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83 巻, 3 号
選択された号の論文の27件中1～27を表示しています
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―序―小池 靖夫1990 年 83 巻 3 号 p. 345
発行日: 1990/03/01
公開日: 2011/11/04
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小池 靖夫1990 年 83 巻 3 号 p. 345a-347
発行日: 1990/03/01
公開日: 2011/11/04
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太田 文彦1990 年 83 巻 3 号 p. 347-350
発行日: 1990/03/01
公開日: 2011/11/04
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岸本 誠司1990 年 83 巻 3 号 p. 350-353
発行日: 1990/03/01
公開日: 2011/11/04
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山下 敏夫1990 年 83 巻 3 号 p. 353-355
発行日: 1990/03/01
公開日: 2011/11/04
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永原 國彦1990 年 83 巻 3 号 p. 356-358
発行日: 1990/03/01
公開日: 2011/11/04
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茂木 五郎, 重見 英男1990 年 83 巻 3 号 p. 360-361
発行日: 1990/03/01
公開日: 2011/11/04
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寺嶋 正治, 藤野 有弘, 浜村 亮次, 卜部 晋平1990 年 83 巻 3 号 p. 363-372
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーWe describe here two patients with oculopalatal myoclonus (OPM) after brainstem hemorrhage.
The first patient, a 56-year-old hypertensive woman, had regular, persistent, vertical pendular oscillations (frequency 2.2Hz, amplitude 3-13 degrees) and palatal myoclonus which was purely vertical at the same frequency of ocular oscillation. The first case represented the midline form of OPM.
The second patient, a 60-year-old man had regular, persistent jerky nystagmoid horizontal oscillations (frequency 1.3Hz, amplitude 2-4 degrees), palatal myoclonus which jerked obliquely to the left, and myoclonus of the upper lip and larynx. The second case represented the lateral form of OPM.
The term myoclonus has been applied to a variety of involuntary, short-term, shocklike contractions of one or more muscles. In this meaning, “ocular myoclonus” is misleading, because it is a regular, rhythmic ocular oscillation which is persistent. Therefore, “ocular myoclonus” has frequently been confused with opsoclonus, which is a chaotic, rapid, involuntary ocular oscillation. We suggest that “rhythmic ocular myoclonus” or OPM is appropriate instead of the term “ocular myoclonus”.抄録全体を表示PDF形式でダウンロード (3759K) -
伊藤 壽一, 中村 一, 本庄 巖, 土師 知行1990 年 83 巻 3 号 p. 373-376
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーCochlear implant surgery has been reported to be easy to perform. We have performed cochlear implantation on eight deaf patients and experienced some difficulties. In order to make this surgery easier, the following points must be kept in mind. 1) Before the operation CT and MRI must be done in order to determine the condition of the cochlea. To determine the condition of the round window, probe tympanotomy was performed at least one month before the operation. 2) After setting the electrode in the cochlea, an X-ray film should be taken to confirm that the electrode is suitably positioned in the cochlea.抄録全体を表示PDF形式でダウンロード (1757K) -
縄田 安孝, 市川 銀一郎, 上原 紀夫, 井沢 浩昭, 板橋 隆嗣1990 年 83 巻 3 号 p. 377-381
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーA 6-year-old girl who had bilateral congenital pre-auricular fistulas, bilateral congenital cervical fistulas, right auricular malformation and bilateral mixed hearing toss.
Surgical removal of the cervical fistulas was carried out.
A review of the literature suggested that the cause of these malformations is a developmental anomaly of the first and second branchial arches.抄録全体を表示PDF形式でダウンロード (2991K) -
山岸 益夫, 中村 英生, 鈴木 正治, 長谷川 聡, 中野 雄一1990 年 83 巻 3 号 p. 383-390
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーMorphological and immunohistochemical examinations were performed on the olfactory mucosa of eight patients with olfactory disturbances caused by the common cold (viral infection). The results of olfactory testing and of follow-up examinations were analyzed.
H. E. staining revealed three patterns of degeneration. In Group 1 (3 patients) the olfactory epithelium had adequate thickness and a basic arrangement of supporting cells, olfactory receptor cells, and basal cells, but slightly fewer than normal receptor cells. In Group 2 (3 patients) olfactory receptor cells were greatly decreased. Group 3 (2 patients) had olfactory epithelium which was thin and atrophic with no receptor cells or olfactory vesicles, and only the supporting and basal cells remained. Group 1 patients had Grade 2, Group 2 patients Grade 3, and Group 3 patients Grade 4 damage according to our classification of degeneration proposed in 1988.
Immunohistochemically, neuron-specific enolase (NSE) immunoreactivity was found in a number of receptor cells in Group 1 with Grade 2 damage and in some in Group 2 with Grade 3 damage. In Group 3 with Grade 4 damage, there was no NSE-immunoreactivity in the epithelium. Glia-specific S-100 protein immunoreactivity was found in Bowman's glands and olfactory nerve bundles in the lamina propria of Group 1 and 2 patients with Grade 2 and 3 damage. Cytokeratin immunoreactivity was found in the basal cells on the basement membrane in all three groups.
Seven patients were found to be anosmic with T & T olfactometry, but the three patients in Group 1 responded well to Alinamin- intravenous injection test, and two of them recovered.
These results indicate that there is a strong relationship among the appearance of the olfactory epithelium, results of the Alinamin- test and the outcome of olfactory disturbance caused by the common cold. When an olfactory mucosall biopsy performed at the first visit of the patient shows enough functional receptor cells and the Alinamin- test is positive, it is possible that the olfactory disturbance may improve.抄録全体を表示PDF形式でダウンロード (4909K) -
愛場 庸雅, 杉本 緑, 松田 泰明, 杉浦 欣一, 中井 義明, 中島 俊文1990 年 83 巻 3 号 p. 391-395
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーThe effects of therapeutic irradiation on olfactory function were investigated in 20 patients who received radiation therapy because of a malignant tumor of the nose or paranasal sinuses. The standard olfaction test with a T&T olfactometer and an intravenous olfaction test were given before the radiation therapy, during the period of radiation therapy and 1, 3, 6 and 12 months or more later.
Five patients whose olfactory epithelium was outside the radiation field showed no damage to olfactory function. The olfactory function of the other 15 patients whose olfactory epithelium had been exposed to radiation was not obviously changed or damaged at the time of radiation therapy. However, 6 months after irradiation, some patients showed a decline in olfactory function, and after 12 months, 4 of 7 patients showed severe damage to olfactory function.
These results suggest that a therapeutic dose of irradiation will not cause severe damage to the olfactory function during the period of radiation therapy, but could cause delayed olfactory disorders in some patients after a few years. These olfactory disorders might be caused by damage to or degeneration of the olfactory epithelium or olfactory nerve.抄録全体を表示PDF形式でダウンロード (583K) -
鶴田 至宏, 藤田 信哉, 柏木 令子, 田中 治, 宮原 裕, 松永 喬1990 年 83 巻 3 号 p. 397-402
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーA case of pneumosinus dilatans and one of pneumocele are reported. These rare entities are characterized by expansion of a paranasal sinus that contains only air.
In a 27-year-old man with intermittent retro-orbital pain and left frontal bossing due to focal expansion of the frontal sinus just to the left of the midline pneumocele was diagnosed. In a 33-year-old man with intermittent headaches and frontal bossing due to enlargement of both frontal sinuses pneumosinus dilatans was diagnosed. The principal difference between pneumosinus dilatans and pneumocele is the presence of focal or generalized bony thinning in the latter entity.抄録全体を表示PDF形式でダウンロード (4163K) -
太田 康, 川端 五十鈴, 増田 成夫, 中村 雅一1990 年 83 巻 3 号 p. 403-409
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーBilateral parotid gland tumors are uncommon. We report the first known case of pleomorphic adenoma on the left and monomorphic adenoma on the right. Histologically, the left tumor had the typical features of a pleomorphic adenoma. There were many areas of epithelial tumor cells associated with typical myxoid areas. In the right tumor, the trabecular pattern contained epithelial tumor cells, and neither myxoid nor chondroid components were seen. The diagnosis was trabecular adenoma. Among bilateral parotid gland tumors, Warthins tumor is the most common, and pleomorphic adenoma is very rare. We review the literature on bilateral pleomorphic parotid gland adenomas and discuss the reason for their rarity.抄録全体を表示PDF形式でダウンロード (6159K) -
西川 恵子, 西川 益利1990 年 83 巻 3 号 p. 411-414
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーTwo Cases of secondary syphilis of the pharynx are presented. Both patients complained of pharyngeal pain and hoarseness. A whitish and arch-shaped mucous membrane lesion with clear margins was seen on the soft palate. No skin lesion typical of secondary syphilis was observed. The patients were treated with penicillin. Although syphilis of the pharynx is rare, otolaryngologists should have a knowledge of the diagnosis and prevention of syphilitic infection.抄録全体を表示PDF形式でダウンロード (1692K) -
加藤 雄一, 夜久 有滋, 網 幸一, 遠藤 巨夫1990 年 83 巻 3 号 p. 415-419
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーA 24-year-old Japanese man was admitted to the Kohjinkai Hospital, with complaints of severe obstructive dysphagia and dyspnea. Fiberscopic examinations showed a large yellowish tumor occupying the epi- and the mesopharyngeal cavity and the posterior half of the oral cavity. The stalk of the tumor was present at the right pharyngeal side of the soft palate, near the pharyngeal orifice. The tumor was removed and cystic lymphangioma of the soft palate was diagnosed histopathologically. The tumor also contained a lymphangioendothelioma-like area.抄録全体を表示PDF形式でダウンロード (4083K) -
西山 正司, 木村 正, 岸本 誠司, 齋藤 春雄, 栗坂 昌宏, 中井 邦博, 森 惟明1990 年 83 巻 3 号 p. 421-427
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーSchwannomas of the hypoglossal nerve are interesting because of the variety of associated symptoms. We describe here a Schwannoma of the hypoglossal nerve with extra and intracranial extensions which compressed the brain stem.
A 62-year old female was admitted to our hospital because of a tumor on the right side of the neck and occasional headaches. Cranial nerves I to XI were intact, but paralysis and atrophy of the right side of the tongue were noted. She had signs of increased intracranial pressure. Computed tomographic scans were quite useful to delineate the destruction of the hypoglossal canal and jugular foramen. Magnetic resonance imaging scans were also informative, showing the relationship between the tumor and the surroundings. Staged otological and neurosurgical resections were required because of the size of the intracranial extension. The infratemporal fossa approach was used to resect the extracranial tumor.抄録全体を表示PDF形式でダウンロード (4489K) -
小崎 寛子, 庄司 稔, 平塚 宗雄, 鳥山 寧二, 松本 和彦1990 年 83 巻 3 号 p. 429-442
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーFour cases of parapharyngeal space tumors are reported.
Case 1, a 19-year-old woman, had a huge neurinoma.
Case 2, an 81-year-old woman, had a huge liposarcoma.
Case 3, a 60-year-old man, had a huge pleomorphic adenoma.
Case 4, a 42-year-old man, had a huge neurinoma.
In all four cases, CT scan showed the tumors were so huge that they filled the parapharyngeal space and almost reached the skull base, but the patients had few symptoms. These tumors were removed by a cervical approach.
We compared them with other Japanese cases reported from 1977 to 1987. There were 116 cases of parapharyngeal space tumors. The male to female ratio was 2:3. Neurinoma and pleomorphic adenoma were most common, but there were 15 malignant tumors. Since many organs are located in the parapharyngeal space, many kinds of tumors were reported. We think dynamic CT scan is useful in pre-operative quantiative study. Intra-oral incision and extra-cervical approaches were both used, the latter when tumors were big.抄録全体を表示PDF形式でダウンロード (9960K) -
鈴木 賢二, 馬場 駿吉, 甕 久人, 小林 武弘, 板谷 純孝1990 年 83 巻 3 号 p. 443-448
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーTwenty-one newly-diagnosed cases of non-Hodgkin's lymphoma (NHL) were treated with the same therapeutic protocol in our department between January 1984 and December 1986.
One patient had a recurrence, and five died. The following results were obtained.
1. With combined radiotherapy, VAPE chemotherapy and OK-432 immunotherapy the mean survival rate and the relapse-free survival rate were 76.2% and 71.4%, respectively.
2. Adriamycin is useful for NHL. We conclude that even in the early stage, NHL should be treated with full dose VAPE therapy.
3. Surgical therapy is presumably useful for a solitary lesion which resists to all conservative therapies.
4. Second line chemotherapy for patients who are resistant to VAPE therapy should be established. MTX, CDDP, BLM and Etoposide have possibilities of usefulness as second line chemotherapy.抄録全体を表示PDF形式でダウンロード (670K) -
―文献的考察―西原 信成, 小林 泰輔, 暁 清文1990 年 83 巻 3 号 p. 449-456
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーThe literature on the mechanism of pressure transmission to the inner ear and its effect on the inner ear tissues were reviewed. The pressure of the cerebro-spinal fluid is transmitted to the inner ear via both the cochlear aqueduct and the endolymphatic duct, especially the former. External ear pressure is transmitted more via the round window through the middle ear cavity than via the ossicular chain. The cochlear aqueduct can transmit low frequency changes in pressure but not high frequency changes in pressure. Rupture of the inner ear window and/or the membranous labyrinth appears to be caused by pressure differences between the middle ear and the inner ear, and/or between the perilymph and the endolymph, respectively.抄録全体を表示PDF形式でダウンロード (1117K) -
―内リンパ腔の面積について―矢沢 代四郎, 北原 正章1990 年 83 巻 3 号 p. 457-462
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーIsosorbide was administered to guinea pigs with experimentally induced endolymphatic hydrops, and endolymphatic space cross sections were measured with a microscope, video camera, and computer arrangement. The results were then compared with those in control guinea pigs which had not received isosorbide. Decrease in endolymphatic hydrops was most pronounced in the saccule and the basal turn of the cochlea, where hydrops was reduced by 25-30%. The decrease became progressively smaller towards the apex. The utricular space was virtually unaffected.抄録全体を表示PDF形式でダウンロード (4314K) -
―免疫組織化学的検討―上月 景之1990 年 83 巻 3 号 p. 463-470
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーThe distribution of Catecholamine- and neuropeptide-containing nerve fibers was examined immunohistochemically in the human palatine tonsil. Frozen sections of immersion-fixed palatine tonsils were immunostained for tyrosine hydroxylase (TH), vasoactive intestinal polypeptide (VIP), neuropeptide Y (NPY), somatostatin (SOM), substance P (SP) and calcitonin gene-related peptide (CGRP).
Fine nerve fibers with a varicose profile which contained distinct immunoreactivity to each marker substance were found localized to the tonsillar hilus, connective tissue, septum and/or blood vessel wall in the interstitial spaces. In the germinal center and the extranodular lymphatic tissue of the tonsil, TH-, VIP-, NPY- and SOM-immunoreactive nerves were seen to travel for a short distance over lymphocytes. VIP-immunoreactive fibers were also distributed densely around the glandular mucous cells situated adjacent to the tonsil. In regard to the chemical innervation of other lymphatic tissues reported previously, both autonomic inflow systems and peripheral afferents were found to contribute directly to the neuro-immune communications in the lymphatic areas and the interstitium of the palatine tonsil.抄録全体を表示PDF形式でダウンロード (6693K) -
眞田 友明1990 年 83 巻 3 号 p. 471-486
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーAcoustic analysis of the voices of 195 patients with vocal polyps, unilateral recurrent laryngeal nerve paralysis, and laryngeal carcinoma were performed. Five acoustic parameters were derived: pitch perturbation quatient (PPQ), amplitude perturbation quatient (APQ), normalized noise energies a and b (NNEa, NNEb), and spectral slope (LD). Analyses were performed both before and after treatment. Size of the lesion and the dimensions of the glottal gap during phonation were determined from fiberstroboscopic video images before treatment. Results were as follows: (1) PPQ, APQ, NNEa, NNEb, and LD varied greatly within each disease group, and there was overlapping of parameter values among the disease groups. Therefore, the selected acoustic parameters did not prove to be useful in differential diagnosis. (2) Polyp size was significantly correlated to PPQ, APQ, NNEa, and NNEb. (3) Post-treatment changes were found in PPQ, APQ, NNEa and NNEb in cases of polyps; in APQ, NNEa, and NNEb in cases of carcinoma; and in NNEb in cases of paralysis.抄録全体を表示PDF形式でダウンロード (1628K) -
枡谷 治彦, 山根 英雄, 小西 一夫, 杉田 雅彦, 八川 公爾, 森口 誠, 田村 隆之, 坂本 平守, 松永 一博, 松田 泰明, 中 ...1990 年 83 巻 3 号 p. 487-493
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーThe therapeutic effect of Bifemerane Hydrochloride was studied in 43 patients with vertigo. The patients were given a 50mg tablet of Bifemelane Hydrochloride three times daily for over 8 weeks.
Evaluation of the final global improvement showed it to be very effective in 7 patients (16.3%), moderately effective in 15 (34.9%) and slightly effective in 13 (30.2%), giving a total efficacy rate of 81.4%.
No side effects were noted.
Bifemerane Hydrochloride tablets were considered to be useful for patients with vertigo.抄録全体を表示PDF形式でダウンロード (756K) -
木村 洋, 青柳 優, 市毛 明彦, 横田 雅司, 原出 浩二, 川合 正和, 鈴木 利久1990 年 83 巻 3 号 p. 495-501
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーNorfloxacin (NFLX) was administered to 19 patients with acute otitis media and 27 patients with chronic otitis media.
1. It was effective in 15 of the patients with acute otitis media and in 19 of the patients with chronic otitis media.
2. The bacteriological efficacy rate was 90% (36/40).
3. NFLX was moderately or markedly effective in all of the four patients who had not responded to previous medications.
4. Dizziness was observed in one of the 46 patients treated with NFLX.
5. NFLX is a very useful antibiotic agent for patients with acute or chronic otitis media.抄録全体を表示PDF形式でダウンロード (782K) -
大上 研二, 関谷 透, 野口 高昭, 緒方 道彦, 金谷 浩一郎, 田原 哲也1990 年 83 巻 3 号 p. 503-508
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーA series of 21 patients who complained of an abnormal sensation in the throat without any organic pathology were treated with Tofisopam (Grandaxin®). The patients were given 3 tablets daily for more than 4 weeks.
The overall effectiveness was excellent in 1 case, good in 7 cases, fair in 6 cases, and poor in 7 cases. Thus the drug was clinically effective in 67%.
The effects appeared to be reduced in the patients with less neurotic or autonomic imbalance symptoms.
No side effects were noted.
Tofisopm was considered to be useful for the treatment of abnormal sensation in the throat.抄録全体を表示PDF形式でダウンロード (603K) -
山本 悦生1990 年 83 巻 3 号 p. 510-511
発行日: 1990/03/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (185K)
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