Alar batten cartilage graft: treatment of internal and external nasal valve collapse.

BACKGROUND: The aim of this study was to describe the efficacy of alar batten graft in correcting internal and external nasal valve collapse (i.n.v. and e.n.v.) and evaluate the functional and aesthetic results. METHODS: From July 2006 to September 2008, 80 patients (54 females and 26 males) underwent alar batten cartilage grafting. The patients were divided into three groups: (1) 55 patients with iatrogenic nasal valve collapse (80% i.n.v., 20% e.n.v.), (2) 15 patients with posttraumatic nasal valve collapse (45% i.n.v., 55% e.n.v.), and (3) 10 patients with congenital nasal valve collapse (100% e.n.v.). Patients were evaluated at 6, 12, 24, and some at 36 months after surgery. The final follow-up was at least 24 months. RESULTS: The results of this study revealed a significant increase in the size of the aperture at the internal or external nasal valve after the application of alar batten grafts. All the patients noted improvement in their nasal airway breathing and in their cosmetic appearance. No major complication was observed. CONCLUSION: The alar batten graft is a simple, versatile technique for long-term reshaping, repositioning, and reconstruction of the nasal valve collapse.

Early transient ultrastructural and quantitative changes in nucleolar vacuoles of sympathetic neurons in isolated superior cervical ganglion of the rat.

Nucleolar changes and their time-course following axotomy and decentralization were investigated using an ultrastructural and stereological analysis of sympathetic neurons in superior cervical ganglion. By comparison with ganglia fixed immediately after removal, incubation for 2 h, 3 h and 5 h in NCTC 109 medium at 37 degrees C was found to induce early changes in the nucleolar volume (first a 33% increase, followed by a 43% decrease and a subsequent recovery to control values after 5 h). Moreover, dense material (also called 'microspherules') appeared in nucleolar vacuoles as early as 2 h after the beginning of incubation and was present after 3 h, but disappeared after a 5 h incubation. The dense material may have been either fibrillar component involved in rDNA transcription, or granular component involved in the storage and/or transport of preribosomal particles. Such early, transient and quantitative changes were observed very earlier than in previous studies on the axon reaction.

Effects of isolation and high helium pressure on the nucleolus of sympathetic neurons in the rat superior cervical ganglion.

In prokaryotes, unicellular eukaryotes and cell-free systems, pressure is known to exert an inhibitory effect on protein synthesis and RNA metabolism, the mechanism(s) of which remain to be investigated in detail. The purpose of the present in vitro study was to compare ultrastructural and quantitative changes of the nucleolus, which is the site of ribosome biogenesis, in sympathetic neurons of rat superior cervical ganglia (SCG) maintained for 2, 3 and 5 h in NCTC 109 medium and subjected to pressure or not. In control SCG (left) the nucleolus greatly increased in volume (+ 33%) 2 h after excision, in comparison with SCG fixed immediately. This overall enlargement was found to reflect a marked increase in all nucleolar components (from 16 to 87%). After 5 h, volumes of nucleolus, fibrillar centers and vacuolar component returned to control values, whereas dense fibrillar and granular components remained affected. Such early and transient changes are regarded as reflecting basic metabolic changes associated with increased nucleolar RNA that should be of primary concern to experiments using SCG transplanted in culture media. Compression under helium up to 180 atmospheric pressure for 1 h of right SCG maintained for 2 h in culture medium, was shown to induce, on the contrary, a marked decrease in nucleolar volume (-39%) and in volumes of all nucleolar components (from -36 to -51%). When they were kept at constant high pressure for 1 and 3 h a progressive recovery of volumes of nucleoli and nucleolar components was observed. Consequently, compression was shown to exert opposite effects to those of isolation of SCG. Present data are interpreted as an inhibitory effect of pressure on ribosome biogenesis. Such observations on a vertebrate neuron might open a new field in the search for cellular mechanisms underlying the effects of pressure on living organisms and especially on the nervous system.

TSH stimulation of iodine organification in early foetal rat thyroid in vitro.

Thyroid glands from 15 day-old rat foetuses were incubated in Eagle's medium containing Na 125I and supplemented, or not, with TSH for 4 or 24 hours. Electron microscopic radioautographic study shows silver grains mainly in follicular cavities only in the thyroids submitted to TSH during 24 hr. A functional differentiation must therefore take place in thyroid cells under TSH stimulation.