{"created":"2021-03-01T06:31:20.011475+00:00","id":25818,"links":{},"metadata":{"_buckets":{"deposit":"043be513-26f0-4640-8b62-224f6d36867d"},"_deposit":{"id":"25818","owners":[],"pid":{"revision_id":0,"type":"depid","value":"25818"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00025818","sets":["432:1291:1292:1319","453:456"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The criteria for the orthognathic surgery in our department with clinical evaluation on postoperative complications"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"35","bibliographicPageStart":"29","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"新潟歯学会雑誌"},{"bibliographic_title":"新潟歯学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Recently, orthognathic surgery has been applied to many kinds of jaw deformities, including those of the mid-and lower-face. Therefore, it is very important to select the most effective method for patients with such complicated jaw deformities in consideration of postoperative complications. We reported our criteria of surgical strategies for the past several years in our department. The criteria are as follows: 1. Le Fort l osteotomy for the maxilla combined with mandibular correction is usually applied in patient with mid-facial asymmetry, severe open bite, and/or severe intra-maxillary discrepancy. 2. Sgittal splitting ramus osteotomy is actually the most effective method for mandibular osteotomy; however, intraoral vertical ramus osteotomy (IVRO) is also suitable in patients with mandibular asymmetry. 3. Furthermore, IVRO is very useful for prevention of damage to the either the temporomandibular joint or mandibular canal. The postoperative sensory disturbance is predictable if the relationship between the mandibular canal and outer cortical bone of the mandibular ramus is detected on axial CT. As a result of these criteria, the incidences of either sensory disturbance in the lower lip and mental region or functional disturbance of the temporomandibular joint after orthognathic surgery have obviously been reduced compared to the those in earlier years.","subitem_description_type":"Abstract"},{"subitem_description":"当科における顎矯正手術の術式の選択基準を示し、安全面での術後評価として術後合併症の発現について検討した｡術式の選択については、従来の下顔面の変形に対する下顎枝矢状分割術(SSRO)にくわえ、咬合平面傾斜や上顎正中の偏位など上顎の非対称を有する症例、中顔面の陥凹を伴う症例や、開咬症や著しい下顎の後方移動量などにより後戻りが予想される症例に対し、Le Fort I型骨切り術を併用している｡また、SSROを用いた場合、術後の下唇知覚麻痺や顎関節症状の発現が予想される症例に対しては、下顎枝垂直骨切り術(IVRO)を選択している｡この選択基準における安全面での術後評価を目的に、SSROを施行した1996年の症例と1992年の症例について、術後の下唇知覚麻痺残存率と術中の下歯槽神経露出率について検討した｡また、1996年に両側にSSROを施行した症例とSSRO十IVROを施行した症例の顎関節症状について検討した｡その結果、1996年の下唇知覚麻痺残存率は術後6か月で19.1%、1年で10.6%、下歯槽神経露出率は12.8%と、1992年に比し著しく減少していた｡また、顎関節症状については、SSRO+IVRO施行症例のIVRO側では、新たな顎関節症状の発現は1例のみで、術前の顎関節症状も83.3%の症例で消失しており、前述の選択基準により、以前よりも術後合併症は明らかに減少していることが確認された｡","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"152329","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kawata, Takumi"}]},{"nameIdentifiers":[{"nameIdentifier":"152330","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takagi, Ritsuo"}]},{"nameIdentifiers":[{"nameIdentifier":"152331","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kaji, Masataka"}]},{"nameIdentifiers":[{"nameIdentifier":"152332","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hattori, Yukio"}]},{"nameIdentifiers":[{"nameIdentifier":"152333","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fukuda, Jun-ichi"}]},{"nameIdentifiers":[{"nameIdentifier":"152334","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hanada, Kooji"}]},{"nameIdentifiers":[{"nameIdentifier":"152335","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Mutoh, Yuuichi"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟歯学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN0018300X","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03850153","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"河田, 匠"}],"nameIdentifiers":[{"nameIdentifier":"152322","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高木, 律男"}],"nameIdentifiers":[{"nameIdentifier":"152323","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鍛冶, 昌孝"}],"nameIdentifiers":[{"nameIdentifier":"152324","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"服部, 幸男"}],"nameIdentifiers":[{"nameIdentifier":"152325","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"福田, 純一"}],"nameIdentifiers":[{"nameIdentifier":"152326","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"花田, 晃治"}],"nameIdentifiers":[{"nameIdentifier":"152327","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"武藤, 祐一"}],"nameIdentifiers":[{"nameIdentifier":"152328","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-19"}],"displaytype":"detail","filename":"NS_29(2)_29-35.pdf","filesize":[{"value":"858.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"NS_29(2)_29-35.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/25818/files/NS_29(2)_29-35.pdf"},"version_id":"27201d57-66f5-44a7-b884-ee191f60d436"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"orthognathic surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"顎矯正手術","subitem_subject_scheme":"Other"},{"subitem_subject":"postoperative complication","subitem_subject_scheme":"Other"},{"subitem_subject":"術後合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"Le Fort I osteotomy","subitem_subject_scheme":"Other"},{"subitem_subject":"Le Fort I 型骨切り術","subitem_subject_scheme":"Other"},{"subitem_subject":"sagittal splitting ramus osteotomy","subitem_subject_scheme":"Other"},{"subitem_subject":"下顎枝矢状分割術","subitem_subject_scheme":"Other"},{"subitem_subject":"intraoral vertical ramus ostetomy","subitem_subject_scheme":"Other"},{"subitem_subject":"下顎枝垂直骨切り術","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当科における顎矯正手術の選択基準とその評価 : 特に術後合併症の予防について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当科における顎矯正手術の選択基準とその評価 : 特に術後合併症の予防について"},{"subitem_title":"当科における顎矯正手術の選択基準とその評価 : 特に術後合併症の予防について","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1319"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-08-26"},"publish_date":"2013-08-26","publish_status":"0","recid":"25818","relation_version_is_last":true,"title":["当科における顎矯正手術の選択基準とその評価 : 特に術後合併症の予防について"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:55:52.115677+00:00"}