著者

山本 亜紀 神部 芳則 大田原 宏美 柏崎 明子 山下 雅子 林 宏栄 野口 忠秀 森 良之

出版者

日本口腔内科学会

雑誌

日本口腔内科学会雑誌 (ISSN:21866147)

巻号頁・発行日

vol.23, no.2, pp.95-99, 2017-12-30 (Released:2018-01-16)

参考文献数

20

被引用文献数

1

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65歳の男性。繰り返す口内炎を主訴に,近医から当科を紹介され受診した。初診時,口腔内には多数のアフタを認めたが,偽膜形成は認めなかった。細菌培養検査にてカンジダ陽性であったため抗真菌薬を使用したが症状を繰り返した。外陰部潰瘍を認めていたことから内科に対診したところ,HIV感染が判明した。その後,HIV治療が開始され,現在は口腔内症状も改善し経過観察を行っている。

著者

上床 喜和子 須佐美 隆史 井口 隆人 大久保 和美 岡安 麻里 内野 夏子 髙橋 直子 松林 幸枝 阿部 雅修 末永 英之 森 良之 髙戸 毅

出版者

特定非営利活動法人 日本顎変形症学会

雑誌

日本顎変形症学会雑誌 (ISSN:09167048)

巻号頁・発行日

vol.26, no.1, pp.26-36, 2016-04-15 (Released:2016-05-20)

参考文献数

32

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Acromegaly is caused by growth hormone excess owing to a pituitary adenoma after completion of growth and tends to lead to mandibular prognathism. In this paper, two patients with mandibular prognathism caused by acromegaly and treated by surgical-orthodontic treatment are reported. The first case was a 36-year-old male who was referred to our hospital to correct mandibular prognathism and malocclusion after resection of the tumor in the pituitary gland. The second case was a 26-year-old male who was referred from an orthodontic clinic for orthognathic surgery. He had not been diagnosed as acromegaly but a typical double-floor of the Turkish saddle was found in the lateral cephalogram. Blood tests revealed acromegaly. Surgical-orthodontic treatments were performed after resection of the pituitary adenoma and confirmation of normal level of blood growth hormone (GH) and somatomedin C. In both cases, multi-bracket appliances were worn and bimaxillary osteotomy (Le Fort I osteotomy for maxillary advancement and bilateral sagittal splitting ramus osteotomies for mandibular setback) was carried out to secure the intraoral space for the enlarged tongue. After post-surgical orthodontic treatment, the treatment results were good and stable in both cases. These cases showed that surgical-orthodontic treatment for patients with acromegaly after pituitary adenoma resection is reliable. The importance of careful examination of the craniofacial shape in patients with mandibular prognathism to detect acromegaly is emphasized.

著者

作山 葵 神部 芳則 早坂 純一 月村 久恵 井上 公介 林 宏栄 岡田 成生 野口 忠秀 森 良之

出版者

日本口腔内科学会

雑誌

日本口腔内科学会雑誌 (ISSN:21866147)

巻号頁・発行日

vol.24, no.1, pp.7-12, 2018 (Released:2018-12-30)

参考文献数

6

被引用文献数

1 1

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乾燥剤の誤飲・誤嚥は,高齢者や小児で多く認められる。酸化カルシウムは,食品乾燥剤として多用されており,シリカゲルと比較して誤飲した場合に発熱とアルカリによる粘膜腐食作用により症状が重症化しやすい。今回,われわれは乾燥剤の誤食により広範囲な口腔粘膜化学損傷を生じた1例を経験した。患者は74歳,女性で酸化カルシウムを誤食し当院を受診した。広範囲に口腔粘膜の潰瘍と舌の腫脹,口腔乾燥を認めた。入院の上,口腔衛生管理と栄養管理を行い症状は改善し15日目に退院となった。乾燥剤の種類と摂取量に基づいた適切な処置を行うことが肝要である。

著者

中井 雄一郎 神部 芳則 土屋 欣之 伊藤 弘人 野口 忠秀 森 良之

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.28, no.1, pp.20-25, 2015-02-20 (Released:2015-06-03)

参考文献数

19

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A 55-year-old male with myelodysplastic syndrome had been treated at the Hematology Department at our hospital. Swelling of the left cheek developed in the patient, which led to his referral to our department. Since blisters and distinct dark red plaques were noted on the right forearm as well as the lower limbs, a dermatological examination was requested. Biopsy of the skin rash was performed; the biopsy result and clinical course led to the diagnosis of cheek phlegmon associated with Sweet's disease. We provided treatment for the infection and Sweet's disease. The patient received transfusions of peripheral stem cells. He has had a good outcome for 3 years and 6 months.

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

引地 尚子 高戸 毅 須佐美 隆史 森 良之 米原 啓之 松本 重之

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.4, pp.305-307, 1999-04-20 (Released:2011-07-25)

参考文献数

12

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We describe a case of lacrimal sac fistulae with left cleft lip and palate. A congenital lacrimal sac fistula is a rare disorder in which a fistulous tract connects the skin to the common canaliculus or to the lacrimal sac, located just inferior to the medial canthal angle.A 12-year-old boy had 1) bilateral congenital lacrimal sac fistulae, 2) cleft lip and palate and 3) hypospadis. He had no paticular family history. With the patient under general anesthesia, a fusiform incision was performed, and the lacrimal sac fistulae were excised. Alveolar bone grafting was performed concurrently. Histologically, the lacrimal sac fistulae consisted of unkeratinized squamous epithelium and connective tissue with inflammatory lymphocytes. Patients with lacrimal sac fistulae, cleft lip and palate, and hypospadia have not been reported previously.These findings suggest that lacrimal sac fistulae may be related to congenital malfusions such as cleft lip and palate.