日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
52 巻, 8 号
選択された号の論文の5件中1~5を表示しています
  • 三邊 武右工門
    1949 年 52 巻 8 号 p. 259-262_3
    発行日: 1949/11/20
    公開日: 2010/10/22
    ジャーナル フリー
    This report is based on clinical, roentgenological and hystopathological observations in 24 cases of mucocele occurring in paranasal sinuses.
    1. Of the 19 cases of mucocele, frontal sinus was mainly invaded in 13 cases and the ethomoidal sinus in 6 cases. Other 6 cases were pyoceles.
    2. Age (19 cases): mostly 41 years or older.
    Sex-Male: 17 cases and female: 7 cases.
    Site of Origin: Left side in 10 cases, right side in 12 cases and bilateral in 8 cases.
    3. Early Subjective Symptoms: Frequently the swelling of the orbit and exophthalmos. Pain is a characteristic primary symptom for mucoceles caused by injury.
    4. Findings in the Nose: The diagnosis of paranasal sinuitis could be made in 19 cases on the side which showed presence of mucoceles. Findings of paranasal sinuitis occurred in 9 cases on the other side where mucocele was not found.
    5. Ocular Findings: Exophthalmos occurred in 20 cases. In 11 cases the patients complained of double vision.
    Vision: - In 2 cases there were total blindness, and weakness of vision occurred in the other 16.
    Fundus oculi:- In 11 cases there were abnormal findings in the eyeground (on the side where mucocele is found) and of the 11 cases there were optic neuritis and optic nerve atrophy in 7 cases. Above mentioned abnormal ocular findings were seen most frequently in ethmoidal cells invaded by mucoceles.
    6. Roentgenological Findings: - Destruction of bony tissue was seen on the upper and medial margin of the orbit in 14 cases.
    Bony defect of the cranial base was seen in 8 cases, and the defect appeared a clear shadows on the upper and medial margin of the orbit. Site of predilection of the mucocele is the lateral side of the ethmoidal crest and the medial side and the fron floor of the frontal cranial base.
    7. Histopathological Findings in mucocelc wall.
    Bone: - Inner layer of the bone was atrophied, and the outer layer showed bon formation through the increase of osteoblasts and proliferation of bone cells as well a the ossification of the connective tissue. Osteoid tissue was seen increased outwardl so that the mucocelc wall could be seen.
    8. Etiologically: - Close relationship is suggested to sinuitis. Congenital syphili in a case; further, external injury in 4 cases; presence of polyp in nasofrontal duc causing occlusion of the passage in a case; and aberrant ethmoid cells in another.
  • 三邊 武右工門
    1949 年 52 巻 8 号 p. 262-266_2
    発行日: 1949/11/20
    公開日: 2010/10/22
    ジャーナル フリー
  • 川原 浩, 山野邊 守幸
    1949 年 52 巻 8 号 p. 267-270_1
    発行日: 1949/11/20
    公開日: 2010/10/22
    ジャーナル フリー
    Furunculosis of the external auditory canals which is due not only to the infection of the sebaceous glands but often to cerminous glands, has been sofar considered a a unitary inflammation, also with respect to the treatment, without distinction in the originating glands. The sebaceous gland, being attached to hair follicles, is superfi cially seated, while the cerminous gland is deeply situated and long coiled up. Whe the former is infected, it forms a small circumscribed, conically shaped swelling on th skin of the external auditory canals. But the boils of the latter develop a slight swell ing on the skin of the external auditory canals while those on the periauricular are are severe and protracted. On the histological examination of the removed specimen from the tissue of the external auditory canals, it is observed by the authors that i the latter cases the gland cavity is ruptured in upper portion and the inflamator process is extended especially into the interstitial tissue of the glands.
    The authors attempted in the present paper to classify his 46 cases of furunclosi according to their origin, into 30 cases of sebaceous gland furuncles and 16 cases o cerminous gland furuncles, and described on the difference in the course and in the car necessary for the treatment.
  • 野坂 保次
    1949 年 52 巻 8 号 p. 270-274_2
    発行日: 1949/11/20
    公開日: 2010/12/22
    ジャーナル フリー
    This was a case, a forty year old woman, of melanocarcinoma which had grown out of the left lower turbinate. Attacking the side of the lower nasal canal and invading the maxillary anturm, it reached the orbit and the tympanum and finally destroyed the hard palate.
    The extracted tumor was colored blackish brown, somewhat uneven and crumbly, weighing 12.8 gram.
    This is an unusual case in the respect that it is accompanied by congenital stricture of choanae. No similar case has yet been reported in the literature as far as available to the author.
    It is also noticed with interest that both Caruncula lacrimalis and Conjuctiva have nevus, as it is conceivable that there may possibly be some correlation between the presence of the congenital stricture of choanae as well as the nevus and the development of the tumor.
  • 守屋 孝子
    1949 年 52 巻 8 号 p. 274-278_1
    発行日: 1949/11/20
    公開日: 2010/10/22
    ジャーナル フリー
    Author reported a case, male, aged 48, who died of a tumor of the left ear, with a tumor in the abdomen.
    Clinical picture and autopsy findings indicated that the tumor of the left ear was a metastase from a papillary adenocarcinoma of the right kidney.
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