青少年の骨格性線維腫における美学および機能的リハビリテーション:事例報告
Nefeli Katanaki1, Ioanna Pouliezou2
1Division of Orthodontics, University of Geneva, 1205 Geneva, Switzerland.
Reports (MDPI)
|August 22, 2025
まとめ
子供の若年性骨化性線維腫 (JOF) は早期の手術を必要とし,しばしば顔の再構築に困難をもたらします. 長期にわたる義肢管理は,希少な成人症例研究において,機能と心理的幸福を著しく改善した.
科学分野:
- 口腔・口腔外科
- 小児歯科
- 頭蓋骨・顔面の再建
背景:
- 青少年の骨化性線維腫 (JOF) は,小児患者の頭蓋骨骨に影響を及ぼす希少で良性だが局所的に攻撃的な線維性骨性腫瘍である.
- JOFの早期の手術は,急速な成長と重度の顔の変形の可能性のため,特に切除後に長期のリハビリテーションの課題をもたらすことが重要です.
研究 の 目的:
- 青少年の骨化性線維腫を 治療した患者の長期追跡調査を報告する
- 早期の切除後の義肢リハビリテーションの課題と成果を強調する.
- 小児における JOF 治療の持続的な心理的,機能的な影響を強調する.
主な方法:
- 5歳の時 部分上頭切除で治療された 22歳の女性
- 初期再建が失敗し,その後は切除可能な義肢で治療した.
- 機能的,美的,心理的な結果を評価する長期のフォローアップ.
主要な成果:
- 義足のリハビリテーションは 噛みしめ,音声,顔の対称性を大幅に改善しました
- 顔の美しさの変化と手術の失望が原因で 患者さんは自己意識と社会からの撤退を 経験しました
- 困難にもかかわらず 義肢の管理は 心理的幸福の改善につながりました
結論:
- JOFの早期の切除は 心理的・社会的・機能的な影響があります
- 義歯の管理は,小児JOF患者の長期的なリハビリテーションにおいて重要な役割を果たします.
- 心理的なサポートを含む多学科的なアプローチは,包括的な患者ケアのために推奨されます.
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