耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
32 巻, 6 号
選択された号の論文の16件中1~16を表示しています
  • 三好 彰, 草刈 潤, 武山 実
    1986 年 32 巻 6 号 p. 973-975
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case in which vestibular dysfunction as well as hearing loss was caused by acoustic trauma was reported. The patient was a 22 year old woman that developed hearing loss and dysequilibrium at a rock concert after 20 minutes exposure. She was a college student and in order to prepare the term examination, she did not sleep or take any food for 24 hours prior to the onset of these symptoms. This extreme fatigue condition seemed to be closely related to the appearance of the vestibular symptoms in addition to the hearing loss. The generation mechanism of the acoustic trauma was discussed in the light of the available literature and the importance of good physical condition was stressed.
  • 小野 誠治, 古賀 健治, 迫田 隅男, 永井 知幸, 森満 保, 芝 良祐, 渡辺 克司
    1986 年 32 巻 6 号 p. 976-981
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    Thirty-seven patients with squamous cell carcinoma of the tongue were treated initially with radiation. Seventeen of these patients subsequently received surgeries. The patients visited our clinic between January 1978 and December 1984. The five-year survival rate was 52% in all cases, 49% in the non-surgical group and 54 % in the surgical group. The two year control rate of the primary lesion was 55% (6/11) in the nonsurgical group, 86% (12/14) in the surgical group. The incidence of cervical lymph node metastasis or recurrence was higher in the surgical group than in non-surgical group. It is considered that a good prognosis can be expected with a high local control rate in non-surgical patients and with a low incidence of lymph node metastasis in surgical patients.
  • 内藤 義弘, 海野 徳二
    1986 年 32 巻 6 号 p. 982-987
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    The relationship between pressure and flow during nasal breathing is curvilinear. The reason is that the nasal airflow is composed of laminar and turblent flows. According to Rohrer, the relationship is expressed by the formula P=K1V+K2V2. Employing posterior rhinomanometry, we measured the patency of both nasal cavities. In addition to the ordinary air measurement, a gas mixture of 80% helium and 20% oxygen was used because turbulent flow is mainly dependent on gas density. The gas viscosity is 1.12 times and the gas density is 0.34 times those of air. The nasal patency in inspiration and expiration were separately assessed by Rohrer's formula using computer analysis. In breathing the mixture, K1 increased by about 25% and K2 decreased by about 45%, which are theoretically expected, but there were considerable individual variations. If K1 and K2 are the indices which represent exactly laminar and turbulent components, the difference of K1 or K2 should be more uniform. Therefore, K1 and K2 indicate the characteristics of both laminar and turbulent flows only to a certain extent. It can be assumed that they are dependent on some other factors as well.
  • 調 賢哉, 調 重昭, 調 信一郎
    1986 年 32 巻 6 号 p. 988-991
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors treated 2 patients with foreign bodies in the tymcanic cavity. We consider the cases very rare. Case No.1 54-years-old man: during the performance of tympanoplasty a tiny piece of plant was found lodged in the tympanic cavity and was removed. Case No.2 35-years-old man: a tiny piece of aloe leaf was found lodged in the tympanic cavity and was removed. In both cases, these foreign bodies were suspected of causing ear discharge. In case No.1, the foreign body was detected using an antrum and attic inspection mirror, and in case No.2 using an otomicroscope. The authors concluded that the existence of foreign bodies should be suspected if otitis media purulenta chronica resists antibiotic treatment.
  • 頭蓋内に腫瘤を形成した多発性骨髄腫の1例
    石田 春彦, 田渕 哲, 永井 謙一, 古閑 次雄
    1986 年 32 巻 6 号 p. 992-996
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of multiple myeloma with intracranial extradural mass was reported. A 63-year-old woman who complained of a hearing loss of the right ear and dizziness was admitted in April, 1983. The existence of the tumor in the right posterior fossa was diagnosed based on an equilibrium test, X-ray and CT scan. Neurosurgeons operated and confirmed that a large tumor exist in the intracranial extradural space of the right posterior fossa. They removed about a half of the tumor. She was diagnosed as having multiple myeloma by histological examination of the removed tumor and the bone marrow of the sternum. Her symptoms were improved following local 60Co irradiation and systemic chemotherapy. Multiple myeloma involving the nervous system is most commonly manifested by compression of the spinal cord or cauda equina. The most common X-ray observation in multiple myeloma involving the cranium is the presence of multiple, small, discrete osteolytic lesions. Clinical symptoms of brain tumor and large masses accompanying bone defects is rarely reported accompanying multiple myeloma in the literature.
  • 竹内 亘, 生駒 尚秋, 神崎 裕士, 稲賀 潔, 天野 孝志, 北村 幸郷
    1986 年 32 巻 6 号 p. 997-1002
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    Fifty seven cases of salivary gland tumors treated in our clinic during the past 20 years were reviewed according to the classification of the WHO and analyzed according to age, sex, clinical features, histopathology, treatment and prognosis. It is known that most commonly involved salivary gland is the parotid gland; the most prevalent benign tumor is pleomorphic adenoma; and the most prevalent malignant tumor is adenoid cystic carcinoma. It was found that benign tumors, especially pleomorphic adenoma, occur more frequently in the female. Malignant tumors, especially adenoid cystic carcinoma, occur more frequently in the male. Of the 57 cases, 24 cases were major salivary gland cases and the ratio of the benign to the malignant was 2: 1. The remaining cases were tumors of the minor salivary gland. The ratio of the benign to the malignat was 20: 13. Symptoms such as spontaneous pain, facial palsy and adhesion to the skin were found to be significant for preoperative diagnosis of malignancy. The three cases of so called histologically low grade malignancy exhibited benign clinical features and were treated as benign tumors. The prognosis of these tumors were found to be good.
  • 渡辺 晋
    1986 年 32 巻 6 号 p. 1003-1007
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    In recent years, 774 patients with peripheral vestibular disorders consulted our clinic and out of these cases, 70 patients with MÉNIÈRE's disease were hospitalized because of the severity of the vertigo attack. There have been surprisingly few reports concerning the short or mid-term symptoms following vertigo attacks in MÉNIÈRE's disease. We investigated the change of symptoms, including the frequency and degree of recurrence of attack, during these period.
  • -上顎洞癌, 口腔癌, 中咽頭癌を中心として-
    犬山 征夫, 藤井 正人, 田中 寿一, 高岡 哲郎, 細田 兵之助, 甲能 直幸, 斉藤 成司, 藤野 豊美
    1986 年 32 巻 6 号 p. 1008-1017
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    From July 1975 to March 1986, 61 patients underwent 87 consecutive reconstructions following ablative surgery for cancer of the maxillary sinus, oral cavity and oropharynx. Various flaps were utilized for reconstruction: 31 pectoralis major myocutaneous flaps (PMMC), 22 deltopectoral flaps (DP), 11 free latissimus dorsi myocutaneous flaps (F-LDMC) and cheek flaps, 4 forehead flaps and 8 other flaps. F-LDMC was useful and reliable for reconstruction of total cheek defects after total maxillectomy with orbital exenteration. Seventeen PMMC and DP flaps were used for reconstruction of defects of the tongue and floor of the mouth. PMMC was superior to DP flap in its technical ease, versatility and reliability as a one-stage reconstruction. The same results were obtained in reconstruction of the oropharynx. Five-year survival rates after reconstruction were 60% in maxillary sinus carcinoma, 52% in oral carcinoma and 88% in oropharyngeal carcinoma. The importance of reconstruction following ablative surgery for cancer in patients with stage III, IV disease is discussed.
  • 田中 康政
    1986 年 32 巻 6 号 p. 1018-1044
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    Peripheral pathways and intramucosal distribution of sensory nerve fibers in the larynx and pharynx were traced in 72 cats following wheat germ agglutinin-horseradish peroxidase (WGA-HRP) injections into the nodose ganglion of the vagal nerve and the superior and inferior ganglia of the glossopharyngeal nerve. The internal branch of the superior laryngeal nerve (int-SLN) is divided into three branches and innervates not only the ipsilateral mucous membrane of the supraglottis but also the ipsilateral mucous membrane of the hypopharynx from the middle level of the aryepiglottic fold to the level of the caudal end of the piriform sinus; and the bilateral mucous membrane of the subglottis between the apex of the epiglottis and the first tracheal ring. The posterior branch of the inferior laryngeal nerve (ILN) is divided into two branches and bilaterally innervates together with int-SLN, the subglottis. In the center of the lamina of the cricoid cartilage, there is a foramen through which some fibers of int-SLN and ILN enter the larynx. The tonsillolingual branch of the glossopharyngeal nerve is divided into four branches and innervates the lateral and posterior pharyngeal wall rostral to the level of the middle of the aryepiglottic fold, the caudal half of the soft palate, the caudal third of the tongue, the vallecula epiglottica and ipsilaterally the lingual aspect of the epiglottis.
  • -二重盲検法によるCefaclorとの比較試験-
    馬場 駿吉, 森 慶人, 鈴木 賢二, 島田 純一郎, 河村 正三, 堀川 治久, 渡辺 洋, 藤巻 豊, 板橋 隆嗣, 和田 昌士, 野村 ...
    1986 年 32 巻 6 号 p. 1045-1066
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    In order to compare the clinical efficacy, safety and utility of T-2588 with Cefaclor (CCL) in acute lacunar tonsillitis, a double blind trial was carried out with a daily dosage of 100mg×3 of T-2588 or 250mg×3 of CCL. The number of cases evaluated for clinical efficacy were 169 (80 treated with T-2588 and 89 treated with CCL). The effectiveness rating of T-2588 and CCL were 93.8% and 87.6% respectively, as judged by a committee; and 91.3% and 91.0% as judged by the attending physician. Bacteriological effects were satisfactory, yielding eradication rates of 97.0% with T-2588 and 97.4% with CCL. The number of cases evaluated for safety were 181 (88 treated with T-2588 and 93 treated with CCL). The incidence of side effect was 5.7% (5/88) with T-2588 and 1.1% (1/93) with CCL. The most common side effect was mild gastro-intestinal disorders. The number of cases evaluated for utility were 169 (80 treated with T-2588 and 89 treated with CCL). The usefulness rates were 93.7% with T-2588 and 92.1% with CCL. There was no significant difference between T-2588 and CCL in clinical effect, bacteriological effect, safety and utility. From these results, a daily 300mg dosage of T-2588 was as useful as a daily 750mg dosage of CCL in the treatment of acute lacunar tonsillitis.
  • 河村 正三, 藤巻 豊, 板橋 隆嗣, 馬場 駿吉, 丸尾 猛, 伊藤 晴夫, 原田 康夫, 田頭 宣治, 築家 大介, 野田 益弘, 大山 ...
    1986 年 32 巻 6 号 p. 1067-1089
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    This study evaluates the clinical efficacy, safety and utility of 3% Fosfomycin (FOM) otic solution in the treatment of diffuse otitis externa and chronic suppurative otitis media in children. The following results were obtained: 1) The clinical effectiveness rate was 84.5% in the treatment of chronic suppuurative otitis media in children. 2) An audiometric investigation was performanced in 3 cases of children with chronic suppurative otitis media. No abnormal finding was observed. 3) The clinical effectiveness rate was 83.9% in the treatment of diffuse otitis externa, and 100% in chronic suppurative otitis media. 4) No adverse reaction was noticed in any patients. From the above results, it was concluded that 3% FOM otic solution was quite an efficacious and safe topical preparation for the treatment of chronic otitis media in children and diffuse otitis media in children and adults.
  • 武田 直広, 鳥山 寧二
    1986 年 32 巻 6 号 p. 1090-1093
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
    Self-retaining retractors for maxillar sinus operations are classified according to their supporting points. Our experience using the MASUDA's self-retaining retractor is reported. The characteristics and advantages of the retractor is discussed, as well as modifications made by the author.
  • 河原田 和夫
    1986 年 32 巻 6 号 p. 1094-1096
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
  • 加藤 元博
    1986 年 32 巻 6 号 p. 1097-1102
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
  • 向野 和雄
    1986 年 32 巻 6 号 p. 1103-1114
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
  • -とくに起立性調節障害について-
    植田 浩司, 福重 淳一郎, 原田 達生, 土橋 恵子, 徳川 健
    1986 年 32 巻 6 号 p. 1115-1119
    発行日: 1986/11/20
    公開日: 2013/05/10
    ジャーナル フリー
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