研究者詳細 - 難波　祐三郎

MISC - 難波　祐三郎

分割表示 149 件中 81 - 100 件目／全件表示 >>

血管柄付きSIEA adiposal flapを用いた顔面陥凹の再建

牛尾茂子, 石井直弘, 難波祐三郎, 高橋義雄, 筒井哲也, 山田潔, 藤津美佐子, 杉山成史, 山下修二, 光嶋勲

日本頭蓋顎顔面外科学会誌 20 ( 1 ) 65 - 65 2004年4月

頬部全層欠損の再建

石井直弘, 牛尾茂子, 筒井哲也, 高橋義雄, 難波祐三郎, 光嶋勲

日本頭蓋顎顔面外科学会誌 20 ( 1 ) 64 - 64 2004年4月

Superficial circumflex iliac artery perforator flap for reconstruction of limb defects

Koshima, I, Y Nanba, T Tsutsui, Y Takahashi, K Urushibara, K Inagawa, T Hamasaki, T Moriguchi

PLASTIC AND RECONSTRUCTIVE SURGERY 113 ( 1 ) 233 - 240 2004年1月

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

The superficial circumflex iliac artery perforator (SCIP) flap differs from the established groin flap in that it is nourished by only a perforator of the superficial circumflex iliac system and has a short segment (3 to 4 cm in length) of this vascular system. Three cases in which free superficial circumflex iliac artery perforator flaps were successfully transferred for coverage of soft-tissue defects in the limb are described in this article. The advantages of this flap are as follows: no need for deeper and longer dissection for the pedicle vessel, a shorter flap elevation time, possible thinning of the flap with primary defatting, the possibility of an adiposal flap with customized thickness for tissue augmentation, a concealed donor site, minimal donor-site morbidity, and the availability of a large cutaneous vein as a venous drainage system. The disadvantages are the need for dissection for a smaller perforator and an anastomosing technique for small-caliber vessels of less than 1.0 mm.

DOI： 10.1097/01.PRS.0000095948.03605.20

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Sequential vascularized iliac bone graft and a superficial circumflex iliac artery perforator flap with a single source vessel for established mandibular defects

Koshima, I, Y Nanba, T Tsutsui, S Itoh

PLASTIC AND RECONSTRUCTIVE SURGERY 113 ( 1 ) 101 - 106 2004年1月

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

The major problems in dealing with established mandibular loss are severe soft-tissue contracture and a limited number of recipient vessels. The skin portion of the iliac osteocutaneous flap often necrotizes in cases without perforators of the deep circumflex iliac vessel. To overcome these problems, eight patients with established mandibular loss and no skin perforators of the deep circumflex iliac vessel were treated with a sequential vascularized iliac bone graft and a superficial circumflex iliac perforator flap with a single recipient vessel. Regarding the recipient vessels, the ipsilateral cervical vessels were used for four patients, and the contralateral facial and ipsilateral superficial temporal vessels were used for two cases each. The superficial circumflex iliac perforator flaps were 7 to 28 cm in length and 3 to 15 cm in width. The iliac bone grafts ranged from 7 to 13 cm in length, and three cases were repaired with the inner cortex of the iliac bone. There were no serious complications, such as flap necrosis or bone infection and resulting absorption. The advantages of this method are that both pedicles are very close to each other and of suitable diameter for anastomosis. Simultaneous flap elevation and preparation for the recipient site is possible. The skin flap and vascularized bone graft can be obtained from the same donor site. A single source vessel can nourish both the large skin area and bone sequentially. Longer dissection of the superficial circumflex iliac system to the proximal femoral division is unnecessary. A large flap can survive with a short segment of the superficial circumflex iliac system. Only the vascularized inner cortex of the iliac bone needs to be used, and the outer iliac cortex can be preserved, which results in less morbidity at the donor site.

DOI： 10.1097/01.PRS.0000090725.89401.DE

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マイクロサージャリーを用いた複合組織移植--超微小血管吻合術と低侵襲再建術の導入 (特集 21世紀の新しい外科治療) -- (新しい治療体系)

光嶋勲, 難波裕三郎, 藤津美佐子

現代医療 36 ( 1 ) 234 - 239 2004年1月

糖尿病壊疽に対する患肢温存

石井直弘, 難波祐三郎, 筒井哲也, 山田潔, 藤津美佐子, 光嶋勲

岡山医学会雑誌 115 ( 3 ) 267 - 267 2004年1月

穿通枝皮弁を用いた各種皮弁

青雅一, 松本洋, 伊藤聖子, 渡辺敏之, 徳山英二郎, 難波祐三郎

日本マイクロサージャリー学会会誌 2004年

穿通枝皮弁

光嶋勲, 吉村浩太郎, 朝戸裕貴, 難波祐三郎

MB Orthop 2004年

大殿筋皮弁を用いて再建を行った痔瘻癌の一例

森元芳典, 岩垣博巳, 森下紀夫, 笹浦先, 小林直哉, 松原長秀, 難波祐三郎, 光嶋勲, 田中紀章

岡山医学会雑誌 2004年

AVMに対する外科的治療

光嶋勲, 難波祐三郎, 牛尾茂子, 杉山成史, 藤津美佐子, 三村秀文, 今井茂樹

血管腫・血管奇形の診断と治療のストラテジー 2004年

穿通枝脂肪弁の応用

難波祐三郎, 筒井哲也, 光嶋勲

日本マイクロサージャリー学会会誌 17 ( 2 ) 128 - 128 2004年

岡山大学医学部ジェンダークリニックにおける性同一性障害患者415名の解析

永井敦, 久住倫宏, 渡部昌実, 坪井啓, 公文裕巳, 中塚幹也, 平松祐司, 難波祐三郎, 木股敬裕, 佐藤俊樹, 黒田重利

日本小児泌尿器科学会雑誌 13 132 - 136 2004年

Medial and lateral malleolar perforator flaps for repair of defects around the ankle

Koshima, I, S Itoh, Y Nanba, T Tsutsui, Y Takahashi

ANNALS OF PLASTIC SURGERY 51 ( 6 ) 579 - 583 2003年12月

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

Reconstruction for defects around the ankle continues to be challenging. Repairs have been effected with the dorsalis pedis flap, the medial plantar flap, and with reverse-flow island flaps using the anterior and posterior tibial systems and the peroneal system. However, sacrifice of the major vessels of the lower leg and wide and long seats at the donor site are disadvantages of these flaps. To overcome these disadvantages, the authors developed island lateral and medial malleolar flaps with the perforators located close to the ankle. These flaps are easy to elevate, involve a short operating time, require no sacrifice of major vessels or muscles of the lower legs, and the use of these adipofascial flaps makes donor scars more acceptable. Malleolar perforator flaps are suitable for the repair of small ankle defects.

DOI： 10.1097/01.sap.0000095654.07024.65

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Multiple vascular anastomoses with vein grafts for salvage of congestive flaps

Y Namba, Y Takahashi, S Ito, Koshima, I

JOURNAL OF RECONSTRUCTIVE MICROSURGERY 19 ( 8 ) 531 - 535 2003年11月

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

The authors present two cases in which the venous drainage of transferred flaps was compromised and the flaps were salvaged by vein grafts. Traditionally, once transferred free flaps had become congestive, surgeons would re-anastomose the thrombosed veins, and administer anticoagulants or carry out peripheral vessel dilation. These authors recommend not only re-anastomosis of veins, but also additional venous drainage, with or without vein grafts.

DOI： 10.1055/s-2004-815639

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島状後脛骨動脈穿通枝脂肪弁によるアキレス腱の再建例

寺戸道久, 難波祐三郎, 筒井哲也, 伊藤聖子, 松本洋, 大西文夫, 光嶋勲, 尾崎敏文, 井上一

日本形成外科学会会誌 23 ( 11 ) 705 - 705 2003年11月

短茎ALT perforator flapを用いた四肢の再建

大西文夫, 難波祐三郎, 筒井哲也, 伊藤聖子, 松本洋, 寺戸道久, 光嶋勲

日本形成外科学会会誌 23 ( 11 ) 706 - 706 2003年11月

Deep peroneal nerve transfer for established plantar sensory loss

Koshima, I, Y Nanba, T Tsutsui, Y Takahashi

JOURNAL OF RECONSTRUCTIVE MICROSURGERY 19 ( 7 ) 451 - 454 2003年10月

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

Patients with established or irreversible plantar sensory loss often have normal sensation on the dorsal aspect of the foot, due to an intact deep peroneal nerve. A new method of deep peroneal nerve transfer is proposed for repair of plantar sensory loss caused by extensive nerve gaps or high-level lesions of the posterior tibial nerve. Two cases in which this technique was used are described. The surgical technique is relatively easy, with a short operating time, rapid nerve regeneration after surgery, accurate sensory recovery, and minimal donor-site morbidity with sensory loss only on the first web space of the foot.

DOI： 10.1055/s-2003-44632

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スーパーマイクロ手技を用いた切断指再接着末節挫滅切断60症例の検討

松本洋, 難波祐三郎, 筒井哲也, 伊藤聖子, 大西文夫, 光嶋勲

岡山医学会雑誌 115 ( 2 ) 181 - 181 2003年9月

超微小外科を用いた再建

難波祐三郎, 筒井哲也, 伊藤聖子, 中後貴江, 藤津美佐子, 石井直弘, 山下修二, 杉山成史, 牛尾茂子, 光嶋勲

岡山医学会雑誌 115 ( 2 ) 178 - 178 2003年9月

Free gluteal artery perforator flap with a short, small perforator

Koshima, I, T Tsutsui, Y Takahashi, Y Nanba

ANNALS OF PLASTIC SURGERY 51 ( 2 ) 200 - 204 2003年8月

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

The introduction of supermicrosurgery has led to the development of a new gluteal perforator flap nourished only by a musculocutaneous perforator of the superficial gluteal artery system. This flap has a perforator that is short (3-4 cm in length) and small (less than 1 mm). The successful transference of a free gluteal perforator flap for the coverage of soft-tissue defects in the foot and face in two patients is described in this article. With this flap, deeper and longer dissection for a pedicle vessel is unnecessary, flap elevation time is shorter, thinning of the flap with primary defatting and creation of an adiposal flap with customized thickness for tissue augmentation are possible, the donor site is in a concealed area with minimal donor site morbidity, and application of the flap as a scarred flap for previous operations in the gluteal region is possible. The disadvantages of this flap are necessity of dissection for a smaller perforator and of anastomosis of small-caliber vessels of less than 1.0 mm.

DOI： 10.1097/01.SAP.0000044139.78441.53

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