高橋式鼻内整形手術を巡つて

　I．緒言

　一昨年高橋研三氏が英文の原著を自費出版して国内と国外の多くの専門家に送つたがその大部分は梨の飛礫で反響は甚だ尠なかつた。Tympanoplastikの大流行と高度の副鼻腔炎が西欧に少ないためであろうか。

　昭和34年5月に西端は高橋式鼻内整形手術に就いて（第1報）と題して本法の追試を学界に慫慂した。次いで昭和35年1月に高橋氏は英文の原著に補足を加えて日本文で発表し，同年3月佐々木が同法の追試成績を発表した。

　Nishihata and associates state that Takahashi's endonasal plastic operation is highly efficacious in treatment of various nasal diseases causing symptoms of nasal obstruction, hyperrhinorrhea, post-nasal discharge and headache when evaluated by relative ralief of symptoms.

　They emphasize the fact that, by calling attention to the illustrations that are offered in the publications of Ino Kubo's and Lauten-schlager's books, the concept of what might be considered as normal nose is highly indefinite in the scope of its definition.

　The authors found a bare 0.5% which might be considered as having a normal nose according to Takahashi's definition of normalcy from among a different groups of individuals 269, 190, 320 and 200 persons in number. From the group of persons who were operated upon for paranasal sinusitis, who numbered 81, there was none who might be considered as having a normal nose : 70% of this number were regarded as being beyond the midpoint in the degree of nasal involvement.