日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
82 巻, 11 号
選択された号の論文の8件中1~8を表示しています
  • 5症例手術治験のまとめ
    丸山 毅, 村上 泰
    1979 年 82 巻 11 号 p. 1361-1364
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    Five cases of internal jugular phlebectasia were reported. All patients were infants aged 3 to 6. They were well developed and apparently healthy, and there had been no operation nor any trauma. A soft enormous swelling appeared low in the right side of the neck only during forcible phonation, breath holding after deep inspiration or straining, which increase intrathoracic pressure. Whenever they relaxed, however, no swelling could be seen or felt at all. They were diagnosed as internal jugular phlebectasia by this characteristic swelling in the neck.
    Operative treatment was performed by ligation of the internal jugular vein at three points, high at the level of the thyroid cartilage, low at just superior to the clavicle and at the level of communication to the middle thyroid vein. Thinning of the carotid sheath was definitly seen in all cases. Pathohistological examination of the excised jugular vein, on the contrary, reuealed no deterioration of its components except slight thinning of the wall, which was considered to be a secondary change due to repeated expansion.
    Bibliographical studies were done and the possible causes of this internal jugular phlebectasia were discussed. We consider that thinning and change in quality of the carotid sheath may be one of genetically important factors of this desease.
  • 神綺 仁, 大内 利昭, 原口 茂徳, 岡部 光子
    1979 年 82 巻 11 号 p. 1365-1371
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    Homograft sclera was used as a supporting scaffold for the tympanic membrane and a reinforcement material for the fascia in forty-three tympanoplasty operations. They were classified to Type I (19 cases), Type III (12 cases), Type IV (2 cases) and staged operation (10 cases). Fresh sclera, collected in the eye bank in the Ophthalmology Department of the School of Medicine of Keio University, was preserved in 70% alcohol after being stripped of uveal tissue. The sclera was cut as an interdigited method in grafting technique and transplanted in such a way that the lateral process and the upper part of the manubrium of the malleus were exposed. Then the fascia was placed on the sclera to cover the exposed malleus. Twenty-four cases have been surveyed for more than six months and ten cases for three to six months after surgery. Although the results were not sufficient for the long-term follow-up there were no recognizable complications so far, and this suggests that this technique can reduce the complications of lateral healing and anterior blunting. The postoperative closure rate of the nerforation was 90% in all the cases except Type IV (two cases).
  • 第3報PHAリンパ球幼若化反応
    坂口 幸作, 富山 俊一, 奥田 稔
    1979 年 82 巻 11 号 p. 1372-1380
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    The PHA-induced lymphocyte transformation tests were measured in 102 cases of malignant tumors of the head and neck and in 35 cases without malignant tumors. Following results were obtained. 1) The degree of lymphocyte-transformation in pretreatment cancer patients was significantly lower than that of the control group. That of the laryngeal carcinomas tended to be especially lower than that of the other cancers. However, in malignant lymphomas, it was even more lower and showed significant difference from that of cancer bearing patients. 2) The degree of lymphocyte-transformation was lowered after treatments but the degree differed with the type of treatment modalities. The operative procedures had little effect but radiation therapy significantly lowered the degree of lymphocyte-transformation. 3) The patients with recurring cancers showed a lower degree of lymphocyte-transformation as compared with that of patients before initial treatments. The degree differed with the type of previous treatments and a significantly lower degree was found in those patients who had received radiation therapy. 4) The reactivity was significantly lowered in the aged than in young patients. In studying the lymphocyte-transformation, age should be considered. 5) It was difficult to estimate the prognosis from the results of lymphocyte-transformation test at the pre-treatment stage. 6) The results of PHA-induced lymphocyte transformation test showed no correlation with the other parameters such as peripheral lymphocyte count, PPD and PHA skin tests.
  • 杉田 麟也, 河村 正三, 市川 銀一郎, 内田 利男, 原田 勝己
    1979 年 82 巻 11 号 p. 1381-1387
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    Antimicrobial sensitivity for many kinds of antibiotics was studied from strains cultured from middle ear effusions of patients with accute purulent otitis media. From these results, when these patients are treated with antibiotics, the choice of antibiotics was discussed. The results are as follows: 1) In fresh cases without spontaneous perforation of the tympanic membrane, streptococcus pneumoniae, Hemophilus influenzae and beta-streptococci are predominant causative bacteria. They comprise about 95% of the causative pathogen of acute purulent otitis media. So in these cases, ampicillin (ABPC) is the first-choice antibiotic. However, if ampicillin (ABPC) shows no therapeutic effect after 3 days following drug administration, the causative pathogen may be staphylococcus aureus. The second-choice antibiotic is cephalexin (CEX). 2) In cases with spontaneous perforation of the tympanic membrane and otorrhea, streptococcus pneumoniae, Hemophilus influenzae and staphylococcus aureus are found predominantly in middle ear discharge. Ampicillin (ABPC) or erythromycin (EM) is the first-choice antibiotic and cephalexin (CEX) is the second-choice antibiotic in these cases. 3) When the patient complains of a drug allergy to penicillin or cephalosporin, erythromycin (EM) is the first choice and tetracycline (TC) is the second-choice antibiotic.
  • オートラジオグラフィーの利用
    滝元 徹, 森下 和男, 古川 仭, 杉盛 恵
    1979 年 82 巻 11 号 p. 1388-1393
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    The EBV genome has been shown to be present inside tumor cells of nasopharyngeal carcinoma. Accordingly, it was reasonable to assume that EBV infection may possibly occur in epithelial cells of the nasopharynx by some sort of biological mechanism. The authors carried out the experiments of EBV infection to nasopharyngeal epithelial cells. Firstly cell fusion was attempted between lymphoid cells (BJAB cells) which originated from a case of Burkitt's lymphoma and freed from any of the EBV nucleic acid and adenoid-origin epithelial cells (227-Ad cells). Then, these fused cells were injected with EBV. It was found that EBV-associated nuclear antigen (EBNA) immunofluorescence could be detected only in the BJAB nuclei in the heterokaryons in the first experimental day. From the second day of post-infection, there was a gradual increase in the percentage of 2-27-Ad nuclei in the heterokaryons. However, there was no instance in which the EBNA was found only in a 2-27-Ad nucleus of a heterokaryon.
  • 横山 俊彦, 領木 郁子, 岡田 いく代
    1979 年 82 巻 11 号 p. 1394-1402
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    Tympanometry using Danplex ZA-20 with a probe-tone of 220Hz was performed on the total of 1470 ears with normal hearing and various kinds of hearing impairment. The subjects ranged in age from 2 to 15 years. Nine tympanic patterns from type I to IX were classified based upon tympanic membrane compliance, peak pressure and shape of tympanogram. The classification of tympanogram adopted in this study was almost similar to the one described by Jerger et al. in 1972 : Type 1 corresponded to type A of Jerger, tye II to tye AD, type III to type As, typ IV and type V to type C, and type VIII to type B. However, type VI and type VII were characterized by great tympanic membrane compliance, displacement of the peak toward the side of high negative pressure and a sharp peak at the point of maximum amplitude. These types did not correspond to any of Jerger's classification and the others. The characteristic patterns of type VI and type VII have been frequently found clinically among patients with flaccid tympanic membrane, and the resolving stage of fluid in the middle ear. Type IX was an unusual pattern which did not apparently fit into any of the above classifications. Tympanometry is particularly useful in a pediatric population were middle ear disease is so frequently encountered. Nevertheless, peak pressure value and tympanic membrane compliance value were not necessarily a reliable indicator for differentiation of normal middle ears and pathological middle ears from each other. The sharp of maximum peak in compliance as a function of the pressure must also be evaluated
  • 滝口 峻, 明海 国賢, 塩手 章弘, 大庭 治, 池田 俊行, 古本 福市, 加我 君孝
    1979 年 82 巻 11 号 p. 1403-1407
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
    A study was made on the physiological changes in ABR under the condition of deep hypothermia during open heart surgery.
    The results obtained were as follows.
    1) The latencies of ABR were prolonged during the course of cooling of the body surface. The prolongation started first with Wave V, followed by Wave III and Wave I. The I-III and III-V interwave latencies were also prolonged with cooling.
    2) The components of ABR disappeared at the level of rectal temperature from 22-C to 25-C and recovered perfectly at temperature as high as 34-C.
    3) During the warming phase the latencies of ABR decreased, and the I-III and III-V interwave latencies shortened.
    These results indicated that ABR disappeared reversibly under a specific condition of hypothermia.
  • 小池 靖夫
    1979 年 82 巻 11 号 p. 1434-1437
    発行日: 1979/11/20
    公開日: 2008/03/19
    ジャーナル フリー
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