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Yajima Y, Oshima M, Iwai T, Kitajima H, Omura S, Tohnai I. Computational fluid dynamics study of the pharyngeal airway space before and after mandibular setback surgery in patients with mandibular prognathism. Int J Oral Maxillofac Surg 2017; 46:839-844. [PMID: 28412180 DOI: 10.1016/j.ijom.2017.03.028] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Revised: 01/21/2017] [Accepted: 03/21/2017] [Indexed: 10/19/2022]
Abstract
The purpose of this study was to investigate the relationship between the pressure drop in the pharyngeal airway space (ΔPPAS) and the minimum cross-sectional area (minCSA) of the pharyngeal airway before and after mandibular setback surgery using computational fluid dynamics, in order to prevent iatrogenic obstructive sleep apnoea. Eleven patients with mandibular prognathism underwent bilateral sagittal split osteotomy for mandibular setback. Three-dimensional models of the upper airway were reconstructed from preoperative and postoperative computed tomography images, and simulations were performed using computational fluid dynamics. ΔPPAS and the minCSA of the pharyngeal airway were calculated, and the relationship between them was evaluated by non-linear regression analysis. In all cases, the minCSA was found at the level of the velopharynx. After surgery, ΔPPAS increased significantly and the minCSA decreased significantly. The non-linear regression equation expressing the relationship between these variables was ΔPPAS=3.73×minCSA-2.06. When the minCSA was <1cm2, ΔPPAS increased greatly. The results of this study suggest that surgeons should consider bimaxillary orthognathic surgery rather than mandibular setback surgery to prevent the development of iatrogenic obstructive sleep apnoea when correcting a skeletal class III malocclusion.
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Aoki N, Endoh H, Baba J, Kosugi Y, Iida M, Iwai T, Tohnai I. Methotrexate-associated lymphoproliferative disorder considered as neck metastatic cancer: a case report. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Iwai T, Yajima Y, Honda K, Murata S, Omura S, Tohnai I. Computational fluid dynamic simulation of pharyngeal airway before and after mandibular setback surgery. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.1092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Iwai T, Kitajima H, Ohhara Y, Yajima Y, Mitsudo K, Tohnai I. Computational fluid dynamic simulation of intraarterial chemotherapy for tongue cancer. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Uchida J, Iwai T, Kuwabara N, Kabei K, Nishide S, Yamasaki T, Naganuma T, Kumada N, Takemoto Y, Nakatanti T. Clinical Experience of Late Conversion From Antimetabolites With Standard Exposure Calcineurin Inhibitors to Everolimus With Calcineurin Inhibitor Minimization in Stable Kidney Transplant Recipients With Good Renal Function. Transplant Proc 2017; 48:775-80. [PMID: 27234734 DOI: 10.1016/j.transproceed.2016.02.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 01/30/2016] [Accepted: 02/18/2016] [Indexed: 12/13/2022]
Abstract
INTRODUCTION This study describes our clinical experience of late conversion from antimetabolites with standard exposure calcineurin inhibitors (CNIs) to everolimus with CNI minimization in stable kidney transplant recipients with good graft function. PATIENTS AND METHODS A 1-year retrospective pilot study of 26 kidney recipients converted from antimetabolites with standard exposure CNIs to everolimus with CNI minimization was performed. The recipients enrolled in this study had normal or slightly impaired renal function defined as a serum creatinine value <2.0 mg/dL, and normal or slightly increased albuminuria defined as a urinary albumin excretion rate <100 mg/g creatinine. RESULTS The median time from transplant to conversion was 39.5 months posttransplant (range, 3-275). Treatment with everolimus was stopped owing to adverse events in 11 patients (42.3%). In the analysis of the patients in whom everolimus was maintained, the mean estimated glomerular filtration rate (eGFR) significantly increased from 50.7 ± 11.9 mL/min/1.73 m(2) at baseline to 53.6 ± 13.9 mL/min/1.73 m(2) at 1 year after conversion. In the patients in whom everolimus was stopped during the observation period, there was no difference in eGFR between baseline and 1 year after conversion. CONCLUSIONS This study demonstrated that, among the patients converted to everolimus at a late stage, there was no deterioration in renal function whether everolimus was maintained or stopped within 1 year after conversion.
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Iwai T, Harada Y, Maehara Y, Yonemitsu Y. Overcoming anti-VEGF therapy resistance through use of PMN-MDSC-derived PyNPase. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)32653-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Iwai T, Yamada T, Takahashi G, Matsumoto S, Koizumi M, Shinji S, Matsuda A, Yokoyama Y, Hara K, Takeda K, Nakayama M, Kitano S, Ohta K, Uchida E. Circulating cell-free DNA can predict relapse after resection of metastatic liver tumors from colorectal cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw363.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Yamada T, Takahashi G, Iwai T, Takeda K, Koizumi M, Shinji S, Yokoyama Y, Hara K, Hotta M, Matsuda A, Matsumoto S, Ohta K, Uchida E. Tracking emerging KRAS and BRAF mutations through ccfDNA in colorectal cancers treated with EGFR blockade. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.76] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Hirokawa M, Iwai T, Inoue Y, Sato S. Surgical Treatment of Popliteal Vein Entrapment Causing Symptoms. Phlebology 2016. [DOI: 10.1177/026835550201700305] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: To review series of cases in which surgery was used to treat popliteal vein entrapment (PVE). Methods: Between 1984 and 2001, 11 patients (all women; mean age 27.6 years; 14 limbs) underwent surgery for PVE causing calf ache, swelling, and tenderness of the popliteal fossa. Preoperative evidence of PVE included positive results on a passive dorsi-flexion test, compression of the popliteal vein on ascending venography, hypertrophied or aberrant muscle in the popliteal fossa on CT scanning and elevated below-knee venous pressure. The medial or third head of the gastrocnemius muscle was partly or totally resected under the guidance of intraoperative venous pressure measurement and venography. Results: No operative complications occurred. During 3-10 years of follow-up, 57% of limbs were symptom-free, 21% were improved and 21% were unchanged. Conclusion: Treatment of PVE by resection of muscle fibres under the guidance of objective intraoperative assessments was effective in most patients.
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Sako T, Yamaguchi A, Sato K, Goto A, Iwai T, Nayuki T, Nemoto K, Kayama T, Takeuchi T. Development of C⁶⁺ laser ion source and RFQ linac for carbon ion radiotherapy. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2016; 87:02C109. [PMID: 26932119 DOI: 10.1063/1.4935975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
A prototype C(6+) injector using a laser ion source has been developed for a compact synchrotron dedicated to carbon ion radiotherapy. The injector consists of a laser ion source and a 4-vane radio-frequency quadrupole (RFQ) linac. Ion beams are extracted from plasma and directly injected into the RFQ. A solenoid guides the low-energy beams into the RFQ. The RFQ is designed to accelerate high-intensity pulsed beams. A structure of monolithic vanes and cavities is adopted to reduce its power consumption. In beam acceleration tests, a solenoidal magnetic field set between the laser ion source and the RFQ helped increase both the peak currents before and after the RFQ by a factor of 4.
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Takahashi G, Yamada T, Kan H, Matsumoto S, Koizumi M, Shinji S, Matsuda A, Yokoyama Y, Iwai T, Masuda Y, Watanabe A, Uchida E. 153P Novel, highly sensitive molecular biomarkers for metastatic colorectal cancer. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv523.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Iwai T, Omura S, Honda K, Shibutani N, Fujita K, Yamashita Y, Takasu H, Murata S, Tohnai I. Mandible-first in bimaxillary orthognathic surgery: an accurate bimaxillary repositioning technique with straight locking miniplates. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Iida M, Mitsudo K, Koizumi T, Nakashima H, Iwai T, Oguri S, Hirota M, Kioi M, Tohnai I. Thermochemoradiotherapy using retrograde superselective intra-arterial infusion for advanced oral cancer with cervical lymph node metastases. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Koizumi T, Mistudo K, Mistudo M, Oguri S, Iwai T, Nakashima H, Hirota M, Kioi M, Tohnai I. Chemoradiotherapy using retrograde superselective intra-arterial infusion for advanced oral cancer-therapeutic effect for squamous cell carcinoma of buccal mucosa. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Takahashi G, Yamada T, Kan H, Matsumoto S, Koizumi M, Shinji S, Matsuda A, Yokoyama Y, Iwai T, Watanabe A, Nakayama M, Kitano S, Uchida E. 2028 Self-expandable colonic stent increases plasma level of circulating cell free DNA significantly in patients with obstructive colorectal cancer. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30951-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Furugaki K, Fukumura J, Iwai T, Yorozu K, Yanagisawa M, Moriya Y, Kurasawa M, Yamamoto K, Suda K, Mizuuchi H, Mitsudomi T, Harada N. 3046 Impact of bevacizumab in combination with erlotinib on EGFRmutatant non-small cell lung cancer xenograft models with T790M mutation or MET amplification. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31688-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Iwai T, Yamada T, Kan H, Matumoto S, Koizumi M, Shinji S, Matuda A, Yokoyama Y, Takahashi G, Watanabe A, Nakayama M, Shiro K, Uchida E. 434 Follow-up after resection of metastatic liver tumor from colorectal cancer using circulating cell-free DNA. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30268-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Iwai T, Terasaki H, Aoyama A, Izumi Y, Umeda M, Heima S, Inoue Y, Fujiwara M. Arterial and Venous Invasion after Intraluminal Injection of Oral Bacteria (P. gingivalis) in a Rat Model shows Buerger Disease Pathology. Eur J Vasc Endovasc Surg 2015. [DOI: 10.1016/j.ejvs.2015.03.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Nakamoto T, Hirota K, Iwai T, Shingu K. Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: a case report. Korean J Anesthesiol 2015; 68:193-5. [PMID: 25844141 PMCID: PMC4384410 DOI: 10.4097/kjae.2015.68.2.193] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2013] [Revised: 03/18/2014] [Accepted: 03/24/2014] [Indexed: 12/17/2022] Open
Abstract
Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. The myoclonus-like movement did not recur or cause any apparent neurological side effects.
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Yoshinaga T, Iwai T. Transition of breakup modes for a liquid jet in a static electric field. PROCEEDINGS OF THE ESTONIAN ACADEMY OF SCIENCES 2015. [DOI: 10.3176/proc.2015.3s.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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46
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Iida M, Mitsudo K, Ohara Y, Ohya T, Koizumi T, Nakashima H, Iwai T, Oguri S, Kioi M, Hirota M, Tohnai I. Clinical evaluation of thermochemoradiotherapy using retrograde superselective intra-arterial infusion for advanced oral cancer with cervical lymph node metastases. J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.joms.2014.06.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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47
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Yamada T, Kan H, Matsumoto S, Koizumi M, Matsuda A, Shinji S, Yokoyama Y, Yamagishi A, Iwai T, Kitano S, Nakayama M, Watanabe A, Uchida E. Liquid Biopsy Detection of Kras and Braf Mutations May Be Useful As a Prognostic or Predictive Marker. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu326.76] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Iwai T, Harada Y, Maehara Y, Yonemitsu Y. Capecitabine Recovers Anti-Angiogenic Effect of Bevacizumab in Bevacizumab Beyond Progression Through Inhibition of Myeloid-Derived Suppressor Cell Dynamics. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu333.60] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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49
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Yajima Y, Iwai T, Kitajima H, Ohara Y, Honda K, Shibutani N, Fujita K, Yamashita Y, Murata S, Omura S, Oshima M, Tohnai I. Evaluation of airway resistance and wall shear stress affected by mandibular setback surgery using computational fluid dynamics. J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.joms.2014.06.227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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50
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Kitano S, Nakayama M, Iwai T, Yamada T, Uchida E. An Ultrasensitive Molecular Diagnostic Method for Blood Biopsy in Personalized Treatment of Colorectal Cancer. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu346.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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