
    c) mostly negative in the patients supposed to have nothing to do with focal infection.
    2) The examination of the function of the vegetative nerve system indicated that most patients with focal infections were suffering from vagotoni.
    Although the number of cases is rather limited, this report is made on the general results of the studies.
  • 竹田 磋智夫
    1957 年 3 巻 3 号 p. 175-177
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of profound melaena and haemoptosis after total laryngectomy is reported. Except for the anamnesis of gastric ulcer, the following three possible causes are considered.
    1) Disharmony of the vegetative nerve system due to the heavy loading by the operation.
    2) Injury to the vegetative nerve system by the operation.
    3) Disturbance by the Abbot's tube left inserted.
    As for the precautionary measures, of course attention must be paid to the patient's anamnesis, administration of chlorpromazihe should be employed, and Nelaton's nourishing tube or Abbot's tube should not be left inserted, but it should be inserted at the meal time, or some other nourishing method should be considered.
  • 坂口 敏之, 増田 守, 黒木 長輔
    1957 年 3 巻 3 号 p. 178-180
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    The left lateral cervical tumor of a new-born girl baby, noticed about ten days after birth, enlarged gradually to about the size of a child's fist and began to hinder deglutition and respiration. It was discovered, by microscopic examination of the probe preparation taken on approximately the fiftieth day after birth, that the tumor was a malignant one of the spindle cell sarcoma. The deep X-ray irradiation rapidly reduced the tumor, and no sign of relapse is seen after one year has elapsed. Considering the age, this is quite a rare case of congenital sarcoma in lateral cervix.
  • 明石 壽也
    1957 年 3 巻 3 号 p. 181-184
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Case 1. A man, aged 28 years, visited the author's clinic with complaints of swelling of the left cheek and left nasal blockage. A huge follicular dental cyst resulting from the left canine of the upper jaw was found to be pressing the maxillar sinus hard toward the outside, and the inferior turbinate and the nasal septum to the right, and a swelling of the cheek and the hard palate was observed. When the cystic tumor measuring 5.5×4.5×6cm was removed by operation, a surplus tooth was discovered to have been embedded on the outside of and in contact with the cyst.
    Case 2. A man, aged 44 years, visited the author's clinic with the complaint of bad-smelling pus flow from the extraction wound of the 2nd premolar tooth of the upper jaw and the incision wound in the hard palate. A swelling of the inferior nasal meatus and the hard palate caused by the root cyst originating from the root edge on the palate side of the 2nd premolar tooth was observed. A shadow of the size of a pigeon egg was observed by the X-Ray photography, and the cystic tumor was removed by operation.
  • 富永 泰栄, 江崎 嘉秋, 野村 和
    1957 年 3 巻 3 号 p. 185-188
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors report on a favourable case of oro-antral fistula bealed completely by the plastic operation described below, patient M., 41 year-old, male.
    Since the third year after the radical operation of both maxillary sinuses nineteen years ago, he complained of the dental pain of few times in a year, and that pain, especially at the right upper second molar region, remained with the fistula bilding which was difficult to be bealed even after the removal of that tooth.
    In the typically radical operation of right maxillary sinus, was observed that the sinus cavity was filled with cicatrizant granulations tissue, and moreover the fistula of which diameter was about 4mm, was recognized at the right upper second molar region. The granulation tissue was removed with curettage through the opening of the fistula which was afterwards displaced with the graft obtained from mucous membrane of inferior nasal meatus in the extent from the margin of pirifornie foramen to the fistula portion of sinus basis. The maxillary end of fistula was covered by a fragment of deviotomied quadrate cartilago with simultaneus use of press-tampon and the oral end of that, remaining opened favourable to observe the operation field, closed completely.
  • 瀬戸 寅夫
    1957 年 3 巻 3 号 p. 189-192
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    The author reports a case of cicatricial stenosis of the esophagus caused by a burn with nitric acid. For about 2 years and a half, the patient, 20-year-old man, was complaining of difficulty of swallowing anything except milk and soup. The difficulty had occured after four months after he swallowed some nitric acid with a suicidal intent. The author comfirmed by X-ray examination and esophagoscopy that the stenosis was located at the entrance of the esophagus and the lumen was so small that the smallest catheter could scarcely pass through. The stenosis was completely healed by the following treatment: first, dilation with a small cotton applicator and a catheter and then with a laminaria bougie under esophagoscopy once or two times daily for about 55 days, using cortison injection (2075mg).
  • 井上 剛, 伊波 恒雄
    1957 年 3 巻 3 号 p. 193-196
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    A statistical survey Was made of 62 patients who visited the authors' clinic with complaints of foreign-body-caused disorders in the year 1955. The cases were classified by the location of the foreign bodies as follows ; the esophagus in 41 cases, the trachea and bronchus in 14 cases, the pharynx in 4 cases, the external auditory canal in 2 cases and the nasal cavity in 1 case.
  • 河田 政一, 久保 浩一
    1957 年 3 巻 3 号 p. 197-201
    発行日: 1957/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Zu einer medikamentösen Behandlung der subjektiven Ohrgeräusche der verschiedenen Arten von 50 Fälle haben Verff. die neulich hergestellten “Stop-Tabletten”(Von Kombinationen der gefässerweiternden Mitteln, wie Coffein, Papaverin, Nikotinsäureamiden usw. und V. B1) appliziert und ziemlich aus gezeichnete Effekte (etw. 60%) gewonnen. Dass die Besserung des Blutzufuhrs in Innenohr zur Schädigung der Nervenelemente des Endorgans in jeder Hinsicht günstig beeinflusst, ist als Kernpunkt des Wirkungsmechanismus von Verff betont.
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