label: url

en: Analysis of Characteristics and Outcomes of Multimodal Therapy for Soft Tissue Sarcoma

ja: 当科で治療した悪性軟部腫瘍の内容と予後および術後機能に関する分析

en: Journal of Japan Society of Plastic and Reconstructive Surgery

ja: 日本形成外科学会会誌


en: 四肢機能温存のために筋肉移植と関節包再建を行った症例の検討:最善の Orthoplastic Surgery を考える

en: 第49回日本マイクロサージャリー学会学術集会

ja: 第49回日本マイクロサージャリー学会学術集会


en: 第49回日本マイクロサージャリー学会学術集会

ja: 第49回日本マイクロサージャリー学会学術集会


en: 形成外科の基本手技 臀部会陰再建

ja: 形成外科の基本手技 臀部会陰再建

en: Operation

ja: 手術


en: BIA ALCLを疑い検査を施行した乳房インプラント破損の2症例

ja: BIA ALCLを疑い検査を施行した乳房インプラント破損の2症例

en: 第10回日本乳房オンコプラスティックサージャリー学会総会

ja: 第10回日本乳房オンコプラスティックサージャリー学会総会


en: Radiographic Study Evaluating Perforator Vessels in the Ischiorectal Fossa for Safe Elevation of Island Flaps

en: Perforator flaps based on the ischiorectal fossa (IRF) (ie, internal pudendal artery perforator flaps) are useful for perineal reconstruction. The three-dimensional characterization of perforator arteries in the IRF remains unclear, as the IRF contains thick adipose tissue as well as organs, such as the rectum, vagina, and urethra. This study aimed to evaluate perforators in the IRF to guide the safe elevation of skin flaps designed based on the IRF. IRF vessels were examined in 200 bilateral computed tomography angiography scans performed in 100 patients. We examined branching patterns arising from the internal iliac artery and the origins of the skin perforators in the IRF. The branching patterns of the internal iliac artery were divided into three groups: perforators derived exclusively from the internal pudendal artery (78%), perforators derived from the internal pudendal artery and the inferior gluteal artery (18%), and perforators derived exclusively from the inferior gluteal artery (4%). The average number of perforators in the IRF was 1.5 ± 0.7. The number of perforators was significantly higher in women than in men. The perforator arteries were found exclusively around the medial and dorsal sides of the ischial tuberosity. We found that perforators in the IRF were stable. All cases had more than one skin perforator, which was mainly derived from the internal pudendal artery. Although perforators cannot be identified during flap elevation because the fatty tissue in the IRF is very thick, physicians must focus on preserving the perforator-containing fatty tissue around the ischial tuberosity.

en: Plastic and Reconstructive Surgery. Global Open


en: One-Stage Perifascial Areolar Tissue and Skin Grafting Combined with Negative Pressure Wound Therapy for a Refractory Wound with an Exposed Elbow Joint and Extensive Skin Defect

en: The Indian Journal of Surgery

ja: The Indian Journal of Surgery


en: Massive Weight Lossによる余剰皮膚切除後に膝部にリンパ漏を生じた1例

en: 第45回日本美容形成外科学会総会・第145回学術集会

ja: 第45回日本美容形成外科学会総会・第145回学術集会


en: 頚椎後方固定術後の離開創に対して異物除去を行わず僧帽筋皮弁による再建を施行した一例

en: 第81回中国・四国形成外科学会学術集会

ja: 第81回中国・四国形成外科学会学術集会


en: LVAの吻合部決定に術前エコー検査が有用であった症例の検討

ja: LVAの吻合部決定に術前エコー検査が有用であった症例の検討

en: 第6回日本リンパ浮腫治療学会学術総会

ja: 第6回日本リンパ浮腫治療学会学術総会


en: Ischial and Sacral Pressure Ulcers A Review of Optimal Treatments, Historical Management, and Surveillance Studies of the Japanese Population

en: International Journal of Surgical Wound Care


en: Treatment of Critical Limb Ischemia Using Microsurgery Techniques

ja: マイクロサージャリーの技術を用いた重症下肢虚血治療とその成績

en: Journal of Japanese Society of Reconstructive Microsurgery

ja: 日本マイクロサージャリー学会会誌


en: 第26回徳島形成外科集談会

ja: 第26回徳島形成外科集談会


en: Relationship between fluctuations in skin perfusion pressure values and wound healing in patients with chronic limb-threatening ischemia undergoing hemodialysis

en: Background : Patients with chronic limb-threatening ischemia are often on hemodialysis. It is unclear which skin perfusion pressure (SPP) values, i.e., those measured immediately after hemodialysis on a hemodialysis day or those measured on a non-hemodialysis day, reflect the actual wound healing course in chronic limb-threatening ischemia. Methods : Eighteen patients undergoing hemodialysis (49 measurements) who were treated for leg ulcers due to critical limb ischemia were included in the study. The SPP values were divided into two groups : those measured immediately after hemodialysis (HD day group) and those measured on non-hemodialysis days (non-HD day group). The wound healing outcomes were investigated. The cutoff SPP value for predicting wound healing was set to ≥ 35 mmHg. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of SPP in each group were measured. The relationship between SPP and blood pressure was analyzed by regression analysis. Results : Significant differences were observed in the positive predictive value (HD day : 100%, non-HD day : 50% ; P = 0.002), The correlation coefficient was 0.698 in the HD day group and 0.292 in the non-HD day group. Diastolic blood pressure had a significant effect on SPP (P = 0.039). Conclusions : The measurements are best taken immediately after hemodialysis for more accuracy. J. Med. Invest. 69 : 294-298, August, 2022.

en: The Journal of Medical Investigation : JMI


en: 5G・ドコモオープンイノベーションクラウド™を用いた形成外科遠隔診療

ja: 5G・ドコモオープンイノベーションクラウド™を用いた形成外科遠隔診療

en: 第265回徳島医学会学術集会

ja: 第265回徳島医学会学術集会


en: 彫刻刀を用いた修正術が有効であったカリフラワー耳の2例

ja: 彫刻刀を用いた修正術が有効であったカリフラワー耳の2例

en: 第14回日本創傷外科学会総会・学術集会

ja: 第14回日本創傷外科学会総会・学術集会


en: A Case of Macrodystrophia Lipomatosa of the Lower Extremity: An Effective Measuring of the Dynamic Plantar Pressure for Severe Congenital Deformity

en: Journal of Plastic and Reconstructive Surgery


en: 舌再建後に脱上皮した皮島部の毛により難治性瘻孔を生じた 1 例

ja: 舌再建後に脱上皮した皮島部の毛により難治性瘻孔を生じた 1 例

en: 第46回日本頭頸部癌学会

ja: 第46回日本頭頸部癌学会


en: 耳下腺に浸潤した耳介部基底細胞癌の1例

ja: 耳下腺に浸潤した耳介部基底細胞癌の1例

en: 日本形成外科学会会誌


en: Lateral Nasal Artery Perforator Flap for Nasal Reconstruction Clinical Applications and Risk Factors Associated With Nasal Deformities

en: Nasal reconstruction is challenging because of the difficulty in balancing superior aesthetic outcomes and less invasive surgery. The use of the lateral nasal artery (LNA) perforator flap has been reported for nasal reconstruction. However, few reports have described appropriate applications of nasal reconstruction and assessments of nasal deformity. This study aimed to quantify the aesthetic outcomes on using this flap and reveal the risk factors associated with nasal deformities. Twenty patients underwent nasal reconstruction using the LNA flap with a cranial perforator adjacent to the nasal defect. Postoperative protuberant deformities were scored by 2 independent plastic surgeons using a 5-point Likert scale and classified as excellent, good, or poor. The risk factors of deformities were identified using univariate analyses. A nasal alar deviation index was developed to analyze correlations with flap harvesting. The sensory function was assessed by the Semmes-Weinstein test. Flaps survived in 19 patients (95%), and 1 flap showed distal necrosis. All arterial perforators used remained within 5 mm lateral to the boundary between the cheek and nasal ala. The flaps were most often used to cover 2 subunits, including the nasal sidewall defects. Protuberant deformities in 6 (30%), 8 (40%), and 6 (30%) patients were classified as excellent, good, and poor, respectively. Nasal defects involving more than 3 subunits caused severe protuberant deformity. Only 2 patients (5%) in the good and fair groups underwent additional debulking surgery. Nasal alar deviation was not significantly correlated with flap harvesting, when the nasal alar deviation index before and after surgery were compared. Sensory function was retained in all patients. Aesthetic outcomes and sensory function were good on using the LNA perforator flap as a propeller flap having a wide arc of rotation. This flap is suitable for nasal reconstruction involving less than 2 nasal subunits without any severe nasal alar deviation deformity. In addition, this flap allows for better outcomes because it requires less invasive 1-stage surgery.

en: Annals of Plastic Surgery

ja: Annals of Plastic Surgery


en: Sentinel lymph node biopsy for cutaneous malignant melanoma ; clinical significance

ja: 徳島大学病院で実施された皮膚悪性黒色腫に対するセンチネルリンパ節生検の臨床的意義について

en: Skin Cancer

ja: Skin Cancer


en: Critical limb ischemia as a consequence of multiple spontaneous arteriovenous fistula and peripheral arterial disease.

ja: International Journal of Surgical Wound Care