{"created":"2021-03-01T06:31:26.759886+00:00","id":25920,"links":{},"metadata":{"_buckets":{"deposit":"a0098cbb-1f70-4333-8bc5-770efa7e5245"},"_deposit":{"id":"25920","owners":[],"pid":{"revision_id":0,"type":"depid","value":"25920"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00025920","sets":["432:1291:1292:1325","453:456"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Oral cancers reconstructed Primarily with the free forearm flap: Analysis of 22 cases"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1996-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"44","bibliographicPageStart":"41","bibliographicVolumeNumber":"26","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, microvascular free flap transfer has been frequently used in oral surgery to preserve oral function and to increase the Q.O.L. of patients. Clinical study was performed on 22 patients (male: 14, female: 8) with oral cancer reconstructed primarily with the free radial forearm flap during the 7 years from 1987 to 1993. The average age of the patients was 57.6 years. The sites of involvement were the tongue in 12 patients, floor of the mouth in 5 patients and gingiva of the mandible in 5 patients. The cancers ere in an advanced stage in most patients. The average time of operation was 10 hours and 48 minutes. The suprathyroid artery was anastomosed to the radial artery in over a half of the patients. The flaps survived completely in 19 patients (86%). Postoperative peech and swallowing functions were fine or fair in all patients, but masticatory function was poor in 4 patients (18%). The 5-year urvival was 79.4%.","subitem_description_type":"Abstract"},{"subitem_description":"近年、口腔外科領域において微小血管吻合を応用する遊離組織移植が盛んに行われるようになり、術後の口腔機能を積極的に保存してQ.O.L.の向上を図るようになってきた。1987年から1993年までの7年間に当科で行った遊離前腕皮弁による口腔癌一次再建術22例（男性14例、女性8例）について臨床的検討を行い、以下のような結果を得た。平均年齢は57.6歳で、舌12例、口底・下顎歯肉各5例であった。高度進展例が多数を占め、平均手術時間は10時間48分であった。橈骨動脈との吻合には、上甲状腺動脈が過半数の症例で使用されていた。22例中19例（86％）で皮弁の生着が得られた。術後の構音機能および嚥下機能は全例良好またはほぼ良好であったが、4例（18％）に咀嚼機能不良が認められた。5年生存率は79.4％であった。","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"153005","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ige, Shin-ichi"}]},{"nameIdentifiers":[{"nameIdentifier":"153006","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ohnishi, Makoto"}]},{"nameIdentifiers":[{"nameIdentifier":"153007","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Horino, Kazuhito"}]},{"nameIdentifiers":[{"nameIdentifier":"153008","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kasai, Ikuo"}]},{"nameIdentifiers":[{"nameIdentifier":"153009","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ohyama, Tokio"}]}]},"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":"位下, 真一"}],"nameIdentifiers":[{"nameIdentifier":"153000","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大西, 真"}],"nameIdentifiers":[{"nameIdentifier":"153001","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"堀野, 一人"}],"nameIdentifiers":[{"nameIdentifier":"153002","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"笠井, 郁雄"}],"nameIdentifiers":[{"nameIdentifier":"153003","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大山, 登喜男"}],"nameIdentifiers":[{"nameIdentifier":"153004","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_26(2)_41-44.pdf","filesize":[{"value":"474.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"NS_26(2)_41-44.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/25920/files/NS_26(2)_41-44.pdf"},"version_id":"de754cea-f05f-471c-91f4-5d0029a974b3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"free forearm flap","subitem_subject_scheme":"Other"},{"subitem_subject":"遊離前腕皮弁","subitem_subject_scheme":"Other"},{"subitem_subject":"primary reconstruction","subitem_subject_scheme":"Other"},{"subitem_subject":"一次再建","subitem_subject_scheme":"Other"},{"subitem_subject":"postoperative function","subitem_subject_scheme":"Other"},{"subitem_subject":"術後機能","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":"遊離前腕皮弁による口腔癌一次再建術22例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"遊離前腕皮弁による口腔癌一次再建術22例の検討"},{"subitem_title":"遊離前腕皮弁による口腔癌一次再建術22例の検討","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1325"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-08-22"},"publish_date":"2013-08-22","publish_status":"0","recid":"25920","relation_version_is_last":true,"title":["遊離前腕皮弁による口腔癌一次再建術22例の検討"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:55:58.495940+00:00"}