{"created":"2024-12-12T01:13:15.928487+00:00","id":2009070,"links":{},"metadata":{"_buckets":{"deposit":"a39474b5-6fc4-4097-808a-6b1bf9511e4e"},"_deposit":{"created_by":7,"id":"2009070","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2009070"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02009070","sets":["1713853213384:1713853295607"]},"author_link":["1420"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-12-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"2028","bibliographicPageStart":"2021","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"Journal of Clinical Sleep Medicine","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Study objective: Obstructive sleep apnea (OSA) is a respiratory disorder caused by the obstruction of the upper airway during sleep. The most common cause of pediatric OSA is adenotonsillar hypertrophy. Adenotonsillectomy is the first-line treatment for pediatric OSA; however, OSA persists in a significant number of patients due, in part, to the method of evaluating enlarged adenoids and tonsil tissue (AT). The reason for these effects on OSA severity is not clear. This study aimed to establish a method to diagnose the need for adenoidectomy or tonsillectomy.\nMethods: Twenty-seven Japanese children (mean age 6.6 years) participated in this study, undergoing polysomnography and computed tomography examination. Pharyngeal airway morphology (AT size, volume, and cross-sectional area [CSA]) and pressure on the upper airway were evaluated at each site using computational fluid dynamic analysis.\nResults: Apnea hypopnea index (AHI) showed a strong linear association with maximum negative pressure (Pmax) (AHI = -0.055* Pmax -1.326, R2 = 0.805). The relationship between minimum CSA (CSAmin) and Pmax was represented by an inversely proportional fitted curve (Pmax = -4797/ CSAmin -5.1, R2 = 0.507). The relationship between CSAmin and AHI was also represented by an inversely proportional fitted curve (AHI = 301.6/ CSAmin 1.22, R2 = 0.680). Pmax greatly increased if CSAmin became ≤ 30 mm2. The negative pressure of each site increased when CSA measured ≤ 50 mm2.\nConclusions: In children, when the CSA for each site is ≤ 50 mm2, AHI is likely to be elevated, and the patient may require tonsillectomy or adenoidectomy.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"American Academy of Sleep Medicine","subitem_publisher_language":"en"}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"This article has been accepted for publication in the Journal of Clinical Sleep Medicine published by the American Academy of Sleep Medicine.","subitem_rights_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"15509389","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"15509397","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA12197269","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.5664/jcsm.8736"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.5664/jcsm.8736","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"373814"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"岩﨑, 智憲","creatorNameLang":"ja"},{"creatorName":"イワサキ, トモノリ","creatorNameLang":"ja-Kana"},{"creatorName":"Iwasaki, Tomonori","creatorNameLang":"en"}],"familyNames":[{"familyName":"岩﨑","familyNameLang":"ja"},{"familyName":"イワサキ","familyNameLang":"ja-Kana"},{"familyName":"Iwasaki","familyNameLang":"en"}],"givenNames":[{"givenName":"智憲","givenNameLang":"ja"},{"givenName":"トモノリ","givenNameLang":"ja-Kana"},{"givenName":"Tomonori","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1420","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"373533/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/373533/profile-ja.html"},{"nameIdentifier":"10264433","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=10264433"}]},{"creatorNames":[{"creatorName":"スギヤマ, タケシ","creatorNameLang":"ja"},{"creatorName":"スギヤマ, タケシ","creatorNameLang":"ja-Kana"},{"creatorName":"Sugiyama, Takesi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ヤナギサワ ミナミ, アヤカ","creatorNameLang":"ja"},{"creatorName":"ヤナギサワ ミナミ, アヤカ","creatorNameLang":"ja-Kana"},{"creatorName":"Yanagisawa-Minami, Ayaka","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"オク, ヨウイチロウ","creatorNameLang":"ja"},{"creatorName":"オク, ヨウイチロウ","creatorNameLang":"ja-Kana"},{"creatorName":"Oku, Yoichiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ヨクラ, アンナ","creatorNameLang":"ja"},{"creatorName":"ヨクラ, アンナ","creatorNameLang":"ja-Kana"},{"creatorName":"Yokura, Anna","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ヤマサキ, ヨウイチ","creatorNameLang":"ja"},{"creatorName":"ヤマサキ, ヨウイチ","creatorNameLang":"ja-Kana"},{"creatorName":"Yamasaki, Youichi","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2021-08-04"}],"displaytype":"detail","filename":"jcsm_16_12_2021.pdf","filesize":[{"value":"470 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2009070/files/jcsm_16_12_2021.pdf"},"version_id":"e5db8915-24b9-4e7d-909d-48c2952b9485"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"adenoid","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"tonsil","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"airway negative pressure","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"computed fluid dynamics","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"obstructive sleep apnea","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pediatrics","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Effect of adenoids and tonsil tissue on pediatric obstructive sleep apnea severity determined by computational fluid dynamics","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Effect of adenoids and tonsil tissue on pediatric obstructive sleep apnea severity determined by computational fluid dynamics","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1713853295607"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-08-04"},"publish_date":"2021-08-04","publish_status":"0","recid":"2009070","relation_version_is_last":true,"title":["Effect of adenoids and tonsil tissue on pediatric obstructive sleep apnea severity determined by computational fluid dynamics"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-02-03T00:12:29.102895+00:00"}