{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679874397952.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.5112/jjlp.45.168"}},{"identifier":{"@type":"NAID","@value":"10012837789"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2004269093"}}],"dc:title":[{"@language":"en","@value":"Phonosurgery as a Day Surgery-Postoperative Quality and Patient Satisfaction-"},{"@value":"音声外科的治療プログラム―最適な治療選択から医療事故防止まで―術後経過と患者満足度"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Phonosurgery is one of the most suitable indication of day surgery. Under local anesthesia, 260 cases have undergone functional videoendoscopic laryngeal surgery at the Nishi Kobe Medical Center. The transoral approach was adopted for endoscopic monitoring of the vocal folds and voice during surgery. In 225 of these cases, the operative procedure was fully accomplished. In 40 laryngeal polyp cases, good vocal function was obtained postoperatively. Clinical Pathway process has been used for patients and medical staff members at the Day Surgery Unit of Kyoto University Hospital since 2000. Interviews of the patients were conducted by a nurse pre- and post-oper-atively. The most common complaint was limitation of phonation for 3 to 7 days after operation. In cases with unfavorable postoperative vocal function, medication and/or voice therapy were applied. Informed consent with explanation of the operative procedure and postoperative clinical course is most important for avoiding medical problems with patients. For the best phonosurgery treatment program, a voice care team should be organized to include a speech therapist, anesthesiologist, nurse, and others under the leadership of the otolaryngologist."},{"@value":"音声外科手術はデイ・サージャリーの良い適応である.平成8年から5年間に, 西神戸医療センターで行った局所麻酔下の喉頭内視鏡手術260例のうち, 225例 (87%) で手術を完遂できた.声帯ポリープ40例では術後の発声機能は改善し良好な成績であった.京都大学病院では平成12年にデイ・サージャリー診療部が設置され, クリニカルパスを作成して運用している.術前, 術後に患者インタビューをし, リスク, 手術の受け入れ, 心配事の表現, 声の制限が可能か, などを評価する.術後, 音声改善が不十分な場合は薬物治療や音声治療を行う.音声外科手術は比較的低侵襲だが, 合併症に局所麻酔でリドカイン中毒, 全身麻酔で喉頭痙攣などがあり, 詳細な手術の説明と記録により医事紛争の予防を図る.音声外科的治療プログラムの構築には, 耳鼻咽喉科医のリーダーシップにより, 麻酔科医, 言語聴覚士, 看護師などを含めたチーム医療が重要である."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1420845751135952640","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10233272"},{"@type":"NRID","@value":"1000010233272"},{"@type":"ORCID","@value":"0000-0003-3404-5461"},{"@type":"CINII_AUTHOR_ID","@value":"DA19140402"},{"@type":"URI","@value":"https://ci.nii.ac.jp/author/DA19140402#entity"},{"@type":"URI","@value":"https://viaf.org/viaf/NII%7CDA19140402"},{"@type":"NRID","@value":"9000107310196"},{"@type":"NRID","@value":"9000006233980"},{"@type":"NRID","@value":"9000409470198"},{"@type":"NRID","@value":"9000286630823"},{"@type":"NRID","@value":"9000258605027"},{"@type":"NRID","@value":"9000256078409"},{"@type":"NRID","@value":"9000021535093"},{"@type":"NRID","@value":"9000021780593"},{"@type":"NRID","@value":"9000325828184"},{"@type":"NRID","@value":"9000391658924"},{"@type":"NRID","@value":"9000405635609"},{"@type":"NRID","@value":"9000398794745"},{"@type":"NRID","@value":"9000255940735"},{"@type":"NRID","@value":"9000255942899"},{"@type":"NRID","@value":"9000273003286"},{"@type":"NRID","@value":"9000256077741"},{"@type":"NRID","@value":"9000402270023"},{"@type":"NRID","@value":"9000345404194"},{"@type":"NRID","@value":"9000396150438"},{"@type":"NRID","@value":"9000259323182"},{"@type":"NRID","@value":"9000256834284"},{"@type":"NRID","@value":"9000361681580"},{"@type":"NRID","@value":"9000345302231"},{"@type":"NRID","@value":"9000412663631"},{"@type":"NRID","@value":"9000410736959"},{"@type":"NRID","@value":"9000404829503"},{"@type":"NRID","@value":"9000265536247"},{"@type":"NRID","@value":"9000283370445"},{"@type":"NRID","@value":"9000399004375"},{"@type":"NRID","@value":"9000399519349"},{"@type":"NRID","@value":"9000410919526"},{"@type":"NRID","@value":"9000258260461"},{"@type":"NRID","@value":"9000002185385"},{"@type":"NRID","@value":"9000021735292"},{"@type":"NRID","@value":"9000411100072"},{"@type":"NRID","@value":"9000410736212"},{"@type":"NRID","@value":"9000415089295"},{"@type":"NRID","@value":"9000414837432"},{"@type":"NRID","@value":"9000410736557"},{"@type":"NRID","@value":"9000345404778"},{"@type":"NRID","@value":"9000293833914"},{"@type":"NRID","@value":"9000413944237"},{"@type":"NRID","@value":"9000283315045"},{"@type":"NRID","@value":"9000255942957"},{"@type":"NRID","@value":"9000344802502"},{"@type":"NRID","@value":"9000255940694"},{"@type":"NRID","@value":"9000345404470"},{"@type":"NRID","@value":"9000018699306"},{"@type":"NRID","@value":"9000408575912"},{"@type":"NRID","@value":"9000411031589"},{"@type":"NRID","@value":"9000256830363"},{"@type":"NRID","@value":"9000258257947"},{"@type":"NRID","@value":"9000010402533"},{"@type":"NRID","@value":"9000346917762"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0095889"}],"foaf:name":[{"@language":"en","@value":"Omori Koichi"},{"@language":"ja","@value":"大森 孝一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Fukushima Medical University School of Medicine"},{"@language":"ja","@value":"福島県立医科大学医学部耳鼻咽喉科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801205392512","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10635519"},{"@type":"NRID","@value":"1000010635519"},{"@type":"NRID","@value":"9000004683619"},{"@type":"NRID","@value":"9000261682713"},{"@type":"NRID","@value":"9000345302084"},{"@type":"NRID","@value":"9000261683019"},{"@type":"NRID","@value":"9000023049934"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0165209"}],"foaf:name":[{"@language":"en","@value":"Yamashita Masaru"},{"@language":"ja","@value":"山下 勝"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University"},{"@language":"ja","@value":"京都大学医学部耳鼻咽喉科・頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646257415553","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Tanaka Shinzo"},{"@language":"ja","@value":"田中 信三"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University"},{"@language":"ja","@value":"京都大学医学部耳鼻咽喉科・頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646257415555","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Asato Ryo"},{"@language":"ja","@value":"安里 亮"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University"},{"@language":"ja","@value":"京都大学医学部耳鼻咽喉科・頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646257415556","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000001225202"}],"foaf:name":[{"@language":"en","@value":"Mori Yuko"},{"@language":"ja","@value":"森 裕子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Nursing, Kyoto University Hospital"},{"@language":"ja","@value":"京都大学医学部附属病院患護部"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204839621249","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000000742618"}],"foaf:name":[{"@language":"en","@value":"Iwaki Shinobu"},{"@language":"ja","@value":"岩城 忍"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation, Nishi Kobe Medical Center"},{"@language":"ja","@value":"西神戸医療センターリハビリテーション科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646257415559","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000001225204"}],"foaf:name":[{"@language":"en","@value":"Yokoyama Keiko"},{"@language":"ja","@value":"横山 慶子"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"西神戸医療センターリハビリテーション科"},{"@language":"en","@value":"Department of Rehabilitation, Nishi Kobe Medical Center"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646257415558","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Tada Yasuhiro"},{"@language":"ja","@value":"多田 靖宏"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Fukushima Medical University School of Medicine"},{"@language":"ja","@value":"福島県立医科大学医学部耳鼻咽喉科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00302813"},{"@type":"EISSN","@value":"18843646"},{"@type":"NCID","@value":"AN00034826"}],"prism:publicationName":[{"@language":"en","@value":"The Japan Journal of Logopedics and Phoniatrics"},{"@language":"ja","@value":"音声言語医学"},{"@language":"en","@value":"Jpn. J. Logop. Phoniatr."},{"@language":"ja","@value":"音声言語医学"},{"@language":"en","@value":"The Japan Journal of Logopedics and Phoniatrics"}],"dc:publisher":[{"@language":"en","@value":"The Japan Society of Logopedics and Phoniatrics"},{"@language":"ja","@value":"日本音声言語医学会"}],"prism:publicationDate":"2004","prism:volume":"45","prism:number":"2","prism:startingPage":"168","prism:endingPage":"172"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://search.jamas.or.jp/link/ui/2004269093"}],"availableAt":"2004","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=phonosurgery","dc:title":"phonosurgery"},{"@id":"https://cir.nii.ac.jp/all?q=day%20surgery","dc:title":"day surgery"},{"@id":"https://cir.nii.ac.jp/all?q=local%20anesthesia","dc:title":"local anesthesia"},{"@id":"https://cir.nii.ac.jp/all?q=functional%20videoendoscopic%20laryngeal%20surgery","dc:title":"functional videoendoscopic laryngeal surgery"},{"@id":"https://cir.nii.ac.jp/all?q=voice%20care%20team","dc:title":"voice care team"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%83%87%E3%82%A4%E3%83%BB%E3%82%B5%E3%83%BC%E3%82%B8%E3%83%A3%E3%83%AA%E2%80%95","dc:title":"デイ・サージャリ―"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%9F%B3%E5%A3%B0%E5%A4%96%E7%A7%91","dc:title":"音声外科"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%B1%80%E6%89%80%E9%BA%BB%E9%85%94","dc:title":"局所麻酔"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%96%89%E9%A0%AD%E5%86%85%E8%A6%96%E9%8F%A1%E6%89%8B%E8%A1%93","dc:title":"喉頭内視鏡手術"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%83%81%E3%83%BC%E3%83%A0%E5%8C%BB%E7%99%82","dc:title":"チーム医療"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1521417755024013056","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"日帰り手術--費用対効果の優れた外科医療システムの構築"},{"@language":"ja-Kana","@value":"ヒガエリ シュジュツ ヒヨウ タイ コウカ ノ スグレタ ゲカ イリョウ システム ノ コウチク"}]},{"@id":"https://cir.nii.ac.jp/crid/1570291225005329792","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"デイ サージャリー看護"}]},{"@id":"https://cir.nii.ac.jp/crid/1571417125079945600","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Steroid injection for Reinke's edema using fiberoptic laryngeal surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1571698599987473024","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"局所麻酔下の喉頭内視鏡手術"},{"@language":"en","@value":"Videoendoscopic Laryngeal Surgery under Topical Anesthesia"}]},{"@id":"https://cir.nii.ac.jp/crid/1573668924893629952","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Videoendoscopic laryngeal surgery"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0023968910"},{"@type":"CROSSREF","@value":"10.5112/jjlp.45.168"},{"@type":"CIA","@value":"10012837789"},{"@type":"OPENAIRE","@value":"doi_dedup___::0955abe9babc1463bbb53311f62af126"}]}