巻号一覧
前身誌
75 巻, 6 号
選択された号の論文の15件中1～15を表示しています
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雨宮 次生1982 年 75 巻 6 号 p. 1341-1347
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーExamination and diagnosis of exophthalmos are described for otorhinolaryngologists. It is at least necessary for physicians to differentiate inflammation, endocrine condition, true tumor, pseudotumor, metastatic tumor and invasion from paranasal sinus disease. Pyocele or mucocele of the paranasal sinuses is one of the most frequent causes of exophthalmos. The following are very important for the diagnosis of exophthalmos: past history such as paranasal sinus operation and inflammation; ocular position; ocular movement; X-ray findings of orbital bones and sinuses; CT-scanning findings of the orbit and paranasal sinuses; and the side and grade of exophthalmos.抄録全体を表示PDF形式でダウンロード (5886K) -
北野 博也, 斎藤 春雄, 北野 真由美, 北原 正章1982 年 75 巻 6 号 p. 1349-1353
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーPatients who visited us within one month after contracting the disease were grouped as “new” cases. A thorough review of seventy-six of these patients' past histories, present illnesses, family histories and laboratory data was made. It was expected that abnormal data from these patient's records might disclose the causative factors of the disease.
The past histories indicated that fourteen patients, the largest number, suffered from hypertension, although twelve of them had had it under control.
White blood cell counts were apparently greater for the control groups. The counts were statistically analyzed and were significantly greater (P=0.001) in the patients' groups. In addition, hemoglobin counts and red blood cell counts tended to be higher than the control group's data. Platelet counts, however, were not different. We suspected that blood viscosity might be related to the occurrence of Bell's palsy.
There were only six cases of diabetes mellitus. However, the blood sugar level of patients suffering from Bell's palsy was high in comparison with those in the control groups.抄録全体を表示PDF形式でダウンロード (447K) -
村田 清高, 米井 潔, 細井 裕司, 宮前 雅明, 太田 文彦1982 年 75 巻 6 号 p. 1355-1364
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーPreoperative hearing loss, microorganisms isolated from ear discharge, duration of ear complaints, the ages of patients, surgical treatment and postoperative restoration of hearing were studied in chronic suppurative and cholesteatomatous otitis media with destroyed stapedial superstructure. Pre- and postoperative hearing loss were determined by averaging air-bone gaps of 0.5, 1, and 2kHz.
The following results were obtained.
1) Dehiscence of the stapedial superstructure is more frequently found in cholesteatoma than in chronic suppurative otitis media. The stapedial superstructure was more rapidly destroyed in cholesteatoma.
2) Pseudomonas aeruginosa was isolated with a significantly higher incidence from ear discharge of chronic purulent otitis media.
3) Infection of plural micro-organisms was found to have no significant effects on stapedial destruction.
4) Preoperative audiograms showed air-bone gags of 30dB or more at all frequencies in 42.9% of the patients, and 26.6% of them showed air-bone gaps of 30dB or more at all frequencies except one.
5) Postoperative air-bone gaps were around 30dB in 7 of the 13 radical mastoidectomy ears.
6) Postoperative air-bone gaps were 33.9dB for radical mastoidectomy, 29.0dB for type IV tympanoplasty and 25.8dB for modified type IV tympanoplasty.抄録全体を表示PDF形式でダウンロード (1256K) -
磯野 道夫, 村田 清高, 戸田 雅克, 太田 文彦1982 年 75 巻 6 号 p. 1365-1370
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーA 35-year-old male complained of right otalgia and conductive hearing loss. CT-scanning showed dehiscence of the anterior bone plate of the occipital fossa and herniation of the brain into the middle ear.
Mastoid exploration revealed a mass with a partially thinned dura mater and leakage of cerebrospinal fluid. The thinned dura mater was covered by lyophilized dura with bio-bond.
In view of this case report, the following points should be kept in mind.
1) Application of CT-scanning is recommendable for the diagnosis of meningoencephalocele.
2) A transcortical approach to the mastoid antrum must be carefully performed, taking meningoencephalocele into account.
3) Damage of the dura mater can be repaired with lyophilized dura.抄録全体を表示PDF形式でダウンロード (3636K) -
中谷 俊彦, 高橋 健一, 荒井 英爾, 伊藤 和也, 河本 和友1982 年 75 巻 6 号 p. 1371-1376
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリー11才女子の右上顎に発生した, きわめて稀な odonto-ameloblastoma の1例を経験して, その概要を報告すると共に, 本腫瘍の病理組織学的分類およびその発生機転等について, 若干の文献的考察を加えて報告した. 本症例は術後3年1ヵ月を経過するも悪性化, 再発は見られないが, 現在なお経過観察中である.抄録全体を表示PDF形式でダウンロード (4150K) -
嶽 良博, 椋代 光夫, 垣内 弘, 兼 典子, 岩橋 大介, 加藤 寛, 九鬼 清典, 林 泰弘, 田端 敏秀1982 年 75 巻 6 号 p. 1377-1387
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーA 7-year-old boy with a chief complaints of an infra-auricular swelling on the right side and the disturbance in swallowing with pain was found to have a tumor on the right palatine tonsil concomitant with induration around the submaxillary region. Biopsy of the tonsil was performed. The histological and electron microscopic findings demonstrated that the tumor consisted of undifferentiated lymphoblastoid cells with a starry-sky appearance possibly characteristic of Burkitt's lymphoma.
More precise observations by immunocytology and serology confirmed that the tumor was a certain type of Burkitt's lymphoma. Local irradiation and chemotherapy for Burkitt's lymphoma were selected for treatment.
The tumor was initially sensitive to treatment and showed continuous remission until he died after 5 months of treatment.
Autopsy demonstrated that the widespread tumor cells were observed in the spleen, pancreas and mesenteric lymphnodes.
The clinical course and schedule of chemotherapy of this patient is reported in addition to the literature on Burkitt's lymphoma in Japan.抄録全体を表示PDF形式でダウンロード (5322K) -
松永 仁毅, 西村 忠郎, 八木沢 幹夫, 内藤 雅夫, 畔柳 久志, 森 茂樹, 岩田 重信1982 年 75 巻 6 号 p. 1389-1393
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーA 72-year-old man was seen with a one-year history of multiple tumors of the tongue and speech disturbance. On operation, diffusely infiltrated adipose tissues which were not capsulated microscopically were observed all over the tongue. This case was diagnosed as lipoma but clinically there were not as many lipomas as in lipomatosis.抄録全体を表示PDF形式でダウンロード (2262K) -
平野 実, Carole S. Bloch, Wilbur J. Gould1982 年 75 巻 6 号 p. 1395-1402
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリー37例の痙攣性発声障害患者について臨床的検討, とくに種々の発声条件を持つタスクに対する反応についての検討を行った. 主な結論は次のとおりである.
(1) 発症に関係があると思われる身体的あるいは精神的要因を有する例が多い (37例中24例).
(2) 発声にコミュニケーションの機能を伴わないほど, 声の spasticity は顕著に軽減する.
(3) 声帯の振動モードが通常の会話中のそれから異なるほど, 声の spasticity は顕著に軽減する.
(4) 聴性フィードバックを遮断すると声の spasticity が軽減する例がある.
(5) 上記の事実, とくに (2)～(4) は本症の本態, 診断基準, 治療について考える上に, 留意すべきことと考える.抄録全体を表示PDF形式でダウンロード (682K) -
石山 哲也, 田口 喜一郎, 河原田 和夫, 伊藤 和也, 坂口 正範, 谷内山 仁1982 年 75 巻 6 号 p. 1403-1408
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリー食道憩室2例と下咽頭憩室1例を報告した. 下咽頭憩室症例は40才の男性で憩室炎を合併しており, 外頸部切開により一期的に小指頭大の憩室を切除して良好の結果を得た.抄録全体を表示PDF形式でダウンロード (6119K) -
中等度感音性難聴者における検討工藤 多賀, 小寺 一興1982 年 75 巻 6 号 p. 1409-1415
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーThe effect of the frequency response of a hearing aid on the interrelationship among the most comfortable level (MCL), uncomfortable level (UCL) and speech discrimination score was studied in relation to hearing-aid fitting. Measurements of MCLs, UCLs and speech discrimination scores at the MCL were performed using three different low frequency cut-off slopes of the hearing aid. Twelve individuals with moderately severe sensorineural hearing losses served as subjects.
Low-frequency amplification resulted in elevation of both the MCL and UCL. The degree of elevation of the MCL was larger than that of the UCL. Therefore, low-frequency amplification provided wide audible areas to hearing-aid users. The results also indicated that low-frequency amplification provided good speech discrimination scores for nasals and voiced consonants. On the other hand, high-frequency amplification provided good discrimination scores for voiceless consonants.
Thus, the frequency response for widening the audible area is contrary to that for improving the intelligibility of voiceless consonants. This important problem must be taken into consideration in selecting the suitable frequency response of a hearing aid for an individual with hearing loss.抄録全体を表示PDF形式でダウンロード (747K) -
加納 有二, 広田 栄子, 小寺 一興1982 年 75 巻 6 号 p. 1417-1425
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリー補聴器の電気音響的性能の最適な選定を行なう観点から, 成人および学童が日常の生活で頻繁に遭遇する騒音を調査した. 環境騒音 (すなわち交通騒音, 公園内騒音, 事務所内騒音, デパート内騒音, 室内騒音および小学校における教室内騒音や運動場の騒音など) の騒音レベルと1/3オクターブ周波数分布を測定した.
その結果, 多くの騒音の等価騒音レベルは, 70dB (A) 以上であった. 小学校における休憩時間の運動場や下校時の玄関先の中央値は, 75dB (A) 以上であった. 交通機関内騒音の周波数分布では, 低周波数域が中心であった. 多くの屋外騒音や建物内騒音の周波数分布では, ピークの中心周波数が630Hzから1000Hzの範囲にあった. 事務所内騒音や住宅内騒音には, 高周波数域が強調されたものが認められた.
感音性難聴例に補聴器を選定する場合, 本研究結果を参考にされるものと期待する.抄録全体を表示PDF形式でダウンロード (969K) -
久松 建一, 牧山 清, 近藤 幸子, 菊池 恭三1982 年 75 巻 6 号 p. 1427-1444
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーFlunisolide (RS-3999) Nasal Spray を flunisolide として200μg/day 7週間以上最長77週間迄の長期間連続投与した鼻過敏症20例について, 鼻症例の改善, 副作用の有無, 血清コルチゾール値及び Rapid ACTH test による下垂体-副腎系への影響, 鼻汁培養, 一般臨床検査等を検討した結果, 本剤の有用性は極めて高いことを確認した.抄録全体を表示PDF形式でダウンロード (1407K) -
東 文生1982 年 75 巻 6 号 p. 1445-1453
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーThe efficacy and tolerability of diclofenac sodium suppositories administered 25mg b. i. d. for 5 days to children with post-tonsillectomy pain and inflammation were investigated in a well-controlled study of 40 patients comparing it with the treatment with a non-diclofenac sodium drug. In this trial, diclofenac sodium showed quick onset of analgestic action and was superior to the treatment with a non-diclofenac sodium drug in the analgestic and anti-inflammatory effect after 3 days. There was no difference in efficacy between 2 treatments after 5 days.
Laboratory tests (hematology, serum biochemistry and urinalysis) were normal, and mild vomiting was reported for diclofenac sodium. Plasma concentrations of diclofenac were measured following a single dose of diclofenac sodium 25mg in 5 children.
No difference was observed in the peak plasma concentrations (C Max) or time to reach the peak concentration (t Max) between diclofenac sodium 25mg in children and diclofenac sodium 50mg in adults.抄録全体を表示PDF形式でダウンロード (803K) -
中山 一英1982 年 75 巻 6 号 p. 1455-1460
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリー幼小児口蓋扁桃摘出術後の疼痛にボルタレン坐剤25mgを試用し, その有効性と副作用について観察した.
1) 対象は16才未満の40例である.
2) 投与は原則として術当日1回行なった.
3) 投与量は年齢, 体重にかかわらずボルタレン坐剤25mg1個とした.
4) 疼痛に対する総合的効果は有効以上で32例 (86.5%) であった.
5) 有効例以上では, 効果の発現はすべて60分以内に見られ, 最も速いものは10分であった.
6) 副作用は全例に見られなかった.抄録全体を表示PDF形式でダウンロード (533K) -
斎藤 成明, 藤井 一省, 坂井 真1982 年 75 巻 6 号 p. 1461-1468
発行日: 1982/06/01
公開日: 2011/11/04
ジャーナル フリーCefotiam, a new chephalosporin, was administered to 19 patients with otolaryngeal diseases with daily doses of 1, 000mg for 5 to 12 days. In acute tonsillitis, the efficacy rate was remarkably high, peritonsillar abscess significantly high, chronic otitis media remarkably high, mandibular myelitis significantly high, postoperative infection of otolaryngologic malignant cancer moderate, and postoperative maxillary cyst significantly high. The bacteriological efficacy rate of cefotiam on Gram-positive bacilli was remarkably high, on Gram-negative bacilli moderate, and on anaerobic bacilli remarkably high. No side effect was observed.抄録全体を表示PDF形式でダウンロード (805K)
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