その後の高橋式鼻内整形手術

TAKAHASHI'S INTRANASAL PLASTIC SURGERY AND ITS RECENT DEVELOPMENT

　I．緒言

　高橋式鼻内整形手術^1）2）（以下高橋式手術と略）の創始者高橋研三博士^3）（1885〜1973，以下高橋と敬称略）が97歳で亡くなられてから4年になる。

　大正2年高橋が京大における耳鼻咽喉科学会で，日本最初の扁摘を行なつたことは余りにも有名だが，高橋式手術を創案したのは，その翌大正3年のことであり，64年もの昔の話になる。そして初めてこれを大正7年の第1回日本連合医学会総会分科会で特別講演として発表したが，該手術の基本をなす鼻呼吸気流がPaulsen，Proetzらの説^4）〜10）と違うことと，鼻粘膜のとりすぎから来る弊害に対する杞憂などから反対され，今に至るも学界の異端として白眼視されている。

　Takahashi's endonasal plastic surgery was advocated by Kenzo Takahashi, M.D. (1885-1975) in 1912, 65 years ago. However, this method of nasal operation was unacceptable to the majority of members of the Japanese ENT Society because of its fundamental difference from the theory of nasal respiration advocated by Paulsen and Proetz, and, also, due to its accessive removal of the nasal mucosa during the operation.

　Fortunately, however, this operation was recognized and appreciated, in 1957, by T. Nishihata, M.D., the head of the ENT Department of the Keio University, which I shall name it as the"revival" of Takahashi's operation, but it was soon forgotten again. During this period in 1964, I presented a paper of more than 100 operations which I had performed following Takahashi's method and stated that nasal obstruction could be most effectively relieved by such a method.

　Since then my interest deepened into revealing the nature to what extent the Takahashi's method may be digested and considered by ENT Doctors of this country. So, I made a personal inquiryto 40 individual Doctors with a response that this operation is still being performed, not exactly according to the original method but some what modified.

　I am presenting here 80 modified operations performed at the Yokohama Seamen's Hospital form 1974 to 1976, with the same good results in relieving nasal obstruction, heaviness of the head and headaches of nasal origin.