Surgical reconstruction of the jaws after ablative surgery

Ablative surgery of the jaws may be necessary when malignant disease or destructive benign disease occurs. Surgical reconstruction needs to include the restoration of masticatory function so that the quality of life after operation is optimal. This paper describes some current concepts in functional reconstruction after mandibulectomy and maxillectomy and includes case examples that illustrate bone-grafting procedures and occlusal rehabilitation by implant-borne restorations.published_or_final_versio

Composite autogenous bone and demineralized bone matrix: an effective graft material

Abstract no. 3131published_or_final_versio

The biological effect of fenretinide in nasopharyngeal carcinoma cells

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Experimentally induced unilateral tooth loss: Histochemical studies of the temporomandibular joint

Occlusal abnormality may contribute to osteoarthrosis of the temporomandibular joint (TMJ). Since mechanical force may induce changes in the extracellular matrix, we tested the hypothesis that unilateral removal of teeth and the resulting unilateral mastication change the content of glycosaminoglycans (GAGs) in the TMJ condyle and disc. Lower-right-side teeth were extracted from 12 adult male rabbits, which were killed 3 or 6 weeks later. Three normal rabbits served as controls. Sections were analyzed for morphological changes and levels of sulfated GAGs in the condyle and disc. Unilateral removal of teeth led to thickening of the condylar cartilage, alterations in the morphology of chondrocyte nuclei in the condylar cartilage and disc, and increases in levels of negatively charged ions in the hypertrophic layer of condylar cartilage. Small differences were observed, after unilateral removal of teeth, between the functional and non-functional sides of the TMJ. The results suggest that in response to mechanical stress, chondrocytes alter sulfated glycosaminoglycan (GAGs) synthesis and degradation rates, resulting in an elevated level of sulfated GAGs in the condylar cartilage.published_or_final_versio

Clinical management of a child with melanotic neuroectodermal tumour of infancy

A rare case of melanotic neuroectodermal tumour of infancy affecting the maxilla is reported. These are rare, mainly benign neoplasms that present during infancy. Prompt surgery and rehabilitation using partial dentures are essential to minimise the effects of the deformity. The integrated surgical and prosthodontic management needed to attain good restoration of aesthetic and masticatory function in a child are emphasised. Additional partial dentures need to be made that accommodate the changes in the dental arch that occur as the child grows.published_or_final_versio

A continuous rating method for preferential voting. The complete case

A method is given for quantitatively rating the social acceptance of different options which are the matter of a complete preferential vote. Completeness means that every voter expresses a comparison (a preference or a tie) about each pair of options. The proposed method is proved to have certain desirable properties, which include: the continuity of the rates with respect to the data, a decomposition property that characterizes certain situations opposite to a tie, the Condorcet-Smith principle, and a property of clone consistency. One can view this rating method as a complement for the ranking method introduced in 1997 by Markus Schulze. It is also related to certain methods of one-dimensional scaling or cluster analysis.Comment: This is part one of a revised version of arxiv:0810.2263. Version 3 is the result of certain modifications, both in the statement of the problem and in the concluding remarks, that enhance the results of the paper; the results themselves remain unchange

The management of children born with cleft lip and palate

Although cleft lip and palate is a single anomaly, its consequences affect several systems and functions of the child as well as the social and psychological problems that impact on the child and parents. Therefore, the services of a team of specialists are required to care for a child with cleft lip and palate. Empathic counselling and help with feeding ensures that the infant can cope with the primary surgery to the lip and palate. If speech problems occur, a nasendoscopy can be performed to determine the nature of the speech abnormality and to assess the appropriateness of additional palatal surgery. Nasendoscopy may also be required later because osteotomy surgery can compromise speech. Alignment of the teeth may be necessary before bone grafting of the residual alveolar cleft, and is always needed prior to and after orthognathic surgery. The development and regular practice of a range of clinical skills is essential if the team of specialists are to plan and deliver the appropriate high quality care needed by children and adolescents with cleft lip and palate.published_or_final_versio

Three-dimensional virtual-reality surgical planning and soft-tissue prediction for orthognathic surgery

Complex maxillofacial malformations continue to present challenges in analysis and correction beyond modern technology. The purpose of this paper is to present a virtual-reality workbench for surgeons to perform virtual orthognathic surgical planning and soft-tissue prediction in three dimensions. A resulting surgical planning system, i.e., three-dimensional virtual-reality surgical-planning and soft-tissue prediction for orthognathic surgery, consists of four major stages: computed tomography (CT) data post-processing and reconstruction, three-dimensional (3-D) color facial soft-tissue model generation, virtual surgical planning and simulation, soft-tissue-change preoperative prediction. The surgical planning and simulation are based on a 3-D CT reconstructed bone model, whereas the soft-tissue prediction is based on color texture-mapped and individualized facial soft-tissue model. Our approach is able to provide a quantitative osteotomy-simulated bone model and prediction of postoperative appearance with photorealistic quality. The prediction appearance can be visualized from any arbitrary viewing point using a low-cost personal-computer-based system. This cost-effective solution can be easily adopted in any hospital for daily use.published_or_final_versio

The impact of computer use on myopia development in childhood

Environmental factors are important in the development of myopia. There is still limited evidence as to whether computer use is a risk factor. The aim of this study is to investigate the association between computer use and myopia in the context of other near work activities. Within the birth cohort study Generation R, we studied 5074 children born in Rotterdam between 2002 and 2006. Refractive error and axial length was measured at ages 6 and 9. Information on computer use and outdoor exposure was obtained at age 3, 6 and 9 years using a questionnaire, and reading time and reading distance were assessed at age 9 years. Myopia prevalence (spherical equivalent ≤–0.5 dioptre) was 11.5% at 9 years. Mean computer use was associated with myopia at age 9 (OR = 1.005, 95% CI = 1.001–1.009), as was reading time and reading distance (OR = 1.031; 95% CI = 1.007–1.055 (5–10 h/wk); OR = 1.113; 95% CI = 1.073–1.155 (>10 h/wk) and OR = 1.072; 95% CI = 1.048–1.097 respectively). The combined effect of near work (computer use, reading time and reading distance) showed an increased odds ratio for myopia at age 9 (OR = 1.072; 95% CI = 1.047–1.098), while outdoor exposure showed a decreased odds ratio (OR = 0.996; 95% CI = 0.994–0.999) and the interaction term was significant (P = 0.036). From our results, we can conclude that within our sample of children, increased computer use is associated with myopia development. The effect of combined near work was decreased by outdoor exposure. The risks of digital devices on myopia and the protection by outdoor exposure should become widely known. Public campaigns are warranted

Prediction of future Alzheimer's disease dementia using plasma phospho-tau combined with other accessible measures

A combination of plasma phospho-tau (P-tau) and other accessible biomarkers might provide accurate prediction about the risk of developing Alzheimer’s disease (AD) dementia. We examined this in participants with subjective cognitive decline and mild cognitive impairment from the BioFINDER (n = 340) and Alzheimer’s Disease Neuroimaging Initiative (ADNI) (n = 543) studies. Plasma P-tau, plasma Aβ42/Aβ40, plasma neurofilament light, APOE genotype, brief cognitive tests and an AD-specific magnetic resonance imaging measure were examined using progression to AD as outcome. Within 4 years, plasma P-tau217 predicted AD accurately (area under the curve (AUC) = 0.83) in BioFINDER. Combining plasma P-tau217, memory, executive function and APOE produced higher accuracy (AUC = 0.91, P < 0.001). In ADNI, this model had similar AUC (0.90) using plasma P-tau181 instead of P-tau217. The model was implemented online for prediction of the individual probability of progressing to AD. Within 2 and 6 years, similar models had AUCs of 0.90–0.91 in both cohorts. Using cerebrospinal fluid P-tau, Aβ42/Aβ40 and neurofilament light instead of plasma biomarkers did not improve the accuracy significantly. The clinical predictions by memory clinic physicians had significantly lower accuracy (4-year AUC = 0.71). In summary, plasma P-tau, in combination with brief cognitive tests and APOE genotyping, might greatly improve the diagnostic prediction of AD and facilitate recruitment for AD trials