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- 加藤 寛子
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 小林 正治
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 芳澤 享子
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 長谷部 大地
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 加藤 健介
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 泉 直也
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 小田 陽平
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
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- 篠倉 均
- ささくら矯正歯科クリニック
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- 齊藤 力
- 新潟大学大学院医歯学総合研究科口腔生命科学専攻顎顔面再建学講座組織再建口腔外科学分野
書誌事項
- タイトル別名
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- A Case of Growth Hormone Deficiency with Severe Mandibular Protrusion and Masseter Hypertrophy
この論文をさがす
抄録
Growth hormone deficiency (GHD) is the deficiency of growth hormone produced by the pituitary gland to stimulate the body to grow. We report a case of GHD with severe mandibular protrusion and masseter hypertrophy. A 28-year-old male patient with GHD treated with administration of human growth hormone between the ages of 11 to 20 visited our hospital because of severe mandibular protrusion and malocclusion. The patient had a history of orthodontic treatment for skeletal Class III malocclusion from 9 to 14 years old. Clinical evaluation revealed a concave profile with severe mandibular protrusion and a prominent mandibular angle. After preoperative orthodontic treatment, a combination of Le Fort I osteotomy, anterior mandibular segmental osteotomy, and bilateral sagittal split ramus osteotomy was performed. Eight months after the first surgery, the lower and inner portions of the bilateral masseter muscles were resected and the expanded portions of the mandibular angles were trimmed away by an intraoral approach. After orthognathic surgery, the facial profile and malocclusion were improved remarkably.<br>Untreated patients with GHD have typical somatic features, including short stature, acromicria, and distinctive craniofacial features including small head circumference and retrognathism. It is reported that GH therapy partially corrects craniofacial defects but long-term GH therapy might be associated with acromegalic features. In the present case, it is suggested that GH therapy accelerated mandibular growth and aggravated mandibular protrusion.
収録刊行物
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- 日本顎変形症学会雑誌
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日本顎変形症学会雑誌 20 (4), 310-318, 2010
特定非営利活動法人 日本顎変形症学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390282679428459008
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- NII論文ID
- 10029086301
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- NII書誌ID
- AN10366185
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- ISSN
- 18845045
- 09167048
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- 抄録ライセンスフラグ
- 使用不可