{"created":"2023-06-19T10:29:34.007204+00:00","id":1672,"links":{},"metadata":{"_buckets":{"deposit":"a8ae83f5-a57c-4c83-b5d1-411b3b872917"},"_deposit":{"created_by":31,"id":"1672","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"1672"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00001672","sets":["1709617079800:35:317:562"]},"author_link":["111017","111018","111019","111020","111021","111022"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"40","bibliographicPageStart":"35","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_3_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_3_identifier_14":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2015/KMJ-J41(1)35.pdf"}]},"item_3_relation_20":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J41(1)35","subitem_relation_type_select":"DOI"}}]},"item_3_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_3_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"姫路赤十字病院形成外科・川崎医科大学形成外科学"},{"subitem_text_language":"ja","subitem_text_value":"三豊総合病院形成外科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学形成外科学"}]},"item_3_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of plastic and Reconstructive Surgery, red Cross Society Himeji hospital・Department of plastic and Reconstructive Surgery, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Plastic and Recostructive Surgery, Mitoyo General Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of plastic and Reconstructive Surgery, Kawasaki Medical School Hospital"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"口唇癌の95%以上が下口唇に認められ,組織学的に90%以上が有棘細胞癌であるといわれている.外科的治療が下口唇癌に対ししばしば選択されるが,整容的な問題だけでなく食事・会話等の機能的問題も生じうる.下口唇組織は幅1/3までは単純縫縮が可能であるが欠損幅が1/3を超えると何らかの再建術が必要となる.開口機能,閉口機能,構音機能,感情表現,知覚を最大限再現することが術後機能回復の上で重要となる.皮膚・筋肉・粘膜の三層構造を持つ頬部や口唇の組織を全層で用いる局所皮弁は,機能的にも整容的にも良い結果を得やすい.今回われわれは下口唇に生じた有棘細胞癌に対し下口唇切除後,両側Fan-shaped flap法に工夫を加えて再建した.術後食事,会話に問題なく整容的にも満足する結果が得られた."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":" It is known that ≥ 95% of lip cancers occur on the lower lip, and that ≥ 90% are histologically considered to represent squamous cell carcinoma. Surgical procedures are often selected for the treatment of lower lip cancer, but may result in not only cosmetic, but also functional issues, such as problems with meal intake and conversation. Simple closures up to one-third of the width can be used on lower lip tissue, but if the defect width exceeds this, some type of reconstruction becomes necessary. Maximal reproducibility of opening function, closing function, articulation function, emotional expression, and perception is essential for postoperative functional recovery. The local flap technique using all layers of the buccal and lip tissues, which have a three-layered structure consisting of skin, muscle, and mucosa, is known to offer greater success in achieving satisfactory functional and cosmetic results. Here, we describe lower lip resection and subsequent reconstruction using a bilateral fan-shaped flap technique with a modified approach in a patient with squamous cell carcinoma on the lower lip. No issues with meal intake or conversations were seen postoperatively, and satisfactory cosmesis was also achieved."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"原田, 崇史","creatorNameLang":"ja"},{"creatorName":"ハラダ, タカシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 茂男","creatorNameLang":"ja"},{"creatorName":"オオタ, シゲオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"稲川, 喜一","creatorNameLang":"ja"},{"creatorName":"イナガワ, キイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Harada, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ohta, Shigeo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Inagawa, Kichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-01-23"}],"displaytype":"detail","filename":"KJ00009881159.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00009881159.pdf","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/1672/files/KJ00009881159.pdf"},"version_id":"2b73b142-48c0-4b93-9be5-1cd02c54b00a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"有棘細胞癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Fan-shaped flap法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"下口唇","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Squamous Cell Carcinoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Fan-shaped flap","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Lower Lip","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"両側Fan-shaped flap法で再建した下口唇有棘細胞癌の1例 : Fan-shaped flap作製上の工夫について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"両側Fan-shaped flap法で再建した下口唇有棘細胞癌の1例 : Fan-shaped flap作製上の工夫について","subitem_title_language":"ja"},{"subitem_title":"A case of Bilateral Recostruction with a Fan-shaped Flap after Resection of a Squamous Cell Carcinoma of the Lower Lip : About a device in the Fan-shaped flap preparation","subitem_title_language":"en"}]},"item_type_id":"3","owner":"31","path":["562"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"1672","relation_version_is_last":true,"title":["両側Fan-shaped flap法で再建した下口唇有棘細胞癌の1例 : Fan-shaped flap作製上の工夫について"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2023-10-11T01:35:59.352805+00:00"}