巻号一覧
52 巻, 10 号
選択された号の論文の13件中1～13を表示しています
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非真菌性上顎洞炎30例との比較検討鈴木 理絵, 清水 武, 五島 秀樹, 櫻井 健人, 大久保 雅基, 長田 美香, 横林 敏夫2006 年 52 巻 10 号 p. 518-522
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーThe clinical and radiographic findings of 24 patients with aspergillosis of the maxillary sinus treated, from 1989 through 2004 were compared with those of 30 patients with non-fungal maxillary sinusitis to clarify factors related to differential diagnosis. The subjects with aspergillosis were 9 men and 15 women aged 26 to 78 years (mean, 52 years). The patients with non-fungal sinusitis were 25 men and 5 women aged 23 to 73 years (mean, 46 years). The most common clinical finding at presentation was cheek pain, followed by nasal symptoms in the aspergillosis group. Nasal symptoms were more common in the non-fungal group than in the aspergillosis group. Thus, pain was more often associated with aspergillosis. Radiographically, diffuse radiopacity was observed in the maxillary sinus of all patients in both groups. In addition, dense antral radiopacities indicative of calcification were seen in a patient with aspergillosis. On X-ray-CT scans, bone thickening of antral walls (23 cases), sand-like high density areas (20 cases), extension of soft tissue masses to the nasal cavity (17 cases), foamy low density areas (13 cases), and bone destruction (6 cases) were seen in the aspergillosis group. These findings were rarely seen in the non-fungal group. All patients in both groups were treated by radical surgery of the maxillary sinus. The postoperative course was uncomplicated, and there was no recurrence as of 1 year postoperatively.
In conclusion, the presence of pain, bone thickening of antral walls, sand-like high density areas, extension of soft tissue masses to the nasal cavity, foamy low density areas, and bone destruction on X-ray-CT scans were valuable for diagnosing aspergillosis of the maxillary sinus.抄録全体を表示PDF形式でダウンロード (1481K) -
前島 将之, 安藤 俊史, 佐藤 泰則2006 年 52 巻 10 号 p. 523-526
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーWe encountered a rare case of actinomycosis in the maxillary sinus secondary to an iatrogenic foreign body.
A 32-year-old man was referred to our hospital for evaluation and treatment of nasal obstruction. The clinical diagnosis was odontogenic maxillary sinuitis. Under general anesthesia, a radical sinusotomy of the right maxillary sinus and apicoectomy of the right maxillary second premolar were performed. We found necrotic tissue and an iatrogenic foreign body with sulfur granules at the bottom of the maxillary sinus. Histopathological examination revealed the presence of actinomyces. The histopathological diagnosis was actinomycosis.
The postoperative course has been uneventful as of 20 months after operation.抄録全体を表示PDF形式でダウンロード (2940K) -
山近 重生, 中川 洋一, 寺田 知加, 川口 浩司, 瀬戸 皖一, 石橋 克禮2006 年 52 巻 10 号 p. 527-531
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーGlandular odontogenic cyst (GOC), first described in 1988 by Gardner et. al, 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.
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.抄録全体を表示PDF形式でダウンロード (4015K) -
伊藤 亜希, 市川 秀樹, 塩見 周平, 松崎 英雄, 田中 潤一, 大畠 仁2006 年 52 巻 10 号 p. 532-536
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーCalcifying odontogenic cyst was first reported by Gorlin et al. in 1962. It had been classified as a neoplasm related to the odontogenic apparatus because of its histological complexity and morphologic diversity until it was renamed calcifying cystic odontogenic tumor by the WHO in 2005.
We report a case of calcifying cystic odontogenic tumor associated with odontoma that arose in the maxillary sinus of a 26-year-old man. He had no symptoms and was accidentally found to have a well-defined radiopaque mass in the left maxillary sinus on pantomography. Computed tomographic examination showed that the entire lesion occupied about two thirds of the sinus. An odontoma-like mass was present at the base of the maxillary sinus, bordered by a cystic lesion. The vast majority of these clusters were wrapped in bud-shaped hard tissue. When the lesion was excised, the hard structures were split, and the cystic lesion was removed en bloc. The specimen measured 40 by 35 by 30mm. Histopathological examination revealed compound odontoma and a cystic tumor including ghost cells and cartified tissue. The exterior hard tissue was woven bone.抄録全体を表示PDF形式でダウンロード (4082K) -
内田 大亮, 東 雅之, 富塚 佳史, 高丸 菜都美, 林 良夫, 佐藤 光信2006 年 52 巻 10 号 p. 537-541
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーAdenosquamous carcinoma is an uncommon malignant tumor, and histopathologically shows components of adenocarcinoma and squamous cell carcinoma. We report a case of adenosquamous carcinoma in the maxillary sinus associated with an abnormally high level of serum carcinoembryonic antigen (CEA). A 78-yearsold man visited our clinic because of swelling of the left side of the buccal and palatal regions. At presentation, there was a diffuse extraoral swelling extending from the ala of the nose to the infraorbital region, and intraoral swelling and induration in the gingivo-buccal sulcus. A computed tomographic (CT) scan revealed a solid mass in the maxillary sinus, with destruction of the front wall of the maxillary sinus. The serum CEA level was abnormally elevated (50.4ng/ml); however, no distant metastasis was detected. Biopsy was performed under the clinical diagnosis of a malignant tumor of the maxilla. Histopathological examination suggested an adenosquamous carcinoma. Suprahyoid neck dissection (Left-side), ligation of external carotid artery, and subtotal maxillectomy were performed with the patient under general anesthesia. The final histopathological diagnosis was adenosquamous carcinoma. One month after the operation, CEA gradually decreased to 8.9ng/ml. One year after the operation, CEA level was 7.6ng/ml, with no apparent evidence of recurrence.抄録全体を表示PDF形式でダウンロード (2154K) -
松永 和秀, 中村 典史, 大部 一成, 光安 岳志, 川野 真太郎, 中村 誠司2006 年 52 巻 10 号 p. 542-546
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーIn a patient with aspiration after the resection of oral cancer and reconstruction, we conducted swallowing rehabilitation by the balloon method to widen the esophageal entrance. The volume of air in the balloon catheter was gradually increased from 2 to 8 ml over the course of 10 days. Aspiration resolved with widening of the esophageal entrance, and oral intake became possible. The degree of maximal widening of the esophageal entrance during swallowing was examined with an image analysis system. After rehabilitation the degree of maximal widening of the esophageal entrance during swallowing increased by approximately 2 fold as compeared with before rehabilitation. Widening of the esophageal entrance during swallowing was maintained for 6 months postoperatively.
These results suggested that the balloon method was useful for widening the esophageal entrance.抄録全体を表示PDF形式でダウンロード (3484K) -
小林 慶子, 藤盛 真樹, 佐藤 泰祥, 竹川 正範, 本橋 征之, 松田 光悦2006 年 52 巻 10 号 p. 547-550
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーLangerhans' cell histiocytosis is an uncommon disease characterized by proliferation of Langerhans' cells. We describe a 24-year-old man with Langerhans' cell histiocytosis in the right side of the mandible. The lesion was present only in the right mandibular bone and was removed by surgical curettage. The patient had an uneventful recovery. There is no evidence of recurrence as of 3 years 6 months of follow-up.抄録全体を表示PDF形式でダウンロード (2653K) -
平木 昭光, 窪田 泰孝, 堀之内 康文, 竹之下 康治, 山城 崇裕, 白砂 兼光2006 年 52 巻 10 号 p. 551-555
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーWe describe three patients (1 man and 2 women; age, 28 to 83 years) with herpes zoster of the trigeminal nerve that developed after dental treatment. The patients presented with toothache or periodontal disease as initial symptoms. Ten cases of herpes zoster occurring after dental treatment, have been reported previously. The initial symptom was toothache or periodontal tissue discomfort in most cases, and the age of the patients ranged from 7 to 73 years. Symptoms of herpes zoster appeared within 2 days after dental treatment in half of the patients. Although the relation between dental treatment and the occurrence of herpes zoster is unclear, we should include herpes zoster in the differential diagnosis when a patient presents with toothache or periodontal tissue discomfort.抄録全体を表示PDF形式でダウンロード (3783K) -
石橋 美樹, 野口 一馬, 増田 典男, 櫻井 一成, 浦出 雅裕2006 年 52 巻 10 号 p. 556-559
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーPemphigus vulgaris (PV) is an autoimmune disease with intractable massive blisters of the skin or mucosa. Patients with oral mucosal lesions often cannot eat because of unbearable pain. Although steroids and immunosuppressants are commonly used to PV, these therapies are ineffective or cannot be continued because of side effects in some patients. We reported a case of the PV of the upper and lower gingiva in which treatment with predonisolone and cyclosporine A was ineffective, but double filtration plasmapheresis (DFPP) was effective. The patient was a 36-year-man who could not eat anything at presentation. After treatment, oral intake became possible because pain of the oral mucosa had resolved. In this patient, the anti-desmoglein 3 antibody in blood decreased with the resolution of clinical symptoms.抄録全体を表示PDF形式でダウンロード (2420K) -
北所 恵, 西村 泰一2006 年 52 巻 10 号 p. 560-564
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーDental extraction in patients with hemophilia is associated with a high risk of bleeding after surgery. We report a case of bleeding after dental extraction in a patient with hemophilia A. A 65-year-old man with hemophilia A was referred to our department because of gingival hemorrhage. Oral examination revealed gum disease in the region around the upper left second molar. Both a panoramic radiograph and computed tomographic scans showed a cyst-like radiolucent bone defect at the apex of the upper right first molar. One year later, he had 4 teeth extracted under general anesthesia after infusion of 2000 units of factor VIII concentrate. Extraction of the upper right first molar triggered the formation of an oro-sinusal communication. The dental sockets were filled with surgicel, and a hemostatic splint was used. Postoperatively, 1500 units of factor VIII concentrate was infused once daily for 5 days. On postoperative days 5 and 11, bleeding from the upper right first molar extraction site was stopped by administration of tranexamic acid and local hemostasis. No bleeding occurred in the socket of the upper left second molar. The oro-sinusal communication significantly interferred with local hemostasis.抄録全体を表示PDF形式でダウンロード (3012K) -
北村 直也, 石田 光生, 伊藤 聡, 出口 博代, 畑 毅, 細田 超2006 年 52 巻 10 号 p. 565-568
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーThe incidence of pulmonary thromboembolism (PTE) has been increasing, although it remains lower in Japan than in Western countries. We report a case of PTE after free flap reconstruction in a patient with left tongue cancer (T2N2bM0) treated in May 2004.
We performed tracheostomy, hemiglossectomy, and neck dissection. The tongue defect was repaired with a free radial forearm flap using a microsurgical vascular anastomosis. Although antithrombolytic therapy with prostaglandin El was started during microsurgery, circulatory disorders of the free flap occurred 2 days after operation. Therefore, we tried removing the intravenous thrombus and performed re-anastomosis, followed by anticoagulant and thrombolytic therapy. However, total necrosis of the flap occurred 5 days after re-operation. We therefore discontinued the anticoagulant and thrombolytic therapy. The following day PTE developed, but we saved the patient's life by immediate treatment, administered by cardiologists and other specialists.
Our experience indicates that preventative treatment such as low-dose unfractionated heparin and using elastic stockings or intermittent pneumatic compression until the patient can walk after surgery may be necessary when there is a high risk of PTE.抄録全体を表示PDF形式でダウンロード (2887K) -
櫻井 博理, 小林 武仁, 五十嵐 朋子, 秋場 克己, 高橋 晃治, 濱本 宜興2006 年 52 巻 10 号 p. 569-573
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーVon Recklinghausen's disease is characterized by multiple neurofibromas of the skin and nervous system, with unique systemic pigmented skin lesions (café au lait spots). While these lesions are seen systemically, mandibular deformation is rare. We describe a 13-year-old girl in whom von Recklinghausen's disease was diagnosed at the age of 2 years 5 months. Her brother and sister also have von Recklinghausen's disease. Café au lait spots were seen on the right forearm, left thigh, right lower thigh, left lower prolabium, and left mandibular angle. Two Lisch nodules were detected in the right iris. The patient had borderline to mild mental retardation. Palatal deviation of the right maxillary second premolar was the only abnormality apparent in the oral cavity. A panoramic X-ray film revealed a crescent-shaped bone defect with a clear border at the left mandibular angle. Compressive resorption due to a tumor was suspected. However, magnetic resonance imaging and computed tomography showed no evidence of a tumor or cyst. Parts of the masseter muscle and parotid gland were observed in the defect. There was no resorption of cortical bone. The left maxillary third molar was subsequently extracted because of periodontitis. The postoperative course of the patient has been favorable.抄録全体を表示PDF形式でダウンロード (3473K) -
中村 信一郎, 横江 義彦, 中尾 晶子, 川村 紀子, 青井 陽子, 飯塚 忠彦2006 年 52 巻 10 号 p. 574-577
発行日: 2006/10/20
公開日: 2011/04/22
ジャーナル フリーThe purpose of this study was to investigate mandibular ramus thickness by dental cone beam computed tomography (Morita Co, 3DX ®) in patients with jaw deformities. We examined mandibular ramus thickness on 180 sides in 90 patients with jaw deformities and 48 sides in 24 healthy controls with normal occlusion. We evaluated the thickness of the mandibular ramus on axial slices, at the height of the mandibular foramen plane. The results of our study are as follows:
1) The mandibular ramus thickness in male controls and male subjects with jaw deformities did not differ significantly from the respective values in female controls and female subjects with jaw deformities.
2) When female subjects with Class I, II, and IH jaw deformities were compared with female controls, the thickness of the mandibular foramen, posterior portion, and thinnest portion of bone marrow in Class II subjects did not differ significantly from those in Class I and II subjects; however the width of the anterior portion was significantly greater in Class II subjects than in Class I and IQ subjects.抄録全体を表示PDF形式でダウンロード (1431K)
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