Faculty Profiles - NAMBA Yuzaburo

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性同一性障害に関する診断と治療のガイドライン

松本洋輔, 阿部輝夫, 池田官司, 織田裕行, 康純, 佐藤俊樹, 塚田攻, 針間克己, 松永千秋, 山内俊雄, 齋藤利和, 舛森直哉, 中塚幹也, 難波祐三郎, 木股敬裕

精神神経学雑誌 114 ( 11 ) 1250 - 1266 2012

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 2011.1

Language：English Publisher：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

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総合病院におけるGID医療センター化の取り組み.

難波祐三郎

精神医学 53 ( 9 ) 789 - 794 2011

性同一性障害(GID)に対する性別適合手術と半陰陽への応用.

難波祐三郎

産婦人科手術 22 115 - 122 2011

会陰部周囲の形成外科性同一性障害.

難波祐三郎

PEPARS 59 77 - 84 2011

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.

長谷川健二郎, 山田潔, 難波祐三郎, 木股敬裕

PEPARS 57 ( 57 ) 83 - 89 2011

実験的精巣移植.

山下修二, 難波祐三郎, 木股敬裕

PEPARS 59 93 - 97 2011

Gender identity disorder after puberty and its comprehensive treatment

65 ( 12 ) 941 - 947 2011

岡山大学乳がん治療・再建センターの現況

渡部聡子, 片山裕子, 田中義人, 目谷雅恵, 徳山英二郎, 長谷川健二郎, 難波祐三郎, 木股敬裕

日本形成外科学会会誌 30 ( 10 ) 576 - 576 2010.10

Fluorescence Lymphography with Indocyanine Green for Intact Side of Unilateral Leg Lymphedema : Early Signs of Lymphedema Are Shown?

SENO Takaya, MORISADA Sunao, SUGIYAMA Narushi, YAMADA Kiyoshi, HASEGAWA Kenjiro, AO Masakazu, KIMATA Yoshihiro

23 ( 3 ) 295 - 302 2010.9

SEX REASSIGNMENT SURGERY IN FEMALE TO MALE TRANSSEXUALS

NAMBA Yuzaburo

Journal of Japan Surgical Society 111 ( 4 ) 241 - 245 2010.7

Vaginoplasty with a pudendal-thigh flap in intersexuals

Japanese journal of plastic surgery 53 ( 6 ) 685 - 690 2010.6

Lymphatic Revascularization or Lymphangiogenesis after Skin Flap Transplantation

SATOH Takashi, KIMATA Yoshihiro, SUGIYAMA Narushi, YAMADA Kiyoshi, TOKUYAMA Eijiro, HASEGAWA Kenjiro, NAMBA Yuzaburo, AO Masakazu

23 ( 1 ) 64 - 69 2010.3

Repositioning of the malpositioned ear with a new technique of fascia lata suspension

Takashi Satoh, Shuji Yamashita, Tomoyuki Yasuoka, Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY 63 ( 2 ) E161 - E163 2010.2

Management of local complications after head and neck reconstruction

ONODA Satoshi, OTUKI Yuki, HASEGAWA Kenjiro, NAMBA Yuzaburo, KIMATA Yoshihiro, SUGIYAMA Narushi, ONODA Tomoo, EGUCHI Motoharu, MIZUKAWA Nobuyoshi

Japanese jornal of Head and Neck Cancer 36 ( 3 ) 369 - 372 2010

Language：Japanese Publisher：Japan Society for Head and Neck Cancer

The goals of head and neck reconstruction after malignant tumor resection include obtaining good postoperative function and appearance and minimizing operative invasiveness. However, the most important goals are reducing local postoperative complications and discharging the patient early, because patients requiring head and neck reconstruction tend to have poorer prognoses. Local complications delay wound healing, postoperative treatment, and postoperative recovery of eating and speech functions. Thus, when shown to be necessary by clinical observation and imaging findings, we open the wound area promptly and attempt to diagnose the complication. In this way, we can discover cervical infections and minimize wound contamination before more serious complications, such as total flap necrosis, develop. We review measures for preventing local complications in patients undergoing head and neck reconstruction at our institution and divide them into preoperative, intraoperative, and postoperative measures.

DOI： 10.5981/jjhnc.36.369

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Other Link： http://search.jamas.or.jp/link/ui/2011048374

挫滅症候群を発症し透析治療を要した上肢切断の1例

佐藤卓士, 長谷川健二郎, 難波祐三郎, 木股敬裕

日形会誌 : 日本形成外科学会会誌 = Journal of Japan Society of Plastic and Reconstructive Surgery 29 ( 10 ) 640 - 644 2009.10

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 2009.10

Language：English Publishing type：Book review, literature introduction, etc. Publisher：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

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Ophthalmic Artery Embolization as Pretreatment of Orbital Exenteration for Conjunctival Squamous Cell Carcinoma

Toshihiko Matsuo, Nobuya Ohara, Yuzaburo Namba, Isao Koshima, Kentaro Ida, Susumu Kanazawa

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY 32 ( 3 ) 554 - 557 2009.5

Language：English Publisher：SPRINGER

The aim of this study is to describe the effect of transarterial embolization from the ophthalmic artery as a pretreatment for orbital exenteration. A 75-year-old Chinese man with a 7-year history of gradual increase of the left eye swelling showed a massive conjunctival tumor growing outwardly from the interpalpebral fissure and had no light perception in the left eye. Magnetic resonance imaging showed orbital invasion of the tumor around the left eyeglobe. The initial surgery for the planned orbital exenteration was discontinued after skin incision around the orbital margin due to massive hemorrhage. The patient underwent transarterial embolization with gelatin sponge (Spongel) of the feeding arteries from the left ophthalmic artery and, the next day, had orbital exenteration with well-controllable bleeding and reconstruction with free vascularized anterolateral thigh cutaneous flap transfer. Pathologically, well-differentiated squamous cell carcinoma proliferated in exophytic, papillary, and nested fashions, arising from the bulbar conjunctiva. Tumor cells were also found in the conjunctival stroma around the vessels. The sclera at the equator had a perforated site with tumor cell invasion, but no intraocular invasion was found. Hematoxylin-positive gelatin sponges were found inside the orbital vessels and large choroidal vessels. In conclusion, transarterial embolization of feeding arteries arising from the ophthalmic artery is a useful pretreatment to control bleeding at orbital exenteration for malignancy.

DOI： 10.1007/s00270-008-9413-6

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Mastectomy in Female-to male Transsexuals

Namba Y, Watanabe T, Kimata Y

Acta Medica Okayama 63 2009

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

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