著者
赤城 光代 中島 博昭 岩沢 寛 竹山 勇 高井 憲治 神田 錬蔵
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.1991, no.Supplement48, pp.167-170, 1991-10-25 (Released:2012-11-27)
参考文献数
6

We report a rare case of intraoral foreign bodies.A 61 year-old woman felt pain in the oral cavity immediately after eating fresh squid and visited our hospital.We diagnosed as intraorl foreign bodies on examinations, since many white spindle shaped foreign bodies were observed in her oral cavity. We removed these foreign bodies with perimucosal tissue using forceps. The microscopic examination revealed the foreign bodies were the sperm bulb of the fresh squid.We emphasized that fresh squid should be eaten with care.
著者
武田 憲昭
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.1991, no.Supplement41, pp.197-207, 1991-02-05 (Released:2012-11-27)
参考文献数
85

Though many different pathologies cause vomiting, they can be divided into three categories. The first is vestibular vomiting such as that caused by motion sickness. The second is vomiting mediated by chemoreceptor trigger zone (CTZ) in the area postrema, such as that seen in poison-induced vomiting. The third is vomiting from the gastro-intestinal tract. Vestibular stimuli, signals from the CTZ, and afferent signals from the gastro-intestinal tract stimulate the vomiting center in the medulla to cause vomiting independently.Histamine H1-blockers (diphenhydramine, promethazine) prevent vestibular vomiting selectively. Dopamine D2-blockers (metoclopramide, domperidone) act on the CTZ to inhibit CTZ-mediated vomiting. Serotonin 5-HT3-blockers block afferent signals from the stomach induced by cisplatin. Diphenidol may inhibit the vomiting center because diphenidol prevents both motion and cisplatin-induced vomiting.
著者
佐々木 優子 荒川 圭三 林 振堂 森 朗子 馬場 廣太郎 筏津 裕美
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.1994, no.Supplement70, pp.94-99, 1994-04-20 (Released:2012-11-27)
参考文献数
25

We encountered two cases of otomyiasis. The first case involved left external auditory meatus myiasis due to Sarcophaga peregrina (Robineau-Desvoidy,1830) in a baby girly approximately two months old. The second case was right external auditory meatus myiasis due to Sarcophaga similis Meade,1876, in a six-year-old girl. Both cases occurred in September 1993.Previously myiasis was more common. Antimicrobial therapy and amelioration of public health has resulted in a decrease in the number of myiasis cases. Today, it is quite rare.Recently, twelve cases of genuine myiasis have been reported in Japan. We report two cases of otomyiasis.
著者
田口 喜一郎 菊川 正人 石山 哲也 伊藤 和也 上條 豊
出版者
耳鼻臨床
雑誌
耳鼻咽喉科臨床 補冊 (ISSN:09121870)
巻号頁・発行日
vol.1990, no.38, pp.1-6, 1990
被引用文献数
1

We devised a series of tasks as therapy for some types of vertigo. The task are as follows: 1) keeping the head in a position that elicits vertigo,2) head movements beginning in the sitting position,3) a short rest,4) body trunk movements,5) clockwise and counterclockwise body rotations while standing with eyes closed,7) walking forwards and backwards with eyes closed.<BR>We obtained favo r able results with this therapy in one of ten patients with Meniere's disease, all seven patients with benign paroxysmal positional vertigo and six of ten patients with vertebro-basilar artery insufficiency. Our home therapy is recommended for all patients with benign paroxysmal positional vertigo and selected patients with vertebrobasilar artery insufficiency.
著者
新関 泰夫 渡辺 勇 大久保 仁 石田 博義 山本 修三 水越 鉄理 渡辺 行雄
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.1986, no.Supplement8, pp.104-115, 1986-12-05 (Released:2012-11-27)
参考文献数
8
被引用文献数
1 1

Registered cases of Ménière's Disease collected by the Committee members were studied and classified according to the age of onset and the duration of the disease. The influence of each factors on the vestibular symptoms and hearing impairment was analyzed. Next, the influence of these two factors on the hearing loss of the affected side was studied in 120 cases of definite Ménière's Disease.The results of this study were as follows:1) The hearing impairment of the affected side increased gradually with the age of onset and the duration of the disease.2) The vestibular symptoms of Ménière's disease were not significantly affected by these two factors.
著者
渡辺 健一 土肥 二三夫 冨田 寛 竹本 律子 村上 弦
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.1995, no.Supplement78, pp.53-62, 1995-04-30 (Released:2012-11-27)
参考文献数
38

The topographical anatomy of the chorda tympani nerve (CTn) was investigated macroscopically in 45 ears of Japanese adult cadavers, aged 38-88 yr, with special reference to its topographical relationship to critical structures encountered in otorhinolaryngological practice such as the auditory tube and Wharton's duct. Fifteen cases of the “separated type” of CTn running independently along the posterior margin of the lingual nerve, which were noted in our previous study, were included among the 45 specimens. Major findings considered relevant to clinical practice are described below.1. The course of the CTn, passing inferiorly and medially in the petrotympanic fissure, was classified into 2 types: that traveling immediately anterior to and parallel with the auditory tube, and the becoming progressively more distant (inferior and anterior) to the auditory tube.2. Immediately after emerging from the petrotympanic fissure, the CTn cons istently communicated with the sympathetic plexus around the middle meningeal artery, and often issued twigs reaching the otic ganglion area.3. In cases where the CT n was trapped by tendinous tissue around the lateral pterygoid muscle (17.8%), the nerve merged into the lingual nerve from the medial or anterior aspect, and not from the usual posterior aspect, at the level of the mandibular notch.4. The lingual nerve sometimes (20.0%) showed a strongl y curved sigmoid course behind the mandibular ramus. Several buccal branches innervating the oral lining, without containing the CTn element, were issued at the anterior projecting protion of the sigmoid course.5. At the base of the oral cavity, the major CTn element traveled al ong the superior margin of the lingual nerve, therefore the CTn element was located away from the submandibular ganglion.6. A thick communicating branch on both sides of the lingual nerve was rarely observ ed under the mucous lining or in the mucous layers at the tip of the tongue. These findings suggest that morphological variations of the CTn should be considered during surgical procedures and for understanding the nature of related clinical symptoms.
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)

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
清田 隆二
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.1988, no.Supplement26, pp.32-37, 1988-09-30 (Released:2012-11-27)
参考文献数
19

It has been reported that healthy persons with normal hearing and without complain of tinnitus have perceivable tinnitus, when the ambient noise level is low. Such tinnitus was observed in 44 (72.1%) of 61 healthy adults with normal hearing in a sound-proof room. In most (91%) of them, tinnitus resembled pure tone, and was composed of middle or high pitch tone.Since their frequency was conce n trated in some ranges relating to each other as multiples, it is suggested that some resonance mechanism in the body is involved in the generation of this type of tinnitus.
著者
桂 周良
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.1988, no.Supplement24, pp.10-19, 1988-09-05 (Released:2012-11-27)
参考文献数
15

Subglottal pressure signals during phonation were evaluated by linear prediction analysis in fifteen normal adults.The first subglottal resonance frequencies, exhibited individual variation, ranging from 420 Hz to 720 Hz. The change in fundamental frequency affected resonance spectra, also suggesting individual variation of subglottal resonance. Moreover, spectrum differences among vowels indicated coupling between the supraglottal and subglottal systems during the closed phase.
著者
宮原 伸之 白根 誠 上田 勉
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.2006, no.117, pp.126-129, 2006

Varicella-zoster virus often causes not only vesicles, but also facial and vestibular nerve paralysis (Ramsay Hunt syndrome). This syndrome can affect other cranial nerves. We report a case of unilateral palsy of the V, VII, IX, and X cranial nerves due to varicella-zoster virus infection.
著者
石井 歓 竹沢 裕之 小島 正 児玉 広幸 浜本 誠 形浦 昭克
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.1995, no.Supplement84, pp.30-35, 1995-10-15 (Released:2012-11-27)
参考文献数
11

Thirty-two handicapped children with hearing impairment were fitted with hearing aids. Hearing aids were effective in 28 of these caces, but were effective for all children less than 1 year old. Hearing aids could not be fitted in 4 caces.The results of this study showed the importance of early diagnosis of hearing impairment and early fitting of hearing aids in handicapped children.
著者
坂倉 淳
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.1989, no.29, pp.1-33, 1989

The vibration of the body wall during phonation was measured using accelerationtype pick-ups attached to five different points on the body wall. The voice was recorded simultaneously. The test subjects were 18 amateur singers. Each subject was asked to phonate five Japanese vowels /a/, /i/, /u/, /e/ and /o/ in both trained singing voice (trained voice) and untrained singing voice (untrained voice). This distinction was possible for all subjects after some practice.<BR>Spectral analysis of the body wall vibration was performed. The intensities of the vibration were also analysed with respect to the vibration proportion (VP), which is the ratio of the body wall vibration (G) to the sound pressure level. 'Singing formant'was found not only in the spectral structure of the voice sound but also in that of body wall vibration. The VP of the cheek was greatest with the trained head voice, but it was not so great during the production of trained chest voice. With the untrained voice, there was no difference in the VP among the five locations of the body wall. The VP at the cheek in music students was greater than that of members of a glee club. The difference of VP among five vowels was smaller with the trained voice than with the untrained voice. These results suggest the important role of the vibration of the cheek and great resonance of oral cavity in the trained voice.<BR>Listening tests were also performed. Five vowels of voice sound that had been recorded simultaneously with the vibration of body wall were presented to a group of 18 listeners for identification. Articulation score for trained voices was lower than that for untrained voices. The difference of articulation score among five Japanese vowels was smaller with the trained voice.<BR>These results suggest that the difficulty in perceiving sung vowels arises from 'covering'.