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  1. 医歯学総合研究科
  2. 医歯学総合研究科・博士論文

Relationship between pharyngeal airway depth and ventilation condition in mandibular setback surgery : A computational fluid dynamics study

http://hdl.handle.net/10232/00031361
http://hdl.handle.net/10232/00031361
0063fbc4-8597-4919-8c72-d60d20e96f9c
名前 / ファイル ライセンス アクション
Diss_白澤_良執_ISK568_2020.pdf Diss_白澤_良執_ISK568_2020 (1.1 MB)
Abstract_白澤_良執_4516800061_2020.pdf Abstract_白澤_良執_4516800061_2020 (28.1 kB)
Result_Shirazawa_Yoshito_isk_568.pdf Result_Shirazawa_Yoshito_isk_568 (193.7 kB)
Comments_Shirazawa_Yoshito_isk_568.pdf Comments_Shirazawa_Yoshito_isk_568 (94.8 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2020-10-01
タイトル
タイトル Relationship between pharyngeal airway depth and ventilation condition in mandibular setback surgery : A computational fluid dynamics study
別言語のタイトル
その他のタイトル 外科的下顎後退術を行った骨格性下顎前突症患者の咽頭気道前後径と通気状態の関係 : 上気道流体シミュレーションによる解析
著者 白澤, 良執

× 白澤, 良執

WEKO 137421

白澤, 良執

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著者よみ
姓名 シラザワ, ヨシト
別言語の著者
姓名 SHIRAZAWA, Yoshito
言語
言語 eng
キーワード
主題言語 en
主題Scheme Other
主題 skeletal Class III
キーワード
主題言語 en
主題Scheme Other
主題 mandibular setback surgery
キーワード
主題言語 en
主題Scheme Other
主題 pharyngeal airway depth
キーワード
主題言語 en
主題Scheme Other
主題 obstructive sleep apnea
キーワード
主題言語 en
主題Scheme Other
主題 computational fluid dynamics
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
要約(Abstract)
内容記述タイプ Other
内容記述 Objectives: This study aimed to determine the anteroposterior depth (APD) of the pharyngeal airway (PA) where post-operative PA obstruction was predicted, using computer fluid dynamics (CFD), in order to prevent obstructive sleep apnoea after mandibular setback surgery.
Settings and sample population: Nineteen skeletal Class III patients (8 men; mean age, 26.7 years) who required mandibular setback surgery had computed tomography images taken before and 6 months after surgery.
Methods: The APD of each site of the four cross-sectional reference planes (retropalatal airway [RA], second cervical vertebral airway, oropharyngeal airway and third cervical vertebral airway) were measured. The Maximum negative pressure (Pmax) of the PA was measured at inspiration using CFD, based on a three-dimensional PA model. Intersite differences were determined using analysis of variance and the Friedman test with Bonferroni correction. The relationship between APD and Pmax was evaluated by Spearman correlation coefficients and non-linear regression analysis.
Results: The smallest PA site was the RA. Pmax was significantly correlated with the APD of the RA (rs = .628, P < .001). The relationship between Pmax and the APD-RA was fitted to a curve, which showed an inversely proportional relationship of Pmax to the square of the APD-RA. Pmax substantially increased even with a slight reduction of the APD-RA. In particular, when the APD-RA was 7 mm or less, Pmax increased greatly, suggesting that PA obstruction was more likely to occur.
Conclusions: The results of this study suggest that APD-RA is a useful predictor of good PA ventilation after surgery.
要約(Abstract)
内容記述タイプ Other
内容記述 This is the peer reviewed version of the following article:
Yoshito Shirazawa, Tomonori Iwasaki, Kazuhiro Ooi, Yutaka Kobayashi, Ayaka Yanagisawa-Minami, Yoichiro Oku, Anna Yokura, Yuusuke Ban, Hokuto Suga, Shuichi Kawashiri, Youichi Yamasaki.
Relationship between pharyngeal airway depth and ventilation condition in mandibular setback surgery: A computational fluid dynamics study
Orthodontics & Craniofacial Research (2020), 23(3), 313-322
© 2020 John Wiley & Sons A/S.
which has been published in final form at https://doi.org/10.1111/ocr.12371
This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
作成日
日付 2020-08-06
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
NDC
主題Scheme NDC
主題 490
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文全文
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文要旨
ファイル(説明)
内容記述タイプ Other
内容記述 最終試験結果の要旨
ファイル(説明)
内容記述タイプ Other
内容記述 論文審査の要旨
公開者・出版者
出版者 John Wiley & Sons
公開者・出版者
出版者 鹿児島大学
公開者よみ
公開者よみ カゴシマ ダイガク
公開者別名
公開者別名 Kagoshima University
備考
備考 【指導教員:山﨑要一】
date.appl
【学位申請日】2020-04-01
学位名
学位名 博士(歯学)Doctor of Philosophy in Dental Science
学位授与機関
学位授与機関識別子Scheme kakenhi
学位授与機関識別子 17701
学位授与機関名 鹿児島大学
学位授与年月日
学位授与年月日 2020-08-20
学位授与番号
学位授与番号 甲総研第568号
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