{"@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/1390282679929849984.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11453/orltokyo.56.238"}},{"identifier":{"@type":"NAID","@value":"130004699548"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2014189431"}}],"dc:title":[{"@language":"en","@value":"CLINICAL ANALYSIS OF REVISION STAPES SURGERY FOR OTOSCLERASIS"},{"@language":"ja","@value":"耳硬化症に対する再手術例の検討"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We retrospectively reviewed a series of 9 revision stapes surgeries performed for otosclerosis between January 1984 and March 2012. The clinical history, preoperative findings, intraoperative findings, causes of failure, hearing results and postoperative clinical courses were evaluated. The average interval between the previous surgeries and the revision surgeries was 5 years 9 months. During the revision surgery, we found displacement of the prosthesis in 7 ears and presence of fibrotic tissues around the prosthesis in 2 ears. Incus necrosis was observed in one case. In 7 of the 9 ears, successful hearing results (postoperative air-bone hearing gap of 10 dB or less) were obtained according to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) guidelines. Although the hearing results of the revision surgeries were inferior to those of the primary surgeries, hearing improvement was obtained in most of the cases of revision surgery. We concluded that for revision stapes surgery, it would be better to select patients with a positive attitude. Flexibility to deal with the various intraoperative findings in each case and careful surgery are also required."},{"@language":"ja","@value":"1984年1月から2012年3月までの28年間に当科で施行した耳硬化症に対する全アブミ骨手術252耳のうち再手術症例8名9耳 (3.6%) を対象とし, 再手術までの経過, 再手術の術中所見, 聴力経過不良な原因, 再手術後の経過について検討した。<br> 　前回手術から再手術までの平均期間は5年3ヵ月であった。再手術時の所見から, 聴力経過不良の原因が人工耳小骨の何らかの偏位・脱落によると考えられたものが7耳で, そのうちキヌタ骨長脚の先端が壊死していたものが1耳存在した。増生した線維性組織や肉芽によるものと考えられたものが2耳であった。<br> 　再手術後, 米国耳鼻咽喉科頭頸部外科学会 (AAO-HNS) ガイドラインの基準案に準じて術後骨導値による術後気骨導差が 10dB 以内の成功例と判断されたものは9耳中5耳 (55.6%) であった。9耳中1耳で再手術後高度感音難聴を認めた。初回手術に比し再手術の治療成績は劣るものの再手術前の聴力より改善する例も多く, 積極的な再手術を試みるべきであるが, より慎重な手術操作や再手術時のそれぞれの状況に合わせた柔軟な対応が求められると考えられた。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1420282801198387584","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50408449"},{"@type":"NRID","@value":"1000050408449"},{"@type":"NRID","@value":"9000283512398"},{"@type":"NRID","@value":"9000258227207"},{"@type":"NRID","@value":"9000265536376"},{"@type":"NRID","@value":"9000002140628"},{"@type":"NRID","@value":"9000404660225"},{"@type":"NRID","@value":"9000258226433"},{"@type":"NRID","@value":"9000283513584"},{"@type":"NRID","@value":"9000283512659"},{"@type":"NRID","@value":"9000273025077"},{"@type":"NRID","@value":"9000406309953"},{"@type":"NRID","@value":"9000265258185"},{"@type":"NRID","@value":"9000283512191"},{"@type":"NRID","@value":"9000283512593"},{"@type":"NRID","@value":"9000363178349"},{"@type":"NRID","@value":"9000400162300"},{"@type":"NRID","@value":"9000283513566"},{"@type":"NRID","@value":"9000325830191"},{"@type":"NRID","@value":"9000258227648"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/kazuhisayamamoto"}],"foaf:name":[{"@language":"en","@value":"Yamamoto Kazuhisa"},{"@language":"ja","@value":"山本 和央"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, The Jikei University School of Medicine"},{"@language":"ja","@value":"東京慈恵会医科大学耳鼻咽喉科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1420564276187165440","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"60328292"},{"@type":"NRID","@value":"1000060328292"},{"@type":"NRID","@value":"9000254296567"},{"@type":"NRID","@value":"9000410736660"},{"@type":"NRID","@value":"9000001385902"},{"@type":"NRID","@value":"9000265536377"},{"@type":"NRID","@value":"9000287293104"},{"@type":"NRID","@value":"9000258226426"},{"@type":"NRID","@value":"9000254784506"},{"@type":"NRID","@value":"9000254297125"},{"@type":"NRID","@value":"9000254296582"},{"@type":"NRID","@value":"9000273025078"},{"@type":"NRID","@value":"9000345193133"},{"@type":"NRID","@value":"9000254784209"},{"@type":"NRID","@value":"9000410736648"},{"@type":"NRID","@value":"9000283513417"},{"@type":"NRID","@value":"9000254784426"},{"@type":"NRID","@value":"9000254297329"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/spacepaddy"}],"foaf:name":[{"@language":"en","@value":"Udagawa Tomokatsu"},{"@language":"ja","@value":"宇田川 友克"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, The Jikei University School of Medicine"},{"@language":"ja","@value":"東京慈恵会医科大学耳鼻咽喉科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658948738048","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"30307475"},{"@type":"NRID","@value":"1000030307475"},{"@type":"NRID","@value":"9000254784699"},{"@type":"NRID","@value":"9000283512668"},{"@type":"NRID","@value":"9000258227206"},{"@type":"NRID","@value":"9000265536378"},{"@type":"NRID","@value":"9000403725055"},{"@type":"NRID","@value":"9000283513289"},{"@type":"NRID","@value":"9000390413524"},{"@type":"NRID","@value":"9000254784733"},{"@type":"NRID","@value":"9000258227175"},{"@type":"NRID","@value":"9000345302058"},{"@type":"NRID","@value":"9000402613604"},{"@type":"NRID","@value":"9000402241726"},{"@type":"NRID","@value":"9000258227239"},{"@type":"NRID","@value":"9000254297018"},{"@type":"NRID","@value":"9000283513586"},{"@type":"NRID","@value":"9000391658954"},{"@type":"NRID","@value":"9000273025079"},{"@type":"NRID","@value":"9000019174760"},{"@type":"NRID","@value":"9000265258187"},{"@type":"NRID","@value":"9000317151421"},{"@type":"NRID","@value":"9000345193136"},{"@type":"NRID","@value":"9000254784725"},{"@type":"NRID","@value":"9000258227412"},{"@type":"NRID","@value":"9000369747043"},{"@type":"NRID","@value":"9000254784690"},{"@type":"NRID","@value":"9000283513563"},{"@type":"NRID","@value":"9000398434679"},{"@type":"NRID","@value":"9000398434671"},{"@type":"NRID","@value":"9000398434675"},{"@type":"NRID","@value":"9000258227654"},{"@type":"NRID","@value":"9000258226643"},{"@type":"NRID","@value":"9000254784038"},{"@type":"NRID","@value":"9000325830187"},{"@type":"NRID","@value":"9000254784255"}],"foaf:name":[{"@language":"en","@value":"Yaguchi Yuichiro"},{"@language":"ja","@value":"谷口 雄一郎"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, The Jikei University School of Medicine"},{"@language":"ja","@value":"東京慈恵会医科大学耳鼻咽喉科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801213553408","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"90233204"},{"@type":"NRID","@value":"1000090233204"},{"@type":"NRID","@value":"9000005451550"},{"@type":"NRID","@value":"9000257948437"},{"@type":"NRID","@value":"9000016382479"},{"@type":"NRID","@value":"9000413337647"},{"@type":"NRID","@value":"9000411514640"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/entdoctor"}],"foaf:name":[{"@language":"en","@value":"Otori Nobuyoshi"},{"@language":"ja","@value":"鴻 信義"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京慈恵会医科大学耳鼻咽喉科学教室"},{"@language":"en","@value":"Department of Otorhinolaryngology, The Jikei University School of 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Hiromi"},{"@language":"ja","@value":"小島 博己"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, The Jikei University School of Medicine"},{"@language":"ja","@value":"東京慈恵会医科大学耳鼻咽喉科学教室"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03869687"},{"@type":"EISSN","@value":"18836429"}],"prism:publicationName":[{"@language":"en","@value":"JIBI INKOKA TEMBO"},{"@language":"ja","@value":"耳鼻咽喉科展望"},{"@language":"ja","@value":"耳展"},{"@language":"en","@value":"OTO-RHINO-LARYNGOLOGY,TOKYO"},{"@language":"en","@value":"O.R.L.Tokyo"},{"@language":"en","@value":"OTO-RHINO-LARYNGOLOGY, TOKYO"},{"@language":"ja","@value":"ＯＲＬ，　Ｔｏｋｙｏ"}],"dc:publisher":[{"@language":"en","@value":"Society of Oto-rhino-laryngology Tokyo"},{"@language":"ja","@value":"耳鼻咽喉科展望会"}],"prism:publicationDate":"2013","prism:volume":"56","prism:number":"5","prism:startingPage":"238","prism:endingPage":"244"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2014189431"}],"availableAt":"2013","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%80%B3%E7%A1%AC%E5%8C%96%E7%97%87","dc:title":"耳硬化症"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%A2%E3%83%96%E3%83%9F%E9%AA%A8%E5%86%8D%E6%89%8B%E8%A1%93","dc:title":"アブミ骨再手術"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%AD%E3%83%8C%E3%82%BF%E9%AA%A8%E5%A3%8A%E6%AD%BB","dc:title":"キヌタ骨壊死"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%BA%BA%E5%B7%A5%E8%80%B3%E5%B0%8F%E9%AA%A8","dc:title":"人工耳小骨"},{"@id":"https://cir.nii.ac.jp/all?q=otosclerosis","dc:title":"otosclerosis"},{"@id":"https://cir.nii.ac.jp/all?q=revision%20stapes%20surgery","dc:title":"revision stapes surgery"},{"@id":"https://cir.nii.ac.jp/all?q=incus%20necrosis","dc:title":"incus necrosis"},{"@id":"https://cir.nii.ac.jp/all?q=prosthesis","dc:title":"prosthesis"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1002882792"},{"@type":"CIA","@value":"130004699548"}]}