Juvenile Nasopharyngeal Angiofibroma: A Series of 96 Surgical Cases.

Introduction Juvenile nasopharyngeal angiofibroma (JNA) is a benign vascularized tumor that affects almost exclusively male adolescents. Surgery is the treatment of choice for JNA. Objectives The present study is a 42-year retrospective review of a series of JNA cases treated surgically without previous embolization. Methods The present is a retrospective, descriptive study based on medical records of 96 patients with JNA who underwent microscopic or endoscopic excision without previous embolization from 1978 to 2020 in a single institution. The patients were categorized according to the Andrews et al. stage, and data were collected on age, gender, tumor staging, surgical approach, affected side, and outcome. Results All patients were male, with an average age of 17 years. The predominant tumor stage consisted of type II, with 52.1%. A total of 33.3% of the patients were submitted to the microscopic technique and 66.7%, to the endonasal technique. The rate of intraoperative blood transfusion was of 17.7%. Conclusion The present study reinforces that resection of JNA in various stages is viable without previous artery embolization.

Overlapping of mononuclear cells derived from bone marrow in rats' intervertebral discs: an in vitro study / Sobreposição de células mononucleares provenientes da medula óssea em disco intervertebral de ratos: estudo in vitro

In this study, bone marrow mononuclear cells (BM-MNC) derived from rats were used in order to promote intervertebral disc regeneration. These cells were isolated after centrifugation in a Ficoll-Paque™ PLUS density gradient and then placed in plastic dishes to proliferate during a period of 14 days. The BM-MNCs were previously labeled with the fluorescent membrane marker Chloromethyl-benzamidodialkylcarbocyanine (CM-DIL), and thereafter were implanted in rats' intervertebral discs explants as an in vitro experimental model. Daily analyses of the cells under a fluorescence microscope revealed morphological changes, which assumed a thin and elongated shape similar to cells that originally form the annulus fibroses. Histopathological analysis demonstrated the presence of mononuclear cells interspersed within collagen fibers. The presence of viable cells, in which were found morphological changes and their disposal in the same pattern of the layers that originate the annulus fibrosus, is an indicator that they engrafted and proliferated on the intervertebral disc. Therefore, morphological changes presented by these cells indicate that they presented mesenchymal stem-like cell characteristics.

Neste trabalho, foram utilizadas células mononucleares provenientes da medula óssea (MO) de ratos para implantação em discos intervertebrais, a fim de estudar a sua participação em possível regeneração tecidual. Essas células foram obtidas por centrifugação, em gradiente de Ficoll-Paque™ PLUS, e cultivadas em frascos apropriados, por um período de 14 dias. Em etapa posterior, foram submetidas à marcação celular, em que foi utilizado o marcador citoplasmático CM-Dil, seguida de implantação em discos intervertebrais de ratos, em um sistema de cultivo in vitro. Foram feitas avaliações diárias dos discos com utilização de um microscópio de fluorescência, sendo constatadas alterações morfológicas com um formato alongado semelhante a células que originalmente compõem o anel fibroso. O exame histopatológico revelou a presença de células mononucleares entremeadas em fibras de colágeno. As alterações morfológicas das células e a presença de células viáveis são indícios de que essas células se integraram e proliferaram no disco intervertebral, interagindo com o microambiente deste, assumindo inclusive características semelhantes às apresentadas por células-tronco mesenquimais.

Cerclagem com abraçadeira de náilon ou de fio de aço no reparo de fraturas experimentais de sínfise mandibular em gatos / Cerclage with Nylon Cable Tie Band or Stainless Steel Wire for Repair of Experimental Mandibular Symphyseal Fractures in Cats

The mandibular symphysis is a true joint with a fibrocartilage disc stabilizing both ramus of mandible. The mandibular fracture occurs in 15% of all cases of fracture in cats, and of these, 73% correspond to fracture of the mandibular symphysis. There is a technique for stabilization of symphysis fracture using a nylon cable tie band, however it is necessary to perform two lateral incisions in the oral mucosa besides divulsion of subcutaneous tissue, performing a tunnel so that the band can be passed from one side to another. Thus, this study aimed to evaluate an alternative technique of fixation with nylon cable tie band in mandibular symphyseal fractures of cats and compare the effectiveness, stability and complications between implants of nylon cable tie band and stainless steel wire.

Cerclagem com abraçadeira de náilon ou de fio de aço no reparo de fraturas experimentais de sínfise mandibular em gatos / Cerclage with Nylon Cable Tie Band or Stainless Steel Wire for Repair of Experimental Mandibular Symphyseal Fractures in Cats

The mandibular symphysis is a true joint with a fibrocartilage disc stabilizing both ramus of mandible. The mandibular fracture occurs in 15% of all cases of fracture in cats, and of these, 73% correspond to fracture of the mandibular symphysis. There is a technique for stabilization of symphysis fracture using a nylon cable tie band, however it is necessary to perform two lateral incisions in the oral mucosa besides divulsion of subcutaneous tissue, performing a tunnel so that the band can be passed from one side to another. Thus, this study aimed to evaluate an alternative technique of fixation with nylon cable tie band in mandibular symphyseal fractures of cats and compare the effectiveness, stability and complications between implants of nylon cable tie band and stainless steel wire.(AU)