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85 巻, 1 号
選択された号の論文の6件中1～6を表示しています
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綿貫 幸三, 高坂 知節, 草刈 潤, 古和田 勲, 伊藤 和也, 西条 茂, 佐藤 雅弘, 飯野 ゆき子, 郭 安雄, 小林 俊光, 新川 ...1982 年 85 巻 1 号 p. 1-10
発行日: 1982/01/20
公開日: 2008/12/16
ジャーナル フリーCongenital aural fistulas are referred to also as preauricular fistulas because of their location mostly in front of the auricle. There are two theories of their pathogenesis: 1) They arise from faulty union of the intertubercular grooves between six aural tubercles which surround the first branchial groove, and 2) they are due to insufficient fusion of the preauricular periphery of the first pharyngeal depression which lies between the first and the second branchial arches. It is practical to adopt at the same time these two distinguished theories for the pathogenesis of the fistula. There is no reason to pick up only one of these two. In twelve cases out of 27 (29 ears) of this report, the wound incision was done prior to treatment in our clinic. Among these, a considerable number of cases had the anamnesis of wound incision which was performed by other physicians than otologists under the incorrect diagnosis. It is not fully known among other surgeons except otologists that the fistulas could not be healed out by wound incision only. This is one of the diseases on which much attention has not so far been paid in terms of its treatment.抄録全体を表示PDF形式でダウンロード (1750K) -
滝元 徹, 古川 仭, 森下 和男, 吉田 克彦, 森下 保子, 梅田 良三1982 年 85 巻 1 号 p. 33-40
発行日: 1982/01/20
公開日: 2008/12/16
ジャーナル フリーA case of nasopharyngeal carcinoma with metastases to the cervical lymph nodes in an 18-year-old female was reported. Biopsy from both cervical lymph nodes and nasopharynx revealed carcinoma (lymphepithelioma) and epitheloid granuloma with central necrosis resembling tuberculosis. Differential diagnosis of the granulomas was discussed and it was concluded that the granuloma was not tuberculosis but induced by tumor necrosis, based on the finding remants or "gohsts" demonstrated in both hematoxylin-eosin and trichrome connective tissue stained sections.抄録全体を表示PDF形式でダウンロード (2346K) -
大橋 徹, 吉江 信夫, 小出 冨士夫1982 年 85 巻 1 号 p. 41-45
発行日: 1982/01/20
公開日: 2008/12/16
ジャーナル フリーA case of acute severe hearing loss caused by the ingestion of sodium bromate in an 18-year-old female was reported.
Hearing loss was associated with the profound renal failure which developed to anuria.
There were not disturbances of the vestibular function in this patient.
Electrocochleogram revealed the acute total subtractive loss type of sensory units.
It seems that simultaneous occurrences of both severe subtractive hearing loss and acute renal damage in sodium bromate poisoning may be based on similarities in the pathophysio-logical changes between the stria vascularis of the cochlea and, the proximal renal tubules of the glomerulus.抄録全体を表示PDF形式でダウンロード (328K) -
理論と実際橘 正芳, 伊達 敬一, 斎藤 章, 日向 美知, 森本 純, 阪上 博史, 西村 武重1982 年 85 巻 1 号 p. 46-54
発行日: 1982/01/20
公開日: 2008/12/16
ジャーナル フリーNinety five cases of single or multiple revision surgeries of the middle ear performed in the ENT clinic in Kyoto First Red Cross Hospital between 1975 and 1979 were analysed retrospectively.
The duration between preceding and last operation varied from one month to 32 years. The purpose of revision surgery was mainly to improve hearing and to arrest ear discharge. Trouble due to an open mastoid cavity was another cause of reoperation.
The most frequent type of the preceding operation was tympanoplasty type I (29%), followed by type II (17%), conservative radical mastoidectomy (16%), tympanoplasty type IV (10%), radical mastoidectomy (10%) and tympanoplasty modified type III (3%). The most frequent type of the final operation was tympanoplasty modified type III (38%), followed by type I (18%), type IV (13%), radical mastoidectomy (13%), tympanoplasty type III (8%), modified type IV (8%), type V (1%) and conservative mastoidectomy (1%). Recently, cases of modified type III or modified type IV tympanoplasty have increased since we have started to use PORP or TORP (partial or total ossicular replacement prosthesis) as a columella.
Our policy for revision surgery of the middle ear was that tympanoplasty was preferred to radical mastoidectomy, not only because the former can restore hearing but also because it better eradicates disease and minimizes postoperative troubles. The pathological tissues should be eradicated by any means, and if necssary, the posterior bony wall of the external canal should be removed without hesitation. In such cases or radically operated ears, the posterior wall of the external canal was reconstructed with conchae cartilage, and the mastoid cavity was obliterated with the pedicled temporal muscle flap. The ear drum was reconstructed with fascia. For reconstruction of the ossicular chain, PORP and TORP were frequently used with a small piece of the conchae cartilage on their top.
Successful long-term results were obtained in 50% of tympanoplasty cases with hearing loss of less than 30dB. Only 14% of all cases developed transient ear discharge postoperatively which was usually well controlled. Thus the results of revision surgeries of the middle ear in our clinic were fairly satisfactory, even they were not better than these of the first operation. Many of the radically operated ears were proved to be a good indication for tympanoplasty.
Further effort to improve the results of revision surgery of the ear is necessary.抄録全体を表示PDF形式でダウンロード (690K) -
馬場 正明, 隈上 秀伯, 西田 裕明, 森内 晴美, 大沢 応秀1982 年 85 巻 1 号 p. 55-61
発行日: 1982/01/20
公開日: 2008/12/16
ジャーナル フリーThe correlation between AP response and form of audiogram was examined by promontory recording in electrocochleography. In normal hearing subjects, each frequency tone of 0.5, 1, 2, 4 and 8 kHz was used as sound stimulus.
In normal hearing subjects, subjective hearing threshold above 2kHz corresponded with AP threshold.
Among each sound stimulus, 4kHz tone showed the lowest response threshold, and the shortest AP latency was obtaindd by sound stimuli 4 and 8kHz tones.
In 48 patients with hearing impairment, AP response was recorded by 4kHz tone.
In patients with difference of pure tone threshold less than 35dB between 4 and 1kHz, AP response threshold corresponded within 15dB to pure tone threshold at 4kHz.
With shortening of difference between 4 and 1kHz pure tone threshold, AP threshold corresponded with pure tone threshold at 4kHz.
In patients with difference more than 20dB, the prolonged AP latency was detected, in other words, the prolonged AP latency was detected in proportion to the difference between 4 and 1kHz pure tone threshold.
Namely, a flat and gradual sloping form in audiogram, AP threshold corresponded roughly with the pure tone threshold at 4kHz, but an abrupt form showed the lower AP threshold than that of pure tone threshold at 4kHz and also, AP latency showed a tendency to prolongation.抄録全体を表示PDF形式でダウンロード (350K) -
石川 哮1982 年 85 巻 1 号 p. 95-98
発行日: 1982/01/20
公開日: 2008/12/16
ジャーナル フリーPDF形式でダウンロード (243K)
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