Evaluation of surgical strategy based on the intraoperative superior oblique tendon traction test 12

• Material Type: 博士論文
• Title: Evaluation of surgical strategy based on the intraoperative superior oblique tendon traction test
• Volume: 11 12
• Author/Editor: Komori, Miwa
• Author Heading: Komori, Miwa
• Publication, Distribution, etc.: PLoS (Public Library of Science)
• Publication Date: 2016-12-16
• Publication Date (W3CDTF): 2016-12-16
• Alternative Title: 術中の上斜筋腱の牽引試験に基づく手術戦略の評価
• Periodical title: PLoS One
• Degree grantor/type: 浜松医科大学
• Date Granted: 2017-03-07
• Date Granted (W3CDTF): 2017-03-07
• Dissertation Number: 乙第540号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 乙第540号
• Text Language Code: eng
• Target Audience: 一般
• Note (General): doctoral; 医学系研究科; PurposeTo clarify the efficacy of a surgical strategy based on the superior oblique tendon traction test.MethodsA retrospective chart review was performed between January 2002 and June 2015. During that period, a single inferior oblique muscle (IO) myectomy and a combined IO myectomy and superior oblique muscle (SO) tuck procedure were performed based on SO tendon looseness as revealed by a traction test. The surgical effects of both procedures and the number of operations were analyzed.ResultsSixty-five cases were retrieved. Seventy-four surgeries were required. The IO myectomy and simultaneous groups included 48 and 17 cases, respectively. Pre-operative vertical deviation was significantly lower in the IO myectomy (11.8 prism diopters) than in the simultaneous (27.2 prism diopters; Mann±Whitney U-test, P<0.001) group. The mean induced changes were 9.4 prism diopters and 21.6 prism diopters in the IO myectomy and simultaneous groups, respectively, and the postoperative vertical deviation was not significantly different. On average, 1.13 and 1.18 surgeries per patient were performed in the IO myectomy and simultaneous groups, respectively.ConclusionThe simultaneous surgery of inferior oblique myectomy and superior oblique tuck is safe and effective for treating large angle of ongenital/idiopathic superior oblique palsy with a lax superior oblique tendon, as determined by the traction test.
• DOI: info:doi/10.1371/journal.pone.0168245; https://doi.org/info:doi/10.1371/journal.pone.0168245
• Persistent ID (NDL): info:ndljp/pid/11063584; https://dl.ndl.go.jp/pid/11063584
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2018-04-03T03:53:09+09:00
• Date Created (W3CDTF): 2018-08-27
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10271/3218; https://hama-med.repo.nii.ac.jp/records/3076
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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