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鈴木 健男
1984 年 30 巻 2Supplement1 号 p.
269-281
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
A review of 50 cases seen at the Otolaryngological Clinic of the Tottori University Hospital for a single attack of vertigo without significant cochlear involvement has been presented. They consisted of 24 women and 26 men, and their mean age was 46 years. The affected side was on the right in 29 and the left in 20, and bilateral involvement was only in 1. Preceding the attack of vertigo, 21 (42%) had a history of infection localized in the upper respiratory tract. All patients had canal paresis without hearing changes related to vertigo, and 5 out of 10 receiving repeated examinations within 6 months showed some recovery of caloric response. Ten (20%) had gaze nystagmus and 34 (97%) out of 35 in which ENG was recorded had nystagmus on closed eyes. Generally in many cases, temporary dizziness appearing on changing the body position subsided spontaneously within several months.
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麻木 宏栄, 生駒 尚秋, 山本 哲夫, 辻田 哲朗, 藤田 和寿, 平木 真滋, 中島 幹夫, 堀江 貴
1984 年 30 巻 2Supplement1 号 p.
282-288
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
A statistical analysis was made using 447 patients who visited our Clinic, complaining of vertigo and dizziness between 1980 and 1982. They were classified into 3 groups by etiologies of otological, relational and the other origins. The results were as follows: 1. The percentage was 47.9% in otological origin, 36.0% in relational one and 16.1% in the other ones. The increase of cases of otological origin was noted during these 10 years. 2. Otological vergito was predominant in ages from 30s to 50s. 3. The number of patients coming to our Clinic voluntarily was increased as compared 10 years ago.
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山本 哲夫
1984 年 30 巻 2Supplement1 号 p.
289-298
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
Auditory brain-stem responses (ABRs), short latency somatosensory evoked potentials (short latency SEP) and visual evoked potentials (VEP) in pediatric neurological disorders were examined. Cases where some waves of ABRs disappeared were reported. 1. The usefulness of ABRs was noted in diagnosing the level of lesions, in following-up and in evaluating therapeutical effects. 2. A case of pontine tumor presented a change of wave on the nonaffected side presumably derived from brain-stem dysfunction on the affected side. 3. As SEP abnormalities in cases of brain-stem dysfunction lacking some ABR waves, changes of P3 and N1 were observed, but P2 remained normal.
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卜部 信行, 杉原 三郎, 山本 哲夫, 井上 公明
1984 年 30 巻 2Supplement1 号 p.
299-305
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
The effects of total spinal block (TSB) on auditory brain-stem responses (ABRs) with time were evaluated in 10 patients. After application of TSB, ABRs showed changes where the 3 rd and 5 th waves of ABR disappeared, followed by the inhibition of the 1 st. However, the total course of these changes all of which were irreversible was run in about 2 hr. These findings may suggest that the anesthetic (1.5% Carbocain) injected into the subarachnoidal space exerted its direct effects on the brain stem.
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杉原 三郎, 卜部 信行, 山本 哲夫, 藤田 和寿, 辻田 哲朗, 真境名 由弘, 麻木 宏栄
1984 年 30 巻 2Supplement1 号 p.
306-309
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
Effects of xylocaine via i. v. administration were studied using 42 patients with unilateral subjective tinnitus injected once a week during 8 successive weeks on the average. Short-term effects were so noted as loudness was diminished in 81.0% at first administration. Subjective evaluation 2 months later revealed 59.5% as the rate of disappearance of loudness. Auditory brain-stem responses showed no changes when 40 to 60 mg of xylocaine were i. v. injected. The mechanism of i. v. administered xylocaine was ascribed from referential studies to the central anesthetic action inferentially.
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杉原 三郎, 山本 哲夫, 中島 幹夫, 角 滋子, 藤田 和寿
1984 年 30 巻 2Supplement1 号 p.
310-314
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
Auditory brain-stem responses (ABRs) were utilized in an attempt to estimate objectively effective applications of hearing aids. The procedures comprised eliciting ABRs by clicks given to the sound field of the aided ear and estimating the aided ABR threshold. Comparison between aided and unaided ABRs enabled objective estimation of successful auditory training and audiometry, but not in cases of profound hearing loss because aided ABRs brought about no responses.
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横山 道明, 門脇 敬一, 堀江 貴, 山中 昇
1984 年 30 巻 2Supplement1 号 p.
315-320
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
Non-Hodgkin lymphoma studied in 57 cases is reported. The male-to-female ratio was 1.04:1. Age distribution showed 2 peaks of case number in the 40s and 60s. The most common primary lesion was the WALDEYER's ring. In stages II, III and IV, invasion to abdominal lymph nodes was the most frequent.
According to the classification by the Lymphoma Study Group, 6 cases were of follicular lymphoma (medium-sized cell type 3, large 3) and 51 of diffuse lymphoma (small 13, medium-sized 15, large 23). The 5-year survival rate was 64% in follicular lymphoma and 51% in diffuse lymphoma.
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角 滋子, 生駒 尚秋, 鈴木 健男, 杉原 三郎, 麻木 宏栄, 竹内 亘, 藤田 和寿
1984 年 30 巻 2Supplement1 号 p.
321-327
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
Carcinoma of the nasal cavity and paranasal sinuses observed in our Clinic of the Tottori University Hospital in the last 3 years, totaling to 25 cases, was clinically investigated. 1) The male-to-f emal ratio was 1.5:1, the former showing a higher incidence. 2) Age distribution revealed 2 peaks in the 50s and 70s. Especially the incidence of the 70s and 80s, about 40% of the whole, was distinguished. 3) As the site of predominance over affection, the maxillary antra held the majority. 4) Histological observation revealed 90% as of squamous cell carcinoma. 5) Swelling of the cheek was the most common symptom. 6) Stages of maxillary cancer were classified clinically according to JJC: Stage III in 50.0%; Stage IV in 37.5%; Stage II in 12.5%.7) Maxillary carcinoma was treated mainly by preoperative irradiation (FAR therapy) and radical operation. These procedures were not applied to 4 cases, which showed no possible radicality by operation.8) Our primary treatment succeeded in controling 11 cases out of 24 maxillary carcinoma and 1 of carcinoma of the nasal cavity (48% of all cases). 9) The most important factor acting for unsuccessfulness of our treatment was intracranial invasion (38.4%), followed by metastasis (23.1%), residual tumor after operation (23.1%) and poor general condition (15.4%).
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喉頭癌および上顎癌について
卜部 信行, 生駒 尚秋, 鈴木 健男, 横山 道明, 杉原 三郎, 堀江 貴, 藤田 和寿
1984 年 30 巻 2Supplement1 号 p.
328-333
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
Multiple primary malignant tumors were observed in 6 (3.4%) of 174 cases of laryngeal cancers (LC) and 11 (4.8%) of 228 cases of maxillary cancers (MC) in our Clinic between 1961 and 1980. The average age of detection of multipleness was 63 years in LC and 59 in MC. The most predominant association with LC was found in bladders (2 cases), followed by in the pharynx, esophagus, stomach, rectum and prostata (1 case each, including 1 of triple cancers). Association with MC was frequent in the decreasing order of reversed maxillary sinus (4 cases), the stomach (2), uterus (2), pancreas, soft palate and mamma (1 each). As most of second cancers were found with in 3 years from occurrence, it may be desirable to examine for other malignancies fully for at least 3 years.
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高岡 基雄, 鈴木 健男, 竹内 裕美
1984 年 30 巻 2Supplement1 号 p.
334-339
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A case of pear pollinosis is reported. This 35-year-old farmer, engaged in pear culture, suffered from rhinitis, which pear pollen extract could provoke. He was also positive to an intradermal test using highly diluted pear pollen extract. An epidemiological survey focused on farmers engaged in culture of pear in Tottori Prefecture was carried out by questionnairing. Replies were submitted from 1412 persons. Occurrence of allergic symptoms during pear pollination work was described by 478 farmers (33.9%). Among the symptoms, sneeze and watery rhinorrhea were distinguished. There was no significant difference in age between farmers with and without allergic symptoms. Between subjects with and without allergic constitution, incidence of allergic symptoms was higher in the former.
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竹内 亘, 生駒 尚秋, 鈴木 健男, 横山 道明, 杉原 三郎, 中島 幹夫, 角 滋子
1984 年 30 巻 2Supplement1 号 p.
340-347
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A study on 15 cases of foreign bodies (FBs) in the trachea and bronchus below 2 years of age, treated in our clinic between 1954 and 1983, was done. The conclusion obtained pointed out profound importances of prevention, earlier diagnosis and earlier treatment. The following 4 points were emphasized to keep the conclusion. 1. Children should not be given easily any kinds of beans, especially peanuts. 2. The past history should be reviewed in detail to pursuit any possibility of FBs in the air way. 3. An operation should be done in earliest possible performance to diagnose and to treat FBs in the air way, if the presence was suspected even a little. 4. Even after the removal of FBs, strict observation of patient's conditions must be done. If a remainder of FBs was suspected, immediate reoperation is advisable.
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卜部 信行, 生駒 尚秋, 鈴木 健男, 麻木 宏栄, 高岡 基雄, 竹内 亘, 門脇 敬一, 角 滋子
1984 年 30 巻 2Supplement1 号 p.
348-353
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
Computerized tomography combined with contrast sialography (CT-sialography) was applied to 19 patients with swelling of the parotid region. They consisted of 11 cases of benign tumors (10 of pleomorphic adenoma and 1 of neurinoma), 5 of malignant tumors (mucoepidermoid carcinoma, squamous cell carcinoma, undifferentiated carcinoma, carcinoma simplex and osteosarcoma) and 3 of inflammatory lesions (2 of lymphadenitis). The margin of a mass was clearly visualized by this method irrespective of its site, whether it was in a superficial or deep lobe of the parotid gland. This method was effective in differentiating mass lesions from inflammatory ones, as demonstrated 2 mass lesions of the parotid gland clearly. But since CT-sialography proved ineffectiveness in differentiating benign and malignant masses, combination with other method (s) are advisable.
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藤田 和寿, 横山 道明, 真境名 由弘
1984 年 30 巻 2Supplement1 号 p.
354-357
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A case of infratemporal fossa abscess with cranial nerve palsy is reported. This 54-year-old man had complained of swelling and pain of the right cheek. Examinations revealed the presence of meningitis and palsies of the right cranial nerves III, IV, V
1, VI and IX. Infratemporal fossa abscess was found by X-ray films and CT scan. It was drained by incision laterally through the right maxillary first molar, and antibiotics was administered. Signs of meningitis and cranial nerve palsy were gone in about 40 days.
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竹内 亘, 横山 道明, 卜部 信行, 中島 幹夫, 堀江 貴, 角 滋子, 生駒 尚秋
1984 年 30 巻 2Supplement1 号 p.
358-363
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A case of adenoid cystic carcinoma of the external auditory canal (EAC) is reported. The patient was a 58-year-old male, who had chiefly complained of tumor of the left EAC. The tumor was histologically demonstrated to be adenoid cystic carcinoma. Wide excision of EAC was immediately carried out under radical mastoidectomy and postoperative radiotherapy. But the patient died of invasion of the cancer to the brain 8 years after the onset. A review of Japanese literature manifested reports of 25 cases acceptable as of adenoid cystic carcinoma of EAC. Problems in its etiology, pathology, clinical features, diagnosis, treatment and prognosis are discussed with reference to the relevant literature.
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高岡 基雄, 生駒 尚秋, 鈴木 健男, 竹内 裕美, 門脇 秀夫
1984 年 30 巻 2Supplement1 号 p.
364-367
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
Two cases of hemangioma occurring on the nasal chamber are reported. Since both hemangiomas were covered with tissue necrosis, histological diagnosis by biopsy could not be made. Under these circumstances, they were suspected of malignancy, especially of squamous cell carcinoma or Wegener's granulomatosis.
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堀江 貴, 稲賀 潔, 横山 道明, 生駒 尚秋
1984 年 30 巻 2Supplement1 号 p.
368-372
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A 68-year-old female complained of nasal bleeding. Rhinoscopy revealed a dark red-colored tumor with a relatively regular surface in the left nasal cavity. The large tumor 5×4×3cm in size and 28g in weight was surgically removed with lateral rhinotomy under general anesthesia. Its origin was confirmed to be the lower part of the nasal septum. Histologically, it was diagnosed as a pleomorphic adenoma composed of myoepithelial cells with glandula elements. There has been no recurrence of bleeding after the removal.
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高岡 基雄, 鈴木 健男, 稲賀 潔, 内脇 敬一, 真境名 由弘
1984 年 30 巻 2Supplement1 号 p.
373-377
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A case of facial nerve neurinoma in the right parotid gland is reported. This 27-year-old female, admitted to our clinic, had suffered from right facial paralysis for one and half a year. Examinations revealed a tumor mass in the deep lobe of the right parotid gland and complete paralysis of the facial nerve on the right side. The tumor mass was extirpated tryingly, because it was attached to tissues at the stylomastoid canal. The main trunk of the facial nerve was not identified. The excised tumor was encapsulated, measured 1.5×1.5×2cm and weighed 4g. Pathologically, it was diagnosed as a typical neurinoma.
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中島 幹夫, 横山 道明, 杉原 三郎, 麻木 宏栄, 真境名 由弘, 藤田 和寿
1984 年 30 巻 2Supplement1 号 p.
378-380
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
This case was a 42-year-old woman troubled by foreign bodies consisting of 2 pieces of chopsticks. One was in the deep lobe of the right parotid gland, and the other in the masseter muscle. The patient had recurrent swellings of the right parotid region, but no facial palsy or fistula was found. Foreign bodies were suspected and some examinations (CT scan, ultrasonography and sialography) made the diagnosis confirmative. Nine months after the accident of facial injury, 2 tips of chopsticks were extirpated without any complications.
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平木 真滋, 横山 道明, 真境名 由弘, 堀江 貴, 辻田 哲朗
1984 年 30 巻 2Supplement1 号 p.
381-384
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A case of IgG-k type plasmacytoma associated with SJÖGREN'S syndrome is reported. The association of plasmacytoma with the syndrome has been very rare, only 2 cases being reported in the last 10 years each of which was complicated with a different kind of disease. In this case, we presumed that SJÖGREN'S syndrome was induced by plasmacytoma.
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門脇 敬一, 横山 道明, 竹内 裕美, 堀江 貴
1984 年 30 巻 2Supplement1 号 p.
385-390
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
A Case of Zenker's diverticulum is reported. This 53-year-old man complained of a lump in the throat lasting for 3 months. Barium x-ray films revealed a diverticulum in the pharyngeal end of the esophagus. It was removed surgically with the anterior approach. A transient hoarseness was recognized postoperatively. Radiologically the diverticulum was no longer visible.
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杉原 三郎, 生駒 尚秋, 麻木 宏栄, 竹内 裕美, 堀江 貴, 中島 幹夫, 稲賀 潔
1984 年 30 巻 2Supplement1 号 p.
391-395
発行日: 1984/05/10
公開日: 2013/05/10
ジャーナル
フリー
For the purpose of hyperalimentation, 18 cases of ENT were fed on an elemental diet (Elental®) by way of the nasal feeding tube. Nausea, vomiting, diarrhea and sense of abdominal fullness were complained as side effects, but could be improved by decreasing the feeding density and dropping velocity. In cases without side effects, mental and physical charges could be reduced by increasing the dropping velocity. Clinical effects of the diet were satisfactory.
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鈴木 健男, 高岡 基雄, 竹内 裕美, 生駒 尚秋
1984 年 30 巻 2Supplement1 号 p.
396-402
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
Twenty patients with hyperesthetic rhinitis received MS-Antigen 40® (MSA) extracted from the urine of patients with allergic diseases. An ample of MSA twice a week or 2 amples once a week was i. m. injected for successive 8 weeks. The rate of final global improvement was 70%. No significant side effects were observed.
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竹内 裕美, 高岡 基雄, 鈴木 健男
1984 年 30 巻 2Supplement1 号 p.
403-406
発行日: 1984/05/10
公開日: 2013/05/10
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フリー
Beclomethasone Diplopinate Nasal Spray (BDN) was administered to 21 patients with nasal allergy. It was given in the daily dose amount within 400μg during 2 to 12 weeks. Changes of plasma cortisol levels, analyzed before and after administration, were within normal ranges.
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