2021/10/11 更新

写真a

キマタ ヨシヒロ
木股 敬裕
KIMATA Yoshihiro
所属
医歯薬学域 教授
職名
教授
外部リンク

研究キーワード

  • Reconstructive Surgery

  • 再建外科

  • Microsurgery

  • マイクロサージャリー

研究分野

  • ライフサイエンス / 形成外科学

経歴

  • - Professor,Graduate School of Medicine, Dentistry and Pharmaceutical Sciences,Okayama University

    2004年

      詳細を見る

  • - 岡山大学医歯薬学総合研究科 教授

    2004年

      詳細を見る

所属学協会

  • 日本形成外科学会

      詳細を見る

  • 第10回岡山大学医学部形成外科同門会

      詳細を見る

  • 第6回岡山再建医学研究会

      詳細を見る

  • 第36回中国地区MMC研究会

      詳細を見る

  • 第2回日本創傷外科学会

      詳細を見る

  • 第34回日本頭頚部癌学会

      詳細を見る

  • 第52回日本形成外科学会

      詳細を見る

  • 第2回蛍光Navigation Surgery研究会

      詳細を見る

  • 第19回日本形成外科学会基礎学術集会

      詳細を見る

  • 第36回日本マイクロサージェリー学会

      詳細を見る

  • 第27回日本顎顔面外科学会学術集会

      詳細を見る

  • 日本形成外科手術手技研究会

      詳細を見る

  • 日本頭頸部がん学会

      詳細を見る

▼全件表示

委員歴

  • 日本頭頸部がん学会   理事  

    2011年   

      詳細を見る

    団体区分:学協会

    日本頭頸部がん学会

    researchmap

  • 日本形成外科学会   評議員  

    2011年   

      詳細を見る

    団体区分:学協会

    日本形成外科学会

    researchmap

  • - 日本頭頸部がん学会会則検討委員会 委員(2011-)  

    2011年   

      詳細を見る

  • - 日本形成外科学会中国四国支部 幹事(2011-)  

    2011年   

      詳細を見る

  • - 岡山大学倫理審査委員会 委員(2011-)  

    2011年   

      詳細を見る

  • - 日本形成外科学会 専門医認定委員会委員(2011-)  

    2011年   

      詳細を見る

  • - 日本頭頸部がん学会診療ガイドライン 委員(2011-)  

    2011年   

      詳細を見る

  • 第36回日本マイクロサージェリー学会   座長  

    2010年   

      詳細を見る

    団体区分:学協会

    第36回日本マイクロサージェリー学会

    researchmap

  • 日本形成外科手術手技研究会   理事  

    2010年   

      詳細を見る

    団体区分:学協会

    日本形成外科手術手技研究会

    researchmap

  • 第36回中国地区MMC研究会   座長  

    2010年   

      詳細を見る

    団体区分:学協会

    第36回中国地区MMC研究会

    researchmap

  • 第19回日本形成外科学会基礎学術集会   司会  

    2010年   

      詳細を見る

    団体区分:学協会

    第19回日本形成外科学会基礎学術集会

    researchmap

  • 第2回蛍光Navigation Surgery研究会   司会  

    2010年   

      詳細を見る

    団体区分:学協会

    第2回蛍光Navigation Surgery研究会

    researchmap

  • 第27回日本顎顔面外科学会学術集会   座長  

    2010年   

      詳細を見る

    団体区分:学協会

    第27回日本顎顔面外科学会学術集会

    researchmap

  • 第34回日本頭頚部癌学会   座長  

    2010年   

      詳細を見る

    団体区分:学協会

    第34回日本頭頚部癌学会

    researchmap

  • 第6回岡山再建医学研究会   会長  

    2010年   

      詳細を見る

    団体区分:学協会

    第6回岡山再建医学研究会

    researchmap

  • 第10回岡山大学医学部形成外科同門会   会長  

    2010年   

      詳細を見る

    団体区分:学協会

    第10回岡山大学医学部形成外科同門会

    researchmap

  • 第2回日本創傷外科学会   座長  

    2010年   

      詳細を見る

    団体区分:学協会

    第2回日本創傷外科学会

    researchmap

  • 第52回日本形成外科学会   司会  

    2010年   

      詳細を見る

    団体区分:学協会

    第52回日本形成外科学会

    researchmap

  • - NPO法人 日本・ミャンマー医療人育成支援協会 理事(2010-)  

    2010年   

      詳細を見る

▼全件表示

 

書籍等出版物

  • OGS NOW No.7 子宮奇形・膣欠損・膣閉鎖・外陰以上の手術、性同一性障害に対するSex Reassignment Surgery

    メジカルビュー社  2011年 

     詳細を見る

  • 再建外科

    医学書院  2011年 

     詳細を見る

  • 殿部・会陰部の再建と褥瘡の治療

    克誠堂出版  2009年 

     詳細を見る

  • ICG蛍光Navigation Surgeryのすべて

    Inter Medica社,東京  2008年 

     詳細を見る

  • マイクロサージャリー(微小血管外科)基本手技

    医学書院,東京  2008年 

     詳細を見る

  • Microvascular and Pedicled Anterolateral Thigh Flap for Abdominal Wall Reconstrction

    Lippincott Willams & Wilkins, Philadelphia,Philadelphia  2008年 

     詳細を見る

▼全件表示

MISC

  • The Incidence of Oral and Oropharyngeal Cancers in Betel Quid-Chewing Populations in South Myanmar Rural Areas

    Nobuyoshi Mizukawa, Swe Swe Win, Zaw Moe Thein, Moe Thida Htwe, Yohsuke Yoshioka, Yoshihiro Kimata, Seiji Iida, Myo Khin, Shigeru Okada, Than Sein

    ACTA MEDICA OKAYAMA   71 ( 6 )   519 - 524   2017年12月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    Oral cancer is a very common disease in South and Southeast Asia. Betel quid (BQ)- chewing and tobacco-smoking habits are etiological factors for oral cancer patients in these regions. We conducted an oral cancer screening in BQ-chewing endemic rural areas in South Myanmar for the early detection of oral cancer in BQ-chewing and smoking individuals. We examined 105 subjects who were at high risk of oral cancer due to their oral habits (BQ users and/or smokers). Three carcinoma cases were detected, and there were 8 dysplasia cases. The carcinoma detection rate was 2.9%, and the carcinoma and precancerous lesion detection rate was 10.5%. In Myanmar, oral cancer screening has been conducted sporadically on a voluntary basis, and nationwide surveys have never been performed. There are also few reports of oral cancer screening for high-risk groups among the general population in Myanmar. Our present findings highlight the need for further screening and surveys. Education on betel quid chewing-and tobacco-related oral diseases and screening for the early detection of oral cancer are of the utmost importance in the control and prevention of oral cancer.

    Web of Science

    researchmap

  • In vitro fertilization and pregnancy management in a woman with acquired idiopathic chylous ascites

    Ai Sakamoto, Yasuhiko Kamada, Sayoko Kotani, Kiyoshi Yamada, Yoshihiro Kimata, Yuji Hiramatsu

    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH   43 ( 11 )   1773 - 1777   2017年11月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY  

    Acquired idiopathic chylous ascites is extremely rare in women of reproductive age. This is the first report describing successful infertility and pregnancy management in a patient with idiopathic chylous ascites. A 23-year-old woman presented with abdominal distention and was diagnosed with idiopathic fluid collection. A lymphogram revealed lymphatic leakage from the right renal hilum. Lymphatic-venous anastomosis of the thoracic duct was performed thrice, but the chylous ascites persisted. In vitro fertilization was performed because natural conception was not possible. Just prior to oocyte retrieval, transvaginal drainage of ascites was performed. In total, nine blastocysts were obtained and cryopreserved. Single frozen embryo transfer was performed, including hormone replacement therapy. The patient became pregnant and the ascites spontaneously decreased as the pregnancy progressed, finally disappearing around gestational week 20. A healthy baby was delivered transvaginally. Ascites began to reaccumulate on post-partum day 1 and returned to the pre-pregnancy level within a month.

    DOI: 10.1111/jog.13434

    Web of Science

    researchmap

  • Risk factors for wound complications in head and neck reconstruction: 773 free jejunal reconstruction procedures after total pharyngolaryngoesophagectomy

    Narushi Sugiyama, Soshi Takao, Etsuji Suzuki, Yoshihiro Kimata

    HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK   39 ( 10 )   2057 - 2069   2017年10月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY  

    Background: Most studies that examined risk factors for wound complications after head and neck reconstruction analyzed various complications collectively. Moreover, they included a wide variety of resection areas and reconstruction materials. To overcome these limitations, both the resection area and reconstruction method were constrained in the present study.
    Methods: Patients who underwent free jejunal graft reconstruction after pharyngolaryngoesophagectomy for hypopharyngeal cancer were enrolled. The outcomes of interest were abscesses, fistulas, and cervical skin flap necrosis.
    Results: Abscesses, fistulas, and cervical skin flap necrosis developed in 19.3%, 11.3%, and 8.2% of 773 patients, respectively. A significant relationship was found between use of an open drain and abscess formation and between a longer operation time and cervical skin flap necrosis.
    Conclusion: Our findings suggest that use of an open drain, cardiovascular disease, and a longer operation time are significant risk factors for abscess formation, fistula formation, and cervical skin flap necrosis, respectively.

    DOI: 10.1002/hed.24874

    Web of Science

    researchmap

  • Vaginoplasty with a Pudendal-groin Flap in Male-to-female Transsexuals

    Yuko Mukai, Toshiyuki Watanabe, Morito Sugimoto, Yoshihiro Kimata, Yuzaburo Namba

    ACTA MEDICA OKAYAMA   71 ( 5 )   399 - 405   2017年10月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    Many vaginoplasty techniques have been introduced to improve the outcomes of sex reassignment surgery for male-to-female transsexuals. Some vaginoplasty patients still require additional skin grafts, making dilation mandatory to overcome shrinkage. We developed a new vaginoplasty method (called the "pudendal-groin flap") that uses pudendal-groin flaps. One of this procedure's advantages is that skin grafts are unnecessary, even for patients with small penises and scrotums. We introduce the procedure here and describe our evaluation of its utility. We retrospectively analyzed the cases of the 15 patients who underwent vaginoplasty using pudendal-groin flaps from May 2010 to January 2016 at our institution. We compared the complications as well as the functional and aesthetic outcomes with those of previous studies. The most common complication was bleeding, which occurred at the corpus spongiosum or while creating a new vaginal cavity. Bleeding can be reduced with more careful hemostasis and dissection. Aside from inadequate vaginal depth in one patient, the incidence of other complications, sexual intercourse, and aesthetic outcomes were acceptable. The pudendal-groin flap is thin and pliable and can create sufficient vaginal depth without skin grafts. The resulting scar is inconspicuous. Our findings suggest that vaginoplasty using the pudendal- groin flap method is feasible.

    Web of Science

    researchmap

  • Cervical Spine Osteoradionecrosis

    Masato Tanaka, Yoshihisa Sugimoto, Tomoyuki Takigawa, Yoshihiro Kimata, Toshifumi Ozaki

    ACTA MEDICA OKAYAMA   71 ( 4 )   345 - 349   2017年8月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    Osteoradionecrosis (ORN), a well-known complication of radiotherapy in the mandibular bone, is very rare in the cervical spine. The authors report the result of a 3-year follow-up of a 63-year-old female patient with ORN of the cervical spine. The patient had a history of laryngeal carcinoma and was treated with chemotherapy and radiation therapy with a total of 120 Gy. Eight years later, she developed acute, severe neck pain due to cervical spine necrosis. The authors performed vascularized fibular bone graft and posterior pedicle screw fixation to reconstruct her cervical spine. The patient was successfully treated with surgery, and cervical alignment was preserved. She had neither neurological deficits nor severe neck pain at her final follow-up 3 years later. Delaying treatment of ORN may be life threatening, so the early diagnosis of this condition is important for patients who receive radiotherapy. Otolaryngologists and spine surgeons should understand this potential complication to speed diagnosis and treatment as early as possible.

    Web of Science

    researchmap

  • Pedicled buccal fat pad for the augmentation of facial depression deformity: A case report

    Seiji Komatsu, Kou Ikemura, Yoshihiro Kimata

    MEDICINE   96 ( 30 )   2017年7月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Rationale: Tissue augmentation of facial depression deformities can be achieved by volume replacement with autologous fat injection, dermal filler injection, etc. Here, we report a case of tissue augmentation of a facial depression deformity using a pedicled buccal fat pad (BFP).
    Patient concerns: A 64-year-old woman was referred with a chief complaint of facial depression deformity.
    Diagnoses: Her molars had been removed at another hospital 12 years prior to this referral, and the patient suffered from a left cheek depression deformity as a sequela of a postextraction infection. Interventions: An incision was made in the left gingivobuccal sulcus under local anesthesia, and BFP was carefully excised from its normal location. The subcutaneous scar tissue was dissected, and a pocket was created via the same mucosal incision. BFP was then pushed into the pocket.
    Outcomes: The depression deformity immediately disappeared postoperatively. The transplanted BFP remained unabsorbed and soft 43 months postoperatively. The patient did not have any complications.
    Lessons: This novel procedure has 2 advantages. First, the pedicled BFP is a vascularized tissue and is not absorbed postoperatively; control of contour is easy, and only 1 treatment session is required. Complications associated with fat necrosis can be avoided. Second, only a single intraoral incision is required; the risk of donor-site morbidity is very low, and scar formation does not occur on exposed skin. Third, this procedure can be performed without special instruments and equipment. The main disadvantages are limited rotation arc and volume of pedicled BFP. Despite its limited application, this procedure is simple and useful, with low invasiveness.

    DOI: 10.1097/MD.0000000000007599

    Web of Science

    researchmap

  • Three-Dimensional Imaging of Lymphatic System in Lymphedema Legs Using Interstitial Computed Tomography-lymphography

    Kiyoshi Yamada, Akira Shinaoka, Yoshihiro Kimata

    ACTA MEDICA OKAYAMA   71 ( 2 )   171 - 177   2017年4月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    As a new trial, we used interstitial computed tomography-lymphography (CT-LG) in 10 patients with lower extremity lymphedema (n= 20 limbs) at stage 0, 1, 2, or 3 under the International Society of Lymphology (ISL) classification. In all cases, CT-LG, lymphoscintigraphy, and indocyanine green fluorescence-lymphography (ICG-LG) were performed. In the examination of the ascending level of depicted lymphatic vessels, we measured the diameters of lymphatic vessels detected with CT-LG and conducted an image analysis of dermal backflow of lymph (DB). CT-LG had better resolution than lymphoscintigraphy and enabled the clear visualization of lymphatic vessels with a minimum lumen size of 0.7 mm. CT-LG also showed the three-dimensional architecture of the DB, which originated from deep lymphatic collectors via branched small lymphatic vessels. Our findings are quite valuable not only for detailed examinations of lymphedematous sites and for the lymphedema surgery, but also for investigations of the pathogenesis of lymphedema which has not yet been established. We observed that lymphoscintigraphy could show the lymphatic vessels up to the thigh level in all cases, whereas CT-LG enabled the vessels' visualization up to the leg level at maximum. In conclusion, CT-LG provided adequate and detailed three-dimensional imaging of the lymphatic system in lymphedema patients.

    Web of Science

    researchmap

  • Laser-Assisted Indocyanine Green Angiography Aids in the Reconstruction of Gustilo Grade IIIB Open Lower-Limb Fractures

    Seijiro Koshimune, Akira Shinaoka, Tomoyuki Ota, Satoshi Onoda, Yoshihiro Kimata

    JOURNAL OF RECONSTRUCTIVE MICROSURGERY   33 ( 2 )   143 - 150   2017年2月

     詳細を見る

    記述言語:英語   出版者・発行元:THIEME MEDICAL PUBL INC  

    Background The treatment of trauma to the lower extremities often carries a high risk of complications. To the best of our knowledge, no study has been published regarding the treatment of open lower-limb fractures using laser-assisted indocyanine green angiography (LA-ICG). Here we retrospectively evaluated LA-ICG based therapeutic interventions and reported the use of LA-ICG and its results in this application.
    Patients and Methods Between January 2011 and December 2015, a total of 23 cases with Gustilo grade IIIB open lower-limb fractures were investigated. LA-ICG was used to demonstrate the presence of necrotic tissue and determine the range of debridement. We compared 13 patients treated using LA-ICG from 2013 to 2015 with 10 patients treated without LA-ICG from 2010 to 2013. We reviewed tissue necrosis and other outcomes of these patients.
    Results The tissue necrosis rate in the LA-ICG used group was significantly lower than that in the LA-ICG free group. There were also significant differences in the average number of instances of tissue necrosis per patient, debridements, and deep-site infections. There was no flap loss.
    Conclusion By using LA-ICG, not only plastic surgeons but also clinicians in all associated departments including orthopedics can perform early reliable debridement and share in trauma treatment planning. We will continue to accumulate similar cases and hope to further improve LA-ICG techniques.

    DOI: 10.1055/s-0036-1593807

    Web of Science

    researchmap

  • A Detailed Examination of the Characteristics and Treatment in a Series of 33 Idiopathic Lymphedema Patients

    Satoshi Onoda, Kiyoshi Yamada, Kumiko Matsumoto, Yoshihiro Kimata

    JOURNAL OF RECONSTRUCTIVE MICROSURGERY   33 ( 1 )   19 - 25   2017年1月

     詳細を見る

    記述言語:英語   出版者・発行元:THIEME MEDICAL PUBL INC  

    Background To date, only a few reports have been published on idiopathic lymphedema, and most of these are case reports. In this time, we performed a retrospective review of idiopathic lymphedema patients.
    Methods Forty patients presented with idiopathic lymphedema that was unrelated to surgery, injury, and medical conditions such as circulatory disease, kidney disease, and thrombotic venous disease. For these patients, we performed a retrospective review for edema-onset age, sex, location and stage of the edema, presence of cellulitis, episode related to edema onset, therapeutic intervention, and follow-up duration in the 33 patients whom we followed up.
    Results Among the 33 patients with idiopathic lymphedema, there were 11 patients with either congenital or childhood-onset lymphedema, 14 with adult-onset lymphedema, and the remaining 8 patients had an onset age of >60 years. Twenty of the 33 patients had undergone surgical treatment. Of the 19 patients who underwent lymphaticovenular anastomosis (LVA), 2 had good, 4 had fair, and 13 had poor treatment outcomes. Twelve patients successfully received only conservative treatment and follow-up for more than 3 months, without operation. The treatment outcome in these 12 patients was as follows: excellent in 4 patients, good in 6, and fair in 2 patients.
    Conclusion In this study, the usefulness of LVA for most patients with idiopathic lymphedema was not confirmed. Although this review did not include a conducted case, the indication for new surgical treatments such as vascularized lymph node transfer should be considered in the future.

    DOI: 10.1055/s-0036-1586257

    Web of Science

    researchmap

  • Accelerated Lymph Flow in Early-Stage Secondary Lymphedema Detected by Indocyanine Green Fluorescence Lymphography

    Akira Shinaoka, Seijiro Koshimune, Kiyoshi Yamada, Kumiko Matsumoto, Masako Honda, Maki Miyake, Hiromi Furuichi, Atsushi Hongo, Yoshihiro Kimata

    Journal of Reconstructive Microsurgery   505 - 513   2017年

     詳細を見る

  • Relationship of the Number and Size of Superficial Groin Lymph Nodes With the Stage of Secondary Lymphatic Edema

    Satoshi Onoda, Yoshihiro Kimata, Kiyoshi Yamada, Noriko Seki, Yuji Hiramatsu

    JOURNAL OF SURGICAL ONCOLOGY   114 ( 8 )   940 - 946   2016年12月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY-BLACKWELL  

    Purpose: This study evaluated the relationships of the size and number of superficial groin lymph nodes with the lower limb lymphedema stage and thus examined the role of superficial lymphatic lymph nodes in secondary lymphedema development.
    Methods: We determined the number and size of superficial groin lymph nodes using horizontal plane computed tomography (CT) and the lymphedema stage in the lower limbs of 25 patients with gynecologic cancer.
    Results: The patients had an average of 2.92 (range, 1-7) superficial groin lymph nodes; the mean size of the 146 evaluated lymph nodes was 7.55mm (range, 5-15 mm). In 19 of 25 patients (76%), the side with major edema contained fewer superficial groin lymph nodes. In total, 22 patients (88%) had fewer superficial groin lymph nodes or a smaller total lymph node size on the edematous dominant side.
    Conclusions: In this evaluation of the link between superficial groin lymph node laterality and secondary lymphedema staging, we found that patients with large lymph node numbers and sizes tended to present with a relatively earlier stage of lymphedema. Our results therefore suggest that the size and number of superficial groin lymph nodes affect the lymphedema stage. (C) 2016 Wiley Periodicals, Inc.

    DOI: 10.1002/jso.24463

    Web of Science

    researchmap

  • Correction of the Lower Lip With a Cartilage Graft and Lip Resection in Patients With Facioscapulohumeral Muscular Dystrophy

    Mio Matsumoto, Satoshi Onoda, Hiroko Uehara, Yuki Miura, Yuko Katayama, Yoshihiro Kimata

    JOURNAL OF CRANIOFACIAL SURGERY   27 ( 6 )   1427 - 1429   2016年9月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Facioscapulohumeral muscular dystrophy is an autosomal-dominant, slowly progressive myopathy that involves facial, shoulder, and upper arm muscles. Facial muscle atrophy and weakness leads to drooping of the lower lip, which has unfavorable functional and aesthetic outcomes. While there are several methods to correct drooping of the lower lip, including lip resection, free vascularized muscle transfer, and fascia suspension, there are no reports describing the use of an auricular cartilage graft to elevate the lip. The use of an auricular cartilage graft has several advantages, including a less invasive procedure and a longer-lasting effect. In this study, 3 patients with facioscapulohumeral muscular dystrophy underwent surgery involving an auricular cartilage graft with lip resection to sustain the lower lip, and satisfactory results were obtained. This procedure is simple and minimally invasive; thus, the authors believe that this is an appropriate technique to correct similar patients of lip deformity.

    DOI: 10.1097/SCS.0000000000002720

    Web of Science

    researchmap

  • Iliolumbar Vein as a Training Model for Microsurgical End-to-Side Anastomosis

    Satoshi Onoda, Yoshihiro Kimata, Kumiko Matsumoto

    JOURNAL OF CRANIOFACIAL SURGERY   27 ( 3 )   767 - 768   2016年5月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Although a multitude of microsurgical training models have been reported, few experimental animal models are available for end-to-side anastomosis. In this study, the authors developed an end-to-side anastomosis rat training model that utilizes the iliolumbar vein and investigated its characteristics. Ten Wistar male rats were used as microvascular end-to-side anastomosis models. Diameters of the posterior vena cava and the root of the iliolumbar vein were measured on both sides. The mean diameter of the posterior vena cava was 5.40 mm (range, 3.2-3.6 mm). The mean diameter of the root of the iliolumbar vein was 1.12 mm (range, 1.1-1.4 mm). The mean duration of bilateral end-to-side anastomosis was 50.6 minutes (range, 48-55 minutes). The intraoperative patency rate after anastomosis was 100%. The authors described a rat training model for microsurgical end-to-side anastomosis. This model is especially useful because it closely simulates a real operation, and training can be performed relatively quickly.

    DOI: 10.1097/SCS.0000000000002501

    Web of Science

    researchmap

  • A Novel Lymphaticovenular Anastomosis Rat Model

    Satoshi Onoda, Yoshihiro Kimata, Kumiko Matsumoto

    ANNALS OF PLASTIC SURGERY   76 ( 3 )   332 - 335   2016年3月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Introduction
    Lymphaticovenular anastomosis (LVA) has become an important procedure for the surgical treatment of lymphedema. In the past, the anatomy of the lymphatic system of animal models has been reported. However, to our knowledge, there have been few reports of animal models of LVA including training model. In this study, we report on a relatively simple and ideal animal LVA model based on peritoneal lymph ducts and veins.
    Patients and Methods
    For 10 rats, diameters of lumbar lymphatic ducts and iliolumbar veins in the peritoneal cavity on both sides were measured, and LVA was performed. In addition, we measured the diameters of 28 lymphatic ducts and veins in 8 patients who had previously undergone LVA and compared the results with those obtained in this rat model.
    Results
    The mean diameter of the lymphatic ducts was 0.61 mm, and the iliolumbar veins were 0.81 mm. On the other hand, the mean diameters of the 28 lymphatic ducts and veins of the 8 patients in whom we performed LVA were 0.58 and 0.76 mm, respectively. The differences in the diameters of the lymph vessels and veins between the rats and patients were not statistically significant.
    Conclusions
    We report on an LVA model involving the use of the lumbar lymphatic duct and iliolumbar veins of rats. The diameter, nature, and placement of the anastomosis using this model are very similar to that noted during real human surgery. We believe that our rat model will be useful as a practical training model for LVA and in studies on postoperative changes in LVA.

    DOI: 10.1097/SAP.0000000000000571

    Web of Science

    researchmap

  • Histologic Evaluation of Lymphaticovenular Anastomosis Outcomes in the Rat Experimental Model: Comparison of Cases with Patency and Obstruction

    Satoshi Onoda, Yoshihiro Kimata, Kumiko Matsumoto, Kiyoshi Yamada, Eijiro Tokuyama, Narushi Sugiyama

    PLASTIC AND RECONSTRUCTIVE SURGERY   137 ( 1 )   83E - 91E   2016年1月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Background: Lymphaticovenular anastomosis plays an important role in the surgical treatment of lymphedema. The outcomes of lymphaticovenular anastomosis are evaluated based on changes in edema; however, isolated assessment of the anastomosis itself is difficult. The authors used an animal experimental model to conduct a detailed examination of histologic changes associated with lymphaticovenular anastomosis and determined the factors important for success.
    Methods: The experimental lymphaticovenular anastomosis model was created using lumbar lymph ducts and iliolumbar veins of Wistar rats. The authors performed anastomosis under a microscope and reviewed postoperative histologic changes using optical and electron microscopy. In addition, electron microscopy and histology were used for detailed examination of the area in the vicinity of the anastomotic region in cases with patency and obstruction.
    Results: The patency rates immediately after, 1 week after, and 1 month after lymphaticovenular anastomosis were 100 percent (20 of 20), 70 percent (14 of 20), and 65 percent, respectively. A detailed examination of the anastomotic region with electron microscopy revealed that, in cases with patency, there was no notable transformation of the endothelial cells, which formed a smooth layer. In contrast, in obstruction cases, the corresponding region of the endothelium was irregular in structure.
    Conclusions: Vessel obstruction after lymphaticovenular anastomosis may be associated with irregular arrangement of the endothelial layer, leading to exposure of subendothelial tissues and platelet formation. One part of the postoperative changes after anastomosis and a cause of obstruction were elucidated in this study. The authors' results may enable improvements in lymphaticovenular anastomosis by translating back to real clinical operations.

    DOI: 10.1097/PRS.0000000000001884

    Web of Science

    researchmap

  • Efficacy of Honeycomb TCP-induced Microenvironment on Bone Tissue Regeneration in Craniofacial Area

    Satoko Watanabe, Kiyofumi Takabatake, Hidetsugu Tsujigiwa, Toshiyuki Watanabe, Eijiro Tokuyama, Satoshi Ito, Hitoshi Nagatsuka, Yoshihiro Kimata

    INTERNATIONAL JOURNAL OF MEDICAL SCIENCES   13 ( 6 )   466 - 476   2016年

     詳細を見る

    記述言語:英語   出版者・発行元:IVYSPRING INT PUBL  

    Artificial bone materials that exhibit high biocompatibility have been developed and are being widely used for bone tissue regeneration. However, there are no biomaterials that are minimally invasive and safe. In a previous study, we succeeded in developing honeycomb beta-tricalcium phosphate (beta-TCP) which has through-and-through holes and is able to mimic the bone microenvironment for bone tissue regeneration. In the present study, we investigated how the difference in hole-diameter of honeycomb beta-TCP (hole-diameter: 75, 300, 500, and 1600 mu m) influences bone tissue regeneration histologically. Its osteoconductivity was also evaluated by implantation into zygomatic bone defects in rats. The results showed that the maximum bone formation was observed on the beta-TCP with hole-diameter 300 mu m, included bone marrow-like tissue and the pattern of bone tissue formation similar to host bone. Therefore, the results indicated that we could control bone tissue formation by creating a bone microenvironment provided by beta-TCP. Also, in zygomatic bone defect model with honeycomb beta-TCP, the result showed there was osseous union and the continuity was reproduced between the both edges of resected bone and beta-TCP, which indicated the zygomatic bone reproduction fully succeeded. It is thus thought that honeycomb beta-TCP may serve as an excellent biomaterial for bone tissue regeneration in the head, neck and face regions, expected in clinical applications.

    DOI: 10.7150/ijms.15560

    Web of Science

    researchmap

  • Risk factors of thrombosis in a single method of microsurgical head and neck reconstruction

    Narushi Sugiyama, Soshi Takao, tsuji Suzuki, Yoshihiro Kimata

    Head and Neck, Head and Neck Surgery   2016年

     詳細を見る

  • Development of a Japanese version of the BREAST-Q and the traditional psychometric test of the mastectomy module for the assessment of HRQOL and patient satisfaction following breast surgery

    Miho Saiga, Naruto Taira, Yoshihiro Kimata, Satoko Watanabe, Yuko Mukai, Kojiro Shimozuma, Taeko Mizoo, Tomohiro Nogami, Takayuki Iwamoto, Takayuki Motoki, Tadahiko Shien, Junji Matsuoka, Hiroyoshi Doihara

    Breast Cancer   1 - 11   2016年

  • Structure of a new palatal plate and the artificial tongue for articulation disorder in a patient with subtotal glossectomy

    Ken Ichi Kozaki, Shigehisa Kawakami, Takayuki Konishi, Keiji Ohta, Jitsuro Yano, Tomoo Onoda, Hiroshi Matsumoto, Nobuyoshi Mizukawa, Yoshihiro Kimata, Kazunori Nishizaki, Seiji Iida, Akio Gofuku, Masanobu Abe, Shogo Minagi, Okayama Dream Speech, ProjectGroup a

    Acta Medica Okayama, Acta. Medica Okayama, Acta medicinae Okayama, Acta medica Okayama   70 ( 3 )   205 - 212   2016年

     詳細を見る

  • A case of nerve sheath myxoma of the right ring finger

    Yuki Miura, Toshiyuki Watanabe, Yoshihiro Kimata

    Japanese Journal of Plastic Surgery, Japanese Journal of Plastic and Reconstructive Surgery   59 ( 12 )   1317 - 1322   2016年

     詳細を見る

  • Mechanical Stretch on Human Skin Equivalents Increases the Epidermal Thickness and Develops the Basement Membrane

    Eijiro Tokuyama, Yusuke Nagai, Ken Takahashi, Yoshihiro Kimata, Keiji Naruse

    PLOS ONE   10 ( 11 )   e0141989   2015年11月

     詳細を見る

    記述言語:英語   出版者・発行元:PUBLIC LIBRARY SCIENCE  

    All previous reports concerning the effect of stretch on cultured skin cells dealt with experiments on epidermal keratinocytes or dermal fibroblasts alone. The aim of the present study was to develop a system that allows application of stretch stimuli to human skin equivalents (HSEs), prepared by coculturing of these two types of cells. In addition, this study aimed to analyze the effect of a stretch on keratinization of the epidermis and on the basement membrane. HSEs were prepared in a gutter-like structure created with a porous silicone sheet in a silicone chamber. After 5-day stimulation with stretching, HSEs were analyzed histologically and immunohistologically. Stretch-stimulated HSEs had a thicker epidermal layer and expressed significantly greater levels of laminin 5 and collagen IV/VII in the basal layer compared with HSEs not subjected to stretch stimulation. Transmission electron microscopy revealed that the structure of the basement membrane was more developed in HSEs subjected to stretching. Our model may be relevant for extrapolating the effect of a stretch on the skin in a state similar to an in vivo system. This experimental system may be useful for analysis of the effects of stretch stimuli on skin properties and wound healing and is also expected to be applicable to an in vitro model of a hypertrophic scar in the future.

    DOI: 10.1371/journal.pone.0141989

    Web of Science

    researchmap

  • Head and Neck Reconstruction by Using Extended Pectoralis Major Myocutaneous Flap

    Satoshi Onoda, Shogo Azumi, Yuki Miura, Yoshihiro Kimata

    JOURNAL OF RECONSTRUCTIVE MICROSURGERY   31 ( 4 )   300 - 304   2015年5月

     詳細を見る

    記述言語:英語   出版者・発行元:THIEME MEDICAL PUBL INC  

    Background Pectoralis major flaps have been the workhorse in head and neck region reconstructions till date. However, pectoralis major flaps have disadvantages, including limitations regarding flap range and less stable blood flow than that in free flaps. Here, we report on the safe reconstruction to the oral cavity and neck area by using extended pectoralis major flaps. These flaps include both the normal vessels that feed pectoralis major flaps (the thoracoacromial artery and vein) and the lateral thoracic artery and vein to stabilize blood flow and expand flap survival area caudally.
    Methods Eight patients who had undergone reconstruction with extended pectoralis major flaps after the resection of head and neck cancers from June 2009 to March 2013. In all cases, the pectoralis major flap was elevated with a vascular pedicle comprising the thoracoacromial artery and vein and the lateral thoracic artery and vein.
    Results No blood-circulation disorders, such as ischemia or congestion, were observed after the flaps were elevated and moved to the resected areas. All flaps were sutured-on without difficulty. The area the flaps were harvested from was closed in a single stage. No postoperative complications such as hematoma, abscess, or fistula were observed.
    Conclusion Extended pectoralis major flaps have a wide range and more stable blood flow, so they are thought to be useful in situations in which free flaps cannot be used for a variety of reasons.

    DOI: 10.1055/s-0034-1396788

    Web of Science

    researchmap

  • All about 頭頸部再建 多彩な皮弁を使いこなす!

    木股敬裕, 松本洋, 杉山成史, 小野田聡

    耳鼻咽喉科・頭頸部外科   87 ( 7 )   494 - 500   2015年

     詳細を見る

  • 顔面皮膚欠損の治療(1)-鼻部-

    小松星児, 木股敬裕

    専門医取得に必要な形成外科手技36 口頭試問への対策 下   32 - 40   2015年

     詳細を見る

  • EFFECTS OF RADIATION THERAPY ON POSTOPERATIVE COMPLICATIONS AND ADVERSE EVENTS IN PATIENTS WITH HEAD AND NECK RECONSTRUCTION WITH FLAPS

    Satoshi Onoda, Yoshihiro Kimata, Narushi Sugiyama, Tomoo Onoda, Nobuyoshi Mizukawa

    MICROSURGERY   34 ( 7 )   516 - 521   2014年10月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY-BLACKWELL  

    Background: Radiation therapy is an essential treatment for head and neck cancer. However, the condition of the operative field is entirely altered after radiation therapy. This study aimed to examine the effects of preoperative radiation therapy on complications in patients who underwent head and neck reconstruction with flaps. Methods: We retrospectively reviewed 252 instances of head and neck reconstruction with flaps in 240 patients between October 2000 and May 2011 at Okayama University Hospital. Of the participants, 51 had preoperative radiation exposure (21.3%) and 189 had no radiation exposure (78.7%). Postoperative complications were divided into three categories: minor complications that healed with conservative medical treatment within 4 weeks without a need for surgery; major complications requiring reoperation within 1 week after surgery (reoperation); and major complications needing additional operation later than 1 week after surgery (additional operation). Results: Preoperative radiation therapy was only associated with major complications requiring reoperation later than 1 week after surgery (P < 0.001), open cervical wounds (P = 0.0030), and skin grafting for cervical skin necrosis (P = 0.0031) when compared to no radiation exposure. The results of flap failure were not significantly different between both groups (P = 0.3820). Conclusions: Minor complications and reoperation in the early postoperative period were not influenced by radiation exposure. The complications of radiation tend to be protracted and associated with additional operation later than 1 week after the initial surgery. It was thought that shortening of the duration of treatment was successful when we needed to perform early additional operations. (C) 2014 Wiley Periodicals, Inc.

    DOI: 10.1002/micr.22275

    Web of Science

    researchmap

  • The Neutral Self-Assembling Peptide Hydrogel SPG-178 as a Topical Hemostatic Agent

    Seiji Komatsu, Yusuke Nagai, Keiji Naruse, Yoshihiro Kimata

    PLOS ONE   9 ( 7 )   e102778-e102778   2014年7月

     詳細を見る

    記述言語:英語   出版者・発行元:PUBLIC LIBRARY SCIENCE  

    Conventional self-assembling peptide hydrogels are effective as topical hemostatic agents. However, there is a possibility to harm living tissues due to their low pH. The aim of the present study was to demonstrate the efficacy of SPG-178, a neutral self-assembling peptide hydrogel, as a topical hemostatic agent. First, we measured the bleeding duration of incisions made on rat livers after application of SPG-178 (1.0% w/v), SPG-178 (1.5% w/v), RADA16 (1.0% w/v), and saline (n = 12/group). Second, we observed the bleeding surfaces by transmission electron microscopy immediately after hemostasis. Third, we measured the elastic and viscous responses (G' and G '', respectively) of the hydrogels using a rheometer. Our results showed that bleeding duration was significantly shorter in the SPG-178 group than in the RADA16 group and that there were no significant differences in transmission electron microscopy findings between the groups. The greater the G' value of a hydrogel, the shorter was the bleeding duration. We concluded that SPG-178 is more effective and has several advantages: it is non-biological, transparent, nonadherent, and neutral and can be sterilized by autoclaving.

    DOI: 10.1371/journal.pone.0102778

    Web of Science

    researchmap

  • The Drop-Down Technique as an Optimal Technique for Back-Wall End-to-Side Anastomosis

    Satoshi Onoda, Yoshihiro Kimata, Aya Goto

    JOURNAL OF CRANIOFACIAL SURGERY   25 ( 4 )   1435 - 1437   2014年7月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    An advantage of end-to-side anastomosis is that thrombogenesis in the anastomotic part is less likely than with end-to-end anastomosis. Conversely, the operative procedure for end-to-side anastomosis is more complicated than that of end-to-end anastomosis. We usually perform a modified back-wall technique in which the outflow vessel is dropped over the inflow vessel. We performed end-to-side anastomoses using the single-knot, back-wall, and drop-down techniques and compared the time required. In addition, the authors tried to perform microvascular anastomosis in 15 clinical cases using the drop-down technique. We were able to perform anastomoses quickly using the drop-down, back-wall, and single-knot techniques. The drop-down technique was possible in 12 cases of venous anastomosis in 15 head and neck reconstruction cases. Using this method, we can perform a continuous suture of the posterior wall easily and quickly. The drop-down technique can simplify continuous suturing of posterior wall in the same way as skin suturing.

    DOI: 10.1097/SCS.0000000000000754

    Web of Science

    researchmap

  • SECONDARY HEAD AND NECK RECONSTRUCTION USING FREE FLAP TO IMPROVE THE POSTOPERATIVE FUNCTION OR APPEARANCE OF CANCER SURVIVORS

    Satoshi Onoda, Yoshihiro Kimata, Narushi Sugiyama, Tomoo Onoda, Nobuyoshi Mizukawa

    MICROSURGERY   34 ( 2 )   122 - 128   2014年2月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY  

    BackgroundSecondary reconstructive operations are needed when patients with head and neck cancers have complications such as tumor recurrence after initial treatment. These reconstructive procedures are also performed to improve the function and appearance of the head and neck region for many cancer survivors. We reviewed the patients who underwent secondary head and neck reconstruction to improve function and appearance and considered the significance of this procedure for cancer survivors, as well as its associated problems.
    MethodsAmong the secondary reconstruction patients, 20 patients underwent reconstruction to improve their function and/or appearance. The goal of reconstruction for the patients was functional improvement in eight cases, appearance improvement in ten cases, and both function and appearance in two cases. Chi-square analyses were performed between the secondary and primary reconstructive groups with regard to the incidence of postoperative complications.
    ResultsAll transferred flaps survived completely. We performed a small postoperative modification procedure in four cases. Minor complications not requiring surgical correction occurred in 2 of 20 patients. Additional operations were required owing to major postoperative complications in 2 of 20 patients. No significant associations were identified between the secondary and primary reconstructive groups with regard to postoperative complications.
    ConclusionThe outcomes of the present report suggest that secondary reconstructive surgery is a relatively safe procedure. The decision to perform adaptation operations depends on various factors after sufficient discussion with patients. (c) 2013 Wiley Periodicals, Inc. Microsurgery 34:122-128, 2014.

    DOI: 10.1002/micr.22157

    Web of Science

    researchmap

  • 顔面皮膚欠損の治療(1) 鼻部

    小松星児, 木股敬裕

    形成外科   57 ( 3 )   273 - 281   2014年

     詳細を見る

  • Plotting Dermal Sutures: An Easy Dermal Suture Technique

    Matsumoto H, Kimata Y, Komatsu S, Min Zaw Aung

    PRS Global Open   2 ( 2 )   e108-e108   2014年

     詳細を見る

  • MedLite C6TMを用いたレーザートーニングによる肝斑治療

    小松星児, 片山裕子, 鳥越利加子, 井上和則, 松本久美子, 雑賀美帆, 妹尾貴夫, 木股敬裕

    形成外科   57 ( 10 )   1109 - 1116   2014年

     詳細を見る

  • 性同一性障害に対する外科治療(2)

    難波祐三郎, 木股敬裕, 松本洋輔, 杉本盛人, 中塚幹也

    形成外科   57 ( 8 )   867 - 873   2014年

     詳細を見る

  • リンパ浮腫保存治療の発症要因別治療効果

    三宅一正, 丸濱恵, 本多文江, 亀山真吾, 小野敦, 山田潔, 松本久美子, 三宅麻希, 本田雅子, 木股敬裕

    リンパ学   37 ( 2 )   62 - 65   2014年

     詳細を見る

  • Reconstruction of Congenital Vomeral Bone Defect Using the Outer Table of the Skull

    Satoshi Onoda, Yoshihiro Kimata, Shogo Azumi, Yuki Otsuki

    JOURNAL OF CRANIOFACIAL SURGERY   24 ( 6 )   E630 - E632   2013年11月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    A congenital nasal septal defect involving vomeral bone is a rare nasal anomaly, and few reconstructed cases have been reported. Reconstruction of the nasal septum using the outer table of skull to allow the use of glasses was performed. The patient's postoperative course was uneventful, and the patient was discharged on the tenth postoperative day. A transferred bone remains and shows no deviation to the right or left in the ninth postoperative month. The tubercle of the nasal part remains, and the patient is satisfied with the cosmetic result 9 months postoperatively. The timing of the operation and the surgical procedure are discussed.

    DOI: 10.1097/SCS.0b013e3182a238e0

    Web of Science

    researchmap

  • Phalloplasty with an Innervated Island Pedicled Anterolateral Thigh Flap in a Female-to-Male Transsexual

    Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

    ACTA MEDICA OKAYAMA   67 ( 5 )   325 - 331   2013年10月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    Since 2001, we have been performing phalloplasty with a radial forearm free flap as the flap of first choice in female-to-male transsexuals (FTMTS). In the present case, a 22-year-old FTMTS with a negative Allen test, we achieved good results by performing phalloplasty with an innervated island pedicled anterolateral thigh flap using the "tube within a tube" technique, in which the penis and urethra are constructed with a single flap. While phalloplasty with an island-pedicled or free anterolateral thigh flap has been reported previously, the present case seems to be the first of phalloplasty with an innervated island-pedicled anterolateral thigh flap using the "tube within a tube" technique. As compared to a forearm flap, use of an innervated island-pedicled flap may have the following advantages in phalloplasty: 1) no need for a microsurgical technique; 2) no scars at noticeable sites; 3) small functional loss in the flap donor area; 4) no sacrifice of major blood vessels. Thus, this technique seems to be a useful clinical alternative for phallic reconstruction.

    DOI: 10.18926/AMO/51869

    Web of Science

    researchmap

  • Recent advances in reconstructive surgery: Head and neck reconstruction

    Minoru Sakuraba, Shimpei Miyamoto, Yoshihiro Kimata, Takashi Nakatsuka, Kiyonori Harii, Satoshi Ebihara, Ryuichi Hayashi

    International Journal of Clinical Oncology   18 ( 4 )   561 - 565   2013年8月

     詳細を見る

    記述言語:英語  

    Although advances in radiotherapy and chemotherapy for cancers of the head and neck have been remarkable, surgical resection followed by reconstructive surgery is still the mainstay of treatment. Of the reconstructive procedures, microsurgical tissue transfer has been considered the standard method for restoring postoperative functions and morphology. In this review article, we discuss the history of reconstructive surgery for treating cancers of the head and neck, current problems, and future challenges. © 2012 Japan Society of Clinical Oncology.

    DOI: 10.1007/s10147-012-0513-6

    Scopus

    PubMed

    researchmap

  • Vascularized peripheral nerve grafting promotes myelination of regrowing optic nerve

    Seiji Komatsu, Taketoshi Wakabayashi, Kiyoshi Yamada, Kumiko Matsumoto, Yoshihiro Kimata, Jun Kosaka

    NeuroReport   24 ( 10 )   566 - 571   2013年7月

     詳細を見る

    記述言語:英語  

    We investigated whether the use of vascularized peripheral nerve grafts on the optic nerve stump enhances axonal regeneration of retinal ganglion cells compared with isolated nonvascularized grafts. The rat median nerve was microsurgically sutured with its supplying artery and vein to the optic nerve stump. The number of retinal ganglion cells with regenerating axons was evaluated by retrograde labeling into the grafted peripheral nerve, and the myelination of the regenerating axon fibers was examined by electron microscopy. The number of retinal ganglion cells with regenerating axons was significantly higher in the vascularized graft than in the nonvascularized graft. The ratio of myelinated axon fibers was also increased in vascularized grafts. Thus, grafting with their supplying arteries and veins to an injured nerve stump represents a promising strategy to accelerate axonal regeneration from neurons of the central nervous system. © 2013 Wolters Kluwer Health | Lippincott Williams &amp
    Wilkins.

    DOI: 10.1097/WNR.0b013e3283625b39

    Scopus

    PubMed

    researchmap

  • Non-occlusive mesenteric ischaemia of a free jejunal flap

    Satoshi Onoda, Yoshihiro Kimata, Kiyoshi Yamada, Seijiro Koshimune, Tomoo Onoda, Yasuhiro Shirakawa

    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY   66 ( 5 )   E133 - E136   2013年5月

     詳細を見る

    記述言語:英語   出版者・発行元:ELSEVIER SCI LTD  

    Free jejunal transfer using microsurgery after oesophageal or pharyngeal cancer resection is a useful operative approach. However, the disadvantage of free tissue transfer is the risk of necrosis of the transferred tissue due to impaired blood supply. In addition, jejunal flaps are more prone to blood-flow disorders such as ischaemia and congestion compared with other types of flaps. The causes of local blood supply disorders after microsurgery are divided broadly into two classes: one is thrombosis of an artery and/or vein in the anastomotic region and the other consists of local physical factors such as compressive pressure derived from haematoma formation and the effect of infection of the vascular pedicle. In this report, two rare cases of blood-flow disorder of the transferred free jejunum are described. In both cases, no signs of significant infection or occlusion of the vascular pedicles were present and late necrosis progressed gradually. The patients showed remarkable weight loss and a poor nutritional state due to inadequate preoperative nutritional intake. The necrosis was considered to be a result of non-occlusive mesenteric ischaemia of a free jejunal flap, and the factors contributing to free jejunal necrosis were reviewed. (c) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.bjps.2012.12.031

    Web of Science

    researchmap

  • Preoperative identification of perforator vessels by combining MDCT, doppler flowmetry, and ICG fluorescent angiography

    Satoshi Onoda, Shogo Azumi, Kenjiro Hasegawa, Yoshihiro Kimata

    MICROSURGERY   33 ( 4 )   265 - 269   2013年5月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY-BLACKWELL  

    Background: The position of perforator vessels varies between individuals. In this report, we present our experience on the use of combining multidetector-row computed tomography (MDCT), Doppler flowmetry, and indocyanine green (ICG) fluorescent angiography to identify perforator vessels of flaps for reconstruction. We evaluated the advantages, disadvantages, and chose the necessary examination, depending on characteristics of the flap. Methods: The combination of MDCT, Doppler flowmetry, and ICG fluorescent angiography examinations to identify perforators was performed in 50 patients before reconstructive surgery. The patients first underwent MDCT of the prospective flap donor region. Perforators were then marked for this site by using Doppler flowmetry in the neighborhood of the points identified by MDCT. After placing the patient in the intraoperative posture, ICG fluorescent angiography was performed to confirm the intensity and position of the perforators. Results: In all 50 patients examined by using this approach, perforators were intraoperatively identified near the preoperatively determined sites. Flap harvesting was possible in all patients with the identified perforators as the vascular pedicle. But it was difficult to identify the perforators on the MDCT in the patients who had a flap thickness of less than 8 mm and the identification of the perforators was difficult on ICG fluorescent angiography in the patients with a flap thickness greater than 20 mm. The transferred free flaps survived in all patients without complications. Conclusion: On the basis of the results, selection of the most suitable mode of examination depending on the characteristics of flap is recommended. (c) 2013 Wiley Periodicals, Inc. Microsurgery, 2013.

    DOI: 10.1002/micr.22079

    Web of Science

    researchmap

  • Salvage Operation Using Free Vascularized Tissue Transfer to Treat Esophageal Conduit Necrosis

    Satoshi Onoda, Yoshihiro Kimata, Seijiro Koshimune, Kazuaki Yamaguchi, Yasuhiro Shirakawa

    PLASTIC AND RECONSTRUCTIVE SURGERY   131 ( 3 )   460E - 461E   2013年3月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    DOI: 10.1097/PRS.0b013e31827c72ff

    Web of Science

    researchmap

  • Thumb polydactyly with a floating Ulnar Thumb

    Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

    Acta Medica Okayama   67 ( 6 )   391 - 395   2013年

     詳細を見る

    記述言語:英語  

    Thumb Polydactyly is reported to be the most common congenital anomaly of the hand in Japan. T floating type is not particularly rare, accounting for 0.9 to 15% of all cases of thumb polydactyl However, to the best of our knowledge, there has been only one case of thumb Polydactyly with floating ulnar thumb, reported by Onizuka. Herein, we report a case very similar to that reported I Onizuka. In our case, the vessels feeding the floating ulnar thumb branched from the superficial pi mar arterial arch, and X-rays revealed triphalangism. In surgery, we not only reconstructed tl morphology of the thumb, but also tried to preserve the sensation in the reconstructed thumb by transposing the digital nerve of the floating ulnar thumb to the radial thumb. In addition to thumb polyda tyly, our case also showed hypoplasia of the thenar muscles. © 2013 by Okayama University Medical School.

    DOI: 10.18926/AMO/52013

    Scopus

    PubMed

    researchmap

  • 各種皮弁における合併症:前外側大腿皮弁

    杉山成史, 松本洋, 木股敬裕, 小野田聡

    PEPARS   80   62 - 67   2013年

     詳細を見る

  • Negative pressure wound therapy incorporating early exercise therapy in hand surgery: Bag-type negative pressure wound therapy

    Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

    Acta Medica Okayama   67 ( 4 )   271 - 276   2013年

     詳細を見る

    記述言語:英語  

    In the postoperative treatment of hand surgery, it is important to start exercise therapy as early as possible. In conventional negative pressure wound therapy, the fingers are immobilized by the film dressing covering the wound and hand, thereby preventing sufficient rehabilitation. Here, we devised a bag-type negative pressure wound therapy that makes it possible to start finger exercises almost immediately, and we applied it to 4 patients:one each with hand burns, symmetrical peripheral gangrene, a crush injury accompanied by extensive skin defects and a fingertip degloving injury. The duration of the bag-type negative pressure wound therapy ranged from three to eight weeks, and good granulation was achieved, so that a skin graft was not required. In addition, particularly in the case of the fingertip degloving injury, good nail regeneration was achieved. Except for the case of symmetrical peripheral gangrene, a good range of joint motion with a percent total active motion (%TAM) of 94.7% or more was achieved. Our therapy was performed by inserting the hand into a sealing bag
    sufficient exercise therapy was made possible by expanding the bag during rehabilitation.

    DOI: 10.18926/AMO/51073

    Scopus

    PubMed

    researchmap

  • 実物大臓器立体モデルを活用した手術支援の実際と歯科技工士の関わり

    竹内哲男, 有地秀裕, 松本洋, 中原龍一, 水川展吉, 吉岡徳枝, 木股敬裕, 尾﨑敏文, 飯田征二, 佐々木朗, 三野卓哉, 前川賢治, 森田学, 槇野博史, 窪木拓男

    QDT Art & Practice   別冊   22 - 31   2013年

     詳細を見る

  • 神経損傷の修復法

    徳山英二郎, 木股敬裕

    OGS NOW   16   82 - 87   2013年

     詳細を見る

  • 血管付き大腿神経移植術

    山田潔, 木股敬裕

    PEPARS   78   56 - 61   2013年

     詳細を見る

  • Evaluation of the microvascular research center training program for assessing microsurgical skills in trainee surgeons

    Seiji Komatsu, Kiyoshi Yamada, Shuji Yamashita, Narushi Sugiyama, Eijiro Tokuyama, Kumiko Matsumoto, Ayumi Takara, Yoshihiro Kimata

    Archives of Plastic Surgery   40 ( 3 )   214 - 219   2013年

     詳細を見る

    記述言語:英語  

    Background We established the Microvascular Research Center Training Program (MRCP) to help trainee surgeons acquire and develop microsurgical skills. Medical students were recruited to undergo the MRCP to assess the effectiveness of the MRCP for trainee surgeons. Methods Twenty-two medical students with no prior microsurgical experience, who completed the course from 2005 to 2012, were included. The MRCP comprises 5 stages of training, each with specific passing requirements. Stages 1 and 2 involve anastomosing silicone tubes and blood vessels of chicken carcasses, respectively, within 20 minutes. Stage 3 involves anastomosing the femoral artery and vein of live rats with a 1-day patency rate of &gt
    80%. Stage 4 requires replantation of free superficial inferior epigastric artery flaps in rats with a 7-day success rate of &gt
    80%. Stage 5 involves successful completion of one case of rat replantation/transplantation. We calculated the passing rate for each stage and recorded the number of anastomoses required to pass stages 3 and 4. Results The passing rates were 100% (22/22) for stages 1 and 2, 86.4% (19/22) for stage 3, 59.1% (13/22) for stage 4, and 55.0% (11/20) for stage 5. The number of anastomoses performed was 17.2±12.2 in stage 3 and 11.3±8.1 in stage 4. Conclusions Majority of the medical students who undertook the MRCP acquired basic microsurgical skills. Thus, we conclude that the MRCP is an effective microsurgery training program for trainee surgeons. © 2013 The Korean Society of Plastic and Reconstructive Surgeons.

    DOI: 10.5999/aps.2013.40.3.214

    Scopus

    researchmap

  • Prevention points for plate exposure in the mandibular reconstruction

    Satoshi Onoda, Yoshihiro Kimata, Kiyoshi Yamada, Narushi Sugiyama, Tomoo Onoda, Motoharu Eguchi, Nobuyoshi Mizukawa

    JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY   40 ( 8 )   E310 - E314   2012年12月

     詳細を見る

    記述言語:英語   出版者・発行元:CHURCHILL LIVINGSTONE  

    Introduction: The rate of complications for mandibular reconstruction after segmental mandibulectomy is higher with reconstruction plates than with vascularised bone grafts. We have experience of over 100 patients using reconstructive plates for reconstruction immediately after segmental mandibulectomy and have considered factors contributing to plate exposure.
    Patients and methods: Seventeen cases utilised our prevention methods in which reconstructive plates were used for mandibular reconstruction were reviewed. The flaps used with reconstruction plates were rectus abdominis myocutanenous flaps in 10 cases, anterolateral thigh flaps combined vastus lateralis muscle in four cases, and the omentum in one case; no flap was transferred in two cases.
    Results: In only one of 17 cases was a plate exposed at 3 months postoperatively. No plate exposure occurred during the follow-up period in the other 16 cases. Because no flap had been transferred in the patient with plate exposure, a possible contributing factor was the persistence of dead space beneath the plate.
    Conclusion: This series suggests that factors other than flap selection contribute to the exposure of reconstructive plates. Use of a reconstruction plate is a useful reconstructive method, especially for patients who cannot tolerate transfer of a vascularised bone graft. (C) 2012 European Association for Cranio-Maxillo-Facial Surgery.

    DOI: 10.1016/j.jcms.2012.01.013

    Web of Science

    researchmap

  • New Concept of Flap Configuration for Head and Neck Reconstruction

    Satoshi Onoda, Yoshihiro Kimata, Hiroshi Matsumoto

    PLASTIC AND RECONSTRUCTIVE SURGERY   130 ( 6 )   903E - 905E   2012年12月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    DOI: 10.1097/PRS.0b013e31826da0f5

    Web of Science

    researchmap

  • Comparison of pedicled and free anterolateral thigh flaps for reconstruction of complex defects of the abdominal wall: Review of 20 consecutive cases

    Shuji Kayano, Minoru Sakuraba, Shimpei Miyamoto, Shogo Nagamatsu, Megumi Taji, Hiroki Umezawa, Yoshihiro Kimata

    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY   65 ( 11 )   1525 - 1529   2012年11月

     詳細を見る

    記述言語:英語   掲載種別:書評論文,書評,文献紹介等   出版者・発行元:ELSEVIER SCI LTD  

    Background: The reconstruction of large, complex defects of the abdominal wall after the ablation of malignant tumours can be challenging. The transfer of an anterolateral thigh (ALT) flap is an attractive option. This study compared free ALT flaps and pedicled ALT flaps for abdominal wall reconstruction.
    Methods: From 1996 through 2011, 20 patients underwent abdominal wall reconstruction with ALT flaps. The flaps were pedicled in 12 patients and free in eight patients. Medical records were reviewed for complications and clinical and demographic data. Abdominal wall defects were classified into the following four groups: upper midline, lower midline, upper quadrants and lower quadrants.
    Results: Pedicled flaps were transferred to the upper midline region in one patient, the lower midline region in six patients and lower quadrants in five patients. Free flaps were transferred to the lower midline region in two patients, upper quadrants in four patients and lower quadrants in two patients. Mean reconstructive time was significantly longer with free flaps (6 h 32 min) than with pedicled flaps (4 h 55 min, p = 0.035). Although free flaps (mean size, 360 cm(2)) were larger than pedicled flaps (mean size, 289 cm(2)), the difference was not significant (p = 0.218). The rates of complications did not differ between free flaps and pedicled flaps. No total flap loss occurred, and there was partial loss of only a single pedicled flap, which was the flap furthest from the pivot point. Infections developed of two pedicled flaps and three free flaps.
    Conclusion: This study suggests that complication rates do not differ between free and pedicled ALT flaps. The choice of flap depends on the size and location of the defect and the length of the vascular pedicle. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.bjps.2012.05.003

    Web of Science

    researchmap

  • Quantitative analysis of free flap volume changes in head and neck reconstruction

    Kazuaki Yamaguchi, Yoshihiro Kimata, Satoshi Onoda, Nobuyoshi Mizukawa, Tomoo Onoda

    HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK   34 ( 10 )   1403 - 1407   2012年10月

     詳細を見る

    記述言語:英語   出版者・発行元:WILEY-BLACKWELL  

    Background The purpose of this study was to determine whether free flap volume decreases or increases in the long-term postoperative period. Methods We used a retrospective analysis of 17 patients to measure muscle and fat volume in free flap with 3-dimensional (3D) images using the AZE Virtual Place Lexus64. Results Seventeen patients underwent free flap reconstruction with rectus abdominis musculocutaneous flaps (n = 11) or anterolateral thigh flaps (n = 6). Median follow-up was 28.9 months (range, 2.148.4 months). Total flap volume was significantly decreased in flaps including =40% muscle (p = .011). Mean final muscle volume was 50% at an average of 12 months. Final fat volume was significantly higher for cases with no evidence of disease (mean, 116.7%) than for died-of-the-disease cases (mean, 70.3%; p = .007). Conclusion Use of free flaps with a high ratio of fat to muscle is sustainable and can gain volume over time, as transplanted fat can increase depending on host condition. (c) 2011 Wiley Periodicals, Inc. Head Neck, 2011

    DOI: 10.1002/hed.21944

    Web of Science

    researchmap

  • Using MDCT to search for recipient vessels for free flaps after multiple procedures for head and neck reconstruction

    Satoshi Onoda, Yoshihiro Kimata, Kiyoshi Yamada, Yuki Otuki, Tomoo Onoda, Motoharu Eguchi, Nobuyoshi Mizukawa

    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY   65 ( 8 )   E229 - E231   2012年8月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:ELSEVIER SCI LTD  

    DOI: 10.1016/j.bjps.2012.02.013

    Web of Science

    researchmap

  • Stewart-Treves syndrome arising in patients with lymphaticovenular anastomosis for chronic lymphedema of the leg

    Osamu Yamasaki, Chinatsu Takeshima, Kazuko Ikeda, Norihiro Suzuki, Masaki Otsuka, Yoshihiro Kimata, Satoshi Hirakawa, Keiji Iwatsuki

    EUROPEAN JOURNAL OF DERMATOLOGY   22 ( 4 )   545 - 546   2012年7月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:JOHN LIBBEY EUROTEXT LTD  

    DOI: 10.1684/ejd.2012.1726

    Web of Science

    researchmap

  • Hepatic artery reconstruction following ablative surgery for hepatobiliary and pancreatic malignancies

    M. Sakuraba, S. Miyamoto, S. Nagamatsu, S. Kayano, M. Taji, T. Kinoshita, T. Kosuge, Y. Kimata

    EJSO   38 ( 7 )   580 - 585   2012年7月

     詳細を見る

    記述言語:英語   出版者・発行元:ELSEVIER SCI LTD  

    Objective: Hepatic artery (HA) reconstruction is an important part of resective surgery for advanced hepatobiliary and pancreatic malignancies, but few reports have been published. To identify indications for HA reconstruction, we retrospectively analyzed our surgical procedures and outcomes.
    Methods: En-bloc resection of advanced hepatobiliary and pancreatic malignancies followed by HA reconstruction was performed in 35 patients. Patients ranged in age from 27 to 81 years and included 18 men and 17 women. The primary site of cancer included the bile duct in 22 patients, the pancreas in 7, and others in 6. Reconstruction of the HA was necessitated by HA resection due to direct cancer invasion in 29 patients and by accidental arterial injury during surgical procedure in 6 patients.
    Results: The HA was reconstructed with end-to-end anastomosis between hepatic arteries in 17 patients. Transposition of an intra-abdominal artery, such as the gastroepiploic artery, was required in 14 patients, and arterial grafting was required in 4 patients. Although the HA patency was achieved in 30 patients, 4 cases of arterial thrombosis and I case of arterial rupture developed postoperatively. The overall RFS time was analyzed in all patients, and mean and median RFS times were 18 and 9 months, respectively.
    Conclusion: Although oncologic outcomes remain poor, HA resection and reconstruction can be performed in selected patients. We believe that the method of first choice for HA reconstruction is end-to-end anastomosis between HAs. A vascular autograft should be used only in selected cases. (c) 2012 Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.ejso.2012.04.004

    Web of Science

    researchmap

  • Peripheral Venous Angle Plasty: A New Lymphovenous Anastomosis Technique for Lower Extremity Lymphedema

    Kazuaki Yamaguchi, Yoshihiro Kimata, Kiyoshi Yamada, Hiroo Suami

    PLASTIC AND RECONSTRUCTIVE SURGERY   130 ( 1 )   233E - 235E   2012年7月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    DOI: 10.1097/PRS.0b013e3182550274

    Web of Science

    researchmap

  • Overview of Treatments for Male Genital Lymphedema: Critical Literature Review and Anatomical Considerations

    Yuki Otsuki, Kiyoshi Yamada, Kenjiro Hasegawa, Yoshihiro Kimata, Hiroo Suami

    PLASTIC AND RECONSTRUCTIVE SURGERY   129 ( 4 )   767E - 769E   2012年4月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    DOI: 10.1097/PRS.0b013e318245ea3c

    Web of Science

    researchmap

  • 腸骨皮弁をきれいに仕上げる.

    杉山成史, 木股敬裕

    PEPARS   2012年

     詳細を見る

  • 遊離組織移植を用いた気管枝瘻孔閉鎖術の検討.

    片山裕子, 小野田聡, 渡部聡子, 木股敬裕

    日形会誌   2012年

     詳細を見る

  • 研修医のための岡山大学形成外科セミナー.

    小野田聡, 安積昌吾, 片山裕子, 難波祐三郎, 木股敬裕

    日形会誌   2012年

     詳細を見る

  • 形成外科から耳鼻咽喉科に.

    木股敬裕

    JOHNS   2012年

     詳細を見る

  • Demonstrating the lymphatic sytem in rats with microinjection.

    Anat Rec (Hoboken)   294 ( 9 )   1566 - 1573   2011年9月

     詳細を見る

  • The best salvage operation method after total necrosis of a free jejunal graft? Transfer of a second free jejunal graft

    Satoshi Onoda, Yoshihiro Kimata, Kiyoshi Yamada, Narushi Sugiyama, Minoru Sakuraba, Ryuichi Hayashi

    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY   64 ( 8 )   1030 - 1034   2011年8月

     詳細を見る

    記述言語:英語   出版者・発行元:ELSEVIER SCI LTD  

    Aim: Transfer of a free jejunal graft is the first choice for reconstruction after total laryngopharyngo-oesophagectomy (TPLE). After total necrosis of a jejunal graft, possible salvage procedures include temporary external fistula formation and transfer of a second free jejunal graft. The present study determines the most appropriate salvage method.
    Patients and methods: We have transferred over 600 vascularised free jejunal grafts during the past 22 years for reconstruction, immediately after TPLE, either at the National Cancer Center Hospital or at Okayama University Hospital. A second free jejunal graft was transferred to treat the first vascularised free jejunal graft that had undergone total necrosis in five of these patients. We reviewed the total number of operations, the interval between the operation and the start of oral feeding, the outcomes and the follow-up periods of the five patients. Results: Each of the second free jejunal grafts was positioned without complications. All patients resumed postoperative oral food intake after a mean interval of 20.4 days. Four of the five patients remain free of tumour recurrence and in good health.
    Conclusion: Our results suggest that the best salvage method after total necrosis of an initial free jejunal graft is to transfer a second jejunal graft. Therefore, the severity of contamination of the neck due to jejunal graft necrosis must be minimised at re-operation to transfer a second free jejunal graft using microvascular anastomosis. (C) 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.bjps.2011.02.005

    Web of Science

    researchmap

  • New application of the gluteal-fold flap for the treatment of anorectal stricture

    Sunao Tsuchiya, Minoru Sakuraba, Takayuki Asano, Shimpei Miyamoto, Norio Saito, Yoshihiro Kimata

    INTERNATIONAL JOURNAL OF COLORECTAL DISEASE   26 ( 5 )   653 - 659   2011年5月

     詳細を見る

    記述言語:英語   出版者・発行元:SPRINGER  

    Total intersphincteric resection (total ISR) is a surgical option for patients with advanced cancer of the lower rectum. However, anorectal stricture can develop after total ISR, which stretches from the anus to the lower rectum. Conventional anoplasty for anal stricture is often ineffective for them because the areas of stricture are long and the most proximal points of the strictures are too far for advancement flaps or rotation flaps to reach. We have developed a new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR.
    From April 2004 through June 2007, hemilateral GFFs were transferred to treat anorectal strictures after total ISR in three patients at the National Cancer Center Hospital East, Chiba, Japan. Postoperative results and anal function were evaluated.
    In all three patients, GFFs were successfully transferred, and good dilation of the anorectal stenosis was achieved. Postoperative anal function was satisfactory.
    The GFF has a rich vascular supply and can be simply and reliably transferred. We believe that GFF transfer is an excellent option for treating anorectal strictures after total ISR.

    DOI: 10.1007/s00384-010-1115-2

    Web of Science

    researchmap

  • Use of Indocyanine Green Fluorescent Lymphography for Evaluating Dynamic Lymphatic Status

    Hiroo Suami, David W. Chang, Kiyoshi Yamada, Yoshihiro Kimata

    PLASTIC AND RECONSTRUCTIVE SURGERY   127 ( 3 )   74E - 76E   2011年3月

     詳細を見る

    記述言語:英語   掲載種別:速報,短報,研究ノート等(学術雑誌)   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    DOI: 10.1097/PRS.0b013e3182063639

    Web of Science

    researchmap

  • Morphologic study of mandibles in japanese patients for mandibular reconstruction with fibula free flaps.

    Head Neck   33 ( 3 )   383 - 388   2011年3月

     詳細を見る

  • Use of Vascularized Free Fibular Head Grafts for Upper Limb Oncologic Reconstruction

    Satoshi Onoda, Minoru Sakuraba, Takayuki Asano, Shimpei Miyamoto, Yasuo Beppu, Hirokazu Chuman, Akira Kawai, Fumihiko Nakatani, Yoshihiro Kimata

    PLASTIC AND RECONSTRUCTIVE SURGERY   127 ( 3 )   1244 - 1253   2011年3月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Background: Transfer of a vascularized fibular graft is the method of first choice for reconstruction of defects of long bones. In particular, the vascularized fibula head graft is preferred for patients with bone defects of the upper limb involving the distal radius or the proximal humerus. The aim of the present study was to analyze the operative results, complications, and postoperative function after vascularized fibula head graft transfer and the indications for this procedure.
    Methods: From 1998 through 2008, vascularized fibula head graft transfer was performed in eight patients to reconstruct bone defects following resection of tumors of the upper limb. The primary site of the tumor was the proximal humerus in four patients and the distal radius in four patients. The postoperative course of the transferred bone was examined, and functional results were evaluated.
    Results: All vascularized fibula head grafts were transferred successfully. During the follow-up period, absorption of the transferred fibula head was not observed. The mean overall functional rating of the reconstructed shoulder joint was 70 percent. The range of motion of the reconstructed wrist joint showed no specific patterns, and instability of the wrist joint was observed in only one case.
    Conclusions: The authors believe that the vascularized fibula head graft transfer is a safe and reliable method for reconstructing the upper limb, especially for patients with a defect of the distal radius or the proximal humerus. This procedure is also useful for pediatric patients, in whom bone growth is expected after transplantation, and for salvage procedures after reconstructive materials of an artificial joint have failed. (Plast. Reconstr. Surg. 127: 1244, 2011.)

    DOI: 10.1097/PRS.0b013e318205f34b

    Web of Science

    researchmap

  • The Utility of Multidetector-Row Computed Tomography Angiography for Evaluating Perforators of Fibular Osteocutaneous Flaps

    Takashi Satoh, Yoshihiro Kimata, Kenjiro Hasegawa, Yuzaburo Namba

    JOURNAL OF RECONSTRUCTIVE MICROSURGERY   27 ( 1 )   29 - 36   2011年1月

     詳細を見る

    記述言語:英語   出版者・発行元:THIEME MEDICAL PUBL INC  

    Multidetector-row computed tomography angiography (MDCTA) can be used to visualize small vessels and has been used to search for perforators in deep inferior epigastric artery perforator flaps and anterolateral thigh flaps. Fibula osteocutaneous flaps are often used for mandibular reconstruction, but questions remain about the reliability of these flaps and the variety of their perforators. Eight patients who were candidates for mandibular or pedal reconstruction with a fibula osteocutaneous flap were prospectively evaluated with MDCTA and Doppler sonography. We evaluated the number, position, and course of perforators with MDCTA. The perforators were classified, and intraoperative findings were compared with those of Doppler sonography and MDCTA. MDCTA accurately identified the perforators and showed a satisfactory concordance with intraoperative findings. The high spatial resolution of MDCTA allows the perforators' origin, course, and type to be precisely described. Eighteen vessels were identified with MDCTA, and on average, 2.3 vessels were identified in the leg of each patient. The rate of concordance with operative findings was 87.5% for MDCTA. With MDCTA, flap perforators can be accurately evaluated before surgery in a manner not possible with traditional angiography or Doppler sonography. Reliable perforators can be chosen, and detailed operative plans can be made.

    DOI: 10.1055/s-0030-1267380

    Web of Science

    researchmap

  • Free jejunal patch graft for reconstruction after partial hypopharyngectomy with laryngeal preservation.

    Arch Otolaryngol Head Neck Surg   2011年

  • 硬組織に人工材料を用いた胸壁全層欠損の再建.

    PEPARS   2011年

     詳細を見る

  • パネルディスカッションー鼻腔・副鼻腔腫瘍の切除と再建ー.

    日本耳鼻科学会会誌   2011年

     詳細を見る

  • 下咽頭頚部食道再建に関する多施設共同研究と展望.

    形成外科   2011年

     詳細を見る

  • 頭頸部癌の外科療法 再建手術の進歩.

    Pharma Medica   2011年

     詳細を見る

  • 新しい局所止血剤ー自己集合性ペプチドゲル(PanaceaGel)ー.

    日本臨床外科学会雑誌   2011年

     詳細を見る

  • 下肢のリンパ浮腫に対するUntied Stay Suture 法によるリンパ管静脈吻合術.

    PEPARS   2011年

     詳細を見る

  • 他科からの耳鼻咽喉科への期待―形成再建外科からの耳鼻咽喉科への期待と世界に発信を―.

    木股敬裕

    未設定   2011年

  • 実験的精巣移植.

    PEPARS   2011年

     詳細を見る

  • 会陰部周囲の形成外科 性同一性障害.

    PEPARS   2011年

     詳細を見る

  • 頭頚部癌手術における他科の役割.

    JOHNS   2011年

     詳細を見る

  • 頭頚部再建における遊離組織移植の血管吻合術.

    形成外科   2011年

     詳細を見る

  • Churg-strauss syndrome with necrosis of toe tips.

    Acta Med. Okayama   2011年

     詳細を見る

  • Association study of gender identity disorder and sex hormone-related genes

    Hiroshi Ujike, Kyohei Otani, Mikiya Nakatsuka, Kazushi Ishii, Aiko Sasaki, Tomoko Oishi, Toshiki Sato, Yuko Okahisa, Yosuke Matsumoto, Yuzaburo Namba, Yoshihiro Kimata, Shigetoshi Kuroda

    PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY   33 ( 7 )   1241 - 1244   2009年10月

     詳細を見る

    記述言語:英語   掲載種別:書評論文,書評,文献紹介等   出版者・発行元:PERGAMON-ELSEVIER SCIENCE LTD  

    To investigate the biological mechanism of gender identity disorder (GID), five candidate sex hormone-related genes, encoding androgen receptor (AR), estrogen receptors alpha (ER alpha) and beta (ER beta), aromatase (CYP19), and progesterone receptor (PGR) were analyzed by a case-control association study. Subjects were 242 transsexuals (74 male-to-female patients (MTF) and 168 female-to-male patients (FTM)), and 275 healthy age- and geographical origin-matched controls (106 males and 169 females). The distributions of CAG repeat numbers in exon 1 of AR, TA repeat numbers in the promoter region of ER alpha CA repeat numbers in intron 5 of ER beta, TTTA repeat numbers in intron 4 of CYP19, and six polymorphisms (rs2008112, rs508653, V660L, H770H, rs572698 and PROGINS) of PGR were analyzed. No significant difference in allelic or genotypic distribution of any gene examined was found between MTFs and control males or between FTMs and control females. The present findings do not provide any evidence that genetic variants of sex hormone-related genes confer individual susceptibility to MTF or FTM transsexualism. (C) 2009 Elsevier Inc. All rights reserved.

    DOI: 10.1016/j.pnpbp.2009.07.008

    Web of Science

    researchmap

  • Polidocanol sclerotherapy for painful venous malformations: evaluation of safety and efficacy in pain relief

    Hidefumi Mimura, Hiroyasu Fujiwara, Takao Hiraki, Hideo Gobara, Takashi Mukai, Tsuyoshi Hyodo, Toshihiro Iguchi, Kotaro Yasui, Yoshihiro Kimata, Susumu Kanazawa

    EUROPEAN RADIOLOGY   19 ( 10 )   2474 - 2480   2009年10月

     詳細を見る

    記述言語:英語   出版者・発行元:SPRINGER  

    The aim of this study was to retrospectively evaluate the safety and efficacy of polidocanol sclerotherapy in pain relief for painful venous malformations (VMs). Thirty-one patients with painful VMs underwent polidocanol sclerotherapy. Pain intensity was assessed with an 11-point verbal numerical rating scale. Sclerotherapy was technically successful in 58 (98.3%) of 59 sessions. Twenty-six (89.7%) out of 29 patients experienced an improvement in pain after sclerotherapy at follow-up, a mean of 46 months after treatment. The mean pain score improved from 6.6 +/- 2.5 before treatment to 2.4 +/- 2.9 after treatment (P<.001). The factors that significantly influenced the therapeutic effect were size of lesion (P=.008), margin of lesion (P=.006), and stasis of sclerosant (P=.032). Adverse events included hypotension and bradycardia during the procedure. No major complication occurred. Polidocanol sclerotherapy is safe and most efficacious in providing pain relief for patients with small VMs (equal to or less than 10 cm in diameter), VMs with a well-defined margin, and VMs with good stasis of sclerosant during sclerotherapy.

    DOI: 10.1007/s00330-009-1442-2

    Web of Science

    researchmap

  • Larynx-Preserving Esophagectomy and Jejunal Transfer for Cervical Esophageal Carcinoma

    Hideki Kadota, Minoru Sakuraba, Yoshihiro Kimata, Ryuichi Hayashi, Satoshi Ebihara, Hoichi Kato

    LARYNGOSCOPE   119 ( 7 )   1274 - 1280   2009年7月

     詳細を見る

    記述言語:英語   出版者・発行元:JOHN WILEY & SONS INC  

    Objectives/Hypothesis: To examine the efficacy and safety of free jejunal transfer after larynx-preserving esophagectomy in patients with cervical esophageal carcinoma, especially with a high tumor involving the hypopharynx.
    Study Design: A retrospective analysis of patients with cervical esophageal carcinoma who underwent free jejunal transfer after larynx-preserving esophagectomy.
    Methods: The subjects were 32 patients who underwent larynx-preserving cervical esophagectomy and microvascular jejunal transfer. Fifteen patients had a high cervical esophageal carcinoma that involved the hypopharynx (high-tumor group), and 17 patients had a low cervical esophageal carcinoma that did not involve the hypopharynx (low-tumor group). For each group, mortality, morbidity (anastomotic leakage, wound infection, stricture, and recurrent laryngeal nerve palsy), functional outcomes (time to start oral intake, achieve complete oral intake, decannulation, and rate of larynx preservation), and oncologic outcomes (survival and local control rate) were reviewed and compared.
    Results: No perioperative deaths occurred in either group. The incidence of postoperative complications did not differ between the groups. Oral intake started significantly later in the high-tumor group (14.9 days) than in the low-tumor group (10.4 days), but all patients in the high-tumor group could finally achieve oral intake without aspiration. Decannulation was possible in patients who underwent tracheostomy, and laryngeal function was completely preserved in the high-tumor group. Both survival and local control rate did not differ between the groups.
    Conclusions: Free jejunal grafts in larynx-preserving surgery can be performed safely and reliably in patients with low cervical esophageal carcinomas and in selected patients with high tumors involving the hypopharynx.

    DOI: 10.1002/lary.20493

    Web of Science

    researchmap

  • A new flap design for tongue reconstruction after total or subtotal glossectomy in thin patients

    Minoru Sakuraba, Takayuki Asano, Shimpei Miyamoto, Ryuichi Hayashi, Mitsuo Yamazaki, Masakazu Miyazaki, Toru Ugumori, Hiroyuki Daiko, Yoshihiro Kimata

    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY   62 ( 6 )   795 - 799   2009年6月

     詳細を見る

    記述言語:英語   出版者・発行元:ELSEVIER SCI LTD  

    Objective: For tongue reconstruction after total or subtotal glossectomy, a rectus abdominis musculocutaneous flap is often used to obtain sufficient flap volume. However, thin patients often have too little fat tissue to ensure adequate flap volume. For this reason we developed a new flap design to compensate for insufficient flap volume in thin patients.
    Methods: In this series, total or subtotal glossectomy was performed in 20 thin men with a mean age of 58.3 years. The patients had a mean body mass index of 18.22 kg/m(2) and most were considered emaciated. The defects were reconstructed using a rectus abdominis musculocutaneous flap with two skin islands. The first skin island was used to reconstruct the mucosal defect, and the second was de-epithelialised and used to increase flap volume.
    Results: Flaps were transferred successfully in 19 out of 20 patients. Most patients could tolerate more than a soft diet without severe aspiration and could engage in conversation. However, four patients required total laryngectomy or a permanent stoma owing to severe aspiration. In this series, the larynx could be preserved in 80% of thin patients, and satisfactory postoperative oral function was obtained.
    Conclusion: The most important point for obtaining satisfactory oral function is to reconstruct a tongue with a protuberant shape and sufficient volume. We could maintain sufficient flap volume with the de-epithelialised skin island of a rectus abdominis musculocutaneous free flap. We believe our new flap design is effective for tongue reconstruction in thin patients. (C) 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.bjps.2007.09.056

    Web of Science

    researchmap

  • A new flap design for tongue reconstruction after total or subtotal glossectomy in thin patients

    Minoru Sakuraba, Takayuki Asano, Shimpei Miyamoto, Ryuichi Hayashi, Mitsuo Yamazaki, Masakazu Miyazaki, Toru Ugumori, Hiroyuki Daiko, Yoshihiro Kimata

    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY   62 ( 6 )   795 - 799   2009年6月

     詳細を見る

    記述言語:英語   出版者・発行元:ELSEVIER SCI LTD  

    Objective: For tongue reconstruction after total or subtotal glossectomy, a rectus abdominis musculocutaneous flap is often used to obtain sufficient flap volume. However, thin patients often have too little fat tissue to ensure adequate flap volume. For this reason we developed a new flap design to compensate for insufficient flap volume in thin patients.
    Methods: In this series, total or subtotal glossectomy was performed in 20 thin men with a mean age of 58.3 years. The patients had a mean body mass index of 18.22 kg/m(2) and most were considered emaciated. The defects were reconstructed using a rectus abdominis musculocutaneous flap with two skin islands. The first skin island was used to reconstruct the mucosal defect, and the second was de-epithelialised and used to increase flap volume.
    Results: Flaps were transferred successfully in 19 out of 20 patients. Most patients could tolerate more than a soft diet without severe aspiration and could engage in conversation. However, four patients required total laryngectomy or a permanent stoma owing to severe aspiration. In this series, the larynx could be preserved in 80% of thin patients, and satisfactory postoperative oral function was obtained.
    Conclusion: The most important point for obtaining satisfactory oral function is to reconstruct a tongue with a protuberant shape and sufficient volume. We could maintain sufficient flap volume with the de-epithelialised skin island of a rectus abdominis musculocutaneous free flap. We believe our new flap design is effective for tongue reconstruction in thin patients. (C) 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.bjps.2007.09.056

    Web of Science

    researchmap

  • Functional Outcomes and Reevaluation of Esophageal Speech After Free Jejunal Transfer in Two Hundred Thirty-Six Cases

    Tsuneo Yasuinura, Minoru Sakuraba, Yoshihiro Kimata, Takashi Nakatsuka, Ryuichi Hayashi, Satoshi Ebihara, Yuiro Hata

    ANNALS OF PLASTIC SURGERY   62 ( 1 )   54 - 58   2009年1月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Swallowing and communication are occasionally impaired after free jejunal transfer. Here, the relationship between surgical procedure and functional outcome was analyzed in 236 patients undergoing free Jejunal transfer after total laryngopharyngectomy from 1992 through 2003. Swallowing and communication functions were also investigated with a questionnaire in 40 long-surviving patients. Although oral feeding could be resumed after surgery in most patients, anastomotic stricture and nasal regurgitation occurred in 12.7% and 29.7% of patients, respectively. Use of our standardized procedure, the tensed jejunal method, significantly reduced the incidence of stricture (P < 0.01) but increased the rate of nasal regurgitation; however, in most cases regurgitation gradually resolved. Of the 40 long-surviving patients, 17 attended a speech rehabilitation program at which 12 learned to perform esophageal speech without voice restoration procedures (11 of the 12 had received a tensed jejunal graft). Our standardized procedure helps prevent strictures and encourages esophageal speech.

    DOI: 10.1097/SAP.0b013e31817439c5

    Web of Science

    researchmap

  • ここまでできるultramicrosurgery

    木股敬裕, 長谷川健二郎, 森定淳

    脳神経外科ジャーナル18   2009年

     詳細を見る

  • 舌癌再建手術後の患者における横断的QOL調査

    吉本世一, 木股敬裕, 栗田智之, 橋川和信, 石田勝大, 桜庭実, 桜井裕之, 田中克己, 矢野智之, 兵藤伊久夫

    頭頚部癌35   2009年

     詳細を見る

  • Mastectomy in Female-to male Transsexuals

    Namba Y, Watanabe T, Kimata Y

    Acta Medica Okayama 63   2009年

     詳細を見る

  • 性機能温存のための骨盤内神経再建

    宮本慎平, 桜庭実, 木股敬裕

    TheJapaneseJournal of Plastic Surgery 52   2009年

     詳細を見る

  • ICG蛍光リンパ管造影法を用いた上肢リンパ浮腫に対するリンパ管静脈吻合術

    長谷川健二郎, 渡部敏之, 杉山成史, 徳山英二郎, 木股敬裕

    日本手の外科学会雑誌25   2009年

     詳細を見る

  • 男性下肢リンパ浮腫に対するICG蛍光リンパ造影法を用いたリンパ管静脈吻合術

    長谷川健二郎, 目谷雅恵, 雑賀美帆, 木股敬裕

    中国・四国整形外科学会雑誌 21   2009年

     詳細を見る

  • Untied Stay Suture法を用いた小児Zone I指尖部切断再接着術

    長谷川健二郎, 目谷雅恵, 雑賀美帆, 木股敬裕

    中国・四国整形外科学会雑誌 21   2009年

     詳細を見る

  • 血管柄付腓骨皮弁移植とインプラントによる顎骨咬合再建の2例

    高木慎, 水川展吉, 福永城司, 石田展久, 丸尾幸憲, 完山学, 木股敬裕, 光嶋勲

    岡山医学雑誌 121   2009年

     詳細を見る

  • Analysis of Thrombosis on Postoperative Day 5 or Later after Microvascular Reconstruction for Head and Neck Cancers

    Kadota H, Sakuraba M, Kimata Y, Yano T, Hayashi R

    Head and Neck 31   2009年

     詳細を見る

  • 放射線下顎骨壊死に対する遊離組織移植による再建術

    桜庭実, 浅野隆之, 宮本慎平, 土屋沙緒, 濱本有祐, 友利裕二, 安永能周, 小野田聡, 林隆一, 木股敬裕

    日本頭顎顔会誌25   2009年

     詳細を見る

  • 悪性腫瘍切除後再建(上顎)

    杉山成史, 木股敬裕, 冨永進

    形成外科 52増刊号   2009年

     詳細を見る

  • 性同一性障害に対する陰茎再建術の経験

    難波祐三郎, 長谷川健二郎, 渡部敏之, 木股敬裕

    形成外科 52   2009年

     詳細を見る

  • Vaginoplasty with a Pudendal-Thigh Flap in Intersexuals

    Yuzaburo Namba, Narushi Sugiyama, Shuji Yamashita, Kenjiro Hasegawa, Yoshihiro Kimata, Mikiya Nakatsuka

    ACTA MEDICA OKAYAMA   62 ( 6 )   415 - 419   2008年12月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    We treated 2 different types of intersexual patients who underwent a vaginoplasty with the pudendal-thigh flap. One was a female with testicular feminization syndrome for whom we reconstructed the total vagina with a pudendal-thigh flap, and the other was a female with an adrenogenital syndrome for whom we enlarged the introitus of the vagina with the same approach. There were no complications such as a flap necrosis. In addition, there was no stricture of the neo-vagina and no urinary problem.

    DOI: 10.18926/AMO/30948

    Web of Science

    researchmap

  • A Novel Model for Supermicrosurgery Training: The Superficial Inferior Epigastric Artery Flap in Rats

    Shuji Yamashita, Narushi Sugiyama, Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

    JOURNAL OF RECONSTRUCTIVE MICROSURGERY   24 ( 8 )   537 - 543   2008年11月

     詳細を見る

    記述言語:英語   出版者・発行元:THIEME MEDICAL PUBL INC  

    The purpose of this study was to determine the usefulness of a new flap model, the superficial inferior epigastric artery (SIEA) flap for supermicrosurgical training. Experimental groups were randomly divided into three groups of 10 rats each. In each group REA flaps were elevated and then returned to their original locations with or without vascular anastomosis of the superficial inferior epigastric vessels. Group 1: free SIEA flap, group 2: free SIEA flap with 1 hour ischemia time, group 3: free SIEA flap with 4 hours ischemia time, group 4: SIEA flap without vascular anastomosis. The viability rate was 80% with group 1, 50% with group 2, and 40% with group 3. All nonvascularized flaps (group 4) underwent complete necrosis. These findings suggest that preservation of blood flow in a flap has a beneficial effect on the prevention of microthrombosis in the subcutaneous capillary network of the skin and increases the flap survival rate. The SIEA flap with preserved circulation is an ideal model for developing supermicrosurgical skills.

    DOI: 10.1055/s-0028-1088226

    Web of Science

    researchmap

  • Orbital exenteration after transarterial embolization in a patient with Wyburn-Mason syndrome: Pathological findings

    Toshihiko Matsuo, Hiroyuki Yanai, Kenji Sugiu, Susumu Tominaga, Yoshihiro Kimata

    JAPANESE JOURNAL OF OPHTHALMOLOGY   52 ( 4 )   308 - 313   2008年7月

     詳細を見る

    記述言語:英語   出版者・発行元:SPRINGER TOKYO  

    Background: We present the pathological findings at orbital exenteration in a patient with Wyburn-Mason syndrome who underwent transarterial embolization.
    Case: A 31-year-old man with a 10-year history of gradual exacerbation of left exophthalmos and left cheek swelling was found to have facial and orbital arteriovenous malformations on the left side. There was no vascular malformation in the brain. The feeding arteries derived from the left internal maxillary artery, facial artery, and ophthalmic artery. He underwent several courses of transarterial embolization of the feeding arteries from the left internal maxillary artery and then from the facial artery, resulting in no reduction of the arteriovenous malformation. He finally elected to undergo ophthalmic artery embolization in the expectation of a reduction and with the understanding that he would lose sight in his left eye. Two years later, he requested lid-sparing orbital exenteration and reconstruction with cutaneous flap transfer and prosthesis for cosmetic reasons.
    Observations: Pathologically, orbital vascular channels of varying sizes were filled with embolizing glue and had degenerating vascular wall cells surrounded by inflammatory cell infiltration. The central retinal artery in the optic nerve was also filled with the embolizing glue, and the retina lost the ganglion cell layer and inner nuclear layer but maintained the outer nuclear layer and outer segments.
    Conclusions: Marked anastomoses and hence incomplete embolization among the feeding arteries of facial and orbital vascular malformations in Wyburn-Mason syndrome do not respond well to attempts at feeding vessel embolization, which result in unsuccessful closure of the malformation.

    DOI: 10.1007/s10384-008-0563-5

    Web of Science

    researchmap

  • Three-dimensional reconstruction of supraglottic structures after partial pharyngolaryngectomy for hypopharyngeal cancer

    Minoru Sakuraba, Takayuki Asano, Shimpei Miyamoto, Ryuichi Hayashi, Masakazu Miyazaki, Toru Ugumori, Hiroyuki Daiko, Yoshihiro Kimata, Satoshi Ebihara, Kiyonori Harii

    JAPANESE JOURNAL OF CLINICAL ONCOLOGY   38 ( 6 )   408 - 413   2008年6月

     詳細を見る

    記述言語:英語   出版者・発行元:OXFORD UNIV PRESS  

    Objective: Larynx-preserving surgery is frequently performed for advanced hypopharyngeal cancer involving the larynx. However, reconstruction after partial pharyngolaryngectomy (PPL) remains a challenging problem because of the high risk of postoperative aspiration. In this report, we describe our new three-dimensional method for reconstructing supraglottic structures with a radial forearm flap. This is a retrospective analysis of 20 patients who underwent PPL for having hypopharyngeal cancer involving the larynx at our institution from 1996 to 2005.
    Methods: The resulting pharyngolaryngeal defects were reconstructed with radial forearm flaps in all patients. Three-dimensional structures were reconstructed with a single nylon suture, which was used to hoist the flap and ensures that the arytenoids and the aryepiglottic fold were of appropriate height.
    Results: Radial forearm flaps were transferred successfully in all but one case. Swallowing function was satisfactory in all patients, and decannulation could be performed in all but one patient. Postoperative conversational function in all patients was rated as excellent with Hirose's scoring system.
    Conclusions: Free jejunum transfer is the method of first choice for reconstruction of a defect after partial hypopharyngectomy. However, the complex supraglottic structures of the larynx are difficult to reconstruct with a free jejunal graft after PPL. In such cases, we perform three-dimensional reconstruction of the pharyngolaryngeal defect with a radial forearm flap and have achieved satisfactory postoperative function. We believe that our new procedure is a useful method for functional reconstruction after PPL.

    DOI: 10.1093/jjco/hyn047

    Web of Science

    researchmap

  • United Stay Suture法によるリンパ管静脈吻合とリンパ管静脈吻合術の有効性

    長谷川健二郎, 杉山成史, 難波祐三郎, 木股敬裕

    PEPARES   22   60 - 65   2008年

     詳細を見る

  • 整形外科手術に役立つ皮弁とそのコツ

    難波祐三郎, 木股敬裕

    MB Orthop 21   21   122 - 128   2008年

     詳細を見る

  • 頭頚部癌における耳鼻咽喉科、形成外科、口腔外科 3科合同手術の意義:2症例における口腔外科の役割を中心に

    水川展吉, 冨永進, 木股敬裕, 小野田友男, 野宮重信, 杉山成史, 川本知明, 山近英樹, 植野高章, 高木慎

    岡山医学雑誌   119   267 - 272   2008年

     詳細を見る

  • 腹壁創の縫合と管理ー整容的な腹壁の縫合法ー糸の選択、手技、抜糸後のケア、超肥満者の対応など

    山田潔, 木股敬裕

    産婦人科手術   19   131 - 140   2008年

     詳細を見る

  • 遊離皮弁、皮弁・中核皮弁、その他の穿通枝皮弁

    難波祐三郎, 木股敬裕

    Orthopaedics   122 - 133   2008年

     詳細を見る

  • Phantom Erectile Penis after Sex Reassignment Surgery:A Case report

    Yuzaburo Namba, Narushi Sugiyama, Shuji Yamashita, Eijiro Tokuyama, Kenjiro Hasegawa, Yoshihiro Kimata

    Acta Medica Okayama   62   213 - 216   2008年

     詳細を見る

  • 整形外科手術に役立つ皮弁とそのコツ

    難波祐三郎, 木股敬裕

    MB Orthop   21   122 - 128   2008年

     詳細を見る

  • 腓骨頭移植による上腕骨再建

    小野田聡, 桜庭実, 浅野隆之, 宮本慎平, 別府保男, 中馬広一, 川井章, 中谷文彦, 木股敬裕

    日本マイクロサージェリー学会誌   21   294 - 299   2008年

     詳細を見る

  • 性同一性障害に対する造膣術の経験

    難波祐三郎, 長谷川健二郎, 木股敬裕, 那須保友, 石井和史

    形成外科   51   1197 - 1204   2008年

     詳細を見る

  • 早期運動療法を取り入れた袋型陰圧閉鎖療法

    長谷川健二郎, 難波祐三郎, 木股敬裕

    形成外科   51 ( 増刊号 )   S250-S254   2008年

     詳細を見る

  • 穿通枝皮弁を用いた頭頚部の再建

    桜庭実, 木股敬裕, 林隆一

    MSD   34 ( 2 )   19 - 22   2008年

     詳細を見る

  • 指尖部損傷に対する早期運動療法を取り入れた袋型陰圧閉鎖療法

    長谷川健二郎, 徳山英二郎, 杉山成史, 山下修二, 木股敬裕

    日本手の外科学会雑誌   25   252 - 256   2008年

     詳細を見る

  • 頭頚部癌における頭頚部外科、形成外科、口腔外科3科合同手術における口腔外科の役割:下顎再建症例における3D石膏造形モデルを利用した術前プレート屈曲法

    水川展吉, 冨永進, 木股敬裕, 小野田友男, 杉山成史, 山近英樹, 山田庸介, 木村卓爾, 竹内哲男, 植野高章, 高木慎

    岡山医学雑誌   120   299 - 305   2008年

     詳細を見る

  • 性同一性障害に対する乳房切除後の経験 第2報:下垂乳房に対する治療

    難波祐三郎, 長谷川健二郎, 山下修二, 杉山成史, 徳山英二郎, 木股敬裕

    形成外科   51   203 - 209   2008年

     詳細を見る

  • Vaginoplasty with an M-shaped perineo-scrotal flap in a male-to-female transsexual

    Yuzaburo Namba, Narushi Sugiyama, Shuji Yamashita, Kenjiro Hasegawa, Yoshihiro Kimata, Kazushi Ishii, Yasutomo Nasu

    ACTA MEDICA OKAYAMA   61 ( 6 )   355 - 360   2007年12月

     詳細を見る

    記述言語:英語   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    To date, many techniques have been reported for vaginoplasty in male-to-female trans-sexual (MTFTS) patients, such as the use of a rectum transfer, a penile-scrotal flap and a reversed penile flap. However, none of these procedures is without its disadvantages. We developed a newly kind of flap for vaginoplasty, the M-shaped perineo-scrotal flap (M-shaped flap), using skin from both sides of the scrotum, shorn of hair by preoperative laser treatment. We applied this new type of flap in 7 MTFTS patients between January 2006 and January 2007. None of the flaps developed necrosis, and the patients could engage in sexual activity within 3 months of the operation. The M-shaped flap has numerous advantages: it can be elevated safely while retaining good vascularity, it provides for the construction of a sufficient deep vagina without a skin graft, the size of the flap is not influenced entirely by the length of the penis, and it utilizes skin from both sides of the scrotal area, which is usually excised.

    DOI: 10.18926/AMO/32875

    Web of Science

    researchmap

  • 鼠径部の軟部組織再建

    木股敬裕, 難波祐三郎, 長谷川健二郎, 杉山成史, 尾崎敏文, 別府保男, 中馬広一, 川井章, 中谷文彦, 桜庭実

    関節外科   26   108 - 114   2007年

     詳細を見る

  • 前腕、手に発生した悪性骨軟部腫瘍切除後の血管柄付き組織移植

    国定俊之, 尾崎敏文, 杉原進介, 橋詰博行, 光嶋勲, 青雅一, 木股敬裕

    関節外科   26   79 - 85   2007年

     詳細を見る

  • チタンメッシュと遊離皮弁による眼窩底一次再建

    桜庭実, 浅野隆之, 矢野智之, 林隆一, 山崎光男, 宮崎真和, 鵜久森徹, 木股敬裕

    形成外科   50   869 - 875   2007年

     詳細を見る

  • 上顎癌切除後の一次再建と形態の回復

    木股敬裕, 桜庭実

    形成外科   50   859 - 867   2007年

     詳細を見る

  • 右中指指尖部デグロービング損傷に対する袋型陰圧閉鎖療法による治療経験

    長谷川健二郎, 中島美帆, 木股敬裕, 三河義弘

    中国・四国整形外科学会雑誌   19   45 - 49   2007年

     詳細を見る

  • 下顎再建の方法〜選択と問題点〜

    桜庭実, 浅野隆之, 矢野智之, 陳貴史, 田中顕太郎, 高梨昌幸, 土屋沙緒, 林隆一, 木股敬裕

    日本マイクロサージェリー学会誌   20   287 - 292   2007年

     詳細を見る

  • 口腔・咽頭癌切除後の標準的再建法

    木股敬裕

    形成外科増刊号   50   S197-S202   2007年

     詳細を見る

  • 陥入爪に対するフェノール療法

    山田潔, 木股敬裕

    Pepars   13   67 - 74   2007年

     詳細を見る

  • マイクロサージェリー:血管吻合、端々吻合、特集/縫合の基本手技

    長谷川健二郎, 木股敬裕

    Pepars   14   100 - 106   2007年

     詳細を見る

  • Standardization of free jejunum transfer after total pharyngolaryngoesophagectomy

    S Sarukawa, M Sakuraba, Y Kimata, T Yasumura, K Uchiyama, S Hishinuma, T Nakatsuka, R Hayashi, S Ebihara, K Harii

    LARYNGOSCOPE   116 ( 6 )   976 - 981   2006年6月

     詳細を見る

    記述言語:英語   出版者・発行元:LIPPINCOTT WILLIAMS & WILKINS  

    Objective: Our latest free jejunum transfer procedure was reviewed and compared with previous procedures to standardize the operation. Methods: This was a retrospective study of 269 patients who had undergone total pharyngolaryngoesophagectomy and free jejunum transfer from 1992 through 2004. The patients were divided into two groups: a late group, in which surgery was performed with our latest standard procedure from 2000 through 2004, and an early group, in which various procedures had been used from 1992 through 1999. Surgical times, postoperative progress, and complications were evaluated. Results. The mean surgical time was shortened from 3 hours 25 minutes in the early group to 3 hours 9 minutes in the late group, and ischemic time was shortened from 2 hours 44 minutes to 2 hours 20 minutes. For recipient vessels, branches of the external carotid artery and the internal jugular vein were more often used in the late group. Length of hospitalization decreased from 31.7 days in the early group to 24.4 days in the late group, although the start of drinking was similar (15.4 days versus 12.1 days). The rates of complications were significantly reduced in the late group, particularly those associated with the enteric anastomosis such as minor leakage (18.2-5.2%) and stenosis (17.6-3.0%). Conclusion: Our latest method of free jejunum. transfer reconstruction has become reliable and expeditious through simple and stable minor revisions of procedures.

    DOI: 10.1097/01.mlg.0000216915.62574.ba

    Web of Science

    researchmap

  • Clinical significance of reconstruction of the right hepatic artery for biliary malignancy

    Y Sakamoto, T Sano, K Shimada, T Kosuge, Y Kimata, M Sakuraba, J Yamamoto, H Ojima

    LANGENBECKS ARCHIVES OF SURGERY   391 ( 3 )   203 - 208   2006年6月

     詳細を見る

    記述言語:英語   出版者・発行元:SPRINGER  

    Background and aims: The clinical significance of resectional surgery with reconstruction of the right hepatic artery for biliary malignancy remains unclear.
    Patients/methods: Between 1990 and 2004, six patients (5%) with cholangiocarcinoma and five patients (3%) with gallbladder carcinoma with possible involvement of the right hepatic artery underwent resectional surgery with reconstruction of the right-sided hepatic artery. The surgical procedures included extended left hemihepatectomy (n=4), left trisectionectomy (n=1), central bisegmentectomy (n=1), resection of anterior segment and inferior area of segment 4 (n=2), resection of segment 5 and inferior area of segment 4 (n=1), and extrahepatic bile duct resection (n=2). Segmental resection and reconstruction of the right (n=7), anterior (n=1), or posterior (n=3) hepatic artery was performed by end-to-end anastomosis (n=5), using the right gastroepiploic artery (n=4), the gastroduodenal artery (n=1), or an autologous venous graft (n=1).
    Results: There was no in-hospital mortality. Histopathological arterial involvement was present in seven patients, and the surgical margin was positive in five patients. The median survival was 23 months in R0 patients (n=6), while it was 13 months in R1 patients (n=5) (p=0.16).
    Conclusion: Reconstruction of the right hepatic artery was safely performed in patients with biliary malignancy. Arterial reconstruction can be indicated when the arterial involvement is the only obstacle to obtain negative surgical margins.

    DOI: 10.1007/s00423-006-0026-8

    Web of Science

    researchmap

  • Fibular osteoadiposal flap for treatment of tibial adamantinoma: A case report.

    Namba Y, Kimata Y, Koshima I, Sugihara S, Sato T

    Acta Med Okayama   2006年

     詳細を見る

  • 性同一性障害に対する乳房切除の経験

    難波祐三郎, 筒井哲也, 木股敬裕, 光嶋 勲

    形成外科   2006年

     詳細を見る

  • 下顎再建プレートと遊離組織移植を用いた下顎再建例の検討

    桜庭実, 浅野隆之, 去川俊二, 矢野智之, 田中顕太郎, 高梨昌幸, 土屋沙緒, 陳貴文, 林隆一, 海老原敏, 木股敬裕

    日本マイクロサージェリー学会誌   2006年

     詳細を見る

  • 耳鼻科・頭頚部外科領域における皮弁の実際―要点とコツ―

    木股敬裕, 難波祐三郎, 杉山成史

    ENTONI   67,,62-67.   2006年

     詳細を見る

  • 前外側大腿皮弁

    桜庭実, 木股敬裕

    ENTONI   67,,34-39.   2006年

     詳細を見る

  • 損傷部位・形態からみた処置法8)特殊型損傷a)手袋状剥皮損傷(degloving injury)

    長谷川健二郎, 木股敬裕

    形成外科   S175-180.   2006年

     詳細を見る

  • 咽頭喉頭頸部食道摘出術後の再建における多施設共同研究

    杉山成史, 木股敬裕, 関堂 充, 桜庭 実, 朝戸裕貴, 桜井裕之, 中川雅裕, 兵藤伊久夫, 栗田智之, 吉田 聖, 熊本芳彦, 田中克己

    頭頸部癌   32,,486-493.   2006年

     詳細を見る

  • Functional reconstruction with free flaps following ablation of oropharyngeal cancer

    Yoshihiro Kimata, Minoru Sakuraba, Yuzaburo Namba, Ryuichi Hayashi, Satoshi Ebihara

    International Journal of Clinical Oncology   10 ( 4 )   229 - 233   2005年8月

     詳細を見る

    記述言語:英語   掲載種別:書評論文,書評,文献紹介等  

    With the development of various reconstructive procedures, most patients who have undergone ablative surgery for oropharyngeal cancer have obtained satisfactory functional results and good quality of life. However, many questions remain concerning methods of obtaining optimal postoperative oral and pharyngeal functions, especially after glossectomy. This review focuses on reconstructive methods after partial glossectomy, hemiglossectomy, and subtotal or total glossectomy and discusses current problems and the possibility of sensory and dynamic reconstruction. © The Japan Society of Clinical Oncology 2005.

    DOI: 10.1007/s10147-005-0500-2

    Scopus

    PubMed

    researchmap

  • Rectovaginal fistulas after rectal cancer surgery: Incidence and operative repair by gluteal-fold flap repair

    C Kosugi, N Saito, Y Kimata, M Ono, M Sugito, M Ito, K Sato, K Koda, M Miyazaki

    SURGERY   137 ( 3 )   329 - 336   2005年3月

     詳細を見る

    記述言語:英語   出版者・発行元:MOSBY, INC  

    Background. We investigated the correlation between operative Procedures for rectal carcinoma and postoperative rectovaginal fistulas (RVF), and treatment for RVF.
    Methods. The medical records of 161 female patients with rectal carcinoma were examined retrospectively with respect to the cause, incidence, and methods of treatment for RVF occurring after rectal cancer operations, and to the outcomes of gluteal-fold flap repairs for RVF.
    Results. Of the 161 patients, 16 developed RVF clinically. The incidence of RVF was significantly higher in patients who were anastomosed by the double stapling technique (DST) and had concomitant resection of the vaginal wall. No statistical difference was found between the established diverting ostomy group and the no-stoma group. Six patients recovered by the establishment of a diverting ostomy only. The glutea-fold flap technique was performed for 5 patients. No RVF recurrences were noted in these 5 patients.
    Conclusions. The incidence of RVF was higher in the patients who were, anastomosed by DST or had concomitant resection of the vaginal wall. Although some RVFs heal with only fecal diversion, for patients in whom RVF is caused by involvement of the vaginal wall in the circular staple or intersphincteric resection, good results are obtained with the gluteal-fold flap repair technique.

    DOI: 10.1016/j.surg.2004.10.004

    Web of Science

    researchmap

  • 整容面に配慮した皮弁・頚部の再建

    難波祐三郎, 青 雅一, 木股敬裕

    PEPARS   2005年

     詳細を見る

  • 腓骨皮弁を用いた下顎再建の現状と最近の工夫

    桜庭 実, 内田源太郎, 去川俊二, 門田英輝, 柏谷元, 田中顕太郎, 高梨昌幸, 林 隆一, 海老原 敏, 木股敬裕

    日本マイクロサージェリー学会誌   2005年

     詳細を見る

  • 高齢者の神経細胞特性と神経再建ー加齢による培養神経細胞の特徴ー

    木股敬裕

    PEPARS   2005年

     詳細を見る

  • るいそう患者における舌全摘・亜全摘術後の再建の工夫

    桜庭 実, 木股敬裕, 内田源太郎, 門田英輝, 矢野智之, 林 隆一, 海老原 敏

    形成外科   2005年

     詳細を見る

  • Sex Reassignment surgery for male to female transsexuals:initial experience at Okayama University Hospital

    Nagai A, Tokuyama E, Namba Y, Tsutsui T, Kimata Y, Nakatsuka M, Koshima I, Saika T, Nasu Y, Kumon H

    Acta Med Okayama   2005年

     詳細を見る

  • Pelvic ring reconstruction with the double-barreled vascularized fibular free flap

    Sakuraba M, Kimata Y, Iida Y, Beppu Y, Chuman H, Kawai A

    Plast Reconstr Surg.   2005年

  • 遊離空腸移植後の術後合併症についての検討

    桜庭 実, 去川俊二, 浅野隆之, 林 隆一, 山崎光男, 宮崎真和, 鵜久森徹, 大幸宏幸, 海老原 敏, 木股敬裕

    頭頚部癌   2005年

     詳細を見る

  • 摂食・会話機能を考慮した口腔再建ーより良い術後機能を求めてー

    木股敬裕, 難波祐三郎, 筒井哲也, 杉山成史, 徳山英二郎, 桜庭 実, 林 隆一, 海老原 敏

    頭頚部癌   2005年

     詳細を見る

  • 頭頸部癌再建症例における術後全身合併症の検討 -上気道閉鎖、脳梗塞、消化管出血、肺梗塞について-

    門田英輝, 木股敬裕, 櫻庭 実, 石田勝大, 林 隆一, 山崎光男, 門田伸也, 宮崎眞和, 大山和一郎, 海老原 敏

    頭頸部癌   2005年

     詳細を見る

  • 私の前外側大腿皮弁挙上法

    木股敬裕

    形成外科   2005年

     詳細を見る

  • 胃切除が舌・中咽頭癌再建症例の嚥下機能に及ぼす影響について

    門田英輝, 櫻庭 実, 木股敬裕, 去川俊二, 林 隆一, 大山和一郎, 浅井昌大, 海老原敏, 柏谷元, 矢野智之

    日本マイクロ会誌   2005年

     詳細を見る

  • 耳鼻咽喉科・頭頚部外科学の最新医療

    木股敬裕, 難波祐三郎, 杉山成史

    先端医療シリーズ   2005年

     詳細を見る

  • Versatile lotus petal flap for vulvoperineal reconstruction after gynecological ablative surgery

    M Sawada, Y Kimata, T Kasamatsu, T Yasumura, T Onda, T Yamada, R Tsunematsu

    GYNECOLOGIC ONCOLOGY   95 ( 2 )   330 - 335   2004年11月

     詳細を見る

    記述言語:英語   出版者・発行元:ACADEMIC PRESS INC ELSEVIER SCIENCE  

    Objective. The objective of the present work was to assess the efficacy and complications of the use of the lotus petal flap in the vulvoperineal reconstruction among female patients treated for vulvar malignancies. Methods. Between December 2000 and April 2003, five patients underwent vulvoperineal reconstructions with the fasciocutaneous skin flaps elevated from gluteal folds immediately after vulvoperineal ablative surgeries at National Cancer Center Hospital, Tokyo, Japan. Results. The mean surface area of vulvoperineal tissue defects was 157.9 cm(2) (64.0-195.0 cm(2)), which could be filled completely by bilateral lotus petal flaps. The mean length of follow-up was 18 months (7-32 months). All flaps successfully survived without fatal necrosis. In postoperative follow-up, all patients had no complaint of pain and no abnormal sensation at the site of flap or at the donor site, and the lotus petal flap caused no severe damage to excretion, mobility of the hip, or the sensation in the vulvoperineal area. The gluteal fold could make the donor-site scar stand out in all patients. Conclusion. The lotus petal flap is thought to be one of the most ideal reconstructive procedures for vulvoperineal region from various viewpoints of oncology, function, wound healing, and cosmetic surgery. (C) 2004 Elsevier Inc. All rights reserved.

    DOI: 10.1016/j.ygyno.2004.07.038

    Web of Science

    researchmap

  • 国立がんセンターにおけるチーム医療の現状

    木股 敬裕, 桜庭 実, 石田 勝大, 門田 英輝, 矢野 智之, 林 隆一, 松浦 一登, 山崎 光男, 門田 伸也, 宮崎 眞和, 海老原 敏, 田代 浩

    頭頸部癌/ 日本頭頸部癌学会   30 ( 3 )   401 - 406   2004年10月

     詳細を見る

    記述言語:日本語   出版者・発行元:日本頭頸部癌学会  

    国立がんセンターにおける頭頸部腫瘍に関するチーム医療の特徴は, がん専門病院で有るが所以の頭頸部を専門とする医療職の存在である。頭頸部外科医のみならず, 頭頸部領域を主とした放射線診断医, 放射線治療医, 腫瘍内科医, 形成再建医, 歯科医, そして看護師の存在は大きい。また, 精神的ケアに関与する緩和ケア医, 精神腫瘍医 (精神科医), 臨床心理士の存在は大きな特徴である。そして病院全体の目標が, がん医療で統一していること, 他科の医師同士の連携が非常に良いことがチーム医療を行うのに大きな利点となっている。今回, 国立がんセンター東病院の頭頸部癌に対するチーム医療の現状を, 治療前, 治療中, 治療後に分けて報告すると伴に, その問題点と改良すべき点について言及する。

    DOI: 10.5981/jjhnc.30.401

    CiNii Article

    CiNii Books

    researchmap

  • 胆道癌手術における肝動脈合併切除再建術

    佐野 力, 島田和明, 阪本良弘, 小管智男, 山崎 晋, 木股敬裕

    手術   2004年

     詳細を見る

  • 頚部食道がんの治療成績とその検討

    上條朋之, 林 隆一, 朝蔭孝宏, 松浦一登, 山崎光男, 宮崎眞和, 清野洋一, 木股敬裕, 桜庭 実, 菱沼茂之, 斎川雅久, 大山和一郎, 海老原 敏

    頭頚部腫瘍   2004年

  • 喉頭温存手術における下咽頭再建

    桜庭 実, 木股敬裕, 林 隆一, 海老原 敏, 波利井 清紀

    形成外科   2004年

     詳細を見る

  • 頭頚部再建における穿通枝皮弁の適応

    木股敬裕, 桜庭 実, 林 隆一, 海老原 敏

    日本マイクロサージェリー学会誌   2004年

     詳細を見る

  • Importance of additional microvascular anastomosis in esophageal reconstruction after salvage esophagectomy

    Sakuraba M, Kimata Y, Hishinuma S, Nishimura M, Gotohda N, Ebihara S

    Plast Reconstr Surg   2004年

  • 声門下狭窄症例に対するTチューブ挿入術の麻酔管理

    門田英輝, 高地 明, 橋本 学, 木股敬裕

    麻酔   2004年

     詳細を見る

  • 頭頚部再建術後の全身合併症の検討

    桜庭 実, 木股敬裕, 門田英輝, 林 隆一, 海老原 敏

    耳鼻と臨床   2004年

  • 舌扁平上皮癌一次治療症例

    松浦一登, 林 隆一, 海老原 敏, 斎川雅久, 山崎光男, 門田伸也, 清野洋一, 木股敬裕, 桜庭 実, 菱沼茂之

    頭頚部癌   2004年

     詳細を見る

▼全件表示

講演・口頭発表等

  • 真皮縫合習得のためのPlottingDermalSuture

    第146回 岡山形成外科医会  2012年 

     詳細を見る

  • IS(Intersex)に対するfeminizing genitoplasty

    第55回 日本形成外科学会総会・学術集会  2012年 

     詳細を見る

  • MTFTSに対する造膣術における術式の選択

    第55回 日本形成外科学会総会・学術集会  2012年 

     詳細を見る

  • Untied Stay Suture法(超微小血管吻合法)

    第55回 日本手外科学会学術集会  2012年 

     詳細を見る

  • 一期的乳房再建における皮膚切開の工夫

    第20回 日本乳癌学会学術総会  2012年 

     詳細を見る

  • 中咽頭上壁の局所粘膜弁を用いた再建について

    第36回 日本頭頚部癌学会  2012年 

     詳細を見る

  • 末梢静脈角形成術~機能的リンパ管静脈吻合術~

    第36回 日本リンパ学会総会  2012年 

     詳細を見る

  • 意思決定におけるピアサポート効果~術後パートナーとの関係に不安を持つ一事例を通して~

    第20回 日本乳癌学会学術総会  2012年 

     詳細を見る

  • A Three Dimensional Analysis of the Lymphatics in Leg Lymphedema using Interstitial CT Lymphography

    第11回 日韓形成外科学会  2012年 

     詳細を見る

  • Latissimus-Serratus-Rib Free Frap for Maxillary Reconstruction

    第11回 日韓形成外科学会  2012年 

     詳細を見る

  • 肋骨付き前鋸筋弁―広背筋皮弁による上顎再建

    第36回 日本頭頚部癌学会  2012年 

     詳細を見る

  • 咽頭喉頭頸部食道摘出+遊離空腸再建術後の合併症例における放射線治療の影響について

    第36回 日本頭頚部癌学会  2012年 

     詳細を見る

  • CTリンパ管造影法を用いた四肢リンパ浮腫の3次元画像評価

    第36回 日本リンパ学会総会  2012年 

     詳細を見る

  • 乳房再建術後合併症と肥満の関連

    第9回 日本乳癌学会中国四国地方会  2012年 

     詳細を見る

  • 大学病院と複合的治療専門病院によるリンパ浮腫のコンビネーション治療

    第36回 日本リンパ学会総会  2012年 

     詳細を見る

  • 尺側浮遊母指を伴う母指多指症の治療経験

    第39回 日本マイクロサージャリー学会学術集会  2012年 

     詳細を見る

  • RawSurfaceにより粘膜上皮化を図った口腔再建症例の検討

    第30回 日本頭蓋顎顔面外科学会  2012年 

     詳細を見る

  • Microsurgery Reconstructive Center Program による臨床医の育成

    第39回 日本マイクロサージャリー学会学術集会  2012年 

     詳細を見る

  • 乳房再建における深下腹壁動脈穿通枝皮弁の術中静脈うっ血に対してバイパスを行った1例

    第39回 日本マイクロサージャリー学会学術集会  2012年 

     詳細を見る

  • Latissimus-Serratus-Rib composite Free Flap for Maxillary Reconstruction

    IPRAS  2012年 

     詳細を見る

  • 自己集合性ペプチドゲルをscaffoldに用いた3次元伸展培養システムの開発

    第21回 日本形成外科学会基礎学術集会  2012年 

     詳細を見る

  • Microvascular Research Center Training Program in Okayama University

    IPRAS  2012年 

     詳細を見る

  • Three Dimensional Analysis of the Lymphatics in Leg Lymphedema using Interstitial CT Lymphography

    IPRAS  2012年 

     詳細を見る

  • 眼下瞼緩症に対するMedicalTarsalStrip法の検討

    第146回 岡山形成外科医会  2012年 

     詳細を見る

  • 尺側母指が浮遊母指形態をとった母指多指症の1例

    第146回 岡山形成外科医会  2012年 

     詳細を見る

  • 医学生のマイクロサージャリー技術習得とその実験応用(平成23年度報告)―ラットの顔面移植、陰茎移植、前後肢再接着―

    第63回 日本形成外科学会中国・四国支部学術集会  2012年 

     詳細を見る

  • 形成外科医に学ぶハイリスク症例における創閉鎖

    第84回 日本胃癌学会総会  2012年 

     詳細を見る

  • 肘関節機能温存に努めた上腕完全切断の2症例

    第3回 岡山手外科研究会  2012年 

     詳細を見る

  • 当院における口周囲血管奇形の手術症例の検討

    第63回 日本形成外科学会中国・四国支部学術集会  2012年 

     詳細を見る

  • 末梢における静脈角形成術―弁構造を有したリンパ管静脈吻合―

    第55回 日本形成外科学会総会・学術集会  2012年 

     詳細を見る

  • 岡山大学形成外科におけるマイクロサージャリー訓練プログラム(MRCプログラム):2011年版

    第55回 日本形成外科学会総会・学術集会  2012年 

     詳細を見る

  • 性同一性障害(FTM)に対する尿道延長術と陰核陰茎形成術

    第55回 日本形成外科学会総会・学術集会  2012年 

     詳細を見る

  • CTリンパ管造影法(CT-LG)を用いた四肢リンパ浮腫の3次元画像評価

    第55回 日本形成外科学会総会・学術集会  2012年 

     詳細を見る

  • 遊離広背筋皮弁を施行し知覚回復をみとめた一例

    第63回 日本形成外科学会中国・四国支部学術集会  2012年 

     詳細を見る

  • 当院における乳房再建術後合併症の検討

    第63回 日本形成外科学会中国・四国支部学術集会  2012年 

     詳細を見る

  • 真皮縫合習得のためのPlotting Dermal Suture(PDS)法

    第17回 日本形成外科手術手技学会  2012年 

     詳細を見る

  • 三次元人体計測装置(ボディラインスキャナC9036)を用いたリンパドレナージ前後での患肢ボリュームの変化

    第35回 日本リンパ学会総会  2011年 

     詳細を見る

  • Microvascular research center training program (MRCP) in Okayama University ―The evolution and improvement effect―

    The 6thThe World Society for Reconstructive Microsurgery, WSRM 2011  2011年 

     詳細を見る

  • New concept in nomenclature, palliative reconstruction

    The 6thThe World Society for Reconstructive Microsurgery, WSRM 2011  2011年 

     詳細を見る

  • ミャンマーにおける熱傷・外傷治療

    第4回 岡山創傷治癒研究会  2011年 

     詳細を見る

  • 袋型陰圧閉鎖療法

    第3回 日本創傷外科学会総会・学術集会  2011年 

     詳細を見る

  • 頭頸部癌遊離組織移植再建術後の再発に対して再遊離組織移植再建を施行した症例の検討

    第35回 日本頭頚部癌学会  2011年 

     詳細を見る

  • 食道癌術後食道欠損に対する遊離組織を用いた再建

    第35回 日本頭頚部癌学会  2011年 

     詳細を見る

  • レーザートーニングを軸とした肝斑治療

    第62回 日本形成外科学会中国・四国学術集会  2011年 

     詳細を見る

  • 乳房再建術後のQOL尺度についての検討

    第19回 日本乳癌学会学術総会  2011年 

     詳細を見る

  • 頭頸部再建術後の瘻孔に対する持続陰圧吸引療法の有用性

    第62回 日本形成外科学会中国・四国学術集会  2011年 

     詳細を見る

  • Myanmar-Japan Plastic and Reconstructive Surgery educational project; MJPRS

    第62回 日本形成外科学会中国・四国学術集会  2011年 

     詳細を見る

  • Motor nerveの特性を利用した顔面神経麻痺の再建

    第38回 日本マイクロサージャリー学会学術集会  2011年 

     詳細を見る

  • 乳房再建術後のせみオーダー下着の有用性に関する共同研究

    第21回 日本シュミレーション外科学会  2011年 

     詳細を見る

  • 新しい局所止血剤―自己集合性ペプチドゲル(PanaceaGel)―

    第73回 日本臨床外科学会総会  2011年 

     詳細を見る

  • 頭頸部放射線障害に対する再建とその工夫

    第38回 日本マイクロサージャリー学会学術集会  2011年 

     詳細を見る

  • 当院におけるエキスパンダーを用いた一期的乳房再建術の検討

    第8回 日本乳癌学会中国四国地方会  2011年 

     詳細を見る

  • 血管柄付き末梢神経移植によるラット視神経再生

    第20回 日本形成外科学会基礎学術集会  2011年 

     詳細を見る

  • 乳房再建術後のオーダーメード下着に関するアンケート

    第34回 日本美容外科学会総会  2011年 

     詳細を見る

  • 当科での永久気管孔狭窄に対する術式の工夫

    第61回 日本形成外科学会中国・四国支部学術集会  2011年 

     詳細を見る

  • 医学生のマイクロサージャリー技術習得とその実験応用(平成22年度報告)―ラットの血管柄付き精巣移植、卵巣移植、顔面移植―

    第61回 日本形成外科学会中国・四国支部学術集会  2011年 

     詳細を見る

  • 両端針付きナイロン縫合糸を用いたUntied Stay Suture法によるリンパ管静脈吻合

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 当科での過去4年間の乳房再建の検討

    第61回 日本形成外科学会中国・四国支部学術集会  2011年 

     詳細を見る

  • 多発脳神経障害に合併した顔面神経麻痺に対する動的、静的再建の一例

    第174回 岡山外科会  2011年 

     詳細を見る

  • Untied Stay Suture法の有用性

    第61回 日本形成外科学会中国・四国支部学術集会  2011年 

     詳細を見る

  • 胸部食道癌衝動亜全摘後の胃管壊死に対して遊離空腸移植を施行した一例

    第174回 岡山外科会  2011年 

     詳細を見る

  • Untied Stay Suture法の有用性

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 遊離皮弁の運命―放射線療法、予後などの因子を考慮した皮弁volumeの長期的変化について―

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 三次元人体計測装置(ボディラインスキャナC9036)を用いた下腿リンパ浮腫の日内変動

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • ジェンダー疾患に対する包括的治療

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • GIDに対する陰茎再建術におけるアルゴリズム

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 岡山大学形成外科セミナーの開催について

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 乳房再建術後の評価について(主観的評価および客観的評価)

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 当科における頭頚部領域二期再建症例のトラブルシューティング

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • 分層採皮創のドレッシングについての施設間アンケート調査結果

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • FTMTSに対する再建陰茎の術後経過について

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • GIDに対する乳房切除術におけるアルゴリズム

    第54回 日本形成外科学会総会・学術集会  2011年 

     詳細を見る

  • FTMTSに対する再建陰茎の術後経過について

    第13回 GID学会研究大会  2011年 

     詳細を見る

  • リンパ系の解剖と外科的治療

    第1回 光生病院 リンパ浮腫セミナー  2011年 

     詳細を見る

  • Indocyanine green fluorescence lymphography navigated lymphaticovenular anastomosis

    Myanmar Health Research Congress  2011年 

     詳細を見る

  • A Review of Okayama-Myanmar Plastic Surgery Mission

    Myanmar Health Research Congress  2011年 

     詳細を見る

  • 通常径の血管吻合におけるUnited Stay Suture法の有用性

    第2回 岡山手の外科研究会  2011年 

     詳細を見る

  • 形成外科医が考える真皮縫合の意義とそのテクニック

    第60回日本産婦人科学会学術講演会  2008年 

     詳細を見る

  • 頭頚部再建の要点と盲点

    第49回山口形成外科研究会  2008年 

     詳細を見る

  • 再建外科「微小血管吻合からリンパ管吻合への応用)

    第13回四国セロトニン研究会学術集会  2008年 

     詳細を見る

  • 形成外科からみた皮膚のアンチエイジング

    第60回日本良導絡自律神経学会  2008年 

     詳細を見る

  • 地域医療における形成外科の役割と最近の進歩

    住友別紙主催講演  2008年 

     詳細を見る

  • Indication and selection of free flap for anterior skull base reconstruction

    The 9th Asian-Oceanian International Congress on Skull Base Surgery  2008年 

     詳細を見る

  • The letter to young reconstructive surgeons through the experiences in head and neck reconstruction

    第27回韓国マイクロサージェリー学会  2008年 

     詳細を見る

  • 乳房再建

    第18回アニマート(乳がん患者の会)  2008年 

     詳細を見る

  • 頭頚部再建とGID再建の要点と盲点

    大阪医大形成外科セミナー  2006年 

     詳細を見る

  • 頭頚部再建

    第38回SENT会  2006年 

     詳細を見る

  • 形成再建外科の最近の進歩

    岡山医師会研修会  2006年 

     詳細を見る

  • 関連領域における形成外科の展望

    日本形成外科学会  2006年 

     詳細を見る

  • がん切除後の再建ー何を考えるかー

    第6回高知形成外科医会  2006年 

     詳細を見る

  • 頭頚部再建の現状と未来

    第35回日本口腔外科学会中・四国地方会  2006年 

     詳細を見る

  • 頭頚部再建の要点と盲点

    第5回形成外科セミナー(慈恵医科大学)  2006年 

     詳細を見る

  • 初心者のためのflap採取法、ALT

    第33回日本マイクロサージャリー学会  2006年 

     詳細を見る

  • 空腸全壊死症例の現状とその後の救済法に関する検討

    第33回日本マイクロサージャリー学会  2006年 

     詳細を見る

▼全件表示

 

担当授業科目

  • 再生医療学演習 (2021年度) 特別  - その他

  • 形成再建外科学I(演習・実習) (2021年度) 特別  - その他

  • 形成再建外科学I(講義・演習) (2021年度) 特別  - その他

  • 形成再建外科学II(演習・実習) (2021年度) 特別  - その他

  • 形成再建外科学II(講義・演習) (2021年度) 特別  - その他

  • 形成外科学 (2021年度) 特別  - その他

  • 形成外科学(基本臨床実習) (2021年度) 特別  - その他

  • 選択制臨床実習(形成外科学) (2021年度) 特別  - その他

  • 再生医療学演習 (2020年度) 通年  - その他

  • 再生医療学総論 (2020年度) 通年  - その他

  • 形成再建外科学I(演習・実習) (2020年度) 特別  - その他

  • 形成再建外科学I(講義・演習) (2020年度) 特別  - その他

  • 形成再建外科学II(演習・実習) (2020年度) 特別  - その他

  • 形成再建外科学II(講義・演習) (2020年度) 特別  - その他

  • 形成外科学 (2020年度) 特別  - その他

  • 形成外科学(基本臨床実習) (2020年度) 特別  - その他

  • 選択制臨床実習(形成外科学) (2020年度) 特別  - その他

▼全件表示