口蓋扁桃機能の一検査法に関する研究

概要

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As an aid for the indication of tonsillectomy the following simple method for the examination of the tonsil was devised. A 0.2cc, 0.8% methylene blue solution was injected into parenchyma of the tonsil and the fading time was measured. The shortest time was 3 minutes and the longest over 90 minutes. After the injection of the same amount of 1% 2.6-dichlorphenolindophenol solution the fading time was between 3 and 25 minutes. The fading time was short in cases of functional hypertrophy of the tonsils, while longer in cases of the severe chronic inflammation of the tonsils. Thus, "the fading reaction" was considered to be related to the functional state of the tonsils. Therefore, it was considered that the fading reaction could be used for a criterion of the indication of tonsillectomy, i. e. the fading time of 30 minutes in case of methylene blue and that of 10 minutes in case of 2.6-dichlorphenolindophenol were taken for the indication of tonsillectomy.The fading reaction was thought to be mainly due to the reduction and partially to the res or ption and phagocytosis of the dyes. It was found that mainly the tissue vitamin C and phartially the glutathion and succinic dehydrogenase participate in the reduction of the dyes.
社団法人日本耳鼻咽喉科学会の論文