不顕性に上気道狭窄をきたした認知症高齢者の両側下顎骨骨折の1例
We report a case of mandibular fracture associated with upper airway stenosis due to glossoptosis. The patient was a 91-year-old female who had injured her lower jaw in a fall at a nursing care home. Panorama radiography showed a fracture line on both sides of the mandibular body. Computed tomograph...
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| Published in | 口腔顎顔面外傷 : 日本口腔顎顔面外傷学会誌 Vol. 17; no. 1; pp. 27 - 31 |
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| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本口腔顎顔面外傷学会
2018
Japanese Society of Oral and Maxillofacial Traumatology |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1347-9903 2434-3366 |
| DOI | 10.24787/jsomft.17.1_27 |
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| Abstract | We report a case of mandibular fracture associated with upper airway stenosis due to glossoptosis. The patient was a 91-year-old female who had injured her lower jaw in a fall at a nursing care home. Panorama radiography showed a fracture line on both sides of the mandibular body. Computed tomography （CT） demonstrated glossoptosis and upper airway stenosis. The patient underwent open reduction via an intra-oral approach using mini plates and a reconstruction plate under general anesthesia. Her airway stenosis disappeared and the results of postoperative CT were appropriate. Although glossoptosis can cause upper respiratory tract obstruction, patients with decreased cognitive function may not be aware of this change. Mandibular fracture in patients with senile dementia therefore requires careful follow-up. |
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| AbstractList | We report a case of mandibular fracture associated with upper airway stenosis due to glossoptosis. The patient was a 91-year-old female who had injured her lower jaw in a fall at a nursing care home. Panorama radiography showed a fracture line on both sides of the mandibular body. Computed tomography （CT） demonstrated glossoptosis and upper airway stenosis. The patient underwent open reduction via an intra-oral approach using mini plates and a reconstruction plate under general anesthesia. Her airway stenosis disappeared and the results of postoperative CT were appropriate. Although glossoptosis can cause upper respiratory tract obstruction, patients with decreased cognitive function may not be aware of this change. Mandibular fracture in patients with senile dementia therefore requires careful follow-up. |
| Author | 小出, 奈央 坂本, 洋右 喜田, 晶洋 鵜澤, 一弘 肥後, 盛洋 丹沢, 秀樹 椎葉, 正史 笠松, 厚志 安藤, 壽晃 小池, 一幸 中嶋, 大 |
| Author_FL | UZAWA Katsuhiro KOIKE Kazuyuki 安藤 壽晃 KOIDE Nao HIGO Morihiro SHIIBA Masashi NAKASHIMA Dai KITA Akihiro KASAMATSU Atsushi SAKAMOTO Yosuke TANZAWA Hideki |
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| DocumentTitleAlternate | A Case of Mandibular Fracture Associated with Upper Airway Stenosis in Senile Dementia |
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| References | 2） 小出裕実子，真野隆充，他：当科における高齢者の顎顔面骨骨折の臨床的検討．口腔顎顔面外傷，15：13-17，2016 4） 横田裕行：【神経外傷治療の可視化】外傷学における頭部外傷の位置づけ 第28回日本外傷学会総会・学術集会．脳神経外科ジャーナル，23：942-950，2014 16） 田中真生，米満尚史，他：頭頸部外傷後の咽頭後間隙血腫により上気道狭窄を来した2例．日本救急医学会雑誌，25：119-124，2014 5） Gutta, R., Tracy, K., et al: Outcomes of mandible fracture treatment at an academic tertiary hospital: a 5-year analysis. J Oral Maxillofac Surg, 72：550-558, 2014. 10） Christensen, B.J., Mercante, D.E., et al: Risk Factors for Severe Complications of Operative Mandibular Fractures. J Oral Maxillofac Surg, 75：787. e781-e787. e788, 2017. 1） 一條 尚：下顎骨の形成 発育成長と，成長後における構造と形態の基礎的な変化．歯界展望，68：7-16，1986 11） 公益財団法人日本口腔外科学会：日本口腔顎顔面外傷学会編，外傷診療ガイドライン 第Ⅱ部，2015，15-19 13） 古木良彦，管野貴浩，他：緊急気道確保を要した小児の下顎骨オトガイ部骨折の1例．日本口腔外科学会雑誌，56：533-537，2010 14） 松田知之，山根毅郎，他：気道狭窄症状がCT施行中に顕在化した後咽頭間隙血腫の1例．日本集中治療医学会雑誌，23：347-348，2016 8） 飯塚 敦，塚本剛一，他：無歯顎・多数歯欠損下顎骨骨折症例の検討．日本口腔科学会雑誌，47：239-243，1998 15） 中井國博，矢野健二，他：外科医に必要な形成外科の知識 顔面外傷の診断と治療．外科治療，85：338-345，2001 6） 伊藤良平，久保田耕世，他：口腔顎顔面外傷690例の臨床的検討 年齢層別の特徴に関する分析．日本口腔科学会雑誌，65：248-255，2016 12） Luhr, H.G., Reidick, T., et al: Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. J Oral Maxillofac Surg, 54：250-255, 1996. 9） Lynham, A.J., Hirst, J.P., et al: Emergency department management of maxillofacial trauma. Emerg Med Australas, 16：7-12, 2004. 7） 川崎 誠，岡本秀治，他：高齢者の口腔顎顔面外傷の臨床的検討．口腔顎顔面外傷，15：18-21，2016 3） Gerbino, G., Roccia, F., et al: Maxillofacial trauma in the elderly. J Oral Maxillofac Surg, 57：777-782；discussion 782-773, 1999. |
| References_xml | – reference: 1） 一條 尚：下顎骨の形成 発育成長と，成長後における構造と形態の基礎的な変化．歯界展望，68：7-16，1986． – reference: 5） Gutta, R., Tracy, K., et al: Outcomes of mandible fracture treatment at an academic tertiary hospital: a 5-year analysis. J Oral Maxillofac Surg, 72：550-558, 2014. – reference: 9） Lynham, A.J., Hirst, J.P., et al: Emergency department management of maxillofacial trauma. Emerg Med Australas, 16：7-12, 2004. – reference: 15） 中井國博，矢野健二，他：外科医に必要な形成外科の知識 顔面外傷の診断と治療．外科治療，85：338-345，2001． – reference: 14） 松田知之，山根毅郎，他：気道狭窄症状がCT施行中に顕在化した後咽頭間隙血腫の1例．日本集中治療医学会雑誌，23：347-348，2016． – reference: 11） 公益財団法人日本口腔外科学会：日本口腔顎顔面外傷学会編，外傷診療ガイドライン 第Ⅱ部，2015，15-19． – reference: 6） 伊藤良平，久保田耕世，他：口腔顎顔面外傷690例の臨床的検討 年齢層別の特徴に関する分析．日本口腔科学会雑誌，65：248-255，2016． – reference: 3） Gerbino, G., Roccia, F., et al: Maxillofacial trauma in the elderly. J Oral Maxillofac Surg, 57：777-782；discussion 782-773, 1999. – reference: 4） 横田裕行：【神経外傷治療の可視化】外傷学における頭部外傷の位置づけ 第28回日本外傷学会総会・学術集会．脳神経外科ジャーナル，23：942-950，2014． – reference: 12） Luhr, H.G., Reidick, T., et al: Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. J Oral Maxillofac Surg, 54：250-255, 1996. – reference: 7） 川崎 誠，岡本秀治，他：高齢者の口腔顎顔面外傷の臨床的検討．口腔顎顔面外傷，15：18-21，2016． – reference: 10） Christensen, B.J., Mercante, D.E., et al: Risk Factors for Severe Complications of Operative Mandibular Fractures. J Oral Maxillofac Surg, 75：787. e781-e787. e788, 2017. – reference: 13） 古木良彦，管野貴浩，他：緊急気道確保を要した小児の下顎骨オトガイ部骨折の1例．日本口腔外科学会雑誌，56：533-537，2010． – reference: 8） 飯塚 敦，塚本剛一，他：無歯顎・多数歯欠損下顎骨骨折症例の検討．日本口腔科学会雑誌，47：239-243，1998． – reference: 16） 田中真生，米満尚史，他：頭頸部外傷後の咽頭後間隙血腫により上気道狭窄を来した2例．日本救急医学会雑誌，25：119-124，2014． – reference: 2） 小出裕実子，真野隆充，他：当科における高齢者の顎顔面骨骨折の臨床的検討．口腔顎顔面外傷，15：13-17，2016． |
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| Snippet | We report a case of mandibular fracture associated with upper airway stenosis due to glossoptosis. The patient was a 91-year-old female who had injured her... |
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| SubjectTerms | Elderly patients Mandibular fracture Upper airway stenosis 上気道閉塞 下顎骨骨折 高齢者 |
| Title | 不顕性に上気道狭窄をきたした認知症高齢者の両側下顎骨骨折の1例 |
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