Yonago acta medica最新文献

{"title":"Eccrine Angiomatous Hamartoma Occurring on the Nail Bed.","authors":"Hiroshi Notsu,&nbsp;Hiroyuki Goto,&nbsp;Naomi Tani,&nbsp;Kazunari Sugita","doi":"10.33160/yam.2023.08.004","DOIUrl":"https://doi.org/10.33160/yam.2023.08.004","url":null,"abstract":"<p><p>A 71-year-old woman was referred to our clinic with a 2-month history of pain and exudate from her right first toe. Physical examination revealed a subungual nodule that elevated the nail plate and produced distal onycholysis. We performed onychectomy and removed the nodule. A histopathological specimen from the nodule showed hyperkeratosis and acanthosis in the epidermis, papillomatosis and dilated vessels in the superficial dermis, and aggregation of eccrine glands in the mid-dermis. Based on these findings, a diagnosis of eccrine angiomatous hamartoma (EAH) was made. EAH is a rare cutaneous hamartoma that is histologically characterized by proliferation of eccrine glands and vascular components. To our knowledge, EAH occurring in the subungual region has not been reported. The pathogenesis of acquired EAH has not been completely elucidated, but several cases have been reported to be caused by external stimuli. Although the subungual area generally has no sweat glands, our case suggests that a traumatic stimulus can induce EAH anywhere including regions where sweat glands are normally not found.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 3","pages":"380-381"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10444588/pdf/yam-66-380.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10075143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Difficulties and Learning Needs Among Acute Care Ward Nurses Providing End-of-Life Care During the COVID-19 Pandemic: Comparison by Years of Clinical Experience.","authors":"Yusuke Sakurai,&nbsp;Miwa Yamamoto","doi":"10.33160/yam.2023.08.002","DOIUrl":"https://doi.org/10.33160/yam.2023.08.002","url":null,"abstract":"<p><strong>Background: </strong>In the daily routine of acute care wards, where priority is given to patients with severe illnesses and those who require urgent care, working with and supporting the decision making of terminally ill patients can be challenging.</p><p><strong>Methods: </strong>This study aimed to clarify the perceived difficulties of and learning needs among acute care ward nurses providing end-of-life care during the COVID-19 pandemic. In order to perform analyses by years of clinical experience, we conducted semi-structured interviews with both novice and experienced nurses. Participants were nurses working in the acute care ward of hospitals in the Kansai area.</p><p><strong>Results: </strong>We interviewed 31 nurses who agreed to cooperate, including 18 novice/advanced beginner nurses and 13 proficient/expert nurses. Perceived difficulties were categorized into four main groups for novice/advanced beginner nurses: <explanation>, <coronavirus>, <family>, and <doctor>. Perceived difficulties were categorized into four main groups for proficient/expert nurses: <nurses>, <care>, <think>, and <family>. Perceived learning needs were categorized into three main groups for novice/advanced beginner nurses: <patient>, <family>, and <experience>. Perceived learning needs were categorized into three main groups for proficient/expert nurses: <hospital>, <angel>, and <pain>.</p><p><strong>Conclusion: </strong>Novice/advanced beginner nurses felt anxiety and confusion, and were overwhelmed with how to care for terminal patients. Proficient/expert nurses were able to think about how to make patients and their families feel better, and were able to think specifically about post-mortem care. Many proficient/expert nurses were thinking not only about patient care but also about patients' room environment and how to spend time with their families. They sought learning opportunities regarding angel care, including methods of teaching it and basic techniques for performing it, and realized that information sharing within wards, chain of command within the hospital, information exchange with other hospitals, and inter-hospital collaboration were all important during COVID-19 pandemic.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 3","pages":"334-344"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10444589/pdf/yam-66-334.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10061863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Differences in the Motivational Process of the Job Demands-Resources Model.","authors":"Toshiki Fukuzaki,&nbsp;Noboru Iwata","doi":"10.33160/yam.2023.08.001","DOIUrl":"https://doi.org/10.33160/yam.2023.08.001","url":null,"abstract":"<p><strong>Background: </strong>Achieving gender equality is an important goal in Japan. Consequently, this study aimed to examine gender differences in a series of associations between job demands or resources and job performance mediated by work engagement (WE) in the motivational process of the job demands-resources model.</p><p><strong>Methods: </strong>This study recruited 671 non-manual workers (260 men and 411 women) through an online survey. The measured variables were demographic information, job demands or resources, WE, and job performance. Multiple-group structural equation modeling was used to analyze the data.</p><p><strong>Results: </strong>Regarding the level of job demands or resources and WE, no significant difference was observed between men and women. Whereas, job performance was significantly higher in women than in men. Additionally, multiple-group structural equation modeling indicated that the model that imposed on all path coefficients for equality constraints had a better fit, and consequently, no gender differences.</p><p><strong>Conclusion: </strong>Although the motivational process indicated no gender differences, job performance was higher in women than in men due to the management of a gender-equal and friendly work environment. Further comprehensive examinations, that use other variables not included in the present study, are required to understand women's high job performance.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 3","pages":"326-333"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10444583/pdf/yam-66-326.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10072183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a New Method for Simultaneous Quantitation of Plasma Concentrations of Voriconazole and Voriconazole <i>N</i>-Oxide Using Column-Switching LC-MS/MS and Its Application in Therapeutic Drug Monitoring.","authors":"Tatsuro Yamamoto,&nbsp;Masako Ishida,&nbsp;Nao Kodama,&nbsp;Yusuke Saiki,&nbsp;Masachika Fujiyoshi,&nbsp;Miki Shimada","doi":"10.33160/yam.2023.08.009","DOIUrl":"https://doi.org/10.33160/yam.2023.08.009","url":null,"abstract":"<p><strong>Background: </strong>Voriconazole therapy for fungal infections usually continues for several years and is often administered on an outpatient basis. Maintaining the voriconazole plasma concentration in the therapeutic range is highly important for effective therapy; however, it is difficult to obtain sufficient information to assess the voriconazole concentration in outpatients. Therefore, we developed a method to simultaneously measure the plasma concentrations of voriconazole and its major metabolite, voriconazole <i>N</i>-oxide, to obtain rapid results after outpatient blood collection and before medical consultation and to attain a better understanding of adherence and the drug-drug interactions of voriconazole.</p><p><strong>Methods: </strong>Fifty microliters of patient plasma was deproteinized with methanol, injected into the liquid chromatography-tandem mass spectrometry system, and purified using an online column. Separation was achieved on an InertSustain C18 column (2.1 mm id × 50 mm, 2 μm) with a mobile phase of 30:70 (0.1% formic acid in water:methanol) at a flow rate of 0.2 mL/min. Detection was performed using electrospray ionization in positive ion multiple reaction monitoring mode.</p><p><strong>Results: </strong>The analysis time was 4 min. The calibration curve was linear, in the range of 0.1 μg/mL to 20 μg/mL for voriconazole and 0.05 μg/mL to 10 μg/mL for voriconazole <i>N</i>-oxide, with a coefficient of determination at R² > 0.999.</p><p><strong>Conclusion: </strong>There is no need to dilute the patient's plasma even if the concentration of voriconazole is near the upper limit of measurement. Furthermore, the short measurement-time could immediately inform physicians of the patient's voriconazole concentration during ambulatory medical care. Simultaneous measurement of voriconazole and voriconazole <i>N</i>-oxide may also be useful for the immediate adjustment of voriconazole dosage in outpatients and would help us to understand adherence or drug-drug interactions in plasma voriconazole concentrations.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 3","pages":"365-374"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10444587/pdf/yam-66-365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness Training with a Fencing Athlete Who Was Troubled by an Uncharacteristic Inability to Perform Well Competitively: A Case Report.","authors":"Toshiki Fukuzaki","doi":"10.33160/yam.2023.05.009","DOIUrl":"https://doi.org/10.33160/yam.2023.05.009","url":null,"abstract":"<p><p>Positive thinking is one of the psychological skills that mental training programs aim to help athletes cultivate in order to enhance performance. It has been noted, however, that some athletes do not find positive thinking effective for that purpose. This case report describes a fencing athlete who used positive thinking to cope with negative ruminations prior to a competition and then stopped using positive thinking and engaged in mindfulness. As a result of applying mindfulness, the patient developed the ability to take part in competitions without obsessing and without negative ruminations. These findings show the importance of assessing, in detail, how the psychological skills training used with athletes is affecting their cognition, behavior, and performance and of implementing appropriate interventions based on these assessments.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 2","pages":"306-310"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203631/pdf/yam-66-306.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9525615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and Characteristics of Suicide-Related Behaviors Before and After the COVID-19 Epidemic in Tottori, Japan: A Retrospective Study.","authors":"Teruaki Hayashi,&nbsp;Takehiko Yamanashi,&nbsp;Masahiro Tanaka,&nbsp;Masaaki Iwata","doi":"10.33160/yam.2023.05.017","DOIUrl":"https://doi.org/10.33160/yam.2023.05.017","url":null,"abstract":"<p><strong>Background: </strong>In Japan, the number of suicides has increased since the coronavirus disease (COVID-19) epidemic. However, only a few studies have examined the trends among individuals who attempted suicide. In this study, we examined the background characteristics and motives of individuals who attempted suicide and visited the emergency room because of suicide-related behavior before and after the spread of COVID-19.</p><p><strong>Methods: </strong>This single-center retrospective observational study collected information from electronic medical records. We included patients who presented to the emergency department of Tottori University Hospital with suicide-related behaviors between May 1, 2017, to August 31, 2022. The period from May 1, 2017, through December 31, 2019, was designated as 'the period before COVID-19\" (before-period), and that from January 1, 2020, through August 31, 2022, was designated as \"the period after COVID-19\" (after-period). We compared the total number of cases, their background, and motives for suicide-related behaviors between the before- and after-periods.</p><p><strong>Results: </strong>The total number of suicide events was 304. Of these, 182 and 122 occurred during the before-period and after-period, respectively. The incidence of the F3 category of the International Classification of Diseases, 10^th Revision, increased, while that of the F4 and F6 categories decreased during the after-period. The proportion of suicide attempts due to health problems decreased and that of work problems increased during the after-period.</p><p><strong>Conclusion: </strong>The total number of suicide-related behaviors decreased after the COVID-19 pandemic. This may be because patients with psychiatric disorders other than depression and schizophrenia often engage in suicidal behavior through non-fatal methods, such as drug overdose and wrist-cutting, which may have led them to refrain from seeing a doctor. The proportion of suicidal motivation due to work-related fatigue has increased, perhaps because the quality and quantity of work changed significantly due to COVID-19.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 2","pages":"263-272"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203638/pdf/yam-66-263.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Robot-Assisted Minimally Invasive Esophagectomy for Esophageal Cancer: A Propensity Score-Matched Short-Term Analysis.","authors":"Tomoyuki Matsunaga,&nbsp;Yuji Shishido,&nbsp;Hiroaki Saito,&nbsp;Yu Sakano,&nbsp;Masahiro Makinoya,&nbsp;Wataru Miyauchi,&nbsp;Shota Shimizu,&nbsp;Kozo Miyatani,&nbsp;Yusuke Kono,&nbsp;Yuki Murakami,&nbsp;Takehiko Hanaki,&nbsp;Kyoichi Kihara,&nbsp;Manabu Yamamoto,&nbsp;Naruo Tokuyasu,&nbsp;Shuichi Takano,&nbsp;Teruhisa Sakamoto,&nbsp;Toshimichi Hasegawa,&nbsp;Yoshiyuki Fujiwara","doi":"10.33160/yam.2023.05.012","DOIUrl":"https://doi.org/10.33160/yam.2023.05.012","url":null,"abstract":"<p><strong>Background: </strong>We compared short-term clinical outcomes between robotic-assisted minimally invasive esophagectomy (RAMIE) and video-assisted thoracic esophagectomy (VATS-E) using propensity score-matched analysis.</p><p><strong>Methods: </strong>We enrolled 114 patients with esophageal cancer who underwent esophagectomy at our institution from January 2013 to January 2022. Propensity score matching was performed to minimize selection bias between the RAMIE and VATS-E groups.</p><p><strong>Results: </strong>After propensity score matching, 72 patients (RAMIE group, <i>n</i> = 36; VATS-E group, <i>n</i> = 36) were selected for analysis. No significant differences in clinical variables were observed between the two groups. The RAMIE group had a significantly longer thoracic operation time (313 ± 40 vs. 295 ± 35 min, <i>P</i> = 0.048), a higher number of right recurrent laryngeal nerve lymph nodes (4.2 ± 2.7 vs. 2.9 ± 1.9, <i>P</i> = 0.039), and a shorter postoperative hospital stay (23.2 ± 12.8 vs. 30.4 ± 18.6 days, <i>P</i> = 0.018) than the VATS-E group. The RAMIE group tended to have a lower rate of anastomotic leakage (13.9% vs. 30.6%) than the VATS-E group, although the difference was not statistically significant (<i>P</i> = 0.089). No significant differences were found in recurrent laryngeal nerve paralysis (11.1% vs. 13.9%, <i>P</i> = 0.722) or pneumonia (13.9% vs. 13.9%, <i>P</i> = 1.000) between the RAMIE group and the VATS-E group.</p><p><strong>Conclusion: </strong>Although RAMIE for esophageal cancer requires a longer thoracic surgery time, it might be a feasible and safe alternative to VATS-E for treating esophageal cancer. Further analysis is needed to clarify the advantages of RAMIE over VATS-E, especially in terms of long-term surgical outcomes.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 2","pages":"239-245"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203643/pdf/yam-66-239.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Olanzapine for The Prevention of Nausea and Vomiting Caused by Chemoradiotherapy with High-Dose Cisplatin for Head and Neck Cancer.","authors":"Satoshi Koyama,&nbsp;Hiroaki Ehara,&nbsp;Ryohei Donishi,&nbsp;Tsuyoshi Morisaki,&nbsp;Kenkichiro Taira,&nbsp;Takahiro Fukuhara,&nbsp;Kazunori Fujiwara","doi":"10.33160/yam.2023.05.002","DOIUrl":"https://doi.org/10.33160/yam.2023.05.002","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy-induced nausea and vomiting (CINV) are the most common and distressing adverse events in patients receiving anticancer therapy. Radiotherapy also induces nausea and vomiting, so concurrent chemoradiotherapy-induced nausea and vomiting (CRINV) are significant problems for patients undergoing chemoradiotherapy. Conventionally, three-drug combination therapy with dexamethasone, 5-hydroxytryptamine type 3 (5-HT3) receptor antagonist, and neurokinin-1 (NK1) receptor antagonist has been used to prevent CRINV induced by concurrent chemoradiotherapy with cisplatin for patients with head and neck cancer (HNC). Nonetheless, CRINV still remains a problem. The effectiveness of adding olanzapine to prevent CINV has been reported, suggesting the efficacy of four-drug combination therapy for CRINV. However, its effectiveness has hardly been reported in patient receiving chemoradiotherapy for HNC.</p><p><strong>Methods: </strong>A total of 109 patients with HNC who received concurrent chemoradiotherapy with cisplatin from April 2014 to March 2021 were included and divided into the following two groups according to antiemetic treatment regimen: the conventional group (Con group; <i>n</i> = 78) who received three-drug combination therapy and the olanzapine group (Olz group; Olz group, <i>n</i> = 31) who received four-drug combination therapy with olanzapine. Acute (0 to 24 h from cisplatin) and delayed (25 to 120 h from cisplatin) CRINV were then compared using the Common Terminology Criteria for Adverse Events.</p><p><strong>Results: </strong>No significant difference in acute CRINV were observed between both groups (<i>P</i> = 0.5761, Fisher's exact test). However, the Olz group had a significantly lower incidence rate of delayed CRINV over Grade 3 compared to the Con group (<i>P</i> = 0.0318, Fisher's exact test).</p><p><strong>Conclusion: </strong>Four-drug combination therapy with olanzapine was effective in suppressing delayed CRINV due to chemoradiotherapy with cisplatin for HNC.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 2","pages":"208-213"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203634/pdf/yam-66-208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9525617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Using a Video-Sharing Application on Multidisciplinary Staff During Pre-discharge Home Assessment Visits for Elderly Hospitalized Patients.","authors":"Daisuke Son,&nbsp;Takeshi Tanaka,&nbsp;Koichi Yamaguchi,&nbsp;Kazuoki Inoue,&nbsp;Minako Kamimoto,&nbsp;Young Lee,&nbsp;Toshihiro Hamada,&nbsp;Shin-Ichi Taniguchi,&nbsp;Masahiko Koda","doi":"10.33160/yam.2023.05.018","DOIUrl":"https://doi.org/10.33160/yam.2023.05.018","url":null,"abstract":"<p><strong>Background: </strong>Pre-discharge home assessment visits for elderly hospitalized patients are conducted by the hospital staff to ensure a smooth transition to home care and are effective in preventing falls and reducing the rehospitalization rates. However, the effect of an application that enables the viewing of videos of the patient's home activities during the pre-discharge visit on the multidisciplinary professionals who provide services to the patient has not yet been fully clarified.</p><p><strong>Methods: </strong>Multidisciplinary professionals at 23 facilities located in western Tottori Prefecture who used a video-sharing application (Patto-Mie Net) were invited to be interview participants. Those who agreed were interviewed about the usefulness of the application in their work and its effect on multidisciplinary collaboration. A verbatim transcript was made, and thematic analysis was conducted using the qualitative analysis software NVivo.</p><p><strong>Results: </strong>Twenty-eight people participated in the interviews, including nurses, care managers, rehabilitation specialists, care workers, and other social care professions. Fourteen themes and five categories were generated from the analysis: comprehensive information visualization and transferability, identification of changes over time and prognostic prediction, promoting multidisciplinary collaboration, patient and family reality, and disadvantages and concerns.</p><p><strong>Conclusion: </strong>The use of an application that allows video-sharing of a patient's home movement status during a pre-discharge visit has revealed a variety of benefits for multiple professionals in hospitals and other facilities. In particular, the results were characterized by the psychological closeness between multiple professionals, promotion of interprofessional communication, and sharing of reality, including the psychosocial background of the patient and family.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 2","pages":"273-280"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203635/pdf/yam-66-273.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Pediatric Garré's Osteomyelitis Caused by Germ Infection in the Lower Impacted Wisdom Tooth.","authors":"Yu Yoshida,&nbsp;Takayuki Shingu,&nbsp;Yuuki Harada,&nbsp;Sumire Ida,&nbsp;Kazuko Takubo","doi":"10.33160/yam.2023.05.005","DOIUrl":"https://doi.org/10.33160/yam.2023.05.005","url":null,"abstract":"<p><p>Garré's osteomyelitis, first described by Carl Garré in 1893, is a type of chronic osteomyelitis accompanied by hyperplastic periostitis. This condition affects relatively young patients and occurs in the fibula, femur, and other long bones as chronic non-purulent sclerosing osteomyelitis. Further, reactive periosteal bone formation develops due to chronic irritation or infection. In the maxillofacial region, it often occurs in the first molar region of the mandible due to caries and other similar causes, and it is rarely associated with impacted teeth. Herein, we present a 12-year-old female patient who primarily complained of swelling on the right side of the mandible. Despite taking antibiotics prescribed at local otolaryngologist, the swelling did not completely resolve. Thus, the patient was referred to the Department of Otorhinolaryngology at our hospital, where a dental-related disease was suspected. On a computed tomography scan, radiolucent findings were observed around the germ of the impacted wisdom tooth as well as hyperostosis in the lower jaw. Thus, Garré's osteomyelitis was suspected. The patient received oral anti-inflammatory treatment by the incision prior to surgery. Thereafter, the tooth germ was enucleated and newly-formed bone, which was laterally located to the cortical bone of the mandible, was removed under the effect of general anesthesia. On computed tomography scan 9 months after the surgery, hyperostosis in the angle of the mandible disappeared. Thereafter, pain and swelling did not recur, and the patient was doing well.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"66 2","pages":"292-296"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203645/pdf/yam-66-292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9530827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}