UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 血管浮腫の概要：臨床的特徴、診断、およびマネージメントan overview of angioedema clinical features diagnosis and management [show details]
…although it can be life-threatening when severe angioedema of the larynx, upper airway, or tongue results in airway obstruction. This characteristically happens in anaphylaxis and in bradykinin-mediated forms …
2. 小児における急性上気道閉塞の緊急評価emergency evaluation of acute upper airway obstruction in children [show details]
…substantially increase airway obstruction and the work of breathing in young children . The clinician should focus upon signs of airway obstruction and respiratory failure: Upper airway obstruction – The degree …
3. Approach to the anatomically difficult airway in adults outside the operating roomapproach to the anatomically difficult airway in adults outside the operating room [show details]
… of upper airway obstruction interferes with both laryngoscopy and intubation. A supraglottic mass or infection, trauma with hematoma, injury with disruption of the upper airway,… manner of a conventional tongue blade to assess the size of the tongue compared with that of the oropharynx. If this assessment reveals a large tongue to oropharynx ratio or…
4. 小児における閉塞性睡眠時無呼吸のためのアデノイド口蓋扁桃摘出adenotonsillectomy for obstructive sleep apnea in children [show details]
…the site of airway obstruction during sleep and assist in surgical planning for children with residual OSA after adenotonsillectomy. Airway obstruction at the level of the base of tongue is increasingly …
5. 成人における基本気道マネージメントbasic airway management in adults [show details]
… insert at least one nasopharyngeal airway. Potential hazards of using the OPA include: Pushing the tongue posteriorly, thereby exacerbating the airway obstruction; Using an incorrectly-sized device: …

English Journal

Quantification of Mandibular Morphology in Pierre Robin Sequence to Optimize Mandibular Distraction Osteogenesis.

Volk AS, Davis MJ, Narawane AM, Abu-Ghname A, Dempsey RF, Lambert EM, Tran BH, Wirthlin JO, Buchanan EP.
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 2020 Apr;()1055665620913780.
Mandibular distraction osteogenesis (MDO) is the primary surgical intervention to treat airway obstruction in Pierre Robin sequence (PRS). Current morphologic studies of PRS mandibles do not translate into providing airway management decisions. We compare mandibles of infants with nonsyndromic PRS t
PMID 32253927

The impact of tongue dimension on air volume in brachycephalic dogs.

Jones BA, Stanley BJ, Nelson NC.
Veterinary surgery : VS. 2020 Apr;49(3)512-520.
To compare the dimensions and density of the tongue in brachycephalic and mesaticephalic dog breeds and to document the relative extents of the nasopharyngeal and oropharyngeal airways occupied by the tongue and palatal tissues. Case control study. Sixteen brachycephalic dogs and 12 mesaticephalic d
PMID 31361346

Neonatal Mandibular Distraction Osteogenesis in Infants With Pierre Robin Sequence.

Diep GK, Eisemann BS, Flores RL.
The Journal of craniofacial surgery. 2020 Mar;().
Pierre Robin sequence is the constellation of micrognathia, glossoptosis, and tongue-based airway obstruction. When airway obstruction is severe, feeding, growth, and respiratory demise are at risk. Neonatal mandibular distraction osteogenesis is a technique which improves tongue-based airway obstru
PMID 32209938

Japanese Journal

舌縮小術術後に呼吸管理が必要になったBeckwith-Wiedemann症候群患者の1例

濱田正和,清水英孝,鵜澤成一
日本顎変形症学会雑誌 29(3), 247-252, 2019
… Beckwith-Wiedemann syndrome （BWS） is characterized by exomphalos, macroglossia, and gigantism. … Here we report the case of a patient with BWS who needed respiratory management following tongue reduction. … He had a history of tongue reduction in infancy, and recurrent macroglossia was observed with growth. … The patient underwent a tongue reduction following diagnosis of macroglossia. …
NAID 130007745911

舌粘膜下血腫を契機として診断に至った後天性血友病Aの1例

下辻寛子,上田順宏,仲村秀明,仲川洋介,髙橋佑佳,桐田忠昭
日本口腔外科学会雑誌 65(5), 345-350, 2019
… <p>Acquired hemophilia A is a rare disease induced by acquisition of factor Ⅷ inhibitors. … it is characterized by sudden bleeding symptoms. … We report a case of acquired hemophilia A in a patient with a submucosal hematoma of the tongue. … An 88-year-old woman presented with fresh bleeding from her mouth that was associated with a tongue hematoma. … The clot was removed, and a tongue laceration was revealed. …
NAID 130007682010

特発性舌下間隙血腫の1例

阿部康範,三谷壮平,羽藤直人
日本気管食道科学会会報 69(4), 261-267, 2018
<p>特発性舌下間隙血腫は非常に稀な疾患であるが，気道閉塞をきたす危険性が高く，気道管理が非常に重要な疾患である。今回，特発性舌下間隙血腫の1例を経験したので報告する。症例は60歳代後半の女性で当院内科に成人T細胞白血病リンパ腫 (ATLL) の終末期として入院中であった。症状緩和目的のステロイドでのハーフパルス療法後より咽頭痛，嚥下困難感，口腔内出血を認めたため当科紹介受診した。当科 …
NAID 130007439932