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2.
BMC Biotechnol ; 20(1): 23, 2020 05 11.
Artigo em Inglês | MEDLINE | ID: mdl-32393318

RESUMO

An amendment to this paper has been published and can be accessed via the original article.

3.
J Craniofac Surg ; 30(5): e442-e446, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31299808

RESUMO

Lingual thyroglossal duct cysts (LTDCs) are rare congenital anomalies of the neck. The authors described the presentation, management, and outcome of LTDC in pediatric and adult cases through a retrospective observational analysis between 2008 and 2018. Data included patients' demographics, main complaint, preoperative investigations, surgical management, and recurrences. Seventeen patients were included: 8 pediatric and 9 adult patients. The most common presenting symptom was foreign body sensation (35.3%). In all, 50% (4/8) of the children had respiratory problems, while the most common symptom in adults was difficulty swallowing (8/9). Five patients were of recurrent LTDC; 3 referred patients were suspected of having recurrent epiglottic cysts. The total misdiagnosis rate was 35.3% (6/17): 14.3% (1/7) in children and 55.6% (5/9) in adults. Fiber optic laryngoscopic examination revealed that LTDCs mostly occurred at the base of the tongue (53.3%) and vallecula epiglottica (33.3%). Ultrasound examination revealed low to anechoic masses on the root of the tongue; 50% were regular in shape and 50% were irregular. All pediatric patients had regular masses (100%), but most adults had irregular masses (85.7%). In total, 76.5% of the patients underwent the Sistrunk procedure, and 23.5% underwent marsupialization alone. The mean follow-up length was 37.5 ±â€Š32.8 months. All patients were well at follow-up. In conclusion, direct laryngoscopy and ultrasound examination are essential for diagnosis as LTDCs can be confused with vallecular cysts. Surgical treatment such as marsupialization or the Sistrunk operation must be performed thoroughly.


Assuntos
Cisto Tireoglosso/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Transtornos de Deglutição/cirurgia , Demografia , Erros de Diagnóstico , Feminino , Humanos , Laringoscópios , Laringoscopia , Masculino , Recidiva Local de Neoplasia/cirurgia , Estudos Retrospectivos , Glândula Tireoide , Doenças da Língua/cirurgia , Ultrassonografia
4.
BMC Biotechnol ; 18(1): 7, 2018 02 06.
Artigo em Inglês | MEDLINE | ID: mdl-29409498

RESUMO

BACKGROUND: Detection of DNA methylome at single-base resolution is a significant challenge but promises to shed considerable light on human disease etiology. Current technologies could not detect DNA methylation genome-wide at single-base resolution with small amount of sequencing data and could not avoid detecting the methylation of repetitive elements which are considered as "junk DNA". METHODS: In this study, we have developed a novel DNA methylome profiling technology named MB-seq with its ability to identify genome-wide 5mC and quantify DNA methylation levels by introduced an assistant adapter AluI-linker This linker can be ligated to sonicated DNA and then be digested after the bisulfite treatment and amplification, which has no effect of MeDIP enrichment. Because many researchers are interested in investigating the methylation of functional regions such as promoters and gene bodies, we have also developed a novel alternative method named MRB-seq, which can be used to investigate the DNA methylation of functional regions by removing the repeats with Cot-1 DNA. RESULTS: In this study, we have developed MB-seq, a novel DNA methylome profiling technology combining MeDIP-seq with bisulfite conversion, which can precisely detect the 5mC sites and determine their DNA methylation level at single-base resolution in a cost-effective way. In addition, we have developed a new alternative method, MRB-seq (MeDIP-repetitive elements removal-bisulfite sequencing), which interrogates 5mCs in functional regions by depleting nearly half of repeat fragments enriched by MeDIP. Comparing MB-seq and MRB-seq to whole-genome BS-seq using the same batch of DNA from YH peripheral blood mononuclear cells. We found that the sequencing data of MB-seq and MRB-seq almost reaches saturation after generating 7-8 Gbp data, whereas BS-seq requires about 100 Gbp data to achieve the same effect. In comparison to MeDIP-seq and BS-seq, MB-seq offers several key advantages, including single-base resolution, discriminating the methylated sites within a CpG and non-CpG pattern and overcoming the false positive of MeDIP-seq due to the non-specific binding of 5-methylcytidine antibody to genomic fragments. CONCLUSION: Our novel developed method MB-seq can accelerate the decoding process of DNA methylation mechanism in human diseases because it requires 7-8 Gbp data to measure human methylome with enough coverage and sequencing depth, affording it a direct and practical application in the study of multiple samples. In addition, we have also provided a novel alternative MRB-seq method, which removes most repetitive sequences and allows researchers to genome-wide characterize DNA methylation of functional regions.


Assuntos
5-Metilcitosina/análise , Metilação de DNA , Sequenciamento de Nucleotídeos em Larga Escala/métodos , Imunoprecipitação/métodos , Ilhas de CpG , Reações Falso-Positivas , Humanos , Leucócitos Mononucleares , Regiões Promotoras Genéticas , Sequências Repetitivas de Ácido Nucleico , Sulfitos/química
5.
Biomed Res Int ; 2017: 7378148, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29204446

RESUMO

MicroRNAs (miRNAs) play an essential role in tumor biological processes through interacting with specific gene targets. The involvement of miR-195-5p in cell proliferation, invasion, and migration has been demonstrated in several cancer cell lines, while its function in oral squamous cell carcinoma (OSCC) remains unclear. Here we find that miR-195-5p expression is lower in OSCC than in nontumor tissues, while its overexpression in cell lines can lead to the promotion of apoptosis and the reduction of cell growth, migration, and invasion. Moreover, we identify the tripartite motif-containing protein (TRIM14) as a target of miR-195-5p. Therefore, we reason that the tumor suppressor role of miR-195-5p in OSCC is dependent on the interaction with TRIM14.


Assuntos
Carcinoma de Células Escamosas/genética , Proteínas de Transporte/genética , MicroRNAs/genética , Neoplasias Bucais/genética , Apoptose/genética , Carcinoma de Células Escamosas/patologia , Linhagem Celular Tumoral , Movimento Celular/genética , Proliferação de Células/genética , Regulação Neoplásica da Expressão Gênica/genética , Humanos , Peptídeos e Proteínas de Sinalização Intracelular , Neoplasias Bucais/patologia , Invasividade Neoplásica/genética , Invasividade Neoplásica/patologia , Transdução de Sinais/genética , Proteínas com Motivo Tripartido
6.
PLoS One ; 12(4): e0174309, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28369091

RESUMO

BACKGROUND: As a regulator essential for many cell cycle-related proteins, the robust expression of Cell cycle-Related and Expression-elevated Protein in Tumor (CREPT) implicates a poor diagnosis of endoderm and mesoderm-derived tumors. Whether CREPT plays the same role in the tumorigenesis derived from ectodermal tissues remains elusive. METHODS: To explore the role of CREPT in ectoderm-derived tumors, cells from 7oral squamous cell carcinoma (OSCC) lines and 84clinical OSCC samples were exploited in this study. Quantitative PCR, Western blot assay and immunohistochemistry were applied in the evaluation of CREPT, cyclin D1 and c-Myc expression. Knocking-down of CREPT was performed by lentivirus delivering specific shRNA of CREPT. The effects of CREPT on OSCC were examined by cell proliferation, colony formation, apoptosis, cell migration and xenograft implantation experiments. RESULTS: Compared with human normal oral keratinocytes, OSCC cell lines showed a significantly elevated expression of CREPT in both mRNA and protein levels. Consistently, samples from OSCC patients also exhibited a noticeably stronger CREPT expression than the noncancerous samples. In contrast, knocking down of CREPT in OSCC cell lines significantly reduced proliferation, colony formation and migration as well as the expression of cyclin D1 and c-Myc, but promoted apoptosis. Statistical analysis also suggested that CREPT expression was significantly correlated with the T and N classification of OSCC. Furthermore, CAL27 mouse xenograft model confirmed that down-regulation of CREPT prohibited cyclin D1 and c-Myc expression, through which decreased the in vivo tumor growth, but increased the survival ratio of hosts. CONCLUSION: In OSCC cell lines, up-regulated CREPT expression enhanced cell proliferation, migration and cell cycle as well as promoted cyclin D1 and c-Myc expression as it did in endoderm and mesoderm-origin tumors. Our study strongly suggests that CREPT could be used as a marker for the OSCC prognosis and might work as a potential target in future OSCC therapy.


Assuntos
Carcinoma de Células Escamosas/genética , Carcinoma de Células Escamosas/patologia , Proteínas de Ciclo Celular/antagonistas & inibidores , Proteínas de Ciclo Celular/genética , Ciclina D1/genética , Genes myc , Neoplasias Bucais/genética , Neoplasias Bucais/patologia , Proteínas de Neoplasias/antagonistas & inibidores , Proteínas de Neoplasias/genética , Animais , Apoptose , Biomarcadores Tumorais/genética , Biomarcadores Tumorais/metabolismo , Carcinoma de Células Escamosas/metabolismo , Proteínas de Ciclo Celular/metabolismo , Linhagem Celular Tumoral , Movimento Celular , Proliferação de Células , Progressão da Doença , Regulação para Baixo , Feminino , Expressão Gênica , Técnicas de Silenciamento de Genes , Humanos , Masculino , Camundongos , Camundongos Nus , Pessoa de Meia-Idade , Neoplasias Bucais/metabolismo , Proteínas de Neoplasias/metabolismo , Prognóstico , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , RNA Neoplásico/genética , RNA Neoplásico/metabolismo , Ensaio Tumoral de Célula-Tronco
7.
Mol Cell Biochem ; 394(1-2): 177-86, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24889262

RESUMO

The Fork head box C1 (FOXC1) gene is overexpressed in multiple malignant tumors and is functionally correlated with tumor progression. However, its' role in oral squamous cell carcinoma (OSCC) is still unclear. Recent studies have revealed that many long non-coding RNA (lncRNAs) cooperate with adjacent coding genes and form a functional "lncRNA-mRNA pair". In this study, we report a new lncRNA FOXC1 upstream transcript (FOXCUT) that was remarkably overexpressed in 23 OSCC patients, as was the adjacent FOXC1 gene. The expressions of FOXC1 and FOXCUT were positively correlated. When the expression of FOXCUT was down-regulated by small interfering RNA (siRNA), the expression of FOXC1 was also decreased. Moreover, in OSCC cells Tca8113 and SCC-9, down-regulation of either FOXC1 or FOXCUT by siRNA could inhibit cell proliferation and cell migration in vitro and was accompanied with a reduction of MMP2, MMP7, MMP9, and VEGF-A. In conclusion, FOXC1 may be co-amplified with FOXCUT in OSCC, and both of them may be functionally involved in the tumor progression of OSCC. This provides evidence that both FOXC1 and FOXCUT may serve as novel biomarkers and therapeutic targets in OSCC patients who overexpress this "lncRNA-mRNA pair".


Assuntos
Biomarcadores Tumorais/genética , Carcinoma de Células Escamosas/genética , Fatores de Transcrição Forkhead/genética , Neoplasias de Cabeça e Pescoço/genética , Neoplasias Bucais/genética , RNA Longo não Codificante/genética , RNA Mensageiro/genética , Biomarcadores Tumorais/metabolismo , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/patologia , Linhagem Celular Tumoral , Movimento Celular , Proliferação de Células , Fatores de Transcrição Forkhead/metabolismo , Regulação Neoplásica da Expressão Gênica , Neoplasias de Cabeça e Pescoço/metabolismo , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 7 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Neoplasias Bucais/metabolismo , Neoplasias Bucais/patologia , Invasividade Neoplásica , Interferência de RNA , RNA Longo não Codificante/metabolismo , RNA Mensageiro/metabolismo , Carcinoma de Células Escamosas de Cabeça e Pescoço , Fatores de Tempo , Transfecção , Regulação para Cima , Fator A de Crescimento do Endotélio Vascular/metabolismo
8.
Artigo em Inglês | MEDLINE | ID: mdl-22858017

RESUMO

OBJECTIVE: The aim of this study was try to find a new way with high precision to implant (125)I-radioactive particles for safe and effective control of tumors that have invaded into the cranial base and orbital regions. STUDY DESIGN: Eight patients with invasive adenoid cystic carcinoma of the cranial base and orbital apex and a history of multiple surgeries were selected. A preoperative magnetic resonance scan was performed and the Brainlab surgical navigation system was used to aid the surgery. RESULTS: The radioactive particles were distributed evenly within the tissue and accurately positioned. No intracranial injury or visual impairment occurred, and the treatment was effective. CONCLUSIONS: The implantation of radioactive particles with the use of magnetic resonance imaging guidance is an effective and safe method for treating invasive malignancies of the skull base and orbital apex, and it should be considered for conditional use.


Assuntos
Braquiterapia/métodos , Carcinoma Adenoide Cístico/radioterapia , Carcinoma Adenoide Cístico/cirurgia , Imagem por Ressonância Magnética Intervencionista , Neoplasias Orbitárias/radioterapia , Neoplasias Orbitárias/cirurgia , Neoplasias Cranianas/radioterapia , Neoplasias Cranianas/cirurgia , Adulto , Braquiterapia/instrumentação , Carcinoma Adenoide Cístico/patologia , Terapia Combinada , Humanos , Radioisótopos do Iodo/administração & dosagem , Masculino , Pessoa de Meia-Idade , Órbita/patologia , Órbita/cirurgia , Neoplasias Orbitárias/patologia , Base do Crânio/patologia , Base do Crânio/cirurgia , Neoplasias Cranianas/patologia , Resultado do Tratamento
9.
Zhonghua Yi Xue Za Zhi ; 92(30): 2131-3, 2012 Aug 14.
Artigo em Chinês | MEDLINE | ID: mdl-23158278

RESUMO

OBJECTIVE: To explore the biological features and clinical efficacies of absorbable plates and screws for rigid internal fixation. METHODS: From June 2006 to June 2010, 201 FIXSORB(TM)-MX absorbable plates were used in 57 patients, including 41 males and 16 females aged from 11 - 81 years. And 185 plates were used in 53 patients of maxillofacial fracture and 16 plates in 4 undergoing orthognathic operations with rigid internal fixation. RESULTS: All wounds healed primarily and there were no major complications. Forty-five cases were followed up for an average period of 12 months (range: 3 - 36). No obvious adverse effect and absorbable implants rejection were observed. The fracture lines were in the right position in 56 cases. CONCLUSION: As a kind of fine material for internal fixation with strong elasticity and strength, absorbable plate shall be widely used clinically.


Assuntos
Implantes Absorvíveis , Fixação Interna de Fraturas/instrumentação , Fraturas Cranianas/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Placas Ósseas , Parafusos Ósseos , Criança , Feminino , Humanos , Fixadores Internos , Fraturas Maxilomandibulares/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
10.
Zhonghua Yi Xue Za Zhi ; 92(20): 1416-8, 2012 May 29.
Artigo em Chinês | MEDLINE | ID: mdl-22883202

RESUMO

OBJECTIVE: To investigate the clinical efficacy between mobile intraoperative magnetic resonance imaging (iMRI) navigation with a high field strength and routine surgical resection for malignancy of parapharyngeal space. METHODS: The surgical efficacy indexes of patients at our hospital during the time range from February 2010 to February 2011 were compared between two groups consisting of 29 or 42 individuals undergoing surgery with the assistance of the technique of iMRI navigation with a high field strength 1.5T or routine operation. RESULTS: No difference existed between two groups in terms of age, gender, maximal diameter of tumors, tumor stages, surgical approach or pathologic diagnosis (P > 0.05). The operative duration of the group by iMRI navigation was more than the group of routine operation ((3.1 ± 0.6) h vs (2.7 ± 0.7) h, P < 0.05). And the hemorrhagic loss ((185 ± 20) ml vs (230 ± 22) ml), the volume of drainage in 72 hours, the positive rate of initial surgical margins, the postoperative hospital stay ((9.1 ± 2.1) d vs (10.3 ± 2.3) d) and the complication incidence rate (3.4% vs 9.5%) were less (all P < 0.05). CONCLUSION: The operation by the iMRI navigation offers a much better clinical efficacy than the traditional surgery in the resection of malignancy of parapharyngeal space.


Assuntos
Imageamento por Ressonância Magnética , Neoplasias Bucais/cirurgia , Neuronavegação/métodos , Idoso , Feminino , Glioma , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória/métodos , Faringe , Estudos Retrospectivos , Cirurgia Assistida por Computador/métodos , Resultado do Tratamento
11.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 47(1): 48-51, 2012 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-22490222

RESUMO

OBJECTIVE: To construct the co-culture models of salivarya denoid cystic carcinoma (SACC) cells and dorsal root ganglia (DRG) of chickens and investigate the promotive effects of SACC on neural tissue. METHODS: Glass-base culture dish was adopted to construct co-culture model of SACC-83 cells and DRG. SACC-83 cells were seeded in the medium pore with DRG around them. Outgrowth of neuronal processes was observed. Then DRG was cultured in the conditioned medium of SACC-83, with the groups of conditioned medium of MC3T3-E1 and HGF, the group of cell lysis buffer, the groups of serum-free medium and serum-plus medium as the controls. Outgrowth of neuronal processes was also recorded and compared with control groups. RESULTS: In the co-culture model of tumor and neuronal tissue, SACC-83 cells produced a suitable microenvironment in which neuronal processes remarkably grow. Neuronal processes of most DRG displayed growth tendency toward SACC. The group of conditioned medium from SACC-83 manifested obvious promotive effects on DRG. CONCLUSIONS: Co-culture model of tumor and neuronal tissue was successfully constructed, with which the promotive effects of tumor on outgrowth of neuronal processes could be observed. So hypothesized that SACC could secrete some neurotrophic factors to guide peripheral nerves gemmating and to trigger the cascade of the neural invasion in succession.


Assuntos
Carcinoma Adenoide Cístico/patologia , Gânglios Espinais/crescimento & desenvolvimento , Neoplasias das Glândulas Salivares/patologia , Animais , Linhagem Celular , Linhagem Celular Tumoral , Galinhas , Técnicas de Cocultura , Meios de Cultura , Gengiva/citologia , Humanos , Osteoblastos/citologia
12.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 47(12): 715-8, 2012 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-23328095

RESUMO

OBJECTIVE: To evaluate the feasibility of MRI navigation in identifing the safe surgical margin of the maxillofacial malignancy. METHODS: The pathology results of the surgical margin identified by the technique of MRI navigation form 20 patients with maxillofacial malignancy were compared with those of 45 patients with maxillofacial malignancy who underwent the routine operation without MRI navigation. RESULTS: There was no difference between the two groups of patients in age, sex, size of tumor, tumor stages, pathologic diagnosis (P > 0.05). The negative rate of the surgical margin of the lesions treated by surgery with the technique of MRI navigation was significantly lower than that of the lesions treated without MRI navigation (P = 0.007) and highly correspondent with the pathology results. CONCLUSIONS: MRI navigation was helpful in identifying the safe surgical margin of the maxillofacial malignancy.


Assuntos
Carcinoma/cirurgia , Neoplasias Faciais/cirurgia , Imagem por Ressonância Magnética Intervencionista , Neoplasias Maxilares/cirurgia , Cirurgia Assistida por Computador/métodos , Idoso , Carcinoma/patologia , Neoplasias Faciais/patologia , Feminino , Humanos , Masculino , Neoplasias Maxilares/patologia , Pessoa de Meia-Idade , Monitorização Intraoperatória/métodos , Sarcoma/patologia , Sarcoma/cirurgia , Carga Tumoral
13.
Zhonghua Yi Xue Za Zhi ; 92(42): 2992-4, 2012 Nov 13.
Artigo em Chinês | MEDLINE | ID: mdl-23328292

RESUMO

OBJECTIVE: To evaluate the efficacy and safety of brachytherapy plus operation for salivary gland malignant tumors. METHODS: From June 2006 to June 2011, a total of 105 patients with salivary gland malignant tumors undergone brachytherapy by implantation of iodine 125 seeds. The effectiveness was evaluated by periodical radiological film and computed tomography. The complications were analyzed. RESULTS: Among them, 92 patients were observed for 12 - 60 months. The rates of clinical response rate (CRPR) and no change (NC) were 91.3% (84/92) and 8.7% (8/92) respectively of the patients. Pain, mucosa ulcer, skin darkness and radiation osteomyelitis were common complications. CONCLUSION: The combined regimen of operation and brachytherapy of iodine 125 seed implantation for salivary gland malignant tumors is quite effective and convenient. And it has fewer complications.


Assuntos
Braquiterapia , Radioisótopos do Iodo/uso terapêutico , Neoplasias das Glândulas Salivares/terapia , Adolescente , Adulto , Idoso , Braquiterapia/métodos , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias das Glândulas Salivares/cirurgia , Resultado do Tratamento , Adulto Jovem
14.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 46(8): 502-4, 2011 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-22169750

RESUMO

OBJECTIVE: To investigation the shielding property to (125)I of several different prosthetic materials used in clinical when prostheses are used as carriers of (125)I seed in tumor treatment. METHODS: (125)I seeds were taken as the radiation sources to establish a model in vitro and the radiation doses were measured by thermoluminescent dosemeters (TLD). The shielding property of titanium plate, cochrome plate, and poly methyl methacrylate (PMMA) plate were detected, calculated and compared with that of plumbum plate in the control group. RESULTS: The radiation doses of the radiation source at 10 mm distance through the following materials were measured, and the results are 2.805 mGy (0.09 mm thick titanium plate), 1.082 mGy (0.48 thick titanium plate), 0.390 mGy (0.41 mm thick cochrome plate), and 0.261 mGy (0.67 mm's cochrome plate), and 2.885 mGy (1.685 mm thick PMMA plate). CONCLUSIONS: The shield property of cochrome is optimal. The poly methyl methacrylate behaves to some extend as a shield to the (125)I seed which can shield the radiation as the effects of plumbum when adopted together with the 0.557 mm's (or more) titanium plate.


Assuntos
Braquiterapia , Prótese Dentária , Radioisótopos do Iodo , Equipamentos de Proteção , Proteção Radiológica/instrumentação , Cromo/química , Cobalto/química , Materiais Dentários , Polimetil Metacrilato/química , Doses de Radiação , Dosimetria Termoluminescente , Titânio/química
15.
Nan Fang Yi Ke Da Xue Xue Bao ; 30(12): 2640-2, 2010 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-21177167

RESUMO

OBJECTIVE: To investigate the changes in cerebral blood flow in patients with maxillary defect treated with prosthesis insertion. METHODS: Thirty patients with maxillary defect receiving obturator prosthesis insertion were enrolled with another 30 subjects without dentition defect as the control. The cerebral blood flow rate was recorded before and at 5 and 10 min during mastication, and the results were analyzed statistically. RESULTS: There was no significant difference in Vs, Vd or Vm between the two groups at the time points for measurement. CONCLUSION: The blood supply by the middle cerebral artery is similar between the patients receiving obturator prosthesis insertion for maxillary defect and the subjects with full denture.


Assuntos
Circulação Cerebrovascular , Mastigação/fisiologia , Maxila , Prótese Maxilofacial , Adulto , Idoso , Estudos de Casos e Controles , Prótese Total , Feminino , Humanos , Masculino , Maxila/lesões , Pessoa de Meia-Idade , Artéria Cerebral Média
17.
Oncol Lett ; 1(6): 1079-1082, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22870116

RESUMO

A patient was admitted to hospital with enlarged lobes of the thyroid gland with bilateral cervical lymph node involvement, and surgical excision followed. Histological examination of this specimen revealed a lesion that showed myoepithelial cell differentiation. Primary thyroid and skin appendage tumors were excluded based on clinical examination, conventional histology and immunohistochemistry. A tumor of the right parotid surgically treated in June 2008, approximately 2 years previously, was originally classified as a basal cell adenocarcinoma with focal invasion, but was re-examined. Using immunohistochemistry, the parotid tumor was re-classified as a myoepithelial carcinoma. The thyroid tumor proved to be metastasis from a primary parotid tumor, which was not found in the updated review of the literature. The literature is reviewed, including current knowledge on the histological and immunohistochemical features of myoepithelial carcinoma, with limited data on treatment suggestions.

18.
Br J Oral Maxillofac Surg ; 47(7): 541-4, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19409679

RESUMO

Blepharoplasty is one of the most common aesthetic procedures done today. The protruding fat and lid-cheek junction are the most conspicuous signs of aging that need attention. During zygomatic reduction by an intraoral approach we found occasionally that the orbital fat can be exposed through the perforated periosteum at the inferior obital rim. We therefore developed a new blepharoplasty procedure using an oral approach. Seventeen patients aged from 26 to 38 years, of whom six had had a previous unsuccessful blepharoplasty and one had a history of injury to the lower lid, were studied. The operation was done under an infraorbital nerve block and local anaesthesia through an intraoral incision at the upper vestibular groove. The periosteum was raised on the surface of the maxilla to the infraorbital rim, and the infraorbital nerve preserved. The periosteum and the orbital septum were incised along the whole length of the infraorbital rim. The fat that was exposed through the incision was either removed or preserved and fixed to the outer soft tissue with sutures. Cosmetic results were good and the oral incision healed without infection. Six patients developed numbness in the infraorbital region, five of whom recovered within 3 months; the other recovered by 6 months postoperatively.


Assuntos
Tecido Adiposo/cirurgia , Blefaroplastia/métodos , Bochecha/cirurgia , Pálpebras/cirurgia , Adulto , Anestésicos Locais/administração & dosagem , Estética , Feminino , Seguimentos , Humanos , Hipestesia/etiologia , Lidocaína/administração & dosagem , Maxila/cirurgia , Mucosa Bucal/cirurgia , Bloqueio Nervoso , Órbita/inervação , Órbita/cirurgia , Periósteo/cirurgia , Complicações Pós-Operatórias , Técnicas de Sutura
19.
Artigo em Chinês | MEDLINE | ID: mdl-19035254

RESUMO

OBJECTIVE: To investigate and analyze the wounded's state of ear, nose, throat, neck and head injury in Wenchuan earthquake. METHODS: The 206 wounded cases, who was treated in No. 452 Hospital of People's Liberation Army, were investigated specially with emphasis on injury cause, severity and treatment. RESULTS: The injured 165 cases among the 206 were in hospital, while the cases who related to the injury of ear, nose and throat were 37 cases (22.4%). Among the inpatients, the trauma of otorhinolaryngology and head and neck included: ear injuries totally 13 cases (including hemotympanum 2 cases), extraneous matter 4 cases, haemorrhagic 4 cases, nasalis and the fracture of nasal bone and nasal sinuses 7 cases (including cerebrospinal rhinorrhea 1 case), zygomatic abscess 1 case, fracture of mandible 4 cases, lip injuries 2 cases and hoarse 2 cases. The inpatients were wounded mostly because of falling and stepping. All the inpatients recovered well after properly management by ENT doctors. CONCLUSIONS: Maxillofacial injury of the wounded those were medical evacuation in the earthquake area, was ignored more readily comparing to the injury of other spots, so specialist should examine early and treat properly the people as soon as possible.


Assuntos
Traumatismos Craniocerebrais/terapia , Desastres , Terremotos , Lesões do Pescoço/terapia , Adolescente , China , Orelha Externa/lesões , Orelha Média/lesões , Feminino , Fraturas Ósseas/terapia , Humanos , Masculino , Traumatismos Maxilofaciais/terapia , Adulto Jovem
20.
Zhonghua Yi Xue Za Zhi ; 87(20): 1420-2, 2007 May 29.
Artigo em Chinês | MEDLINE | ID: mdl-17785068

RESUMO

OBJECTIVE: The purpose of this study was to establish the constructive of craniofacial suture in the three-dimensional finite element model of craniofacial complex in child, to analyse the response procedure of the zygomatic impact, to explore the biomechanics characteristic of the children craniofacial trauma. METHODS: A 7-year-old female was adopted for study The complex cranial geometry was measured from a series of two-dimensional CT images. The multi-lay spiral CT scans were transformed with a self-developed preprocessor into a finite element mesh. The craniofacial sutures were constructed through the MSC Patran program. Identical impact and boundary conditions were used for the zygomatic impact simulations. RESULTS: It has been shown that the finite element model (FEM) exhibited fine morphological and mechanical comparability. The higher stress was showed in the zygomatic regions and atlas occipital articular in 3d FEM. The maximum von Mises stress was found at the zygomatic regions and atlas occipital articular. CONCLUSION: The concentrations of shear stress and tension stress in the suture and articular would increase the risk of injury in this area. But the conduction of the stress might be weakening in the suture of child skull.


Assuntos
Contusões/patologia , Zigoma/lesões , Fraturas Zigomáticas/patologia , Fenômenos Biomecânicos , Criança , Contusões/etiologia , Feminino , Análise de Elementos Finitos , Humanos , Modelos Anatômicos , Tomografia Computadorizada Espiral , Zigoma/diagnóstico por imagem , Fraturas Zigomáticas/etiologia
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