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Assist System for Reconstruction of Maxilla and Mandible

Research Project

Project/Area Number 17K11914
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Surgical dentistry
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

Numajiri Toshiaki  京都府立医科大学, 医学(系)研究科(研究院), 准教授 (20326234)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
KeywordsCAD/CAM / 下顎骨 / 上顎骨 / 顎顔面外科 / 下顎再建 / 顎骨 / 上顎再建 / がん切除後の再建 / 口腔外科 / 顎骨再建 / Computer Assisted Design / マイクロサージャリー / 頭頸部再建 / Microsurgery / CAM / Navigation / コンピューター支援
Outline of Final Research Achievements

What happens to my chin and face if I have surgery to remove the bones from my chin? Will it be cured properly? This anxiety arises for everyone. A surgery to transplant the bones of the foot into the chin as a substitute is required, but it becomes a major surgery. The purpose of this research is to develop new equipment that allows surgery to be performed easily without anyone having to think about it. With the method developed this time, the distortion of the repaired bone was within an error of less than 2 mm within 80%. Within 3 mm, there was no error at 90%. The basic technology of an instrument that can easily operate within a few millimeters has been established. From now on, it is necessary to try not to be an experimental system, but to disseminate in actual medical practice.

Academic Significance and Societal Importance of the Research Achievements

顎顔面の骨性再建手術において、今までであれば術者に多くの手術経験と術後Long-term follow-upによる手術Feed backがなければ手術を成功に導けないとされている難しい手術を、経験の浅い術者であっても、むしろ経験者よりも更に正確に、安全に、時間短縮して行うことができる手術にするための、手術支援装置の開発を行った。
より術後の患者Outcomeが高めるために、限られた医療者だけの手術よりも、医療者の誰もがOpenに参加できる手術計画立案と手術補助装置ガイドによる手術の方が望ましいと考えられる。

Report

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

    (23 results)

All 2019 2018 2017

All Journal Article (5 results) (of which Peer Reviewed: 5 results) Presentation (18 results) (of which Int'l Joint Research: 9 results)

  • [Journal Article] Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach2018

    • Author(s)
      Numajiri T, Morita D, Nakamura H, Yamochi R, Tsujiko S, Sowa Y.
    • Journal Title

      J Vis Exp

      Volume: 138 Issue: 138

    • DOI

      10.3791/58015

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Using An In-House Approach to Cad/Cam Reconstruction of the Maxilla.2018

    • Author(s)
      Numajiri T, Morita D, Nakamura H, Tsujiko S, Yamochi R, Sowa Y, Toyoda K, Tsujikawa T, Arai A, Yasuda M, Hirano S.
    • Journal Title

      J Oral Maxillofac Surg

      Volume: 76 Issue: 6 Pages: 1361-1369

    • DOI

      10.1016/j.joms.2017.11.042

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] A fixation guide for the accurate insertion of fibular segments in mandibular reconstruction2017

    • Author(s)
      Numajiri T, Tsujiko S, Morita D, Nakamura H, Sowa Y.
    • Journal Title

      JPRAS Open

      Volume: 12 Pages: 1-8

    • DOI

      10.1016/j.jpra.2017.01.001

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intraoperative Change in Defect Size during Maxillary Reconstruction Using Surgical Guides Created by CAD/CAM.2017

    • Author(s)
      Morita D, Numajiri T, Nakamura H, Tsujiko S, Sowa Y, Yasuda M, Hirano S.
    • Journal Title

      Plast Reconstr Surg Glob Open

      Volume: 5

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Secondary Maxillary and Orbital Floor Reconstruction With a Free Scapular Flap Using Cutting and Fixation Guides Created by Computer-Aided Design/Computer-Aided Manufacturing.2017

    • Author(s)
      Morita D, Numajiri T, Tsujiko S, Nakamura H, Yamochi R, Sowa Y, Yasuda M, Hirano S.
    • Journal Title

      J Craniofac Surg

      Volume: 28 Pages: 2060-2062

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Accurate Mandibular Reconstruction; a Comparison betweenCAD/CAM and Conventional Methods2019

    • Author(s)
      Numajiri T et al.
    • Organizer
      10th Congress of World Society of Reconstructive Microsurgery, 2019/06/12-15, Bologne, Italy.
    • Related Report
      2019 Annual Research Report
  • [Presentation] Mandible Reconstruction with Free fibula flap and Metallic condylarhead using CAD CAM guide2019

    • Author(s)
      Yamochi R and Numajiri T
    • Organizer
      10th Congress of World Society of Reconstructive Microsurgery, 2019/06/12-15, Bologne, Italy.
    • Related Report
      2019 Annual Research Report
  • [Presentation] 私の行っている上顎再建について 腓骨皮弁を中心に2019

    • Author(s)
      沼尻敏明ら
    • Organizer
      第37回日本頭蓋顎顔面外科学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] The vascular territory of a single pedicled deep inferior epigastricperforator flap can cross the vertical midline abdominal scar2019

    • Author(s)
      Morita D, Numajiri T, et al.
    • Organizer
      10th Congress of World Society of Reconstructive Microsurgery, 2019/06/12-15, Bologne, Italy.
    • Related Report
      2019 Annual Research Report
  • [Presentation] Venous system in DIEP flap is likely to affect the incidence of fat necrosisor induration complication after surgery2019

    • Author(s)
      Sowa Y, Numajiri T, et al.
    • Organizer
      10th Congress of World Society of Reconstructive Microsurgery, 2019/06/12-15, Bologne, Italy.
    • Related Report
      2019 Annual Research Report
  • [Presentation] 人工骨頭と腓骨皮弁の併用による下顎再建においてCAD-CAMガイドを作成した経験2019

    • Author(s)
      矢持良、沼尻敏明ら
    • Organizer
      第62回日本形成外科学会総会 2019/05/17、札幌
    • Related Report
      2019 Annual Research Report
  • [Presentation] Maxillary CAD/CAM Reconstruction Using In-House Approach2018

    • Author(s)
      Numajiri T
    • Organizer
      24th European Association of Cranio-Maxillo-facial Surgery
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] CAD/CAM reconstruction of the maxilla using an in-house approach2018

    • Author(s)
      Numajiri T
    • Organizer
      International Confederation of Plastic Surgery Societies, ICOPLAST Symposium in PRS Korea 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] CAD/CAMガイドを用いた上顎再建2018

    • Author(s)
      Numajiri T
    • Organizer
      第63回日本口腔外科学会総会・学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] A Fixation Guide for the Accurate Insertion of Fibular Segments in Mandibular Reconstruction2017

    • Author(s)
      Numajiri T, Tsujiko S, Morita D, Nakamura H, Kodama Y, Sowa Y.
    • Organizer
      23rd International Conference on Oral and Maxillofacial Surgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] What is different in mandibular reconstruction using a fibula; CAD/CAM, 3D-model, and conventional free hand ?2017

    • Author(s)
      Numajiri T
    • Organizer
      75th Congress of the Korean Society of Plastic and Reconstructive Surgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Double Arterialized Free Antero-lateral Thigh Flap2017

    • Author(s)
      Numajiri T, Tsujiko S, Morita D, Nakamura H, Sowa Y.
    • Organizer
      The 9th Congress of the World Society for Reconstructive Microsurgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Dual arterialized free antero-lateral thigh flap2017

    • Author(s)
      Numajiri T, Morita D, Nakamura H, Sowa Y.
    • Organizer
      18th International Perforator Course
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] CAD/CAMガイドによる顎骨再建の影響について2017

    • Author(s)
      沼尻敏明
    • Organizer
      第26回日本形成外科学会基礎学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 顎骨再建のためのコンピューター支援外科2017

    • Author(s)
      沼尻敏明、森田大貴、大迫文重
    • Organizer
      第62回日本口腔外科学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Reconstruction of Pressure Ulcer with Propeller Flap2017

    • Author(s)
      Tsujiko S, Numajiri T. Morita D, Nakamura H.
    • Organizer
      The 9th Congress of the World Society for Reconstructive Microsurgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Orbital Floor Reconstruction with a Free Scapular Flap Using Surgical Guides Created by CAD/CAM2017

    • Author(s)
      Morita D, Numajiri T, Tsujiko S, Nakamura H, Kodama Y, Sowa Y.
    • Organizer
      The 9th Congress of the World Society for Reconstructive Microsurgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Does Additional Vascular Anastomosis Function as a Safety Valve in Free Flap Transfer?2017

    • Author(s)
      Yamochi R, Numajiri T, Tsujiko S, Morita D, Kodama T, Sowa Y.
    • Organizer
      The 9th Congress of the World Society for Reconstructive Microsurgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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

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