耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
34 巻, 2 号
選択された号の論文の13件中1~13を表示しています
  • 池田 元久, 武藤 二郎, 山積 博彦, 渡辺 勅, 山本 修三
    1988 年 34 巻 2 号 p. 465-471
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Two male and one female patient showed convergent direction-changing positional nystagmus for several months. One complained of profound sensorineural hearing loss in the right ear, and the others suffered from vertiginous attack and dizziness. Every neurological, neurotological and radiological examination indicated damage of the inner ear. After medicinical treatments, these three patients have lived and worked without problem for several years.
  • 中川 肇, 水越 鉄理, 大橋 直樹
    1988 年 34 巻 2 号 p. 472-475
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    The relationship between the effects of minor tranquilizer and the results of CMI and MPI tests in patients with foreign body sensation in the throat was analysed by comparing with the same test battery obtained from inner ear vertiginous patients. The conclusions were summerized as follows; 1. CMI test revealed that the number of types III and IV, indicating neurotic or suspicious of neurosis, were significantly smaller than that observed in vertiginous patients. 2. Minor tranquilizer showed greater effects not only in patients with type III or IV but also in those with relatively higher N score, in MPI test. These results suggest that CMI and MPI tests are useful methods for determining whether or not minor tranquilizer be given to the patients.
  • 小出 郁夫
    1988 年 34 巻 2 号 p. 476-487
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    The surface structure of the 7 human fetus cochleas (from 10 weeks to 25 weeks old) was observed by scanning electron microscope. The results are as follows: 1. A primitive figure of sensory hairs of both inner hair cells and outer hair cells was observed in the 13 week old fetus, 2. In the 13 week old fetus, a kinocilium was observed in each inner hair cell and in the 14 week old fetus, a kinocilium was also observed in each outer hair cell. Most of these kinocilia had disappeared in the 26 week old fetus, 3. The development of shape inner hair cell starts earlier than that of outer hair cell. Inner hair cells show remarkable maturation from 13 weeks old to 17 weeks old of embryonic age; outer hair cells mature remarkably from 14 weeks old to 23 weeks old of embryonic age, 4. External inner hair cells and the fourth row of outer hair cells were found in the mid-term embryonic age, and 5. Inner hair cells, outer hair cells and supporting cells are considered to be mature enough to perceive sound in the 23-26 week old fetus.
  • 森田 恵司, 武藤 二郎, 滋賀 秀壮, 田島 正記
    1988 年 34 巻 2 号 p. 488-493
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Cartilagenous tumor of the larynx is relatively rare. Only 19 cases have been reported previously in Japan. Two cases of chondrosarcoma of the larynx are reported in this paper. Because of the extreme rarity of metastasis, partial resection of the larynx, including normal cartilage adjacent to the tumor, was considered to be reasonable for the treatment of chondrosarcoma to preserve the patient's voice.
  • 扇 礼三, 藤野 有弘, 北村 久雄, 浜村 亮次
    1988 年 34 巻 2 号 p. 494-499
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    A case of brain abscess in the left temporal lobe caused by left chronic otitis media with cholesteatoma was reported. A 43-year-old man had the typical local, general and focal symptoms. Because the radical mastoidectomy and drug therapy were not effective, neurosurgical drainage by puncture was done successfully. Staphylococcus epidermis was found from his otorrhea, but was not cultured from the abscess. CT scan was very useful for making the diagnosis, selecting method of treatment, and monitoring the progress.
  • 成人における2症例
    西川 典秀, 大橋 徹
    1988 年 34 巻 2 号 p. 500-506
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Two cases of adult large cavernous hemangioma in the head and neck were reported. The first case involved a cavernous hemangioma in the left maxillary sinus, which was considerably difficult to diagnose. The second case involved a mesopharynx which was in danger of an air-way obstruction. The conventional radiographic examination, angiography and physical examination cannot satisfactorily reveal the extent and the hypervascularity of cavernous hemangiomas. Recent diagnostic imaging methods such as CT, MRI and blood pool scintiphotography offer important informations to surgeons. It is not always necessary to remove the tumor completely, but it is important to make a plan for surgical treatment before an operation, taking into consideration the extent of the tumor.
  • 梅原 豊治, 梅原 美枝子, 梅原 亨
    1988 年 34 巻 2 号 p. 507-511
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Ossifying fibroma is a rather uncommon fibro-osseous tumour which can involve the bones of the paranasal sinuses and produce proptosis. This tumour has generally been difficult to differentiate clinically and histopathologically from fibrous dysplasia and other fibro-osseous tumours of the paranasal sinuses. A case of ossifying fibroma in the maxillary sinus, seen in a 16-year-old male, was reported. The patient presented a painless and slowly enlarged mass on the left suborbital region. X-ray films revealed a large, well circumscribed hard mass shadow which filled in the left maxillary sinus. CT scans revealed the same finding and the anterior wall of the maxillary sinus was suspected as the origin of the tumor. Biopsy of this tumor showed fibrous dysplasia, but the histological examination on the surgically removed tumor was diagnosed as ossifying fibroma. Differential diagnosis, and clinical and histopathological features between ossifying fibroma and fibrous dysplasia are discussed.
  • 中島 浩子, 竹内 亘, 鈴木 健男, 稲賀 潔, 辻田 哲朗
    1988 年 34 巻 2 号 p. 512-516
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Two cases of large Schwannoma of parapharyngeal space were reported. In case one, the tumor extended to the skull base, and it was removed through the lateral cervical approach. In case two, the tumor destroyed the skull base partially, and it was removed by deviding into two parts through the lateral cervical approach and the infratemporal craniotomy. We think that the cooperation with other departments should be considerable to remove completely and safely such large parapharyngeal space tumor extending to the skull base.
  • 木田 亮紀, 青柳 充雄, 古阪 徹, 牧山 清, 飯田 英信, 遠藤 壮平
    1988 年 34 巻 2 号 p. 517-522
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Malignant melanoma of the nasal cavity is a rare disease. Eight cases with a malignant melanoma of the nasal cavity, experienced from 1978 to 1986, are reported. They were treated in various ways. Chemotherapy was performed on two cases because surgery was refused; one of these underwent a local injection of interferon-beta, resulting in a tumorfree interval of one and a half months, while the other showed a partial response to the intravenous administration of DTIC, ACNU, VCR and interferon beta. Simple surgical resection was performed in one case, and surgery was followed by chemotherapy in the remaining 5 cases. DTIC-and CDDP-based combination chemotherapy seemed to be effective ; however, it is difficult to control the lesion solely by chemotherapy, so radical surgery should also be resorted to.
  • 田中 寿一, 犬山 征夫, 藤井 正人, 高岡 哲郎, 細田 兵之助, 川浦 光弘
    1988 年 34 巻 2 号 p. 523-527
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    In an experimental study using C57BL mice and YM-12 fibrosarcoma, we found that a combination of UFT and radiation therapy was significantly more effective than both radiation therapy alone and 5-FU plus radiation therapy. In order to elucidate the mechanism behind this result, we attempted to measure concentrations of 5-FU in tumor tissue and serum of tumorbearing mice using the same experimental schedule as before. The results showed that the concentration of 5-FU was significantly higher in the tumor tissue of the mice treated with UFT than those treated with 5-FU, despite the fact that the concentration of 5-FU in the serum remained low in the two groups of mice. This result accounts for the higher response of the tumor in the mice to the combination of UFT and radiation than to that of 5-FU and radiation.
  • 切除範囲からみた機能と形態の評価ならびに再建術の役割について
    犬山 征夫, 藤井 正人, 田中 寿一, 高岡 哲郎, 細田 兵之助, 川浦 光弘, 田路 正夫, 三宅 浩郷, 堀内 正敏, 藤野 豊美
    1988 年 34 巻 2 号 p. 528-534
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    In our department, 223 patients with cancer of the nose and paranasal sinuses were treated throughout the past 25 years. We sent a questionnaire to 69 patients who are presently living, and received responses from 56 of them. For analysis of the questionnaires, the patients were divided into 4 groups according to the extent of surgery performed. These were: (1) antrotomy followed by intraarterial chemotherapy and radiotherapy,(2) partial resection of the maxilla,(3) total or subtotal maxillectomy, and (4) radical maxillectomy with orbital exenteration. Most patients of groups (2) to (4) were treated with intraarterial chemotherapy and/or radiotherapy prior to surgery. Health, life, ability to work, articulation, food intake and cosmetic problems of the face were studied, and compared among the groups. The results showed patients' health to be much better than expected. More than half of them had normal ability to work and showed mental stability. The patients who received total or subtotal maxillectomy tended to show weak mastication, disturbance of food intake and cosmetic discontent compared with other groups, while the patients who received radical maxillectomy with orbital exenteration tended to show better mastication than expected, and also exhibited a high level of contentment with cosmetic appearance when delayed reonstruction was performed.
  • 脂質代謝との関連
    池田 勝久, 小林 俊光, 伊東 善哉, 高坂 知節
    1988 年 34 巻 2 号 p. 535-538
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
    Twenty-two patients (30 ears) with tinnitus were given Tsumura-Daisaiko-to and its clinical usefulness was evaluated. The drug was remarkably effective in 16.7% of the ears, moderately effective in 6.7%, slightly effective in 26.7%, and not effective in 49.9%. About 46% of the patients showed a tendency to improve tinnitus. The drug showed a significant decrease of serum cholesterol and triglycerol values and was suggested to affect the auditory system via metabolism of lipid.
  • 津田 邦良, 進 武幹, 渡辺 宏, 十時 忠秀
    1988 年 34 巻 2 号 p. 539-540
    発行日: 1988/03/20
    公開日: 2013/05/10
    ジャーナル フリー
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