Palatoglossal Arch Research Articles

咽頭梅毒症例とＳＴＤサーベイランス

Lesions of secondary syphilis were found in the right tonsil and on the palatoglossal arch. The pharyngeal mucous membrane and tonsil exhibited severe erosion with white-gray coating. Several Treponema pallida were seen in smears of the tonsillar exudate. Serological tests revealed high VDRL and TPHA titers. Histological examination showed severe inflammation with many lymphocytes and plasma cells, and thickened vascular endothelium. We also describe the present program of surveillance of sexually transmitted diseases in Japan and emphasize that ENT-physicians should be more aware of them in patients with otorhinolaryngological symptoms and signs.

Halsbedingte myoneuralgische Irritationsbeschwerden, ein Vorschlag zur Therapie durch den HNO-Arzt*

A number of typical ENT complaints which do not involve organic signs or symptoms are presented, such as sinusitis-like headache, otitis-like earache and tonsillo-pharyngitis-like dysphagia. Since patients with such complaints usually visit an ENT specialist first, an introduction of additional diagnostic and therapeutic measures is imperative. Without having been trained in chirotherapy, it is possible to identify painful locations, myogeloses and functional disorders in the craniocervical area. In many cases treatment of these disorders leads to disappearance of associated irritational complaints. In addition to local treatment of the neck, the ENT specialist may employ a procedure as described. Superficial infiltration of the mucous membrane is performed with a local suprarenin-free anaesthetic in an area around the upper wisdom tooth and on the palatoglossal arch. This procedure often leads to spontaneous and lasting relief of symptoms. It is assumed that this has the effect of inhibiting the pathologically irritated afferents and thus of interrupting an altered reflex arc. Relief from the complaints is improved by physiotherapy and by avoiding the detrimental influence of bad posture, nervous stress, air draughts, cold chills etc. Extensive massage therapy can result in worsening of complaints.

Repair of intraoral defects with masseter crossover flap after cancer surgery

Despite the remarkable progress made in the field of oral and reconstructive surgery, defects arising as a result of surgical removal of small and medium-sized tumors of the retromolar trigone, palatoglossal arch, posterior part of the lateral floor of the mouth, gingivo-glossal sulcus, and the adjoining areas, continue to present a challenge. Most methods of reconstruction presently in vogue, when used in such a situation, are associated with some morbidity and possible risks of complications. The use of a masseter crossover flap permits a reliable two-layered primary closure without any significant complications and with early return of function. Experience with 24 cases to date is reported.

アフガンナキウサギの舌乳頭の比較解剖学的研究

The tongue and lingual papillae of the Afghan pika were observed by the optical and the scanning electron microscope. The results obtained were as follows : 1. The tongue was narrow and long, and its appearance was similar to that of the domestic rabbit. A median dorsal sulcus, terminal sulcus, and foramen cecum were absent on the dorsal surface, whereas the intermolar prominence was present on. Four types of papillae were present on the dorsal surface : filiform or conical, fungiform, circumvallate, and foliate papillae. 2. The filiform papillae covered the oral part almost completely and the anterior pharyngeal part partially. Some differences in form and size of the papillae by their location were observed : large and conical on the anterior side of the intermolar prominence and the frontal margin of the prominence, small and sharp conical on all of other regions ; and the apical portion of the former papillae bent toward the anterior direction and those of the latter ones toward the posterior direction. 3. The fungiform papillae existed scantily on the dorsal side of the lingual apex. On the ventral side of the apex, a group of the fungiform-like papillae was observed. One to two taste buds were observed within the epithelium between the papillae. 4. The circumvallate papillae, three to four in number, were present in the posterior side of the tongue and formed a triangle with its base directed to the anterior side. The outline of the circumvallate papillae appeared to be round in shape, but the papillae were not completely separated from a vallum but fused partially into the vallum at both sides without a continuous trench. 5. The foliate papillae which located in the anterior margin of the palatoglossal fold at the tongue base had nine to twelve ridges. The long axis of a papilla bent roughly to the epiglottis.

耳下せんに発生したせん房細胞しゅの１例

A 46-year-old woman noticed swelling and tenderness of the subauricular region on the left side four months ago. The growth had increased in size to the point of deviating the palatoglossal arch medially.Sialogram of the left parotid gland and CT scanning revealed the tumor mass inside the left mandibular ramus, and its contour was fairly well defined. A clinical diagnosis of a benign tumor derived from the deep lobe of the parotid gland was made.The patient was admitted and resection of the tumor was perfomed under general anesthesia. The great auricular nerve was transplanted in place of the facial nerve. In the histologic examination, the basophilic tumor cells were arranged in acinar groups, the tumor cell nucleus was rounded and the cytoplasm was slightly granular. The granules were PAS-positive and mucicarmin-negative. Acinic cell tumor was thus diagnosed.The postoperative course was uneventful, there has been no sign of recurrence of the tumor or metastasis to the lymph nodes or other organs since discharge.

Morphology of the soft palate of the vervet monkey (Cercopithecus pygerythrus)

The heads of 31 vervet monkeys were dissected to investigate the morphology of the soft palate. This extended posteriorly from the hard palate and was delineated laterally by a fold raised by the pterygomandibular raphe. The palatoglossal arch was more prominent than the palatopharyngeal arch and four types of uvulae were seen. These were conical, bifid, trifid, and triangular. Twenty five to forty raised papillae were present on the anterior half of the oral surface. Within the soft palate, the bulk of tissue consisted of glands with a lesser amount of striated muscle. The muscles consisted of the tensor veli palatini, levator veli palatini, palatoglossus, palatopharyngeus, and uvular muscles which differed slightly in their attachments to similar muscles in man. The innervation of the tensor veli palatini muscle was a branch of the mandibular nerve but no nerves could be traced to the other muscles. The soft palate of the vervet monkey is sufficiently similar to that in man to be of practical use in experimental surgery aimed at correcting human soft palate abnormalities.

Epithelioma on the Right Palato-glossal Fold in a Man aged 48.

Epithelioma on the Right Palato-glossal Fold in a Man aged 48.