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85 巻, 4 号
選択された号の論文の29件中1～29を表示しています
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草刈 潤1992 年 85 巻 4 号 p. 497
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (120K) -
―乳幼児の聴力検査を中心に―阿瀬 雄治1992 年 85 巻 4 号 p. 498-502
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (550K) -
市川 銀一郎, 芳川 洋1992 年 85 巻 4 号 p. 502-506
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (506K) -
船井 洋光1992 年 85 巻 4 号 p. 507-510
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (2961K) -
大内 利昭, 神崎 仁1992 年 85 巻 4 号 p. 511-514
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (497K) -
毛利 学, 平野 雅彦, 寺本 保二1992 年 85 巻 4 号 p. 516-517
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (1127K) -
木倉 幹乃, 武林 悟, 芹澤 泰博, 野末 道彦1992 年 85 巻 4 号 p. 519-524
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーWe reported a case of diffuse metastatic leptomeningeal carcinomatosis (DMLC) with vertigo and hearing loss as early symptoms. From the examinations of a hearing test, internal auditory meatus tomography, caloric test, and auditory brain stem response, acoustic neurinoma was suspected firstly, and was ruled out finally by differential diagnosis. No remarkable findings were revealed in either CT or MRI and the cytological examination of cerebrospinal fluid showed many atypical cells, and the final diagnosis was DMLC. We made some discussions on this case and other cases reported in the literature.抄録全体を表示PDF形式でダウンロード (2652K) -
馬場 完仁, 井上 鐵三1992 年 85 巻 4 号 p. 525-531
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーDirection changing positional nystagmus (DCPN) induced by the I. V. injection of sodium isomytal was examined electro-nystagmographically in 20 patients with unilateral inner ear disturbance.
Seven patients (35%) had positional nystagmus towards the upper ear, and 6 of them had upward DCPN. The mean slow-phase velocity (SPV) of nystagmus in the affected side-down position was significantly lower (p<0.01) than in the healthy side-down position in 6 patients. Five patients (25%) had positional nystagmus towards the lower ear, and 3 of them had downward DCPN. The mean SPV of nystagmus in the affected side-down position was significantly lower (p<0.01) than in the healthy side-down position in one patient. No positional nystagmus was observed in the other 8 (40%).
Positional nystagmus may be caused by otolith disturbances on the affected side, because in some patients there was no difference in the maximum SPV between right and left caloric nystagmus. We expect that otolith function can be evaluated by the investigation of positional nystagmus induced by this drug.抄録全体を表示PDF形式でダウンロード (760K) -
―難聴・めまいと髄膜炎の合併例―金井 龍一, 福瀬 信也, 牧本 一男, 高橋 宏明, 田上 久樹1992 年 85 巻 4 号 p. 533-538
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーA 6-year-old girl complained of difficulty hearing four days after the onset of parotid swelling. Four days later she developed vertigo and vomiting, and was brought to our outpatient clinic. Audiograms showed total deafness of the right ear. Rotatory and horizontal nystagmus was also noted. Caloric testing revealed canal paresis (CP) on the right. Neurological examination revealed nuchal rigidity. Lumbar puncture was done, and the findings led to the diagnosis of aseptic meningitis. Various therapeutic agents including vasodilators, vitamin B, gamma globulin and steroid hormone were administered for two weeks. Although her general condition and equilibrium recovered, her hearing impairment did not improve. It was probable that meningitis following mumps infection preceded the inner ear lesion in this case and affected the inner ear by spreading through the cochlear aqueduct or internal acoustic meatus.抄録全体を表示PDF形式でダウンロード (761K) -
小林 謙, 相原 康孝, 佐久間 文子, 石田 祐子, 上村 敏夫, 神尾 友和1992 年 85 巻 4 号 p. 539-543
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPure tone hearing level and speech reception threshold in the presence of a prosthesis were investigated in 80 ears with chronic otitis media with perforation to clarify the usefulness of the assessment of speech hearing in evaluating the prosthesis test. The tests were repeated after tympanoplasty in the same patients.
In 38 ears with no abnormalities of the ossicular chain, both the pure tone hearing level and the speech reception threshold were improved by the prosthesis. In 31 ears with fixation of the ossicular chain, the pure tone hearing level at low to middle frequencies was improved by the prosthesis, but the speech reception threshold did not improve. In 11 ears with dislocation of the ossicular chain, both the pure tone hearing level and the speech reception threshold did not improve with the prosthesis.
Both the hearing level and the speech reception threshold improved in ears with no abnormalities after tympanoplasty. They also improved after tympanoplasty in ears with dislocation of the ossicular chain. In ears with ossicular fixation, hearing levels at low frequencies improved after the operation, but the speech reception threshold did not improve.
These results suggest that the prosthesis test should be performed with the assessment of both the pure tone hearing level and speech hearing.抄録全体を表示PDF形式でダウンロード (574K) -
―周波数ごとの検討―八木 聰明, 馬場 俊吉1992 年 85 巻 4 号 p. 545-549
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーChanges in pure-tone thresholds before and after stapes surgery were investigated in 50 otosclerosis ears. The characteristics of the pure-tone threshold were studied in Japanese patients with otosclerosis.
The average air conduction audiogram showed a stiffness curve which was not observed in the reports from Europe and the United States. This stiffness curve may be one of the characteristics of otosclerosis in the Japanese.
The average bone conduction in the present study exhibited Carhart's notch; this was also noted by European and American investigators.
The time courses of hearing improvement in air conduction thresholds and the values of air-bone gaps in our study did not differ from those noted in the reports from Europe and the United States.抄録全体を表示PDF形式でダウンロード (623K) -
楢村 裕美, 久保 武, 白石 孝之, 松永 亨, 浅井 英世1992 年 85 巻 4 号 p. 551-557
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーFifty five stapes operations performed during the past 11 years were studied. The average air conduction level of 0.5-2kHz was 58.5dBHL pre-operatively. This was improved to 31.6dBHL in audiograms recorded 3-6 months after operation. During the first 5 years of this survey, stapedectomy (SDE) was performed in 76.0% of the patients. Stapedotomy (STO) was more frequently done during the next 6 years (53.3%). A comparison of the two operations showed that hearing was better at all frequencies (0.125-8kHz) after STO than after SDE. The difference was greatest at 8kHz. It was confirmed that STO resulted in better hearing than SDE in patients with otosclerosis.抄録全体を表示PDF形式でダウンロード (687K) -
加知 賢次郎, 加我 君孝, 鈴木 淳一1992 年 85 巻 4 号 p. 559-563
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーWe report an 11-year-old boy who had an unilateral conductive hearing loss caused by osteoma in the middle ear. A white mass which was observed through the ear drum and palpated by micro-instrument had bony hardness. Computed tomography and MRI of the temporal bone revealed an abnormal shadow in the middle ear and mastoid cavity. The patient underwent tympanoplasty. During the surgery, we found that a bony mass pressed the tympanic membrane and restricted the mobility of the ossicular chain. The histopathological diagnosis of the bony mass was an osteoma.抄録全体を表示PDF形式でダウンロード (4547K) -
成尾 一彦, 鶴田 至宏, 田中 治, 宮原 裕, 松永 喬1992 年 85 巻 4 号 p. 565-574
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーDuring a six-year period from 1984 to 1989, nasal fracture was diagnosed roentgenographically in 174 patients. We analyzed the age of the patients, cause of injury, macroscopic findings, X-ray appearance and timespan from injury to diagnosis.
The external appearance of the nasal fracture was displacement type in 81 cases and depressed type in 11. Waters' view roentgenograms showed that the nasal fracture was unilateral in 104 patients and bilateral in 24. Lateral soft roentgenograms showed the nasal fracture to be of the linear type in 16 patients, longitudinal type in 18, tip fracture in 55, and comminuted fracture in 33.
The degree of fracture reduction was rated on a 4-grade scale: complete, incomplete, unchanged or worse. Macroscopically complete reduction was seen in 80.6% of displacement type fractures and in 100% of depressed type fractures.
Tip and comminuted type fractures had lower degrees of reduction.
In most cases, the fracture was fresh. Macroscopic analysis of fracture reduction was not closely related to the time from injury to diagnosis, but the roentgenographic assessment of reduction correlated well with the interval between injury and diagnosis. Satisfactory reduction as evaluated by X-ray films, was difficult when the diagnosis was made 15 days or more after injury.抄録全体を表示PDF形式でダウンロード (4020K) -
鈴木 俊哉, 後藤 昭信, 野村 康, 坂口 正範1992 年 85 巻 4 号 p. 575-579
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーAngiofibroma of the inferior turbinate is very rare.
Our patient was a 27-year-old male who complained of nasal bleeding. The tumor was removed through a palatine approach. There has been no recurence.抄録全体を表示PDF形式でダウンロード (3708K) -
―Le Fort I osteotomyの応用―林 伊吹, 坂倉 淳, 山本 祐三, 牧本 一男, 高橋 宏明, 田嶋 定夫, 山田 恭造1992 年 85 巻 4 号 p. 581-587
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーAngiofibromas are histologically benign tumors, but clinically they often appear to be malignant because of their rich vascularity, so that massive bleeding may occur during surgery. Therefore, it is necessary to select a surgical technique with only slight bleeding and with a wide view enabling resection of the tumor en bloc.
A 13-year-old male patient with a giant angiofibroma involving his nasopharynx, pterygopalatine fossa, and infratemporal fossa was treated here. We tried to resect the tumor en bloc without a skin incision. Le Fort I osteotomy was performed after embolization of the feeding artery of the tumor. The tumor was resected en bloc with little bleeding. There were no postoperative complications. We think that Le Fort I osteotomy is the most desirable technique for resecting angiofibromas with a wide view of the operative area.抄録全体を表示PDF形式でダウンロード (5285K) -
―副鼻腔気管支症候群との関連―高北 晋一, 北村 溥之, 庄司 和彦, 田渕 圭作, 宮田 耕志, 金子 賢一, 安里 亮1992 年 85 巻 4 号 p. 589-596
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーSinobronchial syndrome (SBS) is a clinical entity which combines chronic sinusitis (CS) and various bronchial disorders: bronchiectasis, chronic bronchitis and diffuse panbronchiolitis.
In the past, CS was said to be the cause of bronchial involvement, because nasal symptoms begin earlier than bronchial symptoms in most patients with SBS. In order to determine whether or not the bronchial involvements are the result of nasal disease, we examined the pulmonary function of patients with CS and SBS.
We tested the pulmonary function, vital capacity (VC), forced expiratory volume in 1 sec (FEV10), and corrected values of maximum flows on the flow volume curve at 50% and 25% of the vital capacity (%V50, %V25) of 66 patients with CS without bronchial involvement, or 21 patients with SBS. We also evaluated the pulmonary function of 65 volunteers as a control group. None of them had a history of smoking.
VC and FEV1.0 were not decreased in patients with CS. The %V50 and %V25 of those with CS were significantly lower than in the control group (p<0.01) and significantly lower in those with SBS than in those with CS (p<0.01).
No positive correlation was found between the duration and severity of CS and the decrease in the level of %V50 and %V25. Some patients had occult peripheral airway dysfunction in the early stage of CS. These findings suggest that CS is not the cause of bronchial involvement and that CS and peripheral airway disorder develop at the same time in some patients, who may later develop SBS.抄録全体を表示PDF形式でダウンロード (725K) -
藤森 正登, 縄田 安孝, 山川 卓也, 市川 銀一郎1992 年 85 巻 4 号 p. 597-600
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーParotid grand calculi in a 52-year-old man is reported. The examinations showed swelling of left parotid gland and a palpable small hard mass at the mid portion of the parotid duct and on the left side. CT and Echo were recommended for its diagnosis. CT showed a small high density area, and the Echo showed an acoustic shadow in front of the left parotid gland. The surgical operation was performed with a small external incision in the longitudinal direction along the parotid duct. After the operation, a cut-down tube with a diameter of 1mm was retained in the parotid duct, for preventing stenosis of the parotid duct. The stone was analyzed by infrared spectrometry, and was composed of calcium phosphate and protein.抄録全体を表示PDF形式でダウンロード (1900K) -
宇野 芳史, 斉藤 龍介, 松岡 寿子, 金谷 真1992 年 85 巻 4 号 p. 601-605
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーA case of a cystic lesion within the parotid gland of a 71-year-old male is reported. Preoperative image diagnosis with ultrasound sonography. CT scan and MRI indicated a benign unilocular cystic lesion in the superficial lobe of the parotid gland. A superficial parotidectomy revealed that the mass was located in the superficial lobe at the level between upper and lower divisions of the facial nerve trunk.
The histopathological picture was consistent with that of the branchial (lymphoepithelial) cyst which suggests anomalies of the first branchial cleft.
The clinical features, methods of pre-operative diagnosis and treatment of the parotid branchial cysts are discussed with a review of the literature.抄録全体を表示PDF形式でダウンロード (3404K) -
瀧口 哲也, 岡部 陽三, 古川 仭, 中川 士郎, 大尾 嘉宏巳, 道岸 隆敏, 水上 勇治1992 年 85 巻 4 号 p. 607-613
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーA 57-year old man had a left anterior neck tumor, and another small tumor was found in the laryngeal ventricle by indirect laryngoscopy. A CT scan showed a well-circumscribed tumor growing from the thyroid lamina into the paraglottic space. Under general anesthesia the tumor was dissected with fenestration of the thyroid ala without any complications, such as hoarseness or deformity. In Japan 35 cases of cartilagenous tumors arising in the laryngeal cartilage have been reported, including our case. In six of these 35 cases the tumor was in the thyroid cartilage. Both chondrosarcoma and chondroma are often seen in the thyroid cartilage, whereas chondroma is seen more frequently than chondrosarcoma in the cricoid carilage.抄録全体を表示PDF形式でダウンロード (4033K) -
―Midline translingual approachによる―横山 道明, 榎本 雅夫, 新井 宏紀, 芝埜 彰, 硲田 猛真1992 年 85 巻 4 号 p. 615-620
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーTwo cases of anterior pharyngotomy for a tumor of the vallecula and base of the tongue with midline translingual approach are reported. Tumor resection combined with total laryngectomy for leiomyosarcoma of the base of the tongue in a 47-year-old male and for squamous cell carcinoma of the epiglottis tip invading vallecula and the base of the tongue in a 74-year-old male were performed with medial labiomandibular glossectomy. They could eat per os and speak using electrolarynx 21 days after surgery. This technique allows good exposure of the anterior pharynx and the midline closure produces good cosmetic and functional results.抄録全体を表示PDF形式でダウンロード (4773K) -
榎本 冬樹, 西谷 全弘, 桜井 淳, 市川 銀一郎1992 年 85 巻 4 号 p. 621-625
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーA case of a Castleman lymphoma of a 19 year old female is reported. The tumors were palpable around the bilateral sternocleidomastoid muscle. Malignant lymphoma was suspected by a preoperative aspiration biopsy.
Therefore, we tried open biopsy at the submandibular lymphnode, and identified histologically a hyaline vascular type of Castleman lymphoma. Immunohistological studies showed proliferated polyclonal lymphocytes in the lymphnode.
There have been reported only 12 cases of C astleman lymphoma which showed the multiple swelling of cervical lymphnodes in Japan. This is a very rare case with over 20 lymph nodes showing swelling in both sides of the cervical region.抄録全体を表示PDF形式でダウンロード (3631K) -
湯田 厚司, 前田 太郎, 川口 信也, 篠木 淳1992 年 85 巻 4 号 p. 627-633
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーForeign bodies in the ear and nose are commonly found by otorhinolaryngologists. A statistical review was made of 99 patients with foreign bodies in the ear and 73 patients with foreign bodies in the nose, treated at the Maeda ENT Hospital between June 1, 1988 and May 31, 1991.
1. The patients with foreign bodies in the ear showed a wide age range, but most of those with foreign bodies in the nose were children.
2. Foreign bodies in the ear were seen more often in summer because of insects, but foreign bodies in the nose showed no seasonal differences.
3. The most frequent foreign bodies in the ear were insects (37.4%), followed by toy parts (26.3%) and cotton (8.1%).
4. The most frequent foreign bodies in the nose were toy parts (43.8%), followed by food (23.3%) and paper (15.1%).抄録全体を表示PDF形式でダウンロード (656K) -
―内リンパ水腫の効果―内藤 泰1992 年 85 巻 4 号 p. 635-644
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーThe influence of external auditory canal pressure on the activity of the vestibular nerve was studied in normal guinea pigs and in those with experimental endolymphatic hydrops. Vestibular nerve action potentials were continuously monitored when a pressure of 300mmH2O above or below atmospheric pressure was applied to the external auditory canal. Activity changed significantly during positive pressure application in 19% of the normal group and in 73% of the hydrops group, whereas 35% of the normal and 20% of the hydrops group responded to negative pressure. Responses of normal guinea pigs were reversed according to the polarity of the pressure, and their sensitivities to the pressure correlated to their coefficients of variation. In the hydrops group, polarity of the pressure did not reverse the responses and the correlation between the sensitivity and the coefficient of variation was not apparent.抄録全体を表示PDF形式でダウンロード (2066K) -
―免疫組織化学二重染色法による―中村 英生, 山岸 益夫, 中野 雄一1992 年 85 巻 4 号 p. 645-648
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーThe immunohistochemical multiple staining method is used to recognize multiple antigens on the same section. In our observations of mitotic cells in the normal olfactory epithelium of guinea pigs and basal cells arranged on the basement membrane, we used the immunohistochemical double staining with anti-BrdU and anti-Cytokeratin (CK) antibodies. Numerous mitotic cells reactive with anti-BrdU antibodies were arranged above the basal cells, but most of these cells, did not react with the anti-CK antibodies. This shows that they differ from basal cells.
These cells appear to be blastema cells, interstitial cells, resting cells, and the globose cells described by Graziadei et al.
The above findings are inconsistent with the hypothesis that basal cells are the precursor cells of olfactory cells.抄録全体を表示PDF形式でダウンロード (2199K) -
石塚 洋一, 鰐渕 伸子1992 年 85 巻 4 号 p. 649-654
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーAn experimental study was performed to evaluate the antigenicity of some drugs used in nebulization administered to guinea pigs.
Male Hartley guinea pigs were housed in an acrylic chamber and drugs such as DKB and histamine-added γglobulin solutions were sprayed into the chamber using an ultrasonic nebulizer. The medication were administered for a maximum duration of 4 weeks. As antigenicity tests, the Schultz-Dale reaction and passive cutaneous anaphylaxis test (PCA test) were evaluated. After the aerosol exposure, all animals tested were negative for the Schultz-Dale reaction or the PCA test. On the other hand, after aerosol administration of ovalbumin solution for 2 or 4 weeks, the animals tested showed positive results in the two tests. These findings suggest that nebulizer therapy with histamine-added γglobulin or DKB solutions shows no antigenicity, but attention should be paid in the use of nebulizer therapy in other drugs with high antigenicity.抄録全体を表示PDF形式でダウンロード (3550K) -
浜口 富美, 坂倉 健二, 稲垣 政志, 久保 将彦, 村井 須美子, 伊藤 由紀子, 三井 洋, 谷口 強, 谷口 知恵子, 荘司 邦夫1992 年 85 巻 4 号 p. 655-660
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーThe therapeutic effect of S-carboxymethyl cystein (S-CMC, Mucodyne®) was examined in 54 patients with chronic sinusitis. A dose of 1500mg/day of S-CMC was administered to the patients for 4 weeks, and its effectiveness was evaluated at the end of treatment.
1) The overall efficacy rate was 78.7% and the efficacy rate for good responses was 46.8%.
2) An adverse reaction was noted in only one patient (1.9%).抄録全体を表示PDF形式でダウンロード (648K) -
―奈良県頭頸部癌免疫療法研究会成績―宮原 裕, 松永 喬, 田中 治, 家根 旦有, 鶴田 至宏, 小川 佳伸, 岡 亮, 北村 溥之, 大八木 章博, 西川 益子, 田渕 圭 ...1992 年 85 巻 4 号 p. 661-668
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーTo evaluate the effectiveness of Krestin® (PSK), we conducted a clinical trial of head and neck cancer patients from 1987 to 1991. A total of 44 patients were included in this trial. To control the primary lesion and the metastasis, they received various treatments, i. e. surgery, radiation, or a combination of these treatments with or without chemotherapy. After the completion of these treatments, the patients were divided into two groups. One group (22 patients) received 3g/day of PSK orally.
The 1-year disease-free rate of the PSK group was higher (generalized Wilcoxon test p=0.052) than that of the control group. The 2-year survival rate of the PSK group was also higher than that of the control group. The 2-year survival rate of the 15 patients with recurrence, was significantly higher (G. W. p=0.014) in the PSK group than in the control group.
We also measured the level of immunosuppressive substance (IS) in the serum of 28 patients. It is thought that the IS level reveals the patients' immunosuppressive condition. The changes of the IS level suggested that PSK helped in the recovery of immunosuppressive function. The administration of PSK appears to be useful in the management of patients with head and neck cancer.抄録全体を表示PDF形式でダウンロード (843K) -
丘村 煕1992 年 85 巻 4 号 p. 670-671
発行日: 1992/04/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (344K)
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