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, 6 号
選択された号の論文の8件中1~8を表示しています
  • 後藤 重雄, 飯沼 寿孝, 田中 幹夫
    1980 年 83 巻 6 号 p. 603-611
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    Measurements of the size of the aditus ad antrum and the antrum were performed in 45 normal adults (90 ears) on Polytome X-ray films. Vestibular plane in the sagittal projection was suited for the measurement of the aditus and antral plane in the sagittal and lateral projection were of the antrum. The antral plane is defined as that antrum appears in maximal size. The results were as follows: the vertical length of the aditus ad antrum 7.2mm, the horizontal length of the aditus ad antrum 6.7mm, the vertical length of the antrum 13.9mm (sagittal projection), 15.0mm (lateral projection), the horizontal length of the antrum 11.5mm (sagittal projection), 12.6mm, (lateral projection).
    There were no statistically significant differences between the right and left ears. The male tended to have larger values of the measurements than the female, showing statistically significant differences in the vertical length of the aditus ad antrum and the horizontal length of the antrum (lateral projection).
    There was no correlation between the values of the aditus ad antrum and the antrum. There was a correlation between the vertical and the horizontal length of the aditus ad antrum.
  • そのバリエーションについて
    柏木 譲治, 河村 正三, 市川 銀一郎, 黄田 正忠
    1980 年 83 巻 6 号 p. 612-618
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    Auditory brain stem responses (ABR, BSR) were obtained in 16 patients with acoustic neurinoma. The pattern of ABR was studied with reference to the tumor size and the pure tone audiogram in each case.
    As a result, the 16 cases were classified into 4 types. In 2 patients, wave I, III and V were clearly recorded but wave III and V were prolonged in latency (type I). In 4, wave I and V were recorded but all other components of ABR were markedly obscured and wave V was more prolonged in latency than in type I (type II). In 5, only wave I was recognized (type III). No ABR response was obtained in remaining 5(type IV).
    The diameters of the tumors were as follows; 0.8cm and 2cm in type I, 2.5cm to 3.5cm (mean: 3cm) in type II, 3cm to 5cm (mean: 3.8cm) in type III, and 4cm to 6cm (mean: 4.8cm) in type IV.
    From these results, it was considered that the pattern of ABR reflects the size of the tumor to some extent. However, no definite tendency was found concerning the relationship between the pure tone audiogram and the ABR pattern.
  • 山崎 晴子
    1980 年 83 巻 6 号 p. 619-631
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    The air caloric test was performed on 15 normal subjects, and its normal limits were determined. Then, this test was applied to 660 patients who were suffered from vertigo, dizziness and/or equilibrium disorder.
    Following conclusions were obtained through the quantitative analysis of the results.
    1. Our data obtained from the normal subjects suggest the air caloric test is superior to the water test, because the former yields more reliable nystagmus response, and causes little discomfort, and also it can be done very easily.
    2. In order to detect pathological findings of caloric responses, it was necessary to take three parameters of the duration, the number of beats and the maximum eye-speed of the slownystagmus-phase.
    3. The abnormal responses were observed or the patients with chronic otitis media, and these were caused by the changes of the middle ear structures. However, they didn't affect the quantitative analysis. So basesd on our diagnostic criteria, it was possible to detect CP on the patients with chronic otitis media who complained of dizziness or vertigo.
    4. Among the patients showing the caloric DP, some had the spontaneous nystagmus and the others did not. The former showed the findings indicating the peripheral lesion.
  • 小野 多知夫
    1980 年 83 巻 6 号 p. 632-646
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    A study of tonsillar immunological function was performed by investigating how rabbit tonsil antibody-producing lymphocytes after sensitization against sheep red blood cells (SRBC) were affected by anti-thymocyte serum (ATS).
    Antiserum was obtained by sensitizing goats with mixture of rabbit thymus cells and Freund's adjuvant and by absorbing serum with rabbit red blood cells. In vitro the sensitization by Marbrook's method and in vivo the sensitization by intravenous injection were performed. Plaque forming cell (PFC) assay was carried out according to the method of Cunningham & Szenberg in tonsils, lymph nodes and spleens.
    Results were as follows;
    1) In vitro anti-SRBC response of lymphocytes treated by ATS and complement remarkably suppressed.
    2) When lymphocytes sensitized in vivo were treated with ATS and complement, survival rate of PFC was significantly higher than that of total cells.
    3) Tonsil cells indicated higher sensitivity for ATS than lymphnode cells and spleen cells did.
    4) The number of direct or indirect PFC per a million of the lymphocytes from tonsils was always less than that from lymph nodes and spleens.
    5) Judging from the number of total indirect PFC after in vivo sensitization, the amount of antibodies produced in the cervical lymphnode was 46 times and that in the spleen was 258 times more than that in the tonsil.
    The author discussed these results and considered that the tonsil was peripheral lymphatic organ but its functions were, different from that of lymphnode and spleen, obtaining, folding and transmissing the antigenic information rather than producing antibody.
  • 特にBCG腸溶カプセル経口投与について
    斎藤 久樹, 朴沢 二郎, 笠原 正明, 高木 明子, 永井 政男
    1980 年 83 巻 6 号 p. 647-653
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    Seven patients with malignant melanoma in the nasal cavity and paranasal sinuses were treated with BCG immunotherapy in authors clinic during 3 years from September, 1976 to November, 1979.
    In case 1 (stage IV) and case 2 (stage IV), BCG was injected into the tumor tissue with combination of 60Co irradiation. The treatment was ineffective for case 1, who died after 4 months. It appeared to be effective for case 2, who eventually died after 10 months.
    Other cases were treated with BCG enterosoluble capsule (per orally 80 mg/w) for 5 to 13 months. In case 3 (stage II), and case 6 (stage I), good results were obtained for the prevention of postoperative recurrences. In case 5 (stage IV), a diminution of a metastatic tumor in the lung was observed after administration of BCG capsule. In case 4 (stage II) and case 5, a diminution of metastatic tumors in the skin, lung and brain was observed after administration of BCG capsule combined with DTIC injection. In case 7 (stage IV), a slight growing of a metastatic tumor in the lung was observed during administration of BCG capsule.
    BCG enterosoluble capsule may be used for a long time, for the enhancement of the effect of BCG immunotherapy, since non or minimal side effect has been noted.
  • 村嶋 龍太郎, 田川 幸雄, 中島 成人, 江上 徹也, 隈上 秀伯
    1980 年 83 巻 6 号 p. 654-656
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    One hundred sixteen human temporal bones were used for this study. They were classified into six groups radiologically, according to the development of the pneumatization by Schuller's projection.
    The length of the external aperture of the vestibular aqueduct (VA) was measured to evaluate the development of the funnel-shaped enlargement at the distal VA.
    The relationship between the pneumatization and the length of the external aperture of the VA was studied statistically.
    The temporal bone with well-developed pneumatization has a tendency to have a large external aperture of the VA.
    We can estimate both sizes of the VA and the endolymphatic sac in accordance with developmental grade of the pneumatization.
  • 第1報 耳道腺腫瘍初期病変とその酵素組織化学ならびに生化学的研究
    原田 壽利
    1980 年 83 巻 6 号 p. 657-673
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    Wistar SLC rats were injected with 25mg/kg of 7, 12-Dimethylbenz (α) anthracene intravenously twice at 51 and 66 days of age, and also fed on a commercial diet containing 4-Dimethylaminostilbene, 0.004%, from the age of 57 days to the respective days of their decapitations. Either an atypical hyperplasia of the acinar cells or a microtumor was detected histologically in the Zymbal's glands of almost all treated rats 9-11 weeks after the first injection. Macroscopical tumors were induced only in the ear duct regions of almost all treated animals more than 17 weeks after the treatment.
    Fresh cryostat sections of the Zymbal's glands were serially examined by histochemical methods for SDH, LDH and G6PDH, 6, 11, and 17 weeks after the first injection. SDH and G6PDH activities decreased progressively in the tumorigenesis, but moderate LDH activity remained in the tumor tissues. Biochemical determinations for LDH and MDH in the Zymbal's glands harvested serially 4-20 weeks after the first injection of DMBA indicated that the quotient of LDH/MDH began to elevate 8-11 weeks after the injection and elevated progressively in the tumorigenesis owing to a lower MDH.
  • 視運動眼振検査を手がかりとして
    小高 修司
    1980 年 83 巻 6 号 p. 674-690
    発行日: 1980/06/20
    公開日: 2008/03/19
    ジャーナル フリー
    The optokinetic nystagmus (OKN) has the slow phase and the fast phase. Based on the most prevailing concept that the slow phase is conducted through smooth pursuit pathway and the fast phase is done through saccade pathway, first step of this study is to establish these two pathways.
    Optokinetic nystagmus test was performed in the patients with the lesions in known sites of the central or peripheral vestibular system. In this study, a new method of OKN test which was developed in our laboratory since 1974 was used. The method is called as one-stimulation/one-response method. The abnormal findings of the OKN were analyzed to elucidate the motor pathways of smooth persuit and saccade movements of the eye.
    The results were as follows:
    1) Two pathways of saccade movement of the eye were postulated. The dominant one starting from the frontal eye field is widely known. The abducent nucleus and its adjacent area was found to play an important role in this pathway and designated as the saccade center.The other pathway also starting from frontal eye field, might run to the basal ganglia and to superior colliculus. Then it might run to the pontine nucleus through the tecto-pontine tract, and might finally end in the saccade center of the opposite side through the cerebellar vermin.
    2) The medial vestibular nucleus was found to be an important area in the pathway of pursuit movement of the eye, and was known as the relay station. The connection between the nucleus and the flocculus and the fastigial nucleus was postulated. The connection between the medial vestibular nucleus and the cervical region through the cervico-ocular reflex and the spino-vestibular tract was also postulated. These hypothesis is believed to be useful in the analysis of the results of OKN.
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