{"created":"2022-04-14T06:07:33.861739+00:00","id":2000345,"links":{},"metadata":{"_buckets":{"deposit":"4fdd1735-e2b5-4095-9500-3712e62442fd"},"_deposit":{"id":"2000345","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2000345"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:02000345","sets":[]},"author_link":[],"item_6_date_granted_51":{"attribute_name":"\u5b66\u4f4d\u6388\u4e0e\u5e74\u6708\u65e5","attribute_value_mlt":[{"subitem_dategranted":"2021-03-23"}]},"item_6_degree_grantor_49":{"attribute_name":"\u5b66\u4f4d\u6388\u4e0e\u6a5f\u95a2","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"\u65b0\u6f5f\u5927\u5b66"},{"subitem_degreegrantor_language":"en","subitem_degreegrantor_name":"Niigata University"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"13101","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_6_degree_name_48":{"attribute_name":"\u5b66\u4f4d\u540d","attribute_value_mlt":[{"subitem_degreename":"\u535a\u58eb\uff08\u533b\u5b66\uff09","subitem_degreename_language":"ja"}]},"item_6_description_4":{"attribute_name":"\u6284\u9332","attribute_value_mlt":[{"subitem_description":"2008\u5e746\u6708\uff5e2019\u5e745\u6708\u306b\u65bd\u884c\u3057\u305fProvox^<\u3010\u25cb!R\u3011>\u7559\u7f6e\u885353\u4f8b\u3092\u5f8c\u308d\u5411\u304d\u306b\u691c\u8a0e\u3057\u305f\uff0e\u97f3\u58f0\u518d\u7372\u5f97\u7387\uff0c\u5165\u9662\u52a0\u7642\u3092\u8981\u3057\u305f\u5408\u4f75\u75c7\u306e\u767a\u751f\u7387\uff0c\u97f3\u58f0\u518d\u7372\u5f97\u304a\u3088\u3073\u5408\u4f75\u75c7\u767a\u751f\u306b\u95a2\u9023\u3059\u308b\u56e0\u5b50\u3092\u7d71\u8a08\u5b66\u7684\u306b\u89e3\u6790\u3057\u305f\uff0e\u5e74\u9f62\u4e2d\u592e\u5024\u306f68\u6b73\uff0c\u6027\u5225\u306f\u7537\u602750\u4f8b(94.3%)\uff0c\u5973\u60273\u4f8b(5.7%)\u3067\u3042\u3063\u305f\uff0e\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u300c\u65e2\u5f80\u3042\u308a\u300d27\u4f8b(50.9%)\uff0c\u300c\u65e2\u5f80\u306a\u3057\u300d26\u4f8b(49.1%)\uff0c\u7559\u7f6e\u65b9\u6cd5\u306f\u4e00\u671f\u7684\u7559\u7f6e11\u4f8b(20.8%)\uff0c\u4e8c\u671f\u7684\u7559\u7f6e42\u4f8b(79.2%)\u3067\u3042\u3063\u305f\uff0eST\u4ecb\u5165\u300c\u3042\u308a\u300d33\u4f8b(62.3%)\uff0c\u300c\u306a\u3057\u300d20\u4f8b(37.7%)\u3067\u3042\u3063\u305f\uff0ePerformance Status Scale for Head and Neck Cancer(PSS-HN)\u306b\u57fa\u3065\u304fPSS-HN=75\u4ee5\u4e0a\u306e\u97f3\u58f0\u7372\u5f97\u7387\u306f47\u4f8b(88.7%)\u3067\u3042\u3063\u305f\uff0eST\u4ecb\u5165\u3042\u308a\u7fa4(96.7%)\u306f\uff0c\u306a\u3057\u7fa4(76.2%)\u306b\u6bd4\u3057\u3066\u97f3\u58f0\u7372\u5f97\u7387\u306f\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f(p=0.0307)\uff0e\u5165\u9662\u3092\u8981\u3059\u308b\u5408\u4f75\u75c7\u306f13\u4f8b(24.5%)\u306b\u751f\u3058\u305f\uff0e\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u6709\u7121\u3084\u7559\u7f6e\u8853\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u3088\u308b\u5408\u4f75\u75c7\u767a\u751f\u7387\u306b\u5dee\u306f\u306a\u304b\u3063\u305f\uff0eProvox^<\u3010\u25cb!R\u3011>\u306b\u3088\u308b\u97f3\u58f0\u518d\u7372\u5f97\u7387\u306f\uff0c\u7279\u306bST\u4ecb\u5165\u75c7\u4f8b\u3067\u6709\u610f\u306b\u5411\u4e0a\u3057\u3066\u3044\u305f\uff0e\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u52b9\u679c\u306b\u52a0\u3048\u3066\uff0c\u60a3\u8005\u5074\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u610f\u6b32\u304c\u5411\u4e0a\u3057\u305f\u3053\u3068\u3082\u8981\u56e0\u3067\u3042\u308b\uff0e\u4eca\u5f8c\u306fProvox^<\u3010\u25cb!R\u3011>\u7ba1\u7406\u304c\u53ef\u80fd\u306a\u65bd\u8a2d\u306e\u5897\u52a0\uff0c\u4ed6\u65bd\u8a2d\u30fb\u4ed6\u8a3a\u7642\u79d1\u533b\u5e2b\u3078\u306e\u5553\u767a\u304c\u8ab2\u984c\u3068\u8003\u3048\u3089\u308c\u305f\uff0e","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"The voice prosthesis, provox^<\u3010\u25cb!R\u3011>, is widely used for voice restoration after total laryngectomy. We conducted a retrospective review of the medical records of 53 head and neck cancer patients who received provox^<\u3010\u25cb!R\u3011> placement between June 2008 and May 2019. The voice restoration rate and incidence of complications were analyzed. Factors associated with successful voice restoration and development of complications were also examined. The median age of the patients was 68 years ; 50(94.3%) were male and 3(5.7%) were female ; 27 patients (50.9%) received prior radiotherapy ; 11 patients underwent primary provox^<\u3010\u25cb!R\u3011> placement, at the same time as the laryngectomy, while 42 patients (79.2%) received secondary placement, at a later time after laryngectomy. Overall, 33 patients received intervention by a speech-language therapist(ST) (62.3%). According to the Performance Status Scale for Head and Neck Cancer(PSS-HN), successful voice restoration was achieved in 47 patients (88.7%). The voice restoration rate was significantly higher in the patient group that received intervention by a ST (96.7%) as compared to that in the patient group that did not receive ST intervention (76.2%)(p=0.0307). Thirteen patients (24.5%) needed re-hospitalization for complications related to provox^<\u3010\u25cb!R\u3011>. Neither irradiation nor the timing of provox^<\u3010\u25cb!R\u3011> placement (primary or secondary) affected the complication rate. The rate of voice restoration with provox^<\u3010\u25cb!R\u3011> placement after laryngectomy was favorable, and ST intervention significantly improved the rate of voice restoration. Complications requiring hospitalization (24.5%) were comparable to previous reports. Increasing the number of facilities that can manage the complications and educating other medical institutions, physicians, and professionals about provox^<\u3010\u25cb!R\u3011> are some important issues that need to be addressed in the future.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_6_description_5":{"attribute_name":"\u5185\u5bb9\u8a18\u8ff0","attribute_value_mlt":[{"subitem_description":"\u65e5\u672c\u8033\u9f3b\u54bd\u5589\u79d1\u5b66\u4f1a\u4f1a\u5831. 2021, 124(2), 128-134.","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_6_description_53":{"attribute_name":"\u5b66\u4f4d\u8a18\u756a\u53f7","attribute_value_mlt":[{"subitem_description":"\u65b0\u5927\u535a(\u533b)\u7b2c1819\u53f7","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_6_dissertation_number_52":{"attribute_name":"\u5b66\u4f4d\u6388\u4e0e\u756a\u53f7","attribute_value_mlt":[{"subitem_dissertationnumber":"\u4e59\u7b2c2253\u53f7"}]},"item_6_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.3950/jibiinkoka.124.128","subitem_relation_type_select":"DOI"}}]},"item_6_rights_15":{"attribute_name":"\u6a29\u5229","attribute_value_mlt":[{"subitem_rights":"\u3010\u25cb!C\u3011\u65e5\u672c\u8033\u9f3b\u54bd\u5589\u79d1\u5b66\u4f1a","subitem_rights_language":"ja"}]},"item_access_right":{"attribute_name":"\u30a2\u30af\u30bb\u30b9\u6a29","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"\u8457\u8005","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"\u4f50\u85e4, \u96c4\u4e00\u90ce","creatorNameLang":"ja"},{"creatorName":"Sato, Yuichiro","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"\u30d5\u30a1\u30a4\u30eb\u60c5\u5831","attribute_type":"file","attribute_value_mlt":[{"date":[{"dateType":"Available","dateValue":"2022-04-14"}],"displaytype":"detail","filename":"r2nmo1819.pdf","filesize":[{"value":"299KB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"\u672c\u6587","objectType":"fulltext","url":"https://niigata-u.repo.nii.ac.jp/record/2000345/files/r2nmo1819.pdf"},"version_id":"db762be5-d4e6-4e06-8126-0ef62ea80680"},{"date":[{"dateType":"Available","dateValue":"2022-04-14"}],"displaytype":"detail","filename":"r2nmo1819_a.pdf","filesize":[{"value":"259KB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"\u8981\u65e8","objectType":"abstract","url":"https://niigata-u.repo.nii.ac.jp/record/2000345/files/r2nmo1819_a.pdf"},"version_id":"bf744f7b-51d1-4e5c-86ae-734781220069"}]},"item_keyword":{"attribute_name":"\u30ad\u30fc\u30ef\u30fc\u30c9","attribute_value_mlt":[{"subitem_subject":"Provox^<\u3010\u25cb!R\u3011>","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"\u97f3\u58f0\u518d\u7372\u5f97","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"\u8a00\u8a9e\u8074\u899a\u58eb\u4ecb\u5165","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"voice restoration","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intervention by speech-language therapist","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"\u8a00\u8a9e","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"\u8cc7\u6e90\u30bf\u30a4\u30d7","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"\u5589\u982d\u6458\u51fa\u5f8c\u306eProvox^<\u3010\u25cb!R\u3011>\u306b\u3088\u308b\u97f3\u58f0\u518d\u7372\u5f97\u3068\u8a00\u8a9e\u8074\u899a\u58eb\u4ecb\u5165\u306e\u91cd\u8981\u6027","item_titles":{"attribute_name":"\u30bf\u30a4\u30c8\u30eb","attribute_value_mlt":[{"subitem_title":"\u5589\u982d\u6458\u51fa\u5f8c\u306eProvox^<\u3010\u25cb!R\u3011>\u306b\u3088\u308b\u97f3\u58f0\u518d\u7372\u5f97\u3068\u8a00\u8a9e\u8074\u899a\u58eb\u4ecb\u5165\u306e\u91cd\u8981\u6027","subitem_title_language":"ja"},{"subitem_title":"The Outcome of Voice Restoration with Provox^<\u3010\u25cb!R\u3011> after Total Laryngectomy","subitem_title_language":"en"}]},"item_type_id":"6","owner":"1","path":["453/455","471/561/562"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-04-14"},"publish_date":"2022-04-14","publish_status":"0","recid":"2000345","relation_version_is_last":true,"title":["\u5589\u982d\u6458\u51fa\u5f8c\u306eProvox^<\u3010\u25cb!R\u3011>\u306b\u3088\u308b\u97f3\u58f0\u518d\u7372\u5f97\u3068\u8a00\u8a9e\u8074\u899a\u58eb\u4ecb\u5165\u306e\u91cd\u8981\u6027"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2022-04-14T06:07:36.690175+00:00"}