口蓋扁桃周圍膿瘍の膿瘍部位に就て

　口蓋扁桃周囲膿瘍は従来口蓋扁桃内よりの炎症波及，稀に菌の移行によつて所謂扁桃被膜の外で被膜と咽頭收縮筋との間に膿瘍が形成されたものとされ，稀に歯性，耳性等があるとされていた．所が昭和24年笹木教授は本誌21卷7号に臨床的所見と病理組織学的所見とから従来の膿瘍部位に就ての見解を全く覆し，該膿瘍は扁桃内に存在すると云う劃期的な見解を発表された．この発表以後の反響としては昭和24年10月の東京地方会大会で山本教授は笹木教授の新説を臨床的な立場から反駁され尚昭和25年4月耳鼻科総会の席上でも再び臨床的な立場から反対され，之に対し笹木教授の反対討論があつた事は吾々の尚記憶に新しい所である．

TAKAHASHI says that, from histological exa-minations made on tonsillectomized specimens that were obtained during acute peritonsillar abcess, the focal point of the abcess is situated in the structure of the tonsillar capsule and should be considered as inter-capsular. The tonsillar tissu-es are partly involved in the abcess but the walls of this focus are composed for the most part of infiltrated capsular tissues while its minor part only, specifically the median aspect that of the tonsils. Four types of the abcess are recognized.

Based upon this finding the author states that he cannot agree to accept the existing theory whic-h maintains the abcess to be extra-capsular nor, to the one recently stressed by Sasaki who holds that, the converse of the latter, it is wholly intr-acapsular and inter-tonsillar in extent.