日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
81 巻, 5 号
選択された号の論文の8件中1~8を表示しています
  • 岩沢 俊三, 船坂 宗太郎, 安部 治彦
    1978 年 81 巻 5 号 p. 437-442
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
    A case of laryngeal rhabdomyosarcoma was reported. The patient was 25-year-old male who complained of hoarseness and slight dyspnea for approximately 2 months prior to admission. Laryngoscopic examination revealed the papillomatous mass in the left vocal cord. Biopsy was taken from the tumor. Histologically this tumor was determined as rhabdomyosarcoma, of embryonal type. The patient was treated by local excision combined with radiotherapy. He has been well without any recurrence for 1 year and five months after combined therapy.
    The survey of literature revealed that the incidence in male was almost two times to female, most of laryngeal rhabdomyosarcoma were embyonal type and the patients were treatedby operation or/and radiation. This is the first case report in Japan.
  • 向井 將
    1978 年 81 巻 5 号 p. 443-447
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
    Effect of nasal packing on respiration as studied mainly from the view point of blood gas analysis and respiratory rate.
    The subjects were fifteen patients underwent SMR, conchotomy and turbinectomy because of longlasting nasal obstruction and/or headache. All of them were packed in the nose after operation. As a control grcup, six patients, who were operated for chronic otitis media, chronic tonsillitis, and cervical lymphncde pathology, were tested. No nasal packing was placed on this group.
    Blood pCO2 was measured one day before the operation and 24 hours after the operation. In addition, respiratory rate was counted prior to the operation and also on the next morning of the operation.
    After statistical study on the changes of pCO2 and of respiratory rate in these two groups, the following results were obtained;
    1) Before operation, pCO2 in the group with nasal obstruction was higher than that in the group free from nasal obstruction.
    2) Twenty-four hours after the operation, pCO2 reduced in the group of anterior nasal packing. On the other hand, increase of pCO2 was observed in the group free from nasal obstruction.
    3) After the operation, respiratory rate increased in the nasal packing group. However it de-creased in the group with no nasal packing.=
  • 清水 章治
    1978 年 81 巻 5 号 p. 448-459
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
    The significance of the mold as an allergen in the allergic diseases of the respiratory tract was studied. The air-borne mold was surveyd for the past five years. The results of the skin test performed on 4510 cases with the respiratory allergic disease were also analyzed. The allergic condition of respiratory tract was generally, divided into two types, upper respiratory type (nasal allergy) and lower respratory type (bronchial asthma).
    The IgE concentrations and IgE antibody levels in the sera of 20 cases of each two types were titlated with RIST and RAST. Those levels were compared between each allergen and between each disease type. The results were as follows; 1) Using the slide glass method, ten kinds of the mold spores were identified by the air-borne mold spores survey. The kinds of mold detected were changed every year. However, Al-ternaria and Epiccccum were observed abundantly every year. The amount of the spores varied seasonally and showed two peaks in early summer and fall. The spores diminished in winter remarkably.
    2) The kinds of mold identified with culture plate method also changed every year. The seasonal peak of the amounts of the mold was not always similar to those with slide glass method.
    3) The mold, with which the immediate reaction of the skin test was highly positive, were Candida, Aspergillus, Trichophyton, Penicillium, Cladosporium and Alternaria. And the skin test with Candida and Trichophyton showed positive delayed reaction frequently.
    4) Not only IgE concentrations, but also IgE antibody levels of the sera, were higher in the lower respiratory type than in the upper respiratory type.
    5) It is suggested that the sensitive organs with mold are selected with the size of the spores. And almost all kinds of the mold, except Alternaria, are considered to he more significant allergen for the allergic diseases of the lower respiratory tract (bronchial asthma) than of the upper one (nasal allergy).
  • 榎本 雅夫, 松井 和夫, 藤村 直樹, 闘端 敏秀, 石井 亨
    1978 年 81 巻 5 号 p. 460-467
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
    Papillary hypertrophy of the tonsils is one of the rare abnormalities of the palatine tonsils. Since the first report of papillary hypertrophy of the tonsils by Ogino in 1924, only 30 cases of this disease have been reported in Japan. The etiology of papillary hypertrophy remains a mistery.
    A 5-year-old female consulted our clinic with a complaint of obstructive feeling in throat. Papillary surface of palatine tonsils were noticed. Tonsillectomy and adenoidectomy were performed under general anesthesia on October 25, 1977.
    The histopathological examination of the tonsils revealed the lymphoid hyperplasia with poor subepithelial connective tissues. In general, the inflammation was slight.
    This papillary hypertrophy of the tonsils was found in members (male 6, female 7) of her family pedigree.
    A genetical analysis showed that this disease is a congenital abnormality of the tonsil due to an antnsnmal dominant.
  • 片山 洋一
    1978 年 81 巻 5 号 p. 468-476
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
    Speech and auditory function tests were performed on 96 apoplectic patients with hemi-plegia, and the relationship between these results and cerebral lesions were studied. The patients were classified as follows:
    1) Right hemiplegia without speech disorders (18 cases).
    2) Left hemiplegia without speech disorders (22 cases).
    3) Right hemiplegia with dysarthria (12 cases).
    4) Left hemiplegia with dysarthria (8 cases).
    5) Right hemiplegia with aphasia (16 cases).
    6) Right hemiplegia with dysarthria and aphasia (20 cases).
    Speech function tests consisted of articulation test and articulatory organ movement test. Auditory function tests included the routine pure tone test and special tests, which consisted of directional hearing test, non-distorted and distorted speech tests, binaural integration test and interaural differentiation test. The results were as follows:
    1) Articulatory dysfunctions
    a) The tongue tended to deviate to the side of hemiplegia, while the velum was deviated to the opposite side.
    b) Articulation disorders were not found in the cases with mild functional disturbances of the tongue or the soft palate.
    c) Dysarthria was observed prominently in the right hemiplegic than the left hemiplegic,
    d) There was no appreciable difference between each sound in the result of the so-called "PA-TA-KA-RA" test.
    e) The degree of disturbances in the movement of the articulatory organs was not always comparable with the results of "PA-TA-KA-RA" test. The discrepancy would indicate the dyscoordination of central origin.
    2) Anditory dysfunctions
    a) Hearing loss was not remarkable in pure tone audiometry.
    b) Discrimination scores in speech audiometry were poor, particularly in patients with aphasia.
    c) Abnormal findings in directional hearing test were obtained in patients with left hemiplegia. d) Abnormal findings in distorted speech test and binaural speech integration test were often obtained particularly in patients with dysarthria,
    e) In interaural differentiation test, the result of the hemiplegic side was remarkably poorer than that of the non-hemiplegic side.
    f) Abnormal findings in the special hearing tests were found mostly in those cases with dysarthria with left hemiplegia and aphasia with right hemiplegia. These cases were considered to have severe cerebral disturbances.
    From these results, it was concluded that speech and auditory function tests including special hearing tests would be significant for investigating the extent and degree of the cerebral lesion in apoplectic patients.
  • 第1報 正常耳における検討
    平井 靖人
    1978 年 81 巻 5 号 p. 477-486
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
    The auditory brain stem response (BSR) and middle latency response (MLR) were recorded in 22 adult subjects with normal hearing and the possibility of their clinical application in objective audiometry was studied.
    Tone pips at 250, 500, 1000, 2000 and 4000 Hz with 2-cycle rise-decay time and one-cycle peak were delivered to the subjects with the intensity of 0, 10, 20 and 30 dB above the threshold. It has been known that BSR is less sensetive to low frequency stimuli below 500 Hz.
    Most investigators applied a high-pass filter with cut-off frequencies of 150-500 Hz to the recording system. The high-pass filter reduces, or completely eliminates the low frequency components of the BSR and makes the judgemect of the waves rather difficult. For the purpose of investigating the frequency characteristics, a high-pass filter was not used in the present study.
    Our results on the mean latency suggested that the BSR was evoked through the pertinent regions on the basilar membrane as a response to 500 Hz tone pips as sensitively as to the stimuli of higher frequencies.
    In addition, it was clearly demonstrated that no significant difference was found in the response detectability of Po, Na and Pa between four different frequencies in the range from 500 to 4000 Hz and the threshold for these components was 10 to 20 dBSL.
    For 250 Hz tone pips, definite responses were obtained, with the threshold ranging from 20 to 30 dBSL. The question whether these responses are definitely concerned with the constant 250 Hz tone pip stimulation requires further investigations.
    These results indicate that BSR (Po) and MLR (Na, Pa) would be clinically useful as a reliable response index for objective threshold audiometry.
  • 小川 克二, 神津 典男, 坂爪 誠, 大槻 好正, 佐藤 幸雄, 今泉 秀雄
    1978 年 81 巻 5 号 p. 487-499
    発行日: 1978/05/20
    公開日: 2008/07/30
    ジャーナル フリー
    Antral balloon technic is applied for the reduction of fractures involving the wall of the maxillary sinus. After the fragments are replaced into their correct position by Caldwell-Luc approach, a deflated balloon of the Foley type is inserted into the maxillary sinus through the antronasal opening. The balloon is set in the maxillary sinus and is filled with water giving the pressure sufficient to support the correct fragments.
    When the antral balloon accomplished the fixation of fractured antral wall, it is deflated and removed through the antronasal opening.
    We have applied this technic in 2 cases of the malar bone fractures and 4 cases of the blowout fractures.
    This antral balloon technic is quite simple and excellent results can be expected if cases are selected.
  • 野坂 保次
    1978 年 81 巻 5 号 p. 534-537
    発行日: 1978/05/20
    公開日: 2008/03/19
    ジャーナル フリー
feedback
Top