巻号一覧
46 巻 (1997)
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46 巻, 1 号
選択された号の論文の17件中1～17を表示しています
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向後 隆男, 飯塚 正, 進藤 正信, 山下 徹郎, 佐藤 明, 千葉 逸朗, 福田 博, 雨宮 璋1997 年 46 巻 1 号 p. 1-8
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーGiant cell fibroma is an asymptomatic, fibrous polypoid lesion of the oral mucosa. Since only a few reports have appeared in Japanese literatures, the clinical, histopathological, and ultrastructural features of three cases of giant cell fibroma found in a 22-year-old female (gingiva), 44-year-old male (tongue) and 64-year-old female (tongue) are discussed. The lesions were characterized histologically by proliferation of stellate, mononuclear, and multinuclear giant cells surrounded by arcuate or sinuous bundles of collagenous connective tissue. A high rate of stellate and multinucleated giant cells were seen, in the increasing order, of 64-year-old male, 44-year-old male, and 22-year-old female. In 64-year-old male, the lesion contained somewhat dense fibrous tissues. Ultrastructurally, the giant cells were rich in well-developed endoplasmic reticulum and contained numerous microfibrils throughout the cytoplasm and in perinuclear areas. Sparsely distributed mitochondria, a few lysosome-like structures and free ribosomes-like granules were seen. Whorled collagen fibers were seen in the extracellular spaces. In areas of loosely arranged collagen bundles, numerous lysosome-like structures within the long cytoplasmic extensions of giant cells were seen. The giant cells showed many features similar to those of mononuclear or multinuclear fibroblasts.抄録全体を表示PDF形式でダウンロード (18194K) -
石川 誠, 亀倉 更人, 藤沢 俊明, 北川 栄二, 福島 和昭, 福田 博1997 年 46 巻 1 号 p. 9-13
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーIt has been pointed out that schizophrenic patients tend to become disquieted and agitated before or after the operation, and suffer from serious postoperative complications including sudden death, presumably in relation to the long-term medication of antipsychotic drugs.
A clinical study on the general anesthetic management of five schizophrenic patients is reported. Among them, three were male and two were female, and four were in their forties. Although preoperative evaluation revealed complications of obesity in 3 cases, diabetes mellitus, arrhythmia, emphysematous bulla, or liver dysfunction in one case, all of which were slight and had no trouble during general anesthetic management. Main antipsychotic drugs, which had been administered, were phenothiazines, butylophenones, and benzamide ; their medication periods were for 1 to 23 years. After consultation with psychiatrists in charge, the administration of these drugs was continued through the hospital stay in a maintenance dose in 3 cases. Operations were excision of malignant tumors in 3 cases, extirpation of a benign palatal tumor in one case, and open reduction for mandibular fracture in one case. Anesthesia time was from lhr 55 min to 12 hr 45 min. Anesthetic procedures were of inhalation anesthetics and combination of neurolept anesthesia (NLA) and inhalation anesthetics in 2 and 3 cases, respectively. They were managed with particular attention paid to acid base balance and electrolytes along with ordinary monitoring. The early postoperative course was favorable in all cases. Only in one case, however, the patient became disquieted with auditory hallucination on the 23 rd postoperative day and was transferred to the psychiatry clinic.
Consequently, under the conditions of desirable cooperation with the psychiatrist in charge and of a good management system in the inpatient department such as careful and frequent observation, smooth general anesthetic management of schizophrenic patients could be performed regardless of the anesthetic and operative procedures.抄録全体を表示PDF形式でダウンロード (660K) -
植田 栄作, 米田 和典, 山本 哲也, 有澤 和宏, 尾崎 登喜雄1997 年 46 巻 1 号 p. 14-21
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーElemental diets Twinline® (TL: Ohtsuka pharma) and ElentalR (ET: Morishita pharma) were administered via a feeding tube to patients who underwent oral surgery, and the results were as follows:
1. Prealbumin and retinol binding protein decreased on the first postoperative day but rapidly increased thereafter reaching to each preoperative level on the 14 th day. Compared to the ET group, the TL group revealed a more rapid recovery of these proteins.
2. Although free fatty acids and total choresterol levels were almost constant, the triglyceride level in the TL group increased postoperatively.
3. The middle chain fatty acid (myristic acid) as well as long chain fatty acids (arachidonic acid, li noleic acid, palmitic acid, and eicosapentanoic acid) decreased greatly for 2 days after the surgery, but they began to increase on the 6 th day and their levels became higher than the preoperative levels at 2 weeks. The increase rates of eicosapentanoic acid and linolenic acid were statistically and significantly high in the TL group.
4. However, IL-6 generation was not suppressed and the suppression of GM-CSF production was weak in both groups, generation of TNF-α and IL-β was suppressed in both groups, being severe in the TL group.
5. Generation of reactive oxygens from neutrophils decreased gradually for 2 weeks after the surgery, and the decrease was more prominent in the TL group.
These results indicated that both diets, TL being rather superior, rapidly increase serum levels of proteins and fatty acids, which are necessary decreased by oral surgery, and that both diets, especially TL, suppress lymphocyte and neutrophil function, which indicates caution should be taken against infections.抄録全体を表示PDF形式でダウンロード (1091K) -
シリコン樹脂を基材とする付着性外用薬松野 英幸, 林 康司, 中尾 誠, 曽山 美和, 藤内 祝, 上田 実1997 年 46 巻 1 号 p. 22-27
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーPDF形式でダウンロード (7344K) -
吉田 美苗子1997 年 46 巻 1 号 p. 28-35
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーPDF形式でダウンロード (8431K) -
第2報 舌背と口蓋粘膜への同時機械的刺激に対する反射応答焦 暁輝, 今井 信行, 大橋 靖1997 年 46 巻 1 号 p. 36-42
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーPDF形式でダウンロード (978K) -
門矢 芳則, 山口 好則, 小川 智彦, 山本 学, 森 光伸, 吉武 一貞1997 年 46 巻 1 号 p. 43-49
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーA prospective study was undertaken to determine if mandibular reconstruction with aluminum oxide ceramic would yield beneficial results in 8 patients during long-term follow-up (mean 9.4 years). Aluminum oxide ceramic jaw was utilized to correct the mandibular defect.
Postoperative course was evaluated from clinical records, questionnaires, and radiograms taken immediately after, at 1 year and long-term follow-up. It was not necessary to remove any ceramic jaw in 6 of the 8 cases, These ceramic jaws maintained acceptable function, mandibular movement, and stable position without atrophy of the covering tissue. In 2 of the 8 cases of mandibular reconstruction, however, it was necessary to remove the ceramic. This was due to recurrence of the tumor. The results of this study for the use of an Aluminum oxide ceramic jaw for mandibular defect were clinically satisfactory.抄録全体を表示PDF形式でダウンロード (9698K) -
金子 昌幸, 細川 洋一郎, 佐野 友昭, 福田 恵, 大西 隆, 神田 秀治1997 年 46 巻 1 号 p. 50-54
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーA case of an isolated bone fragment in the maxillary sinus, which was found by panoramic dental radiography, is presented.
The patient was a 28-year-old female referred to our department by her dentist for investigation of the third molar region of the mandible. Noteworthy events were not seen either in the family history or in the patient's past history.
The radiographs obtained on the first visit showed a bone-like (or tooth-like) calcified structure which was adjacent to the sinus wall, in the left maxillary sinus.
The lesion was removed under local anesthesia. The optical findings and the soft X-ray radiograph of the extracted tissue suggested a bone mass of the size of 10 × 7 × 2 mm. Histological examination revealed that the lesion was a bone fragment itself, which demonstrated a layer structure consisting of maturPrl hone tissues with numerous ostencvtes.抄録全体を表示PDF形式でダウンロード (6840K) -
吉川 文弘, 椿本 有利子, 岩井 聡一, 梅原 一成, 松村 達志, 雨河 茂樹, 加藤 逸郎, 作田 正義1997 年 46 巻 1 号 p. 55-59
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーThe clinical features of 46 patients with palatal tumor originated from a min-or salivary 91and referred to the Second Department of Oral and Maxillcfacial Surgery. Osaka University Dental School Hospital between 1980 and 1995 were reviewed. The tumor was classifiedasbenign tumor in 34 patients, comprising 33 with pleomorphic adenoma and 1 with basal cell adenoma, and as malignant tumor in the 12 0ther patients, consisting of 7 with mucoepidermoid carcinoma, 4 with adenoid cystic carcinoma, and 1 with adenocarcinoma. The resultsof the retrospective investigation of the clinical features of palatal tumors of minor salivary gland origin were as follows:
1. The tumor margin was found to be diffuse more frequently in palatal mucoepidermoid carcinoma than in palatal Pleomorphic adenoma.
2. The presence of a clinical symptom such as spontaneous pain rather than tumor margm ls a characteristic finding in palatal adenoid cystic carcinoma.
3. From the results of this report, it seems diffcult to show a definite view of malignancy of palatal minor salivary gland tumor in medical diagnostic imagings such as CT, 99mTc-scintigram, and 67Ga-scintlgram抄録全体を表示PDF形式でダウンロード (715K) -
心理テストによる不安と抑うつ性の評価各務 秀明, 牧 かおり, 瀬古 和秀, 大野 雄弘, 重冨 俊雄, 上田 実1997 年 46 巻 1 号 p. 60-64
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーTwenty-five patients with burning mouth syndrome were evaluated at the Department of Oral Surgery, Nagoya University Hospital using self-assessment rating scales centering around anxiety and depression. Not only MAS and SDS but also Hospital Anxiety and Depression Scale (HADS), which could evaluate both anxiety and depression, were employed simultaneously. From the results of MAS, 6 out of 23 patients (26 %) had clinically significant anxiety (grade I or II). From the result of SDS, no patient had a score corresponding to a depressive state and 16 out of 25 patients (64 %) had a score in the average score range of neurosis. From the results of Hospital Anxiety and Depression Scale, 2 out of 25 patients (8 %) showed anxiety and 6 out of 25 patients (24 %) had results of borderline significance. From the same rating scale, 3 patients (12 %) had score ranges indicating depression and 2 patients (8 %) had results of borderline significance. From the above results, anxiety was more relevant than depression in this study group. However, the results from different tests were not always consistent for a patient, and generalized approaches, including interview, were considered important. Sometimes the scores of HADS were lower than those of MAS and SDS for the same patient, because the effect of physiological symptoms for the questionnaire were eliminated as possible in HADS. HADS seems to be a simple and useful device for screening patients with psychosomatic disorders.抄録全体を表示PDF形式でダウンロード (644K) -
細川 洋一郎, 金子 昌幸, 安田 元昭, 金子 正範, 半沢 元章, 中村 太保, 進藤 正信, 向後 隆男, 雨宮 璋, 野谷 健一, ...1997 年 46 巻 1 号 p. 65-71
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーFifty-eight patients with squamous cell carcinoma of the oral region, treated by preoperative radiotherapy between January 1988 and December 1993, were reviewed to evaluate the relation between prognosis and pathological findings after preoperative radiotherapy. All patients underwent external radiotherapy of up to 40 Gy in 16 fractions (2.5 Gy a day, 4 fractions a week) before surgery, and the average term from the end of preoperative radiotherapy to surgery were 27.3 days. According to pathological findings during surgery, the patients were divided into a radiation effective group and a radiation noneffective group. There was a significant difference in the survival rates of the two groups, but there was no difference in local control rates. After surgery, regional lymph node metastasis and distant metastasis were more common in the radiation noneffective group than in the radiation effective group. It was considered that regional lymph node metastasis after treatment in the noneffective group is the determining factor in the progress.抄録全体を表示PDF形式でダウンロード (769K) -
川崎 五郎, 冨永 和宏, 徳久 道生, 空閑 祥浩, 水野 明夫, 岡邊 治男1997 年 46 巻 1 号 p. 72-75
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーA calcifying odontogenic cyst associated with a complex odontoma which appeared in the maxilla of an 18-year-old female is reported. Radiographically, this lesion showed a single radiolucent area with an odontoma-like radiopaque mass. Histopathologic examination revealed the presence of ghost cells, calcified tissues and structures characteristic of a complex odontoma in the lumen of the cyst. Since surgical remova of the cyst, the patient has remained free symptoms.抄録全体を表示PDF形式でダウンロード (6437K) -
畑 毅, 福田 道男, 細田 超1997 年 46 巻 1 号 p. 76-79
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーAn 11-year-old female visited our clinic with the complaint of painfulswelling in the left submandibular region. Occlusal radiograph revealed a radioopaque mass about 2mm in size in the left floor of the mouth. Secondary acute sialadenitis of the submandibular gland with salivary stone was diagnosed clinically, and she was treated by means of an incision for draining combined with antibiotics. Diagnosis of actinomycosis of the submandibular gland was established by sulfur granules in pus. The calcified area in the center of the sulfur granule was constructedin a concentric configuration. Ca, P, Mg, and S were detected in the calcified area by an electronmicroprobe Xray analyzer. It was assumed that actinomyces on the surface of the salivary stonemade sulfur granules around the salivary stone.抄録全体を表示PDF形式でダウンロード (5597K) -
神部 芳則, 赤坂 庸子, 田口 友美子, 内藤 浩美, 矢尾板 英夫1997 年 46 巻 1 号 p. 80-83
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーCutis marmorata teleangiectatica congenita is a rare congenital cutaneous disease showing cutaneous telangiectases as a marble-like lesion, and is reported to show coexistence of mucous lesion rarely. This case was an 8-year-old female who complained of tongue and liptumors. Lip tumor showed a well-circumscribed exophytic mass with a warty surface, and was diagnosed as squamous papilloma by typical histological findings of papilloma. However, the tongue tumor showed an ill-circumscribed and multinodular mass in the central part of the tongue dorsum. The histological examination showed a lot of marked dilated vessels with an endothelial lining immediately beneath the epithelium. These findings suggested that tongue lesion is a partial symptom of cutis marmorata teleangiectatica congenita抄録全体を表示PDF形式でダウンロード (6122K) -
和田 重人, 小村 健1997 年 46 巻 1 号 p. 84-88
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーHemangiopericytoma is a rare vascular tumor characterized as being composed of capillaries surrounded by spindle shaped or round cells called Zimmermann's pericytes.
A 60-year-old male was referred to our clinic because of a 4.0×3.5 cm, slowlygrowing, painless mass in the left parotid region. He had no facial weakness and no cervical lymphadenopathy. A CT scan confirmed the tumor was in the deep lobe of the parotid gland. The tumor was removed together with the deep lobe of the parotid gland preserving the facial nerve. Histological examination of the tumor revealed a malignant hemangioperycytoma characterized by proliferation of perivascular arrangement of tumor cells, and the tumor was excised with a sufficient margin.
He had no evidence of recurrence and metastasis 7 years and 6 months postoperatively.抄録全体を表示PDF形式でダウンロード (7088K) -
横浜 恵子, 北川 善政, 山田 哲史, 小笠原 利行, 林 解平, 石井 保雄1997 年 46 巻 1 号 p. 89-93
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーTwo cases with hemifacial atrophy diagnosed as Parry-Romberg disease were reported. Case 1: A 52-year-old female visited our hospital because of trismus. Radiographic examination showed marked atrophy in the right coronoid process and the body of the mandible. Magnetic resonance imaging showed atrophy in the right parotid gland, temporal, masseter, and lateral pterygoid muscles as well as in the fat tissue of the hemifacial region. Electromyography ofjaw closing muscles demonstrated weak activities on the right masseter muscles during tapping movement and clenching. Duration of silent period during teeth tapping movement was longer on the affected side than that on the unaffected side.
Case 2: A 60-year-old female visited our hospital because of pain of the tongue. Atrophy was noted on the left side of the face including subcutaneous tissues. CT imaging showed reduction in the right maxillary sinus. These findings suggested Parry-Romberg disease.抄録全体を表示PDF形式でダウンロード (8600K) -
小谷 勇, 川崎 一慶, 岡本 和己, 土井 理恵子, 森田 保久, 高橋 啓介, 加納 聡, 石倉 信造, 領家 和男1997 年 46 巻 1 号 p. 94-99
発行日: 1997/01/10
公開日: 2011/09/07
ジャーナル フリーThe usefulness of 67Ga-citrate and 99mTc-MDP scintigraphy were investigated using 81 patients with head and neck malignant tumor. The detection rate for primary andmetastatic lesions was defined as the true-positive rate (TPr). In salivary gland tumor, TPr of 67Ga citrate scintigraphy were higher than squamous cell carcinoma. In squamous cell carcinoma, TPr of 67Ga citrate scintigraphy correlated with the tumor size of primary lesions. In squamous cell carcinoma, TPr of the tongue and floor of the mouth were lower than any other site. In the metastatic lesions of adenoid cystic carcinoma, significant difference of TPr of 67Ga citrate scintigraphy appeared among the cases. 99mTc-MDP scintigraphy provided very useful information for evaluating the presence of tumor invasion to bone in the primary region and bone metastatic region.抄録全体を表示PDF形式でダウンロード (825K)
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