著者

小島 拓 芳澤 享子 小野 由起子 倉部 華奈 加納 浩之 齊藤 力 小林 正治

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.25, no.3, pp.234-240, 2015-08-15 (Released:2015-09-12)

参考文献数

21

被引用文献数

3

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We present three cases in whom mental disorders appeared after orthognathic surgery.The first case was a 35-year-old female who had a history of depression. After the operation, a manic state appeared and she was diagnosed with bipolar disorder. Her medicine was changed from an antidepressant to a mood stabilizer, after which her mental condition stabilized.The second case was a 34-year-old male. He could not accept the appearance of his postoperative face, and it took about three months for him to finally accept his new appearance.The final case was a 37-year-old female. She could not accept the appearance of her postoperative face because it was not what she had expected. She began to complain about her face and became depressive, and was finally diagnosed with major depressive disorder. After administration of an antidepressant, her mental condition gradually improved.We must take into consideration the possibility that patients will develop mental disorders after orthognathic surgery, and adequate explanation and patient assessment before the operation are therefore important.

著者

小島 拓 長谷部 大地 加藤 祐介 倉部 華奈 船山 昭典 新美 奏恵 加納 浩之 齊藤 力 小林 正治

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.3, pp.237-242, 2016-08-15 (Released:2016-09-14)

参考文献数

22

被引用文献数

2 2

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Peripheral facial nerve palsy following orthognathic surgery is a rare complication. We discuss the incidence of this complication, its possible causes, subsequent treatment and ultimate outcomes.A total of 910 patients underwent orthognathic surgery in our department during the period from 2001 to 2015. Five (0.55%) of those patients had peripheral facial nerve palsy postoperatively. The postoperative day when facial nerve palsy occurred ranged from day 1 to day 13. All of the cases were unilateral and included lip motility disturbance, difficulty in closing the eyes and inability to wrinkle the forehead. All of the patients received medication with an adrenocortical steroid and vitamin B12. Stellate ganglion block and physical therapy were also used for the patients who had moderate to severe facial nerve palsy. Complete recovery was achieved in all but one of the patients, in whom slight palsy remained. There were several possible causes of facial nerve palsy including abnormal bleeding, postoperative swelling, and handling of operating instruments.In conclusion, peripheral facial nerve palsy after orthognathic surgery is relatively rare. If it occurs, however, complete recovery can be expected in most cases.

著者

齊藤 力

出版者

日本歯科医史学会

雑誌

日本歯科医史学会会誌 (ISSN:02872919)

巻号頁・発行日

vol.23, no.4, pp.291-302, 2000-10-01

参考文献数

28

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北原白秋は詩人・歌人で,童謡,歌曲,器楽曲,合唱曲,管弦楽曲などの作詞を多数行ったことで,あまりにも高名であるが,校歌,団歌,社歌,市町村歌,地力民謡・音頭,軍歌なども数多くつくっていたことは余り知られていない.これらの中に歯学,医学に関連する学校の校歌,および団歌などをいくつかみることができる。そこで,これらの歌に関して調査するとともに,その歌詞について若干の考察を行った.北原白秋作詞による歯学,医学関係の歌にみられる主な共通語句は「国手」,「醫」,「窮」,「済」,「仁」などであった.これらの歌詞は北原白秋の医学,医療に対する考え方,すなわち医の社会性,平等性,奉仕の精神の重要性,愛の心の必要性などを表現しているものと思われた.

著者

布田 花子 森田 修一 山田 秀樹 花田 晃治 齊藤 力 高木 律男

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.12, no.3, pp.85-93, 2002-12-15 (Released:2011-02-09)

参考文献数

16

被引用文献数

1

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The purpose of this study was to investigate the changes of the soft tissue profile in the nose following Le Fort I osteotomy in skeletal Class III patients.The subjects were 30 females who underwent twojaw surgery to correct anterior reversed occlusion, and who were classified into three groups according to the directions of surgical displacement of the maxilla.1. Advancement-Impaction group (n=11)2. Advancement group (n=12)3. Advancement-Downgraft group (n=7)For each patient, lateral cephalograms, taken preoperatively and postoperatively, were traced and superimposed, and linear and angular measurements were obtained. And, alinasal width was measured on frontal facial photographs taken preoperatively and postoperatively. These data from the three groups were compared.The results were as follows:1. In the Advancement-Impaction group, Pronasale and Subnasale were displaced in the upward and forward direction after Le Fort I osteotomy.2. In the Advancement group, Pronasale and Subnasale were displaced in the forward direction after surgery.3. In the Advancement-Downgraft group, Pronasale was displaced in the forward direction, and Subnasale was displaced in the downward direction.4. Alinasal width was increased in the three groups with advancement of the maxilla.In conclusion, there were differences in the postoperative changes of the nose, with different movement of the maxilla.

著者

小林 正治 小田 陽平 長谷部 大地 加藤 健介 新美 奏恵 中里 隆之 泉 直也 高田 佳之 福田 純一 高木 律男 齊藤 力

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.16, no.3, pp.153-160, 2006-08-15 (Released:2011-02-09)

参考文献数

16

被引用文献数

2 12

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To assess whether patients were satisfied with the results of treatment, questionnaires were sent to 291 patients who had undergone orthognathic surgery for correction of jaw deformities and 133 questionnaires were returned with valid answers. The chief problem of 94 (71%) of these patients was appearance. Dysfunctions such as masticatory disturbance and speech difficulties were the primary reason for which 38 (29%) of the patients sought treatment. Seventy-five percent of the patients answered that they were satisfied with the results in regard to their chief problems. A favorable change in appearance was recognized by 125 patients, whereas five patients noticed no major changes and three patients were displeased with their postoperative faces. The patients'evaluations of their appearance seemed to be influenced by the responses of other peoPle to the surgical-results, and objective improvements did not always satisfy their expectations. Improvements in masticatory function and speech were recognized by 92 and 54 patients, respectively. Eighty patients had TMJ signs and symptoms such as click and/or pain before treatment, which disappeared in 53 (66%) of the symptomatic patients after the surgery. On the other hand, TMJ signs and symptoms appeared postoperatively in 7 (15%) of 47 patients without those before treatment. Psychologically, 42 patients noted favorable changes in personality after the surgery. Eight patients with mandibular set back noted the onset or worsening of snoring after the surgery.

著者

伊藤 亜希 小林 正治 松崎 英雄 田中 潤一 大畠 仁 高野 伸夫 齊藤 力

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.17, no.4, pp.229-237, 2007-12-15 (Released:2011-02-09)

参考文献数

29

被引用文献数

3 8

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This study investigated the relation between personality characteristics and types of jaw deformities and evaluated the influence of orthognathic surgery on personality characteristics.The subjects consisted of 52 patients (16 males and 36 females) in whom jaw deformities were surgically corrected and the mean age at surgery was 26.3 years. They were divided into four groups based on the types of jaw deformities such as mandibular protrusion with or without maxillary retrusion, mandibular retrusion with or without maxillary protrusion, open bite and asymmetry.Personality characteristics were analyzed using Minnesota Multiple Personality Inventory (MMPI) and Rosenberg's Self-Esteem Scale before and six months after surgery, and the Kruskal Wallis test and t-test were used for statistical analyses.Preoperative MMPI scores were not significantly different from normal values of their generation as a whole, but the distribution of Depression Scale and Self-Esteem Scale scores among the four groups were significantly different. The Depression Scale score in the asymmetry group was higher than those in the other groups and the Self-Esteem Scale score in the asymmetry group was lower than those in the other groups. After surgery, the Depression Score decreased in the asymmetry group and the Self-Esteem Scale score increased in all groups except the open bite group.In conclusion, it is considered that patients with asymmetry are likely to have an inferiority complex and orthognathic surgery for such patients has a favorable effect on personality characteristics because the deformity and the change of full-face appearance are easily recognized by themselves.

著者

竹山 雅規 森田 修一 山田 秀樹 武藤 祐一 齊藤 力 高木 律男 花田 晃治

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.13, no.3, pp.105-110, 2003-12-15 (Released:2011-02-09)

参考文献数

17

被引用文献数

1

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This study investigated the soft tissue profile change of the chin following genioplasty. The subjects were 20 females who underwent genioplasty. They were divided into two groups depending on the directions of surgical displacement of the chin. In 11 patients anterior repositioning was made (forward movement group) and in 9 patients posterior repositioning was made (backward movement group).For each patient, lateral cephalograms taken preand postoperatively were traced and superimposed, and then linear measurements were obtained.The results were as follows: 1. There were differences in soft tissue reaction to hard tissue displacement between the forward movement group and backward movement group.2. In the forward movement group, the size of the chin increased as a result of further forward displacement of soft tissue pogonion in spite of forward displacement of lower labial sulcus. In the backward movement group, the size of the chin decreased as a result of backward displacement of soft tissue pogonion and forward displacement of lower labial sulcus.3. The horizontal displacement ratio of soft tissue pogonion to pogonion was 148% in the forward movement group, and 33% in the backward movement group.4. There was a significant positive correlation between the horizontal change of pogonion and soft tissue pogonion, horizontal change of menton and soft tissue menton, horizontal change of pogonion and the size of the chin, and horizontal change of menton and the size of the chin. On the other hand, in the forward movement group, there was no correlation between skeletal changes and soft tissue changes of the chin.

著者

齊藤 力

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.25, no.2, pp.59-60, 2015 (Released:2015-06-12)

著者

星名 由紀子 林 孝文 新垣 晋 齊藤 力

出版者

Japanese Society of Oral Oncology

雑誌

日本口腔腫瘍学会誌 (ISSN:09155988)

巻号頁・発行日

vol.22, no.1, pp.25-36, 2010

被引用文献数

7

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目的:舌扁平上皮癌症例における口底部の介在リンパ節への後発転移の画像所見について検討を行う。<br>対象と方法:1997年から2007年までの間に,口底部の介在リンパ節への後発転移と考えられる腫瘤性病変が出現した舌扁平上皮癌5症例を検討対象とした。いずれも1か月に1回の綿密な超音波診断による経過観察で検出されたものであり,CTとMRI検査が引き続き施行された。われわれは,転移巣が舌下隙後方で顎下腺内側に出現した場合に,外側舌リンパ節と同様の介在リンパ節への転移と考え,傍顎下腺リンパ節転移と呼称することとした。<br>結果:術前画像と頸部郭清で得られた病理標本との照合の結果,2例は外側舌リンパ節転移,2例は傍顎下腺リンパ節転移,1例はそれらの両方と推測された。同期間に口底部の介在リンパ節に転移を来たした症例は潜在的転移が認められた2例を含めて7例であり,頸部リンパ節転移が証明された舌扁平上皮癌43例の16.3%に及んだ。<br>結論:傍顎下腺リンパ節は,外側舌リンパ節とともに舌から上内頸静脈リンパ節にいたる経路の介在リンパ節の役割を有すると考えられた。N0舌扁平上皮癌の経過観察において,外側舌リンパ節と傍顎下腺リンパ節への後発転移を画像で検出するには,正確な解剖学的知識と注意深い観察が必要と考えられる。