著者
森 聖治 橋本 温 上野 純子 内海 俊明 谷岡 博昭
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.2337-2340, 1990-10-20 (Released:2011-07-25)
参考文献数
35

The authors recently experienced a plastic surgery (Bernard's method) for extensive defect of lower lip due to self-mutilation. The patient is a 7-year-old girl suspected Lesch-Nyhan syndrome.The prognosis is now good with no recurrence and no problems. The authors will discuss the treatment after operation and countermeasure of self-mutilation in this paper.
著者
松田 登 小川 卓 井上 明 清水 正嗣
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.26, no.5, pp.1263-1268, 1980-10-15 (Released:2011-07-25)
参考文献数
28

1) 26歳の男性でFallot四徴のある多血球血症患者の左側下顎骨内に生じた中心性血管腫の症例を経験した.2) 腫瘍を含む左側下顎骨半側切除を行い良好な経過を得ているが, 血管腫と多血球血症との関係は直接ないと思われた.
著者
横江 義彦 兵 行忠 広岡 康博 飯塚 忠彦 小野 尊睦
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.31, no.10, pp.2450-2456, 1985-10-20 (Released:2011-07-25)
参考文献数
24
被引用文献数
1

Congenital aglossia is a rare tongue anomaly. There were 16 cases reported in Japan of which only one was an adult case.Recently we experienced a congenital aglossia case. The patient, a 20-year-old female, is the youngest of two children of unrelated parents, aged 32 (father) and 28 (mother). The patient's mother had a drugless normal pregnancy and normal delivery. The patient had sucking difficulty, but no treatment such as nasal feeding.Intraorally, a small extruded mass was recognized from the floor of the mouth. Both of the maxillary and the mandibular arches were very narrow, and three incisors of the mandible were congenitally missing. Radiographically, the existance of hyoid bone, submandibular, salivary gland and suprahyoid muscles were suggested by computed radiography and computed tornography. However, the patient had almost normal taste and clear pronunciation.
著者
佐藤 敦 山崎 慎司 友寄 泰樹 山口 泰
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.1, pp.52-54, 2001-01-20 (Released:2011-07-25)
参考文献数
7
被引用文献数
2

We report a case of secondary syphilis with various oral manifestations. A 26-year-old woman visited our hospital because of lingual pain. The patient had a red and soft verruca at the left angle of the mouth as well as three oval papules on the right side of the tongue. In addition, oral examination revealed marked swelling and redness of bilateral palatal tonsils along with opaline plaque over the palatoglossal arch and inferior surface of tongue. Moreover, multiple cervical lymphadenopathy, alopecia, and psoriasic exanthema on the planta were observed. There were no particular lesions of the vulva or inguinal lymphadenopathy. Serological examination showed the RPR test was×128, the TPHA test>2560, and the FTA-ABS test×1280. Since the Jarisch-Herxheimer reaction was induced after treatment with 1000mg/day of amoxicillin for 2 weeks, the patient was treated with 2000mg/day of erythromycin for 6 weeks. Oral lesions improved after 2 weeks of treatment, and the RPR test was×64 after 3 weeks of treatment. After 4 weeks of treatment, the oral lesions almost completely resolved.
著者
村木 祐孝 藤田 弥千 西川 健 土生 学 吉岡 泉 冨永 和宏
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.54, no.4, pp.266-270, 2008-04-20 (Released:2011-04-22)
参考文献数
5

We describe 2 patients injured in the maxillofacial region while using a power lawn mower (lawn mower). One patient was a 82-year-old man who accidentally fell while using a lawn mower and collided with the edge of a lawn mower operated by a fellow worker. The upper lip, cheek, neck, and shoulder were severely cut, and the mandible was fractured. The other patient was a 56-year-old woman in whom a fragment of the broken edge of a lawn mower operated by herself stuck the upper lip. The fragment was not noticed, and a tumor developed 2 months later. The tumor containing the fragment was excised.
著者
小佐野 仁志 野口 忠秀 大橋 一之 古藤 茂昭 赤坂 庸子 小宮山 一雄
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.41, no.12, pp.1083-1085, 1995-12-20 (Released:2011-07-25)
参考文献数
13

A case of verrucous carcinoma of the oral floor which had an excellent response to tegafur alone is reported.A 76-year-old woman complained of a swelling in the oral floor of 8 months' duration. Oral examination revealed an approximately elliptical tumor that measured 45×20×15mm and extended bilaterally from the oral floor to the alveolar mucosa. Regional lymph nodes were not clinically involved, and no distant metastasis was evident. She was orally administered 600mg per day of tegafur before operation. The tumor was reduced to about half of its primary size 10 days after the start of tegafur treatment. Two months later, no remaining verrucous carcinoma was observed on histologic examination.There were no noteworthy side effects. There is no evidence of recurrence or metastatic disease as of 28 months after treatment.
著者
武田 幸彦 加藤 譲治
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.38, no.9, pp.1369-1386, 1992-09-20 (Released:2011-07-25)
参考文献数
58

The pallor of the skin and oral mucosa that is associated with anemia is thought to be due to a decrease in hemoglobin in the super ficial blood vessels. However, there has been little systematic research on this subject.The authors of this paper used a tissue spectrum analyzer to measure the Lib (indicating hemoglobin concentration) and the Iso2 (indicating saturation). Experiments were conducted to determine the relationship between anemia and hemoglobin level in the oral mucosa, using the hemoglobin (Hb) value as the indicator.The following conclusions were reached.1. The areas of the oral mucosa which best correlate with the blood Hb level are the upper labial mucosa, lower labial mucosa, the back of the tongue, the sublingual surface, and the soft palate. The patients with secondary anemia showed reduced Lib levels (i. e. anemia) in all of these areas.2. Measurements of IHb were graded to appear in the following order, from highest to lowest: labial mucosa, tongue, and then soft palate.3. These measurements did not show a definite relationship between the IHb and the is in either patients with secondary anemia or in normal healthy people.4. It was conjectured that patients on dialysis would tend to show a somewhat higher IHb on the back of the tongue than in other areas.5. Sudden changes in blood volume, as in transfusions, surgery, etc., influence the oral mucosal hemodynamics. Reductions in the blood volume of thebody as a whole are accompanied by reductions in the blood volume of the oral mucosa. It was conjectured that the degree of this change in the oral mucosa would increase as the severity of anemia increased.6. Among the five parts of the oral mucosa which were investigated, the back of the tongue showed the lowest correlation with the true state of anemia.7. In order to determine the degree of anemia by hemodynamics of the oral mucosa, it is thought that the four parts (the upper and lower labial mucosas, the lower part of the tongue, and the soft palate) are the most reliable ones to observe.From the above, it was concluded that, in secondary anemia (patients on dialysis, those having blood dyscrasis, a malignant tumor of the oral cavity, etc.), there is a distinct correlation between the tissue hemoglobin concentration (IHb) in the mucous membranes of the oral cavity and the true degree of anemia. This could be considered a useful method for clinical diagnosis.
著者
吉川 博政 大石 正道 樋口 勝規
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.2, pp.331-336, 1990-02-20 (Released:2011-07-25)
参考文献数
18

Two cases with severe cervical cellulitis which originated from the odontogenic infection were reported.Case 1 was a 48-year-old male who underwent extraction of the right lower third molar while it had acute infection. The inflammation promptly extended to the floor of the mouth, submandibular space and right cervical region.Case 2 was a 62-year-old male who had a past history of heart infarction. Although he had been receiving an antibiotic therapy for the apical periodontitis of the left lower second molar from his dentist, it soon progressed through parapharyngeal abscess to the bilateral cervical cellulitis and finally mediastinitis.The extended lesions of both cases could only be managed by wide ranges of curettage and drainage through extended incisions over the neck.
著者
歌門 美枝 鈴木 規子 齋藤 浩人 山本 麗子 松浦 光洋
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.49, no.12, pp.674-677, 2003-12-20 (Released:2011-04-22)
参考文献数
10
被引用文献数
1

The speech function of a 55-year-old woman with a speech disorder due to a large torus palatinus was evaluated before and after surgery. Auditive impressions were assessed by a speech intelligibility test of 100 syllables, an articulation test, and a diadochokinetic ability test. Speech functions were measured by static palatography, tongue cephalography with contrast media, and acoustic analysis. The results showed slight speech disorder during production of /hj/, /kj/, and /gj/ before surgery and improvement in speech function without speech therapy after surgery.
著者
玉置 盛浩 山本 一彦 下村 弘幸 下村 忠弘 山中 康嗣 桐田 忠昭
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.53, no.12, pp.732-735, 2007-12-20 (Released:2011-04-22)
参考文献数
12
被引用文献数
1

Injury by a bear attack mostly occurs in the head and neck region and can be fatal, requiring immediate treatment. In addition to first-aid treatment, preventive measures against infectious and parasitic diseases are also necessary. We report two cases of multiple facial lacerations caused by the same black bear. Patient 1: A 51-yearold woman was attacked by a black bear while trekking and sustained multiple facial lacerations. She was successfully treated under general anesthesia 3 hours after the injury. Patient 2: A 65-year-old man was attacked by the same black bear when he tried to rescue the woman and sustained multiple facial lacerations as well. He was also successfully treated under general anesthesia 5 hours after injury. The clinical course of both patients was uneventful with no infection or sensory or motor nerve dysfunction.
著者
小松 史 山田 哲男 植田 章夫 中島 潤子 中嶌 哲 川上 敏行
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.8, pp.506-508, 1999-08-20 (Released:2011-07-25)
参考文献数
16

According to the classification of the World Health Organization (WHO), primary intraosseous carcinoma (central carcinoma) is defined as a squamous cell carcinoma arising within the jaw, having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium.We report a case of central carcinoma occurring in a 69-year-old man. Marsupialization was performed under the diagnosis of residual radicular cyst.Histopathological examination revealed a moderately differentiated squamous cell carcinoma with atypical lining epithelium. A combination of radiation and chemotherapy was given, followed by a partial maxillectomy. Unilateral total neck dissection was performed 3 months after the initial operation. Five years later, the patient has been free of recurrence and distant metastasis.
著者
藤本 久夫 足立 尚 藤本 秀子
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.31, no.7, pp.1799-1802, 1985-07-20 (Released:2011-07-25)
参考文献数
7

A Leclerc operation by the temporal approach was made in a case of recurrent luxation of the temporomandibular joint.This technique can be performed under direct vision, is simple to increase only the height of the articular eminence, and can give good results without trouble.Our case was a 18-year-old male who would be a Buddhist priest, so we accomplished with modified temporal flap incision.Postoperative course is uneventful.
著者
藤本 明秀 石川 武憲 安井 良一 池本 公亮 林 綾子 讃岐 淳 大岡 俊夫 中井 健富 野村 雅久 下里 常弘
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.35, no.2, pp.524-529, 1989-02-20 (Released:2011-07-25)
参考文献数
8

Loxonin® is one of the non-steroidal anti-inflammatory analgesics of the phenylpropionic acid group. It is known that its side effects on digestive organs are less than those of other analgesics because of “prodrug” A clinical evaluation of Loxonin® on pain controlafter minor oral surgery is here reported in regard to time course of effectiveness, side effects, its availability and related points reflect, c1 in pain control.The number of test cases was 233 comprising 178 cases with single dose (120mg) only at pain onset and 55 cases with 3-divided doses (total 180mg). Of them, 23 cases were omitted because of no Loxonin® without postcperative pains.The benefit of the pain control method in the former cases reached 94.4% and the latter showed 96. 0%. The final availability was certainly more than 90% regardless of surgical treatments and inflammation degree before operation.From the results, it turned out Loxonin® was safe in the clinical use and highly effective in the pain control following minor oral surgery.
著者
Masashi SHIMAHARA Yasunori ARIYOSHI Yutaka IMAI Harumi MIZUKI Jun SHIMADA Kiyofumi FURUSAWA Syosuke MORITA Yoshiya UEYAMA
出版者
Japanese Society of Oral and Maxillofacial Surgeons
雑誌
Japanese Journal of Oral and Maxillofacial Surgery (ISSN:00215163)
巻号頁・発行日
vol.53, no.10, pp.594-602, 2007-10-20 (Released:2011-04-22)
参考文献数
20
被引用文献数
13 12

Bisphosphonates are used for the management of bone metastatic disease and hypercalcemia caused by malignancy, as well as the treatment of osteoporosis. Recently, a number of patients with bisphosphonate-associated osteomyelitis and osteonecrosis of the jaws have been reported in the English-language literature. This report describes patients with bisphosphonate-related osteomyelitis and osteonecrosis of the jaws in Japan. The subjects were enrolled using questionnaires sent to 239 institutions certified as training facilities by the Japanese Society of Oral and Maxillofacial Surgeons in 2006. Thirty patients (4 men and 26 women) from 18 different institutions (mean age at diagnosis, 66.9 years) were studied. As for local features, pain with or without swelling was the most common symptom and sign. The mandible was affected in 22 patients, the maxilla in 6, and both jaws in 2. Twenty patients received intravenous bisphosphonates, 8 received only oral bisphosphonates, and 1 received both types of treatment. The reasons for bisphosphonate treatment were bone metastasis from breast carcinoma (13 patients), multiple myelomas (6 patients), osteoporosis (8 patients), and hypercalcemia related to malignancy. More than 50 % of the patients underwent oral surgery including tooth extraction just before or during treatment with bisphosphonates, while 5 patients received no dental treatment. In addition to antibiotic therapy, surgery, including sequestrectomy and curettage, was performed. As for outcome, 8 of the patients were completely cured, while 17 patients remained under treatment at the time of this writing.
著者
松田 耕策 手島 貞一
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.39, no.12, pp.1350-1352, 1993
被引用文献数
3 3

Cancer occuring in the dorsum of the tongue is very rare. Several reports indicate that the rate of cancer occurrence in the dorsal tongue ranges from 2.8% to 7.2 % of all tongue cancer.<BR>In our clinic, there has been only one case of dorsal tongue cancer among 89 cases of tongue cancer from 1979 to 1992.<BR>The patient was a 68-year-old male who visited our clinic with a chief complaint of a tumor mass in the left dorsum of the tongue in November 1983.<BR>The tumor was a round, circumscribed, raised, and centrally depressed mass with a red surface. It was 15 mm in diameter and elastic but firm in consistency.<BR>Macroscopically, the tumor was doughnut-shaped.<BR>Pathologically, the tumor was diagnosed to be a squamous cell carcinoma.<BR>He was treated by intraoral electron therapy, one time (10 Gy) per week. The total dose amounted to 40 Gy. Clinically and pathologically, the tumor disappeared at that time.<BR>Nine years after intraoral electron therapy, he is still alive without primary recurrence or distant metastasis.