Surgical pediatric otolaryngology/ [edited by] William P. Potsic, Robin T. Cotton, Steven D. Handler, Karen B. Zur

Includes indexThis revised edition of Surgical Pediatric Otolaryngology provides readers with step-by-step instructions for performing the surgical procedures necessary to treat children suffering from head and neck disorders. This atlas covers routinely performed procedures in pediatric otolaryngology. Key Features: More than 800 high-quality, detailed line drawings help teach young practitioners the latest techniques and procedures; Authors are affiliated with two of the best children's hospitals in the world and are luminaries in the field; Focuses on common procedures that surgeons perform on a daily basisSection I. The Ear -- Section II. The Nose -- Section III. The Nasopharynx, Oral Cavity, and Oropharynx -- Section IV. Endoscopic Sinus Surgery -- Section V. The Neck -- Section VI. The Salivary Glands -- Section VII. Endoscopy -- Section VIII. Facial Trauma1 online resource (xx, 674 pages)

Probiotic factors partially prevent changes to caspases 3 and 7 activation and transepithelial electrical resistance in a model of 5-fluorouracil-induced epithelial cell damage

The potential efficacy of a probiotic-based preventative strategy against intestinal mucositis has yet to be investigated in detail. We evaluated supernatants (SN) from Escherichia coli Nissle 1917 (EcN) and Lactobacillus rhamnosus GG (LGG) for their capacity to prevent 5-fluorouracil (5-FU)-induced damage to intestinal epithelial cells. A 5-day study was performed. IEC-6 cells were treated daily from days 0 to 3, with 1 mL of PBS (untreated control), de Man Rogosa Sharpe (MRS) broth, tryptone soy roth (TSB), LGG SN, or EcN SN. With the exception of the untreated control cells, all groups were treated with 5-FU (5 μM) for 24 h at day 3. Transepithelial electrical resistance (TEER) was determined on days 3, 4, and 5, while activation of caspases 3 and 7 was determined on days 4 and 5 to assess apoptosis. Pretreatment with LGG SN increased TEER (p < 0.05) compared to controls at day 3. 5-FU administration reduced TEER compared to untreated cells on days 4 and 5. Pretreatment with MRS, LGG SN, TSB, and EcN SN partially prevented the decrease in TEER induced by 5-FU on day 4, while EcN SN also improved TEER compared to its TSB vehicle control. These differences were also observed at day 5, along with significant improvements in TEER in cells treated with LGG and EcN SN compared to healthy controls. 5-FU increased caspase activity on days 4 and 5 compared to controls. At day 4, cells pretreated with MRS, TSB, LGG SN, or EcN SN all displayed reduced caspase activity compared to 5-FU controls, while both SN groups had significantly lower caspase activity than their respective vehicle controls. Caspase activity in cells pretreated with MRS, LGG SN, and EcN SN was also reduced at day 5, compared to 5-FU controls. We conclude that pretreatment with selected probiotic SN could prevent or inhibit enterocyte apoptosis and loss of intestinal barrier function induced by 5-FU, potentially forming the basis of a preventative treatment modality for mucositis.Luca D. Prisciandaro, Mark S. Geier, Ann E. Chua, Ross N. Butler, Adrian G. Cummins, Guy R. Sander, Gordon S. Howart