Parry Romberg syndrome: A long-term retrospective cohort study of 10 patients

© 2018 The Authors We performed a retrospective cohort study of patients included in the database of the department of Oral & Maxillo-Facial Surgery between 2006 and 2016 at the University Hospitals Leuven with Parry Romberg syndrome to assess and compare initial presentation, diagnostic methods, and different surgical and non-surgical approaches. Primary outcomes were functional and esthetic results using intra- and extra-oral images, clinical orthognathic measurements, radiological cephalograms, and cone beam computed tomography, including three-dimensional cephalometry analyzing the facial symmetry of hard tissues. The secondary outcome was patient quality of life using the Ferrans and Powers Generic Quality of Life Index. Ten patients were included; two had medical treatment, three had reconstructive surgery, four had orthognathic surgery, and three had lipofilling. Two patients had post-surgical infectious complications. Two patients developed neuropathic pain. Three-dimensional cephalometry showed no significant difference with regards to anatomical bony landmarks between the affected and non-affected sides. A volumetric analysis showed a significant difference (P=0.04) in maxillary volumes. Seven patients were satisfied with their aesthetic and functional outcomes. Mean follow up was eleven years. In conclusion, this study should be interpreted carefully due to small sample size. We feel most patients can be treated conservatively or with minor aesthetic corrections using fat grafting methods. Use of allografts and osteosynthesis materials was associated with an increased risk of postoperative superinfection. Fat grafts produced predictable, noncomplicated results and can be used during disease progression. Three-dimensional analysis showed acceptable symmetry of the bony framework on follow-up.status: publishe

La concertation transversale en Belgique: quand les décideurs politiques impliquent les acteurs professionnels dans le développement de l'action publique

This contribution focuses on a policy consultation process: the ‘‘transversal consultation’’. Launched in 2007 in the Belgian Mental Health Sector, this consultation had to capture the experience-based knowledge of service users and professionals involved in local projects aimed at experimenting working conditions in mental health care networks. This policy challenges the existing hospital-centred model of care, characterized by a medical approach and professional specialization, by promoting instead a pluridisciplinary approach in mental health care networks. In this contribution, a case of this transversal consultation process is analysed by relying on a theoretical framework drawn from the Sociology of Organizations and the Sociology of Public Action. The analysis emphasizes the strategic use that ismade of the consultation process, and stresses the gap observed between its formal objective and its perceived outcome: more than producing experience-based knowledge about mental health care networks, the transversal consultation challenged power relations sustaining the current organization of the mental health system. It shortly discusses, as a conclusion, the outcome of the initiative.Knowledge and Policy in Education and Helath Secto

Comparison Between Strains of Infectious Bovine-rhinotracheitis Virus (bovid-herpesvirus 1), From Respiratory and Genital Origins, Using Polyacrylamide-gel Electrophoresis of Structural Proteins

The polypeptide composition of three strains of infectious bovine rhinotracheitis virus, isolated from typical respiratory disease (IBR), has been compared with that of three strains isolated from the genital tract of cattle suffering from infectious pustular vulvovaginitis (IPV). All the IBR strains are similar to each other, but different from the IPV strains, which in turn were similar to each other. IBR isolates and IPV isolates differed in three polypeptides

Standardized method of Sendai virus production for biological assays

A method for the production and purification of Sendai virus is described

Brown tumour: Presenting symptom of primary hyperparathyroidism

The skeletal lesions of primary hyperparathyroidism, including brown tumour, are rare nowadays, with the practice of checking serum calcium levels leading to an earlier diagnosis of hyperparathyroidism. Clinical, laboratory, radiographic and histological investigations can lead to a correct diagnosis. Treatment of brown tumour focuses on the hyperparathyroidism, and is usually followed by a regression of the brown tumour. The diagnosis of hyperparathyroidism and brown tumour should be considered in patients with hypercalcaemia and an osteolytic expansive bone lesion. We present a patient where a brown tumour of the mandible was the presenting symptom of primary hyperparathyroidism