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Tozawa A, Mori H, Ao M, Abe Y, Sedo H, Uemura T, Tezuka K, Komagoe S, Uemura Y, Murakami T, Nakaoka H, Fujisawa Y. Reconstruction methods for and cosmetic evaluation of external nasal tumour resections: flap versus graft. Eur J Dermatol 2023; 33:524-529. [PMID: 38297929 DOI: 10.1684/ejd.2023.4561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2024]
Abstract
Nose reconstruction is challenging given the three-dimensional structure and free edge, and various methods have been reported. In general, local flaps provide cosmetic outcomes that are better than those following skin grafts, but there are no published comparative studies on Asians. To determine whether local flaps or skin grafts may optimally be used to reconstruct external nasal defects among Asians. We retrospectively collected data on patients who underwent external nasal tumour resection and reconstruction by 14 plastic surgeons in eight Japanese institutes from 2009 to 2021. The cosmetic results were scored by 14 surgeons using anonymized preoperative and six-month postoperative photographs. Scores for each reconstruction method were statistically evaluated. In total, 86 cases were enrolled; 57 received local flaps and 29 received skin grafts. Most local flaps showed better outcomes compared to skin grafts, but this was not the case for nasolabial and forehead flaps. Notably, local flaps placed in the nasal ala tended to be less successful than flaps placed elsewhere; only the bilobed flap scored better than skin grafts. The defect site did not affect the results of skin grafts. For Asians requiring nasal reconstruction, local flaps provide better cosmetic outcomes than skin grafts, except for those in the nasal ala. Skin grafts may be a good alternative when the bilobed flap is unavailable for the nasal ala.
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Affiliation(s)
- Asami Tozawa
- Division of Plastic and Reconstructive Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon City, Ehime, 791-0295, Japan
| | - Hideki Mori
- Division of Plastic and Reconstructive Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon City, Ehime, 791-0295, Japan
| | - Masakazu Ao
- National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-chou, Iwakuni City, Yamaguchi, 740-8510, Japan
| | - Yoshiro Abe
- Department of Plastic and Reconstructive Surgery, Tokushima University Hospital, 2-50-1 Kuramoto-chou, Tokushima City, Tokushima, 770-8503, Japan
| | - Hiromichi Sedo
- Tokushima Prefectural Central Hospital, 1-10-3 Kuramoto-chou, Tokushima City, Tokushima, 770-8539, Japan
| | - Takahiro Uemura
- National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyama-chou, Kure City, Hiroshima 737-0023, Japan
| | - Kei Tezuka
- Eirikai Foundation Matsuyama Shiminn Hospital, 6-5, Otemachi 2-chome, Matsuyama, Ehime 790-0067, Japan
| | - Sho Komagoe
- Okayama University Hospital, 2-5-15, Shikata-chou, Kita-ku, Okayama City, Okayama 700-8558, Japan
| | - Yumiko Uemura
- Eirikai Foundation Matsuyama Shiminn Hospital, 6-5, Otemachi 2-chome, Matsuyama, Ehime 790-0067, Japan
| | - Tatsuro Murakami
- Uwajima Hospital, 1-1 Goten-cho, Uwajima City, Ehime, 798-8510, Japan
| | - Hiroki Nakaoka
- Division of Plastic and Reconstructive Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon City, Ehime, 791-0295, Japan
| | - Yasuhiro Fujisawa
- Department of dermatology, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon City, Ehime, 791-0295, Japan
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Sato T, Sugishita Y, Suzuki Y, Kashiwagi M, Furuyama S, Nishimura S, Uekawa A, Koizumi T, Awaji M, Sawa T, Tozawa A, Komatsu V, Suzuki N. Correction to: Radiofrequency identification tag system improves the efficiency of closed vitrification for cryopreservation and thawing of bovine ovarian tissues. J Assist Reprod Genet 2020; 38:543. [PMID: 33377999 DOI: 10.1007/s10815-020-02039-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- T Sato
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - Yodo Sugishita
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan.,Department of Frontier Medicine Institute of Medical Science, St. Marianna University, School of Medicine, Kawasaki City, Kanagawa, 216-8511, Japan
| | - Y Suzuki
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - M Kashiwagi
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - S Furuyama
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - S Nishimura
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - A Uekawa
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - T Koizumi
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - M Awaji
- Its Corporation, Kawasaki City, Kanagawa, 211-0041, Japan
| | - T Sawa
- KRD Corporation, City, Yamato, Kanagawa, 242-0007, Japan
| | - A Tozawa
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - V Komatsu
- KRD Corporation, City, Yamato, Kanagawa, 242-0007, Japan
| | - Nao Suzuki
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan.
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Sato T, Sugishita Y, Suzuki Y, Kashiwagi M, Furuyama S, Nishimura S, Uekawa A, Koizumi T, Awaji M, Sawa T, Tozawa A, Komatsu V, Suzuki N. Radiofrequency identification tag system improves the efficiency of closed vitrification for cryopreservation and thawing of bovine ovarian tissues. J Assist Reprod Genet 2019; 36:2251-2257. [PMID: 31691057 DOI: 10.1007/s10815-019-01599-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 09/26/2019] [Indexed: 11/28/2022] Open
Abstract
PURPOSE A radiofrequency identification (RFID) tag system was designed to streamline cryopreservation and thawing procedures. This study evaluated the usefulness of the RFID tag system for improving the efficiency of cryopreserving/thawing bovine ovarian tissue by the closed vitrification protocol. METHODS Six participants carried out closed vitrification and thawing of bovine ovarian tissues procedures using either the conventional or the new RFID tag method, and the time required to perform each step of the respective methods was measured. After normality of data was confirmed by the Shapiro-Wilk test, the significance of differences was assessed by the unpaired t test. RESULTS When closed vitrification was performed, the time required for each step showed a significant difference between the two methods (t(4) = 2.938, p = 0.042, d = 2.40), and the total cryopreservation time was 11 min shorter using the RFID tag system. When thawing was performed, the time required for each step also showed a significant difference between the two methods (t(4) = 2.797, p = 0.049, d = 2.28), and the total thawing time was 2 min shorter using the RFID tag system. CONCLUSION The RFID tag system tested in this study seems to be suitable for managing biological samples stored in liquid nitrogen. Adoption of an RFID tag system by fertility centers may not only improve the efficiency of cryopreserving/thawing reproductive tissues but could also reduce human error.
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Affiliation(s)
- T Sato
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - Yodo Sugishita
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan.,Department of Frontier Medicine Institute of Medical Science, St. Marianna University, School of Medicine, Kawasaki City, Kanagawa, 216-8511, Japan
| | - Y Suzuki
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - M Kashiwagi
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - S Furuyama
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - S Nishimura
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - A Uekawa
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - T Koizumi
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - M Awaji
- Its Corporation, Kawasaki City, Kanagawa, 211-0041, Japan
| | - T Sawa
- KRD Corporation, City, Yamato, Kanagawa, 242-0007, Japan
| | - A Tozawa
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan
| | - V Komatsu
- KRD Corporation, City, Yamato, Kanagawa, 242-0007, Japan
| | - Nao Suzuki
- Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan.
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Nishio S, Matsuo K, Shibata T, Yamaguchi S, Kanao H, Takehara K, Kado N, Tozawa A, Tokunaga H, Matsunaga T, Kato H, Horie K, Kikuchi A, Enomoto T, Mikami M. Changes in clinico-pathological characteristics of vulvar cancer in Japan: Increasing oldest-old, stage-shifting, and decreasing cohort-level survival. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz250.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nagai Y, Takekuma M, Kitagawa R, Kobayashi E, Tozawa A, Nagao S, Nishio S, Toita T, Mikami M, Sugiyama T. Concurrent chemoradiotherapy for adenocarcinoma of the uterine cervix: Japanese Gynecologic Oncology Group (JGOG) multicenter retrospective study. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Nishio S, Shibata T, Yamaguchi S, Kanao H, Kojima A, Takekuma M, Tozawa A, Tokunaga H, Miyagi E, Kato H, Kurihara K, Yanase T, Ushijima K, Mikami M, Sugiyama T. Investigation of the clinicopathological features of vulva cancer: a retrospective survey of the JGOG Net Work study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx372.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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