著者

小松原 秀紀 武田 大介 藤林 淳子 古森 孝英

出版者

日本口腔診断学会

雑誌

日本口腔診断学会雑誌 (ISSN:09149694)

巻号頁・発行日

vol.30, no.1, pp.18-22, 2017-02-20 (Released:2017-05-23)

参考文献数

27

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We have occasionally experienced cases with aberrant foreign bodies, such as fish bones or metal fragments of dental materials, in the oral region. Recently, there have been cases of serious injury due to piercing of the nose, lips, and other body parts. We report the case of a 49-year-old man with a needle in the floor of his mouth that had been used to pierce the tongue.The patient visited our department because of difficulty in swallowing and speaking. Macroscopically, only a slight redness on the right side of the oral floor was seen; the foreign body could not be felt on palpation. Panoramic radiography and computed tomography showed a sharp, straight metallic object extending from the floor of the mouth to the submental region. The object was located in the deep submucosal layer of the oral floor into the right suprahyoid muscles and was surgically removed from the inside of the right anterior belly of the digastric muscle using an extraoral approach. We chose to use general anesthesia because of the risk of bleeding and airway obstruction. The object was a metal needle 5 mm in diameter and 50 mm in length. The postoperative course until 1 year was uneventful.

著者

岩田 英治 古土井 春吾 鰐渕 聡 岸本 恵実 明石 昌也 古森 孝英

出版者

社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.64, no.2, pp.83-87, 2018-02-20 (Released:2018-04-20)

参考文献数

17

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Osteonecrosis of the jaw is one of the problematic side effects observed during administration of angiogenesis inhibitors in patients receiving treatment for cancer. We report a case of osteonecrosis of the jaw in a patient receiving sunitinib. The patient was a 72-year-old man who was referred to our hospital because of exposed bone and contact pain of the tongue. After the clinical diagnosis of osteonecrosis of the jaw, observation and irrigation of the exposed bone were frequently performed. Four months later, the lesion healed. After 1 year, exposed bone was found in other sites ; however, it disappeared a month later. The present case suggests that the use of sunitinib can be associated with osteonecrosis of the jaw and indicates that invasive dental treatment and the status of the main disease should be considered when prescribing sunitinib, as is done when prescribing bisphosphonates or denosumab.

著者

川越 弘就 吉位 尚 大塚 芳基 竹野々 巌 寺延 治 古森 孝英

出版者

JAPANESE SOCIETY OF ORAL THERAPEUTICS AND PHARMACOLOGY

雑誌

歯科薬物療法 (ISSN:02881012)

巻号頁・発行日

vol.18, no.3, pp.139-143, 1999-12-01 (Released:2010-06-08)

参考文献数

22

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Death due to gas gangrene following tooth extraction of mandibular third molar was reported. The patient was a 53-year-old female. Her mandibular left third molar was extracted 8 days before she was referred to our clinic. She did not receive any prophylactic antibiotics. After tooth extraction she developed swelling and pain of the left oral floor and the neck with severe sore throat and trismus. She had been treated with intravenous antibiotics and surgical drainage at a local hospital, however, the symptoms did not improve. The CT findings of the neck were abundant gas in the soft tissue of the neck. The diagnosis was cervical gas gangrene. The hematological tests revealed increase of white blood cells (13600/mm3), CRP (25.9mg/dl), blood sugar (332mg/dl), hypoalbuminemia (Alb ; 2.5g/dl), and liver dysfunction (GOT ; 42IU/l, GPT ; 63IU/l) .She seemed to be getting better due to drainage on Day 4 after admission, however, the neck skin became necrotic widely. On Day 8, rapid swelling and severe pain from the neck to chest were observed. The general conditions began to worsen, and she died of multi-organ failure on Day 12 (19 days after tooth extraction) . Enterococcus faecalis, Streptococcus milleri, Gemella haemolysan and Peptostreptococcus micros were isolated from the pus.It was considered that the necrotic tissues of the neck, which might cause residual infection, should have been removed completely, and the management for hyperglycemia and hypoalbuminemia was also very important to treat severe infectious gas gangrene.

著者

古森 孝英 佐藤 修 森 良之 石井 正俊 榎本 昭二

出版者

特定非営利活動法人 日本口腔科学会

雑誌

日本口腔科学会雑誌 (ISSN:00290297)

巻号頁・発行日

vol.37, no.3, pp.696-701, 1988-07-10 (Released:2011-09-07)

参考文献数

14

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In this report we presented a case of emphysema of the parotid gland induced by abnormal habit.The patient was a 45-year-old man. In Sept. 1983, he noticed painless swelling of the left cheek. In Feb. 1985, concerned about the swelling which had continued to grow at times, he visited a clinic of an otorhinolaryngologist. However he received no cure because no swelling was found at that time. On Dec. 3, 1986, when he was admitted to a hospital for a physical examination, the swelling of the same region was pointed out by the doctor. And on Dec. 12, he was referred to our university clinic.In the clinical examination, a diffuse swelling of the left cheek was observed. W hen we pressed the bilateral parotid gland regions, we felt as if we had pressed a mass of flour. And foamy saliva was ejected from the parotid papilla with air. CT scan and sialogram revealed air in the bilateral parotid glands and ducts.Clinical diagnosis of emphysema of the bilateral parotid glands was made. This emphysema was considered to be induced by the abnormal habit that he had puffed out his cheeks strongly with his breath many times since he was 11 years old.

著者

高戸 毅 朴 修三 北野 市子 加藤 光剛 古森 孝英 須佐美 隆史 宮本 学

出版者

一般社団法人 日本口蓋裂学会

雑誌

日本口蓋裂学会雑誌 (ISSN:03865185)

巻号頁・発行日

vol.19, no.2, pp.57-65, 1994-04-30 (Released:2013-02-19)

参考文献数

47

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現在,口蓋裂は手術法の進歩,言語管理の徹底により,その多くが鼻咽腔閉鎖機能を獲得し,正常な構音発達を遂げている.初回手術のみで鼻咽腔閉鎖機能を獲得するものは90%前後とする報告が本邦では多い.残りの数%は,初回手術後も十分な鼻咽腔閉鎖機能が獲得できず,その多くは二次手術が必要となる.その際われわれは,鼻咽腔閉鎖機能改善を目的として,咽頭弁手術を行ってきた.鼻咽膣閉鎖機能不全が疑われる症例には,4~5歳に発音時にセファログラムおよび鼻咽腔ファイバースコープ下の鼻咽膣運動の評価を行い,鼻咽腔閉鎖機能不全症を最終的に判定し,咽頭弁手術を施行している.今回われわれは,就学前に咽頭弁手術を施行し,5年以上経過観察を施行した37症例について,術後の合併症および言語成績に関し検討を加えた.その結果,1年後に全例に開鼻声の減少などの改善を認め,日常会話レベルでも鼻咽腔閉鎖機能に問題が無くなったのは,二次手術例で約83%,5年後では約92%と良好な結果を示した.咽頭弁術後も閉鎖機能不全を残した症例で,術式による差は特に認められなかった.むしろ,こうした症例の多くに精神発達遅滞や,心奇形など,他に奇形を伴っていることが特徴的であった.合併症として,鼻閉・口呼吸が術後1年目で7例に,5年目でも4例に認められた.術後,呼吸困難や睡眠時無呼吸症を呈した症例はなかった.また術後5年目までに鼻咽腔閉鎖機能不全を再発した症例はなかった.今回の調査では,重篤な合併症は認められなかったが,扁桃肥大や小顎症などに対しては術前に睡眠時ポリグラフ検査などが必要と考えられる.また術後の顎発育抑制についても,慎重な経過観察が今後とも必要と考えられる.

著者

深川 智恵 古土井 春吾 高橋 英哲 山田 周子 渋谷 恭之 古森 孝英

出版者

社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.56, no.10, pp.605-608, 2010-10-20 (Released:2013-10-31)

参考文献数

9

被引用文献数

1

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Lemierre syndrome is a potentially life-threatening disease caused by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein, frequently associated with abscess formation in distant organs.We report the case of a 78-year-old woman who received surgical therapy, chemotherapy, and radiation therapy for malignant lymphoma in 2001. She visited our hospital because of a swelling and pain of the left submandibular region in August 2009. The patient was immediately hospitalized to control the pain and infection. PET images showed tracer uptake in the lung. Bilateral multiple septic emboli of the thorax were detected on CT. On the basis of these findings, Lemierre syndrome was diagnosed. The patient was treated with antibiotics intravenously, and surgical drainage was performed. All symptoms improved, and she was discharged after 32 days.

著者

吉位 尚 濱本 嘉彦 村岡 重忠 糀谷 淳 古土井 春吾 麻柄 真也 大塚 芳基 中尾 薫 寺延 治 島田 桂吉 古森 孝英

出版者

特定非営利活動法人 日本口腔科学会

雑誌

日本口腔科学会雑誌 (ISSN:00290297)

巻号頁・発行日

vol.48, no.6, pp.479-488, 1999-11-10 (Released:2011-09-07)

参考文献数

47

被引用文献数

5

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The clinical efficacy of long-term roxithromycin (RXM) treatment was examined objectively in 8 patients with chronic diffuse sclerosing mandibular osteomyelitis. RXM was administered orally at a dose of 300mg per day for 68 days to 66 months.As a result, the results of 7 out of 8 cases (87.5%) were assessed effective, and the symptoms had disappeared in 1 to 12 months. One case assessed poor had several operations and various kinds of antibiotic therapy for more than 11 years before this therapy. In 7 cases assessed effective, the improvement of osteolytic changes on X-ray was observed. However, most of the X-ray findings remained osteosclerosis or the osteosclerosis became more predominant, when this therapy was terminated. It was considered that X-ray findings would take a long time to be normalized. Therefore, the optimum duration of administration which is the time to terminate this therapy should be decided according to the improvement of symptoms along with the disappearance of osteolytic findings on X-ray. Diarrhea and stomach discomfort in 1 case, and liver dysfunction in 1 case were found, however, these side effects were slight.The mechanisms of RXM are unclear however, these results indicate that long-term RXM treatment has therapeutic possibilities for diffuse sclerosing mandibular osteomyelitis and should be used as the first choice followed by surgical treatment if necessary.

著者

重田 崇至 梅田 正博 吉武 賢 高橋 英哲 澁谷 恭之 古森 孝英 井堂 信二郎 長谷川 巧実 李 進彰

出版者

Japanese Stomatological Society

雑誌

日本口腔科学会雑誌 (ISSN:00290297)

巻号頁・発行日

vol.61, no.1, pp.1-7, 2012 (Released:2012-03-08)

参考文献数

33

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It has been recommended recently that patients receiving anticoagulant therapy should undergo dental extraction without discontinuation of anticoagulant drugs in consideration of the risk of thromboembolism, but the frequency of hemorrhagic complications has not been well documented. A retrospective study of 282 patients who underwent dental extraction under continuous warfarin therapy was performed.Twenty-two of the 282 patients (8.9%) showed postoperative hemorrhages: 14 of 168 (8.3%) in those receiving administration of warfarin alone, and 11 of 114 (9.6%) in those receiving administration of both warfarin and antiplatelet drugs. Most of the hemorrhages occurred within 2 days after the extraction. The rate of postoperative hemorrhage was 5.7% in those with prothrombin time International Normalized Ratio (PT-INR) of 1.49 or lower, 12.5% in those with PT-INR of 1.5-1.99, 12.8% in those with PT-INR of 2.0-2.99, and 16.7% in those with PT-INR of 3.0 or higher, although there was no significant difference between PT-INR and frequency of postoperative hemorrhage. All patients showing postoperative hemorrhage were treated successfully by local procedures such as suturing or application of cellulose oxide gauze. These findings suggest that dental extraction can be safely done without discontinuation of warfarin therapy.

著者

山崎 隆廣 吉位 尚 黒木 栄司 宮井 大介 林 徹 西村 栄高 吉川 朋宏 吉岡 歩 古土井 春吾 竹野々 巌 市来 浩司 大塚 芳基 中尾 薫 古森 孝英

出版者

一般社団法人 日本歯科薬物療法学会

雑誌

歯科薬物療法 (ISSN:02881012)

巻号頁・発行日

vol.18, no.2, pp.54-58, 1999-08-01 (Released:2010-06-08)

参考文献数

24

被引用文献数

2

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Cases with postoperative infections following teeth extraction are experienced occasionally, however, there have been few reports about the problems following teeth extraction. The purpose of this study was to investigate the influence of general and local background of cases with infections following teeth extraction. The results were as follows:1) The infections following teeth extraction occurred in 11 (2.1%) out of 517 cases.2) There was no relationship between age or underlying disease and the postoperative infection rate.3) The incidence of the infection was the highest after mandibular third molar surgery, however, the relationship between the surgical procedure such as incision or removal of the bone and the infection rate was not found.4) The infection rate of cases with acute inflammation before surgery was higher than that of the cases without any inflammatory signs.5) Prophylactic antibiotic administration was performed on 282 (54.5%) out of 517 cases. The incidence of the infections of the cases with prophylaxis was almost the same as the cases without prophylaxis.6) The postoperative pain in infection cases tends to last longer than the normal course. Therefore, it is important to observe carefully the course of pain to make a diagnosis of postoperative infection.

著者

陳 明裕 梅田 正博 吉位 尚 森鼻 一浩 西村 望 土井 久也 寺延 治 古森 孝英

雑誌

日本歯科麻酔学会雑誌 (ISSN:03865835)

巻号頁・発行日

vol.28, no.2, pp.255-256, 2000-04-15

被引用文献数

1

著者

古土井 春吾 吉位 尚 濱本 嘉彦 村岡 重忠 糀谷 淳 寺延 治 古森 孝英

雑誌

日本口腔診断学会雑誌 = Japanese journal of oral diagnosis/oral medicine (ISSN:09149694)

巻号頁・発行日

vol.13, no.1, pp.1-5, 2000-04-20

被引用文献数

1

著者

古森孝英編

出版者

第一歯科出版

巻号頁・発行日

2011

著者

古森孝英編著

出版者

永末書店

巻号頁・発行日

2006

著者

古森孝英編著

出版者

永末書店

巻号頁・発行日

2004