The Tokai journal of experimental and clinical medicine
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Tokai J. Exp. Clin. Med. · Sep 2008
Statistical analysis of post-operative complications after head and neck surgery.
The risk factors for wound complications after surgery for head and neck cancers at Tokai University Hospital were evaluated. The medical records of 71 head and neck cancer patients who underwent surgery between January 2000 and December 2002 were reviewed. The overall incidence of postoperative complications was 39.4%. ⋯ Further, we analyzed the relationship between radiotherapy and postoperative complications. There was no significant correlation between them. The prevention and treatment of postoperative complications were discussed.
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Tokai J. Exp. Clin. Med. · Dec 2007
Treatment with internal pneumatic stabilization for anterior flail chest.
Advantages and disadvantages have been reported for both internal pneumatic stabilization and surgical stabilization as treatments for anterior flail chest. We retrospectively investigated therapeutic outcomes and problems associated with pneumatic stabilization for anterior flail chest patients. ⋯ Anterior flail chest unaccompanied by sternal fracture can be relieved by pneumatic stabilization alone. We hope to combine pneumatic stabilization with simple surgical stabilization in anterior flail chest patients to shorten the mechanical ventilation period.
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Tokai J. Exp. Clin. Med. · Jul 2007
Case ReportsUtility of virtual bronchoscopy in congenital tracheomalacia.
Utility of virtual bronchoscopy was evaluated in a case of congenital tracheomalacia by comparing virtual bronchoscopic images with those of fiberoptic bronchoscopy. Results indicate that virtual bronchoscopy is useful in diagnosing stationary lesions. However, its diagnostic value is inferior to that of fiberoptic bronchoscopy for mobile lesions, in that virtual bronchoscopy does not permit dynamic images. We recommend that the institutions, where fiberoptic bronchoscopy is available, should perform virtual bronchoscopy in parallel to explore its utility.
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Tokai J. Exp. Clin. Med. · Mar 2007
Case ReportsBilateral brachial plexus palsies due to malpositioning after burn injury.
We reported a case of a 62-year-old man who sustained bilateral brachial plexus palsies resulting from malpositioning while being restrained due to agitation after burn injury. According to the clinical and EMG findings, we selected conservative treatment with rehabilitative intervention. ⋯ To prevent brachial plexus injury in the supine position, the arms should be abducted and flexed to less than 90°. Clinicians should be vigilant regarding positioning when patients must be restrained.
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Tokai J. Exp. Clin. Med. · Dec 2006
Esophagogastrostomy before proximal gastrectomy in patients with early gastric cancers in the upper third of the stomach.
This study was designed to assess the outcome of esophagogastrostomy before proximal gastrectomy in patients with early gastric cancers in the upper third of the stomach. ⋯ Esophagogastrostomy before proximal gastrectomy may be less invasive, simpler, and produce better outcomes than conventional procedures for the surgical treatment of early gastric cancer in the upper third of the stomach.