日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
84 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
  • 牧島 和見, 渡辺 宏, 渡辺 晋
    1981 年 84 巻 1 号 p. 1-5
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    Patients complaining of hearing loss and facial palsy secondary to longitudinal temporal bone fracture were treated surgically. Dislocation of the ossicles and compression of the facial nerve by fractured EAC wall were noted during the surgery. The impairments of the patients were well controlled by tympanoplasty and facial nerve decompression. Earlier surgery for better result was recommended.
    The cases described here presented high tone sensory neural hearing loss in association with conductive loss. The effect of a head blow on the development of hearing loss was further discussed.
  • 村上 泰, 堀内 正敏, 猪狩 武詔, 原口 茂徳, 甲能 直幸, 岡田 康司, 安藤 真姿子
    1981 年 84 巻 1 号 p. 6-12
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    A large defect in the oral cavity after hemiglossectomy was reconstructed primarily with a pectoralis major myocutaneous island flap. Technical details were presented with some case reports. Comparing with staged operation by the other pedicled skin flap techniques, this is safe and versatile enough to make up most of shortcommings of the other flaps.
  • 今野 昭義, 井谷 修
    1981 年 84 巻 1 号 p. 13-17
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    Penetration of aerosol into the paranasal cavity by vibration was investigated using a simple model of the nasal and paranasal cavity connected each other with the model ostium which has various diameters. Nasal vibrator used was the aerosol vibrator QV-301W (Nihon Kohden). Amplitude of pressure change and the wave pattern produced by vibration were recorded simultaneously both in the nasal and paranasal cavity using pressure transducer (Statham P 50) and cathode ray oscillograph to evaluate the effect of diminished patency of the model ostium upon pressure damping through the ostium.
    When the diameter of the model ostium was more than 1.5mm, amplitude of the pressure change in the paranasal cavity was larger than that in the nasal cavity due to resonnance and reflex of the pressure waves in the ostium and the paranasal cavity. When the diameter of the ostium decreased to less than 1.0mm, amplitude of the pressure change in the paranasal sinus decreased markedly.
    Effect of vibration upon penetration of aerosol of antibiotics into the paranasal cavity was evaluated by bioassay using cup method with bacillus subtillis ATCC 6633. Surface DKB concentration in the paranasal cavity was measured, when 5% solution of 100mg of 3', 4'-dideoxykanamycin B (DKB) was nebulized by the jet type nebulizer into the nasal model. When vibration output was 120dB in intensity and 120Hz in frequency, surface DKB concentration in the paranasal cavity was 31±7.2-2.8±2.2μg/cm2 in correspondence with ostium diameter ranging from 3.0mm to 1.0mm, which decreased to 0.39±0.04μg/cm2 in the model with ostium diameter of 0.5mm.
    Penetration of aerosol into the paranasal cavity was affected largely by frequency and amplitude of pressure changes in the paranasal cavity.
  • 戸田 雅克, 細井 裕司, 小池 靖夫, 太田 文彦
    1981 年 84 巻 1 号 p. 18-23
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    The volume of goiters was estimated by CT and its result was compared with surgical and clinical findings. The study included one case with thyroid cyst, one with adenomatous goiter and two with thyroid cancer. The virtual volume was measured during operation, and it was compared with the presumptive volume calculated by CT scanning. The incompatibility between the methods was about 5%. Also, the possibility of preoperative determination of the remnant volume of goiter was investigated by measuring the volume before and after the operation in three cases with Graves' disease. The maximum error for calculating remnant thyroid volume was about 1 gram. The authors belive that this method is applicable to clinical purposes.
  • 徳増 厚二, 野村 公寿, 飯田 秀, 楠 好子, 土田 陽一, 種元 春洋, 荒木 元秋, 宮原 正明
    1981 年 84 巻 1 号 p. 24-39
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    Eight thousands five hundreds and ninty-two pupils of 8 primary schools and 6 secondary schools in the Kanagawa prefecture had been examined by specially designed equilibrium function tests in a 4-year period from 1975 to 1978. The equilibrium examinations included one foot standing test in foreward tilted posture with eyes opened, walking test with eyes closed, twice step-rotating test with eyes closed and modified Heath's rail-walking test. A balance board test was added in only 1978, since the boards are popular equipments in the schools in Japan. The mean value and standard deviation of each test result were evaluated.
    The relationship between equilibrium function and the other related factors, such as sex, school grade, Rohrer's index, school records and answers to 15 questionaires about daily lives in each pupil was studied by using a FACOM 230-38 electronic computer.
    The normal ranges of the test results reported in our previous papers were reconfirmed. It is assumed that each equilibrium function test might be important to find out the abnormality of equilibrium from different aspects and the test results are closely related to the labyrinthine function, vision, cerebellar motor function, autonomic nervous system, cardio-vascular system and psychosomatic state in test subjects.
  • 仁保 正和
    1981 年 84 巻 1 号 p. 40-46
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    Seventeen cases of diseases of the ear, nose and throat caused by dental disorders are reported. The diseases are salpingitis, temporomandibular joint syndrome, sinusitis, epistaxis, gingivitis, glossitis, pharyngitis, laryngitis, parotitis and retrobulbar optic neuritis. Salpingitis and retrobulbar optic neuritis followed dental sinusitis. Epistaxis occurred due to impacted tooth.
    Most diseases were caused by dental caries, disorders of crowns, bridges and dentures, and decomposition of foods between the teeth and dentures and/or under the dentures. Dental diseases frequently occurred in elder persons. General and local changes due to aging are believed to become a base of the diseases. Managements of the dental diseases were essential for treatments of the diseases of the ear, nose and throat.
  • 喫煙,飲酒の影響に関する臨床的検討
    宮原 裕
    1981 年 84 巻 1 号 p. 47-53
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    In Kumamoto University Hospital, from March, 1977 to June, 1978, one hundred and forty patients with head and neck malignant tumors were treated and studied about history of tobacco smoking and drinking.
    Brinkman index for smoking and Schochu index, which was obtained multiplying alcohol consumption per day by the number of years, for drinking were applied.
    The results showed that tobacco smoking was the highest risk factor in laryngeal cancer. Especially in supraglottic cancer the risk is multiplied by drinking.
    Both drinking and smoking heavily influenced the development of cancers of mesopharynx and piriform sinus. In cancers of the tongue and oral floor, drinking influenced strongly in their development, especially in male patients.
    Heavy smoking and heavy drinking were believed to be the high risk factors in the development of head and neck cancers.
  • 甲能 直幸, 犬山 征夫, 増野 精二, 堀内 正敏
    1981 年 84 巻 1 号 p. 54-61
    発行日: 1981/01/20
    公開日: 2008/12/08
    ジャーナル フリー
    The application of some basic principles derived from studies of the cell cycle and prolifer-ative kinetics of normal and malignant cells has provided a rational basis for designing cancer treatment regimens. Since May 1979, 46 patients with malignant tumors of the head and neck region, of poor prognosis and generally in advanced stages, were treated with a combination of cytotoxic regimens. One regimen is M-phase synchronized combination chemotherapy, using Vincristine, Methotrexate, Bleomycin and Mitomycin-C and the other is S-phase synchronized combination chemotherapy, using Hydroxyurea, Adriamycin and Bleomycin.
    Positive response (more than 50% tumor regression) was obtained in 75% of the cases treated by M-phase synchronized combination and in 43% of the cases by S-phase synchronized combination.
    Lassitude and febrile response provided the main problems during treatment but they were transient. Late complications were bone marrow suppression but not very serious.
    These results would suggest a potential of combination chemotherapy for head and neck cancer of poor prognosis and in advanced stage.
  • 斎藤 章, 古屋 信彦, 石川 道雄
    1981 年 84 巻 1 号 p. 62-69
    発行日: 1981/01/20
    公開日: 2008/03/19
    ジャーナル フリー
    The vestibular and cochlear nerves were stimulated by microelectrical stimulation, and the evoked potentials were recorded from scalp of the cat. The evoked response following electrical stimulation of vestibular nerve consisted of two negative peaks and that of cochlear nerve basically four positive peaks. The both evoked responses and each peaks were stable and reliable. The field potentials of the vestibular and cochlear nuclei were recorded simultanousely, and those results-were compared with each evoked response. The latencies of deflection and peak of the field potentials in the vestibular nucleus were almost the same in the evoked responses. The stimulating threshold and the maximam point of the each evoked response were the same in each field potentials.
    The cutting of the vestibular and cochlear nerves selectively in the internal auditory meatus showed releasing of each evoked response. The stimulation of both vestibular and cochlear nerves could get the combinative responses. A simultanous stimulation of the vestibular and cochlear nerves revealed mixed waves. And the configulation was formed from just algebrical summation of the both nerves.
    This suggests that there is no interaction between vestibular and cochlear nervous systems.
    In conclusion, the responses recorded from the scalp are caused by vestibular or cochlear nerve stimulation.
feedback
Top