{"created":"2023-07-27T04:41:29.468711+00:00","id":23871,"links":{},"metadata":{"_buckets":{"deposit":"64b0b2f4-1935-41aa-82e0-249784bba2c3"},"_deposit":{"created_by":3,"id":"23871","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"23871"},"status":"published"},"_oai":{"id":"oai:tohoku.repo.nii.ac.jp:00023871","sets":["89:178"]},"author_link":["58685","58681","58682","58686","58680","58687","58684","58683"],"item_4_alternative_title_20":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Clinical Evaluation of a Patient Using Different Facial Prostheses According to Status of Use"}]},"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-12-27","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"65","bibliographicPageStart":"57","bibliographicVolumeNumber":"24","bibliographic_titles":[{"bibliographic_title":"東北大学歯学雑誌"}]}]},"item_4_date_62":{"attribute_name":"登録日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2008-05-02","subitem_date_issued_type":"Created"}]},"item_4_date_63":{"attribute_name":"公開日（投稿完了日）","attribute_value_mlt":[{"subitem_date_issued_datetime":"2008-05-02","subitem_date_issued_type":"Created"}]},"item_4_date_65":{"attribute_name":"発行日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2005-12-27","subitem_date_issued_type":"Created"}]},"item_4_date_80":{"attribute_name":"更新日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2010-01-27","subitem_date_issued_type":"Created"}]},"item_4_description_15":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"同一患者の使用状況変化に追随して,4種類の材料を用いたエピテーゼを製作・装着し比較検討した。症例は62歳の男性で,平成7年に右側上顎肉腫により右側拡大上顎全適出術を本学耳鼻咽喉科にて施行され,右側顔面欠損,口蓋欠損が観察された。平成9年にシリコーン製エピテーゼを製作,次いで軽量化を図るため平成10年にポリウレタン製のエピテーゼを製作・装着した。その後患者長期入院のため清掃性,消毒薬等に対する耐久性の向上を目標に,平成13年に透明床用レジンに当該健側部分を反転印刷した顔面写真を挟み込んで製作した床用レジン製のエピテーゼを装着した。ところが使用中に微細クラックから水分が浸透し写真色素が落ちるなどの問題が生じ実用性に劣っていたため,さらに平成14年に歯冠用硬質レジン製エピテーゼを製作・装着した。その結果皮膚類似性には劣るが,審美性,色調も許容範囲であり,皮膚炎症も観察されなかった。本症例に適応した4種のエピテーゼを比較すると皮膚類似性,審美性などにおいてシリコーンが,軽量性ではポリウレタン製エピテーゼが他に比べ優れていた一方,修理・調整性,非汚染性および清掃性などにおいて歯冠用硬質レジン製エピテーゼが優れていた。本症例においては取り扱いやすさなどから,歯冠用硬質レジン製エピテーゼの使用で落ち着いた。顔面補綴においては患者欠損状態,リアリティ追求のみでなく,患者の要求,使用環境等を考慮して材料選択していくべきである。","subitem_description_type":"Abstract"},{"subitem_description":"We have used facial prostheses to restore normal appearance adversely affected by congenital craniofacial conditions, ablative cancer surgery, or craniofacial trauma. However, various problems remain with regard to materials, retention, and aesthetics. This clinical report describes a 62-year-old man who had a right facial skin concavity with an extensive facial and maxillary defect including the orbita after surgery for right maxillary tumor (sarcoma, T4N1M0). The region affected by the mid-facial defect was reconstructed with the use of four types of facial prostheses made of different materials: medical grade silicone rubber, polyurethane, acrylic resin, or hard resin which was used to restore the crown and bridge. They were applied according to the patient's status of use. Characteristics were compared among the four facial prostheses. Color tone, vital reactions, weight, contamination, and textual differences were examined during follow-up. The patient was satisfied with the fourth facial prosthesis made of hard resin, used to restore the crown and bridge. This prosthesis improved the psychological status of the patient and his quality of life.","subitem_description_type":"Abstract"}]},"item_4_description_41":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"紀要類(bulletin)","subitem_description_type":"Other"}]},"item_4_description_66":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"4816976 bytes","subitem_description_type":"Other"}]},"item_4_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"58684","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Koyama, Shigeto"}]},{"nameIdentifiers":[{"nameIdentifier":"58685","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sasaki, Keiichi"}]},{"nameIdentifiers":[{"nameIdentifier":"58686","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Watanabe, Makoto"}]},{"nameIdentifiers":[{"nameIdentifier":"58687","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kato, Hiroaki"}]}]},"item_4_publisher_34":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東北大学歯学会"}]},"item_4_radio_69":{"attribute_name":"公開範囲","attribute_value_mlt":[{"subitem_radio_item":"学外"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"02873915","subitem_source_identifier_type":"ISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00081101","subitem_source_identifier_type":"NCID"}]},"item_4_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小山, 重人"}],"nameIdentifiers":[{"nameIdentifier":"58680","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐々木, 啓一"}],"nameIdentifiers":[{"nameIdentifier":"58681","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"渡邉, 誠"}],"nameIdentifiers":[{"nameIdentifier":"58682","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 裕光"}],"nameIdentifiers":[{"nameIdentifier":"58683","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-10"}],"displaytype":"detail","filename":"KJ00004369699.pdf","filesize":[{"value":"4.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004369699.pdf","url":"https://tohoku.repo.nii.ac.jp/record/23871/files/KJ00004369699.pdf"},"version_id":"43295b3f-d992-400d-8a73-1b2499600956"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"facial prosthesis","subitem_subject_scheme":"Other"},{"subitem_subject":"facial defect","subitem_subject_scheme":"Other"},{"subitem_subject":"maxillary tumor","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"使用状況変化に対応した顔面エピテーゼの臨床評価","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"使用状況変化に対応した顔面エピテーゼの臨床評価"}]},"item_type_id":"4","owner":"3","path":["178"],"pubdate":{"attribute_name":"公開日","attribute_value":"2008-05-02"},"publish_date":"2008-05-02","publish_status":"0","recid":"23871","relation_version_is_last":true,"title":["使用状況変化に対応した顔面エピテーゼの臨床評価"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-07-27T19:14:50.055379+00:00"}