陳旧性両側顎関節脱臼に非観血的整復法を施行した1例
This report presents a case of chronic mandibular dislocation treated by conservative reduction in a patient who was receiving anticoagulant therapy. The patient was a 65-year-old woman who was referred to the Department of Oral and Maxillofacial Surgery in Asahikawa Medical University for the treat...
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Published in | 日本口腔外科学会雑誌 Vol. 59; no. 1; pp. 18 - 22 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
社団法人 日本口腔外科学会
01.01.2013
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Subjects | |
Online Access | Get full text |
ISSN | 0021-5163 2186-1579 |
DOI | 10.5794/jjoms.59.18 |
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Abstract | This report presents a case of chronic mandibular dislocation treated by conservative reduction in a patient who was receiving anticoagulant therapy. The patient was a 65-year-old woman who was referred to the Department of Oral and Maxillofacial Surgery in Asahikawa Medical University for the treatment of chronic mandibular dislocation. Chronic mandibular dislocation had developed during hospitalization for cardiogenic embolism. Since the patient's physician recommended us to continue anticoagulation therapy, we decided to perform conservative reduction by lever action, using intraoral blocks with built-up heels and elastic traction. Because the patient was edentulous, we innovated on past reports of conservative reduction by lever action using teeth. Eleven days after treatment, the reduction was successful, and the jaws were stable. By 1 year after treatment, there was no recurrent dislocation, and the outcome was good. |
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AbstractList | This report presents a case of chronic mandibular dislocation treated by conservative reduction in a patient who was receiving anticoagulant therapy. The patient was a 65-year-old woman who was referred to the Department of Oral and Maxillofacial Surgery in Asahikawa Medical University for the treatment of chronic mandibular dislocation. Chronic mandibular dislocation had developed during hospitalization for cardiogenic embolism. Since the patient's physician recommended us to continue anticoagulation therapy, we decided to perform conservative reduction by lever action, using intraoral blocks with built-up heels and elastic traction. Because the patient was edentulous, we innovated on past reports of conservative reduction by lever action using teeth. Eleven days after treatment, the reduction was successful, and the jaws were stable. By 1 year after treatment, there was no recurrent dislocation, and the outcome was good. |
Author | 松田, 光悦 竹川, 政範 吉田, 将亜 近藤, 英司 小神, 順也 柴山, 尚大 |
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References | 2) 椎葉正史,石田 亮,他:精神疾患に起因し観血的整復術を要した陳旧性顎関節脱臼の2例.日口外傷誌 5: 23-28, 2006. 8) 川村 仁,高野典子,他:陳旧性顎関節脱臼の非観血的整復による一治験例.口科誌 80: 341-346, 1980. 3) 村上 慶,近藤壽郎,他:パーキンソン病および多発性脳梗塞患者の陳旧性顎関節脱臼に対し全身麻酔下で観血的整復術を行った症例.日有病歯誌 11:41-46, 2002. 5) 谷本 裕,盛実俊也,他:陳旧性顎関節脱臼の1例.日顎誌 3: 69-74, 1991. 14) 竹之下康治,中村昭一,他:顎関節脱臼の臨床統計的観察.日口外誌 28: 767-775, 1982. 4) Cominiti MF and Weinberg S : Chronic mandibular dislocation: The role of non-surgical and surgical treatment. J Can Dent Assoc 64: 484-491, 1998. 13) Archer WH : Oral and Maxillofacial Surgery. 5th Ed, WB Standers Co, London, Philadelphia, Toronto, 1975, p1646-1655. 10) 日本循環器学会:循環器疾患における抗凝固・抗血小板療法に関するガイドライン(2009年改訂版)-循環器の診断と治療に関するガイドライン(2008年度合同研究班報告).循環器の診断と治療に関するガイドライン,2009,55-56頁.URL:http://www.j-circ.or.jp/guideline/index.htm. 参照2010年 1) 矢尾真弓,中山周子,他:陳旧性顎関節脱臼に対する非観血的整復法の1例-辺縁性歯周炎が進行した患者に対しての工夫-.日顎誌 19: 171-176, 2007. 7) 水谷英樹,服部 宇,他:陳旧性顎関節脱臼の8症例.日顎誌 12: 52-56, 2000. 11) 日本有病者歯科医療学会,日本口腔外科学会,他:科学的根拠に基づく抗血栓療法患者の抜歯に関するガイドライン(2010年度版),第1版,学術社,東京,2010,1-2頁 6) 鈴木章司,水野明夫,他:陳旧性顎関節脱臼において関節結節切除術を行った2例.日口外誌 33: 130-137, 1987. 9) Rao P : Conservative treatment of bilateral persistent anterior dislocation of the mandible. J Oral Surg 38: 51-52, 1980. 12) 小若純久,細田 超,他:無歯顎の陳旧性顎関節脱臼に対する1治験例.日口外誌 33: 2131-2135, 1987. |
References_xml | – reference: 9) Rao P : Conservative treatment of bilateral persistent anterior dislocation of the mandible. J Oral Surg 38: 51-52, 1980. – reference: 2) 椎葉正史,石田 亮,他:精神疾患に起因し観血的整復術を要した陳旧性顎関節脱臼の2例.日口外傷誌 5: 23-28, 2006. – reference: 10) 日本循環器学会:循環器疾患における抗凝固・抗血小板療法に関するガイドライン(2009年改訂版)-循環器の診断と治療に関するガイドライン(2008年度合同研究班報告).循環器の診断と治療に関するガイドライン,2009,55-56頁.URL:http://www.j-circ.or.jp/guideline/index.htm. 参照2010年 – reference: 11) 日本有病者歯科医療学会,日本口腔外科学会,他:科学的根拠に基づく抗血栓療法患者の抜歯に関するガイドライン(2010年度版),第1版,学術社,東京,2010,1-2頁. – reference: 5) 谷本 裕,盛実俊也,他:陳旧性顎関節脱臼の1例.日顎誌 3: 69-74, 1991. – reference: 13) Archer WH : Oral and Maxillofacial Surgery. 5th Ed, WB Standers Co, London, Philadelphia, Toronto, 1975, p1646-1655. – reference: 7) 水谷英樹,服部 宇,他:陳旧性顎関節脱臼の8症例.日顎誌 12: 52-56, 2000. – reference: 4) Cominiti MF and Weinberg S : Chronic mandibular dislocation: The role of non-surgical and surgical treatment. J Can Dent Assoc 64: 484-491, 1998. – reference: 6) 鈴木章司,水野明夫,他:陳旧性顎関節脱臼において関節結節切除術を行った2例.日口外誌 33: 130-137, 1987. – reference: 3) 村上 慶,近藤壽郎,他:パーキンソン病および多発性脳梗塞患者の陳旧性顎関節脱臼に対し全身麻酔下で観血的整復術を行った症例.日有病歯誌 11:41-46, 2002. – reference: 12) 小若純久,細田 超,他:無歯顎の陳旧性顎関節脱臼に対する1治験例.日口外誌 33: 2131-2135, 1987. – reference: 8) 川村 仁,高野典子,他:陳旧性顎関節脱臼の非観血的整復による一治験例.口科誌 80: 341-346, 1980. – reference: 1) 矢尾真弓,中山周子,他:陳旧性顎関節脱臼に対する非観血的整復法の1例-辺縁性歯周炎が進行した患者に対しての工夫-.日顎誌 19: 171-176, 2007. – reference: 14) 竹之下康治,中村昭一,他:顎関節脱臼の臨床統計的観察.日口外誌 28: 767-775, 1982. |
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Title | 陳旧性両側顎関節脱臼に非観血的整復法を施行した1例 |
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