京都大学 · 医学
Itaru Tsuge教授の研究室は、顔顔面・頭頸部領域の再生医療および再建外科学に焦点を当てており、特に自由皮弁移植（特に下腿前外側皮弁）を用いた顔貌・機能の回復技術の開発を進めています。画像診断技術と血管マッピングの融合による手術計画の最適化や、非侵襲的イメージングによる穿孔動脈の可視化といった先進的手法の応用にも注力しています。臨床的成果に即した革新的な再建手術法の確立が、主な研究の方向性です。
Figures are computed from collected data and may differ slightly.
Diagnostic, IV.
PAT imaging matched the intraoperative findings within 10 mm. Preoperative vascular evaluation allows for the creation of a vascular map for facilitating ALT flap surgeries.
Supplemental Digital Content is available in the text.
Local flaps from the upper lip and cheeks have been the first choice for two-thirds to total resection of the lower lip. However, these local flap techniques involve many clinical problems, including small a mouth, drooling, scarring, and hypesthesia. The improvement of free anterolateral thigh (ALT) flap transfer can solve these problems with expansion of the application of free flaps for lower lip reconstruction. The patient in this case was a 56-year-old man with squamous cell carcinoma of th
This study demonstrates that the S-factor, a noninvasive, label-free imaging modality, can be used to successfully visualize subcutaneous arteries. This information can aid in selecting perforators for abdominal flap surgery.
We applied double-flap reconstruction with a vascularized fibula osteo flap and a Y-shaped anterolateral thigh (ALT) flap, which was separated into a fascial flap and a de-epithelialized fat flap to replace the temporomandibular joint capsule and temporal soft tissue volume, respectively. This technique achieved excellent functional and cosmetic results with acceptable operation time and donor site scarring. A 16-year-old girl had a rapidly growing mandibular osteosarcoma. Right mandibulectomy f
Supplemental Digital Content is available in the text.
Supplemental Digital Content is available in the text.
The diagnosis of necrotizing soft tissue infection (NSTI) caused by group A streptococcus (GAS) is challenging because clinical signs can be ambivalent, misleading, and sometimes absent.1 With the goal of improving the high mortality and morbidity rates, a rapid antigen detection test (RADT) for GAS helps shorten the time to decide on the need for surgical intervention and guide antibiotics treatment to a narrower spectrum.2 In this journal, we previously reported a 60-year-old woman with GAS-NS
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