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Visualization of condylar position in the glenoid fossa for the precise maneuver of orthognathic surgery

Research Project

Project/Area Number 16K11739
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Matsushita Kazuhiro  北海道大学, 歯学研究院, 助教 (10399933)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords口腔外科 / 顎変形症 / 顎関節 / センサー / 関節位置 / 下顎枝矢状分割術 / 軌跡 / フォースセンサー
Outline of Final Research Achievements

We tried to develop the new system by which condylar movement was evaluated. The sensor was placed on the skin over the lateral pole of the condyle. Force sensor (55mm X 55mm; Nissha, Kyoto, Japan) was selected. As swiping the display of the Smartphone with a fingertip, lateral pole of the condyle was made to swipe the surface of the sensor, and the trajectory was visualized. The sensor was fixed on the sponge by the adhesive and pushed on the skin over the condyle from lateral side. Wide range of the movement was easily depicted by the sensor and reproducibility was observed. However, small range of the movement, limited in the glenoid fossa, was hard to be depicted. Unfortunately, main focus of this project ended in failure. But, new idea concerning this evaluation system for the future came up conversely.

Academic Significance and Societal Importance of the Research Achievements

顎関節の動きは関節窩から前方に滑走し、その軌跡は開閉口時、ほぼ同様であった。これまでパントグラフを用いて描記していたものと同様の軌跡が描けた。よって、従来は顆頭運動の経路を描記するためには、複雑な器具が必要であったが、容易に描記できることが判明し、さらにこの概念の正当性が証明された。ただ、顎変形症の治療で必要な関節窩内部での関節頭の僅かな動きを評価する精度まではなかったことが判明した。しかし、今後の研究のヒントは見つかった。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (6 results)

All 2018 2017 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (5 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Bilateral hypoplasia of the maxillary sinus: swelling of the nasal mucosa after periapical periodontitis.2017

    • Author(s)
      Matsushita K, Yamamoto H
    • Journal Title

      Br J Oral Maxillofac Surg.

      Volume: 55 Issue: 3 Pages: 324-325

    • DOI

      10.1016/j.bjoms.2016.08.009

    • NAID

      120006454481

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 北海道大学病院歯科診療センターにおける顎変形症患者の治療計画とその実際ー II 口腔外科的見地からー2018

    • Author(s)
      松下和裕
    • Organizer
      第28回日本顎変形症学会総会・学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Clinical outcomes following OK-432 (Picibanil ) administration for recurrent dislocation of the temporomandibular joint2018

    • Author(s)
      Kazuhiro Matsushita
    • Organizer
      24th Congress of the European Association for Cranio Maxillo Facial Surgery
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The mandible is further retruded under general anesthesia: the latent concept for a favourable outcome in ramus osteotomy2018

    • Author(s)
      Kazuhiro Matsushita
    • Organizer
      13th Asian Congress of Oral and Maxillofacial Surgery
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 術前における下顎遠位骨片の矢状面回転量予測の実態 ―下顎骨形成術に対しての上下顎骨形成術の特徴―2017

    • Author(s)
      松下和裕
    • Organizer
      第27回特定非営利活動法人日本顎変形症学会総会・学術大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 骨格形態による関節円板ならびに円板後部結合組織の差異について2016

    • Author(s)
      松下 和裕,井上農夫男 ,箕輪 和行,山口 博雄,大井 一浩,小堀 善則,金子 真梨 , 原田 沙織,道念 正樹,飯田順一郎,佐藤 嘉晃,山本 隆昭,高 道 理,弓削 文彦, 三古谷 忠,鄭 漢 忠
    • Organizer
      第26回 日本顎変形症学会総会
    • Place of Presentation
      東京都千代田区  学術総合センター(一橋講堂)
    • Year and Date
      2016-06-24
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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