先端巨大症による下顎前突症に顎矯正手術を行った2例  [in Japanese] Two Surgical-orthodontic Cases with Mandibular Prognathism Caused by Acromegaly  [in Japanese]

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Author(s)

    • 上床 喜和子 UWATOKO KIWAKO
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 末永 英之 SUENAGA HIDEYUKI
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 森 良之 MORI YOSHIYUKI
    • 自治医科大学歯科口腔外科学講座 Department of Dentistry, Oral and Maxllofacial Surgery, Jichi Medical University
    • 髙戸 毅 TAKATO TSUYOSHI
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 須佐美 隆史 SUSAMI TAKAFUMI
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 井口 隆人 INOKUCHI TAKATO
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 大久保 和美 OHKUBO KAZUMI
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 岡安 麻里 OKAYASU MARI
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 内野 夏子 UCHINO NATSUKO
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 髙橋 直子 TAKAHASHI NAOKO
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 松林 幸枝 MATSUBAYASHI YUKIE
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital
    • 阿部 雅修 ABE MASANOBU
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, the University of Tokyo Hospital

Abstract

Acromegaly is caused by growth hormone excess owing to a pituitary adenoma after completion of growth and tends to lead to mandibular prognathism. In this paper, two patients with mandibular prognathism caused by acromegaly and treated by surgical-orthodontic treatment are reported. The first case was a 36-year-old male who was referred to our hospital to correct mandibular prognathism and malocclusion after resection of the tumor in the pituitary gland. The second case was a 26-year-old male who was referred from an orthodontic clinic for orthognathic surgery. He had not been diagnosed as acromegaly but a typical double-floor of the Turkish saddle was found in the lateral cephalogram. Blood tests revealed acromegaly. Surgical-orthodontic treatments were performed after resection of the pituitary adenoma and confirmation of normal level of blood growth hormone (GH) and somatomedin C. In both cases, multi-bracket appliances were worn and bimaxillary osteotomy (Le Fort I osteotomy for maxillary advancement and bilateral sagittal splitting ramus osteotomies for mandibular setback) was carried out to secure the intraoral space for the enlarged tongue. After post-surgical orthodontic treatment, the treatment results were good and stable in both cases. <br>These cases showed that surgical-orthodontic treatment for patients with acromegaly after pituitary adenoma resection is reliable. The importance of careful examination of the craniofacial shape in patients with mandibular prognathism to detect acromegaly is emphasized.

Journal

  • The Japanese Journal of Jaw Deformities

    The Japanese Journal of Jaw Deformities 26(1), 26-36, 2016

    THE JAPANESE SOCIETY FOR JAW DEFORMITIES

Codes

  • NII Article ID (NAID)
    130005152162
  • Text Lang
    JPN
  • ISSN
    0916-7048
  • Data Source
    J-STAGE 
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