2005 Fiscal Year Final Research Report Summary
Clinical and anatomical study of the architecture of the inferior side of the skull base
| Project/Area Number |
16591699
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Otorhinolaryngology
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| Research Institution | Tokyo Medical and Dental University |
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Principal Investigator |
KISHIMOTO Seiji Tokyo Medical & Dental University, Department of Head and Neck Surgery, Professor, 大学院・医歯学総合研究科, 教授 (30115828)
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| Co-Investigator(Kenkyū-buntansha) |
TSUNODA Atsunobu Tokyo Medical & Dental University, Department of Otolaryngology, Associate Professor, 大学院・医歯学総合研究科, 助教授 (00280983)
AKITA Keiichi Tokyo Medical & Dental University, Department of Clinical Anatomy, Associate Professor, 大学院・医歯学総合研究科, 助教授 (80231819)
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| Project Period (FY) |
2004 – 2005
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| Keywords | Skull base / Surgery / Anatomy / Surgical approach |
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| Research Abstract |
We developed and/or modified the several new approaches to the inferior aspects of the skull base, for example, Le Fort I osteotomy approach, Facial dismasking approach, Orbito-zygomatic approach, Maxillary swing approach, etc.
Using the method of macroscopic anatomical investigation, we studied the characteristics of those approaches and the range of surgical field which is obtained by those approaches.
In order to access to the deep part of the skull, two surgical procedures should be employed. The first one is soft tissue incision and elevation and the second is osteotomy and displacement of the facial skeleton.
We classified various approaches to the skull base into 2 categories which are a soft tissue incision and an osteotomy and clarified that an appropriate combination of those two procedures is the most important to obtain the sufficient surgical field in the deep part of the skull base with minimum morbidity.
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