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80 巻, 5 号
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佐藤 武男1987 年 80 巻 5 号 p. 697-710
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (293K) -
海老原 敏1987 年 80 巻 5 号 p. 700-702
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (316K) -
井上 俊彦1987 年 80 巻 5 号 p. 702-704
発行日: 1987/05/01
公開日: 2011/11/04
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―適応と術式―内田 正興1987 年 80 巻 5 号 p. 705-707
発行日: 1987/05/01
公開日: 2011/11/04
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高橋 宏明1987 年 80 巻 5 号 p. 708-711
発行日: 1987/05/01
公開日: 2011/11/04
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松永 亨, 入船 盛弘, 尾崎 正義1987 年 80 巻 5 号 p. 712-713
発行日: 1987/05/01
公開日: 2011/11/04
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宮崎 為夫, 瀧口 哲也, 大尾 嘉宏巳, 西郡 聡, 山本 憲, 嘉藤 秀章, 梅田 良三1987 年 80 巻 5 号 p. 715-721
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーThis report is based on 80 cascs of sudden deafness in patients with vertigo treated in the Department of Otolaryngology, Kanazawa University, from 1975 through 1984.
There were 32 males and 48 females. The incidence was highest in the fourth decade. The hearing loss was severe more than 90dB in 53.8% of, indicating a parallel relationship between the degree of hearing loss and sudden deafhess in this groups of patients. About 60% of the patients complained of a whirling sensation. Spontaneous nystagmus and positional nystagmus were found in 37.5% of the patients.
In 40% sudden deafness was accompanied by complaints of vertigo, and the prognosis in these cases was poor. There was a significant difference between the prognosis of sudden deafness with or without vertigo, especially in cases of severe hearing loss and fresh cases treated within 7 days after the onset of disease.
These data indicate that the etiology and pathology of sudden deafness are different in patients with and without vertigo.抄録全体を表示PDF形式でダウンロード (716K) -
大橋 徹, 森口 真理1987 年 80 巻 5 号 p. 723-736
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーElectrocochleograms were recorded in response to tone burst stimuli with a transtympanic technique from 22 normal ears, 28 ears of patients with a clinical diagnosis of Ménière's disease and 27 ears affected by sensorineural hearing loss (subtractive loss type). We correlated the SP/AP ratio and stimulus frequency, stimulus intensity, and inter-stimulus interval in normal ears and evaluated the diagnostic efficiency of the SP/AP ratio in comparison with that of the SP amplitude in inner ear disease.
1) The SP/AP ratio changed as a fUnction of stimulus frequency, stimulus intensity and inter-stimulus interval. The SP/AP ratio to 4kHz tone burst stimulus showed characteristically the largest value with the smallest standard deviation on the average.
2) It may safely be said that the SP/AP ratio can serve at present as the most useful indicator in the electrocochleographic diagnosis of Meniere's disease.
3) It was clear that the SP amplitude was more effective than the SP/AP ratio in the diagnosis of sensorineural hearing loss.
It was concluded that the diagnostic significance of the SP/AP ratio is to catch important phenomena in the electrocochleogram, such as the dominant negative SP or the abnormal increase in negative SP. In addition, we emphasize that the mechanism of generation and the pathophysiological significance of this phenomenon should be made clear in order to complete the electro-pathophysiological diagnosis of Meniere's disease.抄録全体を表示PDF形式でダウンロード (1727K) -
-Phototubometry-土師 知行, 八木 伸也, 本庄 巖1987 年 80 巻 5 号 p. 737-743
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーA new method was developed to observe active patency of the eustachian tube using a photodiode.
A highly sensitive silicon photodiode inserted in the external ear canal detects light traveling through the eustachian tube during active opening from a flexible fiber-scope placed at the pharyngeal orifice. The signal from the photodiode is superimposed on the picture of the pharyngeal portion of the tube displayed on a TV monitor from the fiberscope.
This method was applied in 21 normal subjects and 5 patients with middle ear disorders and found to be useful in evaluating the opening function of the eustachian tube and clarifying the pathophysiology of middle ear disorders.抄録全体を表示PDF形式でダウンロード (2976K) -
―モデル実験―遠藤 里見, 小林 俊光, 高橋 邦明, 武山 実, 河本 和友1987 年 80 巻 5 号 p. 745-753
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーWe examined tympanometry using an ear drum model made of plastic tube and film of polychloride vinyliden. Weights of plastic rubber (30mg to 150mg) were placed on the center of the film. As more weights were added, the tympanogram (probe tone÷220Hz) showe dhigher peaks. When a weight of about 180mg was placed on the membrane, the tympanogram developed into a two-peak type.
Similar results were obtained in clinical cases. When a metalic weight of about 93mg was attached to the umbo of the tympanic membrane, in some cases the tympanogram showed higher peaks than when there was no load, and in other cases it developed into a multi-peak type.
Our study revealed that when a weight is placed on the film, the type of tympanogram can be changed, for example from A to M. Therefore, when a weight, such as metal or fluid, is attached to the membrane, the tympanogram may show higher peaks than with no load. The same weight was placed on the film in different places and with varying areas of contact. Tympanograms showed the highest peaks when a weight covered a small area at the center of the membrane.
These results indicate that, in humans, the ossicular chain may act to increase the peak of the tympanogram. However, the area of the malleus in contact with the ear drum may be regarded as relatively large when the highest peak of the tympanogram is relatively small.
We added a pars flaccida model, and the results suggest that the pars flaccida influences the type of tympanogram at lower frequencies.抄録全体を表示PDF形式でダウンロード (909K) -
―音響耳管検査利用のValsalva値―大久保 仁, 渡辺 勇, 石川 紀彦, 渋沢 三伸, 枝松 秀雄, 寺邑 公子, 石田 博義, 大野 文夫1987 年 80 巻 5 号 p. 755-762
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーAuditory tube function during Valsalva's maneuver was compared in professional divers and normal adults.
The opening pressure of the auditory tube during Valsalva's maneuver was defined as the internal pressure of the nasal cavity. It was found that a higher pressure was required to open the auditory tube of professional divers than of normal adults. Comparison of the findings in different age groups also revealed that the mean pressure was higher for professional divers. It was speculated that this higher mean pressure might have resulted from the effect of training for the ventilation of the auditory tube with the assistance of pressure in a hyperbaric environment. It has been reported that auditory tube function changes from the infantile to the adult type with growth, and changes due to aging were also observed in the auditory tube function of adults. The pressure required to open the auditory tube by Valsalva's maneuver increased with age, suggesting that the function may be depressed slowly up to the 40's to the 50's. This finding is of interest because these ages coincide with the increasing incidence of auditory tube stenosis and exudative otitis media in the elderly.抄録全体を表示PDF形式でダウンロード (688K) -
下村 友佳子, 谷口 郷美, 松山 文彦, 石田 春彦1987 年 80 巻 5 号 p. 763-768
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーA 22-year-old female with atrophic rhinitis was treated by closure of the nostrils. She had both nostrils completely closed, but could not tolerate nasal obstruction. On the 49th postoperative day, small openings were made at the center of both nostrils (partial nostril closure)to relieve the obstruction. Spccimen taken from the inferior turbinates and SEM at the time of closure showed sparse, absent or dwarf-like cilia. The postoperative specimens showed regenerated cilia. Now, one year and 10 months later, she is satisfied with the results except for slight crust formation and postnasal drip.抄録全体を表示PDF形式でダウンロード (6819K) -
―病理組織学的悪性度との関連からみた治療成績―小笠原 寛, 戸田 勝也, 兵 典子, 雲井 健雄1987 年 80 巻 5 号 p. 769-775
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーThe success of treatment of maxillary sinus carcinoma depends mainly on primary tumor control. Our treatment of maxillary sinus carcinoma is a combination of radiation, chemotherapy and surgery. After 20 Gy irradiation, the tumor is removed as much as possible, followed by intra-arterial infusion of a total dose of 2, 500mg of 5-fluorouracil and 20 Gy irradiation. Then maxillectomy is performed through the oral cavity according to Denker's operation or by extended total maxillectomy.
A system for the histological grading of malignancy was applied to 38 squamous cell carcinomas from the maxillary sinus. Six different morphological parameters were evaluated with respect to the tumor cell population and the tumor-host relationship.
High-grade malignancy was usually fatal, because of distant metastases. Active treatment with Denker's operation was possible in 17 patients, and 14 of them are now free of tumor, regardless of the malignancy score, with good facial appearance and function. In high malignancy score cases, the tumor has a tendency to invade, and extended total maxillectomy is safer. In low malignancy cases, even in T4 cases, 10 of 22 cases are now free of tumor.抄録全体を表示PDF形式でダウンロード (2923K) -
菊地 俊彦, 小林 俊光, 朴沢 孝治, 草刈 潤, 高坂 知節1987 年 80 巻 5 号 p. 777-782
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーInjuries of the soft palate or the anterior pillar of the fauces often occur in children, who tend to hold pointed objects in their mouths. In most cases, the injury is superficial and heals uneventfully. However, there are several cases in which the objects penetrate deeply into the parapharyngeal space and have to be removed surgically. We report two such cases in which chopstick pierced the anterior pillar. In the first case (a 7-year-old boy), a wooden chopstick penetrated the anterior pillar and reached the subcutaneous tissue below the mastoid process through the parapharyngeal space. After cutting off the oral part of the foreign body, we removed the rest through an incision of the neck under general anesthesia. In the second case (a 2-year-old boy), a plastic chopstick injured the anterior pillar. Immediately after the injury, his cousin removed it perorally but noted its tip was missing. Ten months after the accident, the patient visited our hospital. The tip of the chopstick was found lodged in the bony external auditory canal and was removed under general anesthesia. The method of removal and the possible postoperative complications are discussed and the literature is reviewed.抄録全体を表示PDF形式でダウンロード (2176K) -
中西 弘, 榎本 雅夫, 岩橋 大介, 榎本 多津子1987 年 80 巻 5 号 p. 783-789
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーTuberculosis of the palatine tonsil is a rare disease nowadays. A 20-year-old female visited our hospital with complaints of pharyngeal pain and cough of 2 months' duration.
She was somewhat slender and undernourished. She had a slight fever, and we heard moist rales in the lungs. Both palatine tonsils were edematous and covered with white material. There were many ulcers which bled easily. Lung X-rays showed miliary tuberculosis.
Biopsies from the tonsils and lungs showed typical tuberculosis with positive Ziehl-Neelsen's stain. Bacterial culture also showed tuberculosis. The diagnosis was secondary tuberculosis of the palatine tonsil originating from pulmonary tuberculosis.
This case was described in detail, with discussion and comparisons with previous findings in Japan.抄録全体を表示PDF形式でダウンロード (2562K) -
堀井 勝, 谷口 郷美, 田渕 哲, 深澤 高士, 松山 文彦, 下村 友佳子, 厨子 雅恵, 大村 文秀1987 年 80 巻 5 号 p. 791-797
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーBetween 1971 and 1985 123 patients with parotid tumors were treated in the Department of Otolaryngology of Kobe Central Municipal Hospital. Of the 123 tumors, 103 (83.7%) were benign and 20 (16.3%) were malignant. Pleomorphic adenoma was present in 61 cases, adenolymphoma (Warthin's tumor) in 18, muco-epidermoid tumor in four, acinic cell tumor in three, adenoid cystic carcinoma in two, adenocarcinoma in five, undiferenciated carcinoma in two and carcinoma in pleomorphic adenoma in three.
For diagnosis, we usually use sialography, CT, echography and RI-scintigraphy. We stress, however, that the clinical history and physiological findings are more important for the diagnosis than other examinations.
During surgery, we first identify the main trunk of the facial nerve near the stybid process and follow the branches of the facial nerve distally. After that, the tumor is resected with a little parotid tissue.抄録全体を表示PDF形式でダウンロード (2121K) -
谷垣内 由之, 古内 一郎1987 年 80 巻 5 号 p. 799-803
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーA 47-year-old man visited our outpatient clinic complaining of a tumor in the right preauricular region. The tumor was diagnosed clinically as parotid gland tumor and was completely extirpated surgically. The histopathological diagnosis was actinomycosis. Most cases of actinomycosis occur in the head and neck region, but the primary parotid gland actinomycosis is very rare.抄録全体を表示PDF形式でダウンロード (4419K) -
―遠隔成績からみた適応の検討と新再建法の紹介―橘 正芳, 立本 圭吾, 吉松 政喜, 布施 清, 安田 範夫, 久 育男, 松井 隆史, 水越 治1987 年 80 巻 5 号 p. 805-812
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーThe five year survival rates of 55 patients with laryngeal cancer who were treated with partial laryngectomy were 90.2, 73.4 and 0% for glottic, supraglottic and subglottic cancers, respectively.
Fourteen cases of recurrence or death due to cancer were reported. The interval between partial laryngectomy and recurrence varied from 6 months to l3 years and 8 months. Eight of the 14 patients lived for five years or more after total laryngectomy.
The survival rates of the different T classes show glottic T2 cancer could be treated with partial laryngectomy. Patients with recurrence after radiation treatment are also good candidates for partial laryngectomy.
A new method of reconstruction after vertical laryngectomy using a sternocleidomastoid musculocutaneous flap was described.抄録全体を表示PDF形式でダウンロード (4123K) -
北南 和彦, 高橋 光明, 熊井 恵美, 坂本 伸雄, 高橋 達郎1987 年 80 巻 5 号 p. 813-817
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーTularemia is a relatively uncommon disease which causes cervical lymphadenopathy. A 44-year old man noticed lateral cervical swelling, fever and sore throat. The swelling continued for about one month. Examination of the neck revealed a hard elastic tender mass on the right side. The skin over the mass was reddish. Surgical exploration of the neck showed a mass filled with pus just under the skin. After the mass was excised, some lymph nodes were found under the mass and one of them was excised. The histological diagnosis was tularemia or cat scratch disease. The titer of serum tularemia agglutinins was 1:160. The transverse diameters of the erythemic response to the specific skin test of Francisella tularensis were 9×11mm. Therefore we concluded that he had tularemia. The patient had an uneventful postoperative course.抄録全体を表示PDF形式でダウンロード (3981K) -
―文献的考察―林 正彦, 佐藤 宏昭1987 年 80 巻 5 号 p. 819-824
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーWe reviewed the present status of our understanding of the relationship between eustachian tube function and otitis media with effusion.
The eustachian tube has essentially two physiologic functions with respect to the middle ear:ventilation in the middle ear with atmospheric pressure and clearance into the nasopharynx of secretions produced within the middle ear. Abnormality of these function has been considered the most important factor in the pathogenesis of otitis media with effusion. Several studies have reported a marked reduction in the ability to reduce applied negative pressure by swallowing, which is considered one of factor of otitis media with effusion. However, there is no conclusive evidence that abnormal clearance function is a primary factor, or a secondary effect of otitis media with effusion.抄録全体を表示PDF形式でダウンロード (722K) -
浅井 俊治, 市川 銀一郎, 江原 義郎1987 年 80 巻 5 号 p. 825-834
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーThe possibility of using wave II and wave IV of ABR clinically and the influences of the slow component of ABR on wave II and wave IV were studied.
1. The wave II(including the dual peak of wave II)was not influenced by the slow component of ABR.
2. The detectability of the dual peak of wave II was very little, compared with the detectability of wave II.
3. Wave IV, wave V, and wave IV-V complex were influenced by the slow component of ABR.
4. The response threshold of the slow component of ABR was lower than that of the fast components of ABR.抄録全体を表示PDF形式でダウンロード (975K) -
―耳管開放症に対する局注療法―丹家 聖仁1987 年 80 巻 5 号 p. 835-849
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーForty-nine ears of patients with abnormally patent eustachian tubes were treated by injection of silicone fluid into the pharyngeal orifices of the eustachian tube.
Eustachian tube function was examined objectively by the following methods:
1) inspection of ear drums by pneumatic otoscope, 2) pure tone audiometry, 3)tympanometry, 4) tubo-tympanoaerodynometry, 5) endoscopy of the epipharynx.
The atrophic mucosa and patent orifice of the eustachian tube were observed in all cases and these findings were considered to be characteristic of patent tubes. In all cases, injection of silicone fluid was performed through the nasal cavity under endoscopic observation of the tubal orifice using a nasopharyngoscope under local anesthesia in the sitting position. Patients were treated at weekly interval, and the effects of this treatment were discussed in relation to changes in symptoms and objective signs.
Thirty-four ears (69.4%) with abnormally patent eustachian tubes responded well to this method following one to nine injections. Therefore, this seems to be a reliable treatment for this disease.
In a five year follow up study no severe side effects were noted.抄録全体を表示PDF形式でダウンロード (4427K) -
由良 和代, 坂田 義治, 阪上 雅史, 宮口 衛, 伊東 眞人, 久保 武, 酒井 俊一, 佐藤 信次, 玉置 弘光1987 年 80 巻 5 号 p. 851-854
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーThe concentration of Latamoxef (LMOX) was determined by bioassay in surgical patients with sinusitis and chronic tonsillitis. One or two grams of LMOX was injected intravenously prior to tonsillectomy under general anesthesia and the Caldwell-Luc operation under local anesthesia.
Concentrations of LMOX in the tonsil and maxillary bone were 12.7μg/g and 16.8μg/g respectively one hour after administration;and 9.4μg/g and 2.3μg/g respectively two hours after administration.
The transfer ratio, the concentration in the tonsil to that in the serum, was about 20 percent. The tissue concentrations exceeded the antibacterial level of LMOX except for Pseudomonas aeruginosa.抄録全体を表示PDF形式でダウンロード (396K) -
米井 潔, 木村 裕毅, 太田 文彦1987 年 80 巻 5 号 p. 855-861
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーWe performed clinical and bacteriological studies on Ceftriaxone, (Rocephin®) a broad spectrum antibacterial agent with a long half-life, in the treatment of adult infections of the upper respiratory tract (14 cases of tonsillitis and 20 cases of pharyngolaryngitis).
The rate of clinical improvement was 92.8% for tonsillitis and 85.9% for pharyngolaryngitis. In terms of its bacteriological effect, rate of improvement for S. aureus and B. streptococcus was 87.5% and 81.8%, and 100% and 100% for tonsillitis and pharyngolaryngitis, respectively. The blood concentration of Ceftriaxone after a single injection was 169.2, 81.0, 45.1 and 16.8μg/ml at 1, 6, 12 and 24hr, respectively.
These results suggest the effectiveness of Ceftriaxone in the treatment of infections of the upper respiratory tract.抄録全体を表示PDF形式でダウンロード (639K) -
菊池 恭三, 横出 裕1987 年 80 巻 5 号 p. 862-863
発行日: 1987/05/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (279K)
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