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Development of the cleft palate speech assessment and treatment system using a new neural network theory

Research Project

Project/Area Number 17H04407
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Surgical dentistry
Research InstitutionKagoshima University

Principal Investigator

NAKAMURA Norifumi  鹿児島大学, 医歯学域歯学系, 教授 (60217875)

Co-Investigator(Kenkyū-buntansha) 上田 裕市  熊本大学, 大学院先端科学研究部(工), 教授 (00141961)
手塚 征宏  鹿児島大学, 医歯学域歯学系, 助教 (50759777)
坂田 聡  熊本大学, 大学院先端科学研究部(工), 助教 (80336205)
三浦 尚子  鹿児島大学, 医歯学域附属病院, 言語聴覚士 (50715331)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥10,920,000 (Direct Cost: ¥8,400,000、Indirect Cost: ¥2,520,000)
Fiscal Year 2019: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥7,020,000 (Direct Cost: ¥5,400,000、Indirect Cost: ¥1,620,000)
Keywords口蓋裂 / 異常構音 / 言語治療 / ニューラルネットワーク / 音声可視化 / 構音異常 / 口唇裂口蓋裂 / 音声 / 言語障害 / AI / 音声視覚化
Outline of Final Research Achievements

In this study, in order to analyze and visualize the speech characteristics of cleft palate patients, we created an editing tool for 50 words of articulation test, and built a prototype system with recording, editing, analysis, and visualization functions. As a result of visualizing the 5 vowels in color with the speech data of 10 cleft palate children and 5 healthy children, and analyzing the relationship between the nasalance score and nasopharyngeal endoscopic findings, it was found that the colors of 5 vowels correlated with the nasalance score. Furthermore, using the constructed neural network (NN) system, we observed changes in articulation characteristics of eight cleft palate children before and after fistula closure. As a result, it has become possible to visualize that as the nasopharyngeal closure function, which was associated with fistula closure, was improved, displacement of the articulation place were gradually improved and closed to that of a healthy subjects.

Academic Significance and Societal Importance of the Research Achievements

口蓋裂術後の言語異常に対する予知性の高い言語訓練法は未だない。言語訓練には、患者の異常言語の認識(弁別)と中枢におけるフィードバック機構が良好に働くことが重要であるが、しばしば聴覚異常を有する患者では聴覚的なフィードバックを活用することは困難となる。今回開発した新規ニューラルネットワーク(NN)システムは口蓋裂児の鼻咽腔閉鎖機能やその変化に合わせた調音位置の変動を詳細に観察可能にできたことで、口蓋裂における異常構音の発生メカニズムの解明やより効果的な視覚フィードバックを応用した言語訓練の開発が期待できる。音声可視化システムは、口蓋裂児の開鼻声の程度ならびに構音異常の診断に有用なツールといえる。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (23 results)

All 2019 2018 2017

All Journal Article (8 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 6 results) Presentation (14 results) (of which Int'l Joint Research: 6 results,  Invited: 5 results) Book (1 results)

  • [Journal Article] Correlation of basic Fibroblast Growth Factor expression in palatal mucoperisotera tissue with maxillary growth in operated cleft palate patients2019

    • Author(s)
      Dwi Ariawan, Iwan Tofani, Harun Asjiq Gunawan, Muhammad Syafrudin Hak, Ariadna A. Djais, Takao Fuchigami, Norifumi Nakamura
    • Journal Title

      J International Dental and Medical Research

      Volume: 12 Pages: 61-70

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] ニューラルネットワークを用いた構音特徴分析手法とその口蓋裂患児への適用2019

    • Author(s)
      江藤彰洋、荒川大貴、手塚征宏、中村典史、坂田 聡、上田裕市
    • Journal Title

      信学技報

      Volume: 47 Pages: 79-84

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Comparison of short-term effects of pre-surgical nasolaveolar molding and Hotz’s plate on the maxillar arch from in unilateral cleft lip and palate.2019

    • Author(s)
      Takao Fuchigami, Namiko Kimura, Masahiro Tezuka, Toshiro Kibe, Muhammad Subhan Amir, Hokuto Suga, Yoshihiko Takemoto, Makiko Hashiguchi, Aya Maeda-Iino, Norifumi Nakamura
    • Journal Title

      Journal of Oral Maxillofacial Surgery, Medicine, and Pathology

      Volume: 31(1) Issue: 1 Pages: 25-130

    • DOI

      10.1016/j.ajoms.2018.08.008

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pilot study of visual and quantitative image analysis of facial surface asymmetry in unilateral complete cleft lip and palate.2018

    • Author(s)
      Namiko Kimura, Hyo-Gok Kim, Takako Okawachi, Takao Fuchigami, Masahiro Tezuka, Toshiro Kibe, Shinji Yamada, Subhan Amir, Kiyohide Ishihata, Etsuro Nozoe, Norifumi Nakamura
    • Journal Title

      Cleft Palate-Craniofacial Journal

      Volume: - Issue: 7 Pages: 960-969

    • DOI

      10.1177/1055665618819645

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reliabilities of Americleft Yardstick nasolabial appearance assessment with/without basal view for Japanese children with unilateral complete cleft lip and palate.2018

    • Author(s)
      Muhammad Subhan Amir, Takao Fuchigami, Toshiro Kibe, Masahiro Tezuka, Kiyohide Ishihata, Norifumi Nakamura
    • Journal Title

      Cleft Palate-Craniofacial Journal

      Volume: - Issue: 7 Pages: 953-959

    • DOI

      10.1177/1055665618818679

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Three-dimensional assessment of postoperative facial forms following primary lip repair for unilateral complete unilateral cleft lip and palate.2018

    • Author(s)
      Namiko Kimura, Etsuro Nozoe,Takako Okawachi, Kiyohide Ishihata, Masahiro Tezuka, Takao Fuchigami, Norifumi Nakamura
    • Journal Title

      Journal of Cranio-maxillofacial Surgery

      Volume: -

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ニューラルネットワークを用いた構音特徴分析手法とその口蓋裂患児への適用2018

    • Author(s)
      江藤彰洋、荒川大貴、手塚征宏、中村典史、坂田 聡、上田裕市
    • Journal Title

      電子情報通信学会技術研究報告

      Volume: SP2018-47 Pages: 9-84

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 当科における口唇裂・洸雅裂患者一時症例の30年間の臨床統計的観察2017

    • Author(s)
      岐部俊郎,西原一秀,渕上貴央,松本幸三,手塚征宏,木村菜美子,古閑 崇,中村典史
    • Journal Title

      日本口腔外科学会誌

      Volume: 63 Pages: 140-147

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] Bulb type palatal lift prosthesis (bulb-PLP) therapy for velopharyngeal dysfunciton in cleft palate2019

    • Author(s)
      Yuko Ogata, Masahiro Tezuka, Norifumi Nakamura, Masaaki Sasaguri, Takeshi Mitsuyasu, Sachiyo Hasegawa, Seiji Nakamura
    • Organizer
      13th Would Conference of International Cleft Palate Foundation (ICPF)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 口蓋化構音のbacking scoreによる聴覚判定の評価の試み2019

    • Author(s)
      緒方祐子、今村亜子、藤原百合、長谷川幸代、手塚征宏、早川統子、光安岳志、中村典史、中村誠司
    • Organizer
      第43回日本口蓋裂学会総会・学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 当科における口蓋裂術後の鼻咽腔閉鎖機能不全に対する二次治療の成績2019

    • Author(s)
      手塚征宏、上栗裕平、岐部俊郎、渕上貴央、中村典史
    • Organizer
      第87回日本口腔外科学会九州支部学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Regenerative medicine in the treatment of alveolar cleft defect2019

    • Author(s)
      Norifumi Nakamura
    • Organizer
      1st International Conference Brawijaya Dentistry
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Surgical management of cleft palate speech problems.2018

    • Author(s)
      Norifumi Nakamura
    • Organizer
      2018 Annual Meeting of Indonesian Association of Oral and Maxillofacial Surgery
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Esthetic and functional reconstruction in the maxillofacial region.2018

    • Author(s)
      Norifumi Nakamura
    • Organizer
      International Symposium of Clinical Dentistry of Universitas Airlangga -Scientific Conference on Digital Health Technology-
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Neural network system for objective and visual evaluation of speech changes following closure of the oronasal fistula.2018

    • Author(s)
      Masahiro Tezuka, Tadashi Sakata, Yuichi Ueda, Norifumi Nakamura
    • Organizer
      Second International Symposium on Velopharyngeal Dysfunction
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] An approach to scoring backing errors for palatalized misarticulation in Japanese-speaking children with repaired cleft palate.2018

    • Author(s)
      Yuko Ogata, Akiko Imamura, Y Imamura, M Masuda, M, Dansako, Sachiyo Hasegawa, Masahiro Tezuka, Touko Hayakawa, Takeshi MItsuyasu, Norifumi Nakamura, Seiji Nakamura
    • Organizer
      Second International Symposium on Velopharyngeal Dysfunction
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Simultaneous lip and nose repair approaching each anatomical and pathological abnormality in patient with unilateral cleft lip and palate2017

    • Author(s)
      Nakamura N
    • Organizer
      Japan-China International Symposium at the 62th Congress of Japanese Association of Oral and Maxillofacial Surgeonas
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Basic principe and surgical strategy of lip repair to lead the minimized scar in patients with cleft lip2017

    • Author(s)
      Nakamura N
    • Organizer
      Continuing Education in Oral and Maxillofacial Surgery IV in Indonesian Association with National Congress of Indonesia Oral and Maxillofacial Surgery
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 口唇口蓋裂児の健やかな笑顔を育むチームアプローチ2017

    • Author(s)
      中村典史
    • Organizer
      第164回日本小児科学会鹿児島地方会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 言語治療における聴覚・視覚を用いた評価とフィードバック2017

    • Author(s)
      手塚征宏,三浦尚子,緒方祐子,坂田 聡,植田裕一,中村典史
    • Organizer
      第41回日本口蓋裂学会総会・学術集会シンポジウム
    • Related Report
      2017 Annual Research Report
  • [Presentation] 口蓋裂術後の瘻孔閉鎖術が言語機能に与える影響2017

    • Author(s)
      手塚征宏,三浦尚子,岐部俊郎,渕上貴央,木村菜美子,松永和秀,中村典史
    • Organizer
      第41回日本口蓋裂学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 口蓋裂二時手術としてのRepushback術と咽頭弁形成術の術後成績2017

    • Author(s)
      手塚征宏,三浦尚子,木村菜美子,渕上貴央,岐部俊郎,中村典史
    • Organizer
      第62回日本口腔外科学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Book] 子どもの口と顎の異常・病変2019

    • Author(s)
      中村典史
    • Total Pages
      130
    • Publisher
      クインテッセンス出版
    • Related Report
      2019 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2021-02-19  

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