Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Volume 30 , Issue 12
Showing 1-22 articles out of 22 articles from the selected issue
  • Etsuhide YAMAMOTO, Akira MIYAKAWA, Hajime SUNAKAWA, Gen-iku KOHAMA
    1984 Volume 30 Issue 12 Pages 1805-1813
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    Effects of Bleomycin (BLM: 60-105mg, I. V.) on metastatic lymph nodes of cervical region from carcinoma of the oral cavity was examined clinically and histologically in 18 patients with total 40 metastatic lymph nodes. Level of involvement by the UICC of these nodes was mostly L-1 and L-2. These cases were classified by clinical effects of BLM on metastasis into: 5 with a good effect (++), 5 with a slight effect (+) and 10 of no effect (-). According to Shimosato's grading system, histological effectiveness in the group of a good clinical effect was good (Grade IV:1, III:5, II b:4, and II a:3), while that in the slight clinical effect group varied (Grade III. 2, II b:4, II a:5, I:1, and 0:1) and that in the no clinical effect group was very slight (Grade I:4, and 0:10). Thus, a relation between clinical and histological effects of BLM on metastasis was found in some degree. Histological effect in nodes with an “intranodal” tumor growth was found to be more than that in nodes with an “extranodal” one (Intra: Grade IV:1, II:7, II b:5 out of 26. Extra.: Grade II b:2 out of 14).
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  • Yasuko ENDO, Toshiko TSUCHIKAWA, Junji SUGAWARA, Takemi SOYA, Hideo MI ...
    1984 Volume 30 Issue 12 Pages 1814-1823
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    This study evaluates the psychological effects in female patients who underwent orthognathic surgery of mandibular prognathism.
    Twenty-nine untreated and 28 post-operative female patients were selected as the Pre-Operative Group (Pre Op.) and the Post-Operative Group (Post Op.) respectively.
    In order to compare these two groups, the Yatabe-Guilford Personality Inventory and a questionnaire specially designed for this study were used. The questionnaire was composed of 20 items concerning facial esthetics and oral functions. Each answer being accompanied by a 7-point response scale was statistically analyzed by factor analysis.
    As the results of this questionnaire, 6 factors were extracted. In both the second factor (inferiority complex about facial profiles) and the third one (inferiority complex about tooth alignment), the factor scores of the Post Op. were significantly lower than those of the Pre Op.
    The results of the Yatabe-Guilford Personality Inventory showed that the Post Op. had relatively less Depression (D) and Nervousness (N), and conversely greater Cooperativeness (Co) than the Pre Op.
    Since the inferiority derived from unesthetic facial profiles and malocclusions was dramatically improved in the post operative stage, it could be concluded that the orthognathic surgery greatly contributed to acquirve the emotional stabilization and the social adaptation for female mandibular prognathic patients.
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  • Etsuhide YAMAMOTO, Akira MIYAKAWA, Hajime SUNAKAWA, Gen-iku KOHAMA
    1984 Volume 30 Issue 12 Pages 1824-1833
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    Histological findings of lymph node metastasis in 26 cases of squamous cell carcinoma of the oral cavity were observed in relation to the mode of invasion of primary lesion, and the following results were obtained: the total number of metastatic lymph nodes histologically confirmed by neck dissection materials was 59 with the level of involvement by the UICC being mostly in levels 1 and 2. These metastatic nodeswere classified by tumor growth stage into 39 of intranodal proliferation and 20 of extranodal spread with 4 of primary extranodal arrest. Mode of invasion of metastatic nodes was 16 of grades 1-3, 23 of grade 4 C and 20 of grade 4 D and was correlated with that of the primary lesion, i. e., nodes similar to the mode of invasion of the primary lesion were observed in 7/11 of grade 3, 13/20 of grade 4 C and 17/26 of grade 4 D. Nodes of extranodal arrest were found mostly in grades 4 C and 4 D of the mode of invasion of the metastatic lesion. Prognosis of patients with extranodal metastasis tended to be poor.
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  • Masakazu SUGI, Masahiro URADE, Tadasi MIYAZAKI
    1984 Volume 30 Issue 12 Pages 1834-1839
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    Drug sensitivities of three BLM-resistant cells, HeLa-BLMr, KB-BLMr and Hepd-uvBLMr, to eights other antitumor agents were examined. When ID50 of each agent for these cells and their parental cells was determined from the survival curves, HeLa-BLMr cells were 10.7-fold less sensitive to pepleomycin (PEP), 2.7-fold to actinomycin D (ACD), 3.8-fold to adriamycin (ADM) and 2.0-fold to vincristine (VCR), but 3.1-fold more sensitive to cisplatin (CPDD) than HeLa cells. Similarly, KB-BLMr cells were 12-fold less sensitive to PEP, 2.0-fold to 5-fluorouracil (5-FU) and 2.1-fold to methotrexate (MTX) than KB cells. Hepd-uvBLMr cells were 45-fold less sensitive to PEP, 10-fold to ACD, 2.4-fold to ADM, 12.8-fold to 5-FU and 4.7-fold to MTX than Hepd cells.
    From these results, it was suggested that HeLa-BLMr cells carried cross-resistance to 4 drugs, KB-BLMr cells to 3 drugs and Hepd-uvBLMr cells to 5 drugs, judging by more than 2-fold degrees of resistance.
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  • Harumi MIZUKI, Shigetaka YANAGISAWA, Masatsugu SHIMIZU
    1984 Volume 30 Issue 12 Pages 1840-1843
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    A case of pleomorphic adenoma at the top of the uvula. Tumors originating from the uvula are relatively rare. We experienced a very rare case of pleomorphic adenoma arising from and localized at the top of the uvula.
    The patient, 43-year-old man, visited our clinic complaining of swelling of the uvula and pain in right molar region. Although he noticed swelling of the uvula about ten years ago and visited some clinics, he did not recieve any surgical treatment.
    At the first examination, there was a thumb's head sized globlar tumor at the top of the uvula and it was positioned in the middle pharynx. But functonal disorders such as respiration, deglution and speech were not found.
    Under general anesthesia, after CL V-shaped incision was made at the uvula over 5 mm above its margin, the tumor was excised and the uvula was reconstructed.
    The excised tumor measured 1.5×2×2cm and was elastic hard and solid. Its histological diagnosis was pleomorphic adenoma.
    The Recurrence of the tumor and functional disorders were not noticed two years after the opeation.
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  • Keizo MORI, Hiroyuki HAMAKAWA, Michitaka MURAKAMI, Hiroaki TANIOKA
    1984 Volume 30 Issue 12 Pages 1844-1848
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    Marble bone disease first described by Albers-Schonberg in 1904, is a rare general disorder of bone.
    Marked increase in density of skeletal tissue, anemia and hepatosplenomegary are the pathognomonic conditions generally associated with this lesion.
    Fracture and osteomyelitis in the maxilla and mandible are often induced by dental treatment.
    We experienced a case of maxillary osteomyelitis accompaied with marble bone disease in a 64 year old man.
    He died in spite of antibiotic therapy and three-times sequestrectomy.
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  • Shigeyuki FUJITA, Yasuhiro KANEMAKI, Katsuaki MIYAKI, Yasuo ISHII
    1984 Volume 30 Issue 12 Pages 1849-1853
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    The patient, a 69 year old female, was admitted to our hospital because of masticaton disturbance.
    Laboratory results before the operation were within normal imits except for mild anemia.
    X-ray film of left maxillary bone showed slight absorption and Ga-67 scintigram showed increased radionuclide uptake in left palate.
    The tumor grew on the left palate and was resected with involved maxillary bone and left upper neck dissection under general anesthesia.
    After operation, a diagnosis of plasmacytoma was made by a pathologist.
    Serological examination by means of Immuno-electro-phoresis, indicated sight increase of IgA-χ type.
    The patient has been followed up for 7 months and Ga-67 scintigram of the whole body shows no abnormality.
    Post operative course is relatively well.
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  • Yoshio HIRANO, Ryouzou HIGUCHI, Hiroshi SAITO, Madoka INUI, Yuichiro Y ...
    1984 Volume 30 Issue 12 Pages 1854-1858
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    The case is a 37-year-old male patient with a tumor formation of the upper lip in his early stage. In spite of many clinical examinations in that stage, an exact diagnosis was not made. Based on electron microscopic study of the upper lip and appearance of many myeloblasts in his peripheral blood and bone marrow, the case was diagnosed as acute myeloblastic luekemia. Threfore, we began suitable treatment for but nevertheless, he died of D. I. C.
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  • Shoji NAKAI, Katsumi ONO, Haruhiko TERAI, Yoshinobu NAKANO, Masashi SH ...
    1984 Volume 30 Issue 12 Pages 1859-1864
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    We have seen 5 cases of transverse facial cleft among 107 fresh cases of cheilognathopalatoshisis in the past 11 years. All of these 5 cases were unilateral and found in one maleand four females. Three cases were on the left side and two cases were on the right.
    Combined malformations of accessory ears, dextroposition of the heart, stricture of the pulmonary artery, absence of spleen, deaf-mutism were seen in one case. Accessory ears were observed in three other cases. In addition, dermoid on the eyeball and accessory papilla were noted. There were no additional malformations noted in the remaining case.
    There are many types of amlformations present in combination with transverse facial cleft. However, it is very difficult to determine whether these malformations share a common etiology with transverse facial cleft or if there is merely overlapping phenomenon.
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  • Shun OHTA, Shiro KAWACHI, Toshio MOGI
    1984 Volume 30 Issue 12 Pages 1865-1877
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    We report the results of 12 operations for 14 fractured condyles with advanced dislocation and displacement.
    In all 12 cases we followed the preauricular approach, removed the dislocated condylar head, reimplanted it in the glenoidfossa and fixed it with Kirschner wire pinning or intraosseous wiring.
    The observation term after operation was from 4 to 32 months.
    The results of the operation were satisfactory in almost all cases for the degree of mouthopening and occlusion.
    Concerning reimplanted condylar heads, except for 3 cases whose term for observation was less than one year, there were complete remodeling in 2 cases (2 condyles), incomplete remodeling in 6 cases (8 condyles), resorption in 1 case and nonunion in 1 case.
    Then, we explained the operation in detail followed by our comments.
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  • Takahide SUGIHARA, Yasuro YOSHIMURA
    1984 Volume 30 Issue 12 Pages 1878-1884
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    Fifteen patients with definite Sjögren's syndrome met criteria of Sjögren's Disease Research Committee (Japan, 1977) were studied from the aspect of clinical features, hematological and serological examinations, sialograms, pathological findings of the labial minor salivary glands, and RI-sialograms. The following findings were obtained:
    1) They were all females from 31 to 76 years old (mean age 56.7). Nine cases had sicca complex alone, and six had the following associated diseases: three with progressive systemic sclerosis, one with systemic lupus erythematosus, one with rheumatoid arthritis, and one with chronic thyroiditis.
    3) Clinically, Raynaud's phenomenon and drug allergies (47%), fever (40%) and arthralgia (33%) were observed respectively.
    3) Various hematological and serological abnormalities were observed, such as elevation of ESR (93%), hyper γ-globulinemia (67%), positive RA factor (43%), anemia (40%), and positive microsome test (47%).
    4) All lip-biopsy specimens showed moderate to severe chronic sialoadenitis, and abnormal sialograms were observed in 93% (14/15).
    5) High relationships were observed between sialogram and histopathological findings of the labial minor salivary glands.
    6) Scintigraphically we were able to evaluate more clearly the uptake, concentration, and excertion of 99 m TC-pertechnetate in the major salivary glands from the function curve.
    7) High relationships between RI-sialogram and sialogram and between RI-sialogram and the histopathological findings of the labial minor salivary glands were observed.
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  • Akira KITAMURA, Hitoaki NAKAMURA, Kazuo SANO, Tsugio INOKUCHI
    1984 Volume 30 Issue 12 Pages 1885-1888
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    Benign ovarian teratomas are usually cystic lesions and make up a variety of different tissues, including epithelial appendages such as hair, sweat glands and teeth. The hard tissues in the ovarian teratoma were analyzed by the analytical electron microscope (SEM, XMA) and showed the peaks of calcium and phosphate.
    The microscopic findings of the case I and case II revealed the bone and tooth with the alveolar bone respectively.
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  • Tsuguya MATSUMOTO, Hideho NISHIOKA, Madoka INUI, Tsuguo HATANAKA, Yosh ...
    1984 Volume 30 Issue 12 Pages 1889-1896
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    This paper describes three cases of multiple cysts of jaw from one family. The literature emphasizes the infrequent occurence of multiple cysts in different areas of both jaws in one patient. The three patient were females aged 24, 29 and 32. The clinical course is described together with the results of 37 recent multiple cyst case reports in Japan during the period from 1974 to 1983. The ages of the patients ranged from 5 to 56 years, with a mean of 20 years. Males and females were almost equally affected. The mandible is invariably affected more frequently than maxilla, in this series of 67% versus 33%. In the mandible, the majority of the cysts occrur in the third molar area, followed by the molar area and then the ramus area. In the maxilla, the most common area is the third molar area followed by molar area and cuspid region. In cases of apparent multiple cyst, basal cell epithelioma syndroma should be considered. But no other features of the syndroma was found. We suppose that they have a predisposition of cyst formation while others have a familial trait. It is necessary that people who have multiple cysts in their relatives should be examined.
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  • Yoshiyuki HATTORI, Taisuke SUZUKI, Nagato NATSUME, Taku KISHIMOTO, Kiy ...
    1984 Volume 30 Issue 12 Pages 1897-1900
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    We report a case of antrolith in the left maxillary sinus, which was 15×10×7mm in size.
    The calcification, found by X-ray examination, due to sinusitis, was extracted and examined by contact X-ray film, SEM and electron micro pobeX-ray analyzer and pathologically. Nucleus of the calcification was the first molarpalatal root.
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  • Akihiro IKAI, Shinichi OINUMA, Ikuo SUDA, Haruyasu TANABE
    1984 Volume 30 Issue 12 Pages 1901-1906
    Published: December 20, 1984
    Released: July 25, 2011
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    Eosinophilic granuloma, so called Kimura's disease, is a benign chronic granuloma that appears chiefly in subcutaneous soft tissue or lymphonodus such as face submandibular neck and inguinal regions.
    Its pathological finding is characteristically neoplastic or hyperplastic lymphofollicular structure and infiltration of eosinophils. Also increased the serum IgE level. These findings suggest that this disease is conceivably a type I allergy.
    We reported on a five-year-child who had an eosinophilic granuloma in the subcutaneous soft tissue of the submental region. He had a touch of cold 2 weeks before visiting our hospital. We found as leukocyte increase in the laboratory results and administered antibiotics. At that time his mother noticed the swelling of the submental region and watched its subsequent developments. The swelling did not decrease so she brought him to our hospital.
    His general condition was good, but we noticed a sparrow's egg-size swelling at the submental region and bilateral submandibular lymphonodi. Blood analysis proved a leukocyte increase, and eosinophils reached 5 percent.
    Clinically we diagnosed submental and mandibular lymphonoditis. We extracted two teeth that we suspected had caused the sweelling of the submental region and submandibular lymphonoditis and further administered antibiotics. Consequently the swelling subsided, but did not completely vanish. Then we carried out surgical extraction under general anesthesia.
    Pathological findings showed a characteristic lymphofollicular structure and infiltration of eosinophils. Ten months after the operation, there is no symptom of recurrence.
    As the literature we reviewed indicated that the frequency of recurrence when was high when treated by surgery alone, we recognized the necessity of careful follow-up thereafter.
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  • Taeko TEZUKA, Ken-ichi SAITOH, Tsunehisa TASHIRO, Masahiro HASEGAWA, T ...
    1984 Volume 30 Issue 12 Pages 1907-1913
    Published: December 20, 1984
    Released: July 25, 2011
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    Verruciform xanthoma is a rare tumor of the oral cavity.
    A case of verruciform xanthoma on maxillary gingiva in 41-year-old male is presented. The lesion is clinically difficult to distinguish from papilloma or fibrous hyperplasia.
    Light and electron-microscopic appearance were reviewed.
    A literature survey was carried out on the data concerning the verruciform xanthoma.
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  • Mikio KUSAMA, Masazumi MIYAZAWA, Masaru HORIKOSHI, Toshiaki IWASA, Asa ...
    1984 Volume 30 Issue 12 Pages 1914-1919
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    A case of one-stage serratus anterior osteomyoctaneous free flap was reported. The patient was a 42-year-old male. He had 45×35 mm primary cancer lesion in the middle of the mandible. However the X-ray films at first visit (9-2-1981) showed no abnormal figure. He was clinically diagnosed as mandible cancer (T3 NO MO), He had taken radiotherapy of Linac 4, 000 rads and Au-grain mold 6, 600 rads from September 17th to November 30th. After 5 months, radio-osteonecrosis of mandible was observed in the region of 6+6. He had complained of severe pain, especially contact pain, of the mandible for 10 months. Metastasis of cancer did not occur in the cervical lymph nodes. Then we deceided to operate on the mandibular radio-osteonecrosis. We used a free osteomyocutaneous flap from the chest to replace a loss of the mandible and the mouth floor. The mandible was resected continuously at the 7+7 portion, and the mouth floor was resected partially. For closure of the defect, the serratus anterior flap with the 6th rib was turned into the mouth. The flap was then revascularized by anastomosing the nutrient thoracodorsal vessels to the facial vessels. Then the flap was well revascularized and its color and texture became significantly better after 6 months. As absorption of the transferred bone was minimal, we made a denture. The prognosis is now satisfactory.
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  • Minoru KAJIYAMA, Hideo KUROKAWA, Shunichi OHTA, Takahiro KODAMA, Hiden ...
    1984 Volume 30 Issue 12 Pages 1920-1928
    Published: December 20, 1984
    Released: July 25, 2011
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    Odontogenic keratocyst was introduced by Philipsen in 1956 and described some of its clinical, radiological and microscopic features. This cyst has a thin wall characterized by keratinizing epithelium. Odontogenic keratocysts were of interest to the oral surgeon because of their tendency to recur and because they may possess a neoplastic potential. A total of 20 odontogenic keratocyst cases in the Second Department of Oral Surgery, Kyushu Dental College Hospital, during 1979 to 1983, were clinically analysed. The following results were obtained:
    1. A series of 20 cases of odontogenic keratocyst were reported. Its incidence was seen in 0.3% of outpatients, in 8% of cystic disease and in 16.7% of odontogenic cyst.
    2. The odontogenic keratocyst in the majority of the 20 cases was located on the mandible, especially on the mandibular molar region and ascending ramus.
    3. Of the 20 cases, 15 (75%) were between 20 and 40 years of age (average 37.7 years) and half were males.
    4. The complaint most commonly reported was a bony, hard swelling. The recorded known duration showed a range of 6 months.
    5. 14 cases (70%) had radiologically unilocular appearance and 6 cases (30%) were multilocular appearance. 8 cases (40%) appeared as dentigerous cyst, in that the crown of an unerupted tooth was associated with the cyst cavity. In only 2 cases (10%), there was radiological evidence of resorption of the roots.
    6. This series was found histopathologically to be: in 8 cases (40%) of the odontogenic keratocyst, there was rete peg, and in 6 cases (30%), there was inflammation of connective tissue in the cyst wall. In 5 cases (25%), the basal cell layers showed budding-like proliferations suggestive of dental lamina structure. On only 2 cases (10%), there was a daughter cyst, and in only 1 case (5%) there was a small island of odontogenic epithelium.
    7. Treatment was performed mostly by total enucleation of the lesion.
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  • Tadahiko IIZUKA, Kenji KUSUMOTO, Yukitada HYO, Ken-ichiro MURAKAMI, Ta ...
    1984 Volume 30 Issue 12 Pages 1929-1933
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    The temporal flap incision from temporal to preauricular region was made in 7 patients with malunited zygomatic arch fractures.
    This approach allows maximal exposure of the zygomatic arch. The osteotomy along the malunited fracture line, mobilization of the fractured bone, and reduction and stabilization of the segment into normal anatomic position could be accomplished without difficulties under direct vision. The skin incision produces a cosmetically acceptable scar. Damages to facial nerve branches and the parotid gland were not observed postoperatively. The temporal flap approach can be applied to the temporo-mandibular joint and to the retromaxillary space.
    In one of the 7 cases in which the zygomatic arch fracture remained unstable even with direct osteosynthesis, a method of stabilization with a metal eye shield and with circumferential zygomatic wires was made. Satisfactory arch alignment was obtained without residual deformity.
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  • Tetsu TSUNODA, Hideki MOMONO, Kazuo SEKIKAWA, Hiroshi KAWAMURA, SUSUMU ...
    1984 Volume 30 Issue 12 Pages 1934-1937
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    A rare case of Weber-Christian disease (generalized nonsuppurative panniculitis) is reported which is accompanied with bone interference of extremity and widespread rodent appearance of mandible.
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  • Kunio IKEMURA, Hideharu HIDAKA, Toshihiko FUJIWARA, Mari WATANABE
    1984 Volume 30 Issue 12 Pages 1938-1943
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    A 28-year-old man suffered a dislocated condylar neck fracture on the left side, and a wide lamellar fracture of the body of the mandible on the right side during an epilepsy seizure. The lamellar fracture was treated with internal fixation by means of 3 lag screws. During the follow-up periad of 7 months, there were no problems such as malocclusion, limitation of opening, TMJ-region pain, clicking sounds and deviated movement of the mandible.
    Lag screw osteosynthesis appears to be indicated for a wide lamellar fracture of the mandible, especially for cases combined with the fracture of the condyloid process. This method may be useful for other types of fractures. The location of the screw to neutralize tension force and the axis for screw osteosynthesis were discussed.
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  • Yoshihide MORI, Masaharu MORISHITA, Masato KUROI, Masaya KITAMURA, Mas ...
    1984 Volume 30 Issue 12 Pages 1944-1951
    Published: December 20, 1984
    Released: July 25, 2011
    JOURNALS FREE ACCESS
    In a patient with idiopathic thrombocytopenic purpura (ITP), the hemostatic control is considerably troublesome. When a tooth extraction is required in such a case, platelet rich plasma and/or fresh whole blood transfusion has been usually practiced. Though oral surgical treatmant has become convenient with this therapy, serious problems such as a new production of antibodies against platelet happens. Since these antibodies invalidate the effect of transfusiontherapy in lethal bleeding, its use must be deliberate. So we are looking forward to a more suitable method in minor treatments of oral surgery or dentistry.
    It was revealed by Imbach et al. in 1981 that high-dose intravenous gammaglobulin therapy was able to increase the number of platelets in ITP. Thereafter the usefulness of this therapy has been ascertained at various clinics and it is considered a new treatment for ITP. By this time no important side effects through this therapy are reported. We consider this therapy is also very useful on our clinics.
    We have recently experienced two cases of tooth extraction with this therapy in a patient with ITP and obtained good results. From these experiences we have come to the conclusion that systematic oral or dental care is most imprtant in a patient with ITP or hemorrhagic diathesis.
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