著者

賈 露茜 平田 康 小林 明子 和気 裕之 木野 孔司 天笠 光雄

出版者

口腔病学会

雑誌

口腔病学会雑誌 (ISSN:03009149)

巻号頁・発行日

vol.73, no.1, pp.40-46, 2006-03-31 (Released:2010-10-08)

参考文献数

12

被引用文献数

13 15

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The effect of acupuncture in sensory paralysis was evaluated in 43 patients. Thiry-two cases in the study group were after mandibular third molar extraction and 11 cases by postoperative injury of orthognathic surgery. Treatment was performed in four forms : needles only (A), A with moxibustion (AK), electrical needle stimulation (ESA) using LEP 4000 OhmPulser Ra direct current 6 V 5-100 Hz, and ESA+A : exercise therapy was also given 1 or 2 times weekly. There were, however, some variations depending on the patient's conditions.Visual analog scale (VAS) measurement was carried out in addition to the estimation of effectiveness.The group receiving ESA+A seemed to improve better than those receiving other forms of treatment.The results indicated that young patients less than 40 years old tend to improve with fewer treatment times of shorter duration.With respect to the relationship between the effect and the time of starting treatment, we noticed that the earlier the treatment is started, the better the improvement.In summary, the study indicated that acupuncture is useful in treating sensory paralysis.

著者

梅田 慈子 三串 伸哉 天笠 光雄 小村 健 植松 宏

出版者

Tokyo Medical and Dental University (TMDU)

雑誌

Journal of Medical and Dental Sciences (ISSN:13428810)

巻号頁・発行日

vol.58, no.2, pp.69-77, 2011 (Released:2016-09-12)

参考文献数

26

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Objectives: This study investigated the effects of reclining position on swallowing functions in the patients who had undergone surgery for oral tumors. Subjects and Methods: 53 Patients after oral tumor surgery who had undergone the videofluoroscopic swallowing study in the sitting position and reclining position were sampled. We measured Oral transit time (OTT), Pharyngeal transit time (PTT), Penetration-Aspiration scale, Locating of the leading edge of bolus at swallow onset, Route of bolus transit and Transit velocity. Results: Laryngeal penetration and aspiration were less likely to occur in the reclining position. The mean OTT was significantly shorter in the reclining position than in the sitting position. The leading edge of bolus at swallow onset was significantly lower in the reclining position than in the sitting position. The bolus went along the posterior wall of the pharynx in more patients in the reclining position. The mean PTT and the transit velocity did not significantly differ between the reclining position and the sitting position. Conclusion: This study suggested that, in patients after surgery on oral tumors, the reclining position is a useful posture to aid oral transit and to readily prevent aspiration and laryngeal penetration.

著者

平田 康 木野 孔司 長岡 俊哉 宮本 亮三 吉増 秀實 天笠 光雄

出版者

口腔病学会

雑誌

口腔病学会雑誌 (ISSN:03009149)

巻号頁・発行日

vol.68, no.3, pp.249-253, 2001-09-30 (Released:2010-10-08)

参考文献数

10

被引用文献数

19 20

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Oro-maxillary sinus perforation occurs occasionally at the extraction of a maxillary tooth, and it may be a cause of maxillary sinusitis or antro-oral fistula. Our purpose was to investigate the most frequent site of perforation, and to understand the clinical course of patients after perforation.We examined 2, 038 maxillary teeth extracted from 1, 337 patients (473 males and 864 females) at the First Department of Oral and Maxillofacial Surgery, Tokyo Medical and Dental University, from January 1991 to December 1993.Perforation occurred in 77 of all 2, 038 teeth (3.8%) . Of these, 38 teeth were from males (38/733 ; 5.2%), and 39 were from females (39/1, 305 ; 3.0%) . The perforation rate was significantly higher in males.Perforation occurred most often with extraction of an upper first molar, and in the third decade of life. The perforation rate gradually decreased with higher age.We classified 38 cases into 3 categories according to panorama X-P : 1) The tip of the root crossed over the bottom line of the maxillary sinus (29 cases), 2) Not crossed over distinctly (4 cases), 3) Just lie on, or whether the tip of the root crossed over the bottom line of the maxillary sinus was not distinct (5 cases) .As to treatment, 30 perforations (39.0%) closed spontaneously in the course of observation, irrigation with physiological saline was used in 43 cases (55.8%), radical sinusotomy accompanied by closure of the perforation was performed in 4 cases, and only flap closure was used in 7 cases. There were no cases of relapse.

著者

中村 恵理奈 石川 均 愛甲 勝哉 小林 裕 岡田 憲彦 天笠 光雄

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.55, no.4, pp.253-258, 2006-09-10 (Released:2011-01-31)

参考文献数

6

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Historically, arsenic trioxide (AT) was commonly used in endodontic treatment because it acts quickly and devitalizes the pulp within two days. However, it is cytotoxic to gingiva and bone. If it diffuses out of the cavity it can readily cause widespread necrosis of gingiva and bone, which can lead to osteomyelitis of the jaws. This article presents two cases of osteonecrosis of the jaws caused by leakage of AT. Case 1: A 74-yearold male was referred to our department complaining of pain of the left maxilla following extraction of his first maxilla molar on the left side by a private practitioner three months earlier. Case 2: A 39-year-old female was referred to our department complaining of impairment of sensation in the left lower lip following root treatment of her second mandibular molar on the left side by a private practitioner. AT preparation had been used in both these cases two months earlier. We performed sequestrectomy under local anesthesia in these cases.

著者

三浦 康次郎 木野 孔司 渋谷 寿久 平田 康 渋谷 智明 佐々木 英一郎 小宮山 高之 吉増 秀實 天笠 光雄

出版者

口腔病学会

雑誌

口腔病学会雑誌 (ISSN:03009149)

巻号頁・発行日

vol.65, no.1, pp.1-5, 1998-03-31 (Released:2010-10-08)

参考文献数

18

被引用文献数

10 8

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This paper described the incidence of inferior alveolar nerve paralysis following surgical removal of impacted third molars. The investigated cases were 789 patients with 1, 299 teeth that were surgically extracted. Eight (0.6%) patients had the inferior alveolar nerve paralysis and one (0.08%) had lingual nerve paralysis. As for the patients with inferior alveolar nerve paralysis, the incidence was 0.4% in those aged 20 to 29 years, 0.6% in those aged 30 to 39 years, and 3.5% in those aged over 40 years. This study showed that the incidence of inferior alveolar nerve paralysis occurred more frequently in older age cases and in the cases in which the root splitting or the removing the surrounding bone was needed.

著者

江藤 一洋 KANOK Sorate NARONGSAK La PIYAWAT Phan SITTICHAI Tu VISAKA Limwo 石川 烈 黒田 敬之 大山 喬史 天笠 光雄 SORATESN Kanok LAOSRISIN Narongsak PHANKOSOL Piyawat TUDSRI Sittichai LIMWONGSE Visaka

出版者

東京医科歯科大学

雑誌

国際学術研究

巻号頁・発行日

1993

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1.〈顎顔面の発生と発生異常に関する調査研究〉頭部神経堤細胞(NC)が神経上皮上の領域によってその分化運命が異なるかどうかを細胞培養系で検索した。その結果、(1)ニューロンは中脳領域由来のNCから前脳領域より多くしかも早期に分化した、(2)軟骨細胞に分化すると思われる細胞は中脳領域由来のNCに限定されていた、(3)色素細胞は前脳領域由来のNCに限定されていた。以上より、NCは神経上皮上から移動を開始する前に分化運命はその領域毎ですでに決まっていると考えられた。2.〈顎顔面外科に関する調査研究〉チュラロンコン大学および東京医科歯科大学の口腔顎顔面外科における1985年〜1994年の10年間の口腔悪性腫瘍、良性腫瘍、顎顔面裂奇形、顎骨骨折および顎関節疾患について調査、比較研究を行った。悪性腫瘍中最も頻度の高かったのは両国とも扁平上皮癌であった。扁平上皮癌は男性に多く、タイでは60〜70歳台に、日本では50歳台に好発していた。タイで下顎歯肉癌が多かった(42.1%)のに対し日本では舌癌が高頻度であった(46.6%)。良性腫瘍中タイで多かったのはエナメル上皮腫(51.4%)、血管腫(20.0%)であり、日本では血管腫(18.8%)、多形性腺腫(13.1%)の順であった。裂奇形については両国ともに片側性唇顎口蓋裂が多かった(タイ42.1%、日本33.3%)。顎骨骨折は20歳台の男性に好発しており、その原因はタイでは交通事故が圧倒的に多く(72.5%)、日本では転倒によるものが多かった(30.0%)。顎関節疾患のうち外科的処置を受けたものはタイでは顎関節強直症(87.5%)が主であったが、日本では顎関節内障(42.1%)、強直症(28.1%)、習慣性脱臼(10.5%)など多疾患にわたっていた。3.〈顎顔面補綴に関する調査研究〉両国間の症例数を可及的に同一とするため、チュラロンコン大学では1985年〜1994年の間の188症例、東京医科歯科大学では1992年〜1994年の間の425症例を最終的な分析対象症例とした。症例を口蓋裂、腫瘍、外傷、炎症、その他に分類し、年度別患者数、男女比、年齢分布、主訴、症例別患者数、最終補綴物について分析を行い、さらに、口蓋裂症例については裂型、腫瘍症例についてはその部位、外傷症例についてはその部位と原因についても分析を行った。その結果、両国間での共

著者

佐藤 博章 阿部 成宏 藤村 倫子 三島木 節 香月 佑子 吉増 秀實 佐藤 豊 五十嵐 英 天笠 光雄 岡田 尚子 吉原 三佐子

雑誌

日本口蓋裂学会雑誌 (ISSN:03865185)

巻号頁・発行日

vol.31, no.2, 2006-04-30

著者

木下 靭彦 横矢 重俊 水谷 成孝 水沼 秀之 井上 聡 天笠 光雄 工藤 啓吾 長山 勝 岡部 貞夫 戸塚 靖則 古田 勲

雑誌

頭頚部腫瘍 (ISSN:09114335)

巻号頁・発行日

vol.26, no.3, pp.525-530, 2000-11-25

参考文献数

20

被引用文献数

3

著者

天笠光雄 草間幹夫 川辺良一編集

出版者

デンタルダイヤモンド社

巻号頁・発行日

2010

著者

佐藤 仁 天笠 光雄 佐藤 和子 山田 隆文 川口 哲司 冨塚 謙一 石井 純一 小林 裕 塩田 重利 岡田 憲彦 井上 哲生

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.37, no.8, pp.1512-1516, 1991

被引用文献数

4 4

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Multiple oral cancers have been found more frequently today than in past years.The reason may be due to the progress of therapeutic result and the long term follow-up observationafter success of prompt and effective treatment of the first primary lesion.<BR>Multiple cancer involving oral cancer were observed frequently in the multicentric areassuch as the stomach, lung, and esophagus but rarely found in the thyroid.<BR>The patient with double cancer of the tongue and thyroid was found due to material fromradical neck dissection for tongue cancer.

著者

渋谷 智明 木野 孔司 和気 裕之 儀武 啓幸 吉増 秀實 天笠 光雄

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.45, no.9, pp.566-570, 1999-09-20

被引用文献数

2

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Total RNA extracted from human temporomandibular joint (TMJ) discs of patients with temporomandibular disorders (TMD) were examined by RT-PCR. The expressions of decorin, biglycan and aggrecan mRNA in the disc were demonstrated. These results suggest that human TMJ discs of patients with TMD contain decorin and biglycan. The expression of aggrecan mRNA was confirmed in calcified disc tissue.

著者

平田 康 岩本 康弘 宮本 亮三 吉増 秀實 天笠 光雄 岡田 憲彦

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.50, no.1, pp.27-30, 2004-01-20

被引用文献数

4 1

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Glandular odontogenic cyst (GOC) is a rare jawbone cyst of odontogenic origin, first described by Gardner et al. in 1988. GOC is characterized by typical histopathological features, a gradual increase in size, and a high rate of local recurrence if not adequately treated. We report a case of GOC occurring in the anterior region of the mandible. The patient was a 62-year-old woman who presented with swelling of the anterior region of the mandible. Panoramic radiography indicated a multilocular radiolucent lesion in the anterior region of the mandible. Enucleation of the cyst was performed. Postoperative healing was satisfactory, and no recurrence has been noted on long-term observation. We reviewed 41 cases of GOC that had beenreported previously. Among these cases, 35 were located in the mandible and only 6 in the maxilla. The male: female ratio was 1.28 (23: 18), and the mean age was 47.8 years. Radiographically, among a total of 37 cases, 18 were unilocular and 19 were multilocular. The overall recurrence rate was 19.5%.

著者

平田 康 岩本 康弘 宮本 亮三 吉増 秀實 天笠 光雄 岡田 憲彦

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.50, no.1, pp.27-30, 2004-01-20 (Released:2011-04-22)

参考文献数

17

被引用文献数

2 1

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Glandular odontogenic cyst (GOC) is a rare jawbone cyst of odontogenic origin, first described by Gardner et al. in 1988. GOC is characterized by typical histopathological features, a gradual increase in size, and a high rate of local recurrence if not adequately treated. We report a case of GOC occurring in the anterior region of the mandible. The patient was a 62-year-old woman who presented with swelling of the anterior region of the mandible. Panoramic radiography indicated a multilocular radiolucent lesion in the anterior region of the mandible. Enucleation of the cyst was performed. Postoperative healing was satisfactory, and no recurrence has been noted on long-term observation. We reviewed 41 cases of GOC that had beenreported previously. Among these cases, 35 were located in the mandible and only 6 in the maxilla. The male: female ratio was 1.28 (23: 18), and the mean age was 47.8 years. Radiographically, among a total of 37 cases, 18 were unilocular and 19 were multilocular. The overall recurrence rate was 19.5%.

著者

石川 高行 和気 裕之 宮岡 等 木野 孔司 小宮山 高之 天笠 光雄 上島 国利

出版者

一般社団法人日本心身医学会

雑誌

心身医学 (ISSN:03850307)

巻号頁・発行日

vol.39, 1999-05-01