Accordion flap.
The accordion flap is proposed as a means of covering a rhombic defect. A prominent feature of the method presented is in the preparation of a flap on one side of the skin defect, resulting in little dog ear.
Adult↗
Biomedical subjects
T Takato
Publications and source records attributed to T Takato.
Reconstruction of the oral commissure.
A technical refinement for oral commissure reconstruction is presented. The oral commissure has an important role in oral sphincteric function. We use a combination of local skin flaps for soft tissue reconstruction and a pedicled tongue flap for intraoral lining, with satisfactory results. A case involving a large mucosal ulcer around the oral commissure, in which the excisional defect was repaired by this method, is presented.
Female↗
Primary osteoma cutis of the back.
A case of primary osteoma cutis on the back is reported. This case showed an unusual form of calcification on soft x-ray. Histologic examination disclosed mature bone in the subcutis. There was no history or evidence of any skin disease prior to the development of the osteoma. The literature is reviewed and discussed.
Back↗
Flexible rhombic flap.
A flexible rhombic flap which can be designed in accordance with the degree of tension of skin bordering a part of the defect has been described. This procedure provides sufficient coverage of a skin defect with very little dog-ear.
Adult↗
Vascularized periosteal grafts: an experimental study using two different forms of tibial periosteum in rabbits.
Three groups of rabbits were studied to investigate the osteogenic capacity of vascularized periosteum. It was found that such tissue, especially in the form of musculoperiosteal flaps, produced a significant amount of bone. It is concluded that vascularized periosteal flaps have an excellent osteogenic capacity even though they are not subjected to weight or stress.
Animals↗
False median cleft.
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Abnormalities, Multiple↗
Otopalatodigital syndrome.
A young man with deafness, a characteristic face, and deformities of the hands and feet was diagnosed as having the otopalatodigital syndrome. The literature is reviewed and discussed.
Abnormalities, Multiple↗
Teratoid tumor in the oral cavity.
A case of teratoid tumor of the oral cavity in the newborn is presented. It consisted of fibrous tissue, bone, and tooth buds, and was successfully managed by surgical resection.
Female↗
Hamartoma of the tongue: two case reports.
Hamartoma designates an excessive focal overgrowth of mature normal cells and tissues in an organ or tissue composed of identical cellular elements. Two cases of hamartoma at the back of the tongue are reported. Histologically they comprised fibrous tissue, fat, salivary gland lobules, and smooth muscle. The literature is reviewed and discussed.
Child↗
Pharyngoesophageal reconstruction using a fabricated forearm free flap.
A new microsurgical alternative in reconstruction of the pharynx and cervical esophagus is reported. A trapezoidal forearm flap is fabricated into an inverted skin tube and placed in the pharyngoesophageal defect. Although microvascular anastomoses are required to revascularize the transferred forearm flap, the long and large nutrient vessels of the flap make anastomoses easy and reliable. None of our 12 patients demonstrated any necrosis of the transferred flap. This one-stage, less invasive operation for pharyngoesophageal reconstruction greatly benefits older persons, who are the more likely to be involved with pharyngoesophageal carcinomas.
Aged↗
Repair of stenosed tracheostoma.
A technique to repair the stenosed tracheostoma following total laryngectomy is described along with a brief discussion of some of the factors causing tracheostomal stenosis. Technical details are presented, and the importance of an interruption of the line of circular scar contracture is emphasized.
Female↗
[The recent progress in reconstruction of defects of the tongue--a clinical review for the past 22 years].
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Adult↗
Benign mesenchymoma of the sole.
Benign mesenchymoma is a mixed tumor that has at least two mesenchymal components in addition to fibrous tissue. A case of benign mesenchymoma of the sole in a 7-year-old boy is presented. The literature is reviewed and discussed.
Child↗
Lymphangioma of the parotid gland.
Parotid gland tumors in infancy and childhood are rarely seen and infrequently documented. Among them, hemangioendothelioma and mixed tumors are the most common. Parotid lymphangioma is very rare. This report presents a case of parotid lymphangioma and discusses the clinical, gross, and histological features, differential diagnosis, and treatment.
Child, Preschool↗
[Training of esophageal speech].
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Adult↗
Delayed thoracic closure after cardiac surgery in infants.
We report 4 cases of delayed thoracic closure after cardiac surgery in infants: 3 cases with transposition of the great arteries and one with hypoplastic left heart syndrome. Sternal and skin closure in the primary operation sometimes causes haemodynamic cardiac compression. Postoperative correction of haemodynamic and haemostatic functions are allowed by delayed sternal and skin closure. No complications were encountered.
Heart Defects, Congenital↗
Prefabrication of skin flaps using vein grafts: an experimental study in rabbits.
Prefabrication provides a new method for creating donor sites which are not limited by natural vascular territories. There are several methods for prefabrication, and these include implantation of greater omentum, blood vessels or muscle flaps. Based on the concept that an arterio-venous (A-V) shunt results in sufficient neovascularisation to support a free flap, we used a rabbit model to investigate the characteristics of these flaps. Prefabrication of an abdominal wall donor site was performed using the left epigastric vein in 20 male New Zealand white rabbits. An 8 x 10 cm skin flap was elevated 10 days after prefabrication, either as an island or a free flap. Survival of the skin flaps exceeded 93% and was independent of position of the vascular pedicle, direction of blood flow, or nature of the flap (island or free flap). Angiograms showed a very rich neovascularisation within the prefabricated flap.
Animals↗