耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
4 巻, 2 号
選択された号の論文の17件中1~17を表示しています
  • 山本 常市, 横川 永二郎
    1957 年 4 巻 2 号 p. 69-73
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    Investigation was made in the position of the auricles relative to the face by examining 165 cases of male (from 16 to 20 years old) and 100 cases of female (from 15 to 38 years old) and by observing 100 photographs of the Japanese and 330 of Europeans.
    The conclusion was as follows: 1) In the majority of living male and female, the upper end of the auricles (A) corresponds to the median point between the eyebrows and the lower end (B) to the lowest point of the nose; 2) In the photographs of the Japanese, cases in which (A) corresponds to the median point of the root of nose and (B) to the lowest point of the nose are most frequent; and 3) in most of the photographs of Europeans,(A) corresponds to the median point of the root of nose, and (B) to the middle point between the lowest point of the nose and the median point of the upper lip.
    With the above-mentioned data, the positions of auricles relative to the face were classified as the upper position, the middle position and the lower position. The cases in which (A) is higher than the median point between the eyebrows and (B) is higher than the tip of the nose are classified as the upper position. The middle position stands for the cases in which (A) and (B) exist between the median point between the eyebrows and the lowest point of the nose. The term of lower position is applied to the cases in which (A) is lower than the median point of the root of nose and (B) is lower than the middle point between the lowest point of the nose and the median point of the upper lip.
    Most cases of the living male and female come under the middle position of the classification, and in the observation of the photographs, the majority of the Japanese correspond to the middle position as in the case of the living examples, while most of the Europeans are classified as the lower position.
  • 河田 政一, 辻 政義
    1957 年 4 巻 2 号 p. 74-76
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    For the purpose of getting more precise measurements of the retraction-grade (Kawata) of the tympanic membrane, the authors have devised a new design of myringo-goniometer with a vernier scale.
    By the use of this new type, one can easily measure the augular variation of 0.5°C, through the manipulation of the rotating plate attached to the otoscope body.(Authors' abstract)
  • 菊池 準二
    1957 年 4 巻 2 号 p. 77-83
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The author conducted hearing tests on 39 patients who had had the operation of radical mastoidectomy for the purpose of improvement of power of hearing, and the results were as follows:
    1) 20.5% of the patients showed improvement of hearing by more than 15 dbs. in the speech range,(hereinafter referred to as the improved group), and 46.2% were those who made improvement or exacerbation of less than 10 dbs.,(hereinafter referred to as the unchanged group), while the rest of 33.3% showed exacerbation of hearing by more than 15 dbs.,(hereinafter referred to as the exacerbated group).
    2) With each group, about 50% had had medium grade disturbances of the middle ear. While in the improved group the percentage of high grade disturbances was equal to that of low grade disturbances, low grade disturbances were a little less than the other in the unchanged group, and in the last group high grade disturbances were twice as many as the cases of low grade disturbances.
    3) The cases in which the skinflap adhered to the tympanic cavity amounted to 25% in the improved group, 66% in the unchanged, and 84% in the exacerbated.
    4) Out of patients who had had better hearing by air conduction than 40 dbs. before operation, 2 cases belonged to the improved group, 3 to the unchanged, and 9 to the exacerbated. From the cases in which the power of hearing had been between 40 and 60 dbs., 3 belonged to the improved group, 9 to the unchanged group and 3 to the exacerbated group. On the other hand, 3 out of the patients whose power of hearing had been lower than 60 dbs. belonged to the improved group, 6 to the unchanged group and 1 to the exacerbated group.
    5) In many of the cases in which the power of hearing lowered than before after the operation, the disturbances of bone conduction had existed and D. L.-tests had been positive.
  • 稲守 浩一郎
    1957 年 4 巻 2 号 p. 84-86
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    A 65-year-old woman had a yellow soybean-sized cauliflowerlike tumor with soft and wide base between the Crus helicis and the Cymba conchae of the left auricle.
    Histologically, it belongs to hard papilloma. It is difficult to determine the cause of this disease. However, the seat of the tumor is liable to become dirty because of its location, and especially as the patient is a woman, her ears are always covered with hairs and it seems to be one of the causes that the part was not kept clean. This case is reported because the auricular papilloma is not a very common case.
  • 久保 浩一, 牧瀬 昭広, 西村 徳
    1957 年 4 巻 2 号 p. 87-90
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The authors report a case of right temporal lobe abscess complicated with meningitis of otic origin in a 13-year-old girl, which was caused by streptococcus and diplococcus from an acute exacerbation of chronic otitis media. After the radical operation and incision of the brain abscess, the intensive injection of Penicillin and per-oral administration of a total amount of 40.0g of Achromycin were resorted to. The patient was completely recovered without any residual effect.
  • 渡辺 綱彦, 鈴木 盛明
    1957 年 4 巻 2 号 p. 91-95
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The radical operations performed for purulent meningitis of otogenous origin in one case and of rhinogenous origin in the other resulted in unconsciousness and anuria in the former case and disturbances of consciousness and incontinence of urine in the latter.
    Though it was practically impossible to remove the cerebrospinal fluid sufficiently, an antibiotic administered effected a complete recovery, demonstrating that timely surgical treatment followed by adequate use of antibiotics can be expected to bring up the rate of recovery from this intractable disease.
  • 高須賀 信夫
    1957 年 4 巻 2 号 p. 96-100
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The author took X-ray to mographs of 20 cases of upper jaw cancer in five tomographical sections, and decided the directions of growth of cancer.
    As a result of the comparative studies of these tomographs and the operative observations regarding the direction of growth, the author confirmed that tomography was very useful for the diagnosis of the cerebral basis type and the zygomaticotemporal type of upper jaw cancer, which were difficult to diagnose by ordinary X-ray photography, among 8 types classified based on the direction of growth at the author's clinic.
    And the author reported that by using the tomography of upper jaw, it was possible to find out early the infiltration of the cancer to the cerebral basis, and early diagnosis of which was very difficult.
  • 中島 礼士
    1957 年 4 巻 2 号 p. 101-103
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The author reports a case of postoperative buccal cyst which relapsed in ten months after the operation performed by an ophthalmologist, because the disease showed ophthalmic symptoms only. The patient was a man of 27 years of age. He had a radical operation for bilateral sinusitis 12 years ago, and from 3 years ago, he noticed a feeling of pressure on the eyeballs, but he left it untreated until he came to have ocular deviation last year. Then he underwent the operation under the diagnosis of intraorbital tumor, in which removal of wall of the cyst was insufficient and, furthermore, counteropening was not made, and the result was the swelling of bilateral buccal region in ten months after the operation.
    This case shows clearly that in operating a postoperative buccal cyst the removal of wall of the cyst and the counteropening is essential.
  • 本川 徳雄
    1957 年 4 巻 2 号 p. 104-105
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    Many kinds of tumors present polypous appearances in the nose. The author reports a rare case of maxillary mucocele which was seen in an 18-year-old female. The mucocele protruded from the fontanelle into the nose and looked like an antralpolyp.
  • 向井 貞三, 喜多野 邦夫
    1957 年 4 巻 2 号 p. 106-109
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    With the first case the mucosae and the bony septum between the right and the left frontal sinuses had disappeared. Both the anterior and the posterior bony walls of the sinus were found defective. The frontal skin pulsated with the brain pressure through the fluid retained in the united sinus. The diagnosis of frontal sinus mucocele was established.
    The second case showed a destruction of the upper bone of the right orbital wall with the eye ball displaced downward by the cyst. The patient complained of the right visual disorder, diplopia and exophthalmus. The case was diagnosed as pyocele of the right frontal sinus.
  • 高久 亨
    1957 年 4 巻 2 号 p. 110-112
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    A 10-year-old boy had such a swollen tongue that he had difficulty in closing the mouth. The back of the tongue was rough and on its anterior edge multiple nodules of from rice grain to soyabean sizes were found. Histologically these nodules showed hyperplasia of the lymphatic canal of the submucous tissues and hyperkeratosis of the epithelium. By X-ray irradiation the swelling of the tongue decreased, but as the nodules increased in number and size, they were resected after irradiation.
  • 仙頭 哲夫
    1957 年 4 巻 2 号 p. 113-115
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    As regards the effect of partial resection on malign tumors, it has been a prevailing opinion that partial resection usually results in undesirable course of rapid growth of the tumors, but occasionally favorable results in the form of contraction or fading-away of the tumors may be expected of partial resection.
    An example of such a case is reported. The patient, a woman aged 73, who had been suffering from reticulosarcoma of bilateral Tonsillae palatinae and Tonsilla lingualis, was given the operation of partial resection and the deep irradiation of X-ray on the tumors, and she got a perfect cure.
  • 前田 春雄
    1957 年 4 巻 2 号 p. 116-120
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The “blood vessel neurosis” caused by disturbances of the blood vessel function is the disease resulting from the contraction or dilation of the peripheral blood vessels due to disturbances of the blood vessel nerve function.
    The author measured the red cell sedimentation rate and the serum viscosity of 37 patients in the otorhinolaryngological field(10 Meniere's disease, 7 nervous deafness, 9 other diseases of ear, and 11 diseases of nose and throat)that seemed to have been caused by disturbances of blood vessel function, gave them injection of 7 % sodium bicarbonate solution as treatment, and observed their progress.
    The results were summarized as follows.
    1)Slight increase of the red cell sedimentation rate was seen in 20 cases of the 35, or 57%.
    2)Silght increase of serum viscosity was seen in 26 cases of the 35, or 75%.
    3)It was seen that the increases of the red cell sedimentation rate and the serum viscosity in these diseases returned to normal gradually by injection of the sodium bicarbonate solution.
  • 沢木 修二
    1957 年 4 巻 2 号 p. 121-123
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The author reports the diagnosis and the process of therapy of the haemangioma in the base of the oral cavity of an 8-month-old infant who visited his clinic with the main complaint of dyspnea and tumor in the base of the mouth. In most cases, haemangioma in the domain of the mouth surgery exist already at the time of birth, but in few cases it discloses clinical symptoms. It is pointed out that it is very rare in the literature that tracheotomy was necessitated owing to dyspnea caused by additional inflammatory tumor as this case. Histologically, it was haemangioma simplex.
    A complete cure was effected by the joint use of Radon-platelet and chemotherapy.
  • 松野 喬, 松田 尊文
    1957 年 4 巻 2 号 p. 124-127
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    It was confirmed that NARBEL was harmless to the respiratory and the circulation organs, and innoxious by lacal injection, as a result of experimentation of the pharmacological action and local injection of NARBEL, a vasoconstrictonal chemical. The clinical experimentation also proved that the bleeding was suppressed by the addition of NARBEL in the local anaesthesia. But NARBEL must be used plentifully, and by reason of this defect the authors hope for the appearance of products of higher concentrations.
  • 竹田 磋智夫, 平田 和生
    1957 年 4 巻 2 号 p. 128-132
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The authors used the intravenous dropping injection of narcotic cocktail (mixture of Contomin 1 mg/kg., Hiberna 1 mg/kg.and Opistan 2 mg/kg. in 500cc of 5%Glucose solution) in 29 cases of the radical operation of otitis media chronica and 7 cases of pansinectomy, and obtained 32 cases of marked effect and 4 cases of fair effect.
    Reference is made to the method and time of injection, the duration of narcosis and the method of administration of narcosis, and it is stated thad this is a simple and safe method of narcosis.
  • 菱山 博文, 荒木 和人, 柴田 雅司
    1957 年 4 巻 2 号 p. 133-136
    発行日: 1957/12/01
    公開日: 2013/05/10
    ジャーナル フリー
    The authors describe their experiences of 60 cases of otorhinolaryngological operations using thiamylalsodium P, which is sold on the market as “Isozol”.
    This drug causes practically no excitement stage and is a very safe anesthetic. Especially, Isozol is very convenient for oesophagoscopy and bronchoscopy because of its muscle relaxing effect besides the anesthetic effect.
    The anesthetic effect of Isozol lasts only about 30 minutes, and so it can be used on outpatlents, too.
    Lastly, it is stated that Isozol is very useful for the operation which dose not involve the fear of blood engorging, for instance, for the curettement of the tympanic cavity in the radical operation of the mid-ear.
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