耳鼻咽喉科展望
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
1 巻 , 2 号
選択された号の論文の16件中1~16を表示しています
  • 山田 孝
    1958 年 1 巻 2 号 p. 148-158,250
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    Dysfunction of the Eustachian tube is recognized as the direct case of middle ear injury due to aviation. Accurate test of the function of the Eustachian tube is therefore required to ascetain the cause of and to discover preventive measures for this injury. A review of old and current methods used to test the Eustachian tube function is given, and the inadequacy of methods usually employed in clinical practice is pointed out. In ther words, although determination of the grade of passive opening of the Eustachian tube is of significance in clinical practice, this information is of only limited value in deciding the adaptability to flying as the maximum point of the physiological limits comes into question.
    Accordingly, Perlman's method with which the ability to open actively can be tested by examining the opened state of the Eustachian tube during swallowing with sound waves and endoscopie examination of the orifice region were considered the proper method for this purpose.
    A modification of Perlman's method is presented. Besides direct examination of the Eustachian tube itself, the importance of not overlooking factors that affect the Eustachian tube, such as diseases of the nose and accessory sinuses and allergicdisorders, is emphasized.
  • 足川 力雄
    1958 年 1 巻 2 号 p. 159-195,250
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    The materials used for this study consisted of 61 cases, (ranging between viviparity 5 months to 79 years of age).
    The cases in which the diseases of the nose, mouth, pharynx and larynx were the direct cause of death were excluded.
    Most of the ethmoid, nasal septum and concha nasalis media were extirpated intracranially between the posteior end of the crista frontalis and the sulcus faciculi optici without injuring the face.
    After embedding in celloidin, a gross and microscopic examination of their frontal section was made. The form was complicated between the beginning portion of the conch nasalis media and the canopy of the ethmoid. Especially, the operative significance of the inner wall of the attic of the ethmoidal sinuses has been stressed from a clinicoanatomical point of view.
  • 堀口 申作
    1958 年 1 巻 2 号 p. 196-203,251
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    A review of the various subjective symptoms which may appear in acute and chronic epipharyngitis is given, based upon the author's clinical experience of 20 years. Symptoms such as headache, postnasal drip, nasal congestion, mild fever, dizziness, hyposmia, allergic rhinitis, snoring and nasal voice, etc., are frequently encountered, patients with this disease are therefore apt to undergo medical treatment without obtaining any relief. If otolaryngologists would be more careful and concerned with examination of the epipharynx, it might be possible to relieve many patients of troublesome symptoms of undetermined causes.
  • 高橋 良, 足川 力雄
    1958 年 1 巻 2 号 p. 203-212,251
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    Histopathological study of specimens obtained from 64 cadavers (41 adults, 23 infants and young children) with coronal sections through the head and nose revealed frequent instances of chronic inflammatory changes, especially adhesive processes, which would be extremely difficult to observe clinically. In the adult cases. apposition of the nasal septum and the superior turbinate in 33 per cent and adhesions in 22 per cent were observed, and these inflammatory changes were more frequently found in the rima olfactord at the posterosuperior portion of the nasal septum. However, in contrast to apposition observed in 22 per cent of the inflants and children under 12, no instances of adhesions were found in these cases. It is believed that through recurrent occurrences of inflammation in this region, excoriation of the epithelium, cellular infiltration and retention of secretions take place in the lining mucous membrane, resulting in organization and consequently, apposition and adhesions of the nasal septum and the superior turbinate.
  • 名越 好古, 萩尾 千和, 大下 富美代, 道下 富信
    1958 年 1 巻 2 号 p. 213-217,252
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    Alevaire is a non-irritating, non-toxic, chemically stable compound composed chiefly of the detergent, Superinone, and possesses a mucolytic action. It facilitates the elimination of tenacious secretions by moistening, reducing the surface tension and liquifying the thick secretions and thus assists the ciliary action of the mucous membrane.
    The authors report their clinical experience with Alevaire (Winthrop) employed in the therapy of chronic sinusitis in children. The dissolving action of Alevaire on purulent secretions discharged from the maxillary sinus was first tested in vivo before clinical application. The following two methods were employed in their clinical cases.
    1. Aerosol treatment with a nebulizer in 29 cases.
    2. Injection of Alevaire into the maxillary sinus in 12 cases.
    According to the authors, Alevaire was observed to be considerably effective in dissolving and loosening thick, viscid secretions and hastening their elimination. As the principal efforts in the therapy of chronic sinusitis should be directed toward removal of purulent secretions and recovery of normal ciliary action, the use of Alevaire in this respect is quite rational and they envisioned the possibility of this agent being widely used in the future.
  • 神尾 友彦, 飯野 一夫, 皆藤 彦義
    1958 年 1 巻 2 号 p. 218-230,252
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    1) Osteomas are considered to arise from periosteal rests and through stimuli, and very rarely from cartilaginous rests.
    2) The original collagenous fibers undergo fibromatoid development and then through intramembranous ossification develop into ssteomas in the following order. fibroma-ossifying fibroma, young form I-ossifying fibroma, young form IIossifying fibroma, mature-spongy osteoma-compact bone.
    3) Two distinct stages in the development of young forms of ossifying fibromas are observed.
    Form I. Osteoid tissue containing no bone cells, connective tissue with collagenous fibers, and giant cells from which osteoblasts are believed to arise, are chiefly observed.
    The transitional processes, as shown by changes in the staining properties and morphology, in the development of collagenous fibers(Gel solution)from collagenous fibrils(Sol solution)to bone-like osteoid were evident in the specimens studied. The areas of Sol solution were transparant with Mallory, Elaast and v.Gieson stains but showed light red mucicarmin stained granules with P.A.S. reactions.
    Form II. This type shows osseous tissue containing a few bone cells clustered in isolated islands, and is almost devoid of lamellar structure .The major portion of the tumor is occupied by connective tissue.
    In the maturer forms of ossif f ing fibroma, trabeculae with lamellar formation of osseous tissue are seen and in the histologic slides taken from this series of cases approximately equal areas of connective and osseous tissues were observed
  • 今井 三郎, 大川 きぬ, 高田 渙
    1958 年 1 巻 2 号 p. 230-235,254
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    The results of clinical investigation of systemic side-effects of streptomycin in 995 patients with pulmonary tuberculosis are reported.Over 30 different subjective symptoms, in one form or another, were observed in 81.5 per cent of the patients but the most frequent complaints were stiffness of the face, numbness around the mouth, general lassitude, heaviness of the head, headache and tinnitus. Loss of hearing acuity, however, was seen in only 5.5 per cent.
    Most of these side-effects were transitory in nature, appearing generally at the initial injection.
    The occurred within several hours after the injcection, disappeared inside of 24 hours and repeatedly appeared after each subsequent injection.
    The frequency of side-effects with different preparations increased in the order. of combined streptomycin, dihydrostreptomycin and streptomycin. The incidence of the above-mentioned side-effects was greater with twice a week injections than with daily injections of these preparations. Persistent side-effects were very few as the incidence of only 7.9 per cent shows.
  • 大和田 一郎, 松岡 哲郎, 中村 賢二, 由比 貞勝, 北川 俊夫
    1958 年 1 巻 2 号 p. 235-240,254
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    Four cases of benign tumors of the tongue that were diagnosed histologically as neurinomas are reported. All 4patients experienced no symptoms except silght impairment of speech, and were unaware of the growths until they had become of considerable size.
    In each case the tumor develope dunilaterally and no metastases or recurrences after local excision have been observed.The histologic picture of tumors was identical with the description of neurinomas given by Verocay.
    The tumors were composed of irregular lines of fiber bundles, stained yellow with Van-Gieson's stain and reddish-purple with Mallory's stain Spindle or rod-shape tumor cells were arranged in picket-like formation. For the most part, they were regarded as belonging to the so-called A type tumors of Antoni. The rarity of cases of neurinomas of the tongue published in the litereture has prompt the reporting of these 4 cases.
  • 井沢 豊明, 宇野 昭二, 浜野 巖, 山崎 惣吉
    1958 年 1 巻 2 号 p. 240-246,255
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    As the first step in this clinical study, the intra-antral pressure and the grade of obstruction of the natural orifice were tested with a manometer.Next, Moljodol, a radiopaque oil, was injected into the maxillary sinus and the functional status of the mucous lining was determined by the appearance of the shadows cast by Moljodol. in the antrum cavity on roentgenological examination.
    The results of this clinical study showed that there was a tendency for the grade of obstruction of the ostium of the maxillary sinus, to rise higher in parallel with the grade of pathologic process in the lining mucous membrane, and that the intra-antral. pressure also indicated a similar tendency to increase as the intra-antral pathology advanced in severity.
  • 高田 換
    1958 年 1 巻 2 号 p. 246-249,255
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
    A 17-year-old boy complained of persistent epitaxis, hemicrania, difficulty in opening his mouth, swelling of the left side of the palate, and hearing impairment and tinnitis on the left side.Clinically, a hemorrhagic tumor, which was diagnosed as fibroma, was found in the nasopharyngeal region and surgical removal of the tumor was performed employing Denker's method.However, on microscopic examination of the excised specimen, the tumor was found to be a lymphoepithelioma, and deep roentgen therapy was given postoperatively.
    As recurrence was observed about 6 monthsafter the operation, reoperation was carried out but death ensued seven months later, one year and two monthsafter clinical onest of the tumor.
  • 1958 年 1 巻 2 号 p. 256-274
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
  • 1958 年 1 巻 2 号 p. 275-284
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
  • 高橋 良
    1958 年 1 巻 2 号 p. 285-286
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
  • 熊谷 一郎
    1958 年 1 巻 2 号 p. 287-293
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
  • 熊谷 一郎
    1958 年 1 巻 2 号 p. 297-300
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
  • 竹山 恒寿
    1958 年 1 巻 2 号 p. 301-303
    発行日: 1958/04/15
    公開日: 2011/08/10
    ジャーナル フリー
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