口腔・咽頭科
Online ISSN : 1884-4316
Print ISSN : 0917-5105
ISSN-L : 0917-5105
4 巻, 2 号
選択された号の論文の27件中1~27を表示しています
  • J. Hirschberg
    1992 年 4 巻 2 号 p. 1-9
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
  • 一色法
    酒井 俊一
    1992 年 4 巻 2 号 p. 11-14
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    The three important parts of Isshiki's pharyngeal flap operation are:
    1) elevating of a superiorly based flap from the posterior pharyngeal wall, 2) folding it over to keep the mucosal surface outside, and 3) suturing the raw surfaces denuded on the folded ridge of the flap and on the nasal side of the soft palate.
    The first advantage of this method is that the velopharynx becomes narrowed during articulatory closure. The second is that postoperative scar contraction is avoided because there is very little raw surface and the flap is sufficiently thick. The only disadvantage is the feeling of nasal obstruction feeling in some and snoring in most cases.
    Isshiki's folded pharyngeal flap was used in 29 patients, who were then observed for at least one year.
    Complete closure of the velopharynx was achieved in 23 (79%), normal articulation was possible after articulation training. The other six patients were severely deformed before surgery or in the older age group, and their improvement was less satisfactory.
    We conclude that this operative technique is a fairly good procedure for velopharyngeal dysfunction.
  • 田坂 康之, 石川 保之
    1992 年 4 巻 2 号 p. 15-18
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    It is well known that patients with cleft palate have a high incidence of middle ear diseases and nasal diseases, but the etiology is still obscure.
    To clarify the features of those diseases, many patients with cleft palate were examined.
    1. Ear diseases: Otitis media with effusion (OME) was most common (33%), followed by chronic otitis media (4%), retraction pocket, cholesteatoma, adhesive otitis media, and middle or inner ear anomaly. The overall incidence of ear diseases in this population was 44.5%. A characteristic of OME was its high incidence of recurrence. Among 100 patients, 71% of them needed repeated tube insertions. Therefore, careful examination and long term follow up are necessary for those patients.
    2. Nasal diseases: Septal deviation and hypertrophy of the inferior turbinates were more frequent than in normal subjects, and the incidence of paranasal sinusitis was higher in cleft palate patients than in the normal population. The restricted infection type of sinusitis and a lower degree of severity were more frequent. Nasal mucociliary transport was impaired in cleft palate patients, and this impairment was thought to be one of the causes of the high incidence of paranasal sinusitis.
    As otolaryngologists, we must pay attention to the high incidence of ear and nose dis eases and their features in cleft palate patients.
  • E. Simon-Nagy
    1992 年 4 巻 2 号 p. 19-23
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
  • 川野 通夫, 本庄 巖, 児嶋 久剛, 森 一功, 倉田 響介
    1992 年 4 巻 2 号 p. 25-30
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Precise assessment of velopharyngeal function is the essential first step in correcting cleft palate speech either by speech therapy or by surgery.
    Several diagnostic means are now available to assess velopharyngeal function, among which fluorovideoradiography and nasopharyngofiberscopy seem to be most clinically useful.
    This paper describes combined fluorovideoradiography and nasopharyngofiberscopy in patients with cleft palate and the effectiveness of three dimensional fluorovideoradiographic and nasopharygofiberscophic in the observation of lateral, frontal and downward views during speech. It was also found that some velopharyngeal incomptences are accompanied by special faulty articulations which can be corrected by speech therapy.
    Subjects
    Examinations were conducted on 100 patients with repaired cleft palate and repaired or unrepaired submucous cleft palate and congenital velopharyngeal incompetence, who were suspected of having velopharyngeal incompetence.
    Method
    Fluorovideoradiography and nasopharyngofiberscopy videotapes were analyzed with an editing controller SONY RM-450. In some patients who showed typical abnormal articulately movement, observations and analysis were repeated frame by frame.
    Results
    The ratio of the length of the soft palate to the depth of the pharynx (soft palate/pharynx) is important.(If the ratio is below 1.2, surgery is necessary) Knee shape and mobility of the soft palate and posterior pharyngeal wall (including Passavant's ridge), in the lateral view of fluorovideoradiography and movement of the lateral seems pharyngeal wall toward the medial line in flontal view.
    In the downward view of nasopharyngofiberscopy, we observed movement of the velum, lateral wall and posterior wall (passavant's ridge).
    We found that velopharyngeal incompetence was accompanied by glottal stops, but this false incompetence disappeared when the speech sequences showed absence of glottal stops.
    Therefore, it is very important to determine by three dimensional observation whether or not there is interaction between articulatory movements, especially of the tougue and larynx, and velopharyngeal function.
  • 味覚障害臨床の現状
    村野 健三, 原口 兼明, 渡辺 荘郁, 内薗 明裕, 松永 信也, 古田 茂, 昇 卓夫, 大山 勝
    1992 年 4 巻 2 号 p. 31-40
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    A questionnaire on taste disorders was sent to all 1551 members of the Japanese Society of Stomato-Pharyngology at the end of December, 1990, and 634 replies (40.9%) were received. There were no regional differences in the incidence of taste disorders . According to our study and the report of the Oto-Rhino-Laryngo logical Society of Japan in 1990, the total number of patients suffering from taste disorders is about 140, 000 a year . Eleven institutes (2.1%) have set up special outpatient departments for taste disorders. Electrogustometry was used in 41.9%, and the filter paper disc method in 31.9% of the institues. In 67.1% of the institutes a physician examines patients with taste disorders, 85.3% of the members treat the disorders with vitamins, and 49.7% use medicines containing zinc. A lack of confidense was expressed by 88.2% of the members because systematized diagnosis and therapy and effective treatment were insufficient. We conclude that in the clinical approach to taste disorders, examination, diagnosis and therapy are not systematized, so present treatments are not effective . Most of the members desire better solutions of these problems.
  • 前谷 近秀, 竹本 市紅, 瀬田 敬子, 肥塚 泉, 松永 亨
    1992 年 4 巻 2 号 p. 41-45
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Between January 1981 and December 1990, 814 patients with taste disorders were treated in our department. The ratio of male patients to female patients was 2: 3, and most patients were in the 6th decade.
    Taste disorders are caused by various factors: drug-induced, trauma oral and idiopathic diseases. Drug-induced taste disorders accounted for 23% of the total, head and peripheral nerve trauma for 15%, oral diseases for 14%, and colds for 12%. Idiopathic loss of taste was present in 10%.
    Most of the patients were treated with Zinc. The rate of complete recovery after colds was 68%, after zinc deficiency 57%, after idiopathic etiology 47%, and after drugs 38%. The rate of complete recovery of patients whose treatment began within one month of onset was 78%, but if treatment began more one month after onset in was about 40%. Early treatment is therefore thought to be important.
  • 聴神経腫瘍と味覚異常について
    橋本 省, 桜田 隆司
    1992 年 4 巻 2 号 p. 47-50
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Taste disturbance in 20 patients with acoustic neuromas was evaluated and analyzed. In 14 patients, tumor diameters were less than 15 mm in extra-meatal size. Only one patient complained of taste disorder without any abnormality in electrogustometry or the disc method taste test. Two patients (10%) had positive electrogustometry, and 3 patients (15%) had decreased taste on the side of the lesion by the disc method taste test, although they were not aware of taste disorder.
    In one patient, facial spasm was recognized before operation, and during surgery, it was noted that the tumor was strongly adherent to the facial nerve suggesting that the facial spasm was caused by the tumor itself. However, taste function was completely normal.
    These results suggest that taste tests are not useful in the early diagnosis of acoustic neuromas.
  • 検査の簡略化と亜鉛剤治療の有効性の検討
    池田 稔, 河本 英敏, 濱田 敬永, 吉田 晋也, 遠藤 壮平, 冨田 寛
    1992 年 4 巻 2 号 p. 51-57
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    We tested the validity of electrogustometry (EGM) and the filter-paper disc (FPD) method of assessing taste and attempted to simplify them for general clinical application.
    EGM was found to be an effective method of comparatively precise gustatory nerve examination which is simple enough for clinical application. We concluded that tests of the greater superficial petrosal nerve (soft palate region) can usually be omitted, and that unilateral examination is sufficient when no difference between. the right and left sides is detected by EGM. With the FPD method, examination with two tastes (“sweet” plus “salty” or“bitter”) was founed to be sufficient.
    A study of the effectiveness of oral zinc in treating. taste disorders showed that in 285 out of 420 patients (66.7%) the sense of taste was restored. Even among patients aged 70 or older, a high percentage showed improvement when treatment was started whithin 6 months after the onset of symptoms. The effectiveness of zinc was confirmed by a statistically significant difference in the results of double blind tests with zinc gluconate and a plasebo, particularly in patients with idiopathic and zinc-deficient loss of taste.
  • 市村 恵一
    1992 年 4 巻 2 号 p. 59-64
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Trismus, by which we understand a tonic contraction of the jaw-closing muscles, has received broader application in usage, including all conditions characterized by inability to open the mouth adequately. Recognition of trismus and confirmation by a measured interincisal opening of less than 35 mm enables the clinician to focus rapidly on the differential diagnosis of trismus. Malignant diseases in the oral cavity and pharynx may cause trismus either by growing directly into the masticator muscles or the temporomandibular joint (TMJ), or by spasm of the muscles initiated by a response of somatic afferent fibers as a result of tumor growth or concomitant stomato-pharyngitis. Moreover, fibrosis may arise in the muscles or at the capsule of the TMJ after irradiation.
    The charts of 60 patients with malignant tumors in the oro-pharyngeal region seen and treated at Tokyo University Branch Hospital between April 1983 and March 1991 were reviewed. Nine of these patients had trismus. Two out of the nine showed the sign at the time of first examination. Three patients developed trismus due to the tumor extension. In four others, trismus was considered to be a result of irradiation.
    In most cases of trismus other than radiation-induced, CT revealed no evidence for direct invasion into the masticator space by the tumor when trismus occurred, which suggests that trismus was caused either by reflex spasm or by microinvasion of muscles too small to be visible in CT scans. However, tumors tend to extend into the masticator space afterwards. Thus, trismus may be an early sign of masticator space involvement.
  • 嶋崎 雄一, 平出 文久
    1992 年 4 巻 2 号 p. 65-70
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Sialolithiasis was found in three children, 6, 7 and 10 years of age. Their sex ratio, chief complaints, sites and numbers of calculi were similar to those reported in adults, but the calculi were smaller and more brittle. Probably in children, calculi cause symptoms earlier because the duct is thinner than in adults and there is not enough time for completely laminated structures to form in children. Moreover, saliva may contain more calcification inhibitors in children than in adults.
  • CTとMRIの所見を中心として
    真崎 正美, 中島 康博, 関 博之, 辻 富彦
    1992 年 4 巻 2 号 p. 71-76
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Neurilemmoma of the tongue base is rare. It is difficult to diagnose it early because of its anatomical situation, and biopsy may be inadequate because of the thick capsule. Recent advances in radiology are relatively helpful in the diagnosis of neurilemmoma. This report describes two patients with neurilemmoma of the tongue base examined by CT (computed tomography) and MRI (magnetic resonance imaging).
    A large mass of the tongue base was found in a 49-year-old male and a 59-year-old female. Neurogenic tumors were diagnosed by CT and MRI. CT revealed a well-circumscribed mass in the medial portion of the tongue base. The mass was inhomogeneous on enhanced CT, suggesting neurilemmoma. On MRI, the mass was isointense with surrounding muscle tissue on T1 weighted images and hyperintense on T2 weighted images. With Gd-DTPA enhanced MRI the radiological diagnosis of neurilemmoma was clearly improved. MRI is not degraded by dental amalgam, and provides three-dimensional images.
    Total removal of the mass was performed through a cervical approach in both patients, and neurilemmoma was diagnosed histopathologically.
  • 教室11年間の統計
    大原 奎昊, 金子 敏郎, 今野 昭義, 内藤 準哉, 鈴木 晴彦, 沼田 勉, 石毛 俊行
    1992 年 4 巻 2 号 p. 77-86
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Diagnostic imaging for parapharyngeal space tumors is discussed in this paper . In our clinic 15 patients with parapharyngeal space tumors (6 males and 9 females) were treated from 1981 to 1991. The most common chief complaint was neck mass.
    The shape of parapharyngeal space tumors is very complex and the size is usually greater than expected from the external appearance. We emphasized the necessity for precise pre-operative diagnostic imaging..
    First ultrasonic examination is performed to determine the location, shape and boundaries of the tumor. Then X-ray, sialo-CT and MRI examinations are performed. Now ultrasonic color doppler equipment is being used to determine the exact position of the great vessels: common carotid artery, internal carotid artery, external carotid artery and internal jugular vein.
    Angiographic studies, such as CAG or DSA are added if necessary.
    After evaluation of the results obtained by those pre -operative examinations, all the patients were treated surgically. Extra-cervical approaches were usually used.
    Histpathological diagnoses were: neurinoma in 6 patients, and pleomorphic adenoma in 3, and monomorphic adenoma, neurofibroma, hemangiopericytoma, hemangioma in one each.
    Two patients had malignant tumors.
  • 機能検査法としての意義
    井野 千代徳, 松山 浩吉, 中川 のぶ子, 渡辺 尚代, 金子 明弘, 井野 素子, 牛呂 公一, 山下 敏夫, 熊沢 忠躬, 伊藤 純一
    1992 年 4 巻 2 号 p. 87-93
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Examination of serum amylase levels before and after sialography may be useful in the evaluation of parotid function. This examination was perfomd in several patients with dry mouth. The difference in serum amylase levels before and after sialography in patients treated with radiation wsa significantly lower than in normal subjects, but there was no significant difference between patients not treated with radiation and normal subjects . Oxazolam was useful in only one of the 19 patients with little change in serum amylase levels. The difference in serum amylase levels was compred with the results of the gum test. Nine of the 10 patients treated with radiation showed only slight differences in both tests. In the 30 patients not treated with radiation, 16 showed little change with either test. All three patients with SjOgren's syndrome also had little change with either test. Thus, we may be able to determine parotid function to some degree by examining differences in serum amylase levels tested before and after sialography.
  • 草場 靖, 宮崎 純二, 前山 忠嗣, 進 武幹
    1992 年 4 巻 2 号 p. 95-98
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Myoepithelioma is a rare salivary gland tumor . A 69-year-old female was admitted with a left submandibular mass. A histological specimen was composed of small tubules lined by a single layer of small cuboidal cells surrounded by one or more layers of prominent clear cells. Scattered invasive tumor cells near the muscle layers and intravascular growth were noted. The postoperative course was uneventful, and there has been no evidence of recurrence.
  • 田中 正美, 冨田 寛
    1992 年 4 巻 2 号 p. 99-104
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Fifty three individuals, outpatients of the Department of Otolarygology, Itabashi Hospital of Nihon University who had glossodynia as their chief complaint, were subjected to psychological tests, taste examinations and measurements of serum zinc and serum copper to determine the possible relationship between zinc deficiency and glossodynia.
    Psychological problems were revealed in 35 patients (66.0%), and zinc deficiency was diagnosed or suspected in 26 patients (49 .1%).
    Zinc sulfate alone was prescribed orally for 10 patients with both zinc deficiency and glossodynia. Seven of them were cured. Therefore, glossodynia appears to be closely related to zinc deficiency as one of the major factors and zinc sulfate orally is effective treatment for many such patients.
  • 鈴木 清護, 酒井 昇, 川浪 貢, 古田 康, 坂本 徹, 高須 毅, 犬山 征夫
    1992 年 4 巻 2 号 p. 105-111
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    A rare case of huge paraganglioma in the parapharyngeal space is reported. A 57-year-old woman complained of dyspnea. CT scan and MRI showed an mass in the right parapharyngeal space, extending to the skull base. An angiogram of the right common carotid artery showed that the tumor had hypervascularity supplied by the external carotid artery and that the bifurcation of the carotid artery was widened. At surgery, the tumor was found to be firmly adherent to the right carotid bifurcation. Since it was impossible to dissect the tumor from the carotid artery, the internal and external carotid arteries were resected with the tumor after sufficient back-flow to the right internal carotid artery had been confirmed by preoperative angiography and no change of SSEP (somato-sensory evoked potential). Histopathologic examination confirmed a paraganglioma. Postoperatively, the patient exhibited no sign of hemiplegia but had paralyses of the right IX, X, XI and XII cranial nerves. The postoperative course wasp excellent, and close follow-up of the patient reveals no recurrence of the tumor.
    Paragangliomas are uncommon tumors in the head and neck region. Intercarotid paragangliomas, which are relatively common among them, usually present with a painless mass in the neck. Our patient's paraganglioma appeared to be intercarotid from the findings of carotid angiograms and its adhesion to the carotid bifurcation. If the tumor must be resected with the internal carotid artery, back-flow to the internal carotid artery must be ascertained, and monitoring of the SSEP is indispensable.
  • 田村 真司, 木村 貴昭, 寒川 高男, 國本 優, 赤城 ゆかり, 田端 敏秀
    1992 年 4 巻 2 号 p. 113-120
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Two malignant lymphomas arising from the palatine tonsil were investigated with gene rearrangement using Southern blot hybridization (SBH) and polymerase chain reaction (PCR) techniques. Both were non-Hodgkin's lymphomas (NHLs) with B-cell phenotype.
    In Case 1, biopsy of the palatine tonsil could not be diagnosed histologically, but NHL was confirmed by cervical lymph node examination. The palatine tonsil and lymph node tissues both showed immunoglobulin (Ig) heavy chain gene rearrangement in SBH and PCR tests.
    Palatine tonsil tissue before therapy in Case 2 showed Ig heavy chain gene rearrangement in SBH and PCR examinations. After chemotherapy, gene rearrangement was detected by PCR, but not by SBH. In addition, immunohistological examinations showed that the tumor cells were decreased and infiltrating T cells were markedly increased by chemotherapy.
    In conclusion, gene rearrangement examinations of NHL tissues were useful in the diagnosis and in the assessment of the effectiveness of chemotherapy. In Case 2, it was thought that the genes of the tumor cells were destroyed by chemotherapy, so gene rearrangement was not detected by SBH.
  • 山内 昌幸, 楠見 彰, 野田 寛
    1992 年 4 巻 2 号 p. 121-126
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Palatal reconstruction with various flaps has been performed for palatal defects. Palatal reconstruction with a double-folded radial forearm flap was performed in a patient with palatal defect following maxillectomy. To prevent bulkiness and drooping of the flap which are often with traditional flap, the oral side of the double-folded flap was hung on the maxillary side, which was sutured under slight tension between the normal palate and the zygomatic site. One year after operation the arch form of the reconstructed palate has been maintained.
  • 内藤 陸奥男, 鳥居 理子, 朝比奈 紀彦, 加藤 昌樹, 飯田 祐起子, 調所 廣之, 山田 耕次, 大田 民樹, 岡本 和人
    1992 年 4 巻 2 号 p. 127-134
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    われわれは難治性口腔内病変を呈した2症例を経験したので報告する.
    症例1は61歳女性.歯肉出血と1カ月におよぶ嗅声を主訴に来院した.病理組織所見と蛍光抗体法にて水疱性類天疱瘡と診断された.副腎皮質ホルモン, パルス療法, DDS, アザチオプリン, 金製剤などを治療として用いたが, 症状は軽度改善を示したのみであった.
    症例2は38歳女性であり重度の口内炎にて入院した.病理組織所見と蛍光抗体法にて尋常性天疱瘡と診断された.治療はアザチオプリンをのぞき, 症例1とほぼ同様に行ったが症状の改善が芳しくなかった.そのため, シクロスポリンの内服と血漿交換療法を加えた.この後症状は大きく改善された.3カ月経過観察しているが, 再発はみられていない.
  • 阿部 弘一, 早勢 晶子, 西野 宏, 石田 孝, 宮田 守, 喜多村 健, 森田 守
    1992 年 4 巻 2 号 p. 135-142
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Three male and four female patients aged 14 to 40 years were treated for recurrent pharyngeal ulcer with antiallergic drugs, such as azelastine hydrochloride, and the local application of antiseptic medication (povidone -iodine). For acute or severe conditions, antibiotics, non-steroid anti-inflamatory medication and topical corticosteroids were added . S ystemic corticosteroid therapy was given only to patients who failed to respond to the above medications
    Six patients have been free of disease for 3 months to 13 years . One of them, a 19-yearold male, was resistant to all the above drugs and required high doses of corticosteroids, so we treated him with low-dose methotrexate (MTX). MTX was used in an oral pulse treatment schedule with 7.5mg per week . After 5 weeks, his ulcer was cured with scarring, and we could reduce the dose of corticosteroids while MTX was continued with minimal side effects. I t is concluded that MTX may have a role in reducing corticosteroid requirements in patients with steroid-dependent pharyngeal ulcer.
  • 青柳 聡, 岡本 牧人, 八尾 和雄, 鎌田 利彦, 中山 明仁, 高橋 広臣
    1992 年 4 巻 2 号 p. 143-150
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Case 1: a 15-year-old boy complained of a swelling in the left mandible. The diagnosis of follicular cyst was confirmed by orthopantomography . The entire cyst wall with a buried tooth (the 7th molar) was removed completely.
    Case 2: an 11-year-old boy had multiple follicular cysts, a rare condition. One was in the left maxillary region and the other two cysts in the left mandible . The patient noted swelling of the left cheek. Orthopantomography and CT scans showed that the 7th tooth in the maxilla and the 4th and 7th teeth in the mandible were burried in cysts, the latter in a large cyst of the ramus. The 3 cysts containing the 3 teeth were totally removed.
    The literature describing follicular cysts of the maxilla and mandible is reviewed.
  • 五十川 修司, 定永 恭明, 鮫島 靖浩, 増山 敬祐, 石川 哮, 岡元 和文
    1992 年 4 巻 2 号 p. 151-155
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    We treated a 37-year-old male with multiple organ failure caused by peritonsillar abscess. We performed incision and drainage approaching the abscess from the neck. Organ failure gradually subsided. Bacteroides was cultured from the pus of the abscess. We conclude that exact and early treatment is necessary for peritonsillar abscess.
  • 鮫島 靖浩, 五十川 修司, 定永 恭明, 増山 敬祐, 石川 哮
    1992 年 4 巻 2 号 p. 157-161
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    It is generally thought that mixed tumors of the salivary glands sometimes undergo malignant change over a long period. Here, we report 6 cases of parotid tumor with suspected malignant transformation. The interval between the first evidence of tumor and histological verification ranged from 6 to 47 years. In one of the 6 cases the histological diagnosis was benign mixed tumor; this patient received irradiation therapy 9 years prior to malignant transformation. We consider that surgical treatment is better than long term observation or irradiation therapy even if benign tumor is suspected.
  • 第2報抗体陽性者とそのpartnerについて
    杉内 智子, 河村 直子, 浅野 公子, 佐々木 静子
    1992 年 4 巻 2 号 p. 163-169
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Relationships between tonsillar Chlamydia trachomatis antigen and serum antibodies to C. trachomatis were studied from the ORL point of view.
    C. trachomatis antigen in the tonsils was detected by the EIA method in 85 positive S-antibody femals and 39 of their males sexual partners. A total of 106 patients were found to have antibodies, including 54 patients with active infection. No antibody was detected in 18 males.
    Of the 39 male partners, 21 (53.8%) had C. trachomatis antibodies in the serum. The percentage of males with antibodies was 78.3% of the partners of femaled with active infection and 18.8% of the partners of the females with inactive infection a significant difference between the two groups (χ2 test; p < 0.01).
    The percentage of patients with antigens in the tonsis among the 39 pairs (78 patients) was 56.3% for the active infection group and 35.7% for the inactive infection group.Both males and females had antigens in 8 of the 39 pairs (20.5%), while only the male or only the female had antigens in 15 of the pairs (38.5%).
    Most patients with positive S-antibody had only non-specific findings in the tonsils and pharynx.
    C. trachomatis infection is an STD, and it is important to examine and treat patients together with their sexual partners.
  • 堀内 正敏, 田村 嘉之, 相原 均, 三宅 浩郷
    1992 年 4 巻 2 号 p. 171-177
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    舌癌T1~3NO症例を対象として, 原発部位の腫瘍の深達度 (厚さ) と病理学的なリンパ節転移の関係を検討した.超音波による画像診断は腫瘍の深達度を正確に測定することが可能であった.予防的頸部郭清または2年間の経過観察によりリンパ節転移を認めたのは, 癌の深達度が10mm以上の症例であった.舌癌症例では大きさに関係なく, 深達度が10mmを越えた症例は予防的頸部郭清術の適応と考える.
  • 古田 茂, 村野 健三, 廣田 里香子, 出口 浩二
    1992 年 4 巻 2 号 p. 179-184
    発行日: 1992/03/31
    公開日: 2010/06/28
    ジャーナル フリー
    Taste impairment was studied in six female patients . Two complained only of decreased taste sense, while the others complained of dysgeusia . Five of them complained of both taste impairment and glossodynia. Suprathreshold taste function was tested by the whole mouth method, the quadrant test of taste recognition, electrogustmetry, and psychosomatic counsel ing and psychological tests. The results of electrogustometry agreed with the results of taste thresholds in only one case. Hypogeusia and dysgeusia improved simultaneously or disappeared after the administration of a minor tranquilizer . These results comfirm that psychosomatic taste disorders may have many causes, such as psychosomatic, systematic and l ocal factors.
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