巻号一覧
61 巻 (2012)
- 4 号 p. 319-
- 3 号 p. 243-
- 2 号 p. 223-
- 1 号 p. 1-
61 巻, 2 号
選択された号の論文の3件中1～3を表示しています
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原著
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佐藤 智子2012 年 61 巻 2 号 p. 223-232
発行日: 2012年
公開日: 2012/09/28
ジャーナル 認証ありObjective: Indefinite oral complaints occurring after surgical implant procedures have come to be seen as difficult problems in accordance with the spread of dental implant treatment. This study investigated the factors which influenced the prognosis of patients with oral psychosomatic disorders who had received implant treatment. Subjects and Methods: The subjects were 107 patients (14 males and 93 females, average age: 60.6 ± 10.7 years) with oral psychosomatic disorders who had visited our clinic. Clinical characteristics were observed retrospectively based on medical charts. According to the treatment outcome, patients were classified into improvement and non-improvement groups. Patients' clinical data were analyzed with logistic regression analysis. Results: The results showed that the following factors were significantly related to prognosis; “burning mouth syndrome”, “implant”, “unknown” as causative problems, and “request for implant removal”. Patients with burning mouth syndrome showed a more favorable prognosis compared with those with atypical odontalgia, phantom bite syndrome, or oral dysaesthesia. As a causative problem, “implant” showed poorer results compared with other factors. With regard to the removal of implants, “request for implant removal” demonstrated the best prognosis, and cases with “execute removal” showed the poorest prognosis. Conclusion: These patients tended to persist in their beliefs of an organic cause, and earnestly desired the removal of implants. It is suggested that introducing psychosomatic approaches without surgical removal may facilitate more favorable results.抄録全体を表示PDF形式でダウンロード (754K)
症例
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吉村 友秀, 大野 清二, 北村 直也, 笹部 衣里, 山田 朋弘, 山本 哲也2012 年 61 巻 2 号 p. 233-236
発行日: 2012年
公開日: 2012/09/28
ジャーナル 認証ありWe report a case of an intravascular papillary endothelial hyperplasia (IPEH) in the alveolar mucosa, which is considered a rare benign non-neoplastic lesion. A 56-year-old woman was referred to our outpatient clinic with swelling of the alveolar mucosa of the mandible. She had received an apicoectomy on the mandibular right lateral incisor one and half years ago. Physical examination revealed a movable dark purple nodule that was identified in the alveolar mucosa of the mandibular right lateral incisor region. The lesion was excised under local anesthesia and diagnosed as an IPEH based on histopathological examination. The postoperative course of the lesion was uneventful without recurrence for approximately 6 months抄録全体を表示PDF形式でダウンロード (641K) -
和田 範子, 真野 隆充, 福田 てる代, 原田 耕志, 内田 堅一郎, 上山 吉哉2012 年 61 巻 2 号 p. 237-242
発行日: 2012年
公開日: 2012/09/28
ジャーナル 認証ありWe report a case with marked serum electrolytic disorders, a syndrome of inappropriate antidiuretic hormone secretion (SIADH) and central pontine myelinolysis (CPM) following systemic chemotherapy using cisplatin (CDDP).
The patient was a 66-year-old man with squamous cell carcinoma of the tongue and floor of the mouth at the clinical stage rT4N0M0. He was receiving combination chemotherapy with CDDP, docetaxel and 5-FU. Marked hyponatremia appeared within 2 days of the chemotherapy. Furthermore, increases in the antidiuretic hormone level, plasma osmolality, urinary osmolality and urine Na concentration were identified. Finally, SIADH was diagnosed. Water intake was limited and supplementary Na was provided, improving hyponatremia. CPM appeared following correction of the serum Na concentration, but resolved spontaneously over time.
We consider that serum sodium should be measured frequently after chemotherapy including CDDP and that an early response is important when hyponatremia occurs.抄録全体を表示PDF形式でダウンロード (539K)
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