{"created":"2023-05-15T14:20:09.289091+00:00","id":4372,"links":{},"metadata":{"_buckets":{"deposit":"0c034af0-cc15-4f50-9e85-944531a029a1"},"_deposit":{"created_by":3,"id":"4372","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4372"},"status":"published"},"_oai":{"id":"oai:ohu-lib.repo.nii.ac.jp:00004372","sets":["90:286:291"]},"author_link":["14459","14456","14460","14464","14457","14458","14462","14461","14463"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3号","bibliographicPageStart":"73-77","bibliographicVolumeNumber":"46巻","bibliographic_titles":[{"bibliographic_title":"奥羽大学歯学誌"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は30歳男性で、左側完全唇顎口蓋裂を伴って出生し、これまでに口唇形成術、口蓋形成術、口唇外鼻修正術、顎裂部腸骨移植術などが施行されてきた。30歳時に口唇外鼻の変形に対する治療を希望して来院した。口腔内所見では、顎裂相当部に瘢痕を認めたが、鼻口腔瘻は認められなかった。咬合はAngle Class Iで左側前歯部は舌側傾斜に伴う反対咬合を呈していた。口唇口蓋裂(左側完全唇顎口蓋裂)、口唇外鼻二次変形と診断した。患者と相談し、全身麻酔下で顎裂部骨移植と鼻翼部軟骨移植を同時併用した口唇外鼻修正術を施行した。術式は、はじめに顎裂部骨移植術から施行した。口腔内の顎裂部を明示させ、骨の陥凹を確認した後に、左側下顎枝から自家骨を採取した。自家骨は陥凹部のみならず、健側梨状口下縁の高さに合わせて、患側梨状口側縁から上顎洞側壁にかけて移植し、吸収性プレートにて固定した。次に耳介軟骨移植による外鼻修正術を施行した。耳介軟骨を採取した後、両側鼻孔から鼻柱にかけて切開を加えて、確実な明視下に鼻翼軟骨の整復と耳介軟骨の移植を行い終術とした。術後、患側の外鼻孔底と鼻翼基部は健側とほぼ同じ高さとなり、鼻翼基部の陥凹も改善したことで、患者の満足が得られた。","subitem_description_type":"Abstract"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0916-2313","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"川原, 一郎"}],"nameIdentifiers":[{"nameIdentifier":"14456","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高田, 訓"}],"nameIdentifiers":[{"nameIdentifier":"14457","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"臼田, 真浩"}],"nameIdentifiers":[{"nameIdentifier":"14458","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中島, 朋美"}],"nameIdentifiers":[{"nameIdentifier":"14459","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"飯島, 康基"}],"nameIdentifiers":[{"nameIdentifier":"14460","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高橋, 文太郎"}],"nameIdentifiers":[{"nameIdentifier":"14461","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"金, 秀樹"}],"nameIdentifiers":[{"nameIdentifier":"14462","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大野, 敬"}],"nameIdentifiers":[{"nameIdentifier":"14463","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"竜, 立雄"}],"nameIdentifiers":[{"nameIdentifier":"14464","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":"2020-11-20"}],"displaytype":"detail","filename":"46(3)73-77.pdf","filesize":[{"value":"2.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"46(3)73-77.pdf","url":"https://ohu-lib.repo.nii.ac.jp/record/4372/files/46(3)73-77.pdf"},"version_id":"1c432d3c-cd8a-4e4d-a5b1-3a084714f925"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"自家移植; 下顎骨(移植); X線CT; *軟骨; 三次元イメージング; 唇顎口蓋裂(X線診断,外科的療法,予後); 鼻軟骨; *顎裂部骨移植","subitem_subject_scheme":"Other"}]},"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":"口唇口蓋裂患者における顎裂部骨移植と鼻翼部軟骨移植の同時併用による口唇外鼻修正術の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"口唇口蓋裂患者における顎裂部骨移植と鼻翼部軟骨移植の同時併用による口唇外鼻修正術の検討"}]},"item_type_id":"10002","owner":"3","path":["291"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-05-01"},"publish_date":"2020-05-01","publish_status":"0","recid":"4372","relation_version_is_last":true,"title":["口唇口蓋裂患者における顎裂部骨移植と鼻翼部軟骨移植の同時併用による口唇外鼻修正術の検討"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-05-15T14:31:20.188296+00:00"}