All issues
Volume 34 (1991)
- Issue 6 Pages 595-
- Issue 5 Pages 507-
- Issue 4 Pages 385-
- Issue 3 Pages 261-
- Issue 2 Pages 113-
- Issue 1 Pages 5-
- Issue Supplement8 Pag･･･
- Issue Supplement7 Pag･･･
- Issue Supplement6 Pag･･･
- Issue Supplement5 Pag･･･
- Issue Supplement4 Pag･･･
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 31 (1988)
- Issue 6 Pages 757-
- Issue 5 Pages 613-
- Issue 4 Pages 425-
- Issue 3 Pages 273-
- Issue 2 Pages 127-
- Issue 1 Pages 9-
- Issue Supplement9 Pag･･･
- Issue Supplement8 Pag･･･
- Issue Supplement7 Pag･･･
- Issue Supplement6 Pag･･･
- Issue Supplement5 Pag･･･
- Issue Supplement4 Pag･･･
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 40, Issue 1
Displaying 1-18 of 18 articles from this issue
- |<
- <
- 1
- >
- >|
-
[in Japanese]1997 Volume 40 Issue 1 Pages 8-9
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (4357K) -
[in Japanese]1997 Volume 40 Issue 1 Pages 10-18
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (1195K) -
Hirohisa Sato1997 Volume 40 Issue 1 Pages 19-33
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSIn the present paper, the possibility was studied whether the combined treatment of hyperthermia, and membrane-modifying. agent (cepharanthin) or Ca2+-antagonist (verapamil) could overcome the resistance to CDDP, using CDDP-resistant KB cells. The anti-tumor effects by hyperthermia were enhanced in both parent KB cells and CDDP-resistant KB cells.
The CDDP-resistant KB cells were treated by combined treatment of CDDP and, cepharanthin or verapamil with hyperthermia.
As a result, cepharanthin and verapamil could not overcome the acquired resistance to CDDP of KB cells. This failure was considered that P-glycoproein was not found in the CDDP-resistant KB cells, because both cepharanthin and verapamil influence on a release of CDDP-resistant in tumor cells through the expression of P-glycoprotein.
After treatment with hyperthermia, the sensitivities of both parent KB cells and CDDP-resistant KB cells to lymphokine activated killer (LAK) cells were evaluated by 51Cr release assay. The CDDP-resistant cells appeared to be considerably sensitive to LAK cells.
The expression rate of heat shock proteins (HSPs) induced by hyperthermia in both parent KB cells and CDDP-resistant KB cells were low (5-10%), accordingly the thermotolerance of KB cells was not induced in this hyperthermia treatment.View full abstractDownload PDF (2647K) -
CLINICAL AND BACTERIOLOGICAL STUDY BY YAMIK CATHETERIkuyo Miyanohara1997 Volume 40 Issue 1 Pages 34-42
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSYAMIK sinus catheter (YAMIK) which is physical therapeutic device for sinusitis was used to evaluate the efficacy of drainage of effusion in the paranasal sinuses (PNS). This method was used once a week for 3 consecutive weeks to evacuate pathological secretion from PNS through natural ostia without topical or general medication. Subjective symptoms were improved. X-ray findings showed significantly improved shadows compared with those before this therapy. The saccharin time for measurement of mucociliary transport rate was shortened significantly by this treatment.
PNS effusion of chronic sinusitis cases, in which no antibiotics was medicated at least for one week, was obtained by YAMIK was cultured aerobically. We classified these cases into 2 groups depending on the result of this bacteriological examination; in Group 1 apparent pathogenic bacteria were isolated, in Group 2 nonpathogenic bacteria were isolated or no bacteria grew. In Group 1 improved-case ratio was only about 50%, on the other hand in Group 2 it was about70%.
The incidence of H. influenzae in PNS effusion was 9.1%. The incidence of P 6 gene DNA of H. influenzae detected by PCR-hybridization was 27.3%.
This study shows that drainage of effusion is quite effective factor in the therapy of sinusitis and H. influenzae plays an important role in upper respiratory inflammation.View full abstractDownload PDF (2596K) -
Nobuo Usui, Kazuhiro Kawano, Itsuo Hara, Kousei Takeda1997 Volume 40 Issue 1 Pages 43-51
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSPurpose : The effects of uvulopalatopharyngoplasty (UPPP) for obstructive sleep apnea syndrome (OSAS) were studied comparing good responders (12 cases) and poor responders (11 cases) based on their preoperative and postoperative upper airway MRI and all-night sleep examination data.
Subjects : Twenty-three cases diagnosed with OSAS following an all-night sleep examination and MRI, and examined 3-6 months after UPPP.
Methods : Cases in which the postoperative apnea index (AI) became 50% or less than the preoperative AI were regarded as good responders, while other cases were regarded as poor responders. The length of the hard palate and soft palate, the length from the top of the tongue to the bottom, the length from the front of the tongue to the back, the transverse diameter of the pharyngeal cavity and the longitudinal diameter of the pharyngeal cavity were measured using upper airway MRI images. Measurement values were corrected using the length of the hard palate as a correction value. AI, obstructive-type, mixedtype, and central-type apnea components were extracted from all-night sleep examination data, and the results were examined focusing on apnea frequency/hr in each type.
Results :
1) UPPP significantly reduced the length of the soft palate of good responders and poor responders.
2) In poor responders, the transverse diameter ofthe pharyngeal cavity increased, and length from the front of the tongue to the back significantly contracted after surgery. These results suggested that the obstructive site was at a level lower than that of the oropharyngeal cavity.
3) In poor responders, there was no significant difference between AI and obstructive apnea fre-quency/hr because central apnea frequency/hr did not improve.View full abstractDownload PDF (3262K) -
Cases of 5 year-oldChizuko Watanabe1997 Volume 40 Issue 1 Pages 52-61
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSIn Japan, clinical use of cochlear implant (Nucleus) was started in 1985. However, young children cases are still very few. This study is concerned with the language development of three congenitally deaf children with cochlear implant who are trained in the children center (Funasaka). This center's staff are anthropologists who specialize in language development in infants, a master of kindergarten, a foreign language teacher and mothers who have raised at least two of their own children. They are all volunteers. The first case, a girl who was implanted at the age of five years and eight months, could speak two words sentences with a relatively natural intonation after one month training, and three words sentences after eleven months. She could understand six words sentences after approximately one year. The second and the third cases are twin girls, who were implanted at the age of five years, could speak two words sentences after one week training, three words sentences after three or four months, could understand six words sentences after several months' training. These results and neurophysiological consideration suggest that the cochlear implant should be performed as early as possible in cases of congenitally deaf children. The close cooperation of the mother of the young implantee is an important factor in their training.View full abstractDownload PDF (2087K) -
Hirohiko Hesaka, Fumikazu Ota, Masato Matsui, Hiroshi Moriyama1997 Volume 40 Issue 1 Pages 62-70
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSThere is a trends for endotracheal intubation to be performed frequently for not only general anesthesia but also for long-term respiratory management, emergent cardio-pulmonary resuscitation and others. In association with this we otorhinolaryngologists have come to encounter increasing number of cases requiring treatment of various kinds of laryngeal and tracheal damage caused by endotracheal intubation. In this paper, we present cases with pharyngeal pain, laryngeal edema, recurrent laryngeal nerve palsy, laryngeal granuloma, laryngeal web, tracheal stenosis and tracheosophageal fistula which developed as complications caused by endotracheal intubation. We report the causes, diagnosis and treatment of these complications. The most important is to take careful approach to prevent these complications; acquisition of skillful intubation technique, selection of the appropriate intubation tube, check the cuff and pressure, and safeguard of the larynx and trachea during intubation. Since the pathological state of these complications is various, the best therapeutic approach must be considered for treatment of each case.View full abstractDownload PDF (18151K) -
Izumi Mochimatsu, Mamoru Tsukuda, Miki Kurihara, Hiroyuki Enomoto, Sat ...1997 Volume 40 Issue 1 Pages 71-77
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSPostoperative pharyngocutaneous fistula is a major complication after total laryngectomy in patients with laryngeal cancer. In our department, 83 patients with laryngeal cancer underwent total laryngectomy between January, 1985 and December, 1995. Three patients developed a post-operative fistula (incidence : 3.6%). The additive surgical procedure of radical neck dissection and any laboratory data were not significantly related to fistula formation. Our results show that preoperative irradiation is the most influencing factor on the occurrence of pharyngocutaneous fistula, and furthermore, the adequate drainage of fluid collection from the wound and a pressure dressing are the most important ways to reduce this complication to a minimum. And we should give attention that the fistula is more likely to develop in patients older than 80 years and in patients with an allergy to disinfectants.View full abstractDownload PDF (854K) -
Hidemi Miyazaki, Shin-ichi Haruna, Kikuno Ichikawa, Toshihisa Nakamura ...1997 Volume 40 Issue 1 Pages 78-82
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSWe report a rare case of Castleman's disease arising in the left parotid gland region. A 33-year-old female presented with a left upper neck painless mass that grew slowly over 4 years.
Fine-needle aspiration biopsy and ultra sound examination were performed. The mass was clinically suspected to be a benign tumor of the parotid gland, and enucleation was performed under general anesthesia. Histopathological diagnosis was a hyaline-vascular type of Castleman's disease.
Castleman's disease is a rare benign lymphoid neoplasm that usually is presenting as an asymptomatic mediastinal mass. It can present at any extra-thoracic site where there is lymphoid tissue. Parotid involvement to our knowledge is very rare, and only 6 cases have been reported in Japanese literature.
The usual treatment is excision and the prognosis is very good. There was no evidence of recurrence in our case after operation.
It is very difficult to diagnose Castleman's disease preoperatively. We must take this disease into accout in the differential diagnosis of parotid gland tumor.View full abstractDownload PDF (1807K) -
Kouji Otsuka, Fumihisa Hiraide, Katsuhiro Simoda, Kouji Yoshiura, Sota ...1997 Volume 40 Issue 1 Pages 83-88
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSA 34-year-old man complained of facial nerve palsy in the right side and hearing loss in the right ear. He had been treated with chemotherapy and operation for lung carcinoma. The audiogram showed a profound sensorineural hearing loss in the right ear. No widening of the internal auditory canal was observed by X-ray examination. However MRI revealed a large mass occuping the petroapical region. The right internal auditory canal was enhanced by gadolinium. 99 mTc-HMDP scintigram revealed multiple gatherings in the whole body and also at petroapical region. The patient was diagnosed as having a temporal bone metastasis of lung carcinoma. The authors thought that the spread of tumor into the internal auditory canal was caused by meningeal carcinomatosis.View full abstractDownload PDF (2324K) -
[in Japanese]1997 Volume 40 Issue 1 Pages 89-97
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (3059K) -
[in Japanese], [in Japanese]1997 Volume 40 Issue 1 Pages 98-99
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (1129K) -
[in Japanese]1997 Volume 40 Issue 1 Pages 100-108
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESS -
[in Japanese]1997 Volume 40 Issue 1 Pages 109-112
Published: February 15, 1997
Released on J-STAGE: August 16, 2011
JOURNAL FREE ACCESSDownload PDF (522K) -
[in Japanese]1997 Volume 40 Issue 1 Pages 113-120
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (1419K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1997 Volume 40 Issue 1 Pages 121-126
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese]1997 Volume 40 Issue 1 Pages 127-131
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese]1997 Volume 40 Issue 1 Pages 132-136
Published: February 15, 1997
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESS
- |<
- <
- 1
- >
- >|