A defatted (thinned) anterolateral thigh flap was designed to reconstruct skin defects requiring thin coverage. We used this as a free for five cases of defects, and the outcomes reconstructions were all successful. The vascular pedicle flap, cutaneous perforator lateral circumflex femoral artery, is about 8 cm long 2 mm in diameter, it ideal microvascular anastomosis. Thinning performed 3 4 thickness almost uniformly except pedicle. It ascertained one useful donor sites flap. virtue its...

Background: Upper extremity edema following surgical treatment for breast cancer does not always result in chronic cancer–related lymphedema. Changes the findings of indocyanine green lymphography and upper volume surgery were observed prospectively to understand early changes lymphatic function establish a new strategy diagnosis Methods: Lymphatic 196 consecutive breasts was examined using bilateral before 1, 3, 6, 9, 12 months after surgery. When “stardust,” “diffuse,” or “no flow” pattern...

Vascularized lymph node transfer has become a popular surgical option to improve lower extremity lymphedema (LEL), although potential donor sites are limited. The free supraclavicular flap with deep cervical nodes been recently associated minimal risk of secondary caused by site dissection. However, the effectiveness this procedure not yet evaluated.Vascularized (VSLNT) was performed for patients International Society Lymphology late stage II or more severe LEL. results were compared...

In this retrospective study, 31 reconstructions using thin anterolateral thigh flaps and six cadaveric dissections of the were investigated in consideration anatomic variations perforator vessels adipose layer, safe area flap circulation, clinical indications. Three vessel course layer predicted correctly. The radius a with thickness 3 to 4 mm was determined be approximately 9 cm from point where met skin. use for reconstruction neck, axilla, anterior tibial area, dorsum foot, circumference...

Background: Although early diagnosis is important for selecting an effective surgical treatment secondary lymphedema, efficient screening test detecting early-stage lymphedema has not yet been established. Serial changes of lymphatic function before and after lymph node dissection risk factors are indicators. Methods: A prospective cohort observational study was conducted with 100 consecutive gynecologic cancer patients who underwent pelvic dissection. Lymphatic assessed by noninvasive...

Chiba and Tokyo, Japan From the Department of Plastic Reconstructive Surgery, Emergency Medical Center, Showa University School Medicine. Received for publication November 21, 2002; revised February 12, 2003. Naohiro Kimura, M.D. Surgery Center 3-32-1, Isobe Mihama-ku, Chiba, [email protected] Presented in part at Sixth International Course on Perforator Flaps, Taipei, Taiwan, October 24 to 26, 2002, 43rd Annual Meeting Society Sapporo, Japan, May 2000. Follow-up N. A microdissected thin...

Tokyo, Japan From the Department of Plastic, Reconstructive, and Aesthetic Surgery, School Medicine, Showa University. Received for publication April 18, 2003; revised June 25, 2003. Kaneshige Satoh, M.D., Ph.D. Surgery University Medicine 1-5-8, Hatanodai, Shinagawa-ku 142-8666 [email protected] Follow-up to K. Mandibular contouring surgery by angular combined with genioplasty in Orientals. Plast. Reconstr. Surg. 101: 461, 1998.

Auto-transplantation of adipose tissue is commonly used for the treatment defects in plastic surgery. The survival transplanted not always constant, and one reasons accelerated apoptosis implanted preadipocytes. We have recently established highly homogeneous preadipocytes, named ccdPAs. aim current study was to evaluate regulation potency platelet-rich plasma (PRP) on ccdPAs vitro. PRP stimulated proliferation preadipocytes a dose-dependent manner, stimulatory activity 2% significantly...

Background: Tissue oximetry is a useful tool for postoperative free flap monitoring. Reported criterion values have been accurate; however, there are various complicated author-dependent criteria, and sometimes it too late salvage. The authors offer new, simple faster accurate detection of perfusion problems. Methods: Intraoperatively, areas perforator flaps were assessed by both indocyanine green angiography regional oxygen saturation. elevated was categorized into the early-stained area,...

Midfacial hypoplasia has been corrected by Le Fort III or monobloc forward advancement in one stage syndromic craniosynostosis, but recently developed distraction osteogenesis use. Whereas the amount of mobilization conventional osteotomy is determined preplanned fabricated interdental splint, that positions inferior orbital rim, malar complex, and nose. Therefore, upper part midface may sometimes be insufficient when focuses on final occlusion, occlusion might not satisfied sufficient....

The fasciocutaneous flap in the lower leg has been widely used since Pontén's 1981 report. cutaneous artery running along sural nerve—known as superficial artery—has an important role blood supply of stated by Haertsch. great variation with regard to its location and origin vessel. is intimately connected nerve or lateral nerve. It may run We examined this vessel 10 cadaver dissections applied it 17 clinical cases pedicled, island, free flaps. island particularly versatile for reconstruction...

Background: Subcutaneous ecchymosis caused by venous reflux is a preventable complication following lymphaticovenular anastomosis. The authors developed series of operative procedures to prevent reflux. This probably the first report on valvuloplasty for small subcutaneous veins (diameter, <1 mm). Methods: A total 165 anastomoses in 39 limbs were operated using this novel procedure (study group). Extended vein dissection was performed ensure inclusion some valves. Venous regurgitation...

The influence of maxillary advancement by osteotomy on speech was examined in 10 patients with cleft palates (6 males, 4 females). Ages at the time surgery ranged from 16 to 26 years (mean, 19.5 yr). LeFort I and II osteotomies were performed 9 1 patient, respectively. Preoperatively postoperatively, hypernasality, nasal emission pressure consonants, articulation disturbances evaluated perceptually, velopharyngeal function lateral cephalographic nasopharyngoscopic studies. Hypernasality,...

Satoh, Kaneshige M.D.; Suzuki, Hiroyuki Matsuzaki, Shohichi D.D.S. Author Information

Adipose tissue is expected to provide a source of proliferative cells for regenerative medicine and cell-transplantation therapies using gene transfer manipulation. We have recently identified ceiling culture-derived adipocytes (ccdPAs) from the mature adipocyte fraction as suitable therapeutic vehicle because their stable capacity. In this study, we examined capability adipogenic differentiation ccdPAs compared with stromal vascular (SVF)-derived progenitor (adipose-derived stem cells,...

Objectives In aesthetic mandibular contouring surgery, which is often conducted in Asians, the operative procedure thought to deliver a more shape by means of as whole from ramus symphysis. The authors describe refined concept and procedures marginal contouring. Methods For 7-year period 2004 2011, has been used 57 consecutive series Japanese subjects. Patient ages ranged 18 33 years, subjects included 15 men 42 women. surgery was carried out cutting off protruding deformed margin 53 cases,...

A square mandible is often indicated for operative correction in Orientals, whereas it seldom regarded as requiring treatment other races. prominent mandibular angle corrected by resecting the angle. However, subjects with a have disproportional chin, and contouring surgery from ramus to symphysis conducted effectively resection of genioplasty. Advancement, recession, shortening, and/or elongation horizontal or sagittal osteotomy chin were performed our series 16 Japanese patients. The...

Satoh, Kaneshige M.D.; Suzuki, Hiroyuki Matsuzaki, Shohichi D.D.S. Author Information

Cystic lymphangioma is a congenital malformation occurring most frequently in the necks of infants and young children. It histologically benign, but lesion can extend deep into tissue. Thus, surgical treatment often difficult. In recent years, OK-432 sclerotherapy has become first-line therapy for cystic lymphangioma, many reports have discussed its effectiveness. However, it difficult to achieve complete response polycystic cases with small areas, sometimes ineffective. current study, we...

Human subcutaneous fat tissue consists of two layers, superficial adipose (SAT) and deep (DAT). Some recent reports suggest that a disproportionate accumulation DAT is related to obesity-associated metabolic complications. However, the differences in adipocyte function between SAT are unclear. To clarify human characteristics DAT, ceiling culture-derived proliferative adipocytes (ccdPAs) were primary cultured from three lean female patients. Differences adipogenic differentiation potential...

Sinus pericranii is a vascular tumor of the head having communication with dural venous system. The enlarges increased intracranial pressure when patient in lateral recumbent position. Since Stromeyer used term "sinus pericranii" his report 1850, approximately 170 cases have been reported. However, relatively few sinus reported association craniosynostosis or by plastic surgeons. In this study, we seven associated craniosynostosis. There were two patients Apert syndrome, Crouzon oxycephaly,...