Jinichi Fukuda

Primary tuberculous osteomyelitis of the mandible. A case report.

A case of tuberculous osteomyelitis of the mandible in a 76-year-old woman is reported. The patient sought treatment for a periostitis of the left side of the mandible. A purulent discharge was evident. Roentgenographic examination of the mandible revealed bone destruction from the midmandible to the ramus on the left side. The diagnosis was made by microscopic examination of the specimen from the involved bone. This case proved to be primary tuberculous osteomyelitis caused by the absence of the primary focus.

A case of schwannoma arising from the dermal branch of the cervical nerve

A case of schwannoma arising from the dermal branch of the cervical nerve is reported. A 35-year-old man was referred to our hospital, because of a swelling on the left side of the neck. A cystic mass was discovered on CT, MRI, and ultrasound investigations. The lesion was under the sternocleidomastoid muscle, which compressed the carotid artery and internal jugular vein. Because the lesion adhered to the dermal branch of the cervical nerve, it was excised with the nerve. The pathological diagnosis was a schwannoma arising from the transverse nerve because of sensory loss after surgery. It was considered important to detect the nerve of origin intra operatively. He was well without recurrence 18 months after surgery.

Results of questionnaire about informing cancer to informed oral cancer patients.

今回私達は九州歯科大学附属病院第一口腔外科にて加療し, 癌告知を受けた口腔癌患者32名中, 22名に癌告知に関するアンケートを施行し, 以下の結果を得た。(1) 15名 (68.2%) が真の診断名を知りたかったと答えた。一方, 3名 (13.6%) 知りたくなかったと答えたが, うち2名は最終的には癌告知に賛同していた。(2) 告知時期は全員術前を, 特に組織診断判明時を11名 (50%) が希望していた。また, 告知は主治医からを20名 (90.9%) が希望していた。(3) 告知が恐怖を生じさせる反面, 治療上プラスとなることが示唆された。(4) 家族が癌の場合の告知に関しては50%が「告知する」と答えた。以上の結果より, 口腔癌患者への癌告知を行う意義が示唆された。

A case of penetrating injury in the buccal region caused by a foreign body of plant origin

This paper describes a case of a foreign body of plant origin (bamboo) penetrating into the right buccal region. The patient was a 13-year-old boy, who visited our clinic 18 days after injury. He was complaining of trismus and pus discharge from the penetrating wound. Many papers describe difficulty in locating radiolucent foreign bodies. This case suggested that MRI was useful in locating plant foreign bodies present in the body for a long time.

Treatment to Skeletal Open Bite by Sagittal Splitting of Body of Mandible.

For correction of skeletal open bite with Angle class I, sagittal splitting of body of mandible has been performed.This surgical method can preserve the integrity of the inferior aspect of the mandibular body and alveolar crest and has obviated the necessity of bone grafting and making the precise model needed for conventional mandibular body ostectomy. In addition, the excellent interface of bone has promoted early consolidation of the proximal and distal segments.Therefore, sagittal splitting of the body of the mandible is an effective surgical procedure for skeletal open bite.

Remarkable response to UFT-E granule therapy for elderly patient with lingual carcinoma.

症例は90歳女性で, 舌癌 (TIN0M0) のため, UFT-E顆粒200mg/dayの投与にて腫瘍が縮小したため投与11週後 (計15.4g) にYAGレーザーを用いて安全域5mmの切除を局所麻酔下にて施行した。術後の病理診断にて腫瘍細胞 (一) であった。術後14週間 (計19.6g) UFT-E顆粒を投与したが, 副作用はみられなかった。初診来2年を経過するが再発, 転移もなく現在経過良好である。90歳を越える超高齢者の悪性腫瘍への対処はQOLを念頭におかなければならない。本症例はQOLを向上させ, かつ準根治的処置が施行可能であった。

Epidemiologic Survey of the Patients with Dento-facial Deformity. Questionnarie Study.

Epidemiologic study was conducted bygiving a questionnaire to 414 patients (128 males, 286 females) who indicated surgical correction of dentofacial deformity to investigate etiologic factors. The same questionnaire was given to 482 dental students as the control group and statistically compared with the patient group. The results were as follows:1. The suggestive items of hereditary factors were recognized in the patient group, and many parents, brothers, and sisters of patients tended to have dento-facial deformity and familial congenital anomaly.2. Many patients tended to have suffered from abnormality in their mothers body during fetal stage and birth.3. Many patients tended to have any abnomality of skull morphology during childhood.4. There was no significance of facial traumatic anamnesis between patient and control groups.5. Patients who had many dental caries, oral habits, food preference, underwent orthodontic treatment or operation of jaw during childhood, and anamnesis of temporomandibular joint luxation were significantly more than those in the control group.The results of this study revealed that dento-facial deformity was caused by hereditary and environmental factors