日本耳鼻咽喉科学会会報
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
85 巻, 5 号
選択された号の論文の9件中1~9を表示しています
  • 1. 内耳疾患に及ぼす影響
    谷内 山仁
    1982 年 85 巻 5 号 p. 509-517
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    The size of the temporal bone pneumatization was measured planimetrically, and the length from the sigmoid sinus to the cochlear area was also measured manually in the roentgenograms of Schuller projection of patients with Meniere's disease (37 cases), sensori-neural hearing loss (75 cases), sudden deafness (20 cases), and facial paralysis (15 cases). Ninety-six neuro- otologically healthy persons were examined as control. There was statistically significant difference between the affected ears of the unilateral Meniere's disease and the normal ones. Young patients with unilateral sensori-neural hearing loss showed poor pneumatization in the majority of the affected ears. Those results suggest that the temporal bone with poor pneumatization has a disposition of Meniere's disease, or unilateral sensorineural hearing loss in young people. However, no definite relation between the pneumatization and sudden deafness or facial paralysis was observed. It is inconclusive that the length from the sigmoid sinus to the osseous labyrinth has the relation between the control and the diseases.
  • 横山 道明, 卜部 信行, 竹内 亘, 竹内 裕美, 門脇 秀夫
    1982 年 85 巻 5 号 p. 518-523
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    A 49-year-old male with cervico-thoracic esophageal carcinoma was reported. The spread of the carcinoma was from upper margine level of the cricoid cartilage to mammilary line level of the thoracic esophagus with infiltration to the left lobe of the thyroid gland. Fortunately the carcinoma involved only mucous and submucous layer of the esophagus at the lower part.
    We successfully could get good local control with following treatment.
    1. Preoperative irradiation.
    2. Non curative pharyngo-laryngo-esophagectomy with en bloc resection of the left thyroid gland and adhesive tracheal wall without one stage reconstruction.
    3. Post operative irradiation to the residual carcinoma under direct visual control from the esophageal stoma.
    4. Secondary cervical esophagus reconstruction using the skin tube after confirmation of disappearance of the carcinoma.
  • 吉原 俊雄, 神田 敬, 夜久 有滋, 北村 武, 金子 敏郎
    1982 年 85 巻 5 号 p. 524-528
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    Nasal polyps are usually classified into three groups according to the light microscopic observation: edematous, fibrous and ductal types. Histochemically the stroma is composed of acidomucopolysaccharides. Although the principal etiologic agents have been believed to be inflammatory or allergic in character, circulation disorder that is associated with dysfunction of the innervation in blood capillaries and congestion of lymph caused by disorder of. lymphatic capillaries can also be considered.
    In the present study we have ultrastructurally observed lymphatic capillaries, blood capillaries, infiltrating cells and epithelium of cysts by using an electron microscope.
    Materials and Methods
    The materials were obtained from patients by surgical removal. The specimens were immediately fixed in 2.5% glutaraldehyde, postfixed in 1% OSO4 and then embedded in Epon 812. Observations
    Edematous type polyps were most frequently found. In this stroma, some fibroblasts, loose collagen fibers and infiltration of lymphocytes, eosinophils and mast cells were observed.
    Intercellular space of lymphatic endothelium frequently opened wide with leakage seen therein.
    Blood capillaries were unremarkable and nerve endings were not noted around blood capillaries.
    In the fibrous type, infiltration of fibroblasts were prominent and collagen fibers increased in number. Intercellular space of lymphatic endothelium was relatively closed in, and anchoring filaments were observed subjacent to endothelium.
    In the ductal type, some mixed glands with numerous granules were seen and cyst formations were occasionally found. Epithelium of cysts was composed of a few layered squamous cells containing a great number of mitochondria and a few granules.
    Tne lumen was filled with amorphous material.
  • PAM染色とPA-TSC-SP染色
    夜久 有滋, 吉原 俊雄, 神田 敬, 金子 敏郎
    1982 年 85 巻 5 号 p. 529-533
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    The secretory granules of 18 and 24 week-old fetal parotid and submandibular glands were studied in the electron microscope, and by stainings with periodic acid-methenamine silver (PAM staining) and periodic acid-thiosemicarbazide-silver proteinate (PA-TSC-SP staining) to identify carbohydrate-containing macromolecules electron microscopically.
    The results were as follows;
    1) By means of the usual double staining, one kind of secretory granule was observed in 18 week-old fetal parotid and submandibular glands, and 24 week-old fetal parotid gland. They were serous type granules in electron microscopy. In 24 week-old fetal submandibular gland, two kinds of secretory cells were distinguished, which were serous and mucous types.
    2) 18 and 24 week-old fetal secretory granules were abundant in polysaccharides, and were entirely positive in PAM and PA-TSC-SP stainings.
    3) On two kinds of secretory granules of 24 week-old fetal submandibular gland, one was serous type granule and the other was mucous type granule in PA-TSC-SP staining. It was considered that the differentiation of the serous and the mucous cells had occured at 24 week-old fetal submandibular gland.
  • 斉藤 彰, 鈴木 徹, 八尾 和雄, 岡本 牧人, 高橋 廣臣
    1982 年 85 巻 5 号 p. 534-541
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    Chemically defined diet (ED-AC) was used for postoperative nutritional management of the patients with head and neck tumor.
    Sufficient calories were possibly given by ED-AC in smaller volume than common tube feeding diets. No significant side effect were observed.
  • 重心動揺計による定量的検討
    前田 秀彦, 加我 君孝, マーシュ ロジャー, 清水 夏絵, 杉下 守弘
    1982 年 85 巻 5 号 p. 542-549
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    The visual sensation plays on an important role for the maintenance of upright standing posture in addition to labyrinthine and proprioceptive sensation. In general, visual-vestibular interaction keeps standing posture stable, but on the contrary, optical reversal, as one form of visual stimuli, causes it to become unstable because the gain control system of vestibulo-ocular reflex is disturbed. The purpose of this paper is to study the effect of optical reversal. on the standing posture of normal subjects by measuring motion of the center of gravity and to discuss the possibility of using optical reversal as a clinical tool for detecting vestibular disorders.
    The subjects were 16 normal young adults (24 to 30 years of age). Three different visual conditions for stimuli were used i. e. with eyes open, with eyes closed and with the optical reversal. Horizontal vision reversing prisms (RP) with visual angles of 60 degrees was used for the optical reversal. The center of gravity was analyzed in Romberg and Mann positions. The total shifting length (TSL) of the center of gravity for 40 seconds was measured and analyzed by a computerized system. Recordings of eye head coordination of a normal subject without and with reversing prisms were performed for the study of ocular dysmetria.
    Results were as follows: 1) In Romberg position, the TSL with optical reversal was significantly longer than with eyes open (P<0.01) but not different from with eyes closed. 2) In Mann position, the TSL with optical reversal was longer than with eyes closed (P<0.01) and still more with eyes open (P<0.001). 3) The adaptive effect of optical reversal in six subjects during an hour was studied every 10 minutes in Romberg and Mann position, but the TSL did not change during that limited time. 4) Head movement with reversing prisms was just the opposite direction to normal. Reversing prisms created vestibulo-ocular dysmetria.
    Our data suggest reversing prisms could give two kinds of opposite effects for standing postures. The one which was demonstrated in Romberg position is to maintain standing posture stable as well as usual sensation. The other effect which was demonstrated in Mann position is to cause standing posture to become unstable because the reversing prisms creates vestibuloocular dysmetria. Since these two effects compete together for postural control, reversing prisms would have a possibility for a clinical tool as screening test of vestibular disorders.
  • 第3報 側頭骨含気蜂窩発育の影響
    調所 廣之, 竹内 美奈子, 中島 仁, 永井 大介, 中村 彰男
    1982 年 85 巻 5 号 p. 550-556
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    The relationship between the pneumatization of the temporal bone and progress of noiseinduced deafness was studied in 328 patients with noise-induced deafness.
    The results obtained were as follows:
    1) The size of pneumatization as measured by the rectangular method on the X-ray films averaged 19.6cm2.
    2) The difference in hearing between right and left ear was examined in each frequency and in average hearing threshold level. There was a similar tendency through frequencies tested.
    3) The difference in the size of pneumatization between right and left ear was compared with that in the hearing loss, and it revealed that the difference in the development of pneumatization between the right and left was clearly conspicuous.
    4) The correlation between the area of the development of pneumatization and the average hearing threshold was examined statistically in all ears. No correlation was observed between the two.
    5) The development of the pneumatization was divided into three groups, i. e., large, medium and small. The average hearing threshold level measured by the hexagonal method in these groups and the significant difference between the groups were found. As a result, a significant difference was noted between the large group and small group or between the medium group and small group.
    6) The results obtained under5) were examined as to each frequency. All frequencies showed results almost similar to those with the average hearing threshold level measured by the hexagonal method. But results at 4kHz were not particularly different from those at other frequencies.
    The results above suggested that the development of pneumatization of the temporal bone would exert somewhat inhibitory action on the advance of noiseinduced deafness.
  • 免疫組織学的研究
    古阪 徹
    1982 年 85 巻 5 号 p. 557-566
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
    An antiserum against human thymocytes (ATS) was raised in rabbit and purified by absorption with RBC, acetone liver powder, serum and human B cell Iine. Indirect immunoperoxidase technique using ATS was applied to 100% cold acetone fixed frozen sections from 45 cases of fresh and untreated squamous cell carcinomas in head and neck regions. The results obtained in this study were summarized as follows.
    A majority of the lymphocytes were identified as T cells and observed in the interstitium of cancer tissues.
    The cases with dominant T cell infiltration showed less remarkable growth of tumor, well differentiation in histology, low frequency of neck node etastasis, positive skin sensitivity test for PPD or DNCB, and high score of S. I. in lymphocyte blastgenesis against PHA.
    On the contrary, there was no significant correlation between the degree of local T cell infiltration and the population of T cells in the peripheral blood.
    Therefore, from the immunological point of view, the density of local distribution of T cells seems important to predict the clinical behavior of cancers in the head and neck.
  • 平野 実
    1982 年 85 巻 5 号 p. 607-610
    発行日: 1982/05/20
    公開日: 2008/12/16
    ジャーナル フリー
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