Morphological and morphometric study of the cartilaginous framework of the dorsum and tip of the nose among Egyptian populations: a cadaveric study

  Background: Success or failure of rhinoplasty depends mainly on the awareness of the surgeon with the construction of the nasal cartilaginous framework and the knowledge of the morphology and different dimensions of these cartilages. The current study aimed at evaluation of the morphology of the nasal cartilages and to address their different measurements as well as observation of anatomical variations of these cartilages and elucidation of their implications in rhinoplasty. Materials and methods: Thirty adult human cadaveric noses, males and females aged 20–70 years were used in the current study. The specimens were dissected; cartilages were exposed and examined morphologically for shape, parts and attachments. Different nasal cartilage measurements were done. Results: The examination of nasal cartilage revealed that the mean length of upper lateral cartilage was variable. The mean width and thickness were 12.8 ± 1.29 mm and 1.34 ± 0.14 mm, respectively. The mean length, width and thickness of alar cartilage were assessed. Angle of divergence was observed to be 23–44°. Statistically, there were no significant differences between genders. Conclusions: Data obtained from this study confirmed the anatomical varia­tions of the nasal cartilages among the Egyptians and confirmed the differences with several ethnic groups. This has important surgical implications giving the attention required during different techniques in rhinoplasty in order to maintain dorsal aesthetic lines of the nose and proper respiratory function

Morphological and radiometrical study of the human intervertebral foramina of the cervical spine

Background: Degenerative changes of the cervical spine are an inevitable response to certain occupational status and aging processes. Compression of cervical nerve roots may result from disc degeneration, disc herniation or intervertebral foraminal stenosis. The precise and detailed anatomical knowledge of the intervertebral foramen of the cervical spine is essential for the diagnosis and management of cervical radiculopathy. The significance of the observations and findings of the present study was to elucidate the correlation between the morphology and disorders of the cervical intervertebral foramina in normal and pathological conditions especially at the level of C3-C4 to C6-C7 on both sides and in both sexes. Moreover, it will help greatly in the planning of both surgical and conservative strategies. Materials and Methods: In the present study, 5 formalin-fixed adult cadavers and radiological specimens of the cervical region of the vertebral column of 28 normal and 209 subjects suffering from cervical disorder from both sexes and different age groups. They subjected for morphological and radiometrical analysis. Results: All measurements of the present study of the cervical disorders in females were found to be 6% less than in males in all age groups, which is statistically significant (p < 0.01) as compared with the control group (2%). The mean intervertebral foraminal areas in the control group of C5-C6 and C6-C7 are significantly greater than those of C3-C4 and C4-C5. Conclusions: The mean intervertebral foraminal area was greater in the lower cervical region than the upper in normal adult individuals. In pathological condition the affection of C3-C4 and C4-C5 intervertebral foramina was more due to narrower surface area. The pathology of cervical spine affecting the intervertebral foramina of female which complaint earlier than male due to narrower foramina

Stress-induced changes in the aged-rat adrenal cortex. Histological and histomorphometric study

Background: Stress exposure exerts direct effects on the morphology and functionality of the adrenal cortex. In addition, ageing effects growth, differentiation, apoptosis and cellularity of the cortex. The missing data is the combined effect of stress and ageing on the adrenal cortex. The aim of this study was to demonstrate the structural changes in the adrenal cortex following the exposure to stress in the adult and aged albino rats.   Materials and methods: Forty rats were divided into groups I and II (adult and senile). Each group was further subdivided into subgroups a and b (control and stressed). Light and electron microscopic studies were done. Area per cent of collagen fibres (Masson’s trichrome-stained sections), number of proliferating cells (optical density immunoreactivity in the Ki67 stained sections) and thickness of the three adrenal zones were also measured.   Results: Lamellar separation of the capsule with subcapsular spindle cell hyperplasia and areas of ghost cells were observed in zona glomerulosa (ZG) and zona fasciculata (ZF) in group I-b. Separation and indentation of the capsule with its lamellar separation were observed in group II-a with the existence of multiple scattered degenerative foci in ZF and zona reticularis (ZR). Similar and aggressive was the architectural pattern of ZF in group II-b with the presence of areas of homogenous degeneration. The nuclei of ZG had marginated chromatin in group I-b and were pyknotic with deformed irregular outlines in group II-b. Multiple lysosomes and vacuolar degeneration mitochondria were also seen in group I-b. The nuclei of ZF were irregular with condensed marginated heterochromatin in group I-b, irregular with scattered chromatin in group II-a and indented with areas of chromatin destruction in group II-b. Mitochondria with disrupted cristae and cristolysis were also detected in group I-b. Numerous lipofuscin granules and dilated smooth endoplasmic reticulum were revealed in group II-b. The mean collagen fibre area per cent and the mean number of the proliferating cells in group II-b were significantly higher by 39% and 23%. The thickness of ZG decreased significantly by 20% in group I-b. Contrary, the thickness of both ZF and ZR increased significantly by 10% in group I-b.   Conclusions: Histological alterations occurred in the adrenal cortex in response to stress, especially when coupled with the advance of age. This was accompanied by increase in the area per cent of collagen fibres and increase in the mean number of the proliferating cells in the adrenal cortex

Efficiency of selenium in attenuating epididymal histopathological changes in hypercholesterolaemic adult rat

Background: Studies on sperm maturation, epididymal histology, or epididymal tubule physiology are significant parts in reproductive researches. The present study was aimed to evaluate the effect of induced hypercholesterolaemia on the epididymis of adult albino rats and to clarify the possible protective role of selenium. Materials and methods: Forty adult albino Wistar rats were divided into four groups; untreated control group (group I), sham control (group II), group with induced hypercholesterolaemia (group III), group with induced hypercholesterolaemia treated with selenium 0.25 mg/kg/day (group IV). Results: Histological and ultrastructural examination of the epididymal epithelial cells of hypercholesterolaemic rats (group III) showed loss of cilia with many vacuolations, fatty degenerative changes and increased collagen fibres. Morphometrically significant increase (p < 0.0001) in the per cent area of collagen fibres with no significant change in the optical density of periodic acid Schiff reaction (p > 0.05). Selenium treated group (group IV) produced marked improvement in histological, ultrastructural and morphometric results as compared with group III. Conclusions: It could be concluded that hypercholesterolaemia produced deleterious effects to the epididymis and selenium could attenuate these effects