Hematuria as presenting sign in Wissler-Fanconi syndrome.

We describe a case of persistent microscopic hematuria as initial finding in incomplete Still's disease or Wissler-Fanconi syndrome. Renal biopsy findings were compatible with intravascular coagulation. Wissler-Fanconi syndrome and the associated renal abnormalities are briefly reviewed.

Endonasal surgical treatment of bilateral choanal atresia under optic control in the infant.

The authors discuss the different approaches in surgical treatment of choanal atresia. They describe a method of endonasal approach under optic control. In this method an opening in the bony atresia is made via the nasal cavity with the aid of a surgical microscope and micro-instruments, while the posterior wall of the atretic plate is observed by means of a 110 degrees endoscope via the nasopharynx. This method is illustrated by a clinical case, with a four year follow-up.

[Transmission electron microscopy study of the nasal cilia]. / Transmissie-electronenmicroscopisch onderzoek van de neusciliën.

The authors draw the attention on the existence of dyskinetic and immotile cilia in patients with chronic respiratory infections of unknown origin. The study of the ultrastructure of the ciliae is done by a transmission electron microscope. It is very important to make a difference between primary and acquired anomalies. Furthermore, the authors emphasize the importance of early diagnosis in view of a treatment.

Cry analysis in infants with infectious and congenital disorders of the larynx.

Thirty induced pain cries from the same number of infants with infectious or congenital disorders of the larynx (infectious laryngitis, laryngomalacia, paresis of the recurrent nerve and subglottic stricture) have been analyzed by means of sound spectrography. For each cry 21 phonetic features have been evaluated. This cry material was then compared with 120 pain cries from healthy infants. In the pathological group a significant increase could be noted in the occurrence of the following cry attributes: second pause, abnormal melody types (rising, falling-rising, flat and no melody types), instability of the fundamental frequency, bi-phonation, vibrato, half-voiced voice quality, noise concentration, and inspiratory stridor. Furthermore, a significant decrease could be noticed in the occurrence of voiceless cries, falling and rising-falling melody types, and glottal roll. These findings show that such spectrographic features as very high maximum and minimum pitch, bi-phonation, gliding, and abnormal melody type occur more often in cries of infants with central nervous system involvement. Moreover, such parameters as instability of the fundamental frequency and noise concentration as indicators of neurologic disorders need further consideration. Except features of inspiratory stridor, this study revealed no really clear parameters typical of peripheral diseases of the vocal tract.