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Biomedical subjects

T Harashina

Publications and source records attributed to T Harashina.

At least 37 records · Page 2Linked to original sources
PubMed1991

Reconstruction of two separated electrical burn ulcers.

In this study, we describe the reconstruction of composite tissue defects in two separated regions (left elbow and right thigh) using only one-sided rectus abdominis myocutaneous flap. We report here the results of our procedure, as it increases the usefulness of the rectus abdominis myocutaneous flap and can be applied to other clinical situations.

Adult↗
PubMed1990

Reconstruction of palate with radial forearm flap; a report of 3 cases.

A prosthesis is the preferred method for the closure of a palatal defect following maxillectomy, with fairly satisfactory results. However, some patients suffer from symptoms due to mismatch of the prosthesis. We have reconstructed palatal defects using radial forearm flaps in 3 cases. The forearm flap is utilised for palatal reconstruction in the double-folded form. The flap is thin and pliable, there are no problems in regard to bulk and drooping of the flap, and the patients can wear the denture with minimal discomfort. We believe that reconstruction of the palate with a forearm flap is a useful procedure, especially for patients suffering from symptoms due to mismatch of the prosthesis.

Female↗
PubMed1990

Open reverse-U incision technique for secondary correction of unilateral cleft lip nose deformity.

A new technique for secondary correction of unilateral cleft lip nose deformity is described. It is a combination of Tajima's reverse-U incision and Rethi's columella-alar rim incision techniques. It gives a markedly increased exposure under better direct vision and enables easier and more accurate handling of the nasal framework in secondary correction of the unilateral cleft lip nose deformity.

Adolescent↗
PubMed1990

Reconstruction of penis with free deltoid flap.

Two cases of reconstruction of the penis with a free deltoid flap are described. The urethra was reconstructed with part of the flap and external coverage of the penis was provided with the remainder. In one case an autogenous rib cartilage graft was inserted in the reconstructed penis as a strut. Postoperatively both patients can urinate standing up, and for the one in which a rib cartilage graft was used sexual intercourse is possible. Both cases have good recovery of tactile and protective sensation in their reconstructed penis.

Adult↗
PubMed1990

Simultaneous reconstruction of cervical esophagus and oral cavity with one free jejunal graft.

A case of simultaneous reconstruction of the cervical esophagus and oral cavity with one free jejunal graft is described. A 36-year-old patient had suffered from stricture of the cervical esophagus after reconstruction with a deltopectoral flap and, at the same time, had developed cancer of the anterior floor of the mouth. Both defects were simultaneously reconstructed with one free jejunal graft pedicled on one pair of jejunal vessels. A segment of jejunum was divided into three portions leaving the mesenterium intact. The middle portion was discarded; one portion was used for cervical-esophageal reconstruction and the rest was split longitudinally and used for resurfacing the oral cavity.

Adult↗
PubMed1988

Reconstruction of breast after super-radical mastectomy with a pedicled latissimus dorsi flap and a free TRAM flap.

Reconstruction of the breast after super-radical mastectomy is difficult because not only a breast mound but also the subclavicular and anterior axillary regions must be reconstructed simultaneously. If a defect is extremely large a single flap cannot fulfil these two purposes. For this goal we use two flaps, an ipsilateral pedicled latissimus dorsi musculocutaneous flap and a free TRAM flap pedicled on the inferior epigastric vessels. A latissimus dorsi flap along with a silicone gel prosthesis is used to reconstruct a breast mound and the free TRAM flap is transferred to augment the subclavicular and anterior axillary regions. We have used this technique successfully in three cases.

Adult↗
PubMed1988

Analysis of 200 free flaps.

Two hundred microvascular free flaps which were carried out over a period of 13 years 3 months have been analysed from various points of view. Overall survival rate was 94.8% and incidence of re-exploration was 6%. The conclusion obtained from this survey is very simple, namely, the most important factors for successful free flap transfer are a good anastomosis and a reliable flap monitoring system.

Humans↗
PubMed1988

Finger pulp reconstruction with a free sensory medial plantar flap.

This report describes the successful use of a free sensory medial plantar flap for the reconstruction of the volar skin of the index finger. Six months after the operation a corrective procedure was performed because the flap was bulky. A favourable result was obtained both functionally and aesthetically, with two-point discrimination of 4 mm, one year after reconstruction.

Adult↗
PubMed1987

Augmentation of circulation of pedicled transverse rectus abdominis musculocutaneous flaps by microvascular surgery.

The biggest problem of the TRAM flap for breast reconstruction is distal necrosis or fat lysis due to poor circulation. In order to utilise the entire TRAM flap tissue in extensive tissue defects, the contralateral rectus muscle is used as a pedicled carrier and the ipsilateral superficial or inferior epigastric vessels are anastomosed with appropriate recipient vessels in the axilla. This procedure has been performed in three cases with no necrosis, fat lysis or hardening of the flap tissue, proving adequate circulation in the flap.

Abdominal Muscles↗
PubMed1985

Reconstruction of cervical oesophagus with free double-folded intestinal graft.

Reconstruction of cervical oesophagus with free revascularised small intestine is a reliable and effective technique but a common complication is dysphagia. This paper presents a method of splitting the wall of the intestine longitudinally, folding it and suturing it to double the size of the lumen of the reconstructed conduit and to abolish effective peristalsis. The method has proved to be useful in three clinical cases.

Aged↗
PubMed1985

The treatment of leukoderma after burns by a combination of dermabrasion and "chip" skin grafting.

The treatment of leukoderma after burns can be difficult. The white patches are often extensive and the adjacent scar tissue itself may need excision and this further increases the size of the final defect. Moreover, when sheet skin grafts are used it is difficult to produce an inconspicuous border between skin graft and surrounding normal skin. We have developed a new technique to treat depigmentation following burns with minimal donor site morbidity and encouraging results.

Adolescent↗