巻号一覧
前身誌
83 巻, 9 号
選択された号の論文の28件中1～28を表示しています
- |<
- <
- 1
- >
- >|
-
―鼻内視鏡手術を担当して―松永 亨1990 年 83 巻 9 号 p. 1317-1318
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (275K) -
山下 公一1990 年 83 巻 9 号 p. 1318-1321
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (582K) -
久保 武1990 年 83 巻 9 号 p. 1321-1324
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (3724K) -
足川 力雄1990 年 83 巻 9 号 p. 1324-1327
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (4931K) -
森山 寛1990 年 83 巻 9 号 p. 1328-1330
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (3450K) -
湯本 英二1990 年 83 巻 9 号 p. 1330-1333
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (1827K) -
北原 正章, 矢沢 代四郎1990 年 83 巻 9 号 p. 1334-1335
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (1321K) -
永瀬 茂代, 伊藤 真郎, 木村 仁, 大塚 幸之, 高瀬 二郎, 舩坂 宗太郎1990 年 83 巻 9 号 p. 1337-1342
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーThis paper reports a case of brainstem tumor with low frequency perceptive hearing loss. A 10-year-old girl had complained of headache, vomiting, dizziness and tinnitus of the right ear for 2 months and was admitted to Tokyo Medical College Hospital. Clinical examinations revealed a glioma in the lower brainstem which caused hydrocephalus, perceptive deafness with low frequency hearing loss, abnormal ABR consisting of only waves I-III, gaze nystagmus in all directions and abnormal patterns in both eyetracking and optokinetic nystagmus tests. MRI showed a tumor, probably a glioma, in the lower brainstem.
She was treated with a V-P shunt operation to decrease cerebrospinal pressure followed by irradiation to lessen the tumor size. She showed noticeable improvement, and her hearing recovered to within the normal range with ABRs of I-IV waves.
Low frequency perceptive hearing loss due to brainstem lesions is discussed with reference to our own 48 patients plus 14 described in the literature. Approximately one fourth of patients with hearing impairment due to a brain stem lesion have low frequency hearing loss. Ventro-lateral lesions of the pons and the medulla oblongata may be responsible for this type of deafness.抄録全体を表示PDF形式でダウンロード (1636K) -
伊藤 信輔, 山口 勝矢, 武富 正夫, 平木 基裕, 井立 睦子, 平野 実1990 年 83 巻 9 号 p. 1343-1347
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーAn endolymphatic sac-mastoid shunt procedure was performed in 20 cases of Meniere's disease. Silicone film was inserted in the endolymphatic sac in 9 cases. In the other cases, the lateral wall of the sac was incised and turned over by Kitahara's method. Postoperative observation periods ranged from 15 to 53 months (mean 31.6 months). In accordance with AAOO 1972 criteria, 15% were class A, 35% class B, 25% class C, and 25% class D. Hearing losses of more than 10dB occurred in 67% of the ears in which silicone film was used, but in 9% of the others. There was a statistically significant difference in the incidence between the two groups.抄録全体を表示PDF形式でダウンロード (514K) -
菊守 寛, 久保 武, 肥塚 泉, 入船 盛弘, 松永 亨1990 年 83 巻 9 号 p. 1349-1354
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーA 23-year-old woman, who complained of hearing loss, tinnitus and fullness on the leftear following commercial air-craft ride, visited us on the 7th day after the onset. Pure tone audiogram showed severe mixed-type hearing loss (95dBHL). Exploratory tympanotomy on the 12th day, revealed dislocation of incudo-stapedial joint and perilymph fistula in the oval window. Hearing loss recovered to 59dBHL, post-operatively (improved 36dB). This was a rare casc, in which dislocation of middle ear ossicles and perilymph fistula occurred at the same time by barotrauma.抄録全体を表示PDF形式でダウンロード (1070K) -
山本 悦生, 大村 正樹, 磯野 道夫, 広野 喜信, 水上 千佳司1990 年 83 巻 9 号 p. 1355-1359
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーA method employing the malleus head in ossiculoplasty is described. A malleus head, removed with a malleus nipper, is used as an autograft, orpreserved homograft material, the latter being especially useful. This material is commonly utilized as columella material in the second stage of a staged operation, or as an interpositioned material between the handle of the malleus and the head of the stapes. This is also available for columella material in type III or IV columella tympanoplasty.抄録全体を表示PDF形式でダウンロード (4136K) -
―3症例における所見について―松本 康, 河村 裕二, 柳原 尚明, 三木 均, 貞本 昌規, 貞本 和彦1990 年 83 巻 9 号 p. 1361-1366
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーWe carried out magnetic resonance imaging (MRJ) in 3 cases of Bell's palsy. Case 1 was a 43 y. o. male, case 2 was a 21 y. o. female and case 3 was a 64 y. o. male. The diagnosis was in complete: Bell's palsy. Tl-weighted images (TR500/TE25-33) were taken before and after the intravenous administration of Gd-DTPA (0.1mmol/kg) using 0.5 Tesla superconductive type MRI 3, 8, and 11 days respectively after the onset. In the ipsilateral intratemporal facial nerve, enhancement of signalintensity was seen in the geniculate ganglion in casel, in the mastoid portion in case 2, and in the labyrinthine portion and geniculate ganglion in case 3. The possibility of imaging the facial nerve in Bell's palsy was demonstrated, and the diagnostic significance of Gd-enhanced MRI was discussed in this preliminary investigation.抄録全体を表示PDF形式でダウンロード (5446K) -
横井 隆司, 暁 清文, 湯本 英二, 比野平 恭之, 相原 隆一1990 年 83 巻 9 号 p. 1367-1371
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーA 59-year-old man came to our clinic with complaints of itching, otalgia and otorrhea of the left ear for three months. An ulcer was found in the osseous portion of the left external canal. It was located on the postero-inferior wall of the canal about 7-8mm from the ear drum. Fragments of necrotized bone and bloody pus were prescnt in the ulcer. Staphylococcus epidcrmidis was isolated in a culture of the pus. In spite of conservative therapy for one month, nccrotized bone fragments could be removed easily from the ulcer, and the bony defect became larger. Therefore, surgical removal of the necrotized bony external canal was performed, and the wound was covered with a pedicled flap from the temporal muscle. The extracted specimen contained necrotic bone and fibrotic granulation. The diagnosis was benign necrotizing osteitis of the external auditory meatus. There was no recurrence during the 21-month postoperative follow-up. This disease causes ulceration and necrosis of the osseous external auditory meatus. It is clinically rare, and differentiation from cholesteatoma of the external meatus is often difficult.抄録全体を表示PDF形式でダウンロード (3927K) -
川島 理, 安岡 義人, 吉見 富夫, 酒巻 牧子1990 年 83 巻 9 号 p. 1373-1383
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーClinical findings were evaluated in 4 cases of congenital microtia complicated by congenital facial palsy. Cases 1 and 2 were representative of atypical microtia with a fistula originating from the first branchial fissure and stenosis of the external auditory canals. Cases 3 and 4 presented with a nearly normal morphology in ears of mildly decreased size. No fistulae were present. The external auditory canal was occluded near the junction of the osseous and cartilagenous sections.
Facial palsy was incomplete in all patients. It was most dramatic at the forehead and lower lip.
Tear secretion was normal in 3 cases.
Taste sensation was decreased in 3 cases in areas innervated by the chorda tympani. The areas innervated by the glossopharyngeal and major pyramidal nerves exhibited normal taste sensation in all the cascs.
The following 4 factors were suggested as the causes of paralysis.
Developmental abnormalities of the external and middle ear.
Developmental abnormalities of the facial nerve within the temporal bone.
Developmental abnormalities in the facial bones and the associated muscles of facial expression.
Decreased distribution of collaterals from peripheral branches of the facial nerve.抄録全体を表示PDF形式でダウンロード (6732K) -
石川 保之1990 年 83 巻 9 号 p. 1385-1389
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーNasal polyps have a high incidence of recurrence after surgical removal. The purpose of the present study is to determine the factors responsible for recurrence of this disease after surgery.
Thirty four patients who have undergone surgical removal of nasal polyps comprise the substance of this study. Intranasal polypectomies with or without sinus surgeries were performed under local anesthesia. They were treated with anti-allergy drugs, lysozyme or SCMC (S-carboxymethylcystcine) after the surgery for 1 to 6 months. The patients were examined by anterior rhinoscopy for recurrent nasal polyps six months after surgery. Multiple polyps had a significantly higher recurrence rate than single polyps. With regard to histology of nasal polyps, edematous types recurred more frequently than glandular cystic types. Recurrence rate was significantly lower in the group treated with anti-allergy drugs after the surgery than that treated with lysozyme or SCMC.抄録全体を表示PDF形式でダウンロード (580K) -
山田 洋一郎, 末野 康平, 木田 亮紀, 遠藤 壮平, 飯田 英信, 原 睦子, 冨田 寛1990 年 83 巻 9 号 p. 1391-1394
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーThirty-eight cases of posterior paranasal sinus cysts with opthalmological symptoms, treated at Nihon Univcrsity School of Medicine between 1977 and 1987 were reviewed.
Location of cysts, predominance of sex and age, existence of pasthistory of sinus operation were the same as reported by many other otolaryngologists.
Operation was carried out to drain the cysts. Good results were obtained in the cases of 1) good visual acuity preoperatively 2) operation carried out promptly after the devclopment of eye symptoms and 3) gradual onset of eye symptoms.
Drainageoperation was satisfactory in patients with visualacuity of more than 0.01. When the visual acuity is below 0.01, more advanced opcration such as pecling off affected mucosa, decompression of optic nerve is preferable.抄録全体を表示PDF形式でダウンロード (474K) -
坂下 勤武, 斎藤 等, 坪川 俊仁, 久保 富隆, 鹿野 佳子1990 年 83 巻 9 号 p. 1395-1402
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーThe reliability of A-mode ultrasound for diagnosing maxillary sinus diseases was evaluated in 46 patients with chronic maxillary sinusitis and maxillary cysts. The results were compared with the surgical findings and Waters view radiographs.
The presence of discharge in the maxillary sinuses was accurately diagnosed in 67.7% of the patients.
An experimental study with a plastic model and an extracted human maxilla from a cadaver was carried out. It was concluded that detection of maxillary tumor was difficult.抄録全体を表示PDF形式でダウンロード (3327K) -
梅村 仁, 尾崎 正義, 北村 健, 原 万里子, 阿部 能之1990 年 83 巻 9 号 p. 1403-1407
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーWe reported two cases of cartilaginous and osseous choristoma of the tongue with a review of the literature.
In Case 1, the patient, a 33-year-old woman, was referred to our hospital on Dec. 3, 1988. She had been aware of the mass on the tongue for 6 months, but had not undergone any treatment. At the first visit, the tumor was approximately 7mm in diameter and situated on the ventral surface of the tongue. The turnor was excised under local anesthesia. Histological investigation revealed this tumor to have the characteristics of hyaline cartilage. The histological diagnosis was cartilaginous choristoma of the tongue. In Case 2, the patient, a 27-year-old man, was referred to our hospital on Apr. 13, 1987. He had been aware of the mass on the tongue for 20 years, but had not undergone any treatment. At the first visit, the tumor was approximately 5mm indiameter and situated on the central dorsal surface of the base of thc tongue. The tumor was excised under general anaesthesia. Histological investigation revealed this tumor to have the characteristics of mature bone tissues. The histological diagnosis was osseous choristoma of the tongue.
The most accepted theory of origin of these glossal lesions is ectopic embryonic rest or mesenchymal metaplasia.抄録全体を表示PDF形式でダウンロード (1976K) -
野々村 光栄, 福島 英行, 児嶋 久剛, 大森 孝一1990 年 83 巻 9 号 p. 1409-1413
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーThere are various preoperative examinations for parotid surgery; for detecting the localization of tumor, sialo-computed-tomography (sialo-CT), intravenous contrast enhancement computed-tomography (enhanced-CT) and magnetic resonance imaging (MRI) and for detecting the nature of the tumor, ultrasound echography, radioisotope (RI) scintigraphy and fine needle aspiration biopsy (FNA).
To determine the most appropriate examination, we reevaluated these examinations for the last six years by calculating accuracy, and obtained the following results;
1) Enhanced-CT is most useful for locating the tumor.
2) FNA is most useful for detecting the nature of the tumor.抄録全体を表示PDF形式でダウンロード (525K) -
―接触型Nd:YAGレーザーの使用経験―徳重 栄一郎, 小川 和昭, 昇 卓夫, 大山 勝1990 年 83 巻 9 号 p. 1415-1421
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーA case of juvenile nasopharyngeal angiofibroma, which was removed with contact Nd:YAG laser, was reported.
The patient was a 17-year-old male who complained of bilateral nasal obstruction and recurrent epistaxis. CT scan and MRI revealed the tumor extending from the vault of nasopharynx into the right nasal cavity. Angiography showed that the feeding artcries were the right internal maxillary and ascending pharyngeal arteries. The both arteries were embolized with gelform. Two days after embolization, the tumor was successfully removed with less bleeding (ca. 100ml) by contact Nd:YAG laser via the transpalatal approach.
Contact Nd:YAG laser surgery in combination with arterial embolization is a very beneficial modality for treating nasopharyngeal angiofibroma.抄録全体を表示PDF形式でダウンロード (5693K) -
―母音の音質を対象として―大森 孝一, 庄司 和彦, 藤田 修治, 福島 英行, 児嶋 久剛1990 年 83 巻 9 号 p. 1423-1427
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーA method of objectively evaluating the voice quality of esophageal speech is described in this paper. We used the vowel/a/ of 27 esophageal speakers as a voice sample.
As judged from perceptual impressions, the voice samples were ranked by the paired comparison method. Acoustic parameters such as maximum phonation time, fluctuation of intensity and periodicity of vibration were examined. We compared the perceptual ranking and those three parameters by non-parametric statistical methods. There was a significant correlation between the last two parameters and the perceptual ranking. Low fluctuation (less than 10dB in 500msec from the voice on set) and periodic vibration were assumed to be a standard for the good voice quality of esophageal speech.抄録全体を表示PDF形式でダウンロード (521K) -
中野 勇治, 朝倉 光司1990 年 83 巻 9 号 p. 1429-1434
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーTotal nasal resistance measurements in 40 patients with obstructive sleep apnea syndrome (OSA) and 31 non-snorers were performed.
Active anterior rhinomanometry was performed with a Nippon Kohden MPR-2100 rhinomanometer to measure inspiratory and expiratory total nasal resistance in both the upright and the supine positions.
Nasal resistance values of each nostril were measured at a fixed pressure gradient sample point of 1.0cm H2O. Total nasal resistance values were calculated by a formula.
Of the 40 OSA patients 24 were treated surgically, two with tonsillectomy, one with uvuloplasty, and 21 with uvulopalatopharyngoplasty (UPPP).
The mean total nasal resistance values were compared between the 40 OSA patients and the 31 non-snorers, and before and two months after operation in 24 OSA patients treated surgically.
The mean expiratory and inspiratory total nasal resistance values of the 40 OSA patients were significantly higher than those of the 31 non-snorers in both the upright and the supine positions.
There was no correlation between the apnea index and the nasal resistance values in the 40 OSA patients.
In the 24 OSA patients treated surgically there was no significant difference in nasal resistance before and two months after the operation.抄録全体を表示PDF形式でダウンロード (712K) -
新谷 朋子, 朝倉 光司, 中野 勇治, 松田 史明, 形浦 昭克1990 年 83 巻 9 号 p. 1435-1440
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーHypertrophy of adenoids and tonsils is considered to be the most important cause of OSAS (obstructive sleep apnea syndrome) during childhood. We performed several cephalometric measurements and two dimensional analysis using PIAS-II (Personal Image Analysis Systcm-II) in maxillo-facial roentgenograms of OSAS children. Thirty three children (2-6 y. o.) were included in this study. They were divided into three groups according to the severity of sleep apnea. Those with severe OSAS tended to have larger adenoids and a narrower epipharyngeal air space than those with mild OSAS children. Children with severe OSAS had a long face and poorly prognatism of the maxilla and mandible.
These findings suggest that OSAS is probably due to both adenoidal hypertrophy and abnormal facial bone development.抄録全体を表示PDF形式でダウンロード (620K) -
―縦隔, 皮下, 咽後気腫合併例―田中 佐一良, 梅田 良三, 古川 仭1990 年 83 巻 9 号 p. 1441-1444
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーAn 11-year-old girl with bronchial asthma complicated by extensive retropharyngeal emphysema was reported. The patient was admitted with an attack of asthma accompanied by dyspnea and wheezing. Subcutaneous emphysema was observed in the face and neck. The plain X-ray film of the neck showed subcutaneous and retropharyngeal emphysema. The computed tomography (CT) scan of the neck and chest also showed mediastinal, subcutaneous and retropharyngeal emphysema, and free air in the epidural space of spinal canal. Treatment for bronchial asthma resulted in disappearance of emphysema on the eighth hospital day. The CT scan revealed significant information concerning the location and degree of emphysema.抄録全体を表示PDF形式でダウンロード (1584K) -
伊藤 壽一1990 年 83 巻 9 号 p. 1445-1454
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーThe recent findings on the hearing mechanism were reviewed anatomically and physiologically. The travelling wave theory is insufficient for explaining the cochlear fine tuning ability and the active movement of outer hair cells is necessary for the fine tuning. In the outer hair cells there exist K+, Ca++ channels. With the movement of basilar membrane by travelling waves, these channels open and the actin-myosin system is activated. This active movement has an important role for fine tuning of cochlea. Outer hair cells have two types of movement, that is, slow and fast movements. From the superior olivary complex efferent fibers project to cochlea and have feed back role for the active movements of outer hair cells. The afferent cochlear nerves from the inner hair cells transmit the signals caused by cochlear fine tuning. On the other hand, the nerves from the outer hair cells donot respond to sound and the role is uncertain. For the tuning of cochlea, outer hair cells play an important role and the tuning signals are transmitted to the afferent cochlear nerves originated from the inner hair cells. However, no anatomical fiber connection between inner and outer hair cells has been found.抄録全体を表示PDF形式でダウンロード (1116K) -
菅田 吉範1990 年 83 巻 9 号 p. 1455-1461
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーStudies of the inner ear include three basic techniques: histochemical studies, biochemical analysis and physiological analysis. These methods have been extended to the level of the single cell, and especially physiological studies have been advanced by the use of an isolated sensory hair cell and the patch clamp technique.
In order to study the basic metabolism and electrical characteristics of the inner ear, we describe a rapid technique for the isolation of sensory hair cells from the inner ear.
Hair cells of bull frogs and guinea pigs are isolated from the vestibular and cochlear organs by an enzymatic and mechanical isolation technique with the use of papain. This technique yields a sufficient number of hair cells in a relatively short time.抄録全体を表示PDF形式でダウンロード (5767K) -
―ステロイド代替薬として―二木 隆1990 年 83 巻 9 号 p. 1463-1471
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーSince Hanser's first report (1959), there have been a few reports describing steroid therapy of Meniere's disease. The first aim of this study is the demonstration of the effectiveness of a steroid, prednisolone, in the treatment of Meniere's diseases.
In 13 patients (12 with Meniere's disease, one with delayed endolymphatic hydrops), the oral administration of prednisolone (average 15mg/day) caused significant( p<0.005) reduction of low-tone hearing loss, vertigo, dizziness and tinnitus.
The second aim of this study is the search for and confirmation of an effective alternative to steroids to avoid their side effects and dependency. A new anti-allergic and vasodilator agent, Ketas®, which is antagonistic to leukotriene D4 and potentiated the activity of prostacyclin, was given in a dose of 3 capsules/day immediately after steroid therapy to the same patients. There was a significant (p<0.005) improvement of hearing and reduction of dizziness and tinnitus. In a single dose given to 19 patients it caused significant (p<0.005) reduction of the same symptoms.
The importance of an alternative to steroids in the treatment of Meniere's disease is emphasized, and the contribution of autoimmunity in the etiology of Meniere's disease is discussed.抄録全体を表示PDF形式でダウンロード (1122K) -
岸本 誠司1990 年 83 巻 9 号 p. 1472-1473
発行日: 1990/09/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (310K)
- |<
- <
- 1
- >
- >|