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  1. 260 大学院医歯学総合研究科(歯)
  2. 20 紀要
  3. 01 新潟歯学会雑誌
  4. 第33巻第1号
  1. 0 資料タイプ別
  2. 03 紀要論文

舌癌、口底癌一次再建例の治療成績と術後機能

http://hdl.handle.net/10191/23283
http://hdl.handle.net/10191/23283
e4fc4a99-a9b7-4810-82c9-87c0fcbf0dd9
名前 / ファイル ライセンス アクション
NS_33(1)_15-21.pdf NS_33(1)_15-21.pdf (977.1 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2013-08-27
タイトル
タイトル 舌癌、口底癌一次再建例の治療成績と術後機能
タイトル
言語 en
タイトル 舌癌、口底癌一次再建例の治療成績と術後機能
言語
言語 jpn
キーワード
主題Scheme Other
主題 primary reconstruction
キーワード
主題Scheme Other
主題 carcinoma of tongue
キーワード
主題Scheme Other
主題 carcinoma of oral floor
キーワード
主題Scheme Other
主題 clinical result
キーワード
主題Scheme Other
主題 postoperative oral function
キーワード
主題Scheme Other
主題 一次再建
キーワード
主題Scheme Other
主題 舌癌
キーワード
主題Scheme Other
主題 口底癌
キーワード
主題Scheme Other
主題 治療成績
キーワード
主題Scheme Other
主題 術後機能
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 Clinical evaluation of primary reconstruction in carcinoma of tongue and oral floor
著者 福西, 雅史

× 福西, 雅史

WEKO 151363

福西, 雅史

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星名, 秀行

× 星名, 秀行

WEKO 151364

星名, 秀行

Search repository
永田, 昌毅

× 永田, 昌毅

WEKO 151365

永田, 昌毅

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長島, 克弘

× 長島, 克弘

WEKO 151366

長島, 克弘

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藤田, 一

× 藤田, 一

WEKO 151367

藤田, 一

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宮浦, 靖司

× 宮浦, 靖司

WEKO 151368

宮浦, 靖司

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宮本, 猛

× 宮本, 猛

WEKO 151369

宮本, 猛

Search repository
相馬, 陽

× 相馬, 陽

WEKO 151370

相馬, 陽

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関, 雪絵

× 関, 雪絵

WEKO 151371

関, 雪絵

Search repository
高木, 律男

× 高木, 律男

WEKO 151372

高木, 律男

Search repository
著者別名
識別子 151373
識別子Scheme WEKO
姓名 Fukunishi, Masashi
著者別名
識別子 151374
識別子Scheme WEKO
姓名 Hoshina, Hideyuki
著者別名
識別子 151375
識別子Scheme WEKO
姓名 Nagata, Masaki
著者別名
識別子 151376
識別子Scheme WEKO
姓名 Nagashima, Katsuhiro
著者別名
識別子 151377
識別子Scheme WEKO
姓名 Fujita, Hajime
著者別名
識別子 151378
識別子Scheme WEKO
姓名 Miyaura, Yasushi
著者別名
識別子 151379
識別子Scheme WEKO
姓名 Miyamoto, Takeshi
著者別名
識別子 151380
識別子Scheme WEKO
姓名 Sohma, Yoh
著者別名
識別子 151381
識別子Scheme WEKO
姓名 Seki, Yukie
著者別名
識別子 151382
識別子Scheme WEKO
姓名 Takagi, Ritsuo
抄録
内容記述タイプ Abstract
内容記述 To estimate the survival rate and postoperative functions, we have evaluated the 30 cases (male: 27, female: 3, average: 56.6 years of age, ranged from 24 to 77 years f age) with oral cancer reconstructed with a pedicled or a free flap for 26 years from 1976 to 2001. The sites of involvement were the tongue in 13 cases and the oral floor in 17 cases. The postoperative articulation, mastication and swallowing were studied as oral functions. As results of investigation, 5-year cumulative survival rates were 69.2% in the tongue group and 81.4% in the oral floor group. Flaps survived completely in 26 (86.7%) cases, partial necrosis occurred in 4 (13.3%) cases, and no total necrosis took place. The postoperative oral functions were still remained in almost all cases which were applied the partial or hemiglossectomy or the resection of the lateral portion of the oral floor. However, the cases in resection of anterior portion of the oral floor had a little dysfunction, and many cases of the subtotal glossectomy revealed relative sever dysfunctions. As to occlusal function, it depends on the prothetic conditions to some degree. These results suggest that it is very important for high quality of life to select the appropriate resection and reconstruction, and furthermore, postoperative rehabilitation for swallowing and speech and prosthetic treatment for mastication are very important for not only morphologic reconstruction but also the postoperative oral functions.
抄録
内容記述タイプ Abstract
内容記述 1976年から2001年までの26年間に、有茎および遊離皮弁による一次再建手術を施行した舌痛13例、口底癌17例、計30例 (男性27例、女性3例。 24~77歳、平均56.6歳)について、治療成績および術後機能を評価した。術後機能は会話明瞭度、咀嚼機能、 嚥下機能の3項目について評価した。その結果、 5年累積生存率は舌痛69.2%、口底癌81.4%であった。また、皮弁の生者は、完全生者が26例(86.7%)、部分壊死が4例(13.3%)で、全部壊死はなかった。一方、術後機能については、舌部分切除例、口底側方切除例、舌口底半側切除例ともに、比較的良好に温存されていた。しかし、口底前方切除例では機能の低下がみられ、舌亜全摘例においては、重度の機能障害が残遺していた。さらに、咀嚼機能では歯の欠損もともなうため、補綴処置が不可能な場合には十分な機能回復が得られていなかった。以上より、適切な切除範囲の設定、再建方法の選択などがQOLの維持のために重要であり、さらに術後には嚥下および言語訓練などのリハビリテーションの実施、さらに咀嚼機能のための補綴的処置が形態の再建のみでなく口腔機能の回復において非常に重要であると思われた。
書誌情報 新潟歯学会雑誌
en : 新潟歯学会雑誌

巻 33, 号 1, p. 15-21, 発行日 2003-07
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
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