{"created":"2021-03-01T06:31:24.972982+00:00","id":25893,"links":{},"metadata":{"_buckets":{"deposit":"5e319b30-3a84-447b-a91e-15badaafad5d"},"_deposit":{"id":"25893","owners":[],"pid":{"revision_id":0,"type":"depid","value":"25893"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00025893","sets":["432:1291:1292:1323","453:456"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Obstructive Sleep Apnea Syndrome occurring after Bilateral Low Operations Performed for the Treatment of TMJ Ankylosis, report of a case"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1997-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"58","bibliographicPageStart":"55","bibliographicVolumeNumber":"27","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":"A case of obstructive sleep apnea syndrome (OSAS) occurred after bilateral low operations of the ascending rami performed for the treatment of TMJ ankylosis is reported. The patient was a 52-year-Old woman with bilateral ankylosis of the TM joints which developed after surgery of a mandibular tumor. The OSAS resulting from the narrowed pharyngeal space occurred immediately after surgery because of a down and backward movement of the mandible associated with a backward change in the position of the tongue base. Apnea index (arrest of respiration over 10 seconds/hr) was 26.8. The longest apnea was 82 seconds and it was accompanied by the occurrence of ventricular extrasystoles. The symptoms of OSAS gradually disappeared with the patient's adaptation to the new oral and pharyngeal environments by up and forward change of the tongue position and subsequent widening of the pharyngeal airway. The adaptation was facilitated with the aid of dentures used to increase the vertical dimension of the mandible to enable the up and foreward movement of the tongue.","subitem_description_type":"Abstract"},{"subitem_description":"顎関節強直症の治療として行った両側の下顎枝に対する低位顎関節授動術後に生じた閉塞型睡眠時無呼吸症候群(OSA)の一例を報告する。患者は52歳の女性で、下顎腫瘍の手術後に生じた両側性の顎関節強直症を煩っていた。閉塞型睡眠時無呼吸症候群は手術直後より下顎が後下方に移動して舌根の位置が後方に変化したために生じた｡無呼吸指数(一時間当たりの十秒以上の呼吸停止数)は26.8であった。最長の無呼吸は82秒で、それに伴って心室性期外収縮が出現した｡OSAの症状は患者が新しい口腔と咽頭の環境に適応するように舌を前上方に移動させて咽頭部気道を拡大させたことにより徐々に消失した。この適応は音を前上方へ移動し易くするため咬合高径を増加した義歯を使って促進された｡","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"152811","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kohno, Masaki"}]},{"nameIdentifiers":[{"nameIdentifier":"152812","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takata, Yoshiyuki"}]},{"nameIdentifiers":[{"nameIdentifier":"152813","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Suzuki, Ichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"152814","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shingaki, Susumu"}]},{"nameIdentifiers":[{"nameIdentifier":"152815","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nakajima, Tamio"}]}]},"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":"河野, 正己"}],"nameIdentifiers":[{"nameIdentifier":"152806","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高田, 佳之"}],"nameIdentifiers":[{"nameIdentifier":"152807","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, 一郎"}],"nameIdentifiers":[{"nameIdentifier":"152808","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"新垣, 晋"}],"nameIdentifiers":[{"nameIdentifier":"152809","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中島, 民雄"}],"nameIdentifiers":[{"nameIdentifier":"152810","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_27(2)_55-58.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"NS_27(2)_55-58.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/25893/files/NS_27(2)_55-58.pdf"},"version_id":"80849ba6-28f2-4dc3-81c2-eb6761c96701"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"閉塞型睡眠時無呼吸症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"obstructive sleep apnea syndrome","subitem_subject_scheme":"Other"},{"subitem_subject":"低位顎関節授動術","subitem_subject_scheme":"Other"},{"subitem_subject":"low operation for TMJ ankylosis","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":"低位顎関節授動術後に生じた睡眠時無呼吸症候群の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"低位顎関節授動術後に生じた睡眠時無呼吸症候群の1例"},{"subitem_title":"低位顎関節授動術後に生じた睡眠時無呼吸症候群の1例","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1323"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-08-22"},"publish_date":"2013-08-22","publish_status":"0","recid":"25893","relation_version_is_last":true,"title":["低位顎関節授動術後に生じた睡眠時無呼吸症候群の1例"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:55:54.099360+00:00"}