WEKO3
アイテム
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睡眠呼吸障害の原因であった舌口底部動静脈奇形の1例
http://hdl.handle.net/10191/47767
http://hdl.handle.net/10191/47767f678a630-4c44-41e7-b4c2-a7e14aee665e
名前 / ファイル | ライセンス | アクション |
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NS_41(2)_85-90.pdf (337.5 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2017-07-26 | |||||
タイトル | ||||||
タイトル | 睡眠呼吸障害の原因であった舌口底部動静脈奇形の1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 睡眠呼吸障害の原因であった舌口底部動静脈奇形の1例 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 動静脈奇形 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | いびき | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 睡眠呼吸障害 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 口底 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | arteriovenous malformation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | snoring | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | sleep-disodered breathing | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | oral cavity | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | Arteriovenous malformation of the floor of the mouth and tongue caused sleepdisordered breathing : A case report | |||||
著者 |
高田, 佳之
× 高田, 佳之× 小林, 正治× 泉, 直也× 船山, 昭典× 長谷部, 大地× 齊藤, 力 |
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著者別名 | ||||||
識別子 | 149796 | |||||
識別子Scheme | WEKO | |||||
姓名 | Takata, Yoshiyuki | |||||
著者別名 | ||||||
識別子 | 149797 | |||||
識別子Scheme | WEKO | |||||
姓名 | Kobayashi, Tadaharu | |||||
著者別名 | ||||||
識別子 | 149798 | |||||
識別子Scheme | WEKO | |||||
姓名 | Izumi, Naoya | |||||
著者別名 | ||||||
識別子 | 149799 | |||||
識別子Scheme | WEKO | |||||
姓名 | Funayama, Akinori | |||||
著者別名 | ||||||
識別子 | 149800 | |||||
識別子Scheme | WEKO | |||||
姓名 | Hasebe, Daichi | |||||
著者別名 | ||||||
識別子 | 149801 | |||||
識別子Scheme | WEKO | |||||
姓名 | Saito, Chikara | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 動静脈奇形は毛細血管床をバイパスして,細動脈から細静脈へ血液が短絡する血管の奇形で,fast-flow 病変である。動静脈奇形の頭頸部領域での好発部位は頬部と耳部であり,舌口底部の病変は比較的まれで,わずかな報告しかない。今回われわれは,無症状で,いびきを主訴に来院し,舌口底部動静脈奇形と診断が確定した1例を経験したのでその概要を報告する。患者は15 歳,女性で5歳時より過度のいびきがあるため近医耳鼻咽喉科を受診,紹介により新潟大学医歯学総合病院いびき外来を初診した。口腔内外に特に異常所見は認めなかったが,口底部の病変が疑われたため超音波検査を施行したところ,病変の存在が判明し,MRI 検査と血管造影所見より動静脈奇形との診断を得た。いびき以外は無症状であり,塞栓療法は根治性が乏しく,外科療法は侵襲が大きいことから経過観察を行うこととした。定期的にMRI 検査による評価を行っているが,病変の大きさに著変なく6年経過している。簡易ポリソムノグラフ検査からも睡眠呼吸障害の重症化は認めなかった。今後も病変の増大に伴う悪化も考えられるため,注意深い経過観察が必要と考えている。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Arteriovenous malformations (AVMs) are structural vascular abnormalities and fast-flow lesions with persistent connections between artery and vein, bypassing the capillary bed. Most AVMs in the oral and maxillofacial region are occurred in the cheek or the ear, and the developments of the floor of the mouth and/or tongue are extremely rare. We report a case of AVM in the oral floor and tongue with severe snoring. A 15-year-old girl was referred to our hospital by an otolaryngologist for the treatment of snoring. No abnormalities were found by physical examination, but revealed vascular malformation of the oral floor and tongue by ultrasonography and was diagnosed as AVM by MRI and angiographic images. The patient was followed carefully without teatment since she had no symptoms except for a snoring. Therefore, we considered cure by embolization alone to be difficult and complete resection to be too invasive. For the past 6 years, MRI performed annually has shown no apparent enlargement of the lesion and polysomnography tests have shown no obvious changes in sleep-disodered breathing. The patient should be followed up for a long periods carefully. | |||||
書誌情報 |
新潟歯学会雑誌 en : 新潟歯学会雑誌 巻 41, 号 2, p. 85-90, 発行日 2011-12 |
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出版者 | ||||||
出版者 | 新潟歯学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 03850153 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN0018300X | |||||
著者版フラグ | ||||||
値 | publisher |