Solutions for Nasal Defects

Many studies on defects caused by trauma, infection, cancer, or congenital are reported in the literature; in nasal reconstructions, contradictions and distinct techniques exist that can be argued. Using the literature, we observe these distinct techniques that call be surgery or in surgery to reestablish and to integrate the patient with satisfaction in the society.

Photographic assessment of nasal morphology following rapid maxillary expansion in children

Objective: The aim of the present study was to use facial analysis to determine the effects of rapid maxillary expansion (RME) on nasal morphology in children in the stages of primary and mixed dentition, with posterior cross-bite. Material and Methods: Facial photographs (front view and profile) of 60 patients in the pre-expansion period, immediate post-expansion period and one year following rapid maxillary expansion with a Haas appliance were evaluated on 2 occasions by 3 experienced orthodontists independently, with a 2-week interval between evaluations. The examiners were instructed to assess nasal morphology and had no knowledge regarding the content of the study. Intraexanniner and interexanniner agreement (assessed using the Kappa statistic) was acceptable. Results: From the analysis of the mode of the examiners' findings, no alterations in nasal morphology occurred regarding the following aspects: dorsunn of nose, alar base, nasal width of middle third and nasal base. Alterations were only detected in the nasolabial angle in 1.64% of the patients between the pre-expansion and immediate post-expansion photographs. In 4.92% of the patients between the immediate post-expansion period and 1 year following expansion; and in 6.56% of the patients between the pre-expansion period and one year following expansion. Conclusion: RME performed on children in stages of primary and mixed dentition did not have any impact on nasal morphology, as assessed using facial analysis.

Detection of enterotoxin genes of Staphylococcus sp isolated from nasal cavities and hands of food handlers

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Colonização por macroinvertebrados bentônicos em substrato artificial e natural em um riacho da serra de Itatinga, São Paulo, Brasil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Spatial expression of two anti-inflammatory mediators, annexin 1 and galectin-1, in nasal polyposis

Background There is renewed interest in the role played by specific counter-regulatory mechanisms to control the inflammatory host response, poorly investigated in human pathology. Here, we monitored the expression of two anti-inflammatory mediators, annexin 1 and galectin-1, and assessed their potential link to glucocorticoids' (GCs) effective control of nasal polyposis (NP).Methods Total patterns of mRNA and protein expression were analysed by quantitative real-time PCR (qPCR) and Western blotting analyses, whereas ultrastructural immunocytochemistry was used for spatial localization and quantification of each mediator, focusing on mast cells, eosinophils and epithelial cells.Results Up-regulation of the annexin 1 gene, and down-regulation of galectin-1 gene, was detected in polypoid tissue compared with nasal mucosa. Patient treatment with betamethasone augmented galectin-1 protein expression in polyps. At the cellular level, control mast cells and eosinophils displayed higher annexin 1 expression, whereas marked galectin-1 immunolabelling was detected in the granule matrix of mast cells. Cells of glandular duct epithelium also displayed expression of both annexin 1 and galectin-1, augmented after treatment.Conclusion Mast cells and epithelial cells appeared to be pivotal cell types involved in the expression of both annexin 1 and galectin-1. It is possible that annexin 1 and galectin-1 could be functionally associated with a specific mechanism in NP and that GC exert at least part of their beneficial effects on the airway mucosa by up-regulating, in a specific cell target fashion, these anti-inflammatory agonists.

Gene expression analysis reveals novel altered genes in nasal polyps

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

As grafias não convencionais da coda silábica nasal: análise de dados de EJA

Este artigo trata das grafias não convencionais da sílaba com coda nasal encontradas em textos escritos por jovens e adultos. Para a descrição desses dados de escrita, são consideradas duas complexidades: (i) a fonético-fonológica da sílaba, particularmente do elemento nasal em coda, e (ii) a da representação ortográfica da nasalidade em português. Sob o aspecto fonético, a coda corresponde a uma redução de energia, o que pode tornar os segmentos que preenchem essa posição da sílaba menos audíveis. Sob o aspecto fonológico, a coda pode ser vista como um constituinte não imediato da sílaba cujo preenchimento sofre restrições. Sob o aspecto ortográfico, são três as possibilidades de registro da nasalidade: , como, respectivamente, em campo, canto, maçã. Argumenta-se que as grafias não convencionais analisadas podem ser motivadas pelas características fonético-fonológicas dos enunciados falados (particularmente, da sílaba com coda nasal) e, também, pelas características das convenções ortográficas dos enunciados escritos (especificamente, as convenções para representação da nasalidade da coda). Defende-se que essas grafias não sejam vistas como erros decorrentes da interferência da fala na escrita, mas como pistas da relação constitutiva dos enunciados falados e escritos.

Capacidade de colonização de Brevipalpus phoenicis (Geijskes) (Acari: Tenuipalpidae) em cercas-vivas, quebra-ventos e plantas invasoras

Este trabalho teve como objetivo avaliar a capacidade de colonização do Brevipalpus phoenicis (Geijskes) em espécies de cercas-vivas, quebra-ventos e plantas invasoras mais freqüentes em pomares cítricos. O ensaio foi conduzido em laboratório e casa-de-vegetação, utilizando-se 11 espécies vegetais (tratamentos): Hibiscus sp., Malvaviscus mollis, Grevillea robusta, Mimosa caesalpiniaefolia, Bixa orellana, Euphorbia splendens, Bidens pilosa, Commelina benghalensis, Sida cordifolia e Ageratum conyzoides e Citrus sinensis. Adotou-se o delineamento estatístico de blocos casualizados, com cinco repetições. Para cada unidade experimental, constituída de uma planta envasada, foram transferidas 100 fêmeas de B. phoenicis provenientes de uma criação estoque. Decorridos 45 dias após a transferência dos ácaros para as plantas invasoras e 60 dias para as cercas-vivas e os quebra-ventos, estas tiveram suas folhas destacadas e seus ramos repicados para avaliação dos totais de estágios de desenvolvimento. Os dados relativos às contagens foram transformados em ln(x+5) e analisados pelo teste F. As médias foram comparadas pelo teste de Tukey (P < 0,05). As cercas-vivas e quebra-ventos mais favoráveis ao ácaro, em ordem decrescente, foram: M. mollis (6.342 ácaros), Hibiscus sp. (2.546), B. orellana (2.097), G. robusta (1.485) e M. caesalpiniaefolia (776). Nenhum ácaro foi encontrado em E. splendens. Com relação às plantas invasoras, foram: B. pilosa (2.238), C. benghalensis (920), S. cordifolia (738) e A. conyzoides (684). em C. sinensis foram contados 3.116 ácaros. Com exceção de E. splendens, todas as plantas mostraram-se favoráveis ao crescimento populacional de B. phoenicis. A presença destes nos pomares cítricos pode representar uma ameaça à cultura.

Colonização natural por espécies nativas e exóticas das encostas degradadas da Serra do Mar

Os deslizamentos são eventos inerentes à dinâmica da Serra do Mar, nos trechos mais declivosos. Contudo, devido a alguns fatores de intervenção, como a poluição atmosférica, ocupação da base dos morros e outros, a incidência desses eventos tem aumentado. Diante disso, este estudo objetivou avaliar a dinâmica de colonização de áreas de encosta degradadas, como forma de subsidiar ações de recuperação. Para tanto, foram adotadas duas áreas experimentais, localizadas em trechos da serra do Mar próximos à Baixada Santista, onde foram lançadas parcelas de 1 m² e obtidos dados fitossociológicos. em seguida, as áreas foram limpas e os mesmos parâmetros da avaliação inicial, registrados, mensalmente, ao longo de um ano. Foram encontradas 20 espécies, pertencentes a 14 famílias botânicas, em sua maioria espécies exóticas ou nativas não regionais.

The role of allergic rhinitis in nasal responses to sudden temperature changes

Background: Air conditioning-induced rhinitis in allergic individuals is a common epidemiologic finding, but its physiopathology,is still controversial. The aim of this study was to describe and compare the effects of experimental air conditioning temperature changes on the nasal mucosa of individuals with persistent allergic rhinitis compared with a control group.Methods: A case-control challenge study was performed in a laboratory of thermal comfort with experimental twin challenge chambers set at a 12 C difference in temperature. A group of 32 patients with persistent allergic rhinitis and a group of 16 control subjects were exposed for 30 minutes, 3 times alternately in each chamber. Nasal symptom scores were recorded and nasal samples collected before, immediately after, and 24 and 48 hours after the challenge.Results: the rhinitis group showed a higher symptom score, epithelial shedding, percentage of eosinophils, total inflammatory cells, leukotriene C-4, eosinophil cationic protein, albumin, and tryptase levels compared with controls. There was also a significant increase in symptom score, total cells recovered, percentage of eosinophils, epithelial shedding, albumin, myeloperoxidase, and soluble intercellular adhesion molecule 1 in both groups compared with baseline levels.Conclusion: Sudden temperature changes led to a more pronounced inflammatory nasal response in the rhinitis group with the recruitment and activation of eosinophils.Clinical implications: Persistent allergic rhinitis is a risk factor for developing sudden temperature change-related rhinitis even in the absence of allergen exposure.

Nasal T-cell lymphoma presenting as midline lethal granuloma. Characterization of three cases by clinical markers of lymphomas

The authors report on three cases of so-called midline granuloma submitted to clinicopathologic and immunophenotype studies. The histopathologic features detected were necrosis, vasculitis and an atypical lymphohistiocytic infiltrate. Immunophenotype studies using monoclonal antibodies showed evidence leading to the diagnosis of nasal T cell lymphoma or lymphomatoid granulomatosis. Two of the patients with the presence of progressive or large cells died within 24 months, indicating that the size of the atypical lymphoid cells may be of prognostic significance.

Morfina nasal: Avaliacao da analgesia e dos efeitos colaterais no tratamento da dor pos-operatoria em criancas

Background and Objectives - Postoperative pain is one of the major discomforts but often under treated, especially in the pediatric patient. The aim of this study was to evaluate nasal morphine postoperative analgesia as an alternative drug administration route and show its applicability, effectiveness, tolerability and side effects. Methods - Participated in this study 20 patients aged 3 to 13 years, physical status ASA I and II sequentially submitted the different small and medium-size surgeries. Analgesia was obtained with nasal morphine hydrochloride in aqueous solution in variable concentrations of 2%, 1%, 0.5%, 0.25% and 0.125%. The dose for each instillation has been 0.1 mg.kg -1 at three-hour intervals for 36 postoperative hours. Quality of analgesia in pre-verbal age patients was evaluated by a pain intensity scale based on facial expression and crying, sleep, motor activity, sociability and food ingestion was used. Standardized evaluations were performed at 3-hour intervals. A four-grade scale was used to evaluate tolerability, where: 1) Good; 2) Regular; 3) Bad; 4) Very bad. Result - Postoperative analgesia results have proven to be good and safe, especially from the third evaluation on (6 hours). Drug tolerability has been good, although side effects were observed, especially nausea and vomiting. Conclusions - Patients and relatives accepted the method very well. The nasal route was considered an adequate way for opioid administration although more studies are needed to accept it as a routine for postoperative morphine analgesia.