航空時症状に対する鼻内手術の効果

　緒言

　耳管通気障害には急性及び慢性鼻咽腔炎と鼻咽腔淋巴組織の肥大とが主な原因となり，鼻中隔畸形や鼻介肥大等の鼻内形態異常はそれ等に比し大した原因とならないであろうと私共は考えていたが，かゝる鼻内形態異常のみを主所見とし副鼻腔炎，鼻咽腔淋巴組織肥大等が軽度か又は全く認められないのに拘らず，航空時のみに耳管通気障害を訴える数名のpilotが，高橋助教授による鼻腔整復術としての鼻中隔矯正術，下鼻介切除術を受けた所全て其の症状が消失したのを経験した。そこで我々は航空時と云う特殊な条件下では耳管通気障害の原因として鼻中隔畸形の如き鼻内形態異常も軽視さるべきでは無いと云う事を痛感したので此所に報告する次第である。

Sengoku and associates maitain that the infla-mmatory involvement of the auditory tubes the common affection occurring among those who board planes, particularly the attendent person-nels the pilots or otherwise, may be avoided, if the nasal passages are properly adjusted for free air passage. The onset of tubal inflamma-tion may occur at the descent of the plane with existence of inflammatory conditions in the nasal passage or by presence of a tubal stricture. And even with normal persons tubal air pressure adjustments at which time may be necessiated. The three pilots the cases cited here complained of stuffiness of ears only dur-ing flights while, otherwise, they felt normal. Eaxmination of these individuals showed either a markedly deviated nasal septum or hypertro-phy of the turbinates. No inflammatory invo-lvements otherwise were recognized.Submucous resection or turbinotomy are performed as called upon. Which brought a complete relief to the original complaint.