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74 巻, 9special 号
選択された号の論文の23件中1～23を表示しています
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野田 益弘1981 年 74 巻 9special 号 p. 1965-1982
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーマウス胎生10.5日より生後2週迄の, 嗅上皮を中心とする鼻腔粘膜上皮を, 主に走査電子顕微鏡を用いて観察し, 以下の知見を得た.
1) 胎生10.5日および胎生11.5日の鼻窩深部上皮の表面観察では, 孤立線毛を有する膨隆した細胞がみられ, この時期の鼻窩深部上皮は嗅上皮に分化する初期の段階にあるものと思われた.
2) 胎生12.5日には, 鼻腔後上部に初めて嗅小胞が出現した. また, 嗅小胞の数が部位により差のあることから, 嗅上皮の分化は鼻腔の最も後上部において早く進むものと推論した.
3) 胎生15.5日には, 嗅小胞はかなりの成熟を示すとともに, 支持細胞や基底細胞も分化して, 嗅上皮の構造は基本的には完成するものと思われた.また, 同じ時期, 鼻腔前下部には明らかな呼吸線毛の発生がみられた.
4) 胎生17.5日には, 嗅上皮は網状を成した嗅小毛マットにより覆われた. 嗅小毛は嗅小胞より生じた直後はやや回旋しながら走行し, 末梢になるにつれて他の嗅小毛と平行に走行する傾向がみられた.
5) 生後には, 嗅小毛はしだいに密度を増すとともに, 方向性を持って互いに平行に走行する傾向を増す. また, 嗅小毛遠位部の膨隆や嗅小毛先端の膨化も出現して, 生後2週にいたると, 嗅上皮の表面構造は成熟マウスのそれと同様の成熟度を示した.抄録全体を表示PDF形式でダウンロード (29459K) -
黒川 道徳1981 年 74 巻 9special 号 p. 1983-1998
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリー顔面神経麻痺症例8名 (うちベル麻痺2名, Herpes Zoster Oticus 1名, 急性中耳炎性1名, 外傷性4名) において, 減荷手術時に得られた顔面神経標本を透過型電子顕微鏡を用いて観察を行い, これら症例の臨床病理学的検討を行った.
顔神麻痺患者の内の一部の症例においては電気的検査法, 特にEMG, 誘発EMGで初期の再生徴候を示すよりも早期に, 顔面神経標本で回復を予測することが可能であることが推察された. 又, これによって, Fallopian 管内での圧迫を解放し, 軸索再生のための妨害因子を取り除くという顔面神経減荷術の意義を再確認することが出来た.
ベル麻痺症例においては, 新鮮例のみならず, 陳旧例の一部においても, 減荷手術は有意義な方法であるように思われる. 外傷性麻痺の一部症例においては, 顔面神経が切断されていなくとも, 神経移植が必要なこともありうることを報告した.抄録全体を表示PDF形式でダウンロード (26356K) -
第一報 正常耳管および中耳粘膜の走査電子顕微鏡的観察山下 真理子1981 年 74 巻 9special 号 p. 1999-2012
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーMucosa of the middle ear and the Eustachian tube were studied by the scanning electron microscope (SEM) in humans, dogs, rabbits and guinea pigs. The following results were obtained:
1. Ciliated cells surrounded by nonciliated cells with microvilli were very few on the mucous of the middle ear. Distribution of ciliated cells was very various at the site of the tympanic bulla.
2. Near the tympanic orifice of the Eustachian tube, less ciliated cells and numerous goblet cells were observed.
3. The middle portion of the tube was found to be the most active. It was here that goblet cells and a large number of ciliated cells were found. Cilia were dense, uniform bent toward the pharyngeal end, and covered by a mucous blanket.
4. Near the pharyngeal end, goblet cells were numerous, while cilia were scanty and not uniform in length.
5. No significant difference could be seen among the four materials (humans, dogs, rabbits, guinea pigs).
Our findings support the concept that middle ear clearance is carried out by an active mucociliary mechanism as in other parts of the upper respiratory system.抄録全体を表示PDF形式でダウンロード (19759K) -
藪田 良三1981 年 74 巻 9special 号 p. 2013-2021
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーThe frozen crack surface of the vestibular sensory epithelium in the guinea pig were observed by the scanning electron microscope.
The specimens were prepared by “Os-DMSO-Os method” which was introduced by Tanaka and Naguro.
Type 1 cells were surrounded by nerve chalice which was an afferent nerve ending and were floated in that nerve chalice.
The afferent nerve endings were observed in contact with nerve chalice.
Type 1 cells were seen mainly on the central part of the semicircular canal cristae.
The organelles in the vestibular sensory cells were observed with field emission scanning electron microscope and three-dimensional architectures of mitochondria, endoplasmic reticulum and Golgi apparatus could be observed.抄録全体を表示PDF形式でダウンロード (10110K) -
宮脇 修二1981 年 74 巻 9special 号 p. 2022-2030
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーLuminal surface structures of human and dog endolymphatic sacs were observed with the scanning electron microscope. Based on morphological views, we recognized three portions in both human and dog endolymphatic sacs as described in previous investigations. Those were the proximal, intermediate (rugose) and distal portions. The intermediate portion where light and dark cells were recognized, was found to be the most active and highly differentiated part.
The morphological structure seemed to be more complicated in this portion because in addition to these light and dark cells, flat duct type cells and fusiform cells were also seen. Additionally, vesicles which appeared to be secreted were seen in this intermediate portion.
Both the distal and the proximal portions were lined with flat type cells. Among these flat type cells groups of dome like cells were seen in the endolymphatic sacs of humans. On the other hand, centrioles were observed on some flat cells in the dog endolymphatic sac.抄録全体を表示PDF形式でダウンロード (10615K) -
ドミングス マンガペ1981 年 74 巻 9special 号 p. 2031-2040
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーScanning Electron Microscopic (SEM) study of the innervation of the organ of Corti has been carried out for many years. Various methods had been used in attempt to observe the more details about the endings of nerve fibres on the sensory hair cells.
In the literature, we found many reports concerning about these nerve endings, but there is no detail report about the differences of these nerve endings' structure from each turn of the organ of Corti. The purpose of this study has mainly been to present the SEM findings of the nerve endings from each half-turn.
Inner ear from 15 guinea pigs were studied. Dissection was performed using a small double-sided adhesive tape. This method could provide a more favorable field to observe nerve endings, since the organ of Corti has almost always separated at space of Nuel.
Our findings revealed an illustrative comparison of variations of the nerve endings and the Deiters cells in each half-turn, beginning from the lower basal turn to the upper fourth turn. Nerve endings at the lower pole of outer hair cells are reduced in size and number as the upper turn is approached more closely. On the contrary, the Deiters cells are increased in size toward the upper turn, therefore nerve endings on the upper turn are often covered by the Deiters cells.
Small high nerve endings on the cell side of outer hair cells were also described.抄録全体を表示PDF形式でダウンロード (16512K) -
佐々木 尚1981 年 74 巻 9special 号 p. 2041-2066
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーEndotracheal intubation provides an excellent method of controlling the patient's airway during anesthesia. This technique is also very useful in the case of reanimation and in other kinds of operations. However, we have occasionally experienced various complications as a result of the endotracheal intubation using a cuffed tube. In our clinic, such complications as sore throat, vocal cord paralysis, intubation granuloma and membraneous tracheitis have been experienced.
In this report, we evaluated three kinds of complications due to the endotracheal intubations. The complications evaluated included 39 cases of recurrent nerve palsy, 4 cases of laryngeal granuloma and 7 cases of membraneous tracheitis. The three most common cases of those complications were an imappropriate tube size, an over-inflated cuff and/or a prolonged intubation.
In addition, some specimens were studied by using the scanning electron microscope and results obtained were compared to the clinical complications.抄録全体を表示PDF形式でダウンロード (23671K) -
-中耳伝音系の研究-第1報岸本 昭憲1981 年 74 巻 9special 号 p. 2067-2074
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーTympanometries of 18 patients were measured under GOF anesthesia and NLA anesthesia in order to obtain information about the functioning of the middle ear under general anesthesia.
Tympanometry is a relatively simple method to measure the middle ear pressure. So far, there are few reports concerning the influence of general anesthesia on the middle ear. This report is designed to estimate the general anesthetic effect, especially of nitrous oxide anesthesia, on the middle ear pressure and function as it relates to the gas effusion theory. Theoretically calculated pressure of the middle ear agreed with the measured values. Some conclusions were obtained about the relationship between change of pressure in the middle ear and the strength of the tympanic membrane.抄録全体を表示PDF形式でダウンロード (619K) -
藪田 良三, 夜陣 紘治, 杉本 嘉朗, 原田 康夫1981 年 74 巻 9special 号 p. 2075-2081
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーXeroradiographies of 55 cases in the head and neck regions were discussed.
Xeroradiography is more convenient than the conventional roentgenography in the cases of calcification of the lymph node, larynx, trachea, and salivary calculus. A disadvantage of the technique is that radiation dosage from Xeroradiography greater than that from conventional roentgenography.抄録全体を表示PDF形式でダウンロード (6377K) -
昭和55年度耳鼻咽喉科学童検診より夜陣 紘治, 原田 康夫, 杉本 嘉朗, 岡崎 英登, 田頭 宣治, 村上 譲, 藪田 良三, 岸本 昭憲, 平良 達三, 天野 智子, 山 ...1981 年 74 巻 9special 号 p. 2082-2095
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーThe authors reported on the prevalence rate of the chronic paranasal sinusitis of 10201 school children in the city of Hiroshima and in Yoshida town (the rural area of Hiroshima Prefecture) from the 1st April to the 10th July 1980. The chronic paranasal sinusitis was diagnosed by the local findings of the middle nasal meatus and its adjacent areas. The following results were obtained.
1. The total prevalence rate of this period was 2.79%.
2. The prevalence rate of the male children was more than that of the female in both areas. The rate was 3.59% to 1.96%.
3. The elder were children, the less were the rates in both areas.
4. The more children in Yoshida town suffered from the chronic paranasal sinusitis (the rate: 6.81%) than in Hiroshima city (the rate: 2.19%).
The factors of natural conditions and nutrition influenced the prevalence rate in our study.
The main factors, however, were thought to be the difference of the mean temperaature and nutrition between two areas.抄録全体を表示PDF形式でダウンロード (1097K) -
当教室過去13年間の集計杉本 嘉朗, 平川 勝洋, 夜陣 紘治, 菊屋 義則, 吉岡 達生, 原田 康夫1981 年 74 巻 9special 号 p. 2096-2103
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーEighty-three cases of parotid tumor were treated in our clinic during the past thirteen years.
They were reviewed according to histology, sex, age, symptoms, surgical procedure, postoperative complication and end results. Of the 83 parotid tumors, 59 were benign and 24 were malignant. No decisive conclusions could be obtained as to the malignancy or stage of parotid tumors by any single preoperative evaluation procedure including scintigraphy using 99mTc pertechnetate and 67Ga-citrate, computed tomography (CT), or ultrasonics. Therefore, it was concluded that preoperative evaluation of parotid tumors should be confirmed by a synthesis of these procedures, and the proper surgical treatment should be chosen at the earliest possible stage.抄録全体を表示PDF形式でダウンロード (828K) -
平川 勝洋, 田頭 宣治, 杉本 嘉朗, 吉岡 達生, 平良 達三, 菊屋 義則, 夜陣 紘治, 原田 康夫1981 年 74 巻 9special 号 p. 2104-2110
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリー昭和44年より昭和53年までの過去10年間に, 当科において治療した副鼻腔悪性腫瘍症例について, 臨床的検討を行い, つぎの結論を得た.
1. 性別の頻度差は1.7:1で男性に多く, 50才代, 60才代に多かった.
2. 来診時主訴は, 鼻閉, 頬部腫脹および疼痛, 鼻出血など鼻部を中心とする訴えが多かった. 歯痛, 眼球突出など耳鼻咽喉以外の訴えでも上顎癌の疑いをもってのぞむことが必要である.
3. 病理組織学的診断は, 上皮性腫瘍が圧倒的に多く, しかもそのほとんどが扁平上皮癌であった.
4. TNM分類では, T11例, T219例, T359例, T46例であった. 頸部リンパ節転移を認めたものは11例 (13%) であった.
5. 昭和44年より昭和49年までの57例の3年および5年生存率は, それぞれ40.4%, 31.6%であった.
T分類別では, T1,2症例が53.3%, 46.7%, T336.6%, 26.8%, T40%, 0%であった. 初回治療法別では, 三者併用療法 (佐藤) 後に手術を行った群が, 3年および5年生存率とも56.3%, 43.8%と最も良い結果であった.
6. 再発したものは40例 (47.1%) で, そのうちの75%にあたる30例が1年以内に再発した.抄録全体を表示PDF形式でダウンロード (669K) -
平川 勝洋, 杉本 嘉朗, 夜陣 紘治, 菊屋 義則1981 年 74 巻 9special 号 p. 2111-2117
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーTwo hundred and twelve cases of unilateral shadow of maxillary sinus, experienced at Hiroshima University Hospital from 1976 to 1978, were clinically evaluated.
Chronic sinusitis was the most common diagnosis but maxillary carcinoma was found in 18 cases (8.5%). During this period, the number of cases of maxillary carcinoma with unilateral shadow was larger than that with bilateral shadow.
Diagnosis and treatment of the maxillary carcinoma in the early stage are very difficult because of the anatomy of the maxilla, but detailed information about the malignancy and stage of maxillary carcinoma should be obtained by using ortho-pantomography, computed tomography, scintigraphy, etc. Even if no signs of malignant tumor are obtained, exploratory surgery and histological examination definitely should be performed.抄録全体を表示PDF形式でダウンロード (3967K) -
症例報告と統計的観察竹内 實, 夜陣 紘治1981 年 74 巻 9special 号 p. 2118-2123
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーWe have recently experienced a case of the foreign body which stayed in the epipharynx of a five year old girl for two years. The patient had an episode of swallowing a plastic toy two years ago. No symptoms, however, was seen before the patient complained of a purulent nasal discharge and conductive hearing impairments of both sides (average 35dB).
The foreign body was partialy covered with granulation in the epipharynx.
We emphasized that for the examination of foreign bodies, especially in children, a fiberoptic instrument and/or CT scanner was of good use. The statistical review was additionally reported.抄録全体を表示PDF形式でダウンロード (3932K) -
中田 将風, 菊屋 義則, 木原 泰幸, 田頭 宣治, 村上 譲1981 年 74 巻 9special 号 p. 2124-2129
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーA 70-year-old female was presented to the hospital with complaints referable to nonpainful, bleeding mass in the nasopharynx. The elastic hard and fixed tumor was removed by the approach of transpalatine. Radiotherapy was performed after operation. But the patient expired of recurrence about three years after initial diagnosis.
The histological examination revealed alveolar soft part sarcoma. It is an infrequently encountered neoplasm which is considered rare in the head and neck, though 34 cases of the similar tumors have been reported in Japan.抄録全体を表示PDF形式でダウンロード (4597K) -
平川 勝洋, 田頭 宣治, 夜陣 紘治, 原田 康夫1981 年 74 巻 9special 号 p. 2130-2134
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーThe literature contains very few references to the occurrence of carcinoma in head and neck region in siblings.
Carcinoma of the larynx, epipharynx and maxillary sinus in siblings were reported.
These cases were very few, so it could not be determined that genetic factors or circumstances played a role in the genesis of these diseases.抄録全体を表示PDF形式でダウンロード (517K) -
田頭 宣治, 鈴木 衛, 楠部 滋1981 年 74 巻 9special 号 p. 2135-2141
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリー頸部に発生した神経原性腫瘍2症例を報告した. 第1例は摘出後に Hormer 症候と声帯麻痺を来たしたが, 約半年後より声帯麻痺は改善した. このことから発生母神経は頸部交感神経と考えられ, 声帯麻痺は手術中の迷走神経の損傷によるものとわかった. 第2例は術前の症状と術中の解剖学的な位置関係より迷走神経を発生母神経と予測し, また確認し得た. 2症例とも病理学的に典型的な schwannoma と診断されたので, 本腫瘍について若干の文献的考察を加えてみた.抄録全体を表示PDF形式でダウンロード (6766K) -
原田 康夫, 夜陣 紘治, 岡崎 英登, 村上 譲, 平良 達三1981 年 74 巻 9special 号 p. 2142-2150
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリー喉頭及び気管腔内へ浸潤した甲状腺癌症例に対し, 鼻中隔軟骨粘膜弁とシリコン製Tチューブを用いて2例の気道再建術を行なった. 1つの症例には, 頸部廓清術を施行した. 本術式が機能的にも, 安全性の面でも有用な方法であり, シリコン製Tチューブを併用することにより, 術後管理が一層簡略化され, 患者の早期社会復帰が計られることを強調した.抄録全体を表示PDF形式でダウンロード (11544K) -
天野 智子, 藪田 良三, 夜陣 紘治1981 年 74 巻 9special 号 p. 2151-2155
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーA rare case of duplicated primary neoplasm (malignant lymphoma in head and neck region, and left maxillary cancer) was reported.
A 55-year-old man complained of multiple tumors in the neck on both sides and of a left nasal obstruction. Cervical tumors were diagnosed as malignant lymphoma histiocytic type by excisional biopsy. The homogeneous cloudy shadow in the left maxillary sinus with partial bone defect of the lateral wall was roentgenologically observed and pathological findings of the nasal tumor were also suspected as malignant lymphoma. Therefore, the shadow of the left maxillary sinus was supposed to be malignant lymphoma. After chemotherapy and radiotherapy for malignant lymphoma, cervical tumors disappeared, but the left nasal obstruction and headache remained and became more apparent. Four months after treatment for malignant lymphoma, the probe operation clarified the squamous cell carcinoma in the left maxillary sinus.抄録全体を表示PDF形式でダウンロード (4448K) -
天野 智子, 村上 譲, 夜陣 紘治1981 年 74 巻 9special 号 p. 2156-2160
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーA case of pseudosarcoma of the hypopharynx was reported. The patient was an 80 year-old woman who had complained of dyspnea and dysphagia. When she was first examined at our clinic, there was an egg-sized tumor at the hypopharynx with submental invasion. After FAR therapy (5-Fu, Vitamin A, radiation), the tumor was markedly reduced.抄録全体を表示PDF形式でダウンロード (4206K) -
川真田 聖一, 杉本 嘉朗, 夜陣 紘治1981 年 74 巻 9special 号 p. 2161-2166
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーA case of secondary tonsilar tuberculosis was reported. A man, aged 82, complained of pharyngeal pain and dysphagia on the right side. The right tonsil was ulcerated and coated with white fur. After the appearance of tubercular bacilli and typical tubercular lesions, the patient was treated by antitubercular agents, streptomycin, INH and RFP. Although the local findings and complaints disappeared within a month after treatment, the primary lesions (in both the pulmonary fields) continued for 6 months.抄録全体を表示PDF形式でダウンロード (3751K) -
吉岡 達生, 杉本 嘉朗, 夜陣 紘治, 平川 勝洋, 横山 隆1981 年 74 巻 9special 号 p. 2167-2172
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーThe case of a four-year-old boy who had recurrent episodes of foreign bodies in the esophagus (pebbles) was reported. The patient who had surgery for congenital esophageal atresia suffered from pica due to iron deficiency.
After giving iron-acid to the patient, the episodes of pica and recurrent foreign bodies disappeared.抄録全体を表示PDF形式でダウンロード (4218K) -
平田 賢三, 村上 譲, 平川 勝洋, 世良 公志, 原田 康夫1981 年 74 巻 9special 号 p. 2173-2177
発行日: 1981/09/25
公開日: 2011/11/04
ジャーナル フリーTwo cases of nodular fasciitis were reported. The first patient was a 51-year-old man, who complained of a tumor of the left submandibular region which had enlarged progressively. The tumor was extirpated surgically. Histologically, a diagnosis was made as nodular fasciitis.
The second was a 30 year-old woman. She complained of a tumor of the left lateral neck, occipital pain and numbness of the left arm. The tumor was extirpated surgically. Before histological diagnosis was made, the growth recurred. So the left radical neck dissection was performed. Finally histological diagnosis was established as nodular fasciitis.
Some literature concerning nodular fasciitis was reviewed.抄録全体を表示PDF形式でダウンロード (2460K)
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