日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
66 巻, 9 号
選択された号の論文の7件中1~7を表示しています
  • 中井 義明
    1963 年 66 巻 9 号 p. 1103-1136
    発行日: 1963年
    公開日: 2008/03/19
    ジャーナル フリー
    In order to obtain some grounds for interpretation for the origin of the inner ear disease, the cochlea response, physiology of hearing mechanism and to aid the pharmacological treatment of the inner ear deafness, the oxygen consumption of the stria vascularis and the spiral ligament was studied.
    The function of the stria vrscularis and the scopy.
    Healthy adult guinea pigs were used in the series of the experiments.
    Results obtained were as follows: 1. First of all by use of the cartesian diver cularis with the spiral ligament and the effect of Krebs Ringer Phosphate selution, glucose, amino acid Krebs Ringer Phosphate solution, and diffecnce of pH, and every turn and individual stria vascularis and the spiral ligament were studied.
    a) Oxygen consumption of the materials was phate solution.
    b) In 0.2% glucose Krebs Ringer Phosphate solution, the velosity of the oxygen consumption showed a steady rate and its rate was twice that of K.R.P. solution. maximum and decreased at pH under pH 7.0 or over pH 7.4.
    d) When glutamic acid, aspartic acid, alanine was added in K.R.P. solution, great increased in the oxygen consumption was indicated and a raise in the oxygen consumption also comes after adding glycine, threonine, and valin, but the addition of ase in the rate.
    e) When the oxygen consumption of every turn was taken in 0.2% glucose K.R.P. solution, the second turn showed the most in quantity and decrease in the following desending order, third turn, forth turn and basal turn, there by showing that the metabolism is differs in every turn.
    ment was also large.
    2. Influence of Dihydrostreptmcin (D.H.S.M).
    1) The oxygen consumption of the materials dectreased when D.H.S.M. was injected in guinea pig, in vivo.
    2) Both in vivo and in vitro, when added to the medium or injected Vitamin B1, decreased the obstruction of the oxygen consumption by D.H.S.M.
    3) In vivo, when thioctic acid was injected together with D.H.S.M., the obstructed degree of the oxygen consumption is decreased, but no change was seen, when a little amount of thiotic acid was added to the medium with D.H.S.M. Hwever, the oxygen consumption decreased when a large quantity was added to the medium.
    4) Both in vivo and in vitro, when TATD was added, the obstructed degree of the oxygen consumption by D.H.S.M. is decreased.
    5) When the liver was injured with injection of CC14 to guinea pigs, the oxygen consumption of the stria vascularis and the spiral ligament showed no change, but in these cases, the influense of D.H.S.M. is larger than in healthy animals.
    6) The oxygen consumption of every turn in 0.2% glucose K.R.P. solution with added D.H.S.M. was reduced in the following descending order, basal turn, forth turn, second turn, third turn.
    3. As a tracer, 5% dextran iron solution was administered to guinea pigs and followed by electron microscopy, and the results obtained were as follows.
    1) When the dextran iron solution was injected lary of the stria vascularis and the spiral ligament lary as pinocytic vesicules but after twenty four hours, the tracer could not be found in the cells, ranes was presumed.
    2) Detxtran iron solution was injected into the endolymphaic space. The tracer introduced into the spiral ligamet's cells at external sulcus and detailed form of movement in cells and intercellular spaces was observed.
    3) Dextran iron solution was injected into the perilymphatic space. The tracer introduced into the spiral ligament and the detailed forms of movement in cells and intercellular spaces could be seen.
  • 伊原 健一
    1963 年 66 巻 9 号 p. 1137-1145
    発行日: 1963年
    公開日: 2008/03/19
    ジャーナル フリー
    The purpose of this study is to explore to what extent those who wear hearing aid use speechreading for their communication and also relationship between speech-reading ability and the severity of hard of hearing. For this purpose the author attempted the discrimination test using 5-lists of 3-syllable words to 100 hearing-aided cases of the sensory-neural hard of hearing individuals.
    The following are the five test situations employed.
    1) Speech-reading alone (silent)
    2) Unaided hearing alone
    3) Aided hearing alone
    4) Unaided combination (auditory and visual)
    5) Aided combination (auditory and visual)
    The results obtained are as follows :
    1) 81% of the individuals under the tests showed the effectiveness of the aided combination, which was remarkable in the crses with a hearing loss of between 71 and 80 dB.
    2) Among the educated in speech-reading, there were found some individuals who are not making satisfactory use of the auditory cue because of their over dependence upon the ability of speech-reading.
    3) Even in the uneducated in speech-reading, the compensatory aquirement of its ability was seen, and their speech discrimination was performed preformed predominantly by the auditory cue for those with a hearing loss between 80dB and by the visual cue for those with a loss exceeding this value.
    4) The speech discrimination tests described here are believed to be useful for determining the application of a hearing aid to severe cases of the sensory-neural hard of hearing individuals.
  • 市原 文彦
    1963 年 66 巻 9 号 p. 1146-1155
    発行日: 1963年
    公開日: 2008/03/19
    ジャーナル フリー
    Observation concerning the percentage of the number of the patients who were conscious of some olfactory disturbances among the patients with diseases either at nasal or paranasal cavities, and its relation to the age of the patients has led the author to conclude that very few infant as well as aged patients had the disturbances as their chief complaints.
    This may be explained by the fact in the cases of infant patients, their emotion and attentiveness are poorly developed, while in aged patients their number is few and conditions of the disease become worse during the long period of chronic diseases.
    Observation was made that 32.7% of the female patients at menopause were apparently conscious of the presence of some olfactory disturbances.
    The result of the olfactory test. however, was males. Moreover, the result of the olfactory test seemed to have no special correlation to climacteric symptoms. cious nervousness as well as decrease in olfactory sensation depend chiefly on the particularity of the mental condition, in other words, their complaints on olfactory disturbances are considered to be due to the mental condition aroused by such special rest before.
    The olfactory test undertaken in the persons from 10 to 85 years old who did not show any tivity was remarkable among the persons over 60 years old. ory center and olfactory organ of the people over 60 years old compared with those of normal adult ones were carried out.
    The results obtained are as follows:
    (1) Olfactory mucous membrane dermal cell layers lost their original shapes and sometimes disappeared. Processus lacken clearness and were swollen.
    In such cases the olfactory nerve fibers were swollen and sometimes were disconnected. Due to these changes decrease in stainability often caused difficulties in proving the presence of the nerve fibers. rlayers of the mucous membranes were expanded and congested, but the swelling of the walls was not so remarkable. the blood vessels were observed.
    In certain cases, hwever, the swelling of the peculiar membranes due to the accumulation of the secretion showed a tendency of dissolving character.
    (2) Olfactory center
    General course changes were seen, specially around the blood vssels. Regressive changes were present at the nerve cells. Pigmental atrophy was clearly observed.
    (3) Olfactory lobe crease of glia cells were seen. Occasionally necrotic nest were present. Blood vessels were dilated and swelling of the walls was also noticed. xylin were also present here as well as in the olfactory center.
    At the olfactory cord, both the multiplication of the glia cells and the necrotic change were most active.
    Pathohistological evidences which I believe to be useful to explain the cause of the decrease in the olfactory susceptibility of the people over 60 years old were obtained.
  • 芳賀 士郎
    1963 年 66 巻 9 号 p. 1156-1171
    発行日: 1963年
    公開日: 2008/03/19
    ジャーナル フリー
    The concentraton of 17-ketosteroid and 1311 excretion in urine, the modified Thorn test and the size and form of the pituitary fossa in atrophic cases.
    The cases with the manifest endocrine dysfun- ction (pituitary, adreno-cortical and thyroid distur-bance) were studied rhinologically and radiologi-cally.
    The result of the modified maxillo-turbinalpla-sty after Kitamura were compared with the data of their endocrinological studies. This consideration shows that the cases of atrophic rhinitis have a more frequent latent endocrine dysfunction than these of the non-atrophic.
    If classified after Kitamura, these disturbances were more spotted in type Iab ane II, but not in cess of severe inflammatory process in the nasal and paranasal mucosa, but Ic can be interpreted as a sequela of a process of endarteritis. Therefore endocrine disorder in early stage of life has a great influence on the development of paranasal cavities tes the inflammatory process of the nasal cavity and causes atrophy.
    This investigation coincides with our actual concept on atrophic rhinitis that its causes are not single, but many causes may evoke its symptoms. Many different causes may produce atrophy of the nasal mucosa, but others may only provoke the clinical symptoms.
  • 黒住 静之, 小山 高司, 森谷 研介
    1963 年 66 巻 9 号 p. 1172-1183
    発行日: 1963年
    公開日: 2008/07/31
    ジャーナル フリー
    It is well known that the main objectives of cleft lip and cleft palate surgery are plastic repair late.
    When and how the surgery should be perfor. med on each patient the surgeon may confront is an imposing problem.
    The present study based on the data from the Department of Otolarngology, Okayama University Medical Schol was started to elucidate the prohlems mentioned above. Six hundred and fifty four cases of cleft lip and/ or cleft palate patients were operated on at our clinic among which 225 patients were checked for speech changes and for cosmetic appearances of repaired cleft lip.
    Results obtained are as follows:
    1.Cleft lip repair seemed not to impair the de-velopment of the maxilla.
    2.Surgical intervention to the premaxilla to set it back is not suggested.
    3.Plastic repair of the nose deformity associated ded at the initial lip repair.We prefer the major shaping of the nasal cartilage after the child is about twelve years of age or older.
    4.Surgery of the cleft palate as early as 2 years of age or earlier may exert bad influence upon the development of the maxilla.
    5.One adult case of unoperated cleft lip and palate showed no underdevelopment of the maxilla.
    6.Speech evaluation of the patients who had syrgery at the age of 3 years or later was better than that of the patients whose time of the surgery was under 3 years of age.
    7.Nasal escape was measured as a test for velo- pharyngeal closure.Generally speaking, nasal escape is an import antcausative factor of imperfect, poor speech, but in minor cases patients produce good or acceptable speech in spite of considerable nasal escape.
  • 第1編臨床的観察
    長谷川 高敏, 藤崎 茂巳, 小田 隆造, 谷口 武彦
    1963 年 66 巻 9 号 p. 1184-1189
    発行日: 1963年
    公開日: 2008/03/19
    ジャーナル フリー
    Treatment of chronic sinusitis maxillaris is laris.
    1)A total of 80 cases consisting of 6 cases of ted revealing 63 cases(about80%)to be effective.
    2)A total of 20 cases consisting of 8 cases of 8 cases of chronic sinusitis ethmoidalis, 3 cases of chronic sinusitis maxillaris with polyps, 4 cases of nasalpolyps and 5 cases of cellulitis ethmbidalis postoperatively resulting in a faster recovery than ordinary procedures.
  • 第2編病理学的検討
    藤崎 茂巳, 中村 孝光, 赤埴 孝慶, 谷口 武彦, 伊藤 弘
    1963 年 66 巻 9 号 p. 1190-1195
    発行日: 1963年
    公開日: 2008/03/19
    ジャーナル フリー
    The clinical improvement of sinusitis maxillaris following oral treatment with Pronase-P.described in the previous report led to a pathological review of nasal mucosa.
    1)Instillation of Pronase-P into the maxillary sinus for 8 cases of chronic sinusitis maxillaris resulted in symptomatic improvement in almost Ited in a marked symptomatic improvement.
    2)Nine cases of chronic sinusitis maxillaris with bilateral involvement of the same degree were plus Predonine to 2 cases for a week and then method for the removal of nasal mucosae.
    It was found that there was a decrease of edma in mucosae, a diminuion of intrasinus pus and an side.
    3)Sixteen cases of chronic sinusitis maxillris were laterally operated on immediately followed side was operate on each 6days, 9days, 12days, 15days and 18days later.
    It was revealed the efficacy of Pronase-P was not so significant within a week of administration but reflected less retention of the intrasinus pus, a decrease in mucosal edema, infiltration of round after the first week.
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