{"created":"2023-06-19T10:43:47.783765+00:00","id":4117,"links":{},"metadata":{"_buckets":{"deposit":"01f25469-862b-4056-9417-e274ce149619"},"_deposit":{"created_by":11,"id":"4117","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4117"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004117","sets":["6:7:418:419"]},"author_link":["450","7621","56","8854","8856","8853","8855"],"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"ジュツゴ ニ ゼッセンブ エシ オ ミトメタ コウテイガン ノ 1レイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-02-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"27","bibliographicPageStart":"24","bibliographicVolumeNumber":"35","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌"}]}]},"item_3_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"YAMADA, Kodai"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMORI, Masashi"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"TAKEDA, Yuzou"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MURAI, Takato"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TOMIOKA, Takahiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOSHINUMA, Shinya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamamoto, Gaku"}],"nameIdentifiers":[{},{}]}]},"item_3_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　口底癌の部分切除による様々な術後合併症がある中で, 今回われわれは口底癌術後の舌尖部に壊死を認めた１例を経験したので文献的考察を加えて報告する. \n　患者は76歳男性で, 口底部の腫瘤を自覚し当科へ紹介され受診した. 右側口底部に長径16 mm×短径14 mmの表面粘膜粗造,無痛性の外向性腫瘤を認めた. 病理組織学的診断の結果, 高分化型扁平上皮癌と診断された. 全身検索を行い, 右側口底癌 T2N0M0の診断のもと, 全身麻酔下に口底部悪性腫瘍切除術を施行した. 術中, 舌深動脈が切除範囲に含まれたため, 結紮切断した. 術後5日目より, 舌尖部の色調が暗赤色から淡黄色へ, 術後9日目よりさらに褐色へと変化を認めた. 舌尖部への血流障害により部分壊死が生じたと考えられ, 術後14日目に局所麻酔下で舌尖部壊死組織のデブリードマンを行い, 舌形成術を施行した. 術後１ヶ月経過し, 舌尖部は色調の改善を認めた．舌の味覚障害, 知覚異常および摂食・嚥下障害は改善傾向であった. 今後注意深く経過観察を行う必要があると考えられる.","subitem_description_type":"Abstract"},{"subitem_description":" Various postoperative complications are associated with the partial resection of carcinoma of the floor of the mouth. Here we report the case of a patient who developed necrosis of the tongue tip after undergoing a surgery for carcinoma of the floor of the mouth and discuss this based on a literature review.\n A 76-year-old male was referred to our department after he noticed a mass on the floor of his mouth. A painless, exophytic mass with rough surface mucosa—16 mm on the long axis and 14 mm on the short axis—was found on the right side of the floor of the mouth. Histopathological assessments led to the diagnosis of a well-differentiated squamous cell carcinoma. Systemic assessments were performed, and the tumor was diagnosed as T2N0M0 basal cell carcinoma. The tumor was resected under general anesthesia. During surgery, it was ligated and cut as the deep lingual artery was within the resection area. Since postoperative day 5, the color of the tongue tip started changing from dark red to light yellow and then started turning brown since postoperative day 9. Impaired blood flow to the tongue tip might have resulted from partial necrosis. On postoperative day 14, debridement of the necrotizing tissue was performed under local anesthesia, which was followed by glossoplasty. The color of the tongue improved after 1 month of surgery. Furthermore, tongue dysgeusia, paresthesia, and eating and swallowing disorders showed a tendency to improve. Careful follow-up is necessary in the future.","subitem_description_type":"Abstract"}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Departmental Bulletin Paper","subitem_description_type":"Other"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00013210","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会"}]},"item_3_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"http://doi.org/10.14999/1521.00013210"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://doi.org/10.14999/1521.00013210","subitem_relation_type_select":"DOI"}}]},"item_3_version_type_15":{"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":"山田, 貢大"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"家森, 正志"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"竹田, 祐三"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村井, 崇人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"冨岡, 大寛"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"越沼, 伸也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 学"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-02-14"}],"displaytype":"detail","filename":"jsums3501p024.pdf","filesize":[{"value":"857.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3501p024","url":"https://shiga-med.repo.nii.ac.jp/record/4117/files/jsums3501p024.pdf"},"version_id":"ab665351-47d4-4998-8236-db18d6c59da4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"口底癌","subitem_subject_scheme":"Other"},{"subitem_subject":"血流障害","subitem_subject_scheme":"Other"},{"subitem_subject":"壊死組織","subitem_subject_scheme":"Other"},{"subitem_subject":"carcinoma of the floor of the mouth","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"impaired blood flow","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"necrotic tissue","subitem_subject_language":"en","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":"術後に舌尖部壊死を認めた口底癌の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"術後に舌尖部壊死を認めた口底癌の1例"}]},"item_type_id":"3","owner":"11","path":["419"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-02-14"},"publish_date":"2022-02-14","publish_status":"0","recid":"4117","relation_version_is_last":true,"title":["術後に舌尖部壊死を認めた口底癌の1例"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:18:35.400253+00:00"}