会厭軟骨性咽喉頭神経症に就いて

　緒言

　従来吾々耳鼻咽喉科医は屡々咽頭異物感乃至狭窄感，時に嚥下痛を訴へ而も著明な病変を発見し得ない患者に遭遇し之は所謂咽喉頭神經症と名付けられて居る．然るに此の種，疾患に於ては仲々的確な原因がとらへ難く，舌根扁桃腺肥大症として片附けられ，又は女性更年期現象乃至ヒステリー症状等とせられる事が多い．

　然るに私共は近年本症に就ては会厭軟骨もある程度重視すべきものであると云う事を感ずるに至つたので茲にその臨床経験を報告する次第である．

KASHIWADO and associates found anatomical abnormalities in the epiglottis on 30 percent of the total number of 116 patients who complained of throat troubles that were diagnosed as la-ryngeal neurosis. In majority of these cases it was noted that the curvature obfthe epiglottis was so acute as to create a source of constant irritation to the root of the tongue. Tempcrary reliefs from this symptom might be obtained by application of 10 percent solution of cocaine to the area. But more satisfactory results were realiz ed by partial epiglottomy which was performed on 16 patients. preoperative radiography on the-se patients showed calcification of laryngeal carti-lages, This fact was bcrn out by microscopic exa-mination of the portion of epiglottis after removal which showed, cartilagenous ossification and ca-lcification.