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Practical application about inner ear surgery using laser

Research Project

Project/Area Number 24592561
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionShowa University

Principal Investigator

Kobayashi Hitome  昭和大学, 医学部, 教授 (20234841)

Co-Investigator(Kenkyū-buntansha) NOGAKI Taketoshi  昭和大学, 医学部, 講師 (10384463)
野村 恭也  昭和大学, 医学部, 客員教授 (30009948)
Co-Investigator(Renkei-kenkyūsha) NOMURA Yasuya  昭和大学, 医学部, 客員教授 (30009948)
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2012: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Keywords内耳 / レーザー手術 / めまい / レーザー / 良性発作性頭位めまい症 / 内耳レーザー手術
Outline of Final Research Achievements

Repositioning maneuver is an effective treatment for BPPV, but sometimes we experience recurrences and intractable cases. Singular neurectomy, canal plugging, and laser partitioning have been reported as treatment for intractable BPPV.
We attempted laser irradiation for intractable BPPV patients.This time, we measured the internal temperature during laser irradiation using human dry temporal bones. When the canal was irradiated continuously, the internal temperature of the canal rose continuously up to 92℃.The vestibule showed no change of the temperature. When a black dot marked on the canal, the internal temperature of the canal rose to 83℃ immediately. The internal temperature of the semicircular canal is 80-90℃ at the highest.It remains within a very limited area.It is safe, and there is no damage to the cochlea.
To irradiate efficiently, drilling the surface of the semicircular canal thin, exposing blue line adequately, and markingk black dots on the blue line .

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (4 results)

All 2015 2013 2012

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (3 results) (of which Invited: 1 results)

  • [Journal Article] Laser irradiation of the semicircular canal: Occulusion of the canal or duct2012

    • Author(s)
      Yasuya Nomura、Hitome Kobayashi
    • Journal Title

      Acta Oto-Laryngologica

      Volume: 132 Issue: 1 Pages: 106-111

    • DOI

      10.3109/00016489.2011.622292

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Morphology in Otology2015

    • Author(s)
      Yasuya Nomura
    • Organizer
      13th Asia-Oceania ORL-HNS Congress
    • Place of Presentation
      台北
    • Year and Date
      2015-03-22
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 半規管レーザー照射時の内部温度測定2013

    • Author(s)
      小林一女
    • Organizer
      第23回日本耳科学会総会
    • Place of Presentation
      宮崎
    • Related Report
      2013 Research-status Report
  • [Presentation] Temperature measurement of the semicircular canal during laser irradiation2013

    • Author(s)
      Hitome Kobayashi
    • Organizer
      12th Taiwan-Japan Conference on Otology-Head and Neck Surgery
    • Place of Presentation
      台北
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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