Biomedical subjects
Publications and source records attributed to K Matsuka.
We treated tattoos with a new method in which the epidermis of the tattooed skin was replaced after removing the dermis, which contained tattoo pigments. The separation of the epidermis from the dermis was performed enzymatically with the use of dispase. The time required for healing of the wound was markedly shortened.
The ulnar arterial circulation to bilateral hands of 683 men and 787 women was assessed with the Allen radial artery compression test. Of the 2,940 arms, the Allen test showed abnormalities in 105 (3.6%). The incidence of abnormality generally increased with age: 2.2% in the first decade and 6.9% after the ninth decade. It is very likely that circulatory failure in the hand develops after several decades among those whose radial artery was removed in their youth. When the radial artery is removed in the young, attention should therefore be paid to future consequences.
We performed neurovascularized free rectus abdominis muscle transplantations in two patients with chronic facial palsy. In one patient, the postoperative course was uneventful, but the patient died from rupture of esophageal varices. In the other patient, both morphologic and functional results were satisfactory. Therefore, the rectus abdominis muscle is considered to be a suitable donor for muscle transplantation for the treatment of chronic facial palsy. The rectus abdominis muscle is advantageous in that (1) simultaneous operations by two teams are possible with the patient in the supine position, (2) it is supplied by long nerves and long and large vessels, (3) it is flat and consists of segments with appropriate lengths, (4) the force and distance of contraction are appropriate, and (5) the tendinous intersections are suitable for anchoring sutures.
The perichondrium adhering to mature cartilage is not active, but that separated from cartilage is highly chondrogenic. Cartilage formation from isolated perichondrium does not last forever, and perichondrium soon becomes inactive. What activates or inactivates the perichondrium. The authors investigated the effect of mature cartilage on the cartilage formation from perichondrial graft material. The results showed that mature cartilage attached to the perichondrium inhibited neochondrogenesis. The phenomenon that cartilage--a product of chondrogenesis--inhibits neochondrogenesis of perichondrium can be called negative feedback.
We attempted auricular reconstruction using Radovan-type inflatable silicone expanders in six children and one adult, with the complete hypoplastic, the conchal remnant, and constricted type of microtia. Ear frameworks, including the helix, anthelix, concha, and tragus, were prepared using autologous rib cartilage. Based on the surface area of the normal adult auricle, the silicone expander was tentatively shaped and sized into a rotated semiellipse and expanded with 70 cc saline. Auricular reconstruction on the framework was completed at the time of insertion in four of the seven patients, requiring no elevation of the ear. The reconstructed auricle was satisfactory in both color and texture and had nearly normal sensation. Mild complications were noted in three of the seven patients. However, no resorption of the inserted rib cartilage has been observed 14 months to 2 years and 5 months after the operation. Slight shrinkage of the expanded skin was noted in each patient.
We performed transplantations of cranial bone and scalp using the supratrochlear vessels as a pedicle. We confirmed that these vessels could be used for moving the tissues between the eyebrow and the coronal suture.
Autologous perichondrial grafts from rabbits' ears in diffusion chambers resulted in the formation of cartilage. This clearly revealed that neither blood clots nor the ingrowth of capillaries is essential for perichondrial neochondrogenesis.
The authors investigated histologically the process of neocartilage formation in vascularized transplantation of rabbit ear perichondrium. The chondrocytes made their first appearance 4 days after transplantation, and the appositional growth of neocartilage lasted for about 3 weeks, although maximum growth occurred in the first 9 days after transplantation. The neoperichondrium of neocartilage was not observed until its gradual appearance at the end of this period of remarkable appositional growth. The time required for the neocartilage to become mature varied, and some cartilage was still not mature at 6 months after transplantation.
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