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67 巻, 5 号
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舶松 ヒサ子1964 年 67 巻 5 号 p. 683-697
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーDuring irrigation of water in different temperature into external auditory meatus of rabbit and man, the temperature of external auditory meatus, ampulla and crus of horizontal semicircular canalwas measured to explore the heat conduction from external auditory meatus to those parts and the relation between temperature changes and nystagmus.
The duration of nystamus was prolonged when external auditory meatus was cut. On the other hand, the duration of nystagmus of on side was shortened when the cervical ganglion of sympathetic system of that side was extirpated.
These facts indicate that the blood circulation shows strong influence.
The curves of temperature differences were compared during caloric test with the combination of tilt test. During cold stimulation at normal position and heat stimulation at reversed position, both curves showed very similar tendency. Also during cold stimulation at reversed position and heat stimulation at normal position, the curves showed the same form.
Nystagmus continued while the temperature of the irrigated water was 28°C, and stopped when the temperature was 31°C and 43°C. These results show that nystagmus is dependent mainly upon the each direction of endolymphatic stream, ampullofugal and ampullopetal which has different nature, secondly upon otholiths. and sligh- tly upon temperature differences at different parts of labyrinth.抄録全体を表示PDF形式でダウンロード (1371K) -
第1編 臨床的観察池田 繁1964 年 67 巻 5 号 p. 698-709
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーThe existence of the so-called vestibular recruitment which is in many aspects similiar to the well knowit auditory recruitment has been already reported by Azzi (1953) and others. However, as to mechanism responsible for the occurrence of this phenomenon and its clinical value, no decisive conclusion has been drawn up to the present day. The author has studied this problem with a number of clinical observation. Results obtained are summarizedas follows :
1. The vestibular recruitment does exist in a certain stage of M*ni*re's disease, or in reversible peripheral vestibular disturbance, but not in inner ear deafness with the exception of M*ni*r*'s disease.
2. When the vestibular recruitment was present, the auditory recauitment was always present or sometimes cochlear damage could not be observed. In other words, there were many cases that showed only the vestibular recruitment without any symptom of cochlear damage.
3. Generally, the incidence of the vestibular recruitment and the cochlear damage are intimately correlative. The lower the incidence of cochlear damage, the higher the incidence of the vestibular recruitment.抄録全体を表示PDF形式でダウンロード (2005K) -
第2篇実験的観察池田 繁1964 年 67 巻 5 号 p. 710-717
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーThe author elucidated, as described in the first report the existance of the vestibular recruitment in Meniere's disease from a number of clinical observations. In the present experiment, in order to further clarify the relationship between the realization of the vestibular recruitment and the incidence of vestibular disturbances, histological changes in the vestibular labyrinth of the rabbit were studied by means of intratympanic injections of a local anesthetic (lidocaine) and some metabolic inhibitors (FNa, KCI, CaC12 and monoiod acetic acid) or by an ultrasonic beam directed to the vestibular labyrinth.
The results obtained are summarized as follows :
1. The vestibular recruitments were observed in many cases which showed reversible histological changes in the labyrinth, but not in cases with irreversible changes.
2. The histological changes in cases with positive vestibular recruitment were well localized in the crista ampullaris in cupula but other parts were intact.
3. The histological changes in cases with negative vestibular recruitment were intensively extended to all the labyrinthine structure.
4. Therefore, from both clinical and experimental observations, the author presumed that the origin of the vestidular recruitment is the disturbance of the hair cells in the peripheral cupular organ.抄録全体を表示PDF形式でダウンロード (4586K) -
鈴木 安恒, 早崎 弘晃, 杉山 繁, 荻野 巳人, 神崎 仁, 野村 公寿, 犬山 征夫1964 年 67 巻 5 号 p. 718-729
発行日: 1964年
公開日: 2008/07/31
ジャーナル フリーTwo cases of ear malformations were reported whose mothers had the history of taking Thalidomide in the early weeks of pregnancy. Anomalies of the extremities were not seen with these cases. One died and at autopsy the high ventricular septal defect and absence of gall bladder besides ear malformations were found. Anatomic findings of the ears were apparently different from operation findings of the congenital atresia of the ear the authors had obtained on 28 ears among 148 cases in the following points:
1) more anomalous location of both auricles
2) in spite of the severe malformations of aurides
a) external auditory meatus showed no atresia, but stenosis and anomalous course.
b) development of tympanic membrane and cavity was relatively well.
c) malleus and incus were slightly malformed,
d) stapes was osseouly adherent to the postinferior wall of tympanic cavity.
There were no chromosomal abnormalities in these cases. In addition, cases of ear deformities whose etiological responsibility is largely laid on the use of Thalidomide were reported together with a view of the literatures.抄録全体を表示PDF形式でダウンロード (3865K) -
市川 瑞雄, 荒田 節夫, 奈良 哲次1964 年 67 巻 5 号 p. 730-734
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーAs Prof. Horiguti has often pointed out, epipharyngitis has a close relation with various symptoms such as mild fever, headache, dizziness of unknown causes, and with many diseases such as nasal allergy, asthma, and other allergic diseases, orthostatic dysregulation in children, some cardiac diseases, rheumatism, stomatitis aphthosa, pyorrhoea alveolaris and so on. But this relationship has not been indicated clearly and widely up until the present time. The reason is, we think, that the observation of the epipharynx was difficult and that the competent diagnostic method was not established to decide the definite inflammation of the epipharynx.
For the diagnosis of epipharyngitis, we have been practising the observation of pain and bleeding on touch of cottentipped applicator on the epipha rynx, and smear of epipharyngeal surface.
The purpose of our experiment was to clarify the relation between the inflammatory change o epipharyngeal surface and its smear.
We poured 0.3cc of 5% formalin into epipharynx of the rabbits to cause acute epipharyngitis experi mentally and compared smear of epipharyngeal surface with its histological picture of each stage.
As a result of this experiment, we found that the findings of the smear was parallel the histolo gical picture.
Therefore, we believe that state of each stage of epipharyngitis can be surmised by observing its smear.抄録全体を表示PDF形式でダウンロード (3372K) -
八木 正勝1964 年 67 巻 5 号 p. 735-751
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーAlthough it is known that respiratory movement of the intrinsic laryngeal muscles is controlled by C.N.S. without reference to a local sensory information, the mechanism has not yet been elucidated.
The present electromyographic study was undertaken to investigate numerous factors that participate in the respiratory movement of the larynx.
In this experiment only the nervous regulation was discussed. Matured rabbits, given local anaesthesia, were used for experiment.
The results were as follows;
1. Experimental demonstration of Hering-Breuer reflex.
When expansion and construction of the unilateral lung was motivated artifically by a specific apparatus, Hering-Breuer reflex was observed in the intrinsic laryngeal muscles.
2. Experimental demonstration of carotid sinus reflex.
When compression or depression was given to the one side or both side of the common carotid artery, unusual electromyographic discharges were seen in the larynx.
Adrenalin apnea was also demonstrated.
3. Experimental demonstration of protective reflex.
When visual, olfactory and cutaneous (thermal and pain) stimulation were given, electromyographic discharge were observed in the intrinsic laryngeal muscles.
Conclusion ;
The intrinsic laryngeal muscles are regulated by central mechanism through various nervous reflex, as well as other respiratory muscles.
In view of the above findings, the intrinsic laryngeal muscles do not appear to be accessory which is contrary to the hypothesis accepted so far.抄録全体を表示PDF形式でダウンロード (2469K) -
喉頭造影法;基礎的問題,特に正常像を中心として鈴木 安恒, 斎藤 成司, 早崎 弘晃, 村上 泰1964 年 67 巻 5 号 p. 752-761
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーRecently partial laryngectomy or well planned irradiation may enable to control or cure some selected cases of tumors in locations where total laryngectomy would involve unnecessary sacrifice of laryngeal function. The possibility of carrying out such function-conserving surgery or irradiation depends especially upon the meticulous study of their size, inferior extent and invasion of neighbouring tissues.
Laryngography for examining the larynx and hypopharynx with a mucosal coating of ‘Dionosil Oily’ described originally by Powers et al, has proved to be direct, simple, accurate and safe and to provide a wealth of anatomic detail and information of any lesions in these area.
Our laryngographic technique is essentially the same as that of Powers. That is to instill approximately 15, to 20c c. of Dionosil Oily into the larynx and hypopharynx under the local anesthesia, then 8 spot-films are obtained in the frontal and lateral positions during quiet inspiration, phonation, the Valsalva and modified Valsalva maneuvers. Detecting the suitable technical factors, the good visualization of the neighbouring soft tissues as well as the key area can be obtained.
Detailed anatomies of the normal laryngogram in 4 physiological status with some descriptions of the physiologic variations which are likely to be mistaken for the invasion of tumors were also discussed.
In conclusion, it must be emphasized that the interpretation of laryngogram could not be done with accuracy unless 8 spot-films are examined as a whole and that the detection of the suitable technical factors is of vital importance for good results.抄録全体を表示PDF形式でダウンロード (3914K) -
鈴木 安恒, 斎藤 成司, 早崎 弘晃, 萩野 巳人, 村上 泰, 神崎 仁1964 年 67 巻 5 号 p. 762-764
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーThe anomalous course of internal carotid in pharyngeal area is actually very rare, but complications caused by operations (mainly tonsillectomy adenoidectomy), or diagnostic examinations etc.induce very severe conditions.
One case of this anomaly we lexperienced recently, was reported.抄録全体を表示PDF形式でダウンロード (1106K) -
高安 劭次, 香取 早苗, 阿瀬 雄治1964 年 67 巻 5 号 p. 765-786
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーTo observe the difference in the behavior of the inner ear blood vessels between right and left sides seems to be one of the important approaches for understanding the functional correlation between the vestibular labyrinth and the autonomic nervous system.
From this view point the authors made a biauricular plethysmograph and carried out experiments to get information whether it reflects or not the behavior of the inner ear blood vessels. The results obtined are as follows.
1) When contact stimuli were applied to the lateral epipharyngeal mucosa on one side, there occurred difference of various patterns in A.P.G. (Auricular Plethysmograph) amplitude between right and left sides.
2) The vertical writing with eyes covered (Fukuda) during occurrence of the difference was found to deviate towards the side of larger amplitude, the direction being independent of the pattern of difference.
3) In the case of the difference by change of one side amplitude, auditory fatigue showed a rapid recovery in the phase of increase and a slow recovery in that of decrease. If there occurred no recognizable amplitude change, the rate of recovery was not differnt from the normal.
4) If, in cases of the cervical syndrom, the difference was brought about by altering the head orientation in reference to the trunk, there was seen the cervico-vascular induced nystagmus which was towards the side of larger amplitude.
The results above may be understood by assuming the auricular plethysmogram to reflect the behovior of the inner ear blood vessels under autonomic nervous control, indicating that the further application of bi-auricular plethysmography may be possible to the study of the problems involving, autonomic nerve functions.抄録全体を表示PDF形式でダウンロード (3465K) -
仁保 正次, 村上 郁夫1964 年 67 巻 5 号 p. 787-805
発行日: 1964年
公開日: 2008/03/19
ジャーナル フリーUntil about 1940 Sinusitis accessoria chronica of dental origin was very rare, and the causes of nfection of the maxillar sinus are as follows ; 'ulpitis of the tooth, granuloma of the root of the oth and localized osteomyeliits of alveolar bone issue.
After about 1941, use of gold for teeth crowns *as limited because of the second World War, nd by health insurance law sufficient treatment f pulpa canal was also limited.
Instead of gold, Ni-Cr. crown or bridge was sed. About 5 years after using Ni-Cr. crown _??_r bridge root of teeth and bone tissue around he root were involved and maxillar cavity was lso involved by these osteomyelitic alveolar bone issues.
Because prices of Ni-Cr. crown or bridge are *ery cheap, it is widely used but pulpa treament *inder these Na-Cr. crown or bridge is not enough nd not good. These are of often causes of sinusitis f dental origin.
Accordingly sinusitis of dental origin in a mild ase is a localized type of ostoeomyelitis but in evere cases extensive type of osteomyelitis maxil aris is seen. In the severe cases ethmoid cells, rontal sinus and sphenoidal sinus are affected *gether. In the severest cases orbital phlegmon, hinogenous optic retrobulbar neuritis, rhinogenous culomotor or abducens nerve palarysis, osteomye *tis frontalis and intracranial infection are someti mes complicated.
Treatments are as follows:
In the mildcases, removal of theteeth and involved surrounding bone tissues wereperformed, Then after washing the maxillar cavity, instillation with antibiotics or sulfa-drugs solution was performed into the affected maxillar cavity.
In the medium cases removal of the infected teeth and the surrounding bone tissues and polysin ectomy were performed.
In the severest casesremoval of the teeth and surrounding bone tissues and pansinectomy were performed.
For the orbital complications decompression of the opticcanal by Niho-Sato, decompression of superior orbital fissure by Murakami and other operations were performed.
From August8th, 1961until January4th1963, 32case of themildcases were treated by this new method.Among32cases27cases were successfully treated.
From November9th, 1960untilOctober17th, 1462, 21 cases of the medium cases were treated by thisnewmethod.Among 21 cases, 19cases were successfully treated.
From January 21st, 1960untilFebruary 20th, 1963, 22cases of these verest case were treated by this new method.Among 23 cases 20 cases were successfully treated.抄録全体を表示PDF形式でダウンロード (4200K)
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