下顎頭の低形成を伴う下顎骨後退および骨格性開咬症例に対して2分割Le Fort Ⅰ型骨切り術併用上下顎移動術を適応した一症例

Saved in:
Bibliographic Details
Published in日本顎変形症学会雑誌 Vol. 35; no. 3; pp. 223 - 234
Main Authors 可児 廉志郎, 相川 友直, 田中 晋, 岡 綾香, 山城 隆
Format Journal Article
LanguageJapanese
Published 特定非営利活動法人 日本顎変形症学会 2025
Subjects
Online AccessGet full text
ISSN0916-7048
1884-5045
DOI10.5927/jjjd.35.223

Cover

Author 岡 綾香
田中 晋
山城 隆
可児 廉志郎
相川 友直
Author_xml – sequence: 1
  fullname: 可児 廉志郎
  organization: 大阪大学大学院歯学研究科顎顔面口腔矯正学講座
– sequence: 1
  fullname: 相川 友直
  organization: 広島大学大学院医系科学研究科口腔外科学
– sequence: 1
  fullname: 田中 晋
  organization: 大阪大学大学院歯学研究科顎顔面口腔外科学講座
– sequence: 1
  fullname: 岡 綾香
  organization: 大阪大学大学院歯学研究科顎顔面口腔矯正学講座
– sequence: 1
  fullname: 山城 隆
  organization: 大阪大学大学院歯学研究科顎顔面口腔矯正学講座
BookMark eNo9kMtKw0AYhQdRsFZXvoAvkDrJNM3MRhDxBgU3ug6TyUQbvJF2464pqLUREW_diFYX3i_gBQRtfRcn05q3MLXi5v_hHPg-OH2ge3llmQMwqMKUTjRj2HVdO4X0lKahLpBQMU4rOkzr3SABiZpRDJjGvWAgn89ZEEKCkQFRAlyFb0F0thPV7oX_ENZ3ZP28Wd4Vpb3w40X4G3_tzZVsbEfFovArolQW_nOcNGsfzeJldBTIvbtWdTNsBMK_lY8N4VeFf6HJ8obcesryoYkVrzD0tV6TJ0GbU94Upcr32X5Yf20dxPZKR9G6fJfBYZzH6si_lp_Hv5zT8K3YgfeDHocu5vnA30-CuYnx2bEpJTszOT02mlVc1cBUQQjaKqUaJ1pad7BmEeQ4DENCLKZCzG2kEoQtThxmqwgbzOKaTZiRYXYGEchQEox0uG6-QOe5uerllqi3ZlKvkGOL3GyvbCLdRO0TT_1fsAXqmS5FP7knsy0
ContentType Journal Article
Copyright 2025 特定非営利活動法人 日本顎変形症学会
Copyright_xml – notice: 2025 特定非営利活動法人 日本顎変形症学会
DOI 10.5927/jjjd.35.223
DeliveryMethod fulltext_linktorsrc
EISSN 1884-5045
EndPage 234
ExternalDocumentID article_jjjd_35_3_35_223_article_char_ja
GroupedDBID ABJNI
ALMA_UNASSIGNED_HOLDINGS
JSF
KQ8
MOJWN
RJT
ID FETCH-LOGICAL-j178a-330d1aa2e9245f82b93ffc8099bc108ed31938be9fcd1387cbe2d9c76cd6390c3
ISSN 0916-7048
IngestDate Tue Oct 21 15:00:54 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 3
Language Japanese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-j178a-330d1aa2e9245f82b93ffc8099bc108ed31938be9fcd1387cbe2d9c76cd6390c3
OpenAccessLink https://www.jstage.jst.go.jp/article/jjjd/35/3/35_223/_article/-char/ja
PageCount 12
ParticipantIDs jstage_primary_article_jjjd_35_3_35_223_article_char_ja
PublicationCentury 2000
PublicationDate 2025
PublicationDateYYYYMMDD 2025-01-01
PublicationDate_xml – year: 2025
  text: 2025
PublicationDecade 2020
PublicationTitle 日本顎変形症学会雑誌
PublicationTitleAlternate 日顎変形誌
PublicationYear 2025
Publisher 特定非営利活動法人 日本顎変形症学会
Publisher_xml – name: 特定非営利活動法人 日本顎変形症学会
References 13) Lee, G.H., et al.: Orthodontic treatment protocols for patients with idiopathic condylar resorption. J Clin Pediatr Dent, 43:292-303, 2019.
16) Singh, D.J., et al.: Congenital mandibular hypoplasia: analysis and classification. J Craniofac Surg, 16:291-300, 2005.
47) Yoda, T., et al.: Clinical guidelines for total tem­po­ro­man­dib­u­lar joint replacement. Jpn Dent Sci Rev, 56:77-83, 2020.
14) Moon, D., et al.: Orthodontic treatment for a patient with anterior open bite and severe condylar re­sorp­tion. Am J Orthod Dentofacial Orthop, 157:392-407, 2020.
15) 皆木省吾,他:スプリント療法ガイドラインの確立.日本歯科医学会誌,29:62-66,2010.
17) Kaneyama, K., et al.: Congenital deformities and de­vel­op­mental abnormalities of the mandibular condyle in the temporomandibular joint. Congenit Anom, 48:118-125, 2008.
39) Gassmann, C.J., et al.: Causes, location, and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg, 48:450-454, 1990.
23) Arnett, G.W., et al.: Progressive mandibular re­tru­sion--idiopathic condylar resorption. Part I. Am J Orthod Dentofacial Orthop, 110:8-15, 1996.
30) Liu, Y.S., et al.: Association between hypoplastic condyles and temporomandibular joint disc displacements: a cone beam computed tomography and magnetic resonance imaging metrical analysis. Int J Oral Maxillofac Surg, 49:932-939, 2020.
4) Reichert, I., et al.: Orthodontic treatment of anterior open bite: a review article--is surgery always nec­es­sar­y?. Oral Maxillofac Surg, 18:271-277, 2014.
1) Duman, S., et al.: Evaluation of the relationship be­tween malocclusions and sleep-disordered breath­ing in children. Cranio, 40:295-302, 2022.
35) Nogami, S., et al.: Risk factors related to aggressive condylar resorption after orthognathic surgery for females: retrospective study. Cranio, 35:250-258, 2017.
3) Triplett, W.W., et al.: Obstructive sleep apnea syn­drome in patients with class Ⅱ malocclusion. Mayo Clin Proc, 64:644-652, 1989.
27) Sansare, K., et al.: Management-related outcomes and radiographic findings of idiopathic condylar re­sorp­tion: a systematic review. Int J Oral Maxillofac Surg, 44:209-216, 2015.
31) Iwasa, A., et al.: Signs, symptoms, and morphological features of idiopathic condylar resorption in or­tho­don­tic patients: a survey-based study. J Clin Med, 11:1552, 2022.
8) Blomqvist, J.E., et al.: Skeletal stability after man­di­bul­ar advancement: a comparison of two rigid in­ter­nal fixation techniques. J Oral Maxillofac Surg, 52:1133-1137, 1994.
29) Kaneyama, K., et al.: Congenital deformities and de­vel­op­mental abnormalities of the mandibular condyle in the temporomandibular joint. Congenit Anom (Kyoto), 48:118-125, 2008.
38) Epker, B.N., et al.: Mechanisms of early skeletal re­lapse following surgical advancement of the man­di­ble. Br J Oral Maxillofac, 20:175-182, 1982.
20) Ozturk, S., et al.: The correction of auricular and mandibular deformities in auriculo-condylar syn­drome. J Craniofac Surg, 16:489-492, 2005.
34) Hwang, S.J., et al.: Non-surgical risk factors for condylar resorption after orthognathic surgery. J Cranio-Maxillofac Surg, 32:103-111, 2004.
2) Manrikyan, G.E., et al.: Association between the ob­structive sleep apnea and cephalometric pa­ram­e­ters in teenagers. J Clin Med, 12:6851, 2023.
33) Xi, T., et al.: Three-dimensional analysis of condylar remodeling and skeletal relapse following bimaxillary surgery: a 2-year follow-up study. J Cranio-Maxillofac Surg, 45:1311-1318, 2017.
18) DeLone, D., et al.: Proteus syndrome: craniofacial and cerebral MRI. Neuroradiology, 41:840-843, 1999.
43) Oka, A., et al.: Skeletal Class Ⅱ open-bite mal­oc­clu­sion with idiopathic condylar resorption: a case report. Australas Orthod J, 34:85-93, 2021.
12) Arpornmaeklong, P., et al.: A comparison of the sta­bil­i­ty of single-piece and segmental Le Fort Ⅰ max­il­lar­y advancements. J Craniofac Surg, 14:3-9, 2003.
26) Troulis, M.J., et al.: Condylectomy and costochondral graft reconstruction for treatment of active id­i­o­path­ic condylar resorption. J Oral Maxillofac Surg, 66:65-72, 2008.
41) Will, L.A., et al.: Factors influencing the stability of the sagittal split osteotomy for mandibular ad­vance­ment. J Oral Maxillofac Surg, 47:813-818, 1989.
7) Ayoub, A.F., et al.: Stability of bimaxillary osteotomy fol­low­ing surgical correction of class Ⅱ skeletal de­for­mi­ti­es: a two-centre study. Br J Oral Maxillofac Surg, 35:107-115, 1997.
5) Hoppenreijs, T.J., et al.: Long-term evaluation of patients with progressive condylar resorption fol­low­ing orthognathic surgery. Int J Oral Maxillofac Surg, 28:411-418, 1999.
6) Proffit, W.R., et al.: Long-term stability of surgical open bite correction by Le fort I osteotomy. Angle Orthod, 70:112-117, 2000.
10) Gassmann, C.J., et al.: Causes, location, and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg, 48:450-454, 1990.
46) Wojczyńska, A., et al.: Alterations of mandibular move­ment patterns after total joint replacement: a case series of long-term outcomes in patients with total alloplastic temporomandibular joint re­con­struc­tions. Int J Oral Maxillofac Surg, 48:225-232, 2019.
25) Huang, Y.L., et al.: Diagnosis and management of condylar resorption. J Oral Maxillofac Surg, 55:114-119, 1997.
22) Singer, C.P., et al.: The depth of the mandibular antegonial notch as an indicator of mandibular growth potential. Am J Orthod Dentofacial Orthop, 91:117-124, 1987.
32) Verhelst, P.J., et al.: Analysis and prediction of con­dylar resorption following orthognathic surgery. Sci Rep, 15:664, 2025.
9) Epker, B.N., et al.: Mechanisms of early skeletal relapse following surgical advancement of the man­di­ble. Br J Oral Maxillofac Surg, 20:175-182, 1982.
42) 吉田侑加,他:上下顎歯列幅径の不調和を有し,CO-CRディスクレパンシーが大きい骨格性Ⅱ級・開咬症例に対し,正中2分割Le Fort Ⅰ型骨切り術と下顎枝矢状分割術を施行した1例.日顎変形誌,33:41-54,2023.
40) Joss, C.U., et al.: Stability after bilateral sagittal split osteotomy advancement surgery with rigid internal fixation: a systematic review. J Oral Maxillofacial Surg, 67:301-313, 2009.
37) Blomqvist, J.E., et al.: Skeletal stability after man­di­bular advancement: a comparison of two rigid internal fixation techniques. J Oral Maxillofac Surg, 53:1133-1137, 1994.
28) Otonari-Yamamoto, M., et al.: Temporomandibular joint effusion seen on MR images of patients with temporomandibular joint disorders. J TMJ, 35:137-143, 2023.
36) Gomes, L.R., et al.: Counterclockwise maxillomandibular advancement surgery and disc re­po­si­tioning: can condylar remodeling in the long-term follow-up be predicted?. Int J Oral Maxillofac Surg, 46:1569-1578, 2017.
44) Arnett, G.W., et al.: Progressive Class Ⅱ development: female idiopathic condylar resorption. Oral Maxillofac Surg Clin North Am, 2:699-716, 1990.
19) Morgan, K., et al.: Morquio’s syndrome and its an­aes­thet­ic considerations. Paediatr Anaesth, 12:641-641, 2002.
11) Haas Junior, O.L., et al.: Stability and surgical com­pli­ca­tions in segmental Le Fort Ⅰ osteotomy: a sys­tem­at­ic review. Int J Oral Maxillofac Surg, 46:1071-1087, 2017.
24) Mitsimponas, K., et al.: Idiopathic condylar re­sorp­tion. Br J Oral Maxillofac Surg, 56:249-255, 2018.
21) Becker, M.H., et al.: Antegonial notching of the man­di­ble: an often overlooked mandibular deformity in congenital and acquired disorders. Radiology, 121:149-151, 1976.
45) Wolford, L.M., et al.: Idiopathic condylar resorption: diagnosis, treatment protocol, and outcomes. Am J Orthod Dentofacial Orthop, 116:667-677, 1999.
References_xml – reference: 11) Haas Junior, O.L., et al.: Stability and surgical com­pli­ca­tions in segmental Le Fort Ⅰ osteotomy: a sys­tem­at­ic review. Int J Oral Maxillofac Surg, 46:1071-1087, 2017.
– reference: 20) Ozturk, S., et al.: The correction of auricular and mandibular deformities in auriculo-condylar syn­drome. J Craniofac Surg, 16:489-492, 2005.
– reference: 39) Gassmann, C.J., et al.: Causes, location, and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg, 48:450-454, 1990.
– reference: 21) Becker, M.H., et al.: Antegonial notching of the man­di­ble: an often overlooked mandibular deformity in congenital and acquired disorders. Radiology, 121:149-151, 1976.
– reference: 22) Singer, C.P., et al.: The depth of the mandibular antegonial notch as an indicator of mandibular growth potential. Am J Orthod Dentofacial Orthop, 91:117-124, 1987.
– reference: 1) Duman, S., et al.: Evaluation of the relationship be­tween malocclusions and sleep-disordered breath­ing in children. Cranio, 40:295-302, 2022.
– reference: 28) Otonari-Yamamoto, M., et al.: Temporomandibular joint effusion seen on MR images of patients with temporomandibular joint disorders. J TMJ, 35:137-143, 2023.
– reference: 12) Arpornmaeklong, P., et al.: A comparison of the sta­bil­i­ty of single-piece and segmental Le Fort Ⅰ max­il­lar­y advancements. J Craniofac Surg, 14:3-9, 2003.
– reference: 46) Wojczyńska, A., et al.: Alterations of mandibular move­ment patterns after total joint replacement: a case series of long-term outcomes in patients with total alloplastic temporomandibular joint re­con­struc­tions. Int J Oral Maxillofac Surg, 48:225-232, 2019.
– reference: 2) Manrikyan, G.E., et al.: Association between the ob­structive sleep apnea and cephalometric pa­ram­e­ters in teenagers. J Clin Med, 12:6851, 2023.
– reference: 4) Reichert, I., et al.: Orthodontic treatment of anterior open bite: a review article--is surgery always nec­es­sar­y?. Oral Maxillofac Surg, 18:271-277, 2014.
– reference: 25) Huang, Y.L., et al.: Diagnosis and management of condylar resorption. J Oral Maxillofac Surg, 55:114-119, 1997.
– reference: 30) Liu, Y.S., et al.: Association between hypoplastic condyles and temporomandibular joint disc displacements: a cone beam computed tomography and magnetic resonance imaging metrical analysis. Int J Oral Maxillofac Surg, 49:932-939, 2020.
– reference: 9) Epker, B.N., et al.: Mechanisms of early skeletal relapse following surgical advancement of the man­di­ble. Br J Oral Maxillofac Surg, 20:175-182, 1982.
– reference: 43) Oka, A., et al.: Skeletal Class Ⅱ open-bite mal­oc­clu­sion with idiopathic condylar resorption: a case report. Australas Orthod J, 34:85-93, 2021.
– reference: 29) Kaneyama, K., et al.: Congenital deformities and de­vel­op­mental abnormalities of the mandibular condyle in the temporomandibular joint. Congenit Anom (Kyoto), 48:118-125, 2008.
– reference: 37) Blomqvist, J.E., et al.: Skeletal stability after man­di­bular advancement: a comparison of two rigid internal fixation techniques. J Oral Maxillofac Surg, 53:1133-1137, 1994.
– reference: 13) Lee, G.H., et al.: Orthodontic treatment protocols for patients with idiopathic condylar resorption. J Clin Pediatr Dent, 43:292-303, 2019.
– reference: 35) Nogami, S., et al.: Risk factors related to aggressive condylar resorption after orthognathic surgery for females: retrospective study. Cranio, 35:250-258, 2017.
– reference: 36) Gomes, L.R., et al.: Counterclockwise maxillomandibular advancement surgery and disc re­po­si­tioning: can condylar remodeling in the long-term follow-up be predicted?. Int J Oral Maxillofac Surg, 46:1569-1578, 2017.
– reference: 41) Will, L.A., et al.: Factors influencing the stability of the sagittal split osteotomy for mandibular ad­vance­ment. J Oral Maxillofac Surg, 47:813-818, 1989.
– reference: 47) Yoda, T., et al.: Clinical guidelines for total tem­po­ro­man­dib­u­lar joint replacement. Jpn Dent Sci Rev, 56:77-83, 2020.
– reference: 6) Proffit, W.R., et al.: Long-term stability of surgical open bite correction by Le fort I osteotomy. Angle Orthod, 70:112-117, 2000.
– reference: 5) Hoppenreijs, T.J., et al.: Long-term evaluation of patients with progressive condylar resorption fol­low­ing orthognathic surgery. Int J Oral Maxillofac Surg, 28:411-418, 1999.
– reference: 24) Mitsimponas, K., et al.: Idiopathic condylar re­sorp­tion. Br J Oral Maxillofac Surg, 56:249-255, 2018.
– reference: 32) Verhelst, P.J., et al.: Analysis and prediction of con­dylar resorption following orthognathic surgery. Sci Rep, 15:664, 2025.
– reference: 16) Singh, D.J., et al.: Congenital mandibular hypoplasia: analysis and classification. J Craniofac Surg, 16:291-300, 2005.
– reference: 18) DeLone, D., et al.: Proteus syndrome: craniofacial and cerebral MRI. Neuroradiology, 41:840-843, 1999.
– reference: 15) 皆木省吾,他:スプリント療法ガイドラインの確立.日本歯科医学会誌,29:62-66,2010.
– reference: 34) Hwang, S.J., et al.: Non-surgical risk factors for condylar resorption after orthognathic surgery. J Cranio-Maxillofac Surg, 32:103-111, 2004.
– reference: 14) Moon, D., et al.: Orthodontic treatment for a patient with anterior open bite and severe condylar re­sorp­tion. Am J Orthod Dentofacial Orthop, 157:392-407, 2020.
– reference: 26) Troulis, M.J., et al.: Condylectomy and costochondral graft reconstruction for treatment of active id­i­o­path­ic condylar resorption. J Oral Maxillofac Surg, 66:65-72, 2008.
– reference: 17) Kaneyama, K., et al.: Congenital deformities and de­vel­op­mental abnormalities of the mandibular condyle in the temporomandibular joint. Congenit Anom, 48:118-125, 2008.
– reference: 44) Arnett, G.W., et al.: Progressive Class Ⅱ development: female idiopathic condylar resorption. Oral Maxillofac Surg Clin North Am, 2:699-716, 1990.
– reference: 19) Morgan, K., et al.: Morquio’s syndrome and its an­aes­thet­ic considerations. Paediatr Anaesth, 12:641-641, 2002.
– reference: 27) Sansare, K., et al.: Management-related outcomes and radiographic findings of idiopathic condylar re­sorp­tion: a systematic review. Int J Oral Maxillofac Surg, 44:209-216, 2015.
– reference: 7) Ayoub, A.F., et al.: Stability of bimaxillary osteotomy fol­low­ing surgical correction of class Ⅱ skeletal de­for­mi­ti­es: a two-centre study. Br J Oral Maxillofac Surg, 35:107-115, 1997.
– reference: 23) Arnett, G.W., et al.: Progressive mandibular re­tru­sion--idiopathic condylar resorption. Part I. Am J Orthod Dentofacial Orthop, 110:8-15, 1996.
– reference: 10) Gassmann, C.J., et al.: Causes, location, and timing of relapse following rigid fixation after mandibular advancement. J Oral Maxillofac Surg, 48:450-454, 1990.
– reference: 45) Wolford, L.M., et al.: Idiopathic condylar resorption: diagnosis, treatment protocol, and outcomes. Am J Orthod Dentofacial Orthop, 116:667-677, 1999.
– reference: 8) Blomqvist, J.E., et al.: Skeletal stability after man­di­bul­ar advancement: a comparison of two rigid in­ter­nal fixation techniques. J Oral Maxillofac Surg, 52:1133-1137, 1994.
– reference: 33) Xi, T., et al.: Three-dimensional analysis of condylar remodeling and skeletal relapse following bimaxillary surgery: a 2-year follow-up study. J Cranio-Maxillofac Surg, 45:1311-1318, 2017.
– reference: 42) 吉田侑加,他:上下顎歯列幅径の不調和を有し,CO-CRディスクレパンシーが大きい骨格性Ⅱ級・開咬症例に対し,正中2分割Le Fort Ⅰ型骨切り術と下顎枝矢状分割術を施行した1例.日顎変形誌,33:41-54,2023.
– reference: 3) Triplett, W.W., et al.: Obstructive sleep apnea syn­drome in patients with class Ⅱ malocclusion. Mayo Clin Proc, 64:644-652, 1989.
– reference: 31) Iwasa, A., et al.: Signs, symptoms, and morphological features of idiopathic condylar resorption in or­tho­don­tic patients: a survey-based study. J Clin Med, 11:1552, 2022.
– reference: 38) Epker, B.N., et al.: Mechanisms of early skeletal re­lapse following surgical advancement of the man­di­ble. Br J Oral Maxillofac, 20:175-182, 1982.
– reference: 40) Joss, C.U., et al.: Stability after bilateral sagittal split osteotomy advancement surgery with rigid internal fixation: a systematic review. J Oral Maxillofacial Surg, 67:301-313, 2009.
SSID ssib000983703
ssib005880020
ssj0003236710
Score 2.4076817
SourceID jstage
SourceType Publisher
StartPage 223
SubjectTerms 下顎頭低形成
開咬
骨格性2級
Title 下顎頭の低形成を伴う下顎骨後退および骨格性開咬症例に対して2分割Le Fort Ⅰ型骨切り術併用上下顎移動術を適応した一症例
URI https://www.jstage.jst.go.jp/article/jjjd/35/3/35_223/_article/-char/ja
Volume 35
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 日本顎変形症学会雑誌, 2025, Vol.35(3), pp.223-234
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  customDbUrl:
  eissn: 1884-5045
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0003236710
  issn: 0916-7048
  databaseCode: KQ8
  dateStart: 19910101
  isFulltext: true
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  providerName: Colorado Alliance of Research Libraries
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrR1NaxNBdCn24kUUFb_JwTmF1M1-zhxn0w1FqiC00FvIfh1yqCLtxVNSsI2NFKkfvYi2Hmz9Bj-gYFv_i5ttzb_wvZnddFsr1CKEZXjvzfuczL43zMwqylVfCwPLN-ql0Iu8kmFAncKYF5YgFTcZvBBCX9y2f-OmNTJuXJ8wJwYGzdyupekpb8i_d-C5kqNEFWAQVzwl-w-R7TMFALQhvvCECMPzUDEmrkEcSqhDXEZ4mVBXNFTCh4mrQ5JIuCtohgXKxAbXiGsRSglTBY1GmCZoKsQx0l7U-gtnTjgVfFxCKwihKv7SXjxlCMwlxNFzvSxUDKSgdNDQRhSzhAgTdeCAsgmzCbWFdFegpBWChlcRKCFAlqIsDXEgEpWGBiOONhoWq1BWFMVODhPlogg3MyezAjvZmc6gPEVLmZ56zDGFPoYglt7gB7nFRlscoSHAmZnj03cvE6oy4boqYZX9VrBqxln90wn5-gG9B1huikZFOK2vCVhqoAN2A91nZeKQ4FYaaMaF80HbstCWQzSzf56wo4rOxga4TS0Khk7GuSrUBotAc3e3l438HDk6oD1cTBmhryTO2EMMiqip0RyJwRyWGZuq4cCgKBeR2rFE6BmaIL90la1UyfPsYlZBQgy_UBMGfmrlMEYe428hGxl2DIWF431P3CwcsNgAOIdf8X95O78eXrZKtiqvfR0KZTZAqVEyVXnfaZYuyNt10mlRz7_75cH5NI3U5Br9_gwFJkDcI9FoNIIh3Rzq99lz5Xs6odSQqqabNR0fQFrLEHgis9aAsnBQw2VI3ItyK1dVMbzRKvfapbtVISaoOt7aKO5p6RstTy6jctdyqkFW3oAaNdvfKlLusZPKibRWLnCpzilloFE_rax11zu9lYXe8oe49bG7uZBsvtpuP4pnFrsbX-PWbIp9u5ZsPew1m3FrPp5px60vANle3thurvaedZLF9ztLc92tTtx6l3zailtLceu1lrRnkwefR8MCTh2Fn_eXkxcd5NOei2fmf6087m5-23kC0ueliJ3V70nnKcBBdK_1JvnxXPB52V1vSuZnlPGqO1YZKaWfmyk1yjatl3RdDcr1uhYyzTAjqnlMjyKfQgnt-WWVhgFkKzr1Qhb5QVmntu-FWsB82_IDKPNUXz-rHJu8PRmeUwp-qNEICkXD1y2jbkfU0ELPCDSDqVEQ2d55xZaOrd2RdwrVDhvyC0fueVE5jn9KuXx8STk2dXc6vAwF1ZR3RQyf30z6P5g
linkProvider Colorado Alliance of Research Libraries
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E4%B8%8B%E9%A1%8E%E9%A0%AD%E3%81%AE%E4%BD%8E%E5%BD%A2%E6%88%90%E3%82%92%E4%BC%B4%E3%81%86%E4%B8%8B%E9%A1%8E%E9%AA%A8%E5%BE%8C%E9%80%80%E3%81%8A%E3%82%88%E3%81%B3%E9%AA%A8%E6%A0%BC%E6%80%A7%E9%96%8B%E5%92%AC%E7%97%87%E4%BE%8B%E3%81%AB%E5%AF%BE%E3%81%97%E3%81%A62%E5%88%86%E5%89%B2Le+Fort+%E2%85%A0%E5%9E%8B%E9%AA%A8%E5%88%87%E3%82%8A%E8%A1%93%E4%BD%B5%E7%94%A8%E4%B8%8A%E4%B8%8B%E9%A1%8E%E7%A7%BB%E5%8B%95%E8%A1%93%E3%82%92%E9%81%A9%E5%BF%9C%E3%81%97%E3%81%9F%E4%B8%80%E7%97%87%E4%BE%8B&rft.jtitle=%E6%97%A5%E6%9C%AC%E9%A1%8E%E5%A4%89%E5%BD%A2%E7%97%87%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E5%8F%AF%E5%85%90+%E5%BB%89%E5%BF%97%E9%83%8E&rft.au=%E7%9B%B8%E5%B7%9D+%E5%8F%8B%E7%9B%B4&rft.au=%E7%94%B0%E4%B8%AD+%E6%99%8B&rft.au=%E5%B2%A1+%E7%B6%BE%E9%A6%99&rft.date=2025&rft.pub=%E7%89%B9%E5%AE%9A%E9%9D%9E%E5%96%B6%E5%88%A9%E6%B4%BB%E5%8B%95%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E9%A1%8E%E5%A4%89%E5%BD%A2%E7%97%87%E5%AD%A6%E4%BC%9A&rft.issn=0916-7048&rft.eissn=1884-5045&rft.volume=35&rft.issue=3&rft.spage=223&rft.epage=234&rft_id=info:doi/10.5927%2Fjjjd.35.223&rft.externalDocID=article_jjjd_35_3_35_223_article_char_ja
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0916-7048&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0916-7048&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0916-7048&client=summon