Pulmonary tuberculosis and recurrent laryngeal nerve paralysis.
スポンサーリンク
概要
- 論文の詳細を見る
Antituberculosis drugs and thoracic surgery have reduced the incidence of recurrent laryngeal nerve paralysis due to pulmonary tuberculosis. The onset and course of this condition may also have changed, but no details have been reported yet. During the past 10 years, 12 patients with this paralysis have visited our clinic.1) They represent only 0.4% of the total of 299 patients with recurrent laryngeal nerve paralysis seen during this period.2) There were no patients bilateral paralysis and 11 of the 12 had paralysis on the left side.3) The pulmonary lesion and laryngeal paralysis were on the same side except in one patient who had left laryngeal paralysis and right pulmonary tuberculosis.4) There was an interval of 20-30 years between the onset of pulmonary tuberculosis (at 32.2 years of age on the average) and the development of recurrent laryngeal nerve paralysis (at 58.6 years of age old on the average). Since it occurs in an older age group it must be differentiated from lung cancer.5) The common findings of CT-scan examination in 3 cases were shifting of the mediastinum to the left, diminished left thoracic space, and thickening of the pleura. These findings indicate that the cause of this paralysis is pressure and retraction of the nerve by scar tissue. We consider, moreover, that the vulnerability of the recurrent laryngeal nerve might have been increased by chronic local circulatory disturbance, because the nerve was usually surrounded by scar tissue.
- 耳鼻咽喉科臨床学会の論文
著者
関連論文
- 小耳症・外耳道閉鎖症の耳介形成術と外耳道・鼓室形成術
- 耳下腺腫瘍の臨床統計
- 耳瘻孔, 頸瘻に難聴を合併した Rowley 症候群の一例
- 高度な骨性鼻腔狭窄・鼻中隔弯曲症を伴った Apert 症候群に対する鼻腔形成術の経験
- 群馬大学耳鼻咽喉科難聴児支援センターにおける人工内耳装用児の術前・術後の療育体制と言語発達について
- 耳下腺腫瘍の臨床統計
- 聴神経腫瘍のガンマナイフ治療
- 聴神経腫瘍の臨床的検討
- 喉頭喘鳴と気道感染
- 頸動脈小体腫瘍4例の検討-特にCT・MRIの有用性について
- 随意的に制御可能な先天性眼振の1例
- 騒音の奇形発生に及ぼす影響について
- CLINICAL OBSERVATIONS ON THE SULCUS VOCALIS : Sulcus Vocalis
- 声帯のポリープ様変性について
- 走査電子顕微鏡による耳小骨の観察 : 正常ならびに中耳炎の耳小骨表面像
- 椎骨脳底動脈系の循環障害によると考えられた頭位性めまい症例 : その臨床的特徴と病態について
- 診断不能とされた脳梗塞の既往のあるめまい症例 : その臨床的特徴と病態について
- 騒音刺戟とTrypan Blue注射の併用による実験的崎型発生について
- 口蓋裂の実験的発生(第1報) : Trypan Blue による
- 晩発性先天性迷路梅毒の長期観察の1例 : Hennebert症候,聴力変動所見,Herxheimer反応,難聴効所見の検討
- 癌化したと思われる喉頭乳頭腫
- ポリープ様声帯(polypoid vocal cord)の成因に関する一考察
- 稀有なる耳道腺腺腫の一症例
- 口蓋裂の実験的発生(第2報) : Congo RedとEvans Blueによる
- 炎症性喉頭麻痺
- 萎縮性鼻炎の手術的治療法 : 上顎洞粘膜を鼻腔へ遊離移植する方法
- 先天性喉頭疾患
- A Statistical Survey of Patients Treated for Tracheo-bronchial Foreign Bodies in Our Clinic During the Last 25 Years
- Sense of Taste in Children with Congenital Microtia.
- Histology and Electromyography of the Levator Veli Palatini Muscle in Patients with Cleft Palate.
- Congenital microtia complicated by congenital facial palsy; A report of four cases.
- 若年性片側聾に遅発性に発症するめまいについて--主として遅発性内リンパ水腫症候群(Schuknecht)
- Paralabyrinthitis: A case report.
- Computerized tomography diagnosis of cartilage destruction in carcinoma of the larynx.
- STATISTICAL OBSERVATIONS OF CLINICAL CASES WITH FRONTAL, ETHMOID AND SPHENOID SINUS MUCOCELES
- Jumbling:With special reference to Meyer zum Gottesberge's test
- Silica Concentration and Histological Structure of Chronic Sinusitis Mucosa
- A Case of Maxillary Cancer Associated with Marked Leucocytosis
- A case of synovial sarcoma of the hypopharynx.
- Esophageal Cancer and Right Vocal Cord Paralysis
- Investigation of the Vestibular Aqueduct and the Cochlear Aqueduct by Temboral Bone CT Scan
- Pulmonary tuberculosis and recurrent laryngeal nerve paralysis.
- Laryngeal Papilloma in Our Clinic