| Author | Mizukawa, Nobuyoshi| Tominaga, Susumu| Kimata, Yoshihiro| Onoda, Tomoo| Sugiyama, Narushi| Yamachika, Eiki| Yamada, Yousuke| Kimura, Takuji| Takeuchi, Tetsuo| Ueno, Takaaki| Takagi, Shin| |
|---|---|
| Published Date | 2008-12-01 |
| Publication Title | 岡山医学会雑誌 |
| Volume | volume120 |
| Issue | issue3 |
| Content Type | Journal Article |
| Author | Mizukawa, Nobuyoshi| Tominaga, Susumu| Kimata, Yoshihiro| Onoda, Tomoo| Nomiya, Shigenobu| Sugiyama, Narushi| Kawamoto, Tomoaki| Yamachika, Eiki| Ueno, Takaaki| Takagi, Shin| |
|---|---|
| Published Date | 2008-01-04 |
| Publication Title | 岡山医学会雑誌 |
| Volume | volume119 |
| Issue | issue3 |
| Content Type | Journal Article |
| Author | Mimura, Hidefumi| Fujiwara, Hiroyasu| Hiraki, Takao| Gobara, Hideo| Shibamoto, Kentaro| Kimata, Yoshihiro| Ozaki, Toshifumi| Sasaki, Satoru| Kanazawa, Susumu| |
|---|---|
| Published Date | 2010-04-01 |
| Publication Title | 岡山医学会雑誌 |
| Volume | volume122 |
| Issue | issue1 |
| Content Type | Journal Article |
| Author | Takagi, Shin| Mizukawa, Nobuyoshi| Fukunaga, Joji| Ishida, Nobuhisa| Maruo, Yukinori| Kannyama, Manabu| Kimata, Yoshihiro| Koushima, Isao| |
|---|---|
| Published Date | 2009-04-01 |
| Publication Title | 岡山医学会雑誌 |
| Volume | volume121 |
| Issue | issue1 |
| Content Type | Journal Article |
| Title Alternative | Development of head and neck reconstruction and procedures learned from patients |
|---|---|
| Author | Kimata, Yoshihiro| |
| Keywords | 頭頸部 再建 合併症 分類 |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-12-01 |
| Volume | volume135 |
| Issue | issue3 |
| Start Page | 129 |
| End Page | 135 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.129 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.129 |
| Author | Mizukawa, Nobuyoshi| Onoda, Tomoo| Matsumoto, Hiroshi| Takeda, Seiko| Noda, Youhei| Onoda, Satoshi| Fukushima, Mai| Tsumura, Munechika| Takeuchi, Tetsuo| Sugiyama, Narushi| Kimata, Yoshihiro| |
|---|---|
| Published Date | 2016-12-01 |
| Publication Title | Journal of Okayama Medical Association |
| Volume | volume128 |
| Issue | issue3 |
| Content Type | Journal Article |
| Title Alternative | A 4th step of visual art instruction in medical education |
|---|---|
| Author | Kimata, Yoshihiro| Obika, Mikako| Kubo, Takuya| Otsuka, Masumi| Okamoto, Yuko| Fukutomi, Koh| Matsumoto, Hiroshi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-12-01 |
| Volume | volume135 |
| Issue | issue3 |
| Start Page | 152 |
| End Page | 157 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.152 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.152 |
| Title Alternative | A third step of visual art instruction in medical education : Introduction of visual thinking strategies supported by Okayama Prefectural Museum of Art |
|---|---|
| Author | Kimata, Yoshihiro| Obika, Mikako| Kubo, Takuya| Otsuka, Masumi| Okamoto, Yuko| Fukutomi, Koh| Matsumoto, Hiroshi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-08-01 |
| Volume | volume135 |
| Issue | issue2 |
| Start Page | 85 |
| End Page | 88 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.85 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.85 |
| Title Alternative | A second step of visual art instruction in medical education : Development of observational and communication skills |
|---|---|
| FullText URL | 132_98.pdf |
| Author | Matsumoto, Hiroshi| Kitaguchi, Yohei| Kimata, Yoshihiro| Otsuka, Masumi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2020-08-03 |
| Volume | volume132 |
| Issue | issue2 |
| Start Page | 98 |
| End Page | 101 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.132.98 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2020 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.132.98 |
| NAID | 130007894967 |
| Author | Komatsu, Seiji| Wakabayashi, Taketoshi| Yamada, Kiyoshi| Matsumoto, Kumiko| Kimata, Yoshihiro| Kosaka, Jun| |
|---|---|
| Published Date | 2013-07-10 |
| Publication Title | NeuroReport |
| Volume | volume24 |
| Issue | issue10 |
| Content Type | Journal Article |
| JaLCDOI | 10.18926/AMO/32875 |
|---|---|
| FullText URL | fulltext.pdf |
| Author | Namba, Yuzaburo| Sugiyama, Narushi| Yamashita, Shuji| Hasegawa, Kenjiro| Kimata, Yoshihiro| Ishii, Kazushi| Nasu, Yasutomo| |
| Abstract | 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. |
| Keywords | vaginoplasty male-to-female transsexual perineo-scrotal flap |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2007-12 |
| Volume | volume61 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 355 |
| End Page | 360 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 18183081 |
| Web of Science KeyUT | 000251943800007 |
| JaLCDOI | 10.18926/AMO/55437 |
|---|---|
| FullText URL | 71_5_399.pdf |
| Author | Mukai, Yuko| Watanabe, Toshiyuki| Sugimoto, Morito| Kimata, Yoshihiro| Namba, Yuzaburo| |
| Abstract | 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. |
| Keywords | vaginoplasty male-to-female transsexuals pudendal-groin flap |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-10 |
| Volume | volume71 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 399 |
| End Page | 405 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2017 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 29042697 |
| JaLCDOI | 10.18926/AMO/30948 |
|---|---|
| FullText URL | fulltext.pdf |
| Author | Namba, Yuzaburo| Sugiyama, Narushi| Yamashita, Shuji| Hasegawa, Kenjiro| Kimata, Yoshihiro| Nakatsuka, Mikiya| |
| Abstract | 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. |
| Keywords | vaginoplasty intersexual pudendal-thigh flap |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2008-12 |
| Volume | volume62 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 415 |
| End Page | 419 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| File Version | publisher |
| Refereed | True |
| Web of Science KeyUT | 000262025000009 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Matsui, Chihiro| Tokuyama, Eijiro| Senoo, Takaya| Yamada, Kiyoshi| Kameda, Masahiro| Takeuchi, Tetsuo| Kimata, Yoshihiro| |
| Published Date | 2020-04 |
| Publication Title | Plastic and Reconstructive Surgery Global Open |
| Volume | volume8 |
| Issue | issue4 |
| Publisher | Lippincott, Williams & Wilkins |
| Start Page | e2797 |
| ISSN | 2169-7574 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2020 The Authors. |
| File Version | publisher |
| PubMed ID | 32440453 |
| DOI | 10.1097/GOX.0000000000002797 |
| Web of Science KeyUT | 000533878900070 |
| Related Url | isVersionOf https://doi.org/10.1097/GOX.0000000000002797 |
| JaLCDOI | 10.18926/AMO/52013 |
|---|---|
| FullText URL | 67_6_391.pdf |
| Author | Hasegawa, Kenjiro| Namba, Yuzaburo| Kimata, Yoshihiro| |
| Abstract | Thumb polydactyly is reported to be the most common congenital anomaly of the hand in Japan. The floating type is not particularly rare, accounting for 0.9 to 15% of all cases of thumb polydactyly. However, to the best of our knowledge, there has been only one case of thumb polydactyly with a floating ulnar thumb, reported by Onizuka. Herein, we report a case very similar to that reported by Onizuka. In our case, the vessels feeding the floating ulnar thumb branched from the superficial palmar arterial arch, and X-rays revealed triphalangism. In surgery, we not only reconstructed the 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 polydactyly, our case also showed hypoplasia of the thenar muscles. |
| Keywords | polydactyly floating ulnar thumb thumb hypoplasia |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2013-12 |
| Volume | volume67 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 391 |
| End Page | 395 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2013 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 24356724 |
| Web of Science KeyUT | 000328915700008 |
| JaLCDOI | 10.18926/AMO/54986 |
|---|---|
| FullText URL | 71_2_171.pdf |
| Author | Yamada, Kiyoshi| Shinaoka, Akira| Kimata, Yoshihiro| |
| Abstract | 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. |
| Keywords | interstitial lymphography CT lymphography lymphedema lympatic imaging |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-04 |
| Volume | volume71 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 171 |
| End Page | 177 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2017 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 28420899 |
| JaLCDOI | 10.18926/AMO/57958 |
|---|---|
| FullText URL | 74_1_83.pdf |
| Author | Sakurai, Toru| Watanabe, Toshiyuki| Manako, Kensuke| Komagoe, Syo| Mukai, Yuko| Kimata, Yoshiro| Namba, Yuzaburo| |
| Abstract | Nosaka, NobuyukiMastectomy is usually the first and most important surgical procedure in female-to-male (FTM) individuals with gender identity disorder. Nipple reduction is also important in the process of reconstructing the chest wall for a more male appearance. If the nipples remain large after a mastectomy, the results may be disappointing to many FTM transsexuals. Nipple reduction enables these individuals to go to the beach or Japanese public baths, where they may go topless in public. We therefore consider that nipple reduction is indicated for all FTM transsexuals who desire it. There are a variety of methods for the reduction of enlarged nipples for women or non-FTM patients, but only a few reports have described the process used to create masculine-appearing nipples for FTM transsexuals. We developed a novel technique called the Eryngii method for creating male-like nipples using a 4-mm diameter dermal punch knife. The name of the method refers to the Eryngii king trumpet mushroom, which the nipple resembles after the surgical process. The main strength of this method is that it permits the creation of ideal nipples without difficulty. Here we introduce the technique and discuss our history of surgical methods for nipple reduction, including improvements and elaborations. |
| Keywords | nipple reconstruction female-to-male transmen mastectomy top surgery |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2020-02 |
| Volume | volume74 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 83 |
| End Page | 87 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 32099254 |
| Web of Science KeyUT | 000516606200013 |
| NAID | 120006795625 |
| Author | Komatsu, Seiji| Nagai, Yusuke| Naruse, Keiji| Kimata, Yoshihiro| |
|---|---|
| Published Date | 2014-07-21 |
| Publication Title | PLoS ONE |
| Volume | volume9 |
| Issue | issue7 |
| Content Type | Journal Article |
| JaLCDOI | 10.18926/AMO/54420 |
|---|---|
| FullText URL | 70_3_205.pdf |
| Author | Kozaki, Ken-ichi| Kawakami, Shigehisa| Konishi, Takayuki| Ohta, Keiji| Yano, Jitsuro| Onoda, Tomoo| Matsumoto, Hiroshi| Mizukawa, Nobuyoshi| Kimata, Yoshihiro| Nishizaki, Kazunori| Iida, Seiji| Gofuku, Akio| Abe, Masanobu| Minagi, Shogo| Okayama Dream Speech Project| |
| Abstract | A palatal augmentation prosthesis (PAP) is used to facilitate improvement in the speech and swallowing functions of patients with tongue resection or tongue movement disorders. However, a PAPʼs effect is limited in cases where articulation disorder is severe due to wide glossectomy and/or segmental mandibulectomy. In this paper, we describe speech outcomes of a patient with an articulation disorder following glossectomy and segmental mandibulectomy. We used a palatal plate (PP) based on a PAP, along with an artificial tongue (KAT). Speech improvement was evaluated by a standardized speech intelligibility test consisting of 100 syllables. The speech intelligibility score was significantly higher when the patient wore both the PP and KAT than when he wore neither (p＝0.013). The conversational intelligibility score was significantly improved with the PP and KAT than without PP and KAT (p＝0.024). These results suggest that speech function can be improved in patients with hard tissue defects with segmental mandibulectomy using both a PP and a KAT. The nature of the design of the PP and that of the KAT will allow these prostheses to address a wide range of tissue defects. |
| Keywords | palatal augmentation prosthesis artificial tongue articulation disorder glossectomy mandibulectomy |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-06 |
| Volume | volume70 |
| Issue | issue3 |
| Publisher | Okayama University Medical School |
| Start Page | 205 |
| End Page | 211 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 27339210 |
| Web of Science KeyUT | 000379406100008 |
| JaLCDOI | 10.18926/AMO/31976 |
|---|---|
| FullText URL | fulltext.pdf |
| Author | Nagai, Atsushi| Tokuyama, Eijirou| Nanba, Yuzaburo| Tsutsui, Tetsuya| Kimata, Yoshihiro| Nakatsuka, Mikiya| Koshima, Isao| Saika, Takashi| Nasu, Yasutomo| Kumon, Hiromi| |
| Abstract | The first case of sex reassignment surgery (SRS) in our hospital was performed in January 2001; as of February, 2005, 4 cases of MTF-SRS had been performed. In the 2 most recent cases, we used penile and scrotal skin flaps to avoid complications. The depth and width of the new vagina was made to be adequate for sexual intercourse. Future attention should be focused on devising a surgical technique that will help prevent the complications of partial necrosis of the epidermal skin and wound dehiscence. Although ours is only an initial experience, we describe our surgical technique herein. |
| Keywords | gender identity disorder sex reassignment surgery male to female transsexual |
| Amo Type | Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2005-10 |
| Volume | volume59 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 231 |
| End Page | 233 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 16286961 |
| Web of Science KeyUT | 000232835600008 |
