{"created":"2023-06-23T12:21:06.637619+00:00","id":12620,"links":{},"metadata":{"_buckets":{"deposit":"48285220-45cf-4bca-89a9-71c2a32c33a0"},"_deposit":{"created_by":21,"id":"12620","owners":[21],"pid":{"revision_id":0,"type":"depid","value":"12620"},"status":"published"},"_oai":{"id":"oai:asahi-u.repo.nii.ac.jp:00012620","sets":["46:348:456"]},"author_link":["4061","3998","8863","15761","15763","15764","4097","3966","4102","15758","12706","15750","15762","15757","4304","4090","15751"],"item_10002_biblio_info_77":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"36","bibliographicPageStart":"29","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"岐阜歯科学会雑誌"},{"bibliographic_title":"The Journal of Gifu Dental Society","bibliographic_titleLang":"en"}]}]},"item_10002_description_80":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"カスタムメイドチタンメッシュトレーと腸骨海綿骨（Paticulate cancellous bone and marrow ：PCBM）による顎骨再建は欠損部を十分に満たせるだけのPCBMが採取できれば成功率は高く有用な手段の一つである。大量のPCBMを採取するために後腸骨からの採取が推奨されるが、施設により術中に腹臥位への体位変換が不可能な場合がある。今回、我々はチタンメッシュトレー、再建プレートおよび前腸骨から採取したPCBMで再建した症例を経験し、術後、一部に感染による骨欠損が生じたが、再建プレートの除去とチタ ンメッシュトレーの交換とともにPCBMを再充填し良好な経過を得たので、その経過と反省点について考察を加えて報告する。患者は53歳の男性。1997年にエナメル上皮腫の診断にて左側下顎下縁の辺縁切除が施行された。2016年9月に左側下顎臼歯部の残存骨に再発を認め、同年11月に左側下顎犬歯から大臼歯群の抜歯を行い、12月に全身麻酔下で下顎区域切除とカスタムメイドチタンメッシュトレーと両側前腸骨稜から採取した45ｇのPCBMによる再建を行った。術後2週間目に口腔内の瘻孔形成と排膿を認め、2017年5月の画像検査にて下顎下縁相当部分に骨形成不全を認め、再建プレート周囲感染と診断し、2017年11月に再建プレートの除去、感染部掻把、チタンメッシュプレートの交換および右側前腸骨稜から採取した10ｇのPCBM再充填による再建を施行した。再手術後5か月の画像検査で良好な骨形成を確認したうえで、2019年1月に全身麻酔下でトレーの除去を施行し、肉眼的にも下顎骨の良好な再建を確認した。","subitem_description_type":"Abstract"}]},"item_10002_description_81":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"There are a number of treatment methods for mandibular reconstruction. The use of particulate cancellous bone and marrow (PCBM) grafts combined with custom-made titanium mesh is one of the useful methods, if a sufficient volume of PCBM can be collected. Studies have reported that collecting PCBM from the posterior iliac can yield a large amount of PCBM but this was difficult to harvest in our hospital, due to the complications of surgery performed in a prone position. Therefore, in this report we present a successful graft utilizing PCBM from the bilateral anterior iliac as an alternative harvest site. The patient was a 53-year-old man with ameloblastoma, who had been treated with marginal resection at the left lower mandibular in 1997. In September 2016, the patient was presented with a recurrence of ameloblastoma in the remaining bone. Segmental resection was performed under general anesthesia. Mandibular reconstruction was then performed using 45g of PCBM with a custom-made titanium mesh tray and reconstruction plate. PCBM was harvested from the bilateral anterior iliac. Two weeks after surgery, a fistula formation was found in the 3rd molar region. In May 2017, it was confirmed that new bone formation had occurred in the anterior to middle region of the grafted bone, but a small bone defect was observed in the posterior area that was caused by the formation of a fistula infection and an insufficient filling of PCBM. In November 2017, a reoperation was performed. The reconstruction plate and infected titanium mesh tray were removed and curettage of the infected bone was performed. Then the fossa was patched using a new titanium mesh tray with 10g of PCBM harvested from the right anterior iliac. Five months after reoperation, complete bone formation was confirmed by CT. In January 2019, the titanium mesh tray was removed under general anesthesia. ","subitem_description_type":"Other"}]},"item_10002_full_name_75":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"4304","nameIdentifierScheme":"WEKO"}],"names":[{"name":"OHTA, TAKAHISA"}]},{"nameIdentifiers":[{"nameIdentifier":"15763","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KUBOTA, SAORI"}]},{"affiliations":[{"affiliationNames":[{"affiliationName":"","lang":"ja"}],"nameIdentifiers":[]}],"familyNames":[{"familyName":"髙橋","familyNameLang":"ja"},{"familyName":"TAKAHASHI","familyNameLang":"en"}],"givenNames":[{"givenName":"萌","givenNameLang":"ja"},{"givenName":"MOE","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8863","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000367026400","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000367026400"}],"names":[{"name":"髙橋, 萌","nameLang":"ja"},{"name":"TAKAHASHI, 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REPORTS","subitem_heading_language":"en"}]},"item_10002_radio_89":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_radio_item":"application/pdf"}]},"item_10002_source_id_82":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2433-0191","subitem_source_identifier_type":"ISSN"}]},"item_10002_source_id_84":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00053070","subitem_source_identifier_type":"NCID"}]},"item_10002_textarea_76":{"attribute_name":"所属","attribute_value_mlt":[{"subitem_textarea_value":"JCHO京都鞍馬口医療センター歯科口腔外科\nDepartment of Oral Surgery, Japan community Health care Organization Kyoto Kuramaguchi Medical center\n朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"},{"subitem_textarea_value":"朝日大学歯学部口腔病態医療学講座口腔外科学分野\nDepartment of Oral and Maxillofacial surgery, Division of Oral Pathogenesis and Disease Control, Asahi University School of Dentistry"}]},"item_10002_version_type_95":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"太田, 貴久","creatorNameLang":"ja"},{"creatorName":"OOTA, TAKAHISA","creatorNameLang":"en"}],"familyNames":[{"familyName":"太田","familyNameLang":"ja"},{"familyName":"OOTA","familyNameLang":"en"}],"givenNames":[{"givenName":"貴久","givenNameLang":"ja"},{"givenName":"TAKAHISA","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"4061","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"10454274","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=10454274"}]},{"creatorNames":[{"creatorName":"久保田, 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SHINICHIRO","creatorNameLang":"en"}],"familyNames":[{"familyName":"住友","familyNameLang":"ja"},{"familyName":"SUMITOMO","familyNameLang":"en"}],"givenNames":[{"givenName":"伸一郎","givenNameLang":"ja"},{"givenName":"SHINICHIRO","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"3998","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000050216496","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/1000050216496"},{"nameIdentifier":"50216496","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=50216496"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-08-27"}],"displaytype":"detail","filename":"gifushika471_2936_2020.pdf","filesize":[{"value":"2.6 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"gifushika471_2936_2020","url":"https://asahi-u.repo.nii.ac.jp/record/12620/files/gifushika471_2936_2020.pdf"},"version_id":"cbe28bd8-1be9-4c62-b93e-97b6327719f7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"カスタムメイドチタンメッシュトレー","subitem_subject_scheme":"Other"},{"subitem_subject":"腸骨海綿骨","subitem_subject_scheme":"Other"},{"subitem_subject":"エナメル上皮腫","subitem_subject_scheme":"Other"},{"subitem_subject":"下顎再建","subitem_subject_scheme":"Other"},{"subitem_subject":"custom-made titanium mesh tray","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"particulate cancellous bone and marrow","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PCBM","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ameroblastoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mandibular reconstruction","subitem_subject_language":"en","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":"カスタムメイドチタンメッシュトレーと腸骨海綿骨移植による2回の下顎骨再建を行ったエナメル上皮腫の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"カスタムメイドチタンメッシュトレーと腸骨海綿骨移植による2回の下顎骨再建を行ったエナメル上皮腫の1例"},{"subitem_title":"A case of ameloblastoma, reconstructed two times with custom-made titanium mesh tray and particulate cancellous bone and marrow.","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"21","path":["456"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-08-27"},"publish_date":"2020-08-27","publish_status":"0","recid":"12620","relation_version_is_last":true,"title":["カスタムメイドチタンメッシュトレーと腸骨海綿骨移植による2回の下顎骨再建を行ったエナメル上皮腫の1例"],"weko_creator_id":"21","weko_shared_id":-1},"updated":"2024-01-16T04:58:20.042102+00:00"}