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  1. Article ; Online: The decline in mild trauma patients due to the COVID-19 epidemic may have been transient.

    Fujioka, Masaki / Fukui, Kiyoko / Yoshino, Kentaro / Idemitsu, Marie

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 76, Page(s) 283–284

    MeSH term(s) Humans ; COVID-19/epidemiology ; SARS-CoV-2 ; Retrospective Studies ; Trauma Centers
    Language English
    Publishing date 2022-11-24
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.11.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Additional superdrainage reduces anastomotic fistula and stenosis after gastric tube reconstruction with cervical anastomosis for esophageal cancer.

    Fujioka, Masaki / Taniguchi, Ken / Yoneda, Akira / Fukui, Kiyoko / Yoshino, Kentaro / Idemitsu, Marie

    JTCVS techniques

    2023  Volume 19, Page(s) 142–146

    Abstract: Objective: Gastric pull-up is a common procedure to reconstruct the continuity of the upper digestive tract after esophagectomy. However, this technique sometimes causes postoperative anastomotic leakage or stricture, resulting from congestion of the ... ...

    Abstract Objective: Gastric pull-up is a common procedure to reconstruct the continuity of the upper digestive tract after esophagectomy. However, this technique sometimes causes postoperative anastomotic leakage or stricture, resulting from congestion of the gastric tube. We performed additional microvascular venous anastomoses to solve this problem. The purpose of this study was to compare postoperative anastomotic leaks and strictures in cases with or without additional venous superdrainage after gastric tube reconstruction.
    Methods: A total of 117 consecutive patients with cervical and thoracic esophageal cancer who underwent thoracoscopic esophagectomy with gastric tube reconstruction in the National Nagasaki Medical Center between 2011 and 2021 were analyzed retrospectively. Of these patients, 46 did not undergo additional venous anastomoses (standard group), and 71 who underwent gastric pull-up surgery after November 2014 have added this surgical procedure to their routine (superdrainage group). We compared the frequency of postsurgical leakage and stricture in the 2 groups retrospectively.
    Results: Fifteen patients (32.6%) developed postoperative leakage in the standard group and 6 (8.5%) did so in the superdrainage group. Twelve patients (26.1%) showed postoperative anastomotic stricture in the standard group and 7 (9.9%) did so in the superdrainage group. Patients who did not undergo additional venous superdrainage were significantly more likely to develop postsurgical leakage (χ
    Conclusions: Our study revealed that performing additional venous anastomosis for as little as 1 hour can significantly reduce the incidence of postoperative leakage and stenosis. This procedure is of merit to perform after total esophagectomy with gastric tube reconstruction.
    Language English
    Publishing date 2023-03-16
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2023.03.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Salvage of Ear Framework Exposure Following Autologous Microtia Reconstruction: Repair Strategy for Each Location of Exposure.

    Fujioka, Masaki / Fukui, Kiyoko / Yoshino, Kentaro / Noguchi, Miho / Murakami, Ryuichi

    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    2022  Volume 60, Issue 9, Page(s) 1172–1175

    Abstract: One of the most common complications of total auricular reconstruction is exposure of the ear framework. Various reconstruction methods have been reported depending on the location and size of exposed cartilage. This report describes a safe ... ...

    Abstract One of the most common complications of total auricular reconstruction is exposure of the ear framework. Various reconstruction methods have been reported depending on the location and size of exposed cartilage. This report describes a safe reconstruction method for each exposed part of the grafted ear framework. From January 2019 to August 2021, 2 cases (4 areas) of framework exposure were observed following autologous microtia reconstruction. The first case developed 2 small areas of skin necrosis on the anterior helix and lower antihelix to concha. The former was reconstructed with a temporal fascia flap and the latter with a local transposition flap. The second case also developed 2 small areas of skin necrosis on the posterior helix and lower antihelix to concha. The former was sutured directly and the latter with a local transposition flap. However, both wounds recurred due to flap necrosis and the cartilage was exposed again. The 3rd operation was performed by covering both wounds with a posterior auricular turnover flap and skin graft. In both cases, the exposed framework was completely covered with the flaps, and the reconstructed ears showed well-defined convolutions. Covering exposed cartilage with a local flap with a random pattern of blood circulation is convenient because no additional skin grafts are required. However, the blood circulation of the flaps is inadequate when an elongated flap is required; consequently, flap necrosis may occur. On the other hand, a temporal fascia flap and posterior auricular flap, which have axillary pattern blood circulation, are considered to be safer. We believe that it is safe to use a temporal fascia flap for cartilage exposure in the upper half of the auricle, and a posterior auricular turnover flap for the lower half.
    MeSH term(s) Humans ; Congenital Microtia/surgery ; Surgical Flaps ; Ear, External/surgery ; Skin Transplantation/methods ; Postoperative Complications/surgery ; Necrosis/surgery
    Language English
    Publishing date 2022-04-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1069409-2
    ISSN 1545-1569 ; 0009-8701 ; 1055-6656
    ISSN (online) 1545-1569
    ISSN 0009-8701 ; 1055-6656
    DOI 10.1177/10556656221095389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mild trauma surgery has decreased due to the COVID-19 pandemic.

    Fujioka, Masaki / Fukui, Kiyoko / Noguchi, Miho / Yoshino, Kentaro

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2021  Volume 75, Issue 2, Page(s) 893–939

    MeSH term(s) COVID-19/epidemiology ; Humans ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Trauma Centers
    Language English
    Publishing date 2021-12-22
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2021.11.102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Microscopic changes over time in human dermis after exposure to sodium hydroxide

    Fujioka, Masaki / Fukui, Kiyoko / Yoshino, Kentaro / Noguchi, Miho / Soeda, Momoko / Ito, Masahiro

    Burns open. 2022 Apr., v. 6, no. 2

    2022  

    Abstract: Alkaline substances injurie skin rapidly and progressively, until they are neutralized or removed. They usually continue to invade the tissue, resulting in deep ulcers. In order to examine the dermal change after exposure to alkaline substance, the ... ...

    Abstract Alkaline substances injurie skin rapidly and progressively, until they are neutralized or removed. They usually continue to invade the tissue, resulting in deep ulcers. In order to examine the dermal change after exposure to alkaline substance, the debrided skin of a patient with sodium hydroxide injury was observed to change over time under a microscope. A patient who had a chemical injury of his forearm after exposure to sodium hydroxide solution underwent full-thickness skin debridement 6 h after the injury. We observed the degeneration of the dermis of this resected specimen over time Histological findings indicated that the narrow border zone of neutrophils separated the zone containing degenerated collagen fibers from normal tissue, and alkaline denaturation of the dermis was found to spread to the middle layer of the dermis in about 24–48 h. Our results suggested that early tangential excision within 48 h could completely remove alkaline substances and prevent further deep soft tissue damage.
    Keywords arms (limbs) ; collagen ; debridement ; denaturation ; dermis ; excision ; histology ; humans ; neutrophils ; patients ; sodium hydroxide
    Language English
    Dates of publication 2022-04
    Size p. 89-91.
    Publishing place Elsevier Ltd
    Document type Article
    ISSN 2468-9122
    DOI 10.1016/j.burnso.2022.03.002
    Database NAL-Catalogue (AGRICOLA)

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