日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
64 巻, 11 号
選択された号の論文の6件中1~6を表示しています
  • 永浜 武彦, 賀来 文雄
    1961 年 64 巻 11 号 p. 1655-1659
    発行日: 1961/11/20
    公開日: 2008/12/16
    ジャーナル フリー
    The patient, a 60 year-old female, had noticed tumors in the left supraclavicular fossa and complained of hoarsness prior to admission into our clinic. Hoarsness was due to paralysis of recurrent laryngeal nerve which was caused by pressure of cervical tumor. An exploratory excision of the tumor was made and was found to be scirrhus cancer or adenocarcinoma metastasized to the lymph nodes, Roentgenoscopy of the esophagus and stomach, roentgenography of the chest, esophagoscopy and bronchoscopy etc. did not establish the primary lesion of the cervical tumor. By post-mortem examination, the tumor which showed above-mentioned histopathological findings was found in the end of common bile duct. Therefore a diagnosis of cholangioma with metastasis to the left cervical region was made. The patient however, had no clinical symptoms suggesting cholangioma.
  • 藤野 彦四郎
    1961 年 64 巻 11 号 p. 1660-1668
    発行日: 1961/11/20
    公開日: 2008/12/16
    ジャーナル フリー
    The author have studied on the clinical signs of impairment of conductive apparatus due to noise in laborers in the extremly noisy sections of a big automobile works in Japan. Morita's otoscopic goniometer modulated by author was used to measure the degree of retraction of ear drum. Reduction of conductive function was principally examined by Onchi's occluded bone conduction method. Following conclusions were obtained:
    1) By the exposure to noise, the conductive apparatus is more or less impaired besides perceptive apparatus in most of the cases, and its conductive function is reduced almost in half of them.
    2) The otoscopic findings of impaired conductive apparatus due to noise are retraction of ear drum, and injection of vessels in upper-posterior ouadrant or along the handle of hammer of ear drum. It seems that the retraction of ear drum plays a little role in the decrease of conductive function but injection of vessels plays some role in it.
    3) According to the various tests, it seems that there are some disorders of occicular chain due to noise and decrease of conductive function based mainly upon these disorders.
    4) In audiogramm of air conduction, it is found that the hearing loss of the ear which is accompanied by decrease of conductive function is little larger in lower and middle tonerange and is little smaller in high tonerange especially at 4, 000cps than that of the ear which conductive function is not reduced. But it is impossible to find out the decrease of conductive function by only the audiogramm of air conduction on each ear.
  • 鳥山 寧二, 武田 亨, 三枝 直砥
    1961 年 64 巻 11 号 p. 1669-1683
    発行日: 1961/11/20
    公開日: 2008/12/16
    ジャーナル フリー
    Statistical studies of the patients during the past 10 years at Department of Oto-Rhino-Laryngology. Musashino Red Cross Hospital were made.
    In general, the order of the number of the cases were: ear, nose, pharynx. larynx, oral cavity, trachea and esophagus, among which the first three occupied 96% of the total cases.
    The patients were mostly from 11 to 20 years of age, and 67% of the total cases were patients between 5 to 29 years of age, More patients visited the hospital in the months of March and August.
    The frequencies of ear diseases were in the order of otitis externa, tubal stenosis, acut otitis media, cerumen, catarrhal otitis media, ear eczema and nerve deafness.
    The nasal diseases were in the order of chronic rhinitis, chronic sinuitis, septal deviation, hypertrophic rhinitis and acut rhinitis.
    The throat diseases were in the order of adenoid vegetation, hypertrophyc tonsils, acut pharyngitis, chronic pharyngitis and chronic tonsilltis.
    Statistica were also made of several interesting diseases.
  • 小児難聴を中心として
    谷 俊治
    1961 年 64 巻 11 号 p. 1684-1699
    発行日: 1961/11/20
    公開日: 2008/12/16
    ジャーナル フリー
    Study was made of the perceptive deafness due to middle ear lesions in children.
    Therapeutic effect of cortisone (per os), X-ray radintion to the eustachian tube or adenotomy was examined respectively on the deafness with 79 ears in 41 children, and cortisone was found to be most effective.
    Following are the findings on property of the deafness obtained by comparison with the cases in adults.
    1. In adults there occured the unilateral as well as the bilateral lesions, but most of the children were of the bilateral.
    2. Sudden onset of hearing loss was commonly seen in adults, whereas gradual loss of hearing was frequent in children.
    3. Early treatment was rather effective on both adult and infant.
    4. Patients with inflammatory changes in the tympanic cavity, the eustachian tube and the nasopharynx gave quite succesful results of the treatment.
    5. The best results were obtained in the cases which showed a type of gradual loss toward the high tone and yet with a difference less than 10db between 500cps and 1000cps in the bone conduction audiogram. An increace of such difference reduced the effectiveness of therapy.
    From the above findings the conclusions are attained that the perceptive deafness due to middle ear lesions may be a type of pure perceptive deafness or of mixed deafness caused by the inflammatory changes in the nasopharnx, the eustachian tube and the tympanum, being devided into two types, acute (sudden deafness) and chronic (gradually progressive deafness), and that in the children with complication of such as oto-salpingitis and/or adenoiditis this type of deafness may easily induced and yet sometimes may develop to a pure inner-ear deafness.
  • 藤崎 茂已, 谷口 武彦
    1961 年 64 巻 11 号 p. 1700-1707
    発行日: 1961/11/20
    公開日: 2008/12/16
    ジャーナル フリー
    Oto-rhino-laryngologisch wurden Hochdruck-Kranke besonders auf Vestibulumfunktion (Schwindel, Nystagmus usw.) untersucht and folgende Resultate erzielt:
    1. Von 501 Fallen der Hypertonie haben 158 Falle (32%) mit dem Schindel als Hauptklage die Klinik besucht.
    2. Bezuglich der Arten des Schwindels waren 71% Schaukelschwindel and 29% Drehschwindel.
    3. Unter den exakt untersuchten 167 Fallen der Hypertonie haben 51 Falle (30%) einen spontanen Nystagmus gezeigt.
    4. Unter 167 Fallen der Hypertonie wiesen 72 Falle (43%) einen Lagenystagmus auf, der aber bei Kranken mit Schwindel in 52% and bei Patienten ohne Schwindel in 32% zu beobachten war.
    5. Von dem Lagenystagmus war der Nystagmus nach oben in 65%, also in uberwiegend Mehrzahl der Falle, der bestimmte Nystagmus in 21% and der Nystagmus nach unten in 14% zu beobachten.
    6. Gegenuber normalen Personen nahmen die Dauer und Anzahl des Drehnystagmus und des kalorischen Nystagmus bei Hochdruck-Kranken entweder ab oder umgekehrt zu. Es zeigte also die Neigung zur groben Streuung.
    7. Mit dem progredienten Grade der Augenhintergrundbefunde (Keith-Wagner) beim Hochdruck hat die Ziffer der Reaktionsherabsetzung durch thermischen Reiz zugenommen.
    8. In 65% der Kranken mit dem Lagenystagmus nach oben wurde gleichzeitig der spontane Nystagmus beobachtet. Die Falle, bei denen gleichzeitig der Nystagmus nach oben und der spontane Nystagmus zu beobachten waren, wurden aber bei Meniere-Kranken uberhaupt nicht festgestellt. Die Falle, die gleichzeitig den Lagenystagmus nach oben und den spontanen Nystagmus aufwiesen, Konnen mit der grossen Wahrscheinlichkeit so diagnostiziert werden, dass es sich um eine zentrale Nervenkrankheit handeln musse,
    9. Manche Falle der Hypertonie mit dem Schwindel zeigten unterbeziehungsweise Unerlegbarkeit oder Nystagmusbereitschaft.
  • 岩坪 淑子
    1961 年 64 巻 11 号 p. 1708-1722
    発行日: 1961/11/20
    公開日: 2008/12/16
    ジャーナル フリー
    Auditory fatigue in supra-threshold tone was examined by Feldmann's method in 200 ears with normal hearing or perceptive deafness. Sound stimulation was performed with 1000 and 4000cps tone, intensity being 80 db SL. 0-15db of sensation decay at the stimulation sound was observed at the end of 3 min. stimulatory duration, with the exception of marked fatigue up to 20db or more shown by several cases of perceptive deafness. In normal ears, this sensation decay disappeared in 1min. after the cessation of stimulation, but of patients with perceptive deafness or vascular disturbances ca. 30% showed prolonged recovery time.
    To study the effect of hypertonic sodium-bicarbonate solution on auditory fatigue, the abovementioned examination was done before and after the intravenous injection of 7% sodium-bicarbonate solution. Results indicated that after the injection, fatigue was remarkably decreased or even disappeared and prolonged recovery time returned to normal.
    The effect of this treatment on temporary threshold shift after a relatively strong stimnlation was also studied in 61 ears with normal hearing or peceptive deafness. Ears were stimulated for 3 minutes with 3000 cps tone with intensity of 80 or 90db, and the recovery curve of threshold at 4000cps was observed. The recovery process in normal ears which had been slightly prolonged previously was accerelated by the treatment, whereas no effect was observed on normal orr remaskably prolonged recovery process in ears with perceptive deafness which often showed disturbed recovery curve.
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