Establishment of a new rehabilitation program using masticatory training food for jaw deformity patients

Background/purpose: Patients with jaw deformities may show a reduction in masticatory function as a result of postoperative hypofunction. This study aimed to establish a novel rehabilitation program using a commercially available masticatory training food for patients with jaw deformities after orthognathic surgery. Materials and methods: Nine patients with mandibular prognathism (the training group: n = 5, and the non-training group: n = 4) and 6 control participants with normal occlusion were included in this study. For the rehabilitation program with masticatory exercise, patients were instructed to chew the training food once a day for 60 days starting from 10 days after the surgery. The effects of the rehabilitation program were assessed by determining the maximum bite force (MBF) and the masticatory performance (MP). Clinical assessments were performed just before orthognathic surgery (Pre) and at 10 days (T0), 1 month (T1), 2 months (T2), and 3 months (T3) after surgery. Results: Compared with the non-training group, the training group showed a trend toward greater recovery amount of MBF from Pre to T3, and a significantly greater recovery amount in MP (p < 0.05) from Pre to T3. When the time-series change of MP was evaluated in both groups from T0 to T3, a significant difference was observed in the interaction terms (p = 0.03). This result indicates that the effectiveness of the training may be demonstrated by following the postoperative course further. Conclusion: The rehabilitation using this training food may become a useful method for postoperative hypofunction in patients with jaw deformities

Functional training after orthognathic surgery

Background/purpose: Even after surgical orthodontic treatment, the level of masticatory function in patients with jaw deformities is still lower than that of healthy subjects. The purpose of this study was to evaluate the effects of functional training program using gum chewing exercise after orthognathic surgery on masticatory function in patients with mandibular prognathism. Materials and methods: The study subjects were 16 patients with mandibular prognathism who underwent orthognathic surgery and 8 individuals with normal occlusion. Patients were divided into two groups (training group and non-training group; n = 8 per group). Functional training included gum chewing exercise and patient-education about masticatory function. The training; gum chewing exercise of 5 min twice a day for 90 days, started at 3 months after surgery. For each subject, electromyographic activities of masseter and temporalis muscles during maximum voluntary clenching (MVC) and jaw movement during gum chewing were recorded before and after surgical orthodontic treatment. Two parameters; activity index (AI: ratio of activity of masseter and temporalis muscles) and error index (EI: ratio of the number of abnormal chewing patterns), were used. Results: In the training group, the AI value during MVC increased significantly and the EI value during gam chewing decreased significantly after surgical orthodontic treatment (AI: p < 0.01; EI: p < 0.01), indicating the improvement of activity balance of masseter and temporalis muscles and conversion of the jaw movement from abnormal to normal pattern (p < 0.01). Conclusion: Our findings suggested that functional training using the gum chewing and patient-education exercise improved masticatory function in patients with mandibular prognathism

The Animal Model of Spinal Cord Injury as an Experimental Pain Model

Pain, which remains largely unsolved, is one of the most crucial problems for spinal cord injury patients. Due to sensory problems, as well as motor dysfunctions, spinal cord injury research has proven to be complex and difficult. Furthermore, many types of pain are associated with spinal cord injury, such as neuropathic, visceral, and musculoskeletal pain. Many animal models of spinal cord injury exist to emulate clinical situations, which could help to determine common mechanisms of pathology. However, results can be easily misunderstood and falsely interpreted. Therefore, it is important to fully understand the symptoms of human spinal cord injury, as well as the various spinal cord injury models and the possible pathologies. The present paper summarizes results from animal models of spinal cord injury, as well as the most effective use of these models

Treatment decision of camouflage or surgical orthodontic treatment for skeletal Class III patients based on analysis of masticatory function

Background/purpose: Surgical orthodontic treatment is recommended for patients with severe dentoskeletal discrepancies, while camouflage orthodontic treatment is recommended for patients with mild to moderate discrepancies. However, the decision as to which treatment should be chosen is complicated. The purpose of this study was to determine differences in masticatory function in patients who underwent camouflage and surgical orthodontic treatment for skeletal Class III malocclusion, as well as the usefulness of Wits appraisal in treatment decision based on masticatory functional analysis. Materials and methods: The study subjects were 45 patients with skeletal Class III malocclusion (15 cases with camouflage orthodontics and 30 cases with orthognatic surgery) and 12 individuals with normal occlusion. We analyzed the pre-treatment records of electromyographic activities of masseter and temporalis muscles and jaw movements. Results: There were no significant differences in various functional measurements between the camouflage and surgery groups. However, there were significant but not strong correlations between ANB and both masseter muscle activity (r = 0.36, p < 0.01) and expression ratio of abnormal chewing (r = −0.54, p < 0.01). Division of patients into two groups using a cutoff value of −6.0 mm for Wits appraisal showed a significant difference in masseter muscle activity between −6.0 mm or less group and the control (p < 0.01) but none between more than −6.0 mm group and the control. Conclusion: Camouflage orthodontic treatment is inappropriate for patients with relatively severe dentoskeletal discrepancies. Wits appraisal of −6.0 mm is a potentially useful parameter for treatment decision

resection of oligometastases from CRC

A 74-year-old woman underwent right hemicolectomy and partial ileal resection for ascending colon cancer with synchronous peritoneal metastasis. Histopathological examination showed moderately differentiated adenocarcinoma with mucinous component, pT4b N3 M1, and Stage IV. Postoperative chemotherapy comprising 36 courses of mFOLFOX6 with bevacizumab was administered. Twenty-two months after the surgery, computed tomography (CT) revealed a 20 mm nodular lesion adjacent to the gastric wall, and laparoscopic resection of the nodule was performed. Thirty-nine months after the second surgery, CT showed a 24 mm nodular lesion involving the liver parenchyma, and partial hepatectomy involving the nodule was performed. Histopathological examination of the nodules resected by the second and third surgeries showed the same features as the primary ascending colon cancer. The nodules were diagnosed as metachronous peritoneal metastases. The patient followed up without chemotherapy after the second and third surgery, showed no recurrence for 26 months after the third surgery. Fortunately, more than 7 years have passed since the primary tumor resection. Hence, surgical resection for synchronous and repeated metachronous peritoneal oligometastases from colon cancer can offer long-term survival

Pore-size expansion of hexagonal-structured nanocrystalline titania/CTAB Nanoskeleton using cosolvent organic molecules

Pore-size expansion of hexagonal-structured assembly of nanocrystalline titania (anatase) combined with cetyltrimethyammonium bromide (CH(3)(CH(2))(15)N(+)(CH(3))(3)Br(-), CTAB) (named as Hex-ncTiO(2)/CTAB Nanoskeleton) was achieved with the aid of cosolvent organic molecules (COMs). The pore-size expanded Hex-ncTiO(2)/CTAB Nanoskeleton was prepared through the sot-gel reaction of titanium oxysulfate sulfuric acid hydrate (TiOSO(4)center dot xH(2)SO(4)center dot xH(2)O, TiOSAH) in an aqueous solution initiated by CAB swollen micelles pre-prepared with the addition of COMs into aqueous CTAB micellar solutions at 60 degrees C (the product was named as Hex-ncTiO(2)/CTAB/COM Nanoskeleton). Long-chain alcohol (1-hexadecanol. C16OH), normal alkane (n-decane, C10) and benzene derivatives (benzene. Bz; 1,3,5-trimethylbenzene, TMB; 1,3,5-triethylbenzene, TEB; 1,3,5-triisopropylbenzene, TiPB) were used as COMs to evaluate the effects of COM solubilization site in CTAB micelles and COM molecular size on the pore-size expansion of the Hex-ncTiO(2)/CTAB/COM Nanoskeleton. We found that 1,3,5-trimethylbenzene (TMB) and 1,3,5-triethylbenzene (TEB) act as effective COMs for pore-size expansion of the Hex-ncTiO(2)/CTAB/COM Nanoskeleton in aqueous media. Pore sizes (average diameters) of the Hex-ncTiO(2)/CTAB/TMB Nanoskeleton and Hex-ncTiO(2)/CTAB/TEB Nanoskeleton were enlarged up to 4.2 nm and 4.3 nm, respectively, while pore size (average diameter) of the Hex-ncTiO(2)/CTAB Nanoskeleton prepared in the absence of any COMs was 2.9 nm. We also revealed that thermal stability of the Hex-ncTiO(2)/CTAB/TMB Nanoskeleton became higher than that of Hex-ncTiO(2)/CTAB Nanoskeleton. The hexagonally pore-structure of the Hex-ncTiO(2)/CTAB/TMB Nanoskeleton was retained up to 400 degrees C, while the hexagonally pore-structure of the Hex-ncTiO(2)/CTAB Nanoskeleton was kept up to 300 degrees C.ArticleCOLLOIDS AND SURFACES A-PHYSICOCHEMICAL AND ENGINEERING ASPECTS. 371(1-3):29-39 (2010)journal articl

Spontaneous Remission of Solitary-Type Infantile Myofibromatosis

Infantile myofibromatosis is a rare fibrous tumor of infancy. The cutaneous solitary type has typically an excellent prognosis. However, histologically, it is important to rule out leiomyosarcoma, which has a poor prognosis. The low frequency of mitosis was definitive for a diagnosis of infantile myofibromatosis. We present a cutaneous solitary-type case of infantile myofibromatosis. Following incisional biopsy, the tumor remitted spontaneously

Effect of horizontal strong static magnetic field on swimming behaviour of Paramecium caudatum

Effect of horizontal strong static magnetic field on swimming behavior of Paramecium caudatum was studied by using a superconducting magnet. Around a center of a round vessel, random swimming at 0 T and aligned swimming parallel to the magnetic field (MF) of 8 T were observed. Near a wall of the vessel, however, swimming round and round along the wall at 0 T and aligned swimming of turning at right angles upon collision with the wall, which was remarkable around 1~4 T, were detected. It was experimentally revealed that the former MF-induced parallel swimming at the vessel center was caused physicochemically by the parallel magnetic orientation of the cell itself. From magnetic field dependence of the extent of the orientation, the magnetic susceptibility anisotropy (χ‖-χ⊥) was first obtained to be 3.4×10-23 emu cell-1 at 298 K for Paramecium caudatum. The orientation of the cell was considered to result from the magnetic orientation of the cell membrane. On the other hand, although mechanisms of the latter swimming near the vessel wall regardless of the absence and presence of the magnetic field are unclear at present, these experimental results indicate that whether the cell exists near the wall alters magnetic field effect on the swimming in the horizontal magnetic field