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Biomedical subjects

Tetsuji Yabe

Publications and source records attributed to Tetsuji Yabe.

4 recordsLinked to original sources

A splint for pincer nail surgery: a convenient splinting device made of an aspiration tube.

BACKGROUND: To treat pincer nail, both conservative therapy and surgical therapy have been reported. However, there is no consensus about the best method of treatment. OBJECTIVE: The use of a splint prepared from an aspiration tube after pincer nail surgery is introduced. METHODS: Pincer nail was treated by surgery with splinting in seven patients (nine toes). RESULTS: Nine toes from seven patients were evaluated. The postoperative follow-up period ranged from 6 to 37 months (mean 17.7 months). An excellent result was obtained in eight toes, but ingrowth of the nail occurred in one toe. The cosmetic improvement was marked and satisfactory. CONCLUSION: This splint is cheap and easy to make, can prevent contracture of the nail matrix and nail bed, can reduce pain, and allows direct observation of the nail bed because it is transparent. Thus, this technique seems to be convenient and useful.

Adult↗

Treatment of saddle type nasal fracture using Kirschner wire fixation of nasal septum.

For nasal fracture presenting saddle nose deformity, the nasal septum was fixed with the frontal process of the maxillary bone by Kirschner wire. Good results were confirmed with computed tomography, and there was no secondary deformity. This method is easy and provided a firm support for nasal septum. By burying Kirschner wire under the skin, it can be left intact for sufficient time, without disruption of daily life.

Accidents, Traffic↗

Pre- and postoperative x-ray and computed tomography evaluation in acute nasal fracture.

Between January 1997 and July 2003, 156 acute nasal fractures were treated by closed reduction in Ishikiri-Seiki Hospital. For all patients, x-ray and computed tomography (CT) taken pre- and postoperatively were used to classify fractures and evaluate postoperative conditions. Acute nasal fractures requiring surgery were classified into the following 5 types. Unilateral type (U), bilateral type (B), frontal type (F), laterofrontal type (L), and comminuted type (C). Postoperative conditions were classified as good, fair, or poor. On statistical analysis, it was found that reduction is easier in the U, F, B, L, and C types in order. Furthermore, it was found that in the U, B, and F types, reduction can be performed after swelling has subsided, but in the L and L+C types, reduction should be performed earlier. On follow-up x-ray and CT, there was no significant difference between the postoperative evaluation and follow-up evaluation. A few overreduced cases improved, but correct reduction was preferable to overreduction. Accurate preoperative understanding of the fracture type and postoperative evaluation by x-ray and CT are necessary to obtain good results and to decrease secondary deformity caused by poor primary reduction.

Acute Disease↗

Double opposing V-Y hinge flap.

A relatively large earlobe hole was closed with triangular flaps on both sides using a V-Y plasty. The design and elevation of this flap are simple and easy. This flap can close relatively large earlobe holes, preventing earlobe deformity.

Adolescent↗