下顎骨琺瑯腫ノ手術例

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概要

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• We operated on two cases of adamantinoma of the mandibular bone and followed the postoperative course for from 1 to 31/2 years and obtained the following information: 1) After resection of the mandible, not only is the mastication disturbed but also the profile of the face is alterd. 2) It can hardly be expected that the defect caused by the resection of the bone can be remedied by regeneration of the bone from the periostium, which is left intact, in the case of adamantinoma and of course in all cases of malignant tumors. Regeneration of the bone must be looked for a transplanted bone. 3) For the bone transplantation, it is suitable to select a rib, since it has the same curvature as the mandible. By this bone transplantation, the defective profile can be restored to a certain degree. 4) In the case of such operations, it is difficult to prevent the danger of infection, since the operation wound is connected with the contaminated mouth cavity. There is danger of necrosis of the transplanted bone, but yet we believe that bone transplantation is the best possible method and should be attempted, because after a certain period of time the new bone regenerates from the periostium of the transplanted bone, which will take the form of the transplanted bone and play an important role in the bone regeneration. In conjunction with the bone transplantation, properly applied dental prothesis is essential for the achievement of good results.

• 京都府立医科大学の論文

著者

• 矢田貝 薫

  京都府立醫科大學

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