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1.
Eur J Med Genet ; 64(5): 104193, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33746037

RESUMEN

Primary ciliary dyskinesia (PCD) is a genetically heterogeneous disorder of motile cilia. With few exceptions, PCD is an autosomal recessive condition, and there are over 40 genes associated with the condition. We present a case of a newborn female with clinical features of PCD, specifically the Kartagener syndrome phenotype, due to variants in TTC25. This gene has been previously associated with PCD in three families. Two multi-gene panels performed as a neonate and at two years of age were uninformative. Exome sequencing was performed by the Care4Rare Canada Consortium on a research basis, and an apparent homozygous intronic variant (TTC25:c.1145+1G > A) was identified that was predicted to abolish the canonical splice donor activity of exon 8. The child's mother was a heterozygous carrier of the variant. The paternal sample did not show the splice variant, and homozygosity was observed across the paternal locus. Microarray analysis showed a 50 kb heterozygous deletion spanning the genes TTC25 and CNP. This is the first example of a pathogenic gross deletion in trans with a splice variant, resulting in TTC25-related PCD.


Asunto(s)
Proteínas Portadoras/genética , Eliminación de Gen , Síndrome de Kartagener/genética , Proteínas Portadoras/metabolismo , Variaciones en el Número de Copia de ADN , Femenino , Humanos , Recién Nacido , Síndrome de Kartagener/patología , Sitios de Empalme de ARN
2.
Diabetes Res Clin Pract ; 129: 79-85, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28521196

RESUMEN

AIM: The aim of this study was to establish the prevalence of diabetic foot disease by utilising the retinal eye screening register in the Waikato region of New Zealand. Understanding both the prevalence and the degree of foot disease across the general diabetes population will help to determine what podiatry services are required for people with diabetes. METHOD: 2192 people aged 15years and over, who attended the Waikato Regional Diabetes Service mobile retinal photo screening service for the six-month period between May and November 2014, consented to a foot screen including testing for sensation and pedal pulses. A digital image was taken of the dorsal and plantar aspect of each foot for review by a registered Podiatrist. RESULTS: Thirteen percent of the study sample was identified as having a high-risk foot including active foot complications. 65% were categorised as low risk and a further 22% at moderate risk of diabetic foot disease. Factors identified as significant included age, type of diabetes, duration of diabetes, and smoking. These factors placed people at greater risk of diabetic foot disease. CONCLUSION: A significant number of people with diabetes are at risk of diabetic foot disease. This study has highlighted the need for targeted podiatry services to address diabetic foot disease.


Asunto(s)
Pie Diabético/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Pie Diabético/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Prevalencia , Riesgo
3.
Proc Biol Sci ; 283(1837)2016 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-27559066

RESUMEN

Climate-induced ocean warming and acidification may render marine organisms more vulnerable to infectious diseases. We investigated the effects of warming and acidification on the immune response of the sea urchin Heliocidaris erythrogramma Sea urchins were gradually introduced to four combinations of temperature and pHNIST (17°C/pH 8.15, 17°C/pH 7.6, 23°C/pH 8.15 and 23°C/pH 7.6) and then held in temperature-pH treatments for 1, 15 or 30 days to determine if the immune response would adjust to stressors over time. Coelomocyte concentration and type, phagocytic capacity and bactericidal activity were measured on day 1, 15 and 30 with different sea urchins used each time. At each time point, the coelomic fluid of individuals exposed to increased temperature and acidification had the lowest coelomocyte concentrations, exhibited lower phagocytic capacities and was least effective at inhibiting bacterial growth of the pathogen Vibrio anguillarum Over time, increased temperature alleviated the negative effects of acidification on phagocytic activity. Our results demonstrate the importance of incorporating acclimation time to multiple stressors when assessing potential responses to future ocean conditions and indicate that the immune response of H. erythrogramma may be compromised under near-future ocean warming and acidification.


Asunto(s)
Aclimatación , Cambio Climático , Erizos de Mar/inmunología , Agua de Mar/química , Animales , Dióxido de Carbono/química , Concentración de Iones de Hidrógeno , Océanos y Mares , Fagocitosis , Temperatura , Vibrio/patogenicidad
4.
J Fish Biol ; 86(6): 1867-72, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25898908

RESUMEN

A dense aggregation of skate egg cases was imaged during a photographic survey of the sea floor along the western Antarctic Peninsula in November 2013. Egg cases were noted in a narrow band between 394 and 443 m depth. Although some skate species in other oceans are known to utilize restricted areas to deposit eggs in great numbers, such nurseries have not been described in the Southern Ocean.


Asunto(s)
Ecosistema , Oviposición , Rajidae , Animales , Regiones Antárticas , Océanos y Mares , Óvulo
5.
Environ Mol Mutagen ; 48(5): 359-62, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17567849

RESUMEN

Genomics is expected to have significant implications for risk assessment and regulatory decision making. Since 2002, the U.S. Environmental Protection Agency (EPA) has undertaken a number of cross-agency activities to further prepare itself to receive, interpret, and apply genomics information for risk assessment and regulatory purposes. These activities include: (1) the issuance of an Interim Genomics Policy on the use of genomics information in risk assessments and decision making, (2) the release of the 2004 Genomics White Paper, which outlines potential applications and implications of genomics for EPA, and (3) the recent release of the external review draft of the Interim Guidance on Microarray-Based Assays, which outlines data submission, quality, analysis, management, and training considerations for such data. This manuscript discusses these activities and more recent follow-up activities with the aim of further communicating these efforts to the broader scientific and stakeholder community.


Asunto(s)
Genómica/normas , United States Environmental Protection Agency , Genómica/métodos , Humanos , Política Pública , Medición de Riesgo/métodos , Medición de Riesgo/normas , Estados Unidos
7.
Gene Ther ; 13(9): 781-8, 2006 May.
Artículo en Inglés | MEDLINE | ID: mdl-16307002

RESUMEN

Epithelial polarity and tight junction formation limit the ability of adenovirus, retrovirus and adeno-associated virus (AAV) to deliver and express virally encoded genes. Using an extended half-life luciferase assay and high-throughput luminometry, we screened 23 000 compounds and natural product extracts as potentiators to overcome this barrier. Seven strong activators were discovered (up to several hundred fold above control) and two of these exhibited spectrum of activity in multiple cell types (HeLa (human cervical carcinoma), cystic fibrosis bronchial epithelial (human bronchial), HT29 (human colonic carcinoma), Calu3 (airway serous glandular)). Enhanced transduction by unrelated gene transfer vectors (adenovirus, lentivirus, AAV, liposomal) was also observed. These results establish a strategy for identifying compounds that improve viral gene transfer to resistant cell types, and provide new tools for examining epithelial defense against viral infection. The compounds should have broad usefulness in experimental therapies for cancer and genetic diseases.


Asunto(s)
Evaluación Preclínica de Medicamentos/métodos , Células Epiteliales/metabolismo , Terapia Genética/métodos , Vectores Genéticos/genética , Virus/genética , Adenoviridae/genética , Línea Celular , Terapia Combinada , Dependovirus/genética , Expresión Génica/efectos de los fármacos , Genes Virales , Ingeniería Genética , Vectores Genéticos/farmacología , Células HeLa , Humanos , Lentivirus/genética , Luciferasas/genética , Plásmidos
8.
Dev Genes Evol ; 213(8): 399-406, 2003 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-12748854

RESUMEN

The previously described expression patterns of zebrafish and mouse Hoxa1 genes are seemingly very disparate, with mouse Hoxa1 expressed in the gastrula stage hindbrain and the orthologous zebrafish hoxa1a gene expressed in cell clusters within the ventral forebrain and midbrain. To investigate the evolution of Hox gene deployment within the vertebrate CNS, we have performed a comparative expression analysis of Hoxa1 orthologs in a range of vertebrate species, comprising representatives from the two major lineages of vertebrates (actinopterygians and sarcopterygians). We find that fore/midbrain expression of hoxa1a is conserved within the teleosts, as it is shared by the ostariophysan teleost zebrafish (Danio rerio) and the distantly related acanthopterygian teleost medaka (Oryzias latipes). Furthermore, we find that in addition to the described gastrula stage hindbrain expression of mouse Hoxa1, there is a previously unreported neurula stage expression domain, again located more anteriorly at the ventral fore/midbrain boundary. A two-phase expression profile in early hindbrain and later fore/midbrain is shared by the other tetrapod model organisms chick and Xenopus. We show that the anterior Hoxa1 expression domain is localized to the anterior terminus of the medial longitudinal fasciculus (MLF) in mouse, chick, and zebrafish. These findings suggest that anterior expression of Hoxa1 is a primitive characteristic that is shared by the two major vertebrate lineages. We conclude that Hox gene expression within the vertebrate CNS is not confined exclusively to the segmented hindbrain and spinal cord, but rather that a presumptive fore/midbrain expression domain arose early in vertebrate origins and has been conserved for at least 400 million years.


Asunto(s)
Proteínas de Homeodominio/metabolismo , Neuronas/metabolismo , Factores de Transcripción/metabolismo , Animales , Tipificación del Cuerpo , Secuencia Conservada , Evolución Molecular , Proteínas de Homeodominio/genética , Mesencéfalo , Oryzias , Prosencéfalo , Homología de Secuencia de Aminoácido , Factores de Transcripción/genética , Xenopus , Pez Cebra
9.
Development ; 128(13): 2471-84, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11493564

RESUMEN

As a result of a whole genome duplication event in the lineage leading to teleosts, the zebrafish has seven clusters of Hox patterning genes, rather than four, as described for tetrapod vertebrates. To investigate the consequences of this genome duplication, we have carried out a detailed comparison of genes from a single Hox paralogue group, paralogue group (PG) 1. We have analyzed the sequences, expression patterns and potential functions of all four of the zebrafish PG1 Hox genes, and compared our data with that available for the three mouse genes. As the basic functions of Hox genes appear to be tightly constrained, comparison with mouse data has allowed us to identify specific changes in the developmental roles of Hox genes that have occurred during vertebrate evolution. We have found variation in expression patterns, amino acid sequences within functional domains, and potential gene functions both within the PG1 genes of zebrafish, and in comparison to mouse PG1 genes. We observed novel expression patterns in the midbrain, such that zebrafish hoxa1a and hoxc1a are expressed anterior to the domain traditionally thought to be under Hox patterning control. The hoxc1a gene shows significant coding sequence changes in known functional domains, which correlate with a reduced capacity to cause posteriorizing transformations. Moreover, the hoxb1 duplicate genes have differing functional capacities, suggesting divergence after duplication. We also find that an intriguing function 'shuffling' between paralogues has occurred, such that one of the zebrafish hoxb1 duplicates, hoxb1b, performs the role in hindbrain patterning played in mouse by the non-orthologous Hoxa1 gene.


Asunto(s)
Duplicación de Gen , Proteínas de Homeodominio/genética , Factores de Transcripción/genética , Pez Cebra/genética , Secuencia de Aminoácidos , Animales , Expresión Génica , Mesencéfalo/metabolismo , Mesencéfalo/patología , Datos de Secuencia Molecular , Neuronas/metabolismo , Fenotipo , Estructura Terciaria de Proteína , Análisis de Secuencia de ADN , Homología de Secuencia de Aminoácido , Vertebrados
10.
Comp Biochem Physiol C Toxicol Pharmacol ; 129(4): 307-15, 2001 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-11489428

RESUMEN

The embryos of the sea urchin Lytechinus variegatus are capable of surviving chronic exposure to inorganic sodium phosphate and organic triethyl phosphate concentrations as high as 6 and 1000 mg l(-1) seawater, respectively. However, chronic exposure to sub-lethal concentrations of these phosphates may cause arrested or abnormal embryonic development. We measured fertilization success and percentages of normal, arrested and abnormal embryos exposed to low, medium and high sub-lethal concentrations of inorganic and organic phosphate. Fertilization success was significantly reduced in all phosphate treatments. After attaining the 4-cell stage, embryos exposed to the highest phosphate concentrations displayed arrested development. Percentages of abnormally developing embryos showed a strong concentration dose-response with a significant increase in abnormal embryonic development with increasing phosphate concentration. Overall, these results indicate that the gametes and embryos of L. variegatus may provide a rapid and sensitive model bioassay for the evaluation of phosphate pollutants in marine systems. Our findings also indicate that shallow-water populations of L. variegatus spawning in areas subjected to inorganic and organic phosphate pollutants may suffer detrimental effects on fertilization and embryonic development.


Asunto(s)
Fertilización/efectos de los fármacos , Fosfatos/efectos adversos , Erizos de Mar/embriología , Contaminantes del Agua/efectos adversos , Animales , Bioensayo , Desarrollo Embrionario
11.
Gene ; 262(1-2): 73-80, 2001 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-11179669

RESUMEN

Sea stars share many characteristics with vertebrates, including deuterostome type development. We previously reported that sea star larvae are capable of complete regeneration (with organogenesis) of missing body parts. Here we report the first application of whole-body cDNA subtractive hybridization for the identification of regeneration-specific gene expression in a deuterostome. We identified nine novel cDNAs from genes differentially expressed during early larval sea star regeneration, including a serine protease which may have a function similar to that of trypsin/plasmin-like proteases during vertebrate wound repair and regeneration. This study demonstrates that sea star larvae can provide a valuable new deuterostome model for the study of regeneration genetics, with potential applications in vertebrate regeneration.


Asunto(s)
Regeneración/genética , Serina Endopeptidasas/genética , Estrellas de Mar/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Clonación Molecular , Perfilación de la Expresión Génica , Larva , Datos de Secuencia Molecular , Homología de Secuencia de Aminoácido , Estrellas de Mar/crecimiento & desarrollo
12.
J Comp Neurol ; 429(4): 530-40, 2001 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-11135233

RESUMEN

The vertebrate neural retina is mainly composed of cells of neuroectodermal origin. The primary cell types found in all vertebrate retinas are several categories of neurons and the archetypical retina glial cell the Müller cell. Although the neurons and the single glial cell type of the retina are specialized for very distinct functions, they all have a common developmental origin within the tissue. How the distinctions between cell types, in particular between neurons and glia, arise during embryonic development remains a central issue in neurobiology. In this report, we examine the genesis of Müller glial cells during zebrafish (Danio rerio) eye development. Particular emphasis is placed on the expression of the Müller cell maturation markers carbonic anhydrase and glutamine synthetase. In addition, we report that the HNK-1 monoclonal antibody, which identifies a particular glycoconjugate frequently found on cell surface recognition molecules, also identifies zebrafish retina Müller cells early in development. The expression patterns of these three markers clearly show that the Müller cells mature in stages: HNK-1 labeling and glutamine synthetase arise earlier than carbonic anhydrase expression. In addition, the embryonic zebrafish neural retina is characterized by the presence of amoeboid, carbonic anhydrase-positive microglial cells even before the genesis of retinal neuroectodermal glia. The stepwise maturation of the glia is likely to be indicative of an overall retinal maturational program in which cell differentiation and the expression of certain phenotype-defining gene products may be separately regulated.


Asunto(s)
Antígenos CD57/metabolismo , Anhidrasas Carbónicas/metabolismo , Diferenciación Celular/fisiología , Glutamato-Amoníaco Ligasa/metabolismo , Retina/citología , Animales , Biomarcadores , Neuroglía/citología , Neuroglía/metabolismo , Retina/embriología , Retina/metabolismo , Pez Cebra
13.
Microsc Res Tech ; 55(6): 464-73, 2001 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-11782075

RESUMEN

The ability of echinoderms to regenerate missing body parts has been a subject of interest to scientists for many years. Asexual reproduction (by fission or budding) is a phenomenon that involves regeneration of missing structures. Although asexual reproduction and regeneration have been the focus of many studies in adult echinoderms, there have been comparatively fewer studies examining these phenomena in echinoderm larvae, and most of these have been conducted in the last few years. In this article we review regeneration in larval echinoderms. We also discuss larval asexual reproduction.


Asunto(s)
Equinodermos/crecimiento & desarrollo , Equinodermos/fisiología , Animales , Larva/crecimiento & desarrollo , Larva/fisiología , Regeneración/fisiología , Reproducción Asexuada
14.
Eat Behav ; 2(3): 247-61, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-15001034

RESUMEN

This study investigates the underlying psychopathology of disordered eating and social phobia behaviours by examining the interrelationships between variables thought to be common to both. The participants were 252 female tertiary students. Each completed measures of eating behaviours, social phobia, body esteem, fear of negative evaluation, social support, self-acceptance, and general psychopathology. Structural equation modelling was used to determine if fear of negative evaluation and social support had a direct or indirect effect on the behaviours of disordered eating, social phobia, and body esteem. Findings indicated that fear of negative evaluation had a direct and indirect effect on the behaviours associated with eating disorders and social phobia, and only an indirect effect on body esteem. Social support indirectly affected eating disorders, social phobia, and body esteem. Implications from this study are that social support, fears of being criticised or rejected by others, and low self-acceptance are important variables in the assessment of eating disorders and social phobia.

15.
J Burn Care Rehabil ; 21(1 Pt 1): 5-9, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10661532

RESUMEN

Meshed split-thickness skin grafts, especially when required to be widely spread, do not obtain immediate biologic wound closure. In cases of patients with burns that cover a large percentage of the body surface area, this leaves the patient at risk for metabolic problems and life-threatening infection. Several cytokines and growth factors could theoretically affect the rate of epithelialization and, therefore, the rate of meshed graft interstitial closure. With the use of human meshed skin grafts explanted onto athymic "nude" rats, the epithelialization kinetics of interleukin-4 (IL-4), macrophage colony-stimulating factor (MCSF), keratinocyte growth factor-1 (KGF-1), keratinocyte growth factor-2 (KGF-2), basic fibroblast growth factor (bFGF), and transforming growth factor beta-2 (TGF(B2)) were investigated; the results were compared with the rates of epithelialization of grafts treated with a vehicle control. On postoperative day 3, wounds treated with IL-4, KGF-2, bFGF, and TGF(B2) showed a significantly increased rate of interstitial closure (P < .05). On postoperative days 5 and 7, wounds treated with KGF-2, bFGF, and TGF(B2) all exhibited a significantly higher rate of interstitial closure than the grafts in the control group (P < .05). These data suggest that epithelialization kinetics can be accelerated with the use of several topical growth factors, and they provide support for a future clinical trial.


Asunto(s)
Quemaduras/terapia , Sustancias de Crecimiento/farmacología , Trasplante de Piel/fisiología , Cicatrización de Heridas/fisiología , Animales , Humanos , Masculino , Ratas , Ratas Desnudas , Mallas Quirúrgicas
16.
Biol Bull ; 199(3): 298-304, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11147710

RESUMEN

A decade ago, cloning was first observed in the planktotrophic larvae of sea stars obtained from plankton tows. However, no controlled experimental studies have investigated what factors may regulate this remarkable phenomenon. In the present study we offer the first documentation of cloning in the planktotrophic larvae of Pisaster ochraceus from the northern Pacific coast. This species was used as a model system to investigate three factors that may influence the incidence of asexual reproduction (cloning) in planktotrophic sea star larvae. In an initial experiment, larvae were reared under nine combinations of three temperatures and three food (phytoplankton) concentrations. Larvae reared at 12-15 degrees C and fed the highest food concentrations grew larger than the other larvae and produced significantly more clones. In a second experiment, qualitatively different algal diets were fed to larvae reared under the conditions found to be optimal in the initial experiment. Up to 24% of the larvae consuming a mixed phytoplankton diet of Isochrysis galbana, Chaetocerous calcitrans, and Dunaliella tertiolecta cloned, and significantly more clones were produced by these larvae than by those fed monospecific diets. Our experiments indicate that cloning generally occurs after larvae have attained asymptotic body length and only when food is abundant and of high quality. Since larval mortality is considered to be extremely high for marine invertebrates with planktotrophic larvae, production of clones under optimal conditions of temperature and food may serve to increase larval populations when the environment is most conducive to larval growth.


Asunto(s)
Estrellas de Mar/fisiología , Animales , Alimentos , Larva , Reproducción Asexuada/fisiología , Temperatura
17.
Evol Dev ; 2(3): 130-2, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11252568

RESUMEN

Those who work at the interface of development and evolution are united by the conviction that developmental comparisons can shed light on both the evolution of specific morphologies and the macroevolutionary process itself. In practice, however, the field comprises a diversity of approaches. As the field grows and practitioners attempt to digest a growing mountain of comparative data, the various approaches of "Evo Devo" have themselves evolved. A meeting organized by the authors and held at the University of Chicago in the Spring of 1999 illustrated some of these changes. This review will draw on its content to discuss recent developments in two areas: the reconstruction of common ancestors and the developmental basis of evolutionary change.


Asunto(s)
Evolución Biológica , Animales
18.
J Nat Prod ; 61(1): 116-8, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9461659

RESUMEN

The bright yellow sponge Isodictya erinacea is one of several chemically defended sponges found on the benthos of McMurdo Sound, Antarctica. An investigation of the metabolites from this sponge has resulted in the isolation of purine and nucleoside metabolites, including the previously unreported erinacean (1) and p-hydroxybenzaldehyde. The latter metabolite has been demonstrated to cause a feeding deterrence behavior in Perknaster fuscus, the major predator of antarctic sponges.


Asunto(s)
Nucleósidos/aislamiento & purificación , Poríferos/metabolismo , Purinas/aislamiento & purificación , Animales , Antibacterianos/farmacología , Bacterias/efectos de los fármacos , Conducta Animal/efectos de los fármacos , Ensayos de Selección de Medicamentos Antitumorales , Espectroscopía de Resonancia Magnética , Nucleósidos/farmacología , Purinas/farmacología , Espectrofotometría Infrarroja , Espectrofotometría Ultravioleta , Estrellas de Mar , Células Tumorales Cultivadas
19.
J Nat Prod ; 60(10): 959-66, 1997 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9358635

RESUMEN

A total of 19 steroids, of which 13 steroidal oligoglycosides (nine new and four known) and six polyhydroxylated steroids (four new and two known), has been isolated from the Antarctic starfish Acodontaster conspicuus. The mixture is dominated by glycosides composed of steroidal aglycons having the hydroxyl groups typically disposed on one side of the tetracyclic nucleus, i.e., 3 beta,4 beta,6 alpha,8,15 beta-, with some having a sulfate at C-6, and differing in the side chains and/or in the disaccharide moieties that are usually attached at C-26, with some at C-28 and C-29. Those compounds are accompanied by minute amounts of glycosides with a delta 8(14)-double bond in the steroid, which is a structural feature not previously found among polyhydroxysteroids derived from starfish. Small amounts of six related unglycosidated polyhydroxysteroids and three higher-molecular-weight asterosaponins complete the composition of the mixture. The structures of the new compounds were determined by interpretation of their spectral data and by comparison with spectral data of known compounds. Eighteen of these compounds were evaluated for their ability to inhibit growth in Antarctic marine bacteria isolated from either the water column or the surfaces of benthic marine invertebrates. Of these compounds, 50% were active against at least one Antarctic marine bacterium. This suggests that these compounds may play an important role in deterring microbial fouling.


Asunto(s)
Antibacterianos/aislamiento & purificación , Antibacterianos/farmacología , Estrellas de Mar/metabolismo , Esteroides/aislamiento & purificación , Esteroides/farmacología , Animales , Antibacterianos/química , Bacterias/efectos de los fármacos , Espectroscopía de Resonancia Magnética , Pruebas de Sensibilidad Microbiana , Espectrometría de Masa Bombardeada por Átomos Veloces , Esteroides/química
20.
Aesthetic Plast Surg ; 21(5): 299-308, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9298997

RESUMEN

Maxillofacial dysplasia, or Binder's Syndrome is a challenge for the surgeon. The evolution of a surgical treatment plan has led to improved facial contour and patient self-image. We studied 27 patients with maxillonasal dysplasia of variable degrees, both on a short- and long-term basis. In some patients, surgical treatment began as early as 3 years of age, while others were treated as teenagers or young adults. Surgical options included cartilaginous onlay grafts to the pyriform area, nasal dorsal grafts (linear or L-strut in design), and columellar strut grafts. Le Fort osteotomies were reserved for those patients with Class III malocclusion (15% in this series). The overall goals were to augment skeletal deficiencies of the midface and begin the soft tissue expansion process as early as possible. From our long-term follow-ups (up to 15 years) it has become apparent that surgical treatment should begin early. This leads to improved self-image by the child's preschool years, taking advantage from their youthful skin elasticity. In the young patient, sequential lengthening procedures of the dorsum and columella are beneficial. Paranasal and midfacial augmentation is reserved until midfacial growth is near complete when the patient is in their midteenage years.


Asunto(s)
Anomalías Múltiples/cirugía , Maxilar/anomalías , Maxilar/cirugía , Nariz/anomalías , Nariz/cirugía , Adolescente , Trasplante Óseo , Niño , Preescolar , Femenino , Humanos , Masculino , Maloclusión de Angle Clase III/cirugía , Índice de Severidad de la Enfermedad , Cirugía Bucal , Síndrome
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