著者
原田 昌和 山本 学 和田 健 神木 茂樹 明楽 修身 住吉 増彦 黄 祖冷 森田 展雄 坂本 忠幸
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.34, no.4, pp.657-663, 1988
被引用文献数
13 3

Odontogenic keratocyst has been reported by many authors as a specific entity of odontogenic cysts since first described by Philipsen.<BR>Histopathologically, keratinization of the epithelial lining and formation of micro cyst; clinically, higher incidence of recurrence are characterized. Three hundred and sixty odontogenic cysts operated in the Department of Oral Surgery from 1966 to 1984 were studied. A representative histopathologic section from each cyst was screened, using the criteria for odontogenic keratocysts as stated by Pindborg.<BR>Of the 360 cases, 24 fullfilled the histologic criteria for odontogenic keratocysts, for a 6.7 per cent incidence. Of the twenty-four patients, one was diagnosed as basal-cell nervous syndrome, and had five cysts. Of the 24 patients, six had cyst recurrence for a rate of 32 per cent. One patient each had recurrence after one year five months, after three years, after three years four months, after three years five months, after four years six months and one four years ten months after the primary operation. Recently, some investigators have pointed out that odontogenic keratocyst may be benign cystic epithelial neoplasia. In our study, this opinion has been taken into account in view of the higher incidence of recurrence, but no histologically precise feature was obtained.
著者
野谷 健一 石川 誠 半沢 元章 中村 博行 戸塚 靖則 福田 博
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.36, no.10, pp.2312-2321, 1990
被引用文献数
1

The tumor extension of T4 cases of upper gum carcinoma (UG-Ca) is clinically similar to T2 cases of maxillary sinus carcinoma (NIS-Ca). However, the prognosis of the former is remarkably unfavorable compared with the latter. A comparative study between 16 cases of UG-Ca (T4) and 14 cases of MS-Ca (T2) was undertaken in order to assess the difference in their prognosis.<BR>The 5 year accumulative survival rate of UG-Ca (T4) was 36.5% and MS-Ca (T2) was 92.3%. While the control rate of the primary lesion after initial therapy, the former was 50% and the latter was 78.6%. As for the rat of cervical metastases noted clinically, it was 75% and 35.7% respectively. Bilateral cervical metastases was noted in 6 cases of UG-Ca (T4) and none in MS-Ca (T2). With respect to the 5 year accumulative survival rate of the cases with pathologically confirmed nodal involvement, it was 0% for UG-Ca (T4) but MS-Ca (T2) was 66.7%.<BR>The unfavorable prognosis for UG-Ca (T4) cases was attributed to failure to control primary and cervical metastases. Therefore, it is necessary to reexamine the margin of the primary resection and the timing for carrying out RND.
著者
朝比奈 たまき 水谷 英樹 杉村 泰郎 兼子 隆次 千賀 勝広 上田 実
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.44, no.9, pp.750-752, 1998-09-20
参考文献数
10
被引用文献数
3

Rheumatoid arthritis (RA) is a chronic inflammatory disease with immunologic abnormalities. Although the temporomandibular joint (TMJ) can be involved, early changes of the TMJ affected by RA are unclear, and the treatment for temporomandibular disorders (TMD) in patients with RA is not established yet. Physiotherapy is effective for general joints with RA but its effect for RA of the TMJ is unknown. The clinical effects of physiotherapy for TMD in RA patients was investigated. Five patients with RA visited our department with complaints of the TMD. Physiotherapy, including exercises of TMJ movement and mastication training were stasted, bilaterally and simultaneously. Clinical findings showed an increase in maximal interincisal distance with no pain after therapy in 4 patients. No patient had anterior open bite or TMJ ankylosis in the follow-up period (2.5 to 5.3 years). These results suggest that physiotherapy is also effective for the TMD in RA patients.
著者
山口 好則
出版者
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.58, no.8, pp.462-472, 2012-08-20
著者
水柿 雄三 早津 良和 石丸 孝則 楠本 理恵 伊田 正道 篠崎 文彦
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.48, no.8, pp.394-397, 2002-08-20 (Released:2011-04-22)
参考文献数
16
被引用文献数
2

Lethal midline granuloma is a T/natural killer cell lymphoma characterized by progressive ulcerationand necrosis of the nasal cavity or pharynx along the midline facial tissues. A case of lethalmidline granuloma in the palate of a 63-year-old woman is reported. The patient had a low-grade fever anda large ulcer with hemorrhage in the palate. Clinically, a malignant tumor was initially suspected becauseof rapid progressive ulceration, but inflammatory disease was pathologically diagnosed on examination ofa tissue specimen stained with hematoxylin and eosin. The definite diagnosis was made by in situ hybridizationwith Epstein-Barr virus RNA (EBV encoded small RNA- 1: EBER 1)-specific oligonucleotideprobes, which showed positive signals in small lymphocytes. The patient's condition became critical becauseof frequent hemorrhage, and she soon died.
著者
宮 恒男 山木 誠 古谷 隆則 渡辺 俊英 横江 秀隆 丹沢 秀樹
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.45, no.8, pp.527-529, 1999-08-20 (Released:2011-07-25)
参考文献数
16
被引用文献数
1 1

A case of eosinophilic granuloma of the soft tissue arising in the palate of a 65-year-old man is reported. It was an elastic hard lesion measuring about 10mm in diameter. The lesion was removed under a clinical diagnosis of fibroma. Histologically, the lesion was diagnosed as an eosinophilic granuloma of the soft tissue.Ultrastructurally, viruses similar to the herpes virus group, with a diameter of 100nm, were observed in the cytoplasm of histiocytes. These cells were positive for HSV (Herpes Simplex Virus)-Type I antibody on immunostaining. The findings indicate that the lesion was caused by Type I allergy due to HSV Type I infection.
著者
吉田 雅之 大月 佳代子 大西 正俊
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.6, pp.368-371, 2004-06-20
被引用文献数
2

Difficulty in extracting a foreign object embedded in tissue of the oromaxillofacial region is not uncommon. Arthroscopic surgery is often used to treat conditions of the temporomandibular joints. We successfully extracted foreign objects embedded in a cul-de-sac facial gunshot wound adjacent to the temporomandibular joint, using a rigid endoscope originally designed for temporomandibular arthroscopic surgery. The procedures used are described in this report.<BR>The patient was a 46-year-old man who had been shot in the left side of the face. The bullet lodged in tissue medial to the left temporomandibular joint and sphenoidal sinus. Without any additional incision, a temporomandibular arthroscope was introduced from the point of entry of the bullet beneath the eye socket with the patient under general anesthesia. A total of 34 objects, including the bullet, its fragments and glass fragments from the patient's eyeglasses, were endoscopically extracted with the use of a grasping forceps. Arthroscopic monitoring permitted visual confirmation of the foreign bodies and enabled their successful extraction with minimal invasion.
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

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

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
岡本 喜之 川田 賢介 岩井 俊憲 小澤 幹夫 菊地 良直 石川 好美
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.52, no.1, pp.11-14, 2006-01-20 (Released:2011-04-22)
参考文献数
14
被引用文献数
1 2

A glandular odontogenic cyst (GOC) is a rare odontogenic cyst, classified as a new developmentalodontogenic cyst by the WHO in 1992. It frequently arises in the anterior region of the mandible. Histopathologically, GOC is lined by epithelium of varying thickness, which contains mucous cells and vacuolations. Some casesshow clinically invasive growth, leading to a high rate of recurrence despite surgical excision. Some studies haveestimated that the overall recurrence rate is 27%.We report a case of GOC arising in the right mandibular third molar region. The patient was a 34-year-old man.Surgical excision was performed. One year 4 months after the operation, the prognosis was good, with no signs of recurrence.
著者
岩渕 博史 岩渕 絵美 内山 公男 高森 康次 永井 哲夫 田中 陽一
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.52, no.12, pp.703-707, 2006-12-20 (Released:2011-04-22)
参考文献数
21
被引用文献数
1 1

Glandular odontogenic cyst (GOC) was first proposed by Gardner et al in 1988 as an infrequent developmental epithelial cyst occurring in jaw bones. We describe our experience with a case of GOC arising in the mandible and report the clinical course. The patient was 52-year-old woman with clearly bordered multilocular radiolucent lesions in bothsides of the mandibular premolar region. These cysts were extirpated, and the specimens were studied by routine pathological examination and immunohistochemical staining with cytokeratins. The diagnosis was established to be GOC. The cyst recurred 3.5 years after surgery, and reoperation was performed.
著者
笠原 慎太郎 瀬川 清 工藤 啓吾 泉沢 充 武田 泰典
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.47, no.11, pp.688-691, 2001-11-20 (Released:2011-07-25)
参考文献数
9
被引用文献数
1 1

Glandular odontogenic cyst is a rare jaw bone cyst of odontogenic origin, first described in 1988 by Gardner et al.Radiologically, a well-defined unilocular cyst lesion is seen. Histologic features include a thin layer of epithelium with surface cilia and glandular or pseudoglandular structures.A case of glandular odontogenic cyst of the maxilla is reported.
著者
岩渕 博史 岩渕 絵美 内山 公男 高森 康次 永井 哲夫 田中 陽一
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.52, no.12, pp.703-707, 2006-12-20
被引用文献数
2 1

Glandular odontogenic cyst (GOC) was first proposed by Gardner et al in 1988 as an infrequent developmental epithelial cyst occurring in jaw bones. We describe our experience with a case of GOC arising in the mandible and report the clinical course. The patient was 52-year-old woman with clearly bordered multilocular radiolucent lesions in bothsides of the mandibular premolar region. These cysts were extirpated, and the specimens were studied by routine pathological examination and immunohistochemical staining with cytokeratins. The diagnosis was established to be GOC. The cyst recurred 3.5 years after surgery, and reoperation was performed.
著者
岡本 喜之 川田 賢介 岩井 俊憲 小澤 幹夫 菊地 良直 石川 好美
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.52, no.1, pp.11-14, 2006-01-20
被引用文献数
5 2

A glandular odontogenic cyst (GOC) is a rare odontogenic cyst, classified as a new developmentalodontogenic cyst by the WHO in 1992. It frequently arises in the anterior region of the mandible. Histopathologically, GOC is lined by epithelium of varying thickness, which contains mucous cells and vacuolations. Some casesshow clinically invasive growth, leading to a high rate of recurrence despite surgical excision. Some studies haveestimated that the overall recurrence rate is 27%.<BR>We report a case of GOC arising in the right mandibular third molar region. The patient was a 34-year-old man.Surgical excision was performed. One year 4 months after the operation, the prognosis was good, with no signs of recurrence.
著者
笠原 慎太郎 瀬川 清 工藤 啓吾 泉沢 充 武田 泰典
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.47, no.11, pp.688-691, 2001-11-20
被引用文献数
6 1

Glandular odontogenic cyst is a rare jaw bone cyst of odontogenic origin, first described in 1988 by Gardner et al.<BR>Radiologically, a well-defined unilocular cyst lesion is seen. Histologic features include a thin layer of epithelium with surface cilia and glandular or pseudoglandular structures.<BR>A case of glandular odontogenic cyst of the maxilla is reported.
著者
山近 重生 中川 洋一 寺田 知加 川口 浩司 瀬戸 〓一 石橋 克禮
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.52, no.10, pp.527-531, 2006-10-20
被引用文献数
2 2

Glandular odontogenic cyst (GOC), first described in 1988 by Gardner <I>et. al</I>, is a comparatively rare jawbone cyst of odontogenic origin, which shares some features with both botryroid odontogenic cysts and mucous-producing salivary gland tumors. Although GOC has a high rate of recurrence, cases of recurrence have not been reported in the Japanese literature.<BR>This paper describes a case of GOC arising in the mandible of a 58-year-old man. The cyst recurred 12 years after primary treatment. Diagnosis and treatment of the lesion are discussed.