Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction

Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. When the orbicularis oris muscle and oral mucosa are excised, functional reconstruction is prioritized. In contrast, if there are no functional problems, cosmetic reconstruction is the main focus. This case involved the reconstruction of a right upper lip defect caused by a dog bite. When the skin defect was covered with a local flap, the right angulus oris shifted medially, so we incorporated a YV flap at the right angulus oris to modify its position and allow for a cosmetically satisfactory result. We believe that this method can be used not only for cases in which asymmetry of the angulus oris is expected to occur at the time of lip reconstruction, but also for cases in which it has already occurred in the initial operation.

Enhancement of Natural Killer Cell Activity by Supplementation of Extract of Metabolic Products of Bacillus subtilis AK (EMBSAK) / 日本補完代替医療学会誌

Natural killer (NK) cells specifically lyse cancer cells or infected cells and play important roles in immune surveillance against tumor and infection. Probiotics, live bacteria and their metabolic products beneficial to humans, are reported to modulate NK cell activity and result in the prevention of tumor development. In this study, we examined the effect of metabolic products of strain <i>Bacillus subtilis AK</i>, selective strain from <i>Bacillus subtilis natto</i>, (EMBSAK) on NK cell activity. NK cell activity in peripheral blood mononuclear cells (PBMC) was enhanced in 50% of the rats orally inoculated with EMBSAK. In the experiments using EMBSAK-containing product, SARABAGAN, increasing frequency of NK cell activation was observed in volunteers as dose depending manner. These results suggested that supplemental intake of EMBSAK enhanced NK cell activity and indicated the possible utility of EMBSAK as complementary and alternative medicine, although susceptibility is individually various.<br>