顎関節鏡を用いて弾丸を摘出した顔面の盲管銃創の1例 A case of extraction of a bullet from a cul-de-sac facial gunshot wound by means of a temporomandibular arthroscope

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著者

    • 吉田 雅之 YOSHIDA Masayuki
    • 山梨大学大学院医学工学総合研究部臨床医学系歯科口腔外科学講座 Department of Oral & Maxillofacial Surgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi
    • 大月 佳代子 OHTSUKI Kayoko
    • 山梨大学大学院医学工学総合研究部臨床医学系歯科口腔外科学講座 Department of Oral & Maxillofacial Surgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi
    • 大西 正俊 OHNISHI Masatoshi
    • 山梨大学大学院医学工学総合研究部臨床医学系歯科口腔外科学講座 Department of Oral & Maxillofacial Surgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi

抄録

Difficulty in extracting a foreign object embedded in tissue of the oromaxillofacial region is not uncommon. Arthroscopic surgery is often used to treat conditions of the temporomandibular joints. We successfully extracted foreign objects embedded in a cul-de-sac facial gunshot wound adjacent to the temporomandibular joint, using a rigid endoscope originally designed for temporomandibular arthroscopic surgery. The procedures used are described in this report.<BR>The patient was a 46-year-old man who had been shot in the left side of the face. The bullet lodged in tissue medial to the left temporomandibular joint and sphenoidal sinus. Without any additional incision, a temporomandibular arthroscope was introduced from the point of entry of the bullet beneath the eye socket with the patient under general anesthesia. A total of 34 objects, including the bullet, its fragments and glass fragments from the patient's eyeglasses, were endoscopically extracted with the use of a grasping forceps. Arthroscopic monitoring permitted visual confirmation of the foreign bodies and enabled their successful extraction with minimal invasion.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 50(6), 368-371, 2004-06-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  9件中 1-9件 を表示

被引用文献:  2件中 1-2件 を表示

各種コード

  • NII論文ID(NAID)
    10018619764
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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