A5001735119- Reconstructive Surgery and Microvascular Techniques
- Streptococcal Infections and Treatments
- Head and Neck Cancer Studies
- Surgical site infection prevention
- Esophageal Cancer Research and Treatment
- Head and Neck Surgical Oncology
- Vascular Malformations and Hemangiomas
- Tracheal and airway disorders
- Surgical Sutures and Adhesives
- Esophageal and GI Pathology
- Facial Nerve Paralysis Treatment and Research
- Diagnosis and Treatment of Venous Diseases
- Infective Endocarditis Diagnosis and Management
- Telemedicine and Telehealth Implementation
- Anesthesia and Pain Management
- Organ and Tissue Transplantation Research
- Mobile Health and mHealth Applications
- Rabies epidemiology and control
- Lung Cancer Diagnosis and Treatment
- Surface Modification and Superhydrophobicity
- Nerve Injury and Rehabilitation
- Tumors and Oncological Cases
- Body Contouring and Surgery
- Electrospun Nanofibers in Biomedical Applications
- Cardiac, Anesthesia and Surgical Outcomes
National Cancer Center Hospital East
2023-2025
University of Tokyo Hospital
2021-2024
Asahi General Hospital
2020
The University of Tokyo
2020
Creative Commons
2020
Sophia University
2015
The anterolateral thigh perforator flap is frequently used for massive soft-tissue defect reconstruction. Cadaver perfusion examinations of isolated flaps have suggested a maximum skin area that may be vascularized based on the perforating vessels (ie, 250 cm2). Therefore, this study aimed to evaluate series consecutive cases involving use extended oncologic reconstruction defects. To our knowledge, largest at single center. Patients who underwent transfers exceeding cm2 institution between...
Abstract Background Perioperative management methods that reduce surgery-associated invasiveness and improve the quality of postoperative recovery are being promoted as enhanced after surgery programs in various areas. Early enteral nutrition mobilization essential elements for surgery; however, their safety feasibility unclear head neck with free tissue transfer reconstruction. This study aimed to clarify these uncertainties. Methods is a retrospective before–after study. From 2018 2022,...
Abstract Background Although vascularized bone graft (VBG) transfer is the current standard for mandibular reconstruction, reconstruction with a plate (MRP) and soft‐tissue flap (STF) alone remain crucial options patients poor general conditions. However, objective aesthetic outcome evaluations these methods are limited. Methods In retrospective analysis of 65 (VBG, 33; MRP, 19; STF, 13), asymmetry value was calculated each patient's photograph using facial recognition AI, higher indicating...
Radical treatments for intra-abdominal malignancies disturb physiological lymphatic drainage and predispose the patients to complications such as ascites. Despite its infrequent occurrence, ascites is a morbid complication, definitive treatment protocol refractory cases has not been established. Surgical are opted depending on etiology, symptoms, facility equipment. Lymphatic-venous anastomosis (LVA) bypasses proximal blockages provides an alternative route fluid recirculation into venous...
Head and neck reconstructive surgery involving tissue flaps is often complex requiring the development of an individualized anesthetic plan. The following case report describes management 87-year-old man considered at high risk for postoperative delirium due to advanced age blindness undergoing general anesthesia resection squamous cell carcinoma right side nose with a scalping forehead flap. Ultrasound-guided local maxillary supraorbital nerve blocks were successfully used perioperatively...
Abstract Background Tracheal necrosis is a potentially severe complication of total pharyngolarynjectomy (TPL), sometimes combined with esophagectomy. The risk factors for tracheal after TPL without esophagectomy remain unknown. Methods We retrospectively reviewed data 395 patients who underwent Relevant associated were evaluated using random forest machine learning and traditional multivariable logistic regression models. Results occurred in 25 (6.3%) patients. Both the models identified...
Summary: Lymphatic malformation (LM) can occur in the head and neck regions cause cosmetic problems adults. Sclerotherapy surgical resection have been frequently applied; however, both are far from being minimally invasive terms of aesthetic satisfaction, including downtime. We performed a less-invasive treatment using venous anastomosis technique, named lymphatic malformation–venous (LMVA), mainly pediatric patients with intractable microcystic lesions, whom general anesthesia was required...
Background Salvage surgery is a therapeutic option for recurrent or residual esophageal cancer after definitive chemoradiation therapy. This report aimed to describe the procedure of reconstruction salvage esophagectomy involving great vessel resection using prosthetic grafts, pectoralis major muscle (PM) flap, and free jejunal transfer, if required. To best our knowledge, no previous has described defect combined resection. Patients Methods From January 2017 December 2022, 4 patients...
Total pharyngolaryngectomy is sometimes combined with total glossectomy for advanced hypopharyngeal or cervical esophageal cancers involving the tongue base. The optimal reconstruction method has not been established due to a considerable diameter mismatch between floor of mouth and stump. This report describes two methods using free jejunal transfer.
Purpose Adjuvant chemotherapy (AC) following limb-sparing surgery with endoprosthesis is the gold standard treatment for osteosarcoma (OS). However, AC can impair wound healing, leading to exposure, making decision continue or pause important. We propose guidelines managing this situation. Methods
Since the release of ChatGPT by OpenAI in November 2022, generative artificial intelligence (AI) models have attracted significant attention various fields, including surgery. These advancements been particularly notable for creating highly detailed and contextually accurate images from textual prompts. A area clinical application is representation surgeon demographics specialties, context microsurgery plastic surgery-related subspecialties.
Objective The impact of suture materials on surgical site infections (SSIs) has been well documented in various fields; however, it not thoroughly examined oral oncological surgery with free-flap reconstruction. This study aimed to evaluate the incidence SSIs associated use monofilament and braided sutures for flap fixation. Methods A retrospective chart review patients who underwent resection reconstruction was conducted between May 2020 April 2024. Either (4-0 PDS® II or Monodiox®) (3-0...
Even in NSTI patients with many comorbidities, it is possible to save both the life and limb by thorough debridement suitable reconstruction. SCIP-ICAP compound flap can be versatile for a massive defect of an upper extremity. A Case Supercharged Compound Flap Necrotizing Soft Tissue Infection.
B2H6/He plasma and B2H6/H2/He treatments of PTFE were performed. Concentration the B2H6 was varied through this experiment. Then defluorination degree adhesive strength measured. While hydrogen effective for surface, oxygen functional groups generated by post-oxidation improved strength. The atmospheric pressure glow treatment with lower diborane concentration more modifies surface.
In this report, we present a case of the Superficial circumflex iliac perforator-intercostal artery perforator (SCIP-ICAP) compound flap after extensive debridement upper extremity with necrotizing soft tissue infection (NSTI). There has been no previous report SCIP-ICAP applied for NSTI.