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Tecnical Innovation of Lingual Nerve Reconstruction to Inhibit Allodynia of Lingual Nerve Injury

Research Project

Project/Area Number 15K11318
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Surgical dentistry
Research InstitutionWakayama Medical University

Principal Investigator

Fujita Shigeyuki  和歌山県立医科大学, 医学部, 教授 (50228996)

Co-Investigator(Kenkyū-buntansha) 木賀 紀文  和歌山県立医科大学, 医学部, 助教 (20625397)
東條 格  和歌山県立医科大学, 医学部, 講師 (70405439)
Research Collaborator Takashi Nakanishi  
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2016: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords舌神経 / 舌神経修復術 / 断端神経腫 / 神経再生 / 神経再生誘導管 / 神経損傷 / 神経障害性疼痛 / 神経性疼痛 / 神経断端腫
Outline of Final Research Achievements

The purpose of this study is to identify the factors associated with after the microneurosurgery removing traumatic neuroma in lingual nerve. The sample population was 70 patients who underwent microneurosurgery removing traumatic neuroma in lingual nerve. The recovery ratio of lingual nerve sensory was not significantly different in the patients who underwent the microneurosurgery less than 6 months after injury (early cases) than the other patient (late cases). However, the abundance ratio of Schwann cells in the 30 traumatic neuromas was significantly decreased in the late cases compared with early cases. Further, the gene expression changes were analyzed in traumatic neuromas using microarray analysis, and the candidate genes associated with lingual nerve repair was indicated using pathway analysis. The five proteins out of the proteins translated from the 20 genes were more expressed in the traumatic neuroma from the patients whose sensory functions were remarkable recovered.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (20 results)

All 2018 2017 2016 2015

All Journal Article (1 results) Presentation (19 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] No1601 下歯槽神経・舌神経の神経障害に対する診査・診断と外科的対応2017

    • Author(s)
      藤田茂之
    • Journal Title

      公益社団法人 日本歯科医師会

      Volume: 1601 Pages: 1-5

    • Related Report
      2016 Research-status Report
  • [Presentation] Clinical course of lingual nerve injury and factors promoted nerve regeneration in the traumatic neuroma.2018

    • Author(s)
      Takashi Nakanishi
    • Organizer
      The 59th Congress of Korean Association of Oral & Maxillofacial Surgeons
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 歯科医師が注意すべき歯科診療の偶発症2018

    • Author(s)
      藤田 茂之
    • Organizer
      紀南歯科医師会学術講習会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 三叉神経を損傷した時の対処と診断法2018

    • Author(s)
      藤田 茂之
    • Organizer
      WDSC (Weekend Dental Study Club)
    • Related Report
      2017 Annual Research Report
  • [Presentation] 舌神経損傷症例の修復術の勘どころ2018

    • Author(s)
      藤田 茂之
    • Organizer
      福岡歯科大学口腔外科学講座 臨床研修会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Sensory Outcome after Reconstruction of Lingual Nerve Discontinuities2018

    • Author(s)
      Shigeyuki Fujita
    • Organizer
      The 59th Congress of Korean Association of Oral & Maxillofacial Surgeons
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 舌神経損傷から手術まで長期間放置した症例の臨床学的評価2017

    • Author(s)
      中西 隆
    • Organizer
      日本口腔外科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 三叉神経損傷症例に対して顕微鏡下に神経修復術を施行した90例の検討2017

    • Author(s)
      藤田 茂之
    • Organizer
      大阪医科大学口腔外科学講座同窓会 学術研修会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 歯科診療における下歯槽神経および舌神経損傷に対する最善の対処法と再生医療も応用したアプローチを含めた外科的対応の現状2017

    • Author(s)
      藤田 茂之
    • Organizer
      第62回九州歯科大学 近畿北陸地区連合会 学術研修会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 三叉神経損傷への対策および医療裁判2017

    • Author(s)
      藤田 茂之
    • Organizer
      第58回日本歯科医療管理学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 下顎智歯抜歯後に生じる可能性のある下歯槽神経・舌神経障害への対処法2017

    • Author(s)
      藤田茂之
    • Organizer
      高知県歯科医師会
    • Place of Presentation
      釧路市歯科医師会
    • Related Report
      2016 Research-status Report
  • [Presentation] Iatrogenic lingual nerve injuries: Retrospective study of 82 cases2017

    • Author(s)
      Itaru Tojyo
    • Organizer
      7th Annual Conference and Joint Scientific Meeting of Nepalese Association of Oral and Maxillofacial Surgeons and Japanese Society of Oral and Maxillofacial Surgeons
    • Place of Presentation
      Hotel Annapurna, Durbarmarg, Kathmandu
    • Related Report
      2016 Research-status Report
  • [Presentation] 下顎埋伏智歯抜歯時に生じた舌神経損傷例における断端神経腫の組織学的検討2016

    • Author(s)
      中西隆
    • Organizer
      日本口腔外科学会
    • Place of Presentation
      幕張メッセ
    • Year and Date
      2016-11-25
    • Related Report
      2016 Research-status Report
  • [Presentation] シンポジウム5 術後三叉神経障害を科学する2016

    • Author(s)
      藤田茂之
    • Organizer
      第70回日本口腔科学会総会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2016-04-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 舌神経損傷時に生じ神経吻合術の際に切除する断端神経腫の組織学的評価2016

    • Author(s)
      中西隆
    • Organizer
      第70回日本口腔科学会総会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2016-04-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 舌神経損傷時に生じ神経吻合術の際に切除する断端神経腫の組織学的評価2016

    • Author(s)
      中西隆
    • Organizer
      日本口腔科学会
    • Place of Presentation
      福岡圏歯科医師会館
    • Year and Date
      2016-04-15
    • Related Report
      2016 Research-status Report
  • [Presentation] 下顎智歯の抜歯後に舌神経や下歯槽神経障害が生じたらどうしますか。2016

    • Author(s)
      藤田茂之
    • Organizer
      長崎県歯科医師会
    • Place of Presentation
      長崎県歯科医師会館
    • Related Report
      2016 Research-status Report
  • [Presentation] シンポジウムⅣ 智歯抜歯の工夫神経障害対策2015

    • Author(s)
      藤田茂之
    • Organizer
      第60回日本口腔外科学会総会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2015-10-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 長期的な保存治療が奏功しなかった症例に対し外科的治療を施行した医原性舌神経損傷の3例2015

    • Author(s)
      森恵一
    • Organizer
      第70回日本口腔科学会総会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2015-10-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 下顎智歯抜後に生じた陳臼性舌神経障害(受傷後8年経過)症例への外科的修復が有効であった1例2015

    • Author(s)
      武田侑也
    • Organizer
      第69回日本口腔科学会総会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2015-05-15
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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