Reconstruction Period Research Articles

Perforator Selection with Computed Tomography Angiography for Unilateral Breast Reconstruction: A Clinical Multicentre Analysis.

Background and Objectives: Despite CTAs being critical for preoperative planning in autologous breast reconstruction, experienced plastic surgeons may have differing preferences for which side of the abdomen to use for unilateral breast reconstruction. Large language models (LLMs) have the potential to assist medical imaging interpretation. This study compares the perforator selection preferences of experienced plastic surgeons with four popular LLMs based on CTA images for breast reconstruction. Materials and Methods: Six experienced plastic surgeons from Australia, the US, Italy, Denmark, and Argentina reviewed ten CTA images, indicated their preferred side of the abdomen for unilateral breast reconstruction and recommended the type of autologous reconstruction. The LLMs were prompted to do the same. The average decisions were calculated, recorded in suitable tables, and compared. Results: The six consultants predominantly recommend the DIEP procedure (83%). This suggests experienced surgeons feel more comfortable raising DIEP than TRAM flaps, which they recommended only 3% of the time. They also favoured MS TRAM and SIEA less frequently (11% and 2%, respectively). Three LLMs-ChatGPT-4o, ChatGPT-4, and Bing CoPilot-exclusively recommended DIEP (100%), while Claude suggested DIEP 90% and MS TRAM 10%. Despite minor variations in side recommendations, consultants and AI models clearly preferred DIEP. Conclusions: Consultants and LLMs consistently preferred DIEP procedures, indicating strong confidence among experienced surgeons, though LLMs occasionally deviated in recommendations, highlighting limitations in their image interpretation capabilities. This emphasises the need for ongoing refinement of AI-assisted decision support systems to ensure they align more closely with expert clinical judgment and enhance their reliability in clinical practice.

Inventory and Spatial Distribution of Landslides on the Eastern Slope of Gongga Mountain, Southwest China

The eastern slope of Gongga Mountain is located in the mountainous region of Southwestern China, which has strong geologic tectonics that leads to frequent landslide hazards. A large number of such landslides were induced by the 2022 Luding Ms 6.8 earthquake. Therefore, it is necessary to identify the spatial distribution of landslides in the region. In this paper, the Google Earth platform and GF-1 and GF-6 satellite imagery were used to construct new pre-earthquake and co-seismic landslides. Then, we analyzed the relationship between the conditioning factors of the pre-earthquake and co-seismic landslide inventories and the spatial distribution of landslides, as well as the main controlling factors of landslide development. The main conclusions are as follows: (i) Through remote-sensing interpretation and field investigation, 1198 and 4284 landslides were recognized before and after the earthquake, respectively, and the scale was mainly small- and medium-sized. (ii) In two kinds of inventories, landslides are primarily distributed along the banks of the Dadu River basin, within elevations of 1200–1400 m and slopes of 30–50°. (iii) The distribution of pre-earthquake and co-seismic landslides was influenced by engineering geological layer combinations and earthquake intensity, with these two factors being the most significant. This paper plays an important role in hazard prevention and reconstruction planning in the Gongga Mountains.

Shifting to an app-based method of preoperative templating in orthopaedic surgery.

Preoperative templating plays an important part in attaining successful surgical outcomes after fracture fixation. Traditionally, surgeons have performed this task with printed radiographs, tracing paper, and colored markers. Now that digital radiography is ubiquitous, and digital templating platforms are needed but are expensive and may not be available to all surgeons, especially those in low-income and middle-income countries. In this study, we evaluate an innovative and user-friendly method using a mobile app that may facilitate the use of digital templating for all surgeons worldwide. A study involving 2 groups of residents (N = 12) was conducted. Group A (n = 6) was assigned to do conventional templating; Group B (n = 6) was assigned to perform digital templating. Each group then switched to the other templating method and the process was repeated. Conventional templates were evaluated using the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation (AO-ASIF) guidelines of template completeness. Digital templates were assessed using Image-Based Surgery Planning. Each subject in both groups completed templates for 3 injury patterns: AO 2R2A3/2U2C2, 32B2, and 43C2. Wilcoxon signed-rank and binomial tests (5% level of significance) were used for statistical analysis. Template processing, fracture classification, and plan elaboration were comparable between the traditional and digital template groups, with good interobserver and intraobserver reproducibility using the Wilcoxon signed-ranks test (all |z values| below 1.96, all P-values > 0.05). There was no significant difference in the evaluation scores for either exercise, whether doing a traditional standard template or the digital template (P value > 0.05). This study shows that digital templating can achieve the same goals as conventional preoperative templating for fracture fixation. With the ubiquity of digital radiography, digital templating provides an opportunity to visualize fracture configurations and create an optimum preoperative plan for fracture reconstruction using an innovative and user-friendly platform.

Tips to Virtually Plan Your Free Scapula Flap

Summary: The use of virtual surgical planning (VSP) and computer-aided design and manufacturing to assist in osseous reconstruction has become the standard of care in head and neck reconstruction. The use of the free fibula flap with VSP remains the most common flap for osseous reconstruction, and as such, it is well described in the published literature. The scapular free flap (SFF) based on the angular branch has not yet garnered the same attention. The popularity of the SFF osseus head and neck reconstruction is increasing due to the flaps’ inherently different properties and indications it can fulfill; the natural curvature of the bone, the reduced incidence of atheroscelerosis in the donor vessels and the earlier postoperative mobilization of the patient. In the preoperative planning process, the SFF presents several unique challenges and considerations that differ from the free fibula flap. It is important for surgeons already using, or considering using the SFF, that VSP is used correctly to achieve optimal outcomes. The authors aim to describe and clarify aspects of VSP use in SFF reconstruction in the head and neck area with a specific focus on: (1) The perforator-like vascular anatomy of the scapula; (2) How to maximize the shape of the scapula to minimize osteotomies; (3) Fine-tuning of scapula osteotomies on side table; (4) How to plan cutting guide placement and fit on the scapula. The authors hope that this article will help reconstructive microsurgeons plan and perform the SFF in conjunction with VSP.

“They Were Married in Heart”: Race, Inheritance, and Interracial Common-Law Marriage in Reconstruction Era Mississippi

Abstract: In 1869, Mississippi voters ratified a radical new constitution that eliminated distinctions of race, including in its provision formalizing the unions of cohabiting couples as legal common law marriages at the time of ratification. Although white men had long established relationships of concubinage with Black women, the new constitution made it possible for interracial couples to claim the status of legal families. This article examines how Black women and their biracial children employed the 1869 state constitution to situate themselves as legal wives and legitimate children and the lawful heirs of dead white men. In response, white supremacists sought to deny them legitimacy by casting all relationships between Black women and white men as forms of concubinage that could never constitute legal marriages. This article examines how judges used the classification of concubine to distinguish Black common-law wives from white ones, undermining the radicalism of the new state constitution. By making it more difficult for Black widows and children to claim to be the rightful heirs of white men, the courts channeled inheritances toward more distant white relatives.

The Emerging Role of Three-dimensional Technologies in Orthoplastic Surgery.

Three-dimensional (3D) planning and manufacturing technologies have become integral to head and neck reconstruction following tumor resection. These technologies facilitate the prototyping of patient-specific solutions in both digital and physical form. Three-dimensional tumor models and cutting guides help conceptualize and verify the surgical approach, as well as serve as a blueprint for reconstruction. Computer-aided renderings have been shown to add precision to bony contouring to achieve functional and aesthetic goals following tumor resection, such as in mastication, oral competence, speech, and symmetric facial aesthetics. Three-dimensional technologies have also been introduced in orthopedic oncology, making limb-salvage surgery the mainstay of treatment in cases where amputation was historically required. The advent of customized 3D cutting guides and plates allows surgeons to spare surrounding healthy tissue, markedly enhancing postoperative quality of life and significantly reducing associated morbidities. Borrowing from these applications of 3D planning and modeling, our institution has recently implemented these technologies for the reconstructive planning of soft tissue defects following sarcoma resection. Here we present a series of cases that demonstrate the workflow and clinical outcomes associated with the utilization of 3D planning techniques in orthoplastic surgery.

Evolving role of staging CT scans during CT-angiography for DIEP flap reconstruction planning

BackgroundPre-operative planning with CTA in DIEP flap reconstruction is an essential preoperative tool. The aim of this study was to describe the management of the incidental findings following introduction and further modification of a combined CTA and CT-staging pre-operative protocol which include chest, abdomen, pelvis and musculoskeletal system. Material, methodA retrospective case series of 292 patients (Group1) with breast cancer who underwent DIEP flap between 2015 and 2019. This was followed by a re-assessment between 2019 and 2021 for 101 patients (Group 2) following modification of the staging-CT protocol for only those patients who received chemotherapy. Group 1 includes both of immediate and delayed reconstruction and, but the Group 2 includes only the high-risk cases of delayed reconstruction. Both groups had CT staging. Result30% of Group 1, most likely who had the delayed reconstruction, had findings which were recommended for further follow-up. This led to a change in staging of high-risk patients only at the end of 2019 to those who underwent chemotherapy who had delayed reconstruction.56.4% of Group 2 demonstrated incidental findings, 42.1% of them necessitated repeat scanning, 7% were referred to other specialties and 47.4% did not require further action There were no cases of occult metastatic breast cancer in either series; however, 1% were diagnosed with de novo primary cancers at non breast sites in the first series only. ConclusionThe screening of asymptomatic breast cancer patients as part of CTA scanning prior to autologous reconstruction is not universally practiced and not supported by NICE guidelines. This unit has changed practice to stop pre-operative staging for low-risk patients at the end of 2019, reserving it for the high-risk patient groups to reduce cost.

Improving rapid flood impact assessment: An enhanced multi-sensor approach including a new flood mapping method based on Sentinel-2 data

Rapid flood impact assessment methods need complete and accurate flood maps to provide reliable information for disaster risk management, in particular for emergency response and recovery and reconstruction plans. With the aim of improving the rapid assessment of flood impacts, this work presents a new impact assessment method characterized by an enhanced satellite multi-sensor approach for flood mapping, which improves the characterization of the hazard. This includes a novel flood mapping method based on the new multi-temporal Modified Normalized Difference Water Index (MNDWI) that uses multi-temporal statistics computed on time-series of Sentinel-2 multi-spectral satellite images. The multi-temporal aspect of the MNDWI improves characterization of land cover over time and enhances the temporary flooded areas, which can be extracted through a thresholding technique, allowing the delineation of more precise and complete flood maps. The methodology, if implemented in cloud-based environments such as Google Earth Engine (GEE), is computationally light and robust, allowing the derivation of flood maps in matters of minutes, also for large areas.The flood mapping and impact assessment method has been applied to the seasonal flood occurred in South Sudan in 2020, using Sentinel-1, Sentinel-2 and PlanetScope satellite imagery. Flood impacts were assessed considering damages to buildings, roads, and cropland. The multi-sensor approach estimated an impact of 57.4 million USD (considering a middle-bound scenario), higher than what estimated by using Sentinel-1 data only, and Sentinel-2 data only (respectively 24% and 78% of the estimation resulting from the multi-sensor approach). This work highlights the effectiveness and importance of considering multi-source satellite data for flood mapping in a context of disaster risk management, to better inform disaster response, recovery and reconstruction plans.

The politics of heritage in a river-city: imperial, hyper-colonial, and globalising Tianjin

The intent of this article is to analyse the interconnectedness between urban transformation and eco-heritage value over time in Tianjin from a river-city perspective. The focus is on the Hai River’s (海河) contribution to the mechanisms of space and power in imperial, hyper-colonial, and globalising Tianjin. After an analytical excursus of the Haihe’s historical-political-economic roles, attention is given to the Haihe as the fulcrum of Tianjin's creation as a spectacle city in present times. The objectives are to elucidate the Tianjin Municipal Government-led urban ‘beautification’ strategy and analyse the aims and objectives of the 2002 ‘Comprehensive Reconstruction and Redevelopment Plan of the Haihe’s Riversides’ while also considering the actual experience of this transformation. The premise of this article is that the Haihe River has helped determine Tianjin’s politics of design via heritagisation: the historical processes through which cultural heritage is adapted to strategically promote favourable imagery of the river-city for political management purposes.

Junta Democrática: Californios and Reconstruction in California

Abstract During the Civil War and Reconstruction Era, elite Californios—Mexicans of mixed-race descent made citizens by the Treaty of Guadalupe Hidalgo—supported legislation and political platforms that rejected the varied attempts at biracial democracy. Through an examination of the political life of Antonio Coronel, this article reconsiders elite Californios as state makers and obstructors of Reconstruction in California. At the end of the U.S.-Mexico War and until his death in 1894, Coronel, like other Californios, collaborated with Anglo American politicians to maintain his regional power by supporting a racially restrictive state. In offering their cooperation, elite Californios momentarily maintained their privileged social status in areas where Californios held local political control, such as Los Angeles and Santa Barbara. While Anglo American settlers relied on elite Californios for political legitimacy and state making, they viewed Californios as unassimilable into whiteness because of their Spanish culture and mixed ancestry, and they gradually denied Californio claims to racial superiority and socio-legal privileges, as political cooperation became less crucial to the success of the state project. As a direct result of Coronel’s and other elite Californios’ cooperation before the U.S. Civil War (1861–1865) and through Reconstruction (1863–1879), the California government rejected the federal government’s experiment in biracial democracy and supported policies of white supremacy that targeted the state’s growing non-white populations, a rejection that eventually jeopardized Californio power, including Coronel’s. This article demonstrates that Californio participation was crucial to the state’s rejection of Reconstruction.

Impact of Previous Surgery and/or Radiation Therapy on Endoscopic Reconstruction Outcomes.

The impact of prior local therapies, including radiation and surgery, on reconstruction outcomes after endonasal surgery is currently not well known. Reconstruction nuances in the preoperative setting merit further evaluation to avoid potential postoperative complications that can hinder overall tumor management and negatively impact patient outcome. We sought to determine whether prior treatments increase risk of reconstruction-related postoperative morbidity and to evaluate the effectiveness of our current treatment paradigm for skull base reconstruction. A retrospective review of all endonasal surgeries for tumor resection between March 2000 and March 2022 was performed. Patients were grouped based on treatment history. Patient demographics, operative, and postoperative reconstruction-related morbidity data were collected, including cerebrospinal fluid leak, sinonasal morbidity, and infectious complications. Variables significantly associated with postoperative complications in the univariate analysis were included in the multivariate Cox proportional hazards regression model. Complication-free survival curves were generated, and the log-rank test evaluated the relationship between complication-free survival and the different clinical, surgical, and treatment parameters. All statistical analyses were performed with SPSS 26 (IBM Corp) and Graph Pad 9.0 (GraphPad Software). A total of 418 patients were included. 291 patients had no prior treatments, 49 patients had previously received radiation, and 78 patients had prior surgeries. Of the 49 patients who had prior radiation, 27% underwent reconstruction with tunneled pericranial flaps vs 16% of treatment-naïve patients. On multivariate analysis, prior treatment was not significantly associated with reconstruction-related complications. Negative smoking history, no leak or small intraoperative leak, and use of vascularized flap in reconstruction were protective factors. In patients undergoing endonasal surgery, prior radiation and/or surgery does not appear to significantly increase the risk of immediate or delayed reconstruction complications using our current reconstructive management plan, which incorporates an upfront regional flap for high-risk cases.

Virtual Surgical Planning and Customized Subperiosteal Implant for Reconstruction of Maxillary Defect After Oncological Resection.

Reconstructing defects after jaw tumor removal is difficult because of the complex facial skeleton, which affects patient nutrition and self-confidence. Traditional methods like iliac bone or fibula grafts take a long time and may raise aesthetic issues. Advancements in computer-aided three-dimensional (3D) modeling allow precise surgical planning, leading to more symmetrical reconstructions. Moreover, the application of custom-designed prostheses, similar to joint prostheses used in joint surgery, offers promising outcomes, particularly in cases involving the removal of the ramus and temporomandibular joint. A 28-year-old female had a maxillectomy for maxillary myxoma, using 3D-printed implants for reconstruction and dental rehabilitation. "Computer-Aided Design" software optimized implant coordination, reducing soft tissue pressure. Postoperative permanent dentures were successful with few complications. Compared with traditional methods, 3D-printed titanium plates improve patient satisfaction and reduce treatment time, particularly with sufficient soft tissue thickness, offering aesthetic benefits and eliminating extra surgeries for effective defect treatment.

URBAN PLANNING AND THE URBANISATION PROCESS IN SERBIA IN THE EARLY 1950s

After suffering extensive damage caused by the Second World War, Serbia went through a reconstruction period. Between 1944 and the mid1950s, the government prioritised economic growth and worked on rebuilding and modernising the infrastructure, urban structures, and systems. Urban planning was seen as crucial in creating the conditions for state development. Societal and five-year plans, supported by urban plans, enabled accelerated economic progress and growth. The urban planning profession was institutionalised, with planning theory and practice introduced alongside social, economic, and political changes. Through an examination of the activities of the Urban Planning Institute of the People’s Republic of Serbia, established in 1946, this paper rethinks the link between urban planning and the social aspect of the planned economy in response to the rapid urbanisation and industrialisation of cities.

Salvage neck dissection following definitive radiation

Salvage neck dissection describes removing cervical lymph nodes and disease following definitive radiation. Unique challenges include a fibrotic field with disease that is frequently more advanced than surgery in the primary setting. The surgical approach may vary depending on the extent of locoregional disease. Review of clinical data is necessary to design a surgical plan. Special considerations include having a reconstructive plan, if needed, for soft tissue reconstruction and great vessel coverage.

Implementation of In-house Computer-aided Design and Manufacturing for Accelerated Free Fibula Flap Reconstruction of Mandibular Defects in Cancer Patients.

Computer-aided design and manufacturing (CAD/CAM) is widely adopted for optimizing microsurgical reconstruction of mandibular defects. However, commercial solutions are hampered by costs and lengthy lead times, with the latter being problematic in cancer surgery. This study aimed to investigate the efficiency of an in-house CAD/CAM service for expeditious planning and execution of free fibula mandibular reconstruction in head and neck cancer patients. This retrospective cohort study compared cancer patients undergoing segmental mandibulectomy and immediate free fibula flap reconstruction treated before and after implementation of in-house CAD/CAM. The primary endpoint was treatment delay from preoperative consultation to surgery. Cases in the two groups were matched on the number of fibula segments required for mandibular reconstruction. The control group underwent segmental mandibulectomy and fibula flap reconstruction by "freehand." The CAD/CAM group underwent preoperative virtual surgical planning and CAD/CAM of intraoperative cutting guides for the mandibulectomy and fibula osteotomies. Outcomes were compared with the unpaired t test or Wilcoxon rank-sum test. Sixteen patients were included in both groups. Treatment delay did not increase after implementation of in-house CAD/CAM with a median 6 (range 6-20) days wait in the CAD/CAM group and 8 (6-20) days wait in the control group (P = 0.48). Utilization of CAD/CAM significantly reduced fibula flap ischemia time with a mean of 18.4 [95% confidence interval 2.8; 33.9] minutes (P = 0.022). In-house CAD/CAM was implemented for free fibula flap mandibular reconstruction in head and neck cancer patients without causing treatment delay. Furthermore, CAD/CAM reduced fibula flap ischemia time.

Vascularized Bone Graft in Mangled Hand Reconstruction

Extensive bone defects especially in conjunction with associated coverage involvement in mangled hands, pose significant challenges to hand and upper extremity surgeons. Vascularized bone grafts often play a vital role for effective treatment now-a-days. It not only bypasses the drawbacks of conventional grafts but also allows for simultaneous one stage reconstruction of its coverage as well as repairs other injured structures.Preoperative evaluation of mangled hand is crucial, the injury extent, including circulation, patient expectations and clinical reality should be all taken into consideration before finalizing the reconstruction plan. The fibula bone and other vascularized bone flaps such as iliac crest bone and medial femoral condyle and some others as well as corresponding spare part can provide effective solutions. Especially important considerations about surgeons’ experience and expertise , donor site morbidity , postoperative care and rehabilitation are essential for optimal outcomes. In this article , we would like to share our current practicing vascularized bone flaps in mangled hand reconstructions.

Advancing Precision Rhinoplasty: Preoperative Digital 3D Surgical Planning.

The aim of the study is to assess the efficacy and advantages of utilizing state-of-the-art three-dimensional (3D) reconstruction technology in preoperative planning for rhinoplasty surgery. It is a study of a single rhinoplasty case that was operated at a tertiary hospital. The patient was assessed through a detailed history, blood investigations, radiological investigations and preoperative 3D (three-dimensional) reconstruction of the face and nose. The study utilized high-resolution CT scans and 3D reconstruction software like 3D (three-dimensional) Slicer and Blender 3D (three-dimensional) to analyze nasal anatomy for preoperative planning in rhinoplasty. External and internal nasal measurements were taken, and axial cross-section analysis was conducted to assess nasal structure deviation. The benefits of 3D (three-dimensional) visualization in surgical planning were evaluated, and surgical management was based on preoperative reconstructions. Comprehensive preoperative evaluations were performed, adhering to ethical guidelines.Preoperative 3D (three-dimensional) reconstruction planning methods facilitated precise surgical planning and execution in rhinoplasty with satisfactory outcomes for both the patient and the surgeon. Incorporating 3D (three-dimensional) reconstruction technology in rhinoplasty preoperative planning enhances surgical precision and patient satisfaction, ensuring optimized surgical outcomes while adhering to ethical standards.

Oral Reconstruction with Locoregional Flaps after Cancer Ablation: A Systematic Review of the Literature.

Introduction: The planning of oral reconstruction after tumor resection is a pivotal point for head and neck surgeons. It is mandatory to consider two aspects: the size of the surgical defect and the complexity of the oral cavity as an anatomical region. We offer a review of the literature that focuses on four types of locoregional flaps that can be profitably used for such reconstruction: infrahyoid (IF), nasolabial (NF), platysma (PF), and submental (SF). Methods: The study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This systematic review was carried out according to the PICOS acronym through a comprehensive electronic search on PubMed/MEDLINE, Cochrane Library, and Google Scholar databases. For each selected article, we extrapolated eight main parameters, of which all mean values were compared through an ANOVA test. The dimensions of the oral defects were referred to as "small" (<7 cm2), "medium" (7-50 cm2), or "large" (>50 cm2). Results: A total of 139 articles were selected with a total of 5898 patients. The mean ages for each type of flap were not statistically significant (p = 0.30, p > 0.05). Seven sublocations of oral defects were reported: The most common was the tongue (2003 [34.0%] patients), followed by the floor of the mouth (1786 [30.4%]), buccal mucosa (981 [16.6%]), cheek (422 [7.2%]), hard palate (302 [5.1%]), alveolar ridge (217 [3.7%]), and retromolar trigone (187 [3.2%]). The defects were mainly medium-sized (4507 [76.4%] patients), and fewer were small-sized (1056 [17.9%]) or large-sized (335 [5.7%]). Complications were noted, the most frequent of which was flap necrosis, seen in 0.57% of cases. The functional and esthetical results were mainly positive. Conclusions: Locoregional flaps represent a good alternative in medium-sized defects as well as a fairly good alternative in small- and large-sized defects when other options are ruled out.

Closing the Loop on Revision: The Impact of Emotional Well-being on Elective Revision After Breast Reconstruction.

A diagnosis of breast cancer has a significant impact on a patient's physical and emotional health. Breast reconstruction improves quality of life and self-esteem following mastectomy. However, many patients undergo additional elective revision procedures after reconstruction. The aim of this study was to assess the relationship between perioperative emotional well-being and elective revisions in breast reconstruction. A retrospective review was performed of patients who underwent breast reconstruction with a single surgeon between January 2007 and December 2017. Revision procedures were defined as additional operations that fall outside the index reconstructive plan. Medical records were reviewed for a history of generalized anxiety disorder (GAD) and/or major depressive disorder. Multivariate analysis was performed to identify factors associated with revision. A total of 775 patients undergoing breast reconstruction were included, of whom 121 (15.6%) underwent elective revision. Overall, a history of any psychiatric history (P < .001), depression alone (P = .001%), and GAD and depression together (P = .003) were significantly associated with revision surgery. On multivariate logistic regression controlling for comorbidities and reconstruction modality, depression alone, and GAD and depression together were significantly associated with an increased likelihood of revision surgery (odds ratio, 3.20, P < .001; odds ratio, 2.63, P < .001). Perioperative emotional well-being and reconstruction modality impact the rate of secondary revision surgery. An understanding of the surgical and patient-related risk factors for revision can provide more informed patient-decision making and improve surgical planning.

Resident Evaluation of Reconstruction Challenges and Lessons Learned from the Great East Japan Earthquake: Recommendations for Reconstruction and Industrial Policies 12 Years after the Disaster

The year 2023 marks the 12th anniversary of the Great East Japan Earthquake (GEJE). Immediately after the disaster, the number of evacuees reached approximately 470,000, but by November 2022, the number had decreased to approximately 31,000. The reconstruction of housing, disposal of debris, public infrastructure development, and overall restoration and reconstruction has progressed steadily. However, a re-examination of the status of industrial restoration and reconstruction reveals that restoration and reconstruction have not progressed in some areas. This research statistically analyzes how the Japanese public perceives the issues around the recovery process and what memories and records they would like to learn from regarding the GEJE. The purpose of this study is to ask about reconstruction issues and lessons learned from the GEJE by conducting a web-based survey with 2000 respondents in Japan. The method of estimation is the use of ordinal logistic regression analysis to statistically estimate whether there are differences in recovery issues and lessons learned depending on individual attributes. The results suggest that those who are interested in, remember, and express anxiety about the recovery issues and lessons learned tend to be men, do not have children, are highly educated, and have a higher income. In sum, many of Japan’s citizens are highly interested in the reconstruction of agriculture, forestry, fisheries, housing, urban development, living environment, industry, and livelihood in the affected areas. In the future, they will play a central role in modernizing, scaling up, and integrating the agriculture, forestry, and fisheries industries, as well as in rebuilding towns and livelihoods. In the affected areas, it will be necessary to draw on the lessons learned from the GEJE and create reconstruction plans for the future, and then, policymakers will need to formulate reconstruction policies that reflect the concerns of the Japanese people.