日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
68 巻, 2 号
選択された号の論文の13件中1~13を表示しています
  • 第1編 鼻腔通気の左右差測定法
    井出 靖夫
    1965 年 68 巻 2 号 p. 153-157
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    We have already reported that epipharyngitisis severer on the obstructed side because of theone-sided nasal obstruction, and now we haveinvented a method to measure the right and leftdifference of nasal ventilation which causes theabove-mentioned nasal obstruction.
    Our method, a kind of strain gauge method inwhich we utilize inspiring air pressure in frontof nostrils using experimentally made nose-piece, makes quantitative comparison of right and leftdifference of nasal ventilation in the condition ofnatural breathing.We have already reported that epipharyngitisis severer on the obstructed side because of theone-sided nasal obstruction, and now we haveinvented a method to measure the right and leftdifference of nasal ventilation which causes theabove-mentioned nasal obstruction.
    Our method, a kind of strain gauge method inwhich we utilize inspiring air pressure in frontof nostrils using experimentally made nose-piece, makes quantitative comparison of right and leftdifference of nasal ventilation in the condition ofnatural breathing.
  • 第2編 鼻中隔彎曲における鼻腔通気の左右差
    井出 靖夫
    1965 年 68 巻 2 号 p. 158-162
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    The authors have already reported that in thecases with nasal septum deviation, the inflammationis apt to be caused in the epipharynx correspondingto the convex side of nasal septum. Now we haveinvestigated how closely the right and left differencehas to do with nasal septum deviation using astrain gauge method which utilizes inspiring airpressure just in front of nostrils.
    The results show that at cartilago septi nasithe poorest ventilation is caused with the wholebody inclined, the next poorest one with the deviationsexcept upper part deviation and that upperpart deviation and so-called septal spur which isdeviation at junction between cartilago septi nasiand vomer are less related with the function ofnasal ventilation in comparison.
  • 松崎 力, 竹尾 康男, 鳥山 稔, 佐藤 靖雄
    1965 年 68 巻 2 号 p. 163-172
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    Neurological and pathological EEG findingsfollowing the carotid artery ligation were examinedon six cases of malignant cancer.
    In order to prevent the accidental rupture ofthe artery by cancerous invasion ligation was graduallymade during six days.
    No severe neurological signs wern seen but pathologicalEEG findings such as 1) focal delta waveand 30-40c/s range gamma wave activity 2) asymmetricalabnormality 3) alpha wave supression wereobserved.
    Possible intracranial complications and EEGfindings after blocking of the major cerebral arterywere discussed in view of previous studies and ourligation procedure was considered to be a suitablemethod.
  • 第1編 家兎耳介軟骨面における皮弁移植術
    小西 静雄
    1965 年 68 巻 2 号 p. 173-183
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    To make experimentally the bridge part byautograft-transplantation, adult rabbits were usedin the following fashion, and postoperative coursewas pursued histologically. The auricular cartilagewas exposed in a circular form (22mm. indiameter), and a hole (6mm. in diameter) wasopened at the center of the exposed part. The skingraft prepared from ear lobe (0.3-0.4mm. or 0.5-0.6mm. thick) was transplanted over the hole andprotected with a plastic chamber.
    The results were as-follows;
    (1) The granulation grew under the bridgepart of the skin graft, and the regenerated epidermiscovered it in two weeks.
    (2) At the bridge part, the perforation wasfound in about 58% of the cases of free grafts, but with the pedicle flap it was only in 6%, provingmore profitable than the free graft.
    (3) With a pedicle flap and a thin free graft, its epidermis exfoliated, but with a thick freegraft, the epidermis and the upper layer of itscorium became necrotic and was shed off. Then aregenerated epidermis covered the exfoliated regionof the graft (one-two weeks). Their grafts becamethicker about two times by the granulation growingunder the skin graft.
    The above findings were observed both in thebridge part and in the cartilagenous part aroundthe bridge hole.
    (4) The blood circulation observed by injectingindian-ink into the artery in the whole part ofthe free graft was recognized in the seventh day, but in the pedicle flap it was earlier than in thefree graft.
    (5) In transplanting a tatooed graft, it wasconfirmed that the transplanted tissue itself wastaken on the recipient bed.
  • 第2編 家兎骨部外耳道における皮弁移植術
    小西 静雄
    1965 年 68 巻 2 号 p. 184-195
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    The autograft prepared from the ear lobe ofadult rabbits (0.3-0.4mm. or 0.5-0.6mm, thick)or meatal skin was transplanted on the denudedbony portion of the external auditory canal, andin this manner the new drum was made.
    The postoperative course was then pursuedhistologically.
    The following results were obtained.
    (I) A granulation grew on the tympanic sideof the“new drum”, and a tympanic mucous membranecovered it in two weeks. The coustitutionof the new drum with the pedicle flap was bestin these experiments (0.2-0.25mm. thick). Thethickness of the new drum with the thin free graftwas 0.35-0.4mm., but in the thick free graft itgrew several times thicker.
    (2) The postoperative course of the skin grafton the osseous recipient bed was almost similar tothe cartilage recipient bed. Refer to Part I-(3).
    (3) It was observed in the third day aftersurgery that blood circulation began in some partof the free graft, but the establishment of the bloodcirculation in whole part took about nine days.
    (4) On the surface of the osseous portionunder the transplanted graft, osseous proliferationor absorption was observed, making the surface ofbone uneven.
    (5) The ossicles and the new drum adhered toeach other in one week. However, osseus absorptionand proliferation could be observed in theossicles themselves, showing deformation in a considerablenumber of the cases.
  • 鳥山 稔, 松崎 力, 林 宏典, 船坂 宗太郎
    1965 年 68 巻 2 号 p. 196-203
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    Relationship between evoked potential and stimulusintensity under various consciousness wasstudied by an analog-type ARC.
    In a certain depth of sleep, evoked potentialincreased as a function of stimulus intensity up to40-50dB, but it was remarkably influenced bysubject's consciousness. Average response to tonepips was most clearly observed in the drowsy andhump stage.
    The facts suggest that for the evaluation ofauditory threshold by EEG response it is importantto monitor the subject's consciousness during examination.
    Finally the results were discussed from aneurophysiological point of view.
  • 坂倉 光蔵, 井上 寿樹, 寺田 義男, 天谷 秀夫
    1965 年 68 巻 2 号 p. 204-208
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    37 aged woman visited our clinic, because of intranasal necrosis, formation of scab and nasal pain as the initial symptoms. She was admitted on Sept. 18, 1962. With a tentative maxillotomy, and histological observation, diagnosis was made as rhinitis necroticans.
    After surgery fever, albumiuria, hematuria and increase of non protein nitrogen in the blood serum became gradually marked, and she died on Nov. 11, because of uremia. As the postmortem examination could not be performed, the diagnosis of Wegener's granuromatosis was made clinically.
    The relationship of Wegener's granulomatosis, rhinitis necroticans and collagen diseases was discussed.
  • 鈴木 安恒, 早崎 弘晃, 藤井 安彦, 神崎 仁
    1965 年 68 巻 2 号 p. 209-212
    発行日: 1965年
    公開日: 2008/07/31
    ジャーナル フリー
    A case, fifteen-year-old boy, of congenital unilateral adhesion of the tongue with facial hemiatrophy on the same side was reported.
    Slight disturbance of speech was noted on admission. The right anterior pillars was located anteriorly, making adhesion to the lateral edge of the tongue, while the right posterior pillar was not found. The right inferolateral surface also showed adhesion to the oral base, so that the patient was unable to stretch out his tongue straight.
    Plastic surgery was tried to incise the adhesion and to transplant the nasal septal mucosa to prevent the re-adhesion.
    Besides malformed tongue, slight asymmetry of skull, mandibule and high portion of right clavicule were demonstrated in X-ray films.
    However, no disturbed movement of sternoclavicular joint was noted.
    This facial hemiatrophy is likely to be the the same embryological anomaly as seen in the atresia of the ear. Some similarity to orofaciodigital syndrome was also discussed.
  • 切替 一郎, 杉浦 茂, 沢木 修二, 沢島 政行
    1965 年 68 巻 2 号 p. 213-217
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    A case of 72 year old woman complaining of dyspnea due to primary amyloid tumor of the trachea was presented. The diagnosis was established by excisional biopsy.
    Various means of treatment including surgery on numerous occasions failed to cure completely the condition.
    The authors emphasized the necessity of through and complete removal in the early course of the amyloid tumor.
  • 柏戸 貞一, 田中 博之
    1965 年 68 巻 2 号 p. 218-220
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    In recent years, remarkable progress has been made in otological surgery through the application of the microscope. However it is not so evident in the field of opertions of another organs, But recently we have experienced a case of laryngeal diaphragm of a 6 years old boy, which we exposed and incised by the laryngofissure, and, observing the surface of the wound by the microscope, sutures were done with the finest silk thread. As the result the wound closed very easily and completely. We consider, in such a delicate operation, the microscope offers effective means of surgery.
  • 堀口 申作, 田中 省三
    1965 年 68 巻 2 号 p. 221-229
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    Because many patients with epipharyngitis suffer from latent inflammation with few local symptoms, in spite of severe over-all body symptoms, we can find very little literature regarding observation and description of this inflammation.
    Several findings on epipharyngitis and relationship between rheumatism and epipharyngitis were investigated and mutual relationship was found between the treatment of epipharyngitis and the improvement of rheumatic symptoms.
    The cases are classified from Stage I to Stage IV according to Steinbrocker's classification.
    Six cases of Stage I improved in all their body symptoms as arthralgia improved. One of the 2 cases of Stage II improved somewhat but the other did not.
    Out of the 3 cases of Stage III, one case improved to a certain degree. Two cases out of the 3 with rheumatic fever improved and the other showed decrease in frequency of attacks.
  • 金子 寛, 木村 喜久雄, 亀井 民雄, 野呂 久公, 川淵 純一, 牛尾 彰, 笠原 浩一
    1965 年 68 巻 2 号 p. 230-243
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    1) Three cases of basilar impression are presented with the review of the literatures.
    2) The deformity is of a rare congenital origin, and is characterized by a flattening of the base of the skull and by an invagination of the upper cervical spine into the posterior fossa. In addition to the above mentioned findings the patients were accompanied with the following: torticollis, occipitalization, Klippel-Feil syndrome and deformed foramen magnum (a female aged 42 years); torticollis, platybasia and narrowing of the space between the atlas and the occiput (a female aged 17) torticollis, occipitalization, deformed foramen magnum, asymmetry of the skull, digital impression, hypertelorism and bifid spinae of both the 3rd and 4th cervical vertebrae (a female aged 28).
    3) All patients revealed symptoms and signs of involvement of the cerebellum and medulla including nystagmus, signs of compression of lower cranial as well as upper cervical nerves of both motor and sensory, vertigo, hoarseness and dysphagla.
    4) The spontaneous nystagmus of the present cases were of the so-called central type with large vertical as well as oblique components. Vertical nystagmus was observed more markedly by provocation techniques such as quick positioning of the body (Dix-Hallpike and Stenger) or head shaking. Although the final diagnosis must be done roentgenologically, the authors stress the findings of nystagmus as an early symptom.
    5) Two of the three present cases have been treated surgically (suboccipital craniectomy and decompression) with favourable results except for the findings of nystagmus.
    6) The review of the literatures is made. A few reports are found, in which reporters had observed such nystagmus in detail. The patients with basilar impression have to be examined not only neurologically and roentgenologically, but also otolaryngologically, especially about vestibular function.
  • 新沢 章二, 森 務, 土屋 寛, 野口 憲道, 石倉 武雄
    1965 年 68 巻 2 号 p. 244-259
    発行日: 1965年
    公開日: 2007/06/29
    ジャーナル フリー
    The results of tests for vestibular function performed on 142 cases having vertigo after various head injuries were reported in this paper.
    Grades of head injuries were classified as, (a) simple injuries (35%), (b) cerebral concussion (42%), (c) cerebral contusion (53%), and (d) intracranial hemorrhage (12%).
    Vertiginous attacks, either true vertigo or dizziness, were mostly of postural type.
    Used test methods were as follows:
    (a) Tests for spontaneous, positional and positioning nystagmus,
    (b) Mann's modified Romberg's test,
    (c) Standing test on one leg,
    (d) Fukuda's writing test with closed eyes,
    (e) Fukuda's stepping test,
    (f) Hallpike's caloric test.
    After these examinations it was clarified that, about 83% of tested cases were disordered, among whom about 40% were due to peripheral and about 43% were due to central vestibular lesions.
    Audiometrical examinations revealed that, cases of normal hearing were about 4%, unilateral hear ing deficiencies were about 8%, and bilateral hearing deficiencies were about 88% of tested cases.
    E.E.G. test revealeds that, normal record were obtained in about 24%, borderline records about 56%, and abnormal record about 20% of testeds cases.
    Post-traumatic vertigo might be said as a sense of confusion due to dysequillibrium owing to vestibular disorder.
    Borderline or abnormal record in E.E.G., being different from which observed by patients with epileptic vertigo, might be observed as a sign of inherited constitutional hyperreactivity of neurological function, which might be one of the causative elements to increase and prolong vestibular vertigo.
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