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Development of evaluating method for nasopharyngeal closure function in cleft lip and palate patients using 4D-CT

Research Project

Project/Area Number 17K17299
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Surgical dentistry
Research InstitutionFujita Health University

Principal Investigator

Yoshikazu Kobayashi  藤田医科大学, 医学部, 助教 (00622797)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords口唇口蓋裂 / 鼻咽腔閉鎖機能 / バーチャル内視鏡 / 4D-CT / 放射線
Outline of Final Research Achievements

Veropharyngeal closure function is a main function of velum (soft palate) that prevent the leakage of voice or food from oropharyngeal to nasopharyngeal spaces.
It is known that the cleft palate induce the nasopharyngeal closure insufficiency (dysfunction). This insufficiency has been assessed with nasopharyngoscopy. But the examination is often difficult, especially in pediatric patients, due to the strong foreign-body sensation during endoscopic insertion. The researchers developed the novel evaluation method for nasopharyngeal closure function/insufficiency using four-dimensional computed tomography (4D-CT) appending time phase to three-dimensional images.
The "virtual nasopharyngoscopy" using 4D-CT showed high consistency with existing endoscopic evaluation and enabled quantitative assessment, which was previously impossible.

Academic Significance and Societal Importance of the Research Achievements

本研究で開発した4D-CTによる検査法は既存の検査法との間で高い一致性を認めたほか、従来では不可能だった、鼻咽腔閉鎖機能不全の定量化が可能となった。また、鼻咽腔閉鎖機能に関わる解剖学的諸器官(舌、軟口蓋、咽頭)の運動協調性のような微細な解析も行えることが明らかとなった。
本検査法のさらなる推進により、手術の適応や術式の決定に応用できる可能性が予測され、より予知性の高い治療計画に結びつくことが期待される。

Report

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

    (4 results)

All 2019 2018

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Velopharyngeal closure analysis using four-dimensional computed tomography: a pilot study of healthy volunteers and adult patients with cleft palate2019

    • Author(s)
      Kobayashi Yoshikazu、Kanamori Daisuke、Fujii Naoko、Kataoka Yumi、Hirai Emiko、Yoshioka Satoshi、Satoh Koji、Toyama Hiroshi、Naito Kensei、Matsuo Koichiro
    • Journal Title

      BMC Medical Imaging

      Volume: 19 Issue: 1 Pages: 54-54

    • DOI

      10.1186/s12880-019-0350-4

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 4D-CTによる口唇口蓋裂患者の鼻咽腔閉鎖機能検査法の開発 ―小児口唇口蓋裂患者への臨床応用―2019

    • Author(s)
      小林義和, 金森大輔, 相澤貴子, 佐藤公治, 水谷英樹, 松尾浩一郎
    • Organizer
      第64回(公社)日本口腔外科学会総会・学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 320列面検出器CTを用いた鼻咽腔閉鎖機能検査法の開発―健常ボランティアによる予備的検討―2018

    • Author(s)
      小林義和, 金森大輔, 佐藤公治, 松尾浩一郎
    • Organizer
      第72回 日本口腔科学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Evaluation of velopharyngeal closure using320-row area detector computed tomography: A pilot study of healthy volunteers and adult postoperative cleft palate patients2018

    • Author(s)
      Yoshikazu Kobayashi
    • Organizer
      13th Asian Congress on Oral & Maxillofacial Surgery
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research

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

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