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Resolution of fused suture in craniosynostosis

Research Project

Project/Area Number 26462735
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Plastic surgery
Research InstitutionTeikyo University (2015-2016)
Juntendo University (2014)

Principal Investigator

Komuro Yuzo  帝京大学, 医学部, 教授 (90306928)

Co-Investigator(Kenkyū-buntansha) 上田 晃子  順天堂大学, 医学部, 非常勤助教 (50337961)
福村 由紀  順天堂大学, 医学部, 准教授 (90407312)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords頭蓋縫合早期癒合症 / 先天異常 / 骨延長術 / 頭蓋形成術 / 狭頭症 / 頭蓋縫合 / 骨延長
Outline of Final Research Achievements

This research was performed to elucidate cause of craniosynostosis which is a rare condition. We performed an operation in 8 patients of craniosynostosis and extracted a bone specimen from the fused suture.It was observed in X-ray radiography, three-dimensional CT and MRI whether intracranial pressure was reduced and the skull shape was improved by an operation. It was confirmed that these improvements are obtained by performing posterior calvarial vault distraction method which is an innovative surgical procedure we developed.
The osteoblasts in the patent and fused sutures were almost all positive for TGF-A1, -A2, and -A3. There was no distinct difference between activated osteoblasts and inactivated osteoblasts. The periosteum in patent and fused sutures tended to be positive for TGF-A2 and negative for TGF-A1 and -A3. Genetic expression of FGFR2 at the fused suture is being examined.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (23 results)

All 2017 2016 2015 2014

All Journal Article (5 results) (of which Peer Reviewed: 4 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (17 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results) Book (1 results)

  • [Journal Article] Quantitative analysis of change in intracranial volume after posterior cranial vault distraction2016

    • Author(s)
      Shimizu A, Komuro Y, Shimoji K, Miyajima M, Arai H
    • Journal Title

      J Craniofac Surg

      Volume: 27 Issue: 5 Pages: 1135

    • DOI

      10.1097/scs.0000000000002739

    • URL

      https://pure.teikyo.jp/en/publications/9d73fbc4-6ca2-40fc-8be6-2c513cfa3ccd

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 慢性疾患児の一生を診る 頭蓋縫合早期癒合症・Apert症候群2016

    • Author(s)
      小室裕造
    • Journal Title

      小児内科

      Volume: 48 Pages: 1562-1566

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 小児の脳神経2016

    • Author(s)
      小室裕造、下地一彰、宮島雅一、新井一
    • Journal Title

      後頭蓋骨延長術によってもたらされた頭蓋縫合早期癒合症の治療アルゴリズムの変化

      Volume: 41 Pages: 338-343

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Posterior Cranial Vault Distraction Osteogenesis with Barrel Stave Osteotomy in theTreatment of Craniosynostosis2015

    • Author(s)
      Komuro Y, Shimizu A, Shimoji K, Miyajima M, Arai H
    • Journal Title

      Neurologia medico-chirurgica

      Volume: 55 Issue: 8 Pages: 617-623

    • DOI

      10.2176/nmc.ra.2014-0401

    • NAID

      130005093137

    • ISSN
      0470-8105, 1349-8029
    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 頭蓋骨縫合早期癒合症の治療2015

    • Author(s)
      小室裕造
    • Journal Title

      帝京医学雑誌

      Volume: 38 Pages: 163-172

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] Posterior cranial vault distraction osteogenesis with barrel stave osteotomy in the treatment of craniosynostosis: operative technique and outcome2017

    • Author(s)
      Komuro Y, Shimizu A, Shimoji K, Miyajima M, Arai H
    • Organizer
      American Society for Craniofacial Surgery Synposium
    • Place of Presentation
      グランドワイレアリゾート(米国マウイ島)
    • Year and Date
      2017-01-24
    • Related Report
      2016 Annual Research Report
  • [Presentation] Posterior calvarial distraction in syndromic craniosynostosis2016

    • Author(s)
      Komuro Y, Shimizu A, Shimoji K, Miyajima M, Arai H
    • Organizer
      The 11th Congress of the Asian Pacific Craniofacial Association
    • Place of Presentation
      なら100年会館(奈良県奈良市)
    • Year and Date
      2016-12-02
    • Related Report
      2016 Annual Research Report
  • [Presentation] Craniosynostosis治療の最前線2016

    • Author(s)
      小室裕造
    • Organizer
      第19回北里形成外科フォーラム
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2016-10-10
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 後頭蓋骨延長術の適応2016

    • Author(s)
      小室裕造、清水梓、下地一彰、宮島雅一、新井一
    • Organizer
      第12回craniosynostosis研究会
    • Place of Presentation
      宮城県立こども病院(宮城県仙台市)
    • Year and Date
      2016-07-09
    • Related Report
      2016 Annual Research Report
  • [Presentation] 後頭蓋骨延長術の適応について2016

    • Author(s)
      小室裕造、清水梓、下地一彰、宮島雅一、新井一
    • Organizer
      第59回日本形成外科学会
    • Place of Presentation
      福岡国際会議場(福岡県博多区)
    • Year and Date
      2016-04-13
    • Related Report
      2016 Annual Research Report
  • [Presentation] 片側冠状縫合早期癒合症による斜頭症に対する後頭蓋骨延長術後に前頭蓋形態が改善した一例2015

    • Author(s)
      清水梓、下地一彰、小室裕造、宮嶋雅一、新井一
    • Organizer
      第33回日本頭蓋顎顔面外科学会
    • Place of Presentation
      宝塚ホテル 兵庫県宝塚市
    • Year and Date
      2015-11-13
    • Related Report
      2015 Research-status Report
  • [Presentation] Quantitative analysis of change in intracranial volume after posterior cranial vault distraction2015

    • Author(s)
      Shimizu A, Akiyama O, Shimoji K, Miyajima M, Arai H, Komuro Y
    • Organizer
      The 16th congress of international society of craniofacial surgery
    • Place of Presentation
      ヒルトン東京ベイ 千葉県浦安市
    • Year and Date
      2015-09-18
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Changes in the treatment algorithm for craniosynostosis by the introduction of a posterior cranial distraction2015

    • Author(s)
      Komuro Y, Shimizu A, Shimoji K, Miyajima M, Arai H
    • Organizer
      The 16th congress of international society of craniofacial surgery
    • Place of Presentation
      ヒルトン東京ベイ 千葉県浦安市
    • Year and Date
      2015-09-17
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 舟状頭の診断と手術適応2015

    • Author(s)
      小室裕造
    • Organizer
      第11回craniosynotosis研究会
    • Place of Presentation
      大阪医科大学歴史資料館 大阪府高槻市
    • Year and Date
      2015-07-18
    • Related Report
      2015 Research-status Report
  • [Presentation] クラニオの現況2015

    • Author(s)
      小室裕造
    • Organizer
      第58回日本形成外科学会学術集会
    • Place of Presentation
      ウェスティン都ホテル京都 京都府京都市東山区
    • Year and Date
      2015-04-08
    • Related Report
      2015 Research-status Report
  • [Presentation] 骨延長器を用いた後頭蓋骨延長術前後の頭蓋内容積定量評価2015

    • Author(s)
      清水梓、秋山理、下地一彰、新井一、小室裕造
    • Organizer
      第58回日本形成外科学会学術集会
    • Place of Presentation
      ウェスティン都ホテル京都 京都府京都市東山区
    • Year and Date
      2015-04-08
    • Related Report
      2015 Research-status Report
  • [Presentation] 後頭蓋骨延長導入により変化する頭蓋縫合早期癒合症の治療アルゴリズム2015

    • Author(s)
      小室裕造、松本茂、小泉拓也、清水梓
    • Organizer
      第58回日本形成外科学会学術集会
    • Place of Presentation
      ウェスティン都ホテル京都 京都府京都市東山区
    • Year and Date
      2015-04-08
    • Related Report
      2015 Research-status Report
  • [Presentation] Posterior cranial vault distraction with barrel stave osteotomy2014

    • Author(s)
      小室裕造、小泉拓也、松本茂、清水梓
    • Organizer
      第32回日本頭蓋顎顔面外科学会学術集会
    • Place of Presentation
      大阪市中央公会堂(大阪)
    • Year and Date
      2014-11-06 – 2014-11-07
    • Related Report
      2014 Research-status Report
  • [Presentation] 頭蓋骨早期癒合症に対する外科治療―形成外科の視点から―2014

    • Author(s)
      小室裕造
    • Organizer
      第73回日本脳神経外科学会
    • Place of Presentation
      新高輪プリンスホテル(東京)
    • Year and Date
      2014-10-08 – 2014-10-10
    • Related Report
      2014 Research-status Report
  • [Presentation] Posterior cranial vault distraction with barrel stave osteotomy2014

    • Author(s)
      Komuro Y, Koizumi T, Matsumoto S. Shimizu A.
    • Organizer
      10th Asian Pacific Craniofacial Association
    • Place of Presentation
      Adelaide Australia
    • Year and Date
      2014-10-03 – 2014-10-05
    • Related Report
      2014 Research-status Report
  • [Presentation] われわれが行っているposterior cranial vault distractionの術式2014

    • Author(s)
      小室裕造、清水梓、下地一彰、秋山理、宮嶋雅一、新井一
    • Organizer
      第10回craniosynostosis研究会
    • Place of Presentation
      ウインクアイチ(名古屋)
    • Year and Date
      2014-07-19
    • Related Report
      2014 Research-status Report
  • [Presentation] The role of posterior cranial vault distraction in the treatment of craniosynostosis2014

    • Author(s)
      Komuro Y, Koizumi T, Matsumoto S.
    • Organizer
      The 12th Korea-Japan congress of Plastic Reconstructive Surgery
    • Place of Presentation
      Incheon, Korea
    • Year and Date
      2014-05-15 – 2014-05-17
    • Related Report
      2014 Research-status Report
  • [Book] 別冊日本臨床 新領域別症候群シリーズ 神経症候群(第2版)2014

    • Author(s)
      小室裕造、小泉拓也
    • Total Pages
      671
    • Publisher
      日本臨床社
    • Related Report
      2014 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2018-03-22  

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