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86 巻, 6 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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山本 香列, 横田 耕二, 平林 源, 高木 範男, 後藤 昭信, 桧垣 清高1983 年 86 巻 6 号 p. 635-643
発行日: 1983/06/20
公開日: 2008/07/08
ジャーナル フリーIn clinical experience with six cases, we reported the use of latissimus dorsi myocutaneous flaps for the repair of the defect following extensive resection of the mouth and pharynx. The latissimus dorsi myocutaneous island flap was raise and passed into the neck thnough the tunnel which was created under the pectoralis major muscle, then to the defect under the neck skin and mandible. The flap was good enough to close through-and-through the defect of the oral cavity and pharynx. Reconstructions were done is one stage procedure without delay. In all six cases, the flap did not show any circulatory complication, and proved its remarkable vascularity. The flap can provide a large bulk of tissue for the defect. We consider that the flap is very reliable and versatile for the xepaix of the defect after major resection of the mouth and pharynx.抄録全体を表示PDF形式でダウンロード (9431K) -
間島 雄一, 平田 圭甫, 松原 隆志, 坂倉 康夫, 三吉 康郎1983 年 86 巻 6 号 p. 644-651
発行日: 1983/06/20
公開日: 2008/03/19
ジャーナル フリーNasal mucus, 15 mucoid and 15 mucopurulent mucus, were obtained by direct sampling from the nasal cavity of the patients with chronic sinusitis. The rheological properties of the mucus samples were determined using an oscillating sphere magnetic rheometer developed in our laboratory. Both elastic modulus G' and loss modulus G" (dynamic viscosity η') were measured at the frequency of 1.1, 10.7, 106.8 and 125.6radians/sec. Both mucoid and mucopurulent mucus showed an increase in G' with increasing frequency, and a decrease in η' over the frequency range studied. The type of variation in G'and η' with frequency is similar to that seen viscoelastic materials.
In mucoid mucus, G' at 1.1, 10.7, 106.8 and 125.6radians/sec was 3.98±0.63, 6.22±1.01, 6.00±1.12 and 12.30±6.04dyn/cm2 respectively. In mucopurulent mucus, G' at 1.1, 10.7, 106.8 and 125.6radians/sec was 11.09±1.49, 24.14±4.48, 44.31±9.10 and 55.23±11.33dyn/cm2 respectively. In mucoid mucus, G" at 1.1, 10.7, 106.8, and 125.6radians/sec was 5.23±1.12, 7.20±1.11, 14.30±4.56 and 10.96±2.98dyn/cm2 respectively. In mucopurulent mucus, G" at 1.1, 10.7, 106.8 and 125.6radians/sec was 11.11±1.52, 12.35±2.05, 40.25±7.00 and 47.16±9.29dyn/cm2 respectively. Both G' and G" in mucopurulent mucus were significantly higher than those in mucoid mucus, G"/G' in mucoid mucus was significantly higher than that in mucopurulent mucus at 1.1, 10.7 and 106.8radians/sec. These results indicated that mucopurulent mucus is more viscous and elastic than mucoid mucus over the frequency range studied.抄録全体を表示PDF形式でダウンロード (527K) -
浜口 富美, 鵜飼 幸太郎, 原田 泉, 坂倉 康夫1983 年 86 巻 6 号 p. 652-660
発行日: 1983/06/20
公開日: 2008/03/19
ジャーナル フリーNasal mucosal hypersensitivity to histamine and acetylcholine and kinetics of histamine content of nasal secretion in pediatric patients with manifested and non-manifested nasal allergy were studied.
Nasal secretion were collected after 5 minutes of provocation with house dust or acetylcholine. Histamine was measured by fluorometric assay. The threshold for nasal hypersensitivity to histamine and acetylcholine in non-manifested nasal allergy of asthmatic patients was significantly higher than that in the manifested nasal allergy, but lower than that in the control group. The total or unit histamine content before provocation in the nasal allergy group was significantly higher than that in the asthma group and there was significant increase of total histamine content in each group after provocation with house dust or acetylcholine. But, histamine content after provocation by house dust or acetylcholine was not significantly different between the nasal allergy and the asthma groups.
It was suggested that nasal mucosal hypersensitivity was more important factor than histamine content in nasal secretion for the manifestation of nasal allergy.抄録全体を表示PDF形式でダウンロード (506K) -
甲藤 洋一, 丘村 煕1983 年 86 巻 6 号 p. 661-665
発行日: 1983/06/20
公開日: 2008/03/19
ジャーナル フリーThe existence of the muscle spindles in the arytenoid muscle of the human larynx was confirmed. The morphological features were described in detail using light- and electron-microscopes. The specimens were obtained from three larynges. The seven muscle spindles were found in all of the three specimens. The diameter at the equator was 85 to 115μm., and the number of the intrafusal muscle fibers was two to five. The two types of the intrafusal muscle fibers were differentiated, the nuclear bag type and nuclear chain type. As the specific type of the muscle spindle, the monofibrillar type and compound type were also found. The dimension of the muscle spindle in the arytenoid muscle was relatively small in comparison with that in other skeletal muscle.抄録全体を表示PDF形式でダウンロード (931K) -
東 紘一郎, 井谷 修, 井上 周一, 吉田 幹夫1983 年 86 巻 6 号 p. 666-670
発行日: 1983/06/20
公開日: 2008/03/19
ジャーナル フリーA family with the earpits-deafness syndrome is reported.
The proband was a 22-years-old male, who suffered from bilateral deafness since his childhood. He has earpits, cervical fistulas and deformed auricles on both sides. His audiogram showed mixed hearing loss, about 60dB, bilaterally.
His mother had also bilateral earpits and cervical fistulas. Her auricles were normal in size and shape but with accessory ears. She had bilateral hearing impairment, sensorineural in the right, conductive type in the left.
Proband's younger sister had right-sided deformed auricle, right deafness and bilateral cervical fistulas.
The exploration of the proband's left middle ear revealed the following findings.
a. Hypoplasia of the anterior crus of the stapes.
b. Fixation of the stapes foodplate.
c. Absence of the stapedius muscle.
d. High juglar bulb.
Tomography and CT-scan of the temporal bone showed hypoplasia of the petrous bone. The internal auditory canals and the labyrinths were placed more medially than the normal position. The internal auditory canals were widened. Only the basal turn of the cochlea was identified. The loops of the horizontal canals were approximately two-third smaller than normal.抄録全体を表示PDF形式でダウンロード (1499K) -
特にその作用機序と深達性についての考察渡嘉敷 輝彦1983 年 86 巻 6 号 p. 671-680
発行日: 1983/06/20
公開日: 2008/03/19
ジャーナル フリーCryosurgery was carried out on 31 cases of the head and neck tumors (predominantlytongue cancer) and 4 cases of mammary cancer in nude mouse. In order to clarify the mecha-nism of its action and the depth of effective freezing in cancer lesions, these tumors were observed by the light and electron microscopes. 1) The surgical equipment for freezing (Type CS-45, Tohri Co. Ltd.) was used for a contact method and the IMI Spray Cryomatic Make II was for a spray method. The temperature in frozen areas was measured and recorded by the IMI Cryo-recorder. 2) In cases of freezing for 2 minutes×3 cycles and 3 minutes×2 cycles, the range of necrosis caused by freezing was well consistent with the range of ice ball formation, and the depth of effective freezing reached approximately 1.0cm. And the tissue damage by freezing was generally more pronounced in cases having received radiation or chemotherapy prior to freezing. 3) The cancer lesion was frozen for 10, 20, 30., respectively and 1, 2, 3min., respectively. Pnd the tissue specimens for electron microscopic observation were taken at the depth of 0.5, 1.0 and 2.0cm from the surface of tongue cancer and at the central as well as marginal portion of the ice ball. 4) The cell injuries by freezing in electron microscopic observation were nearly uniform in degree at the central and marginal portions of the ice ball. Severe cell damage was observed even at the depth of 1.0cm from the surface. 5) The direct action of freezing seemed to be initially the cellular damage and destruction by the ice crystals in and outside the cell. 6) Stasis of the blood capillaries and endothelial injuries were often observed in frozen cancer lesion. Ischemia was concluded to be a second factor to give rise to the complete necrosis of cancer tissue by cryosurgery.抄録全体を表示PDF形式でダウンロード (7774K)
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