日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
83 巻, 2 号
選択された号の論文の8件中1~8を表示しています
  • 宮原 正明, 荒木 元秋, 徳増 厚二, 野村 公寿, 飯田 〓, 楠 好子, 種元 春洋, 土田 陽一
    1980 年 83 巻 2 号 p. 133-140
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    Four kinds of equilibrium function tests, including rail test, twice step-rotating test, walking test with eyes closed and one foot standing test in foreward tilt with eyes opened, had been carried in 3434 boys and 3130 girls of seven primary schools and five secondary schools in Kanagawa Prefecture in Japan from 1975 to 1977.
    The mean values and their standard deviations of the test results were obtained. The normal limits that include the values measured in 90 per cent of normal subjects were as follows; 30 seconds duration in one foot standing, score of 12 (about 2/3 of full rail length) in
    rail test, 130cm deviation in walking test and rotating angle of ±135 degrees and deviation of 25cm in twice step-rotating test.
    The relationship between test scores and the other factors, such as sex, the grade of school, was also studied from coefficients of correlation calculated by a computer.
    It was assumed that all of four examinations might have significant usefulness to examine the equilibrium function in boys and girls.
  • 寺山 吉彦, 山川 宗位, 小崎 秀夫
    1980 年 83 巻 2 号 p. 141-146
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    Malignant external otitis (necrotizing otitis) is caused by Pseudomonas aeruginosa and usually affects elder diabetics. But it is very rare in children. This is the fourth case report of child malignant external otitis in the world literature.
    The patient was a 2-year and 9-month-old girl who was admitted because of severe pain, redness and swelling of the periauricular area and purulent discharge of the right ear with high fever, paralysis of the VIIth nerve and trismus. She had a persistent cough for one and half month before her admission. Laboratory examination revealed anemia, leucocytosis and increased erythrocyte sedimentation rate. Blood sugar level and humoral and celltlar immune function were normal. The cartilaginous external auditory canal was necrotized exposing the cartilage and the cortex of the temporal bone. Pseudomonas was found evidently on the culture of bacteria. Gentamicin, sulbenicillin and human gamma-globulin therapy resulted in disappearance of the granulation tissue and subsequent epithelization of the ear canal without surgical treatment. The facial nerve paralysis and loss of the cartilaginous canal remained.
    The authors postulate that the most possible factor in the pathogenesis of this condition may be a virulent action by a specific stem of pseudomonas, which produces stronger toxin or enzyme than ordinary stems.
  • 大橋 正実, 寺山 吉彦, 田中 克彦, 山地 誠一
    1980 年 83 巻 2 号 p. 147-152
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    It is well known that labyrinthine destruction by cholesteatoma or chronic otitis mediaresults in cochlear dysfunction and makes bone conduction worse. However, we have infrequently encountered cases which maintained good bone conduction despite of labyrinthine destruction or improved the hearing after surgical removal of pathological lesion.
    In this paper such 9 ears of 8 cases are reported. Regarding protective mechanism in the endolymphatic space, Schuknecht et al speculated that the utriculoendolymphatic valve serves to protect the pars inferior from the disease of the pars superior. The disease is, however, considered to usually initiate in the perilymphatic space of semicircular canal after destruction of its bony wall and to spread through perilymphatic space to the cochlea.
    Protective mechanism in the perilymphatic route can not be explained only by the utriculoendolymphatic valve theory. The present authors postulate on the anatomical basis that a loose connective tissue in the perilymphatic space of the pars superior and membrana limitans may play a defensive role against the spread of inflammation from the perilymphatic space of the pars superior into the pars inferior.
  • 渡部 泰夫, 武藤 幹二, 青笹 克之
    1980 年 83 巻 2 号 p. 153-163
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    This paper reported a case of malignant histiocytosis with laryngeal involvement as an initial sign.
    A male, aged 37, who developed hoarseness and nasal obstruction in November, 1976, and visited us on April 8, 1977.
    On examination, there were granulomatous changes in the right arytenoid area and the false cord, and inflammation of the oropharynx. Repeated biopsies of the lesion, however, showed inflammatory changes only. The patient continued a chronic course unresponsive to antibiotics and steroids.
    In February, 1978, he became febrile and developed granulomatous changes extending to the aryepiglottic fold and epiglottis, and right side of the latter became necrotic and ulcerative.
    Radiotherapy was initiated and dramatic regression of the lesion was seen. One month later, the patient developed a painful swelling on the left nasal wing, which was biopsied and diagnosed as malignant lymphoma (histiocytic type).
    Radiationtherapy was again instituted and 2800 rads was given with dramatic improvement. Two months later, he developed red crusted subcutaneous nodules of about 2cm in diameter on the chest, back and both thighs.
    Biopsy of the nodule on the chest revealed infiltration of atypical histiocytes. Further biopsies showed findings more compatible with malignant histiocytosis.
    In October, 1978, he became icteric, febrile and leucopenic, and bleeding from the oropharynx was seen. He died of profuse bleeding from the oropharynx after 2 years from the onset of the disease. Autopsy was not obtained.
    The characteristics of malignant histiocytosis in the upper respiratory tract (especially nose) are follows:
    1) The initial lesion is seen at non-lymphnode bearing areas.
    2) Localized and generalized lymphadenopathy and splenic enlargement are uncommon.
    3) The histological features observed in the initial lesion usually polymorphic cell infiltration accompanied by lymphocytes, plasma cells and histiocytes. The degree of histiocyte proliferation is in the spectrum of several cells in a high power field to an almost monotonous pattern. In the monotonous proliferation, histiocytic cells show lack of cohesiveness. The erythrophagocytosis is also seen.
    4)The specific esterase activity by α-Naphthyl-acetate method is observed in the atypical cells.
  • とくに披裂軟骨•輪状披裂関節をめぐる病変について
    尾崎 正義
    1980 年 83 巻 2 号 p. 164-177
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    The etiology of vocal cord dyskinesia was studied histopathollogically in 70 specimens with laryngeal carcinoma.
    The results revealed that in 62.5% of the cases with vocal cord immobilisation, it was caused by the invasions of the cancer into intrinsic laryngeal muscles and in 37.5%, it was caused by the destructive changes of the arytenoid cartilage and the cricoarytenoid joint. In the cases with invasion to the intrinsic laryngeal muscles, the tumors were advanced to the oblong fossa of the arytenoid cartilage. The perichondrium of the arytenoid generally showed fibrotic hypertrophy. The marked fibrosis and the poor exudative and vascular reactions were observed in the stroma at the tumor apex.
    When the tumor expanded backward, it was found that the anterior aspect of the cricoarytenoid joint was first destructed, and that the posterior aspect of the arytenoid cartilage was first destructed.
  • 富山 紘彦, 池田 稔, 松山 仁, 冨田 寛
    1980 年 83 巻 2 号 p. 178-185
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    The pores of the circumvallate taste buds were observed electron-microscopically in rats and humans. As a result, no remarkable difference exists in the structure of this region between these two species. However, as to the terminal bulgings of the microvilli in the lateral sulcus, they were prominent in rats, but not in humans. Four modalities of tastant's transfer in the pore were proposed from the findings obtained in the present study.
  • 血清抗体価,および皮内反応について
    荻野 敏
    1980 年 83 巻 2 号 p. 186-200
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    A correlation between peripheral facial paralysis and varicella-zoster virus (VZV) was discussed. The level of anti-VZV antibody in the serum was measured in 155 patients; consisting of 33 patients of Ramsay-Hunt syndrome, 105 of Bell's palsy, 6 of recurrent facial paralysis, 8 of otitic palsy and 3 others, and in 61 patients with inflammation in ENT regions as a control group.
    In antibody assay to VZV, 4 methods of complement fixation (CF), neutralization (NT), fluorescent antibody (FA) and immune adherence hemagglutination (IAHA) test were compared in sensitivity.
    VZV skin test, which seems to associate with cell mediated immunity (CMI), was also performed in these paralized and control patients.
    The results were as follows;
    1) Twenty-one cases (20%) of 105 Bell's palsy seemed to be related with VZV reactivation, because of a significant rise and/or higher titers. These cases were considered as zoster sine herpete (Bell(V+)).
    2) Generally, cases of Ramsay-Hunt syndrome had a higher antibody titer of VZV than cases of Bell(V+). The titer of CF test showed a lower level than NT, FA and IAHA.
    3) CF test was the lowest in sensitivity and the antibody titers by NT, FA and IAHA test were roughly comparable.
    4) The severer was the paralysis, the higher was the level of VZV antibody.
    5) Positive rate of VZV skin test in Ramsay-Hunt syndrome and Bell(V+) was significantly lower as compared with that in otitic palsy and the control group.
    6) VZV skin test was more depressed in severe cases than in mild cases, and it tended to change to positive gradually during the follow-up.
    7) It may be possible to use the skin test for the judgement whether steroid therapy is suitable or not.
  • Phonation Neutral Areaと声帯振動
    林崎 勝武
    1980 年 83 巻 2 号 p. 201-212
    発行日: 1980/02/20
    公開日: 2008/03/19
    ジャーナル フリー
    The aim of the present study is to investigate the influence of the phonation neutral area (glottal area at rest position) upon the mode of the vibratory movement of the vocal-fold.
    Ultrasonoglottography (ultrasonic pulse M-mode) and ultrasonic pulse-transmission method were applied to observe the vibration mode of the vocal-fold at the onset of phonation.
    In addition to these observations, phonation neutral area, frequency and subglottal pressure were measured quantitatively by application of the pressure transducer, and these mutual relations were investigated.
    The following results were obtained.
    1) The vocal-folds initially started their vibration with opening movement.
    2) The amplitude of the vibration within the build up time was lower than that of the steady state.
    3) Increase in the build up time was induced by the extension of the phonation neutral area.
    4) Decrease in frequency was induced by the extension of the phonation neutral area, and by the increase in the build up time.
    5) Elevation of the amplitude of the vibration at the steady state was induced by the extension of the phonation neutral area.
    6) At the onset of phonation, increase in the subglottal pressure was induced by the extension of the phonation neutral area.
    7) In the case that the subglottal pressure was constant, increase in frequency was induced by the extension of the phonation neutral area.
    8) In the case that the phonation neutral area was constant, increase in frequency was induced by the increase in the subglottal pressure.
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