頭頸部癌における頭頸部外科,形成外科,口腔外科3科合同手術における口腔外科の役割:下顎再建症例における3D石膏造形モデルを利用した術前プレート屈曲法  [in Japanese] The collaborative role of oral surgery with plastic as well as head & neck surgery in head and neck cancers: Preoperative plate-bending method in cases with mandibular reconstruction using plaster 3D models  [in Japanese]

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Author(s)

    • 水川 展吉 Mizukawa Nobuyoshi
    • 岡山大学医学部・歯学部附属病院 口腔外科再建系 Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital
    • 植野 高章 Ueno Takaaki
    • 岡山大学大学院医歯薬学総合研究科 顎口腔再建外科学 Departments of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 高木 慎 [他] Takagi Shin
    • 岡山大学大学院医歯薬学総合研究科 顎口腔再建外科学 Departments of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 冨永 進 Tominaga Susumu
    • 岡山大学大学院医歯薬学総合研究科 耳鼻咽喉・頭頸部外科学 Department of Otolaryngology, Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 木股 敬裕 Kimata Yoshihiro
    • 岡山大学大学院医歯薬学総合研究科 形成再建外科学 Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 小野田 友男 Onoda Tomoo
    • 岡山大学大学院医歯薬学総合研究科 耳鼻咽喉・頭頸部外科学 Department of Otolaryngology, Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 杉山 成史 Sugiyama Narushi
    • 岡山大学大学院医歯薬学総合研究科 形成再建外科学 Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 山近 英樹 Yamachika Eiki
    • 岡山大学大学院医歯薬学総合研究科 顎口腔再建外科学 Departments of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 山田 庸介 Yamada Yousuke
    • 岡山大学医学部・歯学部附属病院 口腔外科病態系 Department of Oral and Maxillofacial Surgery and Biopathology, Okayama University Hospital
    • 木村 卓爾 Kimura Takuji
    • 岡山大学医学部・歯学部附属病院 口腔外科病態系 Department of Oral and Maxillofacial Surgery and Biopathology, Okayama University Hospital
    • 竹内 哲男 Takeuchi Tetsuo
    • 岡山大学医学部・歯学部附属病院 医療技術部歯科系部門技工室 Department of Dental Laboratory, Okayama University Hospital

Abstract

The collaboration of various medical teams is crucial for the appropriate treatment of cancer patients. However, in Japan, it is very difficult for oral surgeons to cooperate with head and neck surgeons due to conflicts in the treatment of those patients. There have been few studies on this subject. In the current work, we report on the collaboration of head and neck surgeons, plastic surgeons and oral surgeons in operations on two patients with gingival carcinomas in the mandible. We first prepared plaster 3D models of the patients'mouths by means of ink-jet from CT data. We pre-bent the reconstruction plates using the preoperative 3D models. Therefore, we could save the time required to bend the plate. Plaster models are cheaper than resin models. It is also easy to model the surgery using the plate. During the operation, head and neck surgeons resected the tumors, plastic surgeons performed reconstruction with vascularized bone or skin graft, and oral surgeons (dentists) did plate fixation and took charge of the patients'occlusion. This method resulted in patients having good occlusion after the operation.

Journal

  • Okayama Igakkai Zasshi (Journal of Okayama Medical Association)

    Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 120(3), 299-305, 2008

    Okayama Medical Association

Codes

  • NII Article ID (NAID)
    130004903144
  • NII NACSIS-CAT ID (NCID)
    AN00032489
  • Text Lang
    JPN
  • Article Type
    journal article
  • Journal Type
    大学紀要
  • ISSN
    0030-1558
  • NDL Article ID
    9742429
  • NDL Call No.
    Z19-269
  • Data Source
    NDL  IR  J-STAGE 
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