著者

河合 敏 佃 守 持松 いづみ 陰里 ゆうみ 古川 滋 大石 公直 中川 千尋 古川 政樹

出版者

The Japan Broncho-esophagological Society

雑誌

日本気管食道科学会会報 (ISSN:00290645)

巻号頁・発行日

vol.50, no.6, pp.609-614, 1999-12-10 (Released:2010-02-22)

参考文献数

19

被引用文献数

1 1

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We discussed five cases of open injuries to the larynx with sharp instruments in suicide attempts.In these cases, (1) laryngoplasty was performed early. (2) Tracheostomy was done at the lower part of the injury to keep the airway open. (3) The wound was observed carefully. And (4) The mucosa of the larynx was sutured firmly so as not to yield a raw surface with a synthetic monofilament, whether absorptive or not. Sometimes, the suture filament penetrated in the lumen of the larynx without any problem.The prognosis for the larynx in these cases was generally good. The risk of permanent laryngeal palsy was supposed to be little.However, all the patients might have psychiatric disease, i. e. schizophrenia or depression. We must consider their psychiatric background.

著者

古川 政樹 湯山 誠一郎 金子 まどか 古川 滋 柊 光一 久保田 彰 大石 公直 澤木 修二 猪狩 秀則

出版者

The Japan Broncho-esophagological Society

雑誌

日本気管食道科学会会報 (ISSN:00290645)

巻号頁・発行日

vol.39, no.1, pp.29-39, 1988-02-10 (Released:2010-06-11)

参考文献数

19

被引用文献数

2 1

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The vocal cord paralysis may be caused by the occult type malignancies. The tumor occupies along the route of the vagus nerve or recurrent laryngeal nerve. To detect such a malignant tumor, it is advocated that the diagnosis should be performed with various kind of figures, such as X-ray picture, CT and ultrasonography. Consequently 13 cases were diagnosed to the malignant tumors among 31 vocal cord paralysis cases. They were thyroid cancer, lung cancer, esophageal cancer and others. CT and ultrasonography were very useful for the evaluation of the mass lesions in the head and neck area. Additionally, the fine needle aspiration biopsy under the ultrasonographic imaging was available to diagnose whether the mass lesions were benign or malignant. Consequently 13 cases were diagnosed to the malignant tumors among 31 vocal cord paralysis cases. They were thyroid cancer, lung cancer, esophageal cancer and others.CT and ultrasonography were very useful for the evaluation of the mass lesions in the head and neck area. Additionally, the fine needle aspiration biopsy under the ultrasonographic imaging was available to diagnose whether the mass lesions were benign or malignant.

著者

周 莉新 佃 守 古川 政樹 池間 陽子 澤木 修二

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 補冊 (ISSN:09121870)

巻号頁・発行日

vol.1997, no.Supplement92, pp.61-63, 1997-06-27 (Released:2012-11-27)

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There are more patients with vocal cord nodules in China than in Japan. The occupation of these patients consists mainly of female singers or teachers. On the basis of the etiology and pathology of Chinese traditional medicine, there are three different treatment modalities for this disease. Shikunshi-to, Toninsibutsu-to and Zoueki-to. These Chinese traditional medicine treatment modalities have been characterized by the combined use of Chinese medical herbs according to each individual patient's status.

著者

古川 政樹 古川 まどか

出版者

The Japan Society of Ultrasonics in Medicine

雑誌

Japanese journal of medical ultrasonics = 超音波医学 (ISSN:13461176)

巻号頁・発行日

vol.33, no.3, pp.315-322, 2006-05-15

参考文献数

6

被引用文献数

1 1

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頭頸部領域超音波検査の基本について述べる. 甲状腺や耳下腺など限定された一部の臓器だけでなく, 頸部全体が検査の対象範囲で, さらにこれら領域の疾病は密接に関連していることが少なからずあるため, 頭頸部の検査を行う時は, 解剖ならびに病態に関する十分な理解が求められると同時に, 疾患の全体像を見落としなく把握するよう努める姿勢が要求される. 以下, 検査時の基本, 解剖学的特徴, 正常所見, 対象疾患と検査・診断の具体的な進め方などについて概説し, 頭頸部領域において超音波検査の果たす役割の重要性について述べる.