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Subjects and methods : The Subjects were 30 patients (5 males and 25 females) who visited our department from Jan. 1993 to Mar. 1995, complaining of jaw deformity. The patients\u0027 ages ranged from 12 to 28 years with an average of 19.0±4.1 years. The location of the articular disc and bony changes of the condylar head were studied by X-ray computed tomography, and the correlation between jaw deformity and the clinical TMJ findings such as joint pain, joint noise and trismus were also studied. Results : On the short side of the mandible, internal derangement of TMJ was found in 80% of the cases, especially a displaced disc without reduction in 46.7%. On the other hand, on the long side, internal derangement was less frequently found in 23.3% (a displaced disc without reduction in 6.7%). Furthermore, on the short side, bony change was at a significantly higher frequency and there was a tendency for the size of the condylar head to be smaller than on the long side. However, there was less correlation between clinical TMJ symptoms and jaw deformity. Trismus with 40mm or less in mouth opening was found in only 3 cases. Conclusions : It was considered that jaw deformity correlated highly with internal derangement of TMJ, regardless of the presence of clinical TMJ symptoms. It was suggested that morphological evaluation of the TMJ images is important for treatment planning of patients with mandibular asymmetry.", "subitem_description_type": "Abstract"}, {"subitem_description": "顎関節内障と顎変形の関係を明らかにすることを目的に、X線CTを用いて下顎非対称患者の顎関節部の器質的変化を調査した。対象は平成5年1月から平成7年3月に、顔貌の変形を主訴に新潟大学歯学部附属病院を受診した下顎非対称患者のうち、顎関節部の精査を目的にCTを撮影した30名60関節である。年齢は12~28歳(平均19.0±4.1歳)で、性別は男性5名、女性25名であった。正面Ⅹ線規格写真にてオトガイ正中点と顔面正中線の距離が3mm以上である症例を下顎非対称症例とし、その結果から下顎を短縮側と伸長側に分けた。CT検査はSIEMENS社製SOMATOM DR3を使用し、顎関節部をReid\u0027s base lineに平行および約45°の角度にてスライス幅2mmで撮像した。CT所見から、林の報告(歯放35:55-69,1995)に基づき関節円板転位の有無および開口時の復位の有無を診断した。顎関節部の骨変化の有無はsuper high resolutionで表示した画像から診査し、また、下顎頭の形態や大きさの左右差についても検討した。さらに、臨床症状として開口障害、関節雑音、顎関節部療病を診査し、それらの項目と下顎の変形との関連について検討した。その結果、下顎短縮側では、円板転位が80%、非復位性円板転位が46.7%で認められ、その発現頻度が伸長側(それぞれ23.3%、6.7%)に比して有意に(p\u003c0.05)高かった。また、骨形態変化の発現頻度も有意に高く、さらに、下顎頭の大きさが小さい債向が認められた。しかし、顎関節症状と下顎の変形とは明らかな関係が認められず、開口量40mm未満の開口障害を認めた症例は3例にすぎなかった。以上のことより、臨床的な顎関節症状の有無にかかわらず、顎関節内障と下顎の変形とは密接な関係があることが示唆された。したがって、このような症例の矯正治療や顎矯正手術に際しては、治療計画立案のための十分な顎関節の画像診断が重要であると考えられた。", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "153191", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Matsushita, Takeshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "153192", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hayashi, Takafumi"}]}, {"nameIdentifiers": [{"nameIdentifier": "153193", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kobayashi, Fukiko"}]}, {"nameIdentifiers": [{"nameIdentifier": "153194", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ito, Jusuke"}]}]}, "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": "松下, 健"}], "nameIdentifiers": [{"nameIdentifier": "153187", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "林, 孝文"}], "nameIdentifiers": [{"nameIdentifier": "153188", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小林, 富貴子"}], "nameIdentifiers": [{"nameIdentifier": "153189", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "伊藤, 寿介"}], "nameIdentifiers": [{"nameIdentifier": "153190", "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", "download_preview_message": "", "file_order": 0, "filename": "NS_25(2)_33-38.pdf", "filesize": [{"value": "2.5 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 2500000.0, "url": {"label": "NS_25(2)_33-38.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/25948/files/NS_25(2)_33-38.pdf"}, "version_id": "209aa26c-3853-4cf6-9104-ac1a391038ec"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "mandibular asymmetry", "subitem_subject_scheme": "Other"}, {"subitem_subject": "internal derangement of TMJ", "subitem_subject_scheme": "Other"}, {"subitem_subject": "X-ray computed tomography", "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": "下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係"}, {"subitem_title": "下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1327"], "permalink_uri": "http://hdl.handle.net/10191/22947", "pubdate": {"attribute_name": "公開日", "attribute_value": "2013-08-21"}, "publish_date": "2013-08-21", "publish_status": "0", "recid": "25948", "relation": {}, "relation_version_is_last": true, "title": ["下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係"], "weko_shared_id": null}
下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係
http://hdl.handle.net/10191/22947
http://hdl.handle.net/10191/22947eebadc04-9253-4f81-b43c-b21b82aa6efa
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2013-08-21 | |||||
タイトル | ||||||
タイトル | 下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 下顎非対称患者の顎関節部X線CT所見 : 顎関節内障と顎変形の関係 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | mandibular asymmetry | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | internal derangement of TMJ | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | X-ray computed tomography | |||||
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 | X-ray CT findings in temporomandibular joint in patients with mandibular asymmetry-Relationship between internal derangement and jaw deformity- | |||||
著者 |
松下, 健
× 松下, 健× 林, 孝文× 小林, 富貴子× 伊藤, 寿介 |
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著者別名 | ||||||
識別子 | 153191 | |||||
識別子Scheme | WEKO | |||||
姓名 | Matsushita, Takeshi | |||||
著者別名 | ||||||
識別子 | 153192 | |||||
識別子Scheme | WEKO | |||||
姓名 | Hayashi, Takafumi | |||||
著者別名 | ||||||
識別子 | 153193 | |||||
識別子Scheme | WEKO | |||||
姓名 | Kobayashi, Fukiko | |||||
著者別名 | ||||||
識別子 | 153194 | |||||
識別子Scheme | WEKO | |||||
姓名 | Ito, Jusuke | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose : To evaluate the relationship between internal derangement of the temporomandibular joint (TMJ) and jaw deformity in atients with mandibular asymmetry. Subjects and methods : The Subjects were 30 patients (5 males and 25 females) who visited our department from Jan. 1993 to Mar. 1995, complaining of jaw deformity. The patients' ages ranged from 12 to 28 years with an average of 19.0±4.1 years. The location of the articular disc and bony changes of the condylar head were studied by X-ray computed tomography, and the correlation between jaw deformity and the clinical TMJ findings such as joint pain, joint noise and trismus were also studied. Results : On the short side of the mandible, internal derangement of TMJ was found in 80% of the cases, especially a displaced disc without reduction in 46.7%. On the other hand, on the long side, internal derangement was less frequently found in 23.3% (a displaced disc without reduction in 6.7%). Furthermore, on the short side, bony change was at a significantly higher frequency and there was a tendency for the size of the condylar head to be smaller than on the long side. However, there was less correlation between clinical TMJ symptoms and jaw deformity. Trismus with 40mm or less in mouth opening was found in only 3 cases. Conclusions : It was considered that jaw deformity correlated highly with internal derangement of TMJ, regardless of the presence of clinical TMJ symptoms. It was suggested that morphological evaluation of the TMJ images is important for treatment planning of patients with mandibular asymmetry. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 顎関節内障と顎変形の関係を明らかにすることを目的に、X線CTを用いて下顎非対称患者の顎関節部の器質的変化を調査した。対象は平成5年1月から平成7年3月に、顔貌の変形を主訴に新潟大学歯学部附属病院を受診した下顎非対称患者のうち、顎関節部の精査を目的にCTを撮影した30名60関節である。年齢は12~28歳(平均19.0±4.1歳)で、性別は男性5名、女性25名であった。正面Ⅹ線規格写真にてオトガイ正中点と顔面正中線の距離が3mm以上である症例を下顎非対称症例とし、その結果から下顎を短縮側と伸長側に分けた。CT検査はSIEMENS社製SOMATOM DR3を使用し、顎関節部をReid's base lineに平行および約45°の角度にてスライス幅2mmで撮像した。CT所見から、林の報告(歯放35:55-69,1995)に基づき関節円板転位の有無および開口時の復位の有無を診断した。顎関節部の骨変化の有無はsuper high resolutionで表示した画像から診査し、また、下顎頭の形態や大きさの左右差についても検討した。さらに、臨床症状として開口障害、関節雑音、顎関節部療病を診査し、それらの項目と下顎の変形との関連について検討した。その結果、下顎短縮側では、円板転位が80%、非復位性円板転位が46.7%で認められ、その発現頻度が伸長側(それぞれ23.3%、6.7%)に比して有意に(p<0.05)高かった。また、骨形態変化の発現頻度も有意に高く、さらに、下顎頭の大きさが小さい債向が認められた。しかし、顎関節症状と下顎の変形とは明らかな関係が認められず、開口量40mm未満の開口障害を認めた症例は3例にすぎなかった。以上のことより、臨床的な顎関節症状の有無にかかわらず、顎関節内障と下顎の変形とは密接な関係があることが示唆された。したがって、このような症例の矯正治療や顎矯正手術に際しては、治療計画立案のための十分な顎関節の画像診断が重要であると考えられた。 | |||||
書誌情報 |
新潟歯学会雑誌 en : 新潟歯学会雑誌 巻 25, 号 2, p. 33-38, 発行日 1995-12 |
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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 |