研究者詳細 - 橋川　和信

論文 - 橋川　和信

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神戸大学における遊離前腕皮弁移植の基本戦略

橋川和信, 寺師浩人, 田原真也

頭頸部癌/ 日本頭頸部癌学会 32 巻 ( 3 ) 頁： 247 - 252 2006年10月

仙骨部褥瘡に対する外科的療法の適応基準化と周術期管理方法に関する一考察神戸大学形成外科専門医アンケート調査査読有り

寺師浩人, 橋川和信

日本褥瘡学会誌 8巻, 4号, pp. 560-565 巻 2006年10月

外傷性涙小管断裂の10例査読有り

寺師浩人, 橋川和信

日本頭蓋顎顔面外科学会誌 22巻, 3号, pp. 203-208 巻 2006年9月

身体醜形障害を疑う患者に対する当科での取り組み査読有り

橋川和信, 一瀬晃洋

日本形成外科学会会誌 26巻, 8号, pp. 518-524 巻 2006年8月

Orthognathic surgery for occlusal reconstruction of old malunited jaw fracture

Yokoo S., Komori T., Furudoi S., Shibuya Y., Tateishi C., Hashikawa K., Tahara S., Hanagaki H.

Kobe Journal of Medical Sciences 52 巻 ( 3 ) 頁： 37 - 47 2006年6月

記述言語：日本語出版者・発行元：Kobe Journal of Medical Sciences

Old malunited jaw fractures of nine patients who underwent orthognathic surgery for occlusal reconstruction were clinically evaluated. Early surgery on fractures of the jaw is the optimal treatment when due attention must be paid to occlusion. Since occlusal revision surgery subsequent to inaccurate diagnosis and inappropriate surgery is certainly very difficult and often unsuccessful, surgeons need to pay special attention to this situation.

Scopus

仙骨部褥瘡に対するrhomboid perforator flapの経験査読有り

橋川和信, 寺師浩人

日本褥瘡学会誌 8巻, 2号, pp. 208-211 巻 2006年6月

Simple reconstruction with titanium mesh and radial forearm flap after globe-sparing total maxillectomy: A 5-year follow-up study 査読有り

Hashikawa K, Tahara S, Ishida H, Yokoo S, Sanno T, Terashi H, Nibu KI

PLASTIC AND RECONSTRUCTIVE SURGERY 117 巻 ( 3 ) 頁： 963 - 967 2006年3月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Plastic and Reconstructive Surgery

BACKGROUND: Reconstruction of eye globe-sparing total maxillectomy defects is one of the major challenges to reconstructive surgeons. In 1994, the authors developed an uncomplicated and easy reconstructive method, where a titanium mesh is applied for the support of orbital contents, a radial forearm free flap for covering the mesh and the cheek lining, and an obturator prosthesis for palatal and dental rehabilitation. METHODS: Five patients who underwent primary reconstruction with the authors' method after globe-sparing maxillectomy with loss of the orbital floor from 1994 to 1999 and who were followed up for more than 5 years were retrospectively reviewed for (1) the presence of diplopia, (2) the shape of the reconstructed orbital floor assessed by coronal section magnetic resonance imaging, and (3) the presence of infection/exposure of the titanium mesh. RESULTS: Only one of the five patients developed slight diplopia. Coronal magnetic resonance imaging showed that the orbital floor restored with titanium mesh had in all cases maintained a proper shape and position for more than 5 years. No infection or exposure of the titanium mesh had developed in any of the cases, despite exposure to irradiation of not less than 30 Gy. All the patients had well-retentive obturator prostheses. CONCLUSION: This long-term follow-up study demonstrated that the authors' method attained a long-lasting successful outcome functionally and is the method of choice for reconstruction after globe-sparing total maxillectomy. Copyright ©2006 by the American Society of Plastic Surgeons.

DOI： 10.1097/01.prs.0000200623.91956.66

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PubMed

Orthognathic surgery for occlusal reconstruction of old malunited jaw fracture

Yokoo Satoshi, Komori Takahide, Furudoi Shungo, Shibuya Yasuyuki, Tateishi Chizu, Hashikawa Kazunobu, Tahara Shinya, Hanagaki Hirofumi

The Kobe journal of the medical sciences 52 巻 ( 3 ) 頁： 37 - 47 2006年

出版者・発行元：神戸大学

Old malunited jaw fractures of nine patients who underwent orthognathic surgeryfor occlusal reconstruction were clinically evaluated. Early surgery on fractures of thejaw is the optimal treatment when due attention must be paid to occlusion. Sinceocclusal revision surgery subsequent to inaccurate diagnosis and inappropriate surgeryis certainly very difficult and often unsuccessful, surgeons need to pay special attentionto this situation.

Orthognathic surgery for occlusal reconstruction of old malunited jaw fracture.

Yokoo S, Komori T, Furudoi S, Shibuya Y, Tateishi C, Hashikawa K, Tahara S, Hanagaki H

The Kobe journal of medical sciences 52 巻 ( 3-4 ) 頁： 37 - 47 2006年

形成外科に学ぶ頭頸部領域の基本手技　　神戸大学における遊離前腕皮弁移植の基本戦略

橋川和信, 寺師浩人, 田原真也

頭頸部癌 32 巻 ( 3 ) 頁： 247 - 252 2006年

出版者・発行元：日本頭頸部癌学会

神戸大学および関連施設では,これまで約600例に対して遊離前腕皮弁を用いた再建手術を行ってきており，これらの臨床例を対象に基礎的・臨床的研究を積み重ねてきた。皮弁挙上および血管吻合，採取部への植皮に関してこれまでに得られた知見と臨床への応用は下記の通りである。 1）肘窩のperforating veinを血管茎に含めることで，深部静脈系と皮静脈系を連結させた皮弁挙上が可能となる。 2）前腕皮弁の静脈還流は深部静脈系が優位であるため，静脈吻合の際は深部静脈系の血流を移植床に還流させる。 3）皮弁の2系統の静脈を移植床の2系統の静脈と吻合し，それらをperforating veinで交通させることにより，より生理的なネットワーク型の静脈還流が可能となる。 4）含皮下血管網植皮で皮弁採取部を被覆すれば整容的に優れる。 5）ポリウレタンフォームとポリウレタンフィルムを用いることで，簡便かつ短時間に，術者一人で植皮固定を行える。

DOI： 10.5981/jjhnc.32.247

Total lower lid support with auricular cartilage graft

Hashikawa K, Tahara S, Nakahara M, Sanno T, Hanagaki H, Tsuji Y, Terashi H

PLASTIC AND RECONSTRUCTIVE SURGERY 115 巻 ( 3 ) 頁： 880 - 884 2005年3月

Positive narrowing pharyngoplasty with forearm flap for functional restoration after extensive soft palate resection

Hashikawa K, Tahara S, Terashi H, Ichinose A, Nomura T, Omori M, Sanno T

PLASTIC AND RECONSTRUCTIVE SURGERY 115 巻 ( 2 ) 頁： 388 - 393 2005年2月

Three-dimensional reconstruction after oral oncologic surgery using single free radial forearm flaps or free rectus abdominis musculocutaneous flaps. 査読有り

Yokoo S, Komori T, Furudoi S, Umeda M, Nomura T, Hashikawa K, Ichinose A, Tahara S

Journal of oral science 46 巻 ( 1 ) 頁： 65 - 70 2004年3月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of oral science

This study reviews reconstruction of complex three-dimensional oral and maxillofacial defects using the single free radial forearm flap or the single free rectus abdominis musculocutaneous flap. Between 1996 and 2003, 124 patients underwent oral and maxillofacial reconstruction in the Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine. Outcomes for 22 patients who underwent three-dimensional reconstruction of multiple surfaces were evaluated. Reconstruction was performed after resection of malignant tumors in all 22 patients. Single FAFs were utilized for 11 patients and single RAMs for the remaining 11. Flap survival rate was 100%. No major donor morbidity was observed, and all surviving patients (20/22) were able to perform normal daily living activities. Single FAF and RAM are useful materials for one-stage reconstruction of complex three-dimensional oral and maxillofacial defects requiring replacement of skin, mucosa, and intervening soft tissues. Good to excellent aesthetic results can be attained in most patients.

DOI： 10.2334/josnusd.46.65

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PubMed

CiNii Research

Do multiple venous anastomoses reduce risk of thrombosis in free-flap transfer? Efficacy of dual anastomoses of separate venous systems

Ichinose A, Terashi H, Nakahara M, Sugimoto I, Hashikawa K, Nomura T, Ogata N, Yokoo S, Tahara S

ANNALS OF PLASTIC SURGERY 52 巻 ( 1 ) 頁： 61 - 63 2004年1月

記述言語：日本語出版者・発行元：Annals of Plastic Surgery

Whether or not multiple venous anastomoses reduce the risk of free-flap failure is a subject of controversy. We report here, for the first time, on the importance of selecting 2 separate venous systems of the flap for dual anastomoses. The efficacy of multiple anastomoses was verified through a retrospective review of 310 cases of the free radial forearm flap transfer. Dual anastomoses of separate venous systems (the superficial and the deep) showed a lower incidence of venous insufficiency than single anastomosis did (0.7% versus 7.5%; P < 0.05). On the other hand, dual anastomoses of a sole venous system showed no significant difference in the incidence of venous insufficiency compared with single anastomosis (11.5% versus 7.5%; P = 0.48). Our results suggest that dual venous anastomoses of separate venous systems is conducive to reduced risk of flap failure and affords protection against venous catastrophe through a self-compensating mechanism that obviates thrombosis of either anastomosis.

DOI： 10.1097/01.sap.0000096425.18223.60

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PubMed

Therapeutic importance of transplantation of a vascularised free flap for an oromandibular injury with infection and severe scar contracture 査読有り

Yokoo S, Komori T, Sakurai A, Hashikawa K, Nomura T, Sanno T, Ichinose A, Tahara S

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY 41 巻 ( 6 ) 頁： 380 - 382 2003年12月

Endoscopic endonasal reduction for blowout fracture of the medial orbital wall

Sanno T, Tahara S, Nomura T, Hashikawa K

PLASTIC AND RECONSTRUCTIVE SURGERY 112 巻 ( 5 ) 頁： 1228 - 1237 2003年10月

記述言語：日本語出版者・発行元：Plastic and Reconstructive Surgery

Endoscopic endonasal reductions have been addressed in 63 patients with blowout fracture of the medial orbital wall since 1992. The operations were carried out under general anesthesia with a magnified operative space projected on a television monitor by a charge coupled device video camera attached to the endoscope. The middle nasal turbinate was fractured toward the nasal septum, the uncinate process was cut off, and the bulla was opened. The ethmoidal bony partition and the mucous membrane were removed; however, the fractured bone chips of the medial orbital wall were preserved. The herniated orbital contents were pressed back into the orbital cavity, and the medial wall was set with 2-mm-thick bent silicone plates placed in the ethmoidal sinus. The plates were removed in the outpatient clinic 2 months after the operation. The surgical results of 21 patients treated with endoscopic reduction were compared with those of four patients treated with transfacial reduction with an iliac bone graft. All of the patients had isolated medial wall fracture and became aware of diplopia within 15 degrees in any direction from the primary position (straight gaze) before the operation; the follow-up period covered 6 months. The patients were classified into two categories according to postoperative double vision: "good," indicating no double vision or diplopia of more than 45 degrees, and "poor," diplopia of less than 45 degrees. Improvement of diplopia was observed in all patients without any complication. Of the 21 patients who underwent endoscopic reductions, 17 were classified as "good" and four as "poor." On the other hand, of the four patients who underwent transfacial reductions, three were classified as "good" and one as "poor." Significant differences were not observed between the surgical results of our two methods. Endoscopic endonasal reduction showed greater aesthetic advantages and, moreover, required no grafting. This technique is suggested as one of the most reasonable treatments of medial orbital wall fractures.

DOI： 10.1097/01.PRS.0000080723.29129.64

Web of Science

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PubMed

Replantation of an avulsed zygomatic bone as a freeze-preserved autologous graft: a case report 査読有り

Yokoo S, Tahara S, Sakurai A, Hashikawa K, Terashi H, Furudoi S, Umeda M, Komori T

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY 31 巻 ( 2 ) 頁： 115 - 119 2003年4月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Cranio-Maxillofacial Surgery

We describe a very rare case of midface fracture where the zygomatic bone had been completely avulsed. The fragment was preserved in a frozen state for 40 days, then replanted and the graft was taken. The conditions favourable for the taking of the freeze-preserved zygomatic graft were: (1) an appropriate preservation method, (2) conservation of the periosteum on the zygomatic bone, (3) diversity of the haemodynamics of the zygomatic membranous bone, (4) immobilization of the zygoma by rigid fixation, and (5) a rich blood supply at the recipient site. © 2002 European Association for Cranio-Maxillofacial Surgery.

DOI： 10.1016/S1010-5182(02)00183-X

Web of Science

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PubMed

Importance of the deep vein in the drainage of a radial forearm flap: A haemodynamic study

Ichinose A, Tahara S, Terashi H, Yokoo S, Nakahara M, Hashikawa K, Kenmoku K

SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY 37 巻 ( 3 ) 頁： 145 - 149 2003年

Importance of the deep vein in the drainage of a radial forearm flap: a haemodynamic study.

Ichinose A, Tahara S, Terashi H, Yokoo S, Nakahara M, Hashikawa K, Kenmoku K

Scandinavian journal of plastic and reconstructive surgery and hand surgery 37 巻 ( 3 ) 頁： 145 - 9 2003年

Importance of the deep vein in the drainage of a radial forearm flap: A haemodynamic study

Ichinose A., Tahara S., Terashi H., Yokoo S., Nakahara M., Hashikawa K., Kenmoku K.

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 37 巻 ( 3 ) 頁： 145 - 149 2003年

記述言語：日本語出版者・発行元：Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery

The free radial forearm flap has two drainage veins, the cutaneous and the deep, but no established consensus has been reached on the selection of the drainage pedicle. In our study, the flow volumes of the veins were examined by colour Doppler ultrasonography after 20 forearm flaps had been raised. The volume through the deep vein was significantly higher than that through the cutaneous vein (p < 0.01). In comparing the total flow (both veins open), the flow rate through the deep vein alone (cutaneous vein occluded) was over 80% in 13 cases, 60%-80% in seven, and under 60% in none; that through the cutaneous vein alone (deep vein occluded) was 60%-80% in eight, 40%-60% in eight, under 40% in four, and over 80% in none. Our results show the importance of the deep vein, as indicated by its high drainage capacity from the early stages of flap transfer.

DOI： 10.1080/2844310310007746

Scopus

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