耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
9 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
  • 木村 光雄
    1963 年 9 巻 3 号 p. 155-161
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The isolation of hemolytic streptococci, the sensitivity test on each of the strain against various drugs and the determination of antistreptolysin-O titers were made on the cases of epidemic nephritis. scarlet fever, tonsillitis and the other diseases, and were carried out on the healthy individuals in epidemic and non -epidemic areas of the streptococcosis in 1954-1962.
    As the results, the wide invasion of streptococcal infection on healthy population, wheather in epidemie or not, was comfirmed that is, the isolation-rates of hemolytic streptococci were 7. 3-69. 9% on healthy people and 0-25% on paitents of non streptococcal diseases in non epidemic areas, and were 19.1-45. 1% in epidemic areas of nephritis and 6. 9-33. 9% of scarlet fever. On the other hands, the positive rates of antistreptolysin-O test were 69.1% on the healthy pupiles in epidemic area of streptococcosis and 10-33.3% on the patients with the other diseases in non-epidemic areas.
    The resistant strains against various drugs were increasing on reccent years and so the importance of therapy and prophylaxis of these infectious diseases were emphasized.
    The gargle with Hyamin Solution was very effective for the prophylaxis of streptococcal infection because the epidemie of scarlet fever and epidemic nephritis were interrupted and influenza infection was prevented by adminstration of this gargle. The Hyamin Soulution is recommended as a good gargle, for it is very simple, cheap, and non side-effects in mass enforcement.(Hyamine Solution: 0.01-0.02% Benzethonium Chloride Solution)
  • 河田 政一, 武出 秀隆, 早田 武, 原田 好雄, 山本 哲生
    1963 年 9 巻 3 号 p. 162-167
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    In present study we succeeded to stain the potassium in the inner ear of normal guinea-pigs by means of modified Macallum's method with frozen procedures. The potassium was stained in Corti's organ, spiral ganglion cells, nerve fibers, stria vascularis and in epithelial cells and endothel cells faced to endo-and peri-lymph, remarkable distributions of potassium were noticed in stria vascularis, cochlear nerve fibers and osseous tissue of inner.ear. But no significant differences were found among the tissues each turn. In stria vascularis, the density of potassium was so great as to make scarcely a minute intracellular observation. Weak staining was obtained in ligamentum spirale. As to epithelial cells the peripheral portions of the cytoplasm were more densely stained and the hair cells distinctly stained, than their supporting cells. Only little stain was seen in Reissner's membrane and tectorial membrane.
    In spiral ganglion cells potassium was distributed in carapace-like figures, and a fair amount of it was also found in the nerve fibers led to Corti's organ. In a longitudinal section of cochlear nerve, the potassium distribution in the fibers was densely stained as a short rod swarm.
  • II.所謂瘢痕について
    坂口 敏之
    1963 年 9 巻 3 号 p. 168-171
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The author has studied the form, location and number of ear-drum scars in 350 adults and pupils with the hope of correlating them with episodes of otitis media, calcification and age.
    It was found that more than half of the scars had no relationship to perforation but was due to partial atrophy of the ear-drum, although some of them were due to closure of perforations.
  • ENG記録を行う際の検査条件について
    上村 卓也, 田原 睦郎, 末村 克彦, 武井 隆, 中島 雅子
    1963 年 9 巻 3 号 p. 172-175
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors investigated which condition of the eyes was most suitable for recording the nystagmus by electronystagmograph when carrying out the caloric test by the irrigation of 30°C for 40 sec. according to Hallpike. Measurements were made with the eyes open, closed, and Frenzel's spectacles.
    The results obtained were as follows.
    1. The magnitude of nystagmic reaction, presented by the total amplitude, with the eyes open was less than a third of those of the two other conditions. Namely, the nystagmic reaction with the eyes open was too much suppressed to be adopted as the test condition.
    2. The amplitude- and frequency- curve with the eyes closed revealed the remarkable fluctuation, which was thought to be attributed to a distortion of nystagmic reaction.
    From these it was concluded that the condition with the eyes opened under Frenzel's spectacles without illuminating was most suitable.
  • 永淵 正昭
    1963 年 9 巻 3 号 p. 176-179
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    Staphcillin was used topically (40 mg, 0.2cc/day) and Staphcillin V (1-2 g/day) internally for a variety of otologic diseases including acute otitis media, chronic otitis media with perforation and otorrhea, and chronic otitis media after unsuccessful tympanoplasty.
    It was effective for the relief of acute and chronic otitis media, especially for inhibition of otorrhea, but was not very effective in case of unsuccessful tympanoplasty.
    This was felt to be due to prolonged antibiotic therapy and bacterial resistance.
  • 立石 厚
    1963 年 9 巻 3 号 p. 180-188
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    Minor Tremor (MT) of the patients of peripheral facial palsy has been recorded as the aid of determining the appropriate therapeutic method and of judging the effects of the treatment applied. An analysis of our observations revealed that MT recording is sufficiently useful for the purposes.
    1) In general, MT was recorded from the upper eyelid of the patients. The observation of its wave pattern during the photic stimulation of 10 per second was quite helpful for determining the degree of the palsy.
    2) The “stellate block” has been given to the patients as a main palliative treatment. The treatment and the addition of the administration of ATP brought about a considerably good result.
    3) The following advantages can be mentioned about MT recording as a diagnostic measure for the facial palsy
    a. Patients are free from troubles during recording.
    b. MT can always be recorded from the same position.
    c. It can be observed easily and directly and the records are preservable.
    4) The relation between the therapeutic effect and MT in several cases of peripheral facial palsy has been discussed.
  • 小倉 義郎, 岸本 浩之, 小山 高司
    1963 年 9 巻 3 号 p. 189-192
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The successful fixation of the remaining mandibular bone stumps with a Vitallium plate after partial resection of the mandibular bone in the case of floor of the mouth cancer is described.
    No recurrence and no disfunction of the mastication, respiration and phonation was observed after one year following our procedure.
  • 徳丸 守久
    1963 年 9 巻 3 号 p. 193-196
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    Nasal gland on tunica propria of nasal mucous membrane and its epithelial layer in human were studied under electron microscope and the following findings were made;
    1) Grandular Cells: On the surface of the glandular cavity, microvilli were observed and their adjacent cells were laceratedly connected. In the cell, there were full of low-dense-vacuoles with averaged diameter of 1.5μ considered as the secreted substance.
    The limiting membrane was smooth although some of them showed partial disconnection. In the deep portion of the glandular cells, abundance in Golgi-apparatus and stratified arrangement of tuberositous endoplasmic reticulum with attached liposom.e granules in the further deeper portion were observed.
    2) Epithelial Cells: Golgi-apparatus was observed in abundance and on the border of the membrane, desm.osome existed extending the filament radially into the cell body.
    3) Capillary Vessels: Collagen fibers were observed in periendotherial space. The nucleus of the inner membrane was large and close to the two nuclear membrane, microgranules were observed in compact.
  • 徳丸 守久
    1963 年 9 巻 3 号 p. 197-200
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    Tissue of nasal polyp, caused on middle nasal meatus of human was studied under electron microscope and the following findings were made;
    1) Epithelial layer;
    Epithelial tissue contained following 3 epithelial cell groups.
    i. Ciliated cylindrical epithelial cell having two central canaliculus and nine marginal canaliculus.
    ii. Goblet cell in which the upper portion of the cell body was filled with flake-falling granules of low density.
    iii. Pavement epithelial cell which did not have much construction in the cell body.
    2) Tunica propria
    i. Eosinocytes in which the cell body was filled with granules of high density was observed and the formation of central plate was not clear.
    ii. In the stroma of tunica propria, well-developed collagen fibers were observed.
    iii. Many plasma-ceils filled with small tuberositous follicules were observed.
    iV. The tunica interna of blood vessels in the tunica propria generally showed high density and in the cell body, besides micro structures such as mitochondria and Golgiapparatus, filamentous structures were recognized.
  • 浅井 栄暢, 上野 敬之, 金子 宣恒
    1963 年 9 巻 3 号 p. 201-209
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    Alpha-chym.otrypsin, a kind of the enzyme abstracted from pancreas of the mammal, has fiblinolytic agent, anti-inflammatory agent and anti-edematous agent.
    The authors used this enzym-solution to treat some kinds of the chronic inflammatory disease in rhinological field by nasal-rinsing or spraying, and to treat or prevent from buccal swelling after radical operation of sinuitis maxillaris et ethmoidalis chronica by intramuscular injection.
    The results obtained are as follows
    Of 15 cases of rhinitis chronica hyperplastica et simplex, 4 cases were affected remarkably well, 8 cases well and 3 cases a little well, while 2 cases were affected well, and 3 cases a little well of 5 cases of rhinitis chronica atrophica. Conservative treatment with this enzyme on 11 cases of sinuitis and postoperative sinuitis m.axillaris chronica had the best effects on 4 cases, better effects on 4 cases, a little good effect on 2 cases and no effect on a case.
    Buccal swelling after radical operation of sinuitis responded to intramuscular injection of this enzyme-solution well, but blooding-tendency during operation a little incresed.
  • 森木 貞信
    1963 年 9 巻 3 号 p. 210-215
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The author reported a case of injury by air-rifleshot. The patient was 4 years old female, who was shot through the left eye ball and posterior ethomoid cell. The bullet was found lodging in the anterior portion of the left maxillary sinus. Ten days later it was removed by means of Caldwell-Luc Operation.
    The literatures were reviewed with reports of 45 cases of foreign body in maxillary sinuses in Japan. Unfortunately the patient lost her left sight.
  • 江崎 哲雄, 山田 昇
    1963 年 9 巻 3 号 p. 216-220
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors have measured plasmin value in the blood of patients of stom.atitis, and observed high plasmin activity.
    The activity was higher in acute than in chronic stomatitis. Chronic stomatitis with severe ulceration showed higher plasmin activity than one with no ulceration.
    They applied to all sorts of patients of stomatitis anti-plasmin agent, E-aminocapronic acid, which proved effective in about half of the patients, although the effects did not always correspond with plasmin activity.
  • 森木 貞信
    1963 年 9 巻 3 号 p. 221-225
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The author reported a case of leukoplakia of the larynx, aged 61 year male, who had been suffering from. hoarseness for many years.
    On examination entire right vocal cord was grayish-white and a little rough in appearance.
    The lesion was removed by laryngofissure and showed white warty growth with sharp, spiny protuberances. Histologic examination of the tissue revealed marked hyperkeratotic change and precancerous appearance. After the treatment he has rem.ained well for two years.
  • 大崎 勝一郎, 田中 徹
    1963 年 9 巻 3 号 p. 226-230
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    A 20 year-old male was admitted to our hospital on May 6th, 1959 complaining of a sudden onset of inspiratoric dyspnea. As the vocal cord was seen to be paralysed in the bilateral midline abductor, an emergency tracheotomy was performed.
    While the patient was in the hospital, etiology of the bilateral midline abductor paralysis was not determined even after complete physical, radiographic and laboratory studies. Our suspicions of tuberculous laryngitis were, however, confirmed under indirect laryngoscopy and streptomycin was injected for about 4: 0 days. As a result of these injections a remission was noted, and he was discharged and sent as an out patient to one of the otolaryngologists near his residence for further observation.
    The patient was readmitted to our hospital on March 22nd, 1960 as he was suffering from bleeding an enormous amount from his nose, mouth and tracheotomy opening. He died on March 29th, 1960 in spite of intensive treatment such as blood and fluid transfusions, hemostats, etc.
    According to a complete autopsy a typical visceral tuberculosis was seen, which may have been developed by lymphogenous dissemination.
    We concluded that the bilateral midline abductor paralysis had been caused by a partial paralysis of the inferior laryngeal nerve (Xth cranial nerve) around the upper portion of trachea and mediastinum, probably due to a remarkable swelling of the lymph nodes.
  • 曽田 豊二, 松尾 和己, 西田 之昭, 周防屋 洋
    1963 年 9 巻 3 号 p. 231-236
    発行日: 1963/08/20
    公開日: 2013/05/10
    ジャーナル フリー
    The authors report here the quantitative measurement of the nasal air current which is produced by phonation. The instrument, thermistor anemometer, was devised so that breathing might not cause variation in the fundamental line and the changes of the atmospheric temperature might not affect the amplitudes (Fig. 1). The subjects were normal persons and patients of rhinolalia aperta. The measurements were carried in the vowels and the sound groups of “na”,“ma”,“ka” and “ga”. The examiners let the subjects pronounce the sounds easily and in speaking pitch.
    1. In normal persons Nasal air current was slight or abscent in vowels, but distinct difference in each vowel was not detected. Therfore, it seems that the nasopharynx is not always completely closed. On the other hand, in nasal consonants, the nasal air current was abundant. From the aspect of nasal air current, separation of vowels and nasal consonants was distinctly observed (Fig. 2, 3).
    2. In patients of rhinolalia aperta The nasal air current of vowels was equal to that of nasal consonants, the curves resembled each other, and separation of vowels and nasal consonants was not observed (Fig. 4, 5).
    3. It cannot be said that the nasal air current is always greater in patients with rhinolalia aperta than in normal persons.
    Therefore nasalization of speech cannot be judged from the point of view of the nasal air current during phonation, and the disequilibrium in the resonance and the articulation defects should be taken into consideration.
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