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Three dimensional (3D) display of the pharyngeal air space change by a compensation posture for dysphagia using cone-beam CT

Research Project

Project/Area Number 15390568
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Pathobiological dentistry/Dental radiology
Research InstitutionHIROSHIMA UNIVERSITY

Principal Investigator

TANIMOTO Keiji  Hiroshima University, Graduate School of Biomedical Sciences, Professor, 大学院・医歯薬学総合研究科, 教授 (10116626)

Co-Investigator(Kenkyū-buntansha) NAGASAKI Toshikazu (YAMADA Toshikazu)  Hiroshima University, Graduate School of Biomedical Sciences, Research Assistant, 大学院・医歯薬学総合研究科, 助手 (10263724)
FUJIWARAI Yuri  Hiroshima University, Hospital, Research Assistant, 病院・助手 (40346515)
YOSHITA Mitsuyoshi  Hiroshima University, Graduate School of Biomedical Sciences, Research Assistant, 大学院・医歯薬学総合研究科, 助手 (50284211)
IIDA Yukihiro  Asahi University, School of Dentistry, Research Assistant, 歯学部, 助手 (60350873)
KATSUMATA Akitoshi (KAWAMATA Akitoshi)  Asahi University, School of Dentistry, Associate Professor, 歯学部, 助教授 (30195143)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥12,600,000 (Direct Cost: ¥12,600,000)
Fiscal Year 2005: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2004: ¥3,100,000 (Direct Cost: ¥3,100,000)
Fiscal Year 2003: ¥8,300,000 (Direct Cost: ¥8,300,000)
KeywordsSwallowing / Cone beam CT / Multi slice CT / Piriform sinus / CT / 計測
Research Abstract

Change postures in swallowing changes the shape of oropharyngeal space. The purpose of first research was to analyze this change using 3 dimensional data from cone-beam CT.
To see the effect of gravity, 10 volunteers were taken in sitting position with cone-beam CT (CBCT) and in supine position Multislice CT (MSCT) asking saliva swallow to anticipate rest position. Unfortunately, only 3 volunteers became rest position after swallow. From these 7 cases' data, soft palate was a little affected by the gravity. Further, hyoid bone, epiglottis and esophageal entrance were more affected by the gravity and have a tendency of aging.
To analyze the effect of head rotation to one side to the shape of pharyngeal space, we took CBCT with head-on and rotated to the right side. Videoendoscopy was taken in 2 volunteers. It was said that the piriform sinus in the rotated side will disappear because of the pressure to this area, but another side will be enlarged. From our CT data, we reconstructed 3 D images. The piriform sinus was not shrunk completely in the rotated side but rather enlarged. The opposite side of piriform sinus also enlarged. But in the level of the upper piriform sinus, the shape of the pharynx changed to a tear-drop shape from the oval one. The opposite side was enlarged and rotated side was shrank. Most of the researches to analyze this they use endoscopy and it does not allow the direct observation of the piriform sinus when rotated.

Report

(4 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • Research Products

    (11 results)

All 2005 2004

All Journal Article (11 results)

  • [Journal Article] 下背斜面を不随意滑落する食塊の動態に関するVF画像的検討2005

    • Author(s)
      飯田 幸弘
    • Journal Title

      日本摂食・嚥下リハビリテーション学会雑誌 9・2

      Pages: 255-264

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Aspects of swallowing in healthy dentate elderly persons older than 80 years2005

    • Author(s)
      Mika Yoshikawa
    • Journal Title

      J of Gerontology : Medical Sciences 60A・4

      Pages: 506-509

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] VF evaluation of the speed of bolus flow on the tongue base.2005

    • Author(s)
      Yukihiro Iida
    • Journal Title

      Jap.J.of Dysphagia Rehabilitation 9

      Pages: 255-264

    • NAID

      130007961850

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Aspects of swallowing in healthy dentate elderly persons older than 80 years.2005

    • Author(s)
      Mika Yoshikawa
    • Journal Title

      J of Gerontology : Medical Sciences 60A

      Pages: 506-509

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 舌斜面を不随意落下する食塊の動態に関するVF画像的検討2005

    • Author(s)
      飯田幸弘
    • Journal Title

      日本摂食嚥下リハビリテーション学会雑誌 9・3

      Pages: 255-264

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Aspects of swallowing in healthy dentate elderly persons older than 80 years.2005

    • Author(s)
      Yoshikawa, M.
    • Journal Title

      J.Geontology Bio Sci MedSci 60・4

      Pages: 506-509

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 3D-CF evaluation of facial asymmetry2005

    • Author(s)
      Katsumata A, Fujishita M, Maeda M, Ariji Y, Ariji E, Langlais RP
    • Journal Title

      Oral Surg Oral Med Oral Pathal Oral Radiol Endod. 99

      Pages: 212-220

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 3D CT evaluation of masseter muscle morphology after setback osteotomy for mandibular2005

    • Author(s)
      Katsumata A, Fujishita M, Ariji Y, Ariji E, Langlais RP
    • Journal Title

      Oral Surg Oral Med Oral Pathal Oral Radiol Endod. 98

      Pages: 461-470

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 口腔咽頭模型を用いたビデオ嚥下造影シミュレーション2004

    • Author(s)
      飯田 幸弘
    • Journal Title

      歯科放射線 44・3

      Pages: 152-160

    • NAID

      10018080487

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A simulation system for dynami videoflourscopic swallowing examination.2004

    • Author(s)
      Yukihiro Iida
    • Journal Title

      Dental Radiology 44

      Pages: 152-160

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 口腔咽頭模型を用いたビデオ嚥下造影シミュレーション2004

    • Author(s)
      飯田幸弘, 勝又明敏, 藤下昌己
    • Journal Title

      歯科放射線 44・3

      Pages: 152-160

    • NAID

      10018080487

    • Related Report
      2004 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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