日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
69 巻, 1 号
選択された号の論文の9件中1~9を表示しています
  • 坂部 長正
    1966 年 69 巻 1 号 p. 1-3
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    Both Bekesy audiometry and self-recording TTD test were performed with use of narrow band noise around 4800 cps and white noise in subjects with sensory neural type of hearing impairments, who showed marked TTD and reduced amplitude for 4000 cps and 6000 cps pure tones.
    The results were that the marked TTD and reduced amplitude almost disappeared as those for interrupted tone.
  • 飯沼 寿孝, 設楽 哲也, 上田 良穂, 星野 知之, 中村 賢二, 切替 一郎
    1966 年 69 巻 1 号 p. 4-24
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    In an attempt to locate lesions in the auditory system, the author examined 46 cases of perceptive low tone deafness by various methods of hearing were bilaterally.
    involved and five unilaterally. Hearing was estimated by performing the tment test, temporaly threshold shift test using a Bekesy type audiometer, distorted speech perception test with use of 1200 cps low pass and 1700 cps high pass filters, and binaural hearing test using an interchannel time difference (ITD) apparatus. The vestibular function was also examined by observing spontaneous, positional and positioning netic pattern tests. Differentiation between the peripheral and the retrolabyrinthine lesions was anticipated from the results.
    It was concluded that the lesion in the patient of perceptive low tone deafness was peripheral, retrolabyrinthine or both, suggesting a systemic disease in the auditory system.
  • 花田 力, 渡部 泰夫
    1966 年 69 巻 1 号 p. 25-36
    発行日: 1966年
    公開日: 2008/07/31
    ジャーナル フリー
    A case of Wegener's granulomatosis in 37 year- old male was reported. The patient died due to respiratory failure after one year from the onset.
    Remarkable clinical findings were exophthalm-us, voluminous crust accumulation in nasal cavity, plication were unremarkable.
    Presence of bronchial asthma and chronic sin-usitis in past history, alluded to the possible rela-tionship of these diseases to Wegener's granuloma-tosis.
    The patient had tonsillectomy in the past. It seems that a further investigation should be made as to the relationship of tonsillectomy and thymo-lymphatic system to the etiology of the rare dise-ase, though it has been hardly referred to in the literature.
    In regard to the treatment, Co60 irradiation, long-term administration of steroids and carcinost-atic agents more or less brought about symptomatic relief, while autovaccinization with staphylococcus aureus cultured from intranasal crusts was found to be ineffective.
    The autopsy revealed necrotizing granulomato-us lesions in nasal cavity, orbita, upper and lower respiratory tract, lung, and skin.
    Microscopically, angitis and thrombus were found in the lesions of respiratory tract, lung and skin.
  • 村上 泰
    1966 年 69 巻 1 号 p. 37-47
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    Recently, with the advancement of surgical and radiation technique, laryngeal function can be preserved in some selected cases of laryngopharyn-geal tumor. It is then of vital importance to difine the location, size and extent of the tumor preoper-atively.
    A number of radiographic techniques have been used for the evaluation of laryngopharyngeal diseases.
    Contrast laryngography has been studied and discussed by many clinicians and proved to be of great value as an adjunctive diagnostic procedure for the evaluation of laryngopharyngeal diseases, especially when the problem is considered for the management of neoplastic diseases.
    However, it is difficult to obtain clear deline-ation of anatomical and pathological detail, without proper technical factors and thorough interpretation of all spot-films.
    There are indeed many reports of contrast laryngography but none of them have discussed on its technical aspect.
    In this report, many points were discussed in the aspect of roentgenological technique and inter-pretation of laryngograms.
  • 江口 実美, 福崎 隆
    1966 年 69 巻 1 号 p. 48-52
    発行日: 1966年
    公開日: 2008/07/31
    ジャーナル フリー
    Respiratory function was studied in 9 larynge-ctomized cases.
    It was revealed that all laryngectomee have been suffered from emphysema.
    Explanation based on physiology, clinico-path-ology and pneumatisation theory have been perfo-rmed to the development of emphysema following wing of the bronchus caused by chronic bronchitis.
    Rehabilitation of the laryngectomee must be taken into consideration on respiratory function.
  • 中島 重隆
    1966 年 69 巻 1 号 p. 53-75
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    Clinical and histopathological investigations were pergormed on 30 cases of laryngeal carcinoma. sections, including both the central and peripheral tissues of carcinoma, Were cut from each mass, obtained by total laryngectomy from the patients. The results were as follows :
    1) There are four main routes of spreading of laryngeal carcinoma outside the larynx: into the pyriform sinus and lower pharyngeal region, into the preepiglottic space, into the frontal region of the larynx by destroying the middle part of the epiglottic space is most frequent, in this case high possibility of metastasis into the cervical lymph node owing to lymph flow in that region. On account of these, hyp-preepiglolaryngectomy is necessary in the case of the upper type laryngeal carcinoma.
    2) When the carcinom has originated in the anterior commisure or is sprading into it cancerous infiltration reaches unexpectedly deeper.
    3) When the larygeal cartilage is destroyed by carcinoma, the frequency of destruction is in the order of thyroid cartilage, epiglottic cartilage, lel relation is observed between the fraeqency of cartilage destruction, degree of development and malignancy of carcinoma.
    4) Out of epithelial changes in the trnasitional part, simple epithelial proliferation is most frcque-nt, Besides this, infiltrating, destructive and atro-phic epithelial proliferation as well as normal epithelium are seen in several cases.
    5) As for interstitial reaction to carcinoma, it is considered to inhibit its growth in iome way. And prognosis can be made to a certain degree by means of degree of developmet and interstitial reactivity.
    6) For the prognosis of laryngeal carcinoma, it is necessary to take into consideration not only the result of histopathological investigations such as the above mentioned but also clinical findings such as the original site, type, range of invasion, tion, sensitivity of cancer cells to radiation and ver, difficult to expect evpect exact exact prognosis even by these means, and may problems await future studies.
  • 柳野 権次郎, 高須賀 信夫, 江口 実美, 福崎 隆
    1966 年 69 巻 1 号 p. 76-83
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    In order to extend the indication of neck dis-section and the radical extripation of metastasis of tid artery has been performed in our department. To find radical ground for the clinical application of this procedure, an experimental study of this ined are as follows ;
    1) Immediately after ligation of the homolat-eral common carotid artery, 30_??_50% increased of the blood flow and 20_??_30% rise in the blood pres-sure were observed in the contralatral common carotid artey. These estimated values remained unchanged for more than I week. However, in the temporarily ligated cases, regained normal condition.
    2) The above results were not affected by simultaneous ligation of the homolateral vertebral artery.
    3) In our our experiment in which Indian ink was injected through the unligated carotis communis, the fact was confirmed that collateral compensation of the blood flow in the cerebral hemisphere of the ligated side started in the center of the inner side, and gradually extended to almost the entire hemisphere in 1 week. Pathological observation also revealed edema and regeneration of glia cell in the surface of the cerebral cortex on the ligated side. In other cases, neither necro sis nor other developments were observed.
  • 前田 真喜子
    1966 年 69 巻 1 号 p. 84-111
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    Threshold tone decay (T.TD.) test was evalu-ated, and also it was compared with various kinds of recruitment tests, in order to understand the clinical significance of T.T.D. Test.
    It was found, that the appearance of T.T.D. was not changed when the test was repeated or even when the threshold value changed. It takes only one minuite to perform the test and T.T.D. was not overlooked if the test was done on the sounds of 4KC and 8KC.
    Based on the above results, T.T.D. Test was performed in subjects with various kinds of dea-fness. Phenomenon of T.T.D. was mainly noticed in subjects of hair cell disorders such as Meniere's disease and noise deafness. In Meniere's disease, T.T.D. appeared more markedly in the attacking phase than in the resting phase. However, marked on can not be determined only by the presence of T.T.D. It is, however, apparent that the subje-cts of hair cells disease showed T.T.D. most frequ-ently. Further study is necessary for its final interpretation.
    On comparing T.T.D. Test with various recru-itment tests, it can be said that no constant relationship between these tests was found. This is because T.T.D. does not appeare only in a definite site of lesion, the interpretation of various recruitment tests has not been well established and because, as clinical cases seem to have complex lesions, even in the cases which were diagnosed as cochlear lesion, the central or conductive lesions may be included in part, and so the manifestations of these associated lesions may be thought to appear ment tests. At preset, T.T.D. Test or other recruit-ment tests
    At preset, T.T.D. Test and other recruitment tests are performed in various combinations and the results of these test should be interpreted to make the diagnosis.
  • 馬場 隆
    1966 年 69 巻 1 号 p. 112-129
    発行日: 1966年
    公開日: 2008/03/19
    ジャーナル フリー
    Vocal cord polyp was classified into singer's node, vocal cord polyp in the narrow sense and polypoid vocal cord, whose definitions were given, and 233 cases with vocal cord polyp were divided ical study on their clinical features. Singer's node was observed in adult females and children of the both sexes. Vocal cord polyp in the narrow sense was more frequently found in males than in fem-ales, the ratio being 3 to 2. There were two types of this polyp --- red type and edema type. Polypoid vocal cord was seen in females above 40 years old.
    Histopathological examination was performed on 125 samples of vocal cord polyp. Vascular lesion was severe in some of them, but not in others. Besides edema in the interstitium, there were exudative lesions such as plasma infiltration, fibrin precipitation, and deposition of fibrinoid substance. These exudates were histologically examined, and their stainability and sites were described. Also hemorrhage, fibrosis and cellular infiltration were observed. In exudative and hem orrhagic foci, organization took place, and granu-lesion, derived from organization of exudative or hemorrhagic focus, or of thrombus, or proliferated blood vessel.
    Polyp is considered to be produced by mecha-nical stimulation, inflammation and other disord-ers, which bring about circulatory disturbance. In this case, vascular permeability is enhanced, caus-ing exudation, while organization of the exudates results. When these disturbances are frequently repeated, polyp becomes larger
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