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Development of evaluation method for velopharyngeal function using velopharyngeal pressure calculated from nasalance scores and establishment of standard values

Research Project

Project/Area Number 17K01449
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionGunma University

Principal Investigator

Gomi Akinori  群馬大学, 大学院医学系研究科, 医員 (10325798)

Co-Investigator(Kenkyū-buntansha) 横尾 聡  群馬大学, 大学院医学系研究科, 教授 (00322206)
神戸 智幸  群馬大学, 医学部, 非常勤講師 (90649493)
Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2017: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Keywords嚥下障害 / 構音障害 / 鼻咽腔閉鎖機能 / 開鼻声値 / 鼻咽腔閉鎖圧 / 鼻咽腔閉鎖不全
Outline of Final Research Achievements

The purpose of this study is to make it possible to easily and objectively evaluate nasopharyngeal insufficiency, measure nasalance score (NS) and velopharyngel pressure (VP), and grasp their correlation. These results will be used to set evaluation criteria for the nasopharyngeal closure function.
For NS, the mean, min, and max values of /a//i//pa//pi//sa//si//ma//mi//na//ni/ were calculated. In addition to measuring the maximum closing pressure at the time of pronunciation, the VP also measured the closing pressure when swallowing 3 ml of water. As a result, there was a correlation between NS and VP at the time of pronunciation, suggesting the possibility of calculating VP from NS.On the other hand, VP calculation during swallowing requires further data collection and analysis.

Academic Significance and Societal Importance of the Research Achievements

嚥下障害,構音障害の評価では様々な方法が用いられるが客観性の優れた方法が望まれる。鼻咽腔閉鎖の動態を観察する鼻咽腔内視鏡は,視覚的に捉えやすいが定量化が困難である。そこで数値に表現できる評価法として鼻咽腔閉鎖圧に着目した。NSとVPの相関が見出せれば,これまで定量化できなかった鼻咽腔動態を,NSを用いて表現できると考えた。また,NSとVPの相関性を利用し,患者のNS測定によりVPが算出可能となることで,鼻咽腔閉鎖不全による構音障害の評価のみならず,嚥下障害で問題となる VPの評価も同時に行うことができると考えた。NSとVPの相関は本研究で確認され,今後の研究継続で評価法の具体化が期待できる。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (20 results)

All 2022 2021 2020 2019 2018 2017

All Journal Article (11 results) (of which Peer Reviewed: 10 results,  Open Access: 6 results) Presentation (9 results)

  • [Journal Article] 日常の歯科診療への漢方薬の活用-日本歯科医師会「薬価基準による歯科関連薬剤点数表」に収載された葛根湯、芍薬甘草湯、補中益気湯、十全大補湯についてー2022

    • Author(s)
      五味暁憲、横尾 聡
    • Journal Title

      群馬県歯科医学会雑誌

      Volume: 26 Pages: 29-38

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Ghost cell odontogenic carcinoma arising in dentinogenic ghost cell tumor with next-generation sequencing cancer panel analysis: A case report2022

    • Author(s)
      Mai Seki-Soda, Takaaki Sano, Nozomi Matsumura, Yoshiyasu Takayama, Akinori Gomi, Masaru Ogawa, Satoshi Yokoo, Tetsunari Oyama
    • Journal Title

      Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

      Volume: - Issue: 3 Pages: e58-e65

    • DOI

      10.1016/j.oooo.2022.01.005

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Comparative Randomized, Open-label, Multicenter Study of the Efficacy and Safety of Miconazole Mucoadhesive Tablets and Miconazole Gel in the Treatment of Oropharyngeal Candidiasis [Translated Article]2021

    • Author(s)
      Tsuyoshi Takato, Yoshimasa Kitagawa, Yoshiaki Kamikawa, Hiromitsu Kishimoto, Seiji Nakamura, Takahide Komori, Daichi Chikazu, Yoshiyuki Mori, Hideki Tanzawa, Akira Katakura, Akihiro Kanekawa, Masahiro Umeda, Akinori Gomi, Kazumichi Yonenaga
    • Journal Title

      Medical Mycology Journal

      Volume: 62 Issue: 1 Pages: 11-19

    • DOI

      10.3314/mmj.19-00028T

    • NAID

      130007992659

    • ISSN
      2185-6486, 2186-165X
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Autologous Blood Injection for Habitual Temporomandibular Joint Dislocation in a Down Syndrome Patient with Intellectual Disability : A Case Report2020

    • Author(s)
      境野 才紀, 栗原 淳, 大隅 麻貴子, 五味 暁憲, 小杉 謙介, 横尾 聡
    • Journal Title

      Journal of the Japanese Society for Disability and Oral Health

      Volume: 41 Issue: 4 Pages: 312-317

    • DOI

      10.14958/jjsdh.41.312

    • NAID

      130007992570

    • ISSN
      0913-1663, 2188-9708
    • Year and Date
      2020-10-31
    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] A Comparative Randomized, Open-label, Multicenter Study of the Efficacy and Safety of Miconazole Mucoadhesive Tablets and Miconazole Gel in the Treatment of Oropharyngeal Candidiasis2020

    • Author(s)
      高戸 毅,北川善政,上川善昭,岸本裕充,中村誠司,古森孝英,近津大地,森 良之,丹沢秀樹,片倉 朗,金川昭啓,梅田正博,五味暁憲,米永一理
    • Journal Title

      Nihon Ishinkin Gakkai Zasshi

      Volume: 61 Issue: 3 Pages: 53-61

    • DOI

      10.11534/ishinkin.19-00028

    • NAID

      130007893640

    • ISSN
      2434-5229, 2434-5237
    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] 日常の歯科診療への漢方薬の適用―日本歯科医師会「薬価基準による歯科関係薬剤点数表」に収載された7種類の漢方薬について―2018

    • Author(s)
      五味暁憲,横尾 聡,須佐岳人,清水崇寛,高橋紗也子,境野才紀,伊藤佑里子
    • Journal Title

      群馬県歯科医学会雑誌

      Volume: 22 Pages: 39-45

    • NAID

      40021608096

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prophylactic Oral Management of a Patient with Tuberous Sclerosis Taking Oral Everolimus2018

    • Author(s)
      武者 篤、一戸 達也、新谷 誠康、布施 亜由美、鈴木 奈穂、福島 圭子、大串 圭太、五味 暁憲、黒田 真右、辻野 啓一郎、横尾 聡
    • Journal Title

      Journal of the Japanese Society for Disability and Oral Health

      Volume: 39 Issue: 2 Pages: 154-159

    • DOI

      10.14958/jjsdh.39.154

    • NAID

      130007502111

    • ISSN
      0913-1663, 2188-9708
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Case Report of Surgical Extrusion for Gemination of Impacted Premolar in a Patient with Autistic Spectrum Disorder2018

    • Author(s)
      辻野啓一郎,五味暁憲,大串圭太,征矢 学,鈴木奈穂,布施亜由美,福島圭子,新谷誠康
    • Journal Title

      Journal of the Japanese Society for Disability and Oral Health

      Volume: 39 Issue: 4 Pages: 418-423

    • DOI

      10.14958/jjsdh.39.418

    • NAID

      130007604597

    • ISSN
      0913-1663, 2188-9708
    • Related Report
      2018 Research-status Report
    • Open Access
  • [Journal Article] Facial Aesthetic Analysis of Prosthetic Recovery after Partial Maxillectomy Using a Non-Contact 3-Dimensional Digitiser2017

    • Author(s)
      Tomoyuki Kanbe, Satoshi Yokoo, Masaru Ogawa, Yu Takayama, Akinori Gomi, Takaya Makiguchi
    • Journal Title

      The Kitakanto Medical Journal

      Volume: 67 Issue: 4 Pages: 313-322

    • DOI

      10.2974/kmj.67.313

    • NAID

      130007314802

    • ISSN
      1343-2826, 1881-1191
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 地域歯科医院と連携して周術期口腔機能管理を実施する有用性2017

    • Author(s)
      江原 彩莉, 五味 暁憲, 難波 侑里, 高橋 紗也子, 黒岩 明里, 小野里 有紀, 木村 千亜貴, 田中 淳子, 長岡 恵美子, 高坂 陽子, 境野 才紀, 内山 壽夫, 横尾 聡
    • Journal Title

      群馬県歯科医学会雑誌

      Volume: 21 Pages: 37-40

    • NAID

      40021191804

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Validity of the Indication for Minor Oral Surgery Procedures Performed under Local Anesthesia in Special Needs Outpatients at Our Oral Health Center2017

    • Author(s)
      五味 暁憲, 辻野 啓一郎, 大串 圭太, 鈴木 奈穂, 布施 亜由美, 福島 圭子, 武者 篤, 小杉 謙介, 倉持 真理子, 吉田 みずき, 新谷 誠康, 横尾 聡
    • Journal Title

      Journal of the Japanese Society for Disability and Oral Health

      Volume: 38 Issue: 2 Pages: 198-202

    • DOI

      10.14958/jjsdh.38.198

    • NAID

      130006189564

    • ISSN
      0913-1663, 2188-9708
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 歯科衛生士学生が持つ障害者歯科臨床に対する印象の分析-人材育成に向けた講義および臨床実習の検討-2022

    • Author(s)
      佐藤瑞樹、熊井鈴子、鈴木奈穂、福島圭子、久木留宏和、星野立樹、五味暁憲、斉藤 崇、辻野啓一郎、新谷誠康、一戸達也
    • Organizer
      第39回日本障害者歯科学会総会および学術大会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 中咽頭癌切除に伴う鼻咽腔閉鎖機能不全に口腔内装置を適用し改善を得た1例2022

    • Author(s)
      五味暁憲,神戸智幸,横尾 聡
    • Organizer
      第40回日本口腔腫瘍学会総会・学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] 行動療法により埋伏小臼歯開窓術に対応できたDown症候群患者の1例2021

    • Author(s)
      五味暁憲,辻野啓一郎,熊井鈴子,福島圭子,鈴木奈穂,佐藤瑞樹,小杉謙介,新谷誠康,横尾 聡,斉藤 崇
    • Organizer
      第38回日本障害者歯科学会総会および学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] .群馬県歯科総合衛生センターで病理組織学的検査を施行した患者の実態調査2019

    • Author(s)
      五味暁憲,辻野啓一郎,武者 篤,吉田みずき,大串圭太,柳澤さくら,新谷誠康,横尾 聡
    • Organizer
      第73回口腔科学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 某急性期病院における口腔ケアの介助を要する入院患者の口腔内の実態2019

    • Author(s)
      黄木智夏,柳澤里江,沢田恵子,川岸由美子,石井美希,長岡陽子,五味暁憲,境野才紀
    • Organizer
      日本歯科衛生学会第14回学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] イナゴの肢が舌に迷入した1例2018

    • Author(s)
      五味暁憲,高橋紗也子,伊藤佑里子,横尾 聡
    • Organizer
      第72回日本口腔科学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 当口腔保健センターで病理組織学的検査を施行した患者の実態調査2018

    • Author(s)
      五味暁憲,辻野啓一郎,武者 篤,吉田みずき,大串圭太,福島圭子,鈴木奈穂,熊井鈴子,布施亜由美,新谷誠康,横尾 聡
    • Organizer
      第35回日本障害者歯科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 口腔ケアチャートを利用した障害者施設職員への口腔衛生教育が有効であった一例2018

    • Author(s)
      福島圭子,鈴木奈穂,布施亜由美,吉田みずき,大串圭太,五味暁憲,黒田真右,辻野啓一郎,新谷誠康,一戸達也
    • Organizer
      第35回日本障害者歯科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 上顎部分切除後の顎義歯による整容的顔貌回復-非接触型三次元表面形状装置による解析-2018

    • Author(s)
      神戸智幸,緒川 将,高山 優,五味暁憲,牧口貴哉,横尾 聡
    • Organizer
      第72回日本口腔科学会学術集会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2024-01-30  

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