Publications by authors named "Yuhei Yamamoto"

Introduction: The pathophysiology of burn wound conversion is not fully understood. Animal models are needed to elucidate the underlying mechanisms and develop treatments. Here, we established a new reproducible mouse model that simulates this process, thereby facilitating studies of burn wound conversion.

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Esophagojejunal anastomotic fistula is difficult to treat because of continuous salivary flow. This report describes the innovative use of a negative pressure wound therapy device with a slit drain to treat an esophagojejunal anastomotic fistula after free jejunal transfer. Insertion of a slit drain was very effective for management of saliva.

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It is believed that oncolytic viruses (OVs) exert both direct anti-tumor effects by intratumoral injection as well as indirect anti-tumor effects by activating systemic immunity. In phase III clinical trials, OV and anti-programmed cell death-1 (aPD-1) antibody combination therapy showed no significant differences in overall survival and progression-free survival in patients with unresectable advanced melanoma. In the study, OVs can exert only indirect anti-tumor effects in non-injected, systemic lesions.

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Background: Conditioned medium from amnion-derived mesenchymal stem cells (AMSCs) enhances wound healing, a process that is further improved under hypoxic culture conditions. Diabetic foot ulcers are difficult to treat and are frequently complicated by a high rate of bacterial infections, mainly Staphylococcus aureus, which can lead to limb amputation and death. Here, we topically applied conditioned medium from AMSCs cultured under hypoxic conditions to S.

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Background: Reconstruction of the oral modiolus should be considered for facial defects involving the lip and cheek. We have performed free flap reconstruction using a novel technique that includes a vertical and a horizontal sling for full-thickness defects involving the oral commissure.

Patients And Methods: We used a free radial forearm flap and the palmaris longus tendon to correct lip and cheek defects in 6 patients (3 men, 3 women; age, 55-84 years).

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Background: The timing of intervention to treat lymphedema differs among facilities. Understanding differences in the prevalence and severity of lymphedema following different surgical procedures for lymphadenectomy could promote early intervention to treat lymphedema. There is currently little evidence to support the notion that inguino-pelvic lymphadenectomy is associated with greater morbidity than inguinal lymphadenectomy, although it is believed that the difference in the extent of surgery results in a difference in the severity of lymphedema.

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Article Synopsis
  • The study investigates a new surgical technique aimed at improving the cosmetic appearance of the fifth toe in children with postaxial polysyndactyly, focusing on reducing lateroplantar rotation.
  • Eleven feet from ten patients were analyzed, and the results showed significant improvement in the alignment of the fifth toe post-surgery compared to normal child feet.
  • The procedure successfully minimized excessive rotation, with all patients demonstrating improved alignment of the new fifth toe after an average follow-up of nearly 4 years.
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  • Treatment of oropharyngolaryngeal venous malformations (VMs) can be difficult, and this study assessed the safety and effectiveness of a specific treatment called transoral sclerotherapy guided by fluoroscopy and endoscopy in a specialized operating room.
  • Fourteen patients, with a median age of 26, were involved in the study, showing symptoms like breathing difficulties and sleep apnea, with varying degrees of complication requiring tracheostomies.
  • The results indicated that the treatment could be effective, with a majority of patients experiencing good outcomes, though one patient faced a bleeding complication post-treatment that required urgent intervention.
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Background: This study aimed to clarify the relationship between primary site and lymphatic drainage pattern for malignant skin tumors in the head and neck region. Malignant melanoma and squamous cell carcinoma in the head and neck region are known to have poor prognosis because of lymph node metastasis. Nevertheless, numerous aspects of lymphatic drainage patterns remain elusive.

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  • A case of a spontaneous cervical chyle leak resulted in swelling on the left side of the neck, which is a very rare condition.
  • Lymphangiography, a medical imaging technique using lipiodol, is effective for both diagnosing and treating these types of chyle leaks.
  • The findings highlight the importance of targeted imaging in identifying and managing unusual lymphatic issues like chyle leaks.
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Introduction: Microtia reconstruction with autologous costal cartilage framework grafting is challenging because the three-dimensional structure of the ear is highly complex, and meeting the high aesthetic demands of patients can be difficult. If the skin flap overlying the framework is thinned to achieve a smooth and accentuated outline, a poor blood supply in the thin skin flap may lead to skin necrosis, exposure of the framework, and poor surgical results. Hyperbaric oxygen (HBO2) therapy can promote the healing of complex wounds and flaps.

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We present a case of partially involuting congenital hemangioma (PICH) that showed rapid growth with ulceration after incisional biopsy. PICH does not typically grow after birth. However, if growth occurs due to stimuli like biopsy, it is essential to consider the possibility of pyogenic granuloma complication.

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Background: Klippel-Trenaunay syndrome (KTS) is a rare slow-flow combined vascular malformation with limb hypertrophy. KTS is thought to lie on the PIK3CA-related overgrowth spectrum, but reports are limited. PIK3CA encodes p110α, a catalytic subunit of phosphatidylinositol 3-kinase (PI3K) that plays an essential role in the PI3K/AKT/mammalian target of rapamycin (mTOR) signaling pathway.

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  • * Results indicated a 100% detection rate for arterial thrombosis during surgery when continuous color signals were lost, and after surgery, the presence of wiggling movement showed 100% positive predictive value for flap viability.
  • * The findings suggest that color Doppler ultrasonography is a reliable, noninvasive method for monitoring flap viability, allowing for timely intervention in cases of flap failure.
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Background: For the development of new therapeutic and reconstructive methods for facial nerve palsy, it is critical to validate them in animal models. This study developed a novel evaluation method using a high-speed camera and motion analysis software for rat facial paralysis models. The validity of the new method was verified using normal rats and rats with facial paralysis.

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Lymphedema is an intractable disease with no curative treatment available. Conservative treatment is the mainstay, and new drug treatment options are strongly needed. The purpose of this study was to investigate the effect of roxadustat, a prolyl-4-hydroxylase inhibitor, on lymphangiogenesis and its therapeutic effect on lymphedema in a radiation-free mouse hindlimb lymphedema model.

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In this study, we investigated thrombocytopenia caused by cholesterol-conjugated antisense oligonucleotides (Chol-ASO). First, we evaluated platelet activation induced by Chol-ASO in mice by flow cytometry after administration of platelet-rich plasma (PRP). An increase in the number of large particle-size events with platelet activation was detected in the Chol-ASO-treated group.

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Atmospheric deposition of anthropogenic aerosols, which is concerned about several targets of SDGs, was investigated in Japan. Concentrations of trace metal elements (V, Ni, Cd, and Pb), which are index of source for fossil fuel combustion, in winter wet deposition (fresh snow) in mountain area were determined. Average concentrations of snow samples were 0.

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The recommended treatment strategy for stage 3 bisphosphonate-related osteonecrosis of the jaw (BRONJ) is currently rigid plate fixation without bone reconstruction. However, a recent systematic review indicated the utility of microsurgical reconstruction after resection of BRONJ. Several types of flaps have been described but their applications are controversial.

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Background: Recent reports have indicated that vascularized lymph node transfer (VLNT) may improve the impaired immunity in lymphedema but there has been no report concerning anti-cancer immunity. In the early tumor immune response, dendritic cells (DCs) participate in tumor recognition and antigen presentation in local lymphatics. Here, we investigated the impact of VLNT on DC dynamics against cancer in mouse models.

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Purpose: Severe lymphedema is difficult to treat because of the associated extensive scar formation. Therefore, preventing scar formation might alleviate the severity of lymphedema following lymphadenectomy. In this study, we evaluated the usefulness of flap transfer, performed immediately after lymphadenectomy, for preventing scar formation.

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Objective: This study evaluated the effectiveness and safety of percutaneous sclerotherapy for maxillofacial venous malformations.

Study Design: Patients who had venous malformations involving the masticatory muscles and who underwent sclerotherapy were enrolled in this retrospective study.

Results: Twenty-four patients (13 female, 11 male; mean age 21 years) were analyzed.

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Article Synopsis
  • Streptococcal toxic shock syndrome (STSS) is a severe condition characterized by shock, multiorgan failure, a rash, and fast-spreading soft tissue infections.
  • A 2-year-old girl with a neck venous malformation developed an infection that escalated to STSS.
  • Emergency physicians need to recognize the risk of STSS in children with venous malformations, as Group A streptococcal infections can start mild but become life-threatening if not treated quickly.
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  • Oral-facial-digital syndromes (OFDSs) are a diverse group of developmental disorders that lead to facial, oral, and limb malformations, with type II being an autosomal recessive condition.
  • In this case, a 5-year-old girl with OFDS type II had an incomplete median cleft lip, along with other medical issues, and previous surgeries.
  • The novel surgical method described focused on repairing the median cleft lip to create a better-defined Cupid's bow and adequate lip fullness, resulting in a successful outcome.
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Background: Mesenchymal stem cells or their conditioned medium improve chronic wound healing, and their effect is enhanced by hypoxia. Diabetic foot ulcers are chronic wounds characterized by abnormal and delayed healing, which frequently require amputation. The authors evaluated the effect of topical application of conditioned medium from hypoxically cultured amnion-derived mesenchymal stem cells on wound healing in diabetic mice.

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