顎矯正手術を行った先端巨大症の1例

豊島 貴彦; 代田 達夫; 両川 ひろみ; 西村 明子; 大橋 勝; 羽鳥 仁志; 中納 治久; 槇 宏太郎; 高橋 浩二; 新谷 悟

doi:10.5927/jjjd1991.18.31

Treatment of Mandibular Prognathism in an Acromegalic Patient: Report of a Case

TAKAHIKO TOYOSHIMA, TATSUO SHIROTA, HIROMI RYOKAWA, AKIKO NISHIMURA, MASARU OHASHI, MASASHI HATORI, HARUHISA NAKANO, KOTARO MAKI, KOJI TAKAHASHI, SATORU SHINTANI

Author information

TAKAHIKO TOYOSHIMA
Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
TATSUO SHIROTA
Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
HIROMI RYOKAWA
Department of Orthodontics, School of Dentistry, Showa University
AKIKO NISHIMURA
Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
MASARU OHASHI
Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
MASASHI HATORI
Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
HARUHISA NAKANO
Department of Orthodontics, School of Dentistry, Showa University
KOTARO MAKI
Department of Orthodontics, School of Dentistry, Showa University
KOJI TAKAHASHI
Department of Oral Rehabilitation, School of Dentistry, Showa University
SATORU SHINTANI
Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

Keywords: orthognathic surgery, acromegaly, articulate disorder

JOURNAL FREE ACCESS

2008 Volume 18 Issue 1 Pages 31-38

DOI https://doi.org/10.5927/jjjd1991.18.31

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Abstract

A case of acromegaly accompanied by pituitary adenoma in a 35-year-old male is reported. The patient presented with mandibular protrusion, malocclusion and articulate disorder. Prior to oral surgery, a pituitary adenoma was resected at the Department of Neurosurgery. Pre-operative orthodontic treatment was started after growth hormone and insulin-like growth factor I had returned to normal levels. Orthognathic surgery by sagittal split ramus osteotomy (SSRO) was performed, and good occlusion was obtained. Articulate function also improved after orthognathic surgery.

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