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78 巻, 5special 号
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本田 学1985 年 78 巻 5special 号 p. 789-801
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThe human tragus is bigger than that of other animals, and it overhangs the front of the entrance to the auditory canal. Thus, it is probable that the tragus is related to acoustic function of the external ear. Since no acoustic studies have been reported to date, the author examined the acoustic function of the tragus.
The source of sond was a Function Generator (TECTRONICS FG 504), and the response curves were measured in a linear scale (the frequency range was from 0.1k to 10kHz). Sound pressure was measured by a very small condenser microphone (RION EU-22), which could be placed in the auditory canal. The data were averaged and analyzed by an Analyzing Recorder (YEW MODEL 3655).
Included in this study were one subject with a tragus defects, ten subjects with normal ears, an external ear replica (KOKEN LM 7#1202), an auditory canal model (Plastic) and a tragus model (clay model).
The results were as follows:
1. The tragus increased the acoustic length of the auditory canal (by about 3mm), lowering the frequency of the canal resonance (about 200Hz).
2. The tragus helped the acoustic function of the pinna, and it raised the acoustic response of 4k to 8kHz up to about 5 to 7dB.
3. The tragus forms part of the horn shape of the external ear, and it causes the acoustic response of the horn under 8kHz to be a flat response.
Therefore the acoustic function of the tragus in the human is of obvious importance to the function of the external ear.抄録全体を表示PDF形式でダウンロード (2695K) -
ラット・マウス蝸牛の観察佐藤 洋子1985 年 78 巻 5special 号 p. 802-820
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーAge-related changes were examined in the inner ear of Wistar rats aged 4-28 months and ddn mice aged 3-12 months. Hair cell damage was observed in the right ears of these animals by the surface preparation technique with a phase contrast microscope. Serial horizontal sections of the left ears were stained with Hematoxylin-Eosin and examined by light microscopy.
In rats up to 7 months of age hair cell loss was very slight. At 12 months the loss was the greatest in the apical turn and was also large in the basal end. The middle turn was least affected. In older groups, hair cell loss increased in the apical turn and in the basal end. After 12 months of age, inner hair cell loss was slight.
In mice, outer hair cell loss was observed sporadically in all cochleas in the 3-month-old goup. After 6 months, the loss of outer hair cells was greatest in the apical turn and was also large in the basal end. The middle turn was least affected. Inner hair cell loss was slight in the apical turn.
The population of spiral ganglion cells in the rats was reduced in the 12-month-old group and then gradually continued to reduce with age.
The ganglion cell population of the mice showed a linear reduction after 9 months.
The stria vascularis showed partial atrophy in the lower apical region in some of the older rats and mice.
There is significant species difference in the pattern of inner ear changes due to aging among rats, mice, humans and guinea pigs. Even in the same species, it is thought that damage due to age differs among different strains.
In experimental studies of the inner ear of animals, it is necessary to take into consideration the changes due to aging.抄録全体を表示PDF形式でダウンロード (11140K) -
大槻 好正, 大谷 巌, 相川 通, 佐藤 洋子, 安斎 友博, 大内 仁, 仲由 武實1985 年 78 巻 5special 号 p. 821-828
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThe ototoxicity of Habekacin (HBK) was compared with that of Amikacin (AMK) in white rabbits with electrodes permanently implanted in their round windows. The animals were given daily doses fo 40 or 60mg/kg of the drugs intramuscularly or intravenously for five weeks (consecutive six days and a one day intermission per week). The cochlear microphonics at intensities of 80, 90 and 100dB at frequencies of 2, 8 and 15KHz were measured daily. On the 12th day after the last injection specimens of the inner ears were prepared for histopathological examination. The electrophysiological and histopathological findings showed that the ototoxicity of HBK was much less than that of AMK.
There was no difference in inner ear damage between the intramuscular injection and intravenous infusion groups.抄録全体を表示PDF形式でダウンロード (1667K) -
相川 通, 大谷 巌, 大槻 好正, 安斎 友博, 大内 仁1985 年 78 巻 5special 号 p. 829-832
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThe imprint of the under surface of the tectorial membrane was studied with scanning electron microscope in kanamycin-treated guinea pigs. When the outer hair cells were damaged by kanamycin, degenerated hairs were seen on the imprints. Some imprints have disappeared for three years and three months after the disappearance of the outer sensory hairs. It was thought that the imprints had changed morphologically over long periods of time.抄録全体を表示PDF形式でダウンロード (5403K) -
大谷 巌, Clarinda N. Dubois, Harold F. Schuknecht1985 年 78 巻 5special 号 p. 833-839
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーKlippel-Feil syndrome which is characterized by a fusion of two or more cervical vertebrae and manifested by the triad of short neck, limitation of movement of the head and low posterior hairline, is often associated with other congenital anomalies. Other abnormalities associated with Klippel-Feil syndrome are found in the musculoskeletal, nervous, gastrointestinal, urogenital, cardiovascular and respiratory systems and in the ears. Deafness is the second most common associated abnormality and has been estimated to occur in up to 30% of patients with Klippel-Feil syndrome. There has been only one temporal bone study in this syndrome.
Temporal bone findings in one patient with the Klippel-Feil syndrome are presented here, A histological study revealed thickened mucous membranes in the middle ear with otitis media, confluence between the right saccule and utricle and numerous anomalies in the left ear aural atresia, filled middle ear cavity, hypoplasia and maldevelopment of the ossicles, abnormal facial nerve, large bony semicircular canals, and shortened cochlea.抄録全体を表示PDF形式でダウンロード (7866K) -
安斎 友博, 大谷 巌, 相川 通, 大内 仁, 神山 諭1985 年 78 巻 5special 号 p. 840-846
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThe histopathological findings in the temporal bone of a 70-year-old woman who died of meningitis and epidural abscess complicated by metastatic tumor of the tempural bone are described.
1. The external auditory canal, middle ear cavity and internal auditory canal were filled with a transitional cell carcinoma. No direct invasion into the menbranous labyrinth was observed.
2. Hair cells of the organ of Corti were well preserved, but there was severe degeneration of the stria vascularis and spiral ganglion cells.抄録全体を表示PDF形式でダウンロード (6283K) -
相川 通, 大谷 巌, 安斎 友博, 本田 学, 大内 仁, 森 秀樹, 久間木 悟1985 年 78 巻 5special 号 p. 847-851
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーTwo siblings had diabetes insipidus, diabetus mellitus, optic atrophy and deafness. This combination of abnormalities is known as the Wolfram syndrome. The hearing impairment in case 1 is bilateral high tone sensorineural hearing loss of moderate severity and in 2 it is slight bilateral high tone sensorineural hearing loss.抄録全体を表示PDF形式でダウンロード (472K) -
安斎 友博, 大谷 巌, 大内 仁, 安斎 千鶴, 近藤 聖一, 本間 一男1985 年 78 巻 5special 号 p. 852-859
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThe Alström syndrome is a rare hereditary disease presumably due to an autosomal recessive gene. It is charactreized by sensorineural haring loss, obesity, diabetes mellitus and retinitis pigmentosa. This report describes the hearing impairment in three siblings with this syndrome. An autosomal recessive gene was presumed because there are two consanguineous marriages in the pedigree. All three showed severe sensorinneural hearing loss. The ABR, which was examined in case 1 and case 2, suggested the possibility of cochlear dysfunction. The vestibular function and X-ray findings were normal. Obesity, diabetes mellitus, retinitis pigmentosa and renal dysfunction were present in all three siblings.抄録全体を表示PDF形式でダウンロード (5133K) -
安斎 友博, 大谷 巌, 大槻 好正, 本田 学, 小針 仁美, 大内 仁, 尾股 丈夫, 安斎 千鶴1985 年 78 巻 5special 号 p. 860-865
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーA 22-year-old woman with an inner ear anomaly had bilateral macular coloboma and cervical synostosis. Both auricles, external auditory canals and tympanic membranes were normal, but she had total deafness of the left ear. X-ray of her left ear showed an inner ear anomaly called “a solitary sac-like deformity”.
This very rare association of abnormalities did not fit any established syndrome of ear, eye and vertebral column anomalies such as Goldenhar's syndrome, Wildervanck's syndrome, etc.抄録全体を表示PDF形式でダウンロード (2336K) -
大河内 幸男, 大槻 好正, 相川 通, 大谷 巌, 大内 仁1985 年 78 巻 5special 号 p. 866-870
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー片側性 Jumbling 現象を呈した22才男性の Hunt 症候群症例を報告した. 耳ヘルペス, 顔面神経麻痺, 内耳神経症状すべて具備した完全型 Hunt 症候群症例であり, 約40病日後に頭部を右から左に回転したときに動揺視が生じ, 片側性 Jumbling 現象を呈した. Hunt 症候群による一側性前庭障害により発症したものと考え, 発症約3ヶ月後に Jumbling 現象は消失した.抄録全体を表示PDF形式でダウンロード (531K) -
狭義の外耳真珠腫と Keratosis obturans の文献的考察村上 正文, 大谷 巌, 竹内 和郎, 本田 学, 中條 玲子, 大内 仁1985 年 78 巻 5special 号 p. 871-876
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーSo-called external auditory canal cholesteatoma is not a rare disease, but the etiology is not clear. Keratosis obturans and external auditory canal cholesteatoma have been considered to be the same disease. However, recently Piepergerdes reported that keratosis obturans and external auditory canal cholesteatoma are two different clinical and pathological processes, the former being characterized by a dense plug of keratin debris within the deep meatus and inflammation of the subepithelial tissue. Recovery is usually complete with conservative treatment. On the other hand, external auditory canal cholesteatmoa is characterized by a localized erosion of the deep canal wall with localized periosteitis and sequestration; it usually requires operative treatment.
We describe here two cases of so-called external auditory canal cholesteatoma which we considered to be keratosis obturans and discuss the differences between external auditory canal cholesteatoma and keratosis obturans reported in the literature.
Clinical differentiation between external auditory canal cholesteatoma and keratosis obturans is important since the treatment is different.抄録全体を表示PDF形式でダウンロード (6770K) -
小針 仁美, 大谷 巌, 相川 通, 小針 啓生, 本田 学, 大内 仁, 尾股 丈夫, 今泉 秀雄1985 年 78 巻 5special 号 p. 877-881
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーCase 1: A 2-year-old girl had otorrhea and facial palsy. Operation revealed meso- and hypotympanic cholesteatoma.
Case 2: A 22-year-old man complained of dizziness, hearing impairment and facial palsy. Examination showed mixed hearing loss and right canal paresis. Operation revealed extensive cholesteatoma of the middle ear and mastoid.
There was no history of otitis media and no perforation of the tympanic membrane. The diagnosis was congenital cholesteatoma.
The clinical symptoms and signs of congenital middle ear cholesteatoma are discussed. It is emphasized that all patients with unilateral conductive hearing impairment must be examined carefully for early diagnosis and surgical manegement of cholesteatoma.抄録全体を表示PDF形式でダウンロード (2081K) -
大河内 幸男, 本田 学, 村上 正文, 中條 玲子, 大谷 巌, 大内 仁1985 年 78 巻 5special 号 p. 882-889
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー1. 小脳橋角部腫瘍症例19例にABR検査を行い種々の検討を加えた.
2. ABR検査したところ, 各反応波は認あるが潜時が延長した例, II波以降の反応欠如例, 反応欠如例の3群に分類できた.
3. I-III波間隔, I-V波間隔, 非患側刺激III-V波間隔, IT5を指標にとったところ, いずれかの指標で異常がみられた.
4. オージオグラムの聴力レベルの程度とABRの変化の程度は必ずしも平行しなかった. 聴力レベルの程度と比較してABRの変化の程度が大きいものは, 小脳橋角部病変が疑われた.
5. 腫瘍が大きくなれば, ABRの出現状況はわるくなるが, 逆にABR所見から腫瘍の大きさを推定するのは困難と思われた.抄録全体を表示PDF形式でダウンロード (721K) -
中條 玲子, 大谷 巌, 大河内 幸男, 本田 学, 大内 仁1985 年 78 巻 5special 号 p. 890-895
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーPsychogenic hearing loss in three children is described and analyzed along with five other cases treated during the past five years in our clinic: 5 females and 3 males.
1) Pure tone audiometry showed bilateral horizontal hearing loss.
2) Objective audiometry, such as auditory brain stem response or stapedius reflex, was very useful in the diagnosis of psychogenic hearing loss.
3) Co-operation with psychologists appears to be necessary in the treatment of psychogenic hearing loss in some cases.抄録全体を表示PDF形式でダウンロード (551K) -
小針 仁美, 大谷 巌, 大河内 幸男, 小針 啓生, 大内 仁, 今泉 秀雄1985 年 78 巻 5special 号 p. 896-901
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThe patient was a 33-year-old female in the 21st week of pregnancy. Measles was diagnosed because of a typical rash and increased anti-measles antibody in her serum. Acute symptoms of tinnitus, rotatory vertigo and bilateral sensorineural hearing loss developed soon after the appearance of the rash.
The sensorineural hearing loss began to improve spontaneously in several days. Audiological tests showed that hearing impairment was caused by inner ear damage. Pregnancy and measles were considered to play an important role in inducing inner ear damage.抄録全体を表示PDF形式でダウンロード (561K) -
小針 仁美, 大槻 好正, 大谷 巌, 大内 仁, 根本 仁, 佐々木 達也, 児玉 南海雄1985 年 78 巻 5special 号 p. 902-907
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーBrain abscess occurred in a patient with maxillary cancer treated with radiotherapy, chemotherapy by arterial infusion and radical surgery for right maxillary cancer.
Three months after the treatment, the symptoms of temporal bone necrosis which were otorrhea, preauricular fistula and swelling of the preauricular lesion and the external auditory meatus were evident. Meningitis and brain abscess developed subsequently. Right temporal craniotomy was performed to remove the brain abscess and bone necrosis. Since the operation the patient has been asymptomatic and there has been no evidence of cancer recurrence.
Intracranial complications due to temporal bone necrosis after the treatment of head and neck cancer are discussed. It is especially important to diagnose osteonecrosis and intracranial complications early after the combination therapy of maxillary cancer, because there is a high risk of infection due to direct surgery of bones or to bone exposure at the site of operation, especially when radiation therapy is used.抄録全体を表示PDF形式でダウンロード (4088K) -
高取 隆, 小針 仁美, 大谷 巌, 尾股 丈夫, 猪狩 絵里子, 大内 仁1985 年 78 巻 5special 号 p. 908-911
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーXeroderma pigmentosum is a rare autosomal recessive inherited skin disease characterized by pigmentary changes, atrophy, keratosis and carcinoma predominantly of the light-exposed skin.
A case of maxillary cancer (squamous cell carcinoma) with xeroderma pigmentosum is reported. The patient, aged 61, had had a skin cancer (carcinoma simplex removed) 23 years earlier. The possible relationship between xeroderma pigmentosum and maxillary cancer, occurring in a region not exposed to sunlight, is discussed briefly.抄録全体を表示PDF形式でダウンロード (2071K) -
村上 正文, 大谷 巌, 相川 通, 小針 仁美, 大内 仁, 高取 隆, 本間 康男1985 年 78 巻 5special 号 p. 912-916
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー今回われわれは, 上顎骨に発生した単骨性線維性骨異形成症の2例を経験したので報告した.
本症は成人期以後には, その増殖は停止する事が多いと考えられているが, 症例1は56歳女性で, 41歳の時に発症し, その後15年間に3回の切除術を受けたが, 増殖が停止しなかった例であった.
症例2は23歳男性で, 病巣は右上歯肉部から上顎洞を閉塞する様に増殖している例であった.
2例とも隆起している部の部分切除を施行した. 走査型電顕による観察を含め, 本症について若干の文献的考察を加えた.抄録全体を表示PDF形式でダウンロード (8391K) -
小針 啓生, 大谷 巌, 小針 仁美, 大内 仁, 今泉 秀雄1985 年 78 巻 5special 号 p. 917-921
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー5歳の男児で, 生下時より, 外鼻に存在した線維筋腫を経験したので, この臨床経過を報告した. また, 文献的に渉猟し得た鼻・副鼻腔平滑筋腫30例について, 考察を行った.抄録全体を表示PDF形式でダウンロード (2503K) -
Hardy 法の経験小針 啓生, 大谷 巌, 村上 正文, 猪狩 絵里子, 小針 仁美, 大内 仁, 児玉 南海雄, 山尾 展正1985 年 78 巻 5special 号 p. 922-927
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーHardy's approach was used to remove pituitary tumors in 3 cases.
Case 1: A 34-year-old woman with an acromegalic face. The tumor was removed by Hardy's approach. The histological diagnosis was acidophilic adenoma.
Case 2: A 55-year-old woman was found to have a pituitary tumor when a head injury required X-ray examination. The tumor extended from the sella turcica to the extra-sellar tissues and sphenoid and ethmoid sinuses. She was operated on by both transcranial and Hardy's approaches. The histological diagnosis was chromophobic adenoma.
Case 3: A 55-year-old man complained of visual disturbances. A pituitary tumor extended from the sella turcica to the extra-sellar tissues and sphenoid sinus.
He was operated on by both transcranial and Hardy's approaches.
The rhinological indications and management of Hardy's approach are discussed.抄録全体を表示PDF形式でダウンロード (4183K) -
安斎 友博, 大谷 巌, 大内 仁, 坂爪 誠, 本間 康男1985 年 78 巻 5special 号 p. 928-933
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー48歳女性の臼後三角部の小唾液腺由来の腺房細胞癌の1症例を報告し, 特に本邦における小唾液腺に由来する腺房細胞癌 (acinic cell adenocarcinoma) に関して文献的考察を加えた.抄録全体を表示PDF形式でダウンロード (3014K) -
赤池 徹哉, 大谷 巌, 安斎 友博, 小針 啓生, 猪狩 絵里子, 大内 仁, 渡辺 善一郎, 児玉 南海雄1985 年 78 巻 5special 号 p. 934-939
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー一側のIX, X, XII脳神経麻痺を呈した, 極めて稀と考えられる副咽頭間隙神経鞘腫の一症例を報告し, 若干の文献的考察を加えた.抄録全体を表示PDF形式でダウンロード (5777K) -
猪狩 絵里子, 大谷 巌, 村上 正文, 安斎 友博, 大内 仁, 尾股 丈夫, 今泉 秀雄1985 年 78 巻 5special 号 p. 940-945
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーPapillary cystadenoma lymphomatosum (Warthin's tumor) の2症例を経験し, 腫瘍摘出により完治せしめたので報告し, その成因につき若干の文献的考察を加えた.抄録全体を表示PDF形式でダウンロード (6157K) -
安斎 友博, 大谷 巌, 佐藤 洋子, 大内 仁1985 年 78 巻 5special 号 p. 946-954
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー昭和32年8月より昭和59年12月までの27年間に当教室で経験した聴器悪性腫瘍21例23耳につき臨床的検討を加えた.
1. 原発部位は, 耳介5例, 外耳道12例14耳, 中耳4例であった.
2. 病理組織学的には, 扁平上皮癌が21例23耳中18耳 (78.3%) と最も多く, 諸家の報告と一致していた.
3. 治療は, 耳介腫瘍は手術療法を主に, 外耳道腫瘍は放射線療法と化学療法を主に施行し, 比較的良い治療成績を得た. 特に局所動注療法は有効であると思われた. 中耳腫瘍は, かなり進行した状態で当科を受診しており, 全例短期間に死亡した.抄録全体を表示PDF形式でダウンロード (1048K) -
今泉 秀雄, 大谷 巌, 尾股 丈夫, 大内 仁1985 年 78 巻 5special 号 p. 955-961
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー昭和43年より昭和56年までの14年間に当科で治療した上顎癌症例について統計的観察を行った.
1) 症例総数は139例で, 男性84例女性55例で男女比は1.5:1であった. 年令分布は50歳台に最も多く, 50歳台から70歳台で79%と症例の大半を占めており, また70歳以上の症例が25%と高令者の増加が認められた.
2) 組織型では squamous cell carcinoma が77%を占め最も多かった. squamous cell carcinoma と undifferentiated carcinoma との間に予後に差はみられなかった.
3) 初診時主訴では頬部腫脹, 鼻閉の圧迫症状が多く, Stage 分類でも Stage III と Stage IV で85.6%を占め, 初診時にすでに進展した症例が大部分であることが認められた.
4) 放射線療法+動注療法+necrotomy の5年粗生存率は20%で動注療法導入以前の成績と比較して予後の向上がみられなかった. しかしこの治療法に根治手術を併用した症例では5年粗生存率は44%と向上がみられ, 必要に応じて積極的な根治手術の併用が必要であると考えられた.抄録全体を表示PDF形式でダウンロード (776K) -
猪狩 絵里子, 大谷 巌, 村上 正文, 中條 玲子, 大内 仁, 尾股 丈夫1985 年 78 巻 5special 号 p. 962-968
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー昭和32年8月から昭和59年7月までの過去27年間に当教室で経験した術後性頬部嚢腫101例について臨床的統計的観察を行い若干の考察を加えた.
1. 性別, 病側, 前回手術時年令および発病年令については従来の報告と同様の結果であった. また, 嚢腫再発例は, 嚢腫初発例に比べて症状発現期間が短い傾向にあった.
2. 症状は頬部症状を示すものが約93%とほとんどを占め, 次いで口腔症状を示す例が約33%存在した. 歯科経由で当科受診するものが約24%存在することが注目された.
3. 嚢腫手術は, (1) 嚢腫摘出術と (2) 粘膜を残存させ対孔を広く形成する方法の2通りに分けられ, 嚢腫の小さいもの程摘出術を施行する傾向があった. 年次別にみると, 最近は対孔形成のみを施行する傾向になってきている.抄録全体を表示PDF形式でダウンロード (650K) -
本田 学, 竹内 和郎, 大谷 巌, 大内 仁1985 年 78 巻 5special 号 p. 969-975
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー昭和39年から昭和58年までの20年間に当教室で治療を行った, 舌悪性腫瘍87例について統計的観察を行い, 検討を加えた. 男女比は1.7:1.0, 平均年齢は58歳であった. 初診時リンパ節転移が疑われたのは45%であり, Stage 別には Stage I 30%, Stage II 21%, Stage III 39%, Stage IV 10%であった. 全体の5年生存率は46%であった. 治療成績では手術療法が放射線療法より良い成績を示しており, 特に Stage II 以上においては手術療法を主として行うべきであると考えられた.抄録全体を表示PDF形式でダウンロード (651K) -
大河内 幸男, 小針 啓生, 大谷 巌, 大内 仁1985 年 78 巻 5special 号 p. 976-982
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーFrom 1967 to 1983 45 cases of malignant tumor of the epipharynx were treated in our clinic. 32 carcinomas (CA) and 13 malignant lymphomas (ML).
1. The male/female ratio was 2.6:1 for CA and 1:0.9 for ML. CA was most common in the 5 and 6th decades, whereas ML showed no specific age distribution.
2. The primary sites were the postero-superior wall in 18 cases of CA and the lateral wall in the other 14 cases. The posterosuperior wall was primarily involved in 8 cases of ML and the lateral wall in the remaining 5 cases.
3. The most frequent symptoms of CA were nasal symptoms (nasal obstruction, hemorrhagic rhinorrhea, nasal hemorrhage) and next were ear symptoms (impaired hearing, feeling of fullness). The most frequent symptom of ML was also nasal obstruction, followed by throat pain.
4. All patients were treated with radiotherapy.
5. The net 5-year survival rates were 48% in CA and 43% in ML. The most frequent cause of death was untreatable local recurrence.
6. It goes without saying that early diagnosis is important. Chemotherapy and surgery should be added to radiotherapy when indicated.抄録全体を表示PDF形式でダウンロード (786K) -
赤池 徹哉, 大谷 巌, 大内 仁1985 年 78 巻 5special 号 p. 983-989
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリー昭和48年の1年間と昭和58年の1年間に, 咽喉頭異常感を主訴に当科外来を受診した患者について, 統計的観察を行った結果, 10年間に次のような変化がみられた.
1) 異常感患者はわずかながら増加した.
2) 女性に多いが, 男女の差がやや小さくなった.
3) 男女とも年齢分布が高齢化した.
4) 異常感が出現してから当科を受診するまでの期間が, やや短くなった.
5) 局所に器質的異常が認められない症例が増加した.抄録全体を表示PDF形式でダウンロード (571K) -
佐藤 洋子, 大谷 巌, 大槻 好正, 村上 正文, 安斎 友博, 大内 仁1985 年 78 巻 5special 号 p. 990-998
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーFrom January 1968 to December 1982, 151 patients with laryngeal carcinoma were treated in our department. Their cases were reviewed retrospectively in December 1984. In 79 cases the cancer was glottic, in 63 it was supraglottic, and in 9 it was subglottic.
According to the UICC TNMsystem (1978), 33 cancers were stage I (21.9%), 38 (25.2%) stage II, 59 (39%) stage III and 21 (13.9%) stage IV. The 5-year survival rate was 70.5% (stage I 82.4%, II 78.9%, III 56.3%, IV 62.5%) for the glottic type, 54.3% (stage I 66.7%, II 66.7%, III 53.8%, IV 37.5%) for the supraglottic type and 50% for the subglottic type.抄録全体を表示PDF形式でダウンロード (898K) -
竹内 和郎, 大槻 好正, 大谷 巌1985 年 78 巻 5special 号 p. 999-1007
発行日: 1985年
公開日: 2011/11/04
ジャーナル フリーThis is a statistical survey of patients treated in the Department of Otorhinolaryngology, Fukushima Medical College, from August 1957 to December 1984.
1) The total number of patients was 6002 and that of diseases treated was 6153.
2) The locations of the diseases were: 1140 in the ear (18.5% of all diseases), 1962 in the nasal cavity and paranasal sinuses (31.9%), 1394 in the pharynx (22.7%), 531 in the oral cavity (8.6%), 772 in the larynx (12.5%), 249 in the trachea and esophagus (4.1%), 105 in the face and neck and other areas (1.7%).
3) The number of cases of chronic purulent otitis media and chronic paranasal sinusitis has decreased greatly.
4) Of the diseases in the oral cavity 22.8% were cancer of the tongue with a male predominance.
5) There were 40 parotid tumors, 34 benign and 6 malignant. The incidence of parotid tumor has increased somewhat since 1978.
6) In the trachea and esophagus, the most prevalent disease was foreign bodies (72% of all disease in the trachea and esophagus). The incidence of foreign bodies in the trachea was highest in children under 4 years of age, and in the esophagus it was high in both children and aged people.抄録全体を表示PDF形式でダウンロード (590K)
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