フルテキストURL K0005295_other1.pdf
著者 Onoda, Satoshi| Kimata, Yoshihiro| Matsumoto, Kumiko|
キーワード anastmosis style patency rate rat animal model lymphaticovenular anastomosis
備考 学位審査副論文|
発行日 2016-03
出版物タイトル Annals of Plastic Surgery
76巻
3号
出版者 Little Brown
開始ページ 332
終了ページ 335
ISSN 0148-7043
NCID AA00533030
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 26207544
DOI 10.1097/SAP.0000000000000571
Web of Science KeyUT 000370489200017
関連URL https://doi.org/10.1097/SAP.0000000000000571 http://ousar.lib.okayama-u.ac.jp/ja/54278
フルテキストURL BreastCancer_24_4_593.pdf BreastCancer_24_4_593_tbl_fig.pdf
著者 Saiga, Miho| Taira, Naruto| Kimata, Yoshihiro| Watanabe, Satoko| Mukai, Yuko| Shimozuma, Kojiro| Mizoo, Taeko| Nogami, Tomohiro| Iwamoto, Takayuki| Motoki, Takayuki| Shien, Tadahiko| Matsuoka, Junji| Doihara, Hiroyoshi|
キーワード BREAST-Q Breast cancer Breast reconstruction Health-related quality of life Satisfaction
発行日 2017-03
出版物タイトル Breast Cancer
24巻
2号
出版者 Japanese Breast Cancer Society
開始ページ 288
終了ページ 298
ISSN 1340-6868
NCID AA1103354X
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 27179527
DOI 10.1007/s12282-016-0703-6
Web of Science KeyUT 000395524900012
関連URL isVerionOf https://doi.org/10.1007/s12282-016-0703-6
フルテキストURL K0005439_other2.pdf
著者 Onoda, Satoshi| Kimata, Yoshihiro| Matsumoto, Kumiko| Yamada, Kiyoshi|
備考 学位審査副論文|
発行日 2016-01
出版物タイトル Plastic and Reconstructive Surgery
137巻
1号
出版者 Lippincott Williams & Wilkins
開始ページ 83e
終了ページ 91e
ISSN 00321052
NCID AA00775696
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 26710064
DOI 10.1097/PRS.0000000000001884
Web of Science KeyUT 000367333300001
関連URL https://doi.org/10.1097/PRS.0000000000001884
フルテキストURL K0005439_other1.pdf
著者 Onoda, Satoshi| Kimata, Yoshihiro| Yamada, Kiyoshi| Seki, Noriko| Hiramatsu, Yuji|
キーワード gynecologic cancer lower limb lymphedema risk factor secondary lymphedema superficial groin lymph nodes
備考 学位審査副論文|
発行日 2016-12
出版物タイトル journal of Surgical Oncology
114巻
8号
出版者 Wiley-Liss
開始ページ 940
終了ページ 946
ISSN 00224790
NCID AA00708010
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 27709601
DOI 10.1002/jso.24463
Web of Science KeyUT 000392939700007
関連URL https://doi.org/10.1002/jso.24463
JaLCDOI 10.18926/AMO/54986
フルテキストURL 71_2_171.pdf
著者 Yamada, Kiyoshi| Shinaoka, Akira| Kimata, Yoshihiro|
抄録 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.
キーワード interstitial lymphography CT lymphography lymphedema lympatic imaging
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 171
終了ページ 177
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420899
著者 水川 展吉| 小野田 友男| 松本 洋| 武田 斉子| 野田 洋平| 小野田 聡| 福島 麻衣| 津村 宗近| 竹内 哲男| 杉山 成史| 木股 敬裕|
発行日 2016-12-01
出版物タイトル 岡山医学会雑誌
128巻
3号
資料タイプ 学術雑誌論文
JaLCDOI 10.18926/AMO/54420
フルテキストURL 70_3_205.pdf
著者 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|
抄録 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.
キーワード palatal augmentation prosthesis artificial tongue articulation disorder glossectomy mandibulectomy
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2016-06
70巻
3号
出版者 Okayama University Medical School
開始ページ 205
終了ページ 211
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2016 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 27339210
Web of Science KeyUT 000379406100008
著者 Komatsu, Seiji| Nagai, Yusuke| Naruse, Keiji| Kimata, Yoshihiro|
発行日 2014-07-21
出版物タイトル PLoS ONE
9巻
7号
資料タイプ 学術雑誌論文
JaLCDOI 10.18926/AMO/52660
フルテキストURL 68_3_183.pdf
著者 Hasegawa, Kenjiro| Namba, Yuzaburo| Kimata, Yoshihiro|
抄録 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. As compared to a forearm flap, use of an innervated islandpedicled 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.
キーワード gender identity disorder sex reassignment surgery (SRS) phalloplasty
Amo Type Corrected and Republished Article
出版物タイトル Acta Medica Okayama
発行日 2014-06
68巻
3号
出版者 Okayama University Medical School
開始ページ 183
終了ページ 190
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 24945633
Web of Science KeyUT 000337655600009
関連URL http://doi.org/10.18926/AMO/51869
著者 Komatsu, Seiji| Wakabayashi, Taketoshi| Yamada, Kiyoshi| Matsumoto, Kumiko| Kimata, Yoshihiro| Kosaka, Jun|
発行日 2013-07-10
出版物タイトル NeuroReport
24巻
10号
資料タイプ 学術雑誌論文
JaLCDOI 10.18926/AMO/52013
フルテキストURL 67_6_391.pdf
著者 Hasegawa, Kenjiro| Namba, Yuzaburo| Kimata, Yoshihiro|
抄録 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.
キーワード polydactyly floating ulnar thumb thumb hypoplasia
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2013-12
67巻
6号
出版者 Okayama University Medical School
開始ページ 391
終了ページ 395
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2013 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 24356724
Web of Science KeyUT 000328915700008
JaLCDOI 10.18926/AMO/51869
フルテキストURL 67_5_325.pdf
著者 Hasegawa, Kenjiro| Namba, Yuzaburo| Kimata, Yoshihiro|
抄録 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.
キーワード gender identity disorder sex reassignment surgery (SRS) phalloplasty
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2013-10
67巻
5号
出版者 Okayama University Medical School
開始ページ 325
終了ページ 331
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2013 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 24145733
Web of Science KeyUT 000325836100007
関連URL http://doi.org/10.18926/AMO/52660
JaLCDOI 10.18926/AMO/51073
フルテキストURL 67_4_271.pdf
著者 Hasegawa, Kenjiro| Namba, Yuzaburo| Kimata, Yoshihiro|
抄録 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.
キーワード negative pressure wound therapy early exercise therapy wound healing hand surgery
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2013-08
67巻
4号
出版者 Okayama University Medical School
開始ページ 271
終了ページ 276
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2013 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 23970327
Web of Science KeyUT 000323470100010
JaLCDOI 10.18926/AMO/46635
フルテキストURL 65_3_215.pdf
著者 Waseda, Koichi| Tanimoto, Yasushi| Hasegawa, Kenjiro| Miyahara, Nobuaki| Nojima, Daisuke| Ikeda, Genyo| Kanehiro, Arihiko| Okada, Chiharu| Kimata, Yoshihiro| Tanimoto, Mitsune|
抄録 Churg-Strauss syndrome (CSS) is a granulomatous necrotizing vasculitis of unknown etiology associated with bronchial asthma. Despite affecting small to medium-sized vessels, necrosis of the digits due to vasculitis is extremely rare. We report a case of CSS with necrosis of the toe tips. A 37-year-old woman with asthma, who had been diagnosed with CSS 2 years ago, was admitted to our hospital with an exacerbation of CSS. The patient had a high grade fever and complained of abdominal pain and numbness of the lower extremities. Blood examination revealed marked eosinophilia. The fever pattern, abdominal pain and blood eosinophilia showed improvement by combination treatment with prednisolone and cyclophosphamide. However, the color of her right toe tips changed, and necrosis finally resulted despite antithrombotic therapy. Arteriography showed narrowing of the dorsalis pedis artery and of the more peripheral arteries of her right leg. Stump plasty with negative pressure dressing therapy for the toe tips, but not amputation, was done to preserve the leg function. While numbness of the extremities remained, no recurrence of necrosis was seen. Clinicians need to be aware that rare complications of CSS, including necrosis of the digits, can occur.
キーワード bronchial asthma Churg-Strauss syndrome eosinophilia necrosis of toe tips stump plasty
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2011-06
65巻
3号
出版者 Okayama University Medical School
開始ページ 215
終了ページ 218
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 CopyrightⒸ 2011 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 21709721
Web of Science KeyUT 000292017500010
JaLCDOI 10.18926/AMO/32875
フルテキストURL fulltext.pdf
著者 Namba, Yuzaburo| Sugiyama, Narushi| Yamashita, Shuji| Hasegawa, Kenjiro| Kimata, Yoshihiro| Ishii, Kazushi| Nasu, Yasutomo|
抄録

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.

キーワード vaginoplasty male-to-female transsexual perineo-scrotal flap
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2007-12
61巻
6号
出版者 Okayama University Medical School
開始ページ 355
終了ページ 360
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
論文のバージョン publisher
査読 有り
PubMed ID 18183081
Web of Science KeyUT 000251943800007
JaLCDOI 10.18926/AMO/31976
フルテキストURL fulltext.pdf
著者 Nagai, Atsushi| Tokuyama, Eijirou| Nanba, Yuzaburo| Tsutsui, Tetsuya| Kimata, Yoshihiro| Nakatsuka, Mikiya| Koshima, Isao| Saika, Takashi| Nasu, Yasutomo| Kumon, Hiromi|
抄録

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.

キーワード gender identity disorder sex reassignment surgery male to female transsexual
Amo Type Article
出版物タイトル Acta Medica Okayama
発行日 2005-10
59巻
5号
出版者 Okayama University Medical School
開始ページ 231
終了ページ 233
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
論文のバージョン publisher
査読 有り
PubMed ID 16286961
Web of Science KeyUT 000232835600008
JaLCDOI 10.18926/AMO/31841
フルテキストURL fulltext.pdf
著者 Namba, Yuzaburo| Watanabe, Toshiyuki| Kimata, Yoshihiro|
抄録

The first operative procedure in sex reassignment surgery (SRS) for female-to-male transsexuals (FTMTS) is mastectomy. This procedure includes the removal of mammary tissue, removal of excess skin, and reduction and proper repositioning of the nipple and areola complex. We have performed mastectomies in over 120 patients since January 2001 and want to describe the operative procedures we have developed. We classified our patients into 3 groups according to the patient's breast volume and the degree of ptosis, and we selected the operative procedure that was suitable for each group. At present all costs for SRS are assumed by the patient in Japan. If the FTMTS patient undergoes the entire series of SRS operations, he has to pay more than 3,000,000 yen. Thus the surgeon should select the proper operative procedure so that the patient can avoid unnecessary additional operations. We describe herein the techniques and the strategy for performing mastectomy in FTMTS.

キーワード mastectomy female-to-male transsexual sex reassignment surgery
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2009-10
63巻
5号
出版者 Okayama University Medical School
開始ページ 243
終了ページ 247
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
論文のバージョン publisher
査読 有り
PubMed ID 19893600
Web of Science KeyUT 000271132000004
JaLCDOI 10.18926/AMO/30981
フルテキストURL fulltext.pdf
著者 Namba, Yuzaburo| Sugiyama, Narushi| Yamashita, Shuji| Tokuyama, Eijiro| Hasegawa, Kenjiro| Kimata, Yoshihiro|
抄録

Between January 2001 and December 2007, we performed vaginoplasty as sex reassignment surgery in a total of 14 male-to-female transsexual (MTFTS) patients [1]. Several complications occurred such as partial flap necrosis, rectovaginal fistula formation and hypersensitivity of the neoclitoris. Just after the operation, some patients feel that their penises still exist, but by several weeks postoperatively, this sensation has disappeared. Herein we report a case of MTFTS in whom the sensation of a phantom erectile penis persisted for much longer.

キーワード gender identity disorder sex reassignment surgery phantom erectile penis
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2008-06
62巻
3号
出版者 Okayama University Medical School
開始ページ 213
終了ページ 216
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
論文のバージョン publisher
査読 有り
PubMed ID 18596839
Web of Science KeyUT 000257130300010
JaLCDOI 10.18926/AMO/30948
フルテキストURL fulltext.pdf
著者 Namba, Yuzaburo| Sugiyama, Narushi| Yamashita, Shuji| Hasegawa, Kenjiro| Kimata, Yoshihiro| Nakatsuka, Mikiya|
抄録

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.

キーワード vaginoplasty intersexual pudendal-thigh flap
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2008-12
62巻
6号
出版者 Okayama University Medical School
開始ページ 415
終了ページ 419
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
論文のバージョン publisher
査読 有り
Web of Science KeyUT 000262025000009
JaLCDOI 10.18926/AMO/30718
フルテキストURL fulltext.pdf
著者 Namba, Yuzaburo| Kimata, Yoshihiro| Koshima, Isao| Sugihara, Shinsuke| Sato, Tohru|
抄録 We treated a case with left tibial adamantinoma by use of a contralateral fibular osteoadiposal flap. The donor site of conventional fibular osteocutaneous flap must be covered with a skin graft because if we close the donor skin defect directly, compartment syndrome might occur. We were able to close the donor skin defect because this combined type flap included only a small monitoring skin paddle. We present herein the utility of the osteoadiposal flap and show the value of a skin-sparing approach with a minimal aesthetic defect.
キーワード adamantinoma fibular osteoadiposal flap skin-sparing flap harvest
Amo Type Article
出版物タイトル Acta Medica Okayama
発行日 2006-08
60巻
4号
出版者 Okayama University Medical School
開始ページ 233
終了ページ 236
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
論文のバージョン publisher
査読 有り
PubMed ID 16943861
Web of Science KeyUT 000239911100005