著者

都川 紀正

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.27, no.1Supplement1, pp.189-194, 1981-01-20 (Released:2013-05-10)

参考文献数

40

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Pseudomonas infection has been increasing in number these days and pseudomonal otitis media have been found in the otolaryngological practice. Pseudomonal infections are caused by bacterial substitution phenomena, burns, tissue transplantations, major surgeries, endoscopic procedures, intensive radiation therapies and steroid therapy. We have great number of problems to treat this infection.The author applied hemagglutination (OEP-HA reaction) to 33 patients of pseudomonal chronic otitis media and obtained the results on specific antibody to this bacillus. OEP (=Original Endotoxic Protein) is protective antigen located in cell wall of pseudomonas aeruginosa and is found in the group specific in its protective antigenicity. Antibody titer in normal human sera is under 1: 80. The specific antibody titer in 65 strains (33 patients) was ranged from under 1: 40 to over 1: 2560. The rate of 17 positive strains (over 1: 160) was 26.2 %. The antibody titer of most control strains was within normal limit.

著者

平出 文久 井上 鉄三 都川 紀正 椿 康喜代 沢田 政道 田中 英一

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.31, no.3, pp.246-252, 1980

被引用文献数

8

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Cryosurgery is gaining more and more importance as a therapeutic modality within the field of head and neck surgery.<br>Cryosurgery was performed in two patients with hemangioma arising from the entrance of the esophagus.<br>Case 1: A 41-year-old woman was referred for the diagnosis of hemangioma in the entrance of the esophagus which had been present for approximately five years. The patient felt slight pain on deglutition and sometimes noticed hemoptysis. The lesion was treated with cryoapplication of -60°C on its surface through the direct laryngoscope under general anesthesia. Cryoapplications were repeated by overlapping frozen areas during treatment. The duration of the individual freezing cycles ranged from one and half to three minutes. Over a period of 3 weeks the patient received 2 cryosurgical treatments. Postoperative healing was uneventful. After 3 weeks following 2nd cryosurgery the lesion disappeared without leaving a remarkable scar. No recurrence was noted after one-year follow-up.<br>Case 2: A 54-year-old man was admitted to the hospital with a history of foreign body sensation in the throat. Endoscopic examination revealed a dark, blue swelling in the entrance of the esophagus, suggesting a hemangioma. The lesion was frozen in three applications of -60°C each time. The frozen region was overlapped to compass the entire tumor. After thawing the frozen areas began to swell. In 24 hours it was almost twice of its original size. Then the necrotic tissue was well demarcated from vital tissue and on the seventh postoperative day the brownish lump exfoliated and showed a persistent smaller tumor. Total regression of the hemangioma and overgrowth of normal mucosa followed with a satisfactory functional result. No further growth was observed after six-month follow-up.<br>The general treatment of the hemangioma in the larynx, hypopharynx and esophagus was briefly discussed.