著者

岸本 麻子 井野 素子 多田 直樹 南 豊彦 井野 千代徳 田辺 正博

出版者

耳鼻と臨床会

雑誌

耳鼻と臨床 (ISSN:04477227)

巻号頁・発行日

vol.56, no.6, pp.237-242, 2010 (Released:2011-11-01)

参考文献数

12

被引用文献数

1

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Angina Bullosa Haemorrhagica (ABH) の原因として Oral Allergy Syndrome (OAS) が原因と思われた 2 例を報告した。ABH は特発性に発症する口腔内の大きな血腫で多くは食事中ないし食直後に発症する。原因の一つに硬いものを食した物理的要因が考えられているが、明確にアレルギーとの関連での報告はない。OAS は食物にて発症する接触アレルギーで、食事中ないし食直後に発症する。主な症状は痒みなど刺激症状である。報告した 1 例は頬部に発症した ABH でメロンを食し、1 例は軟口蓋に発症した ABH でリンゴを食して発症した。共に、口腔内に痒みを自覚し、前者は頬部を刺激陰圧化している内に腫れが出現し、後者は舌で口蓋を触れている内に発症した。両者は共にスギ花粉症を持ち、シラカバ抗体が陽性であった。ABH の原因の一つとして OAS があることを示し、その診断にあたっては、シラカバ抗体を含めたアレルギー検査が必要となると考えた。

著者

佐藤 公則 松島 康二 一色 信彦 田辺 正博 渡邊 雄介 枝松 秀雄

出版者

THE JAPAN LARYNGOLOGICAL ASSOCIATION

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.26, no.1, pp.1-5, 2014-06-01 (Released:2014-12-17)

参考文献数

11

被引用文献数

1 2

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When Type II thyroplasty is performed, surgical management of the dihedral angle of the midline of the thyroid cartilage is very important. Clinical histoanatomy around the anterior commissure was investigated using whole organ serial sections of the human larynx to make Type II thyroplasty successful. An inner perichondrium did not exist at the dihedral angle in the upper three-forths of the midline of the thyroid cartilage. On the other hand, the inner perichondrium was present at the lower one-forth of the midline of the posterior surface of the thyroid cartilage. The attachment of the collagenous fiber (anterior commissure tendon, Broyles, 1943) extends from the upper portion of the thyroid notch caudalward for approximately upper three-forths of the midline of posterior surface of the thyroid cartilage. The midline of the posterior surface of the thyroid cartilage is only covered with thin mucosa at the laryngeal ventricle level. It is important not to perforate the mucosa when the laryngofissure is performed. In order to make the anterior commissure the proper width, it is important to split the anterior commissure tendon at the mid-line and to spread the glottis while making sure the tendons remain attached to the bilateral thyroid cartilage.

著者

田辺 正博 一色 信彦 北嶋 和智

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.71, no.8, pp.1141-1148, 1978-08-01 (Released:2011-11-04)

参考文献数

9

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A reflectionless tube described by Sondhi is utilized to obtain the glottal waveform.The rationale of this method is that the effect of vocal-tract resonances on glottal waveform is considerably reduced by phonating into a reflectionless uniform tube.Measurement of the transmission characteristic (frequency response) of the tube proved minimal attenuation caused by the tube.The obtained glottal waveform in four normal subjects and in nine patients with laryngeal pathologies are reported herein and methods presently available for estimating the glottal waveform are also discussed. The glottal waveform with reflectionless tube proved to be simpler and more practical for clinical use.

著者

松島 康二 金沢 英哲 一色 信彦 田辺 正博 枝松 秀雄

出版者

THE JAPAN LARYNGOLOGICAL ASSOCIATION

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.23, no.1, pp.26-29, 2011-06-01 (Released:2011-09-01)

参考文献数

12

被引用文献数

3 1

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The Type 1 Thyroplasty or Medialization Thyroplasty was first reported in the 1970s by Isshiki et al for treating voice disorders resulting from vocal fold paralysis or atrophy. Since then, this therapeutic modality has gained world-wide popularity, and a number of modified methods were also reported with generally satisfactory results.Silicone block fabricated in situ had long been utilized to fix the window cartilage without any significant complication, however, containment failures from silicone bag breast implants and their resultant negative side-effect led to difficulties in obtaining silicone for any surgical treatment whatsoever. Gradually, Gore-tex, as used for correcting vascular problems, had replaced silicone, because of its ease in handling and of its excellent biocompatibility. However, it did not guarantee precision in the adjustment of medialization, especially when the window-cartilage was removed and/or when the Gore-tex sheet was packed in a wrong direction. In this respect, Titanium, well known for its excellent biocompatibility, seems better suited for precision and long-lasting effectiveness. Friedrich had already reported excellent results. Based on our abundant experience with Titanium Bridges in type 2 thyroplasty for spasmodic dysphonia, we utilized a simple thin and bendable Titanium plate so as to realize adequate medialization on site.

著者

岸本 麻子 井野 素子 多田 直樹 南 豊彦 井野 千代徳 田辺 正博

出版者

耳鼻と臨床会

雑誌

耳鼻と臨床 (ISSN:04477227)

巻号頁・発行日

vol.56, no.6, pp.237-242, 2010

---

Angina Bullosa Haemorrhagica (ABH) の原因として Oral Allergy Syndrome (OAS) が原因と思われた 2 例を報告した。ABH は特発性に発症する口腔内の大きな血腫で多くは食事中ないし食直後に発症する。原因の一つに硬いものを食した物理的要因が考えられているが、明確にアレルギーとの関連での報告はない。OAS は食物にて発症する接触アレルギーで、食事中ないし食直後に発症する。主な症状は痒みなど刺激症状である。報告した 1 例は頬部に発症した ABH でメロンを食し、1 例は軟口蓋に発症した ABH でリンゴを食して発症した。共に、口腔内に痒みを自覚し、前者は頬部を刺激陰圧化している内に腫れが出現し、後者は舌で口蓋を触れている内に発症した。両者は共にスギ花粉症を持ち、シラカバ抗体が陽性であった。ABH の原因の一つとして OAS があることを示し、その診断にあたっては、シラカバ抗体を含めたアレルギー検査が必要となると考えた。

著者

田中 信三 窪田 清己 田辺 正博

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.35, no.4, pp.287-292, 1984-08-10 (Released:2010-02-22)

参考文献数

9

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Living canine larynx was blown through the trachea with both arytenoid cartilages fixed in the median position. The sound pressure level and fundamental frequency of the voice were measured under various flow rates and subglottal pressures, with and without electric stimulation of the thyroarytenoid muscles. From this experiment, the role of the thyroarytenoid muscles in voice regulation was found to be as follows:1) When the glottis is sufficiently closed, contraction of the thyroarytenoid muscles does not affect the relationship between aerodynamic power (flow rate times pressure) and the sound pressure level, in spite of increased glottal resistance (pressure divided by flow rate).2) When the glottis is sufficiently closed, contraction of the thyroarytenoid muscles decreases the fundamental frequency in relatively large aerodynamic powers.

著者

田辺 正博 上原 範子

出版者

The Society of Practical Otolaryngology

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.73, no.4, pp.673-677, 1980

被引用文献数

2 1

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Evidence of a foreign body in the esophagus is not rare. When characteristics of the foreign body are unknown and are non-contrasted with x-ray, the diagnosis is often difficult.<br>We report a case of a foreign body which was overlooked for more than two months.<br>A 47-year-old woman experienced severe pain in her throat when she swallowed a piece of sponge cake. A foreign body lodged in the throat was ruled out by two otolaryngologists.<br>Five weeks later, she developed retrosternal pain and epigastralgia and an esophagogram was done.<br>She was sent to our clinic as there was an abnormal shadow detected on the esophagogram.<br>Flexible fibro-optic esophagoscopy revealed a foreign body lodged in the esophagus.<br>Under general anesthesia, a piece of quadrilateral plastic film with sharp corners was removed using a rigid esophagoscope.<br>The patient had a good postoperative course and esophagogram done five months after removal of the foreign body showed no stenosis of the esophagus due to scar formation.