ÎçÒ¹¾ç³¡

ÎçÒ¹¾ç³¡

Hiroyuki Ozawa: The Form of a Team in Surgery

Publish: April 08, 2022

Writer Profile

  • Hiroyuki Ozawa

    School of Medicine Professor, Department of Otorhinolaryngology, Head and Neck Surgery

    Specialization / Head and Neck Surgery

    Hiroyuki Ozawa

    School of Medicine Professor, Department of Otorhinolaryngology, Head and Neck Surgery

    Specialization / Head and Neck Surgery

Last year, the Japanese Society of Otorhinolaryngology changed its name to the Japanese Society of Otorhinolaryngology-Head and Neck Surgery. I believe that from now on, the names of departments nationwide will likely change from "Otorhinolaryngology" to "Otorhinolaryngology and Head and Neck Surgery." Although it is not widely known, the "Otorhinolaryngology" departments found in general hospitals provide surgical and medical care for all diseases from the neck up, excluding the brain and eyes. For this reason, in most cases overseas, they have long been labeled as Otorhinolaryngology-Head and Neck Surgery. This means the name has finally become realistic and aligned with the global situation. As the name suggests, the clinical fields are diverse and there are experts in each, but I specialize in head and neck surgery in general, and within that, I have made skull base surgery my life's work.

In recent years, treatment for high-difficulty diseases has been required within increasingly complex medical care, and for high-difficulty diseases, various clinical departments must collaborate. Especially in surgical operations, there are many opportunities for multiple clinical departments to work together. Even in such cases, it is rare to perform surgical procedures together; instead, surgeries are performed that differ spatially or temporally. For example, after an otorhinolaryngologist/head and neck surgeon resects a head and neck cancer, a plastic surgeon performs functional reconstruction of the resected area. In this way, surgeries with different contents are performed sequentially in time, and the skills of each clinical department are utilized to lead the entire surgery to success. In such surgeries, a deep understanding of the entire operation is required between each clinical department, and the depth of communication is the key to surgical success.

The skull base area, which is my specialty, is literally located at the base of the skull and is the boundary between neurosurgery and otorhinolaryngology. In surgical treatment in this area, unlike the situation mentioned above, a situation arises where an otorhinolaryngologist/head and neck surgeon and a neurosurgeon perform surgery in the same place at the same time. To perform surgical procedures in "perfect sync" with doctors from other clinical departments who have different backgrounds and surgical techniques, a deeper relationship of mutual trust is required. Our current surgical team has built this over many years. In the future, I would like to work on creating a system that allows team medicine to be carried out continuously while training human resources to handle skull base surgical treatment.

*Affiliations and job titles are those at the time of publication.