2025/10/23 更新

写真a

タカクラ ヒロアキ
高倉 裕明
Takakura Hiroaki
所属
医歯薬学域 助教
職名
助教
プロフィール

歯科医師

(公社)日本口腔外科学会認定「口腔外科認定医」

(公社)日本口腔外科学会認定「口腔外科専門医」

日本がん治療認定医機構認定「がん治療認定医(歯科口腔外科)」

外部リンク

学位

  • 博士(歯学) ( 2017年3月   岡山大学大学院医歯薬学総合研究科 )

学歴

  • 岡山大学大学院   医歯薬学総合研究科   病態制御学専攻 口腔顎顔面外科学

    2013年4月 - 2017年3月

      詳細を見る

  • 岡山大学   Dental School  

    2006年4月 - 2012年3月

      詳細を見る

  • 愛光学園高等学校    

    2001年4月 - 2004年3月

      詳細を見る

経歴

  • 岡山大学病院 口腔外科・口腔顎顔面外科部門 助教・外来医長

    2024年6月 - 現在

      詳細を見る

  • 岡山大学病院 口腔外科・顎顔面外科部門 助教

    2024年4月 - 2024年5月

      詳細を見る

  • 福山市民病院 歯科口腔外科

    2017年4月 - 2024年3月

      詳細を見る

 

論文

  • The maxillary vein: an anatomical narrative review with clinical implications for oral and maxillofacial surgeons. 国際誌

    Kazzara Raeburn, Yohei Takeshita, Hiroaki Takakura, Shogo Kikuta, Yuki Kunisada, Soichiro Ibaragi, Rarinthorn Samrid, Marios Loukas, R Shane Tubbs, Joe Iwanaga

    Anatomy & cell biology   2025年6月

     詳細を見る

    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    The maxillary vein, despite its clinical significance, remains underexplored in anatomical literature. It plays a crucial role in venous drainage of the maxillofacial region and is closely associated with surgical procedures such as sagittal split ramus osteotomy, mandibuloplasty, and condylar or parotid surgeries. Due to its variable anatomy and proximity to critical structures, the maxillary vein poses a risk of significant hemorrhage if injured. Its small size and deep location make preoperative identification challenging, especially without contrast-enhanced imaging. Embryologically, the maxillary vein originates from the primitive maxillary vein and develops through complex anastomoses with other craniofacial veins. Anatomical studies have revealed several variations, including the presence of accessory mandibular foramina and unusual venous connections, which may increase surgical risk. Understanding the detailed anatomy and potential variations of the maxillary vein is essential for minimizing complications and improving surgical outcomes. Despite its importance, more anatomical and clinical research is needed to better define its course, variations, and implications in oral and maxillofacial surgery.

    DOI: 10.5115/acb.25.024

    PubMed

    researchmap

  • A Case of a Metal Foreign Object Remaining in the Maxillary Bone for an Extended Period: A Case Report. 国際誌

    Koichi Kadoya, Yuki Kunisada, Kyoichi Obata, Hiroaki Takakura, Tatsuo Ogawa, Soichiro Ibaragi

    Clinical case reports   13 ( 4 )   e9631   2025年4月

     詳細を見る

    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    We report a rare case in which a metallic foreign body remained undetected in a patient's maxilla for nearly 40 years after a childhood bicycle accident. Despite the accident, the implant remained in place without causing infection due to the lack of imaging studies at the time. The metal was accidentally discovered during a routine dental imaging examination 40 years later and subsequently surgically removed. This case highlights the importance of comprehensive imaging and the dangers of overlooking foreign bodies, especially in the vulnerable head and neck region. The patient, 53 years old at the time of discovery, presented to the dentist due to discomfort in the palate and nasal cavity. During this visit, radiographs were taken and a foreign body was discovered. Surgical removal of the foreign body revealed significant corrosion and surrounding granulation tissue indicative of foreign body granuloma. Elemental analysis of the foreign body confirmed that it was an iron-based metal, unlike biocompatible materials such as titanium. These findings reinforce the need for close post-trauma evaluation and follow-up, especially in cases of pediatric trauma, to avoid the possibility of long-term complications arising from unnoticed foreign bodies in anatomically significant areas.

    DOI: 10.1002/ccr3.9631

    PubMed

    researchmap

  • Terrein Exhibits Anti-tumor Activity by Suppressing Angiogenin Expression in Malignant Melanoma Cells. 国際誌

    Taira Hirose, Yuki Kunisada, Koichi Kadoya, Hiroki Mandai, Yumi Sakamoto, Kyoichi Obata, Kisho Ono, Hiroaki Takakura, Kazuhiro Omori, Shogo Takashiba, Seiji Suga, Soichiro Ibaragi

    Cancer genomics & proteomics   21 ( 5 )   464 - 473   2024年

     詳細を見る

    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    BACKGROUND/AIM: Malignant melanoma is a tumor with a poor prognosis that can metastasize distally at an early stage. Terrein, a metabolite produced by Aspergillus terreus, suppresses the expression of angiogenin, an angiogenic factor. However, the pharmacological effects of natural terrein have not been elucidated, because only a small amount of terrein can be extracted from large fungal cultures. In this study, we investigated the antineoplastic effects of terrein on human malignant melanoma cells and its underlying mechanisms. MATERIALS AND METHODS: Human malignant melanoma cell lines were cultured in the presence of terrein and analyzed. Angiogenin production was evaluated using ELISA. Ribosome biosynthesis was evaluated using silver staining of the nucleolar organizer region. Intracellular signaling pathways were analyzed using western blotting. Malignant melanoma cells were transplanted subcutaneously into the backs of nude mice. The tumors were removed at 5 weeks and analyzed histopathologically. RESULTS: Terrein inhibited angiogenin expression, proliferation, migration, invasion, and ribosome biosynthesis in malignant melanoma cells. Terrein was shown to inhibit tumor growth and angiogenesis in animal models. CONCLUSION: This study demonstrated that terrein has anti-tumor effects against malignant melanoma. Furthermore, chemically synthesized non-natural terrein can be mass-produced and serve as a novel potential anti-tumor drug candidate.

    DOI: 10.21873/cgp.20464

    PubMed

    researchmap

  • Maxillofacial Fractures in Elderly Patients

    Hiroaki Takakura, Tsuyoshi Shimo, Norie Yoshioka, Mayumi Yao, Kyoichi Obata, Soichiro Ibaragi, Tatsuo Okui, Yuki Kunisada, Ayaka Morisawa, Akane Shibata, Shoko Yoshida, Yurika Murase, Koji Kishimoto, Akiyoshi Nishiyama, Hiroshi Mese, Akira Sasaki

    International Journal of Surgery & Surgical Procedures   2 ( 2 )   2017年11月

     詳細を見る

    掲載種別:研究論文(学術雑誌)   出版者・発行元:Graphyonline Publications PVT, Ltd.  

    DOI: 10.15344/2456-4443/2017/128

    researchmap

  • The Immunological Impact of Chemotherapy on the Tumor Microenvironment of Oral Squamous Cell Carcinoma.

    Hiroaki Takakura, Shohei Domae, Toshiro Ono, Akira Sasaki

    Acta medica Okayama   71 ( 3 )   219 - 226   2017年6月

     詳細を見る

    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Anticancer drugs induce cell-cycle arrest and apoptosis not only in tumor cells, but also in immune cells. However, many preclinical and clinical findings show that some chemotherapeutic agents can improve the antitumor efficacy of immunotherapy. We immunohistochemically analyzed the degree of immune cell infiltration and the relevance of programmed cell death 1 ligand-1 (PD-L1) expression in surgically resected oral squamous cell carcinoma (OSCC) specimens from patients who had undergone pretreatment with certain chemotherapies and other patients without pretreatment. We divided the patients into the group of neoadjuvant chemotherapy (NAC) patients (n=8) and the nNAC (without NAC) patient group (n=10). We observed that NAC induced infiltrations of CD4, CD8 T cells and CD56 NK cells into the tumor microenvironment. Decreased numbers of Tregs and PD-1-positive cells were observed in the NAC group. No significant difference was observed in the degree of immune-cell infiltration between the patient groups except for CD56 NK cells in the stroma and PD-1 cells in cancer nests. Eighty percent of the nNAC specimens showed intermediate-to-strong PD-L1 protein expression, whereas 75% of the NAC specimens showed down-regulation of the PD-L1 protein, indicating the effectiveness of the chemotherapeutic treatment before surgery.

    DOI: 10.18926/AMO/55204

    PubMed

    researchmap

  • Relationship between orthodontic expertise and perception of need for orthodontic treatment for mandibular protrusion in Japan.

    Takashi Murakami, Akihito Fujii, Yuya Kawabata, Hiroaki Takakura, Rie Yamaue, Tarek Abdulsamad Balam, Shingo Kuroda, Noriaki Kawanabe, Hiroshi Kamioka, Takashi Yamashiro

    Acta medica Okayama   67 ( 5 )   277 - 83   2013年

     詳細を見る

    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    The aims of this study were to investigate how the Peer Assessment Rating (PAR index) predicts the perceived need for orthodontic treatment of mandibular protrusion in Japanese subjects, and to elucidate whether the perceived need for treatment was affected by the raters' orthodontic expertise. The subjects were 110 dental students and 32 orthodontists. We showed them casts of 10 untreated mandibular protrusion cases and gave them a questionnaire in which they had to describe their perceptions of the orthodontic treatment needs using a 10-point visual analog scale (VAS). The PAR index was used for cast evaluation. The PAR index scores showed significant correlations with the VAS scores. In casts with a low PAR score, there were no differences in the VAS scores between orthodontists and students. In casts with a PAR score greater than 23, the orthodontists perceived a significantly greater treatment need than did the students;for scores of 22, 28, and 29, students who had received orthodontic treatment themselves were more likely to perceive the treatment need. The PAR index is a good clinical predictor for assessing the perceived treatment needs for mandibular protrusion. Perception of the need for orthodontic treatment for mandibular protrusion depended on the degree of orthodontic expertise in Japanese subjects.

    PubMed

    researchmap

▼全件表示

MISC

▼全件表示

 

担当授業科目

  • 有病者の歯科治療・血液疾患 (2025年度) 第3学期  - 金1