著者

横林 敏夫 横林 康男 中島 民雄

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.30, no.9, pp.1338-1347, 1984-09-20 (Released:2011-07-25)

参考文献数

18

被引用文献数

3 2

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Clinical, radiographic and histologic features of 6 recurrent odontogenic keratocysts that developed in 5 patients were described.The rate of recurrence in 28 cases with a minimum of one year follow-up was 21.4% that corresponded well to the average rate reported in other studies. The recurrence was noted 9 months to 5 years after treatment. The results indicated the necessity of regular and long-term follow-up because of the absence of symptoms associated with recurrence in most cases. The mean age of the patients was 16.6 years which was significantly lower than that of patients wthout recurrence.Radiographically, the lesions were unilocular in 4 cases with smooth or scalloping borders and multilocular in other cases. Three cases manifested themselves as huge radiolucent lesions extending from the molar area to the mandibular notch. The initial lesions were also extending over 5 teeth in 2 of 3 cases that developed in the tooth bearing area, but the huge size was not the findings characteristic of the recurrent cases. The cysts were associated with impacted teeth in 5 cases, but the condition could not be regarded as the cause of recurrence. In terms of location, there was no predilecton in the site of recurrence.Five of the 6 cysts had been treated by marsupialization followed by enucleation and primary closure, whereas recurrence was found in no case in which marsupialization, marsupialization followed by enucleation and packing open, enucleation and packing open or block resection were performed. Thus, treatment modality was the most important prognostic factor. Because of the various advantages of marsupialization, we are still in favor of the procedure in the treatment of the cyst occurring in young patients. When enucleation should be considered after marsupialization, however, the utmost care should be taken to remove the cyst en bloc with a margin of safety to include the soft tissue over the areas of bony defect and a layer of the surrounding bone to which it may be adhered and leave the wound to heal secondarily.The presence of epithelial islands or daughter cysts in the cystic wall could not be correlated the recurrence.

著者

北川原 香 横林 敏夫 清水 武 五島 秀樹

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.52, no.2, pp.44-50, 2003-03-10 (Released:2011-01-31)

参考文献数

32

被引用文献数

10

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Fourteen patients with subcutaneous emphysema treated in our department during 17 years were clinically studied. All but one were referred to us by other dentists because of complications. They con sistedof five male and nine female patients. Their ages ranged from 16 to 67 years and 62% of them were in their thirties. The emphysema resulted during sectioning of the mandibular third molar by using an air-turbine handpiece in four patients and from extraction of other teeth in four patients. The use of compressed air during dental procedures was the cause in four patients and the complication was associated with endodontic treatment and implanta tionof a dental implant in the other two patients. A diffuse swelling involving the eyelid, cheek, mandibu larregion and neck accompanied by crepitation on palpation of the swollen area was noted in all patients.Difficulty in opening the eyelid, headache, nausea and mediastinal emphysema were found in four, one, one and one patients, respectively. Antibiotics were given to all patients to prevent infection. Except four one patient with prolonged swelling due to pericoronitis and another patient without adequate information, the swelling with subcutaneous crepitus tended to subside within a week and secondary complications were encountered in no patients.

著者

上田 より子 横林 敏夫 横林 康男 中島 民雄 常葉 信雄

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.31, no.2, pp.227-234, 1982-04-10 (Released:2011-09-07)

参考文献数

8

被引用文献数

1

著者

大久保 雅基 横林 敏夫 清水 武 五島 秀樹 鈴木 理絵

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.51, no.12, pp.630-633, 2005-12-20

被引用文献数

3 3

---

We studied soft tissue injuries of the oral cavity caused by a toothbrush in 59 children younger than 7 years from 1983 through 2003. There were 35 boys and 24 girls aged 9 months to 6 years 7 months, with a peak incidence at 1 year. Falling down was the cause of injuries in 46 children. Forty-one children visited us directly, whereas others were referred to us by surgeons, emergency specialists, dentists, otolaryngologists, and others. Thirty-one children presented within 3 hours after injury and 15 the following day. The soft palate and palatoglossal arch, buccal mucosa, hard palate, oral floor, retromolar region, upper lip, gingiva, and tongue were involved in 25, 20, 6, 3, 2, 1, 1 and 1 child, respectively. Lacerations greater and less than 10 mm long were seen in 20 and 16 hildren, respectively. Submucous bleeding was present in 13 children, and scratches were present in 10 children. In 3 children, the wound was associated with herniation of the buccal fat pad. The wound was sutured and antibiotics were given to 23 children. Twenty children were observed without antibiotic treatment, and 16 children were given antibiotics. Local infection occurred in 3 children.

著者

大久保 雅基 横林 敏夫 清水 武 五島 秀樹 鈴木 理絵

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.51, no.12, pp.630-633, 2005-12-20 (Released:2011-04-22)

参考文献数

9

被引用文献数

3 3

---

We studied soft tissue injuries of the oral cavity caused by a toothbrush in 59 children younger than 7 years from 1983 through 2003. There were 35 boys and 24 girls aged 9 months to 6 years 7 months, with a peak incidence at 1 year. Falling down was the cause of injuries in 46 children. Forty-one children visited us directly, whereas others were referred to us by surgeons, emergency specialists, dentists, otolaryngologists, and others. Thirty-one children presented within 3 hours after injury and 15 the following day. The soft palate and palatoglossal arch, buccal mucosa, hard palate, oral floor, retromolar region, upper lip, gingiva, and tongue were involved in 25, 20, 6, 3, 2, 1, 1 and 1 child, respectively. Lacerations greater and less than 10 mm long were seen in 20 and 16 hildren, respectively. Submucous bleeding was present in 13 children, and scratches were present in 10 children. In 3 children, the wound was associated with herniation of the buccal fat pad. The wound was sutured and antibiotics were given to 23 children. Twenty children were observed without antibiotic treatment, and 16 children were given antibiotics. Local infection occurred in 3 children.

著者

増村 典子 高橋 良夫 横林 敏夫 中島 民雄

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.28, no.12, pp.2028-2035, 1982-12-20 (Released:2011-07-25)

参考文献数

23

被引用文献数

1

著者

増村 典子 高橋 良夫 横林 敏夫 中島 民雄

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.28, no.12, pp.2028-2035, 1982

被引用文献数

1 1