The Keio Journal of Medicine
Online ISSN : 1880-1293
Print ISSN : 0022-9717
ISSN-L : 0022-9717
Volume 27, Issue 2
Displaying 1-5 of 5 articles from this issue
  • YU MARUYAMA, TOYOMI FUJINO, FUMIYA AOYAGI, DAISUKE OZU
    1978 Volume 27 Issue 2 Pages 47-52
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    The reconstruction of defects in the oral cavity after a large resection of intraoral cancer is relatively difficult because of its specific anatomical character and the exposure to infection from the oral bacterial flora.
    A forehead flap, or a deltopectoral flap, and a recently developped free flap with microvascular anastmosis has been the chosen method for the reconstruction of defects in the oral cavity.
    In this paper we present a case in which a newly developped pectoralis major myocutaneous island flap was used for one stage reconstruction of the oral defect. A case study and surgical procedure are described herein.
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  • YU MARUYAMA, SADAO TAJIMA
    1978 Volume 27 Issue 2 Pages 53-57
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    A free gluteus maximus compound flap transfer to the chest was firstly reported by Fujino.1 The gluteus maximum muscle flap2, 3, 4, 5 and recently developped musculocutaneous flaps have been the chosen method of coverage of sacral pressure sores.
    In this report, we present the gluteus maximus island flap successfully used in the reconstruction of sacral radiation ulcers.
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  • YU MARUYAMA, HIDEO NAKAJIMA, SADAO TAJIMA, TOYOMI FUJINO
    1978 Volume 27 Issue 2 Pages 59-61
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    Surgical procedures performed on tissues which have been radiated present great challenges because of problems such as poor wound healing, infection, exposure of important structures and potient's general exhaustion. The general principles of surgical therapy are to remove damaged tissue to the level of good minute blood supply, and to provide suitable coverage.
    The myocutaneous flap supported by a single muscle and neurovascular pedicle is an axial pattern flap and thought to be one of the best coverages of the defect.
    We present a case in which gracilis myocutaneous flaps were used in the repair of a perineal radiation ulcer.
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  • YU MARUYAMA, YASUYUKI HAMANO
    1978 Volume 27 Issue 2 Pages 63-67
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    In large or recurrent trochanteric pressure sores with prominent bony involvement, absence of surrounding skin and subcutaneous tissue and with undurable, atrophic scars, excision of the greater trochanter and soft issue with the bursa creates large defects.
    Ideally, the coverage of defects in this area should include the use of a flap of much involuted tissue, and blood supply should be autonomous and axial for reliability and healing potential.
    In addition in these patients, one stage reconstruction is optimal, particularly if the donor defect can be closed primarily.
    We used the sartorius musculocutaneous flap in the repair of trochanteric pressure sores in one stage without the resection of the bony prominence and gained good results.
    Here in this paper we present the applied anatomy, the operative technique, and a typical case study.
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  • A review of the nation-wide surveys on prevalence of pulmonary symptoms using standard questionnaire
    TOSHIO TOYAMA, JUN KAGAWA
    1978 Volume 27 Issue 2 Pages 69-87
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    This paper reviewed prevalence rates of various pulmonary symptoms among 22, 560 general population in 21 survey areas throughout Japan, 19651973, interviewed by health professions using standard questionnaire of Japanese version of British Medical Research Council for chronic bronchits. Prime symptoms, persistent cough and phlegm were fairly low rates as compared to England and the U.S. studies. Their wide ranged rates may imply the prevalence of pumonary symptoms in Japan is not static, and cigarette smoking and rapid industrialization may be possible factors to altering the morbidity to comparable level of the Western countries in future. Sputum examination and pulmonary function tests were also discussed.
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