日本口腔科学会雑誌
Online ISSN : 2185-0461
Print ISSN : 0029-0297
ISSN-L : 0029-0297
50 巻, 5 号
選択された号の論文の8件中1~8を表示しています
  • 菊池 大輔, 香田 千絵子, 北嶋 禎治, 古賀 千尋, 江崎 和久, 亀山 忠光
    2001 年 50 巻 5 号 p. 279-284
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    We encountered a patient with a large torus palatinus, in whom articulatory disorder was present, and we evaluated the results of articulatory function examinations performed before and after resection of the torus palatinus. The patient was a 67-year-old woman who had a sessile torus measuring 41×28×14mm in the median area of the hard palate. Organic articulatory disorder due to the mass was markedly detectable in sibilant, alveolar affricative, alveolar flap, and palatine nasal sounds. After resection of the torus under general anesthesia, the articulatory disorder was remarkably improved.
  • 坂井 謙介, 畠 賢一郎, 鷲見 幸男, 小田 知生, 澤木 佳弘, 上田 実
    2001 年 50 巻 5 号 p. 285-292
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    Facial swelling is a postoperative reaction of mandibular osteotomy. Several methods of evaluating facial swelling have been reported, but they are technically complicated. In this study, we examined the factors contributing to postoperative facial swelling and its quantitative assessment using the postero-anterior cephalogram.
    The subjects were 40 patients who underwent mandibular osteotomy.
    A preliminary study of various parameters on cephalograms taken at three time points: immediately after, 3 months after, and 6 months after, surgery, showed that the width of the soft tissue on the occlusal plane line was most useful in evaluating postoperative swelling, because it decreased most significantly at 3 months, as compared to immediately after surgery, and it remained unchanged at 6 months.
    When the swelling index was defined as the ratio of the width immediately after surgery to that at 3 months, there were significant correlation among the index, the amount of hemorrhage and the number of segmental leukocytes. The index for sagittal split ramus osteotomy was also different from that for intraoral vertical ramus osteotomy.
    In conclusion, the swelling index, calculated from the frontal cephalometric radiograph, is effective for quantitative assessment of facial swelling.
  • 瀧上 啓志, 山口 芳功, 吉武 一貞
    2001 年 50 巻 5 号 p. 293-298
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    Improvement of nourishment and health have been reported in modern Japanese. There is a possibility these changes are affecting not only physique but also tooth size and jaw morphology. Some recent studies have been performed on the change of tooth size and jaw morphology, but a consensus on them has not yet been reached. The purpose of this study was to determine if modern Japanese tooth and jaw size have changed. Caster models of 70 Japanese adults (35 males and 35 females), with normal occlusion, were analysed, from 1995 to 2000. Statistical results of their tooth, coronal arch, and basal arcn measurements were obtained. The mean values for modern Japanese adults were compared with past standards reported by Otsubo. Tooth size, coronal arch length, and basal arch length were greater than past standards. Coronal arch width and basal arch width were not significantly different. This study indicate that the wider teeth may be formed elongated coronal arch on elongated basal arch in modern Japanese adults with normal occlusion.
  • 白水 敬昌, 堀田 文雄, 河原 康, 宮地 斉, 長谷川 安都佐, 水島 睦枝
    2001 年 50 巻 5 号 p. 299-305
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    Eosinophilic granuloma of bone (EGB) has been a category of histiocytosis X, including Hand-Schiiller-Christian disease and Letterer-Siwe disease. The proliferative histiocytes in these diseases are Langerhans cells. Therefore, histiocytosis X has recently been called Langerhans cell histiocytosis (LCH).
    We report a case of unifocal LCH, which arose in the mandible (EGB) and invaded into the surrounding soft tissues.
    The patient was a 17-year-old male, who complained of swelling and pain on the right side of the mandible. The pathological diagnosis was LCH. After steroid and radiation therapy, these symptoms were reduced remarkably. Therefore, the remaining lesion was removed and curettaged. No sign of recurrence was found for 3 years after the treatment.
  • 小澤 一嘉, 又賀 泉, 片桐 正隆
    2001 年 50 巻 5 号 p. 306-309
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    Angiomyoma is a rare benign tumor in the oral cavity. In this report, a case of an angiomyoma of the hard palate is retrospectively and immunohistochemically described.
    The patient was a 40-year-old man, who visited our department because of a swelling at the hard palate. The primary clinical diagnosis was a palatal tumor, and this tumor was enucleated under local anesthesia. The histopathological diagnosis from surgical specimen was angiomyoma. He is doing well postoperatively.
  • 岡部 孝一, 宮田 勝, 高木 純一郎, 坂下 英明, 草間 薫, 車谷 宏
    2001 年 50 巻 5 号 p. 310-314
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    We report a case of a myoepithelioma arising in the palate of a boy, which we studied immunohistochemically.
    A 17-year-old boy had noticed a tumor in the right soft palate 2 years previously, but he did nothing about it, because he had no pain. The tumor was found by his dentist at odontotherapy, and he was referred to our department on November 13, 1998. A hemisphere swelling of an elastic, soft, and movable tumor, measuring 18×18mm, was found in the right soft palate. MRI and CT showed that the tumor to be clearly distinguished from other tissues, and there was no bone destruction.
    Suspecting a pleomorphic adenoma in the palate, we conducted a biopsy on January 26, 1999, and diagnosed it as a pleomorphic adenoma. However, since there was a suspicion of it being a myoepithelioma, the tumor was enucleated under general anesthesia on December 25, 1999.
    According to histopathological and immunohistochemical study (S-100 protein, total keratin, cytokeratin 10/13, and cystkeratin 18), we diagnosed it as a myoepithelioma. The patient, whom we are following as an outpatient, has had no recurrence and is doing well.
  • 中川 洋一, 下田 信治, 牧野 弘治, 見明 康雄, 坂本 春生, 石井 久子, 石橋 克禮
    2001 年 50 巻 5 号 p. 315-319
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    A case of a maxillary antrolith in a 71-year-old woman is reported. CT imaging showed that the high-density mass was located in the maxillary antrum, and the antrolith was extirpated with a sinusotomy. Analyses of the antrolith showed that it was composed of calcium phosphate crystals, such as dicalcium phosphate anhydrate, dicalcium phosphate dihydrate, calcium pyrophosphate, and tricalcium phosphate.
  • 古賀 真, 楠川 仁悟, 菊池 大輔, 岩本 修, 亀山 忠光
    2001 年 50 巻 5 号 p. 320-322
    発行日: 2001/09/10
    公開日: 2011/09/07
    ジャーナル フリー
    Here we report a case of a deep lingual abscess caused by a lost fish bone. The patient was a 62-yearold man, who was referred to our department because of an acute diffuse swelling of the tongue. Intraoral ultrasonographic and computed tomographic examinations demonstrated an intramuscular abscess existing around a fine, sticky foreign body in the deep tongue. Surgical incision and drainage for the abscess were undergone, and a lost fish bone came out with pus. Immediately after drainage, the patient's dysphagia and swallowing with the tongue improved.
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