Plastic,Reconstructive and Aesthetic Surgery

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Research subject-1

“Postoperative neural plasticity and neurotization in the facial reanimation using lengthening temporalis myoplasty”

The lengthening temporalis myoplasty (Labbe 2000)is a new temporalis transfer technique for facial reanimation. The concept of this technique is to transfer the whole temporalis without turning over itself, which makes more natural direction of the cheek/oral commissure movements. Since temporalis is innervated by trigeminal nerve,“biting” is necessary for facial movement, however there are several cases who acquired a natural smile without biting or even the recovery of palpebral area. These facts suggest the postoperative neural plasticity and neurotization occurred.
Rat models of the lengthening temporalis myoplasty is made to investigate the postoperative neural plasticity and neurotization of this technique using the neural tracers and electrophysiological tests etc.

Research subject-2

“Facial nerve reconstruction with multiple neural sources using end-to-side nerve graft”

We have reported a new technique for facial nerve reconstruction using single nerve graft material with end-to-side coaptation of recipient branches, and animal models of this method that support the efficacy of this technique as well. For better facial muscle regeneration, we also use additional hypoglossal or masseteric nerve. The use of multiple neural source to induce double innervation of facial muscles is relatively new concept and most of the mechanism of it is still unknown. Rat facial nerve reconstruction models of this technique is made to investigate the efficacy and reconstructed neural network using the neural tracers and electrophysiological tests etc.

Research subject-3

“Stress and wound healing”

For diabetes mellitus, a cause of intractable ulcer, stress is quite likely to influence various hormones, thereby increasing symptoms. Animal experiments have shown elevated levels of various hormones such as plasma corticosterone, hormonal releasing factors, cytokines such as IL-6, catecholamines, blood sugar and neutral fats under conditions of restraint stress. Clinically, antidepressants are administered to patients with diabetes mellitus for analgesia because of damage to blood vessels nourishing nerves and the resultant neuropathic pain. In addition, it has been demonstrated that psychological care aimed at reducing stress promotes healing. Stress is assumed to increase blood glucocorticoids, inducing neuronal death in the brain, thereby exacerbating the progression of neural network breakdown in patients with depression. Brain-derived neurotrophic factors (BDNFs) play an important role in the growth and survival of nerve cells. It has been revealed that when BDNF production is increased after administration of antidepressants, nerve cell differentiation is promoted. Interrelationships between antidepressants and BDNFs as well as the acceleration of neural network restoration/formation have been suggested.
Based on the concept that there are close relationships between stress and tissue injury, and anti-stress drugs and tissue regeneration, and stress having an effect on wound healing as described above, we have established the hypothesis that “stress delays wound healing, and anti-stress drugs promote healing” and are conducting basic animal experiments to validate this hypothesis. Many patients with intractable skin ulcers are in a depressive state. Our research, using mouse models, is aimed at demonstrating the possibility that anti-stress drugs, i.e. antidepressants, would improve not only depression but also ulcers.