1
|
Mora MJ, de Los Ángeles Bayas-Rea R, Mejía L, Cruz C, Guerra S, Calle P, Sandoval DM, Galarza JM, Zapata-Mena S. Identification of human leukocyte antigen in precancerous and cancerous cervical lesions from Ecuadorian women. Infect Genet Evol 2022; 105:105365. [PMID: 36108945 DOI: 10.1016/j.meegid.2022.105365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 09/02/2022] [Accepted: 09/10/2022] [Indexed: 06/15/2023]
Abstract
Cervical cancer is the fourth most common type of cancer in women. Worldwide, it is a public health problem with around 604,127 women diagnosed per year and 341,831 deaths. Cervical cancer and persistent high-risk human papillomavirus (HPV) infection are highly associated. However, other factors are also involved, such as viral load, HPV variants, sexual behavior, and genetic factors. The host immune response against HPV has been widely studied and it has shown associations with development of cervical cancer. The human leukocyte antigen (HLA) genes are related to the persistence of HPV infection and progression to cervical cancer because of their role in controlling T-cell mediated immune response to clear the infection. In Ecuador, there is scarce information about HLA and HPV infection with high-risk genotypes in the population. This study aimed to identify host-specific HLA alleles in women with cervical intraepithelial neoplasia (CIN) II and III, and cancer infected with HPV-16, 58, and 52. In this study, we included 51 samples previously identified as positive for HPV-16, 58, and 52 from 12 Ecuadorian provinces. As a result, we found that HLA-A*02, HLA-B*35, HLA-C*04, HLA-DRB1*04, and HLA-DQB1*03 alleles were the most frequent, these alleles have been associated with cervical cancer in previous studies; nevertheless, we did not find a statistically significant association between HLA alleles, HPV genotype, and histopathological lesion. This is a baseline study to uncover possible relationships between HLA and HPV to elucidate why this virus can develop a persistent infection in some women leading to the development of cervical cancer.
Collapse
Affiliation(s)
- María José Mora
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Rosa de Los Ángeles Bayas-Rea
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Lorena Mejía
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | | | | | | | - Diana Muñoz Sandoval
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito USFQ, Quito, Ecuador; Department of Infectious Disease, Imperial College London, London, UK
| | | | - Sonia Zapata-Mena
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito USFQ, Quito, Ecuador.
| |
Collapse
|
2
|
Vázquez-Rodríguez I, Estany-Gestal A, Seoane-Romero J, Mora MJ, Varela-Centelles P, Santana-Mora U. Quality of cross-infection control in dental laboratories. A critical systematic review. Int J Qual Health Care 2018; 30:496-507. [PMID: 29635417 DOI: 10.1093/intqhc/mzy058] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 03/15/2018] [Indexed: 11/12/2022] Open
Abstract
Purpose To identify reported practices for cross-infection control in dental laboratories and to quantify the importance of the flaws encountered. Data sources Systematic search (cross-infection AND dental laboratory) at EMBASE, PubMed, SciELO and Scopus databases. Study selection Papers reporting on cross-sectional studies providing original data about cross-infection knowledge, practices and attitudes of dental technicians. Papers reporting on a single laboratory or institution were excluded. Data extraction Data extraction was undertaken independently by three reviewers using a purpose made form. The outcome of this study was analyzed in five aspects, namely process organization, disinfection, working environment, use of individual protective equipment and vaccination policy. Results of data synthesis The systematic search output was 1651 references and 11 papers were finally selected. Flaws were more frequently identified in terms of vaccination policy, biological safety of the working environment and use of individual protective equipment (100%). Slightly better results were found in terms of organization of the cross-infection control process (89.47%) and disinfection practices (85.71%). The application of the formula for disclosing the relative importance of the flaws identified in the literature prioritizes the need for interventions aimed at improving the organization of the cross-infection control procedures, followed by training in item disinfection. The control of the working environment together with the use of individual protective equipments rank closely in importance, followed by the existence of a vaccination policy. Conclusions Sub-standard cross-contamination practices seem to be a common finding in dental laboratories, which may well compromise the quality of certain dental treatments.
Collapse
Affiliation(s)
- I Vázquez-Rodríguez
- Department of Surgery and Medical-Surgical Specialities, School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - A Estany-Gestal
- Methodology and Statistics Unit, Ramón Domínguez Foundation for R+D+i in Healthcare Sciences. Santiago de Compostela University Hospital, Santiago de Compostela, Spain
| | - J Seoane-Romero
- Department of Surgery and Medical-Surgical Specialities, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain
| | - M J Mora
- Department of Surgery and Medical-Surgical Specialities, School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - P Varela-Centelles
- Department of Surgery and Medical-Surgical Specialities, School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.,CS Praza do Ferrol, EOXI Lugo, Cervo, e Monforte, Galician Health Service, Lugo, Spain
| | - U Santana-Mora
- Department of Surgery and Medical-Surgical Specialities, School of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain
| |
Collapse
|
3
|
Fernández-Formoso N, Rilo B, Mora MJ, Martínez-Silva I, Santana U. A paralleling technique modification to determine the bone crest level around dental implants. Dentomaxillofac Radiol 2011; 40:385-9. [PMID: 21831979 DOI: 10.1259/dmfr/45365752] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The aim of this report is two-fold. First it analyses the precision of a modification of the parallel technique that can be used in those cases with anatomical limitations. Second, it checks the influence of the reference points' definition of objects to be measured by using both the original and the modified radiographic techniques. 2 intraoral radiographs were taken of 28 implants with 2 different methods: a standard paralleling technique and a modified technique that used a smaller film and a silicone spacer to ensure parallelism. Measurements of peri-implant bone levels and implant width were made in triplicate on digitized film radiographs. The results of the peri-implant bone levels were that with the parallel method the mean was 0.44 mm and the precision was 0.43 mm, and with the modified method the mean was 0.73 mm and the precision was 0.66 mm. In addition to the correct localization of the point of reference in this study, the precision with the parallel method was 0.08 mm and with the modified method was 0.13 mm. Although it was greater with the gold standard technique than with the modified technique, precision was very high for both methods and accurate enough for clinical use.
Collapse
|
4
|
Abstract
The treatment of hemimaxillectomy patients include the construction of an interim obturator in the wound healing period. With the aim of simplifying this process, we describe construction of an obturator in a short single visit, in the dental chair with no need for impressions or for laboratory services. The obturator comprises: (i) the surgical obturator and (ii) a hollow light-cured resin bulb built onto the base, and providing a large surface for bonding of the soft reline material. The advantages of this approach are rapid construction and ease of ongoing adjustment during the healing process.
Collapse
Affiliation(s)
- B Rilo
- Prosthodontics Department, Faculty of Medicine and Odontology, Santiago de Compostela University, Spain.
| | | | | | | | | |
Collapse
|
5
|
Aggarwal MM, Ahammed Z, Angelis ALS, Antonenko V, Arefiev V, Astakhov V, Avdeitchikov V, Awes TC, Baba PVKS, Badyal SK, Bathe S, Batiounia B, Bernier T, Bhalla KB, Bhatia VS, Blume C, Bucher D, Büsching H, Carlén L, Chattopadhyay S, Decowski MP, Delagrange H, Donni P, Dutta Majumdar MR, el Chenawi K, Dubey AK, Enosawa K, Fokin S, Frolov V, Ganti MS, Garpman S, Gavrishchuk O, Geurts FJM, Ghosh TK, Glasow R, Guskov B, Gustafsson HA, Gutbrod HH, Hrivnacova I, Ippolitov M, Kalechofsky H, Karadjev K, Karpio K, Kolb BW, Kosarev I, Koutcheryaev I, Kugler A, Kulinich P, Kurata M, Lebedev A, Löhner H, Luquin L, Mahapatra DP, Manko V, Martin M, Martínez G, Maximov A, Miake Y, Mishra GC, Mohanty B, Mora MJ, Morrison D, Moukhanova T, Mukhopadhyay DS, Naef H, Nandi BK, Nayak SK, Nayak TK, Nianine A, Nikitine V, Nikolaev S, Nilsson P, Nishimura S, Nomokonov P, Nystrand J, Oskarsson A, Otterlund I, Peitzmann T, Peressounko D, Petracek V, Phatak SC, Pinganaud W, Plasil F, Purschke ML, Rak J, Raniwala R, Raniwala S, Rao NK, Retiere F, Reygers K, Roland G, Rosselet L, Roufanov I, Roy C, Rubio JM, Sambyal SS, Santo R, Sato S, Schlagheck H, Schmidt HR, Schutz Y, Shabratova G, Shah TH, Sibiriak I, Siemiarczuk T, Silvermyr D, Sinha BC, Slavine N, Söderström K, Sood G, Sørensen SP, Stankus P, Stefanek G, Steinberg P, Stenlund E, Sumbera M, Svensson T, Tsvetkov A, Tykarski L, v d Pijll EC, von Eijndhoven N, von Nieuwenhuizen GJ, Vinogradov A, Viyogi YP, Vodopianov A, Vörös S, Wysłouch B, Young GR. Interferometry of direct photons in central 208Pb + 208Pb collisions at 158A GeV. Phys Rev Lett 2004; 93:022301. [PMID: 15323905 DOI: 10.1103/physrevlett.93.022301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2003] [Indexed: 05/24/2023]
Abstract
Two-particle correlations of direct photons were measured in central 208Pb+208Pb collisions at 158A GeV. The invariant interferometric radii were extracted for 100<K(T)<300 MeV/c and compared to radii extracted from charged pion correlations. The yield of soft direct photons, K(T)<300 MeV/c, was extracted from the correlation strength and compared to theoretical calculations.
Collapse
|
6
|
Giraldo F, Mora MJ, Solano A, González C, Smith-Fernández V. Male perineogenital anatomy and clinical applications in genital reconstructions and male-to-female sex reassignment surgery. Plast Reconstr Surg 2002; 109:1301-10. [PMID: 11964982 DOI: 10.1097/00006534-200204010-00014] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
To determine the possibility of providing alternative surgical techniques for male genital reconstruction and for male-to-female sex reassignment surgery, the authors undertook an anatomic investigation of the perineogenital region in male cadavers. Anatomic dissection was performed on 14 male adult human cadavers (fresh and formalin-preserved) studying the main afferent vessels to the anterior perineal region and their mean internal diameters: deep external pudendal artery (0.60 mm), superficial perineal artery (0.50 mm), and funicular artery (0.37 mm). We established their exact topography, together with vascular anatomic variations, main vascular anastomosis circuits (base of the penis, scrotal septum, and perineal fat and lateral spermatic-scrotal fascia), angiosomes, anatomy of the rectovesical septum cavity, and their "critical" key points of dissection. The authors discuss the clinical possibility of elevation of a "tree" of previously described paragenital-genital flaps including mainly those based on the terminal branches of the internal pudendal vascular system, the erectile tissue pedicled flaps, and finally, flaps of the external pudendal system. The authors indicate the concrete vascularization system for each flap.
Collapse
Affiliation(s)
- Francisco Giraldo
- Plastic and Reconstructive Unit, Carlos Haya Regional Hospital, Málaga, Spain.
| | | | | | | | | |
Collapse
|
7
|
Abstract
Evaluation of masticatory muscle activity by surface electromyography (EMG) is a valuable tool for diagnosing dysfunction of the masticatory apparatus. However, controversy exists with regard to the usefulness of the EMG for patients with temporomandibular disorders (TMD). Forty patients with TMD were subjected to surface EMG of the masticatory muscles. These patients had consulted because of temporomandibular pain and clicks. In most cases (75%), the symptoms affected the patient's left side. Overall mean resting activity was 2.52 microV+/-1.25 microV (s.d.), which is slightly higher than in comparable healthy subjects (1.92+/-1.20 microV). Mean resting activity was highest in the anterior digastric muscle (3.49 microV) on the left side. Overall mean activity during clenching was 66.77+/-35.22 microV, which is about half that observed in healthy subjects (110.30+/-82.97 microV). During leftward movement of the jaw, activity was on average highest in the left digastric, while during rightward movement, activity was on average highest in the right anterior temporal (AT). Our results thus indicate that patients with temporomandibular joint (TMJ) disorder show: (1) a slight increase in basal tone; (2) a significantly reduced capacity for clenching; and (3) an apparently paradoxical inhibition of the dysfunctional-side AT during movement of the mandible towards that side.
Collapse
Affiliation(s)
- J C Pinho
- Faculties of Dentistry, Oporto University, Oporto, Portugal, Santiago de Compostela University, Santiago de Compostela, Spain.
| | | | | | | |
Collapse
|
8
|
Aggarwal MM, Agnihotri A, Ahammed Z, Angelis AL, Antonenko V, Arefiev V, Astakhov V, Avdeitchikov V, Awes TC, Baba PV, Badyal SK, Barlag C, Bathe S, Batiounia B, Bernier T, Bhalla KB, Bhatia VS, Blume C, Bock R, Bohne EM, Böröcz Z, Bucher D, Buijs A, Büsching H, Carlen L, Chalyshev V, Chattopadhyay S, Cherbatchev R, Chujo T, Claussen A, Das AC, Decowski MP, Delagrange H, Djordjadze V, Donni P, Doubovik I, Dutt S, Dutta Majumdar MR, El Chenawi K, Eliseev S, Enosawa K, Foka P, Fokin S, Ganti MS, Garpman S, Gavrishchuk O, Geurts FJ, Ghosh TK, Glasow R, Gupta SK, Guskov B, Gustafsson HA, Gutbrod HH, Higuchi R, Hrivnacova I, Ippolitov M, Kalechofsky H, Kamermans R, Kampert KH, Karadjev K, Karpio K, Kato S, Kees S, Klein-Bösing C, Knoche S, Kolb BW, Kosarev I, Koutcheryaev I, Krümpel T, Kugler A, Kulinich P, Kurata M, Kurita K, Kuzmin N, Langbein I, Lebedev A, Lee YY, Löhner H, Luquin L, Mahapatra DP, Manko V, Martin M, Martínez G, Maximov A, Mgebrichvili G, Miake Y, Mir MF, Mishra GC, Miyamoto Y, Mohanty B, Mora MJ, Morrison D, Mukhopadhyay DS, Naef H, Nandi BK, Nayak SK, Nayak TK, Neumaier S, Nianine A, Nikitine V, Nikolaev S, Nilsson P, Nishimura S, Nomokonov P, Nystrand J, Obenshain FE, Oskarsson A, Otterlund I, Pachr M, Pavliouk S, Peitzmann T, Petracek V, Pinganaud W, Plasil F, von Poblotzki U, Purschke ML, Rak J, Raniwala R, Raniwala S, Ramamurthy VS, Rao NK, Retiere F, Reygers K, Roland G, Rosselet L, Roufanov I, Roy C, Rubio JM, Sako H, Sambyal SS, Santo R, Sato S, Schlagheck H, Schmidt HR, Schutz Y, Shabratova G, Shah TH, Sibiriak I, Siemiarczuk T, Silvermyr D, Sinha BC, Slavine N, Söderström K, Solomey N, Sørensen SP, Stankus P, Stefanek G, Steinberg P, Stenlund E, Stüken D, Sumbera M, Svensson T, Trivedi MD, Tsvetkov A, Tykarski L, Urbahn J, Pijll EC, Eijndhoven N, Nieuwenhuizen GJ, Vinogradov A, Viyogi YP, Vodopianov A, Vörös S, Wysłouch B, Yagi K, Yokota Y, Young GR. Three-pion interferometry results from central Pb+Pb collisions at 158A GeV/c. Phys Rev Lett 2000; 85:2895-2899. [PMID: 11005962 DOI: 10.1103/physrevlett.85.2895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2000] [Indexed: 05/23/2023]
Abstract
Three-particle correlations have been measured for identified pi(-) from central 158A GeV Pb+Pb collisions by the WA98 experiment at CERN. A substantial contribution of the genuine three-body correlation has been found as expected for a mainly chaotic and symmetric source.
Collapse
|
9
|
Reina MA, López García A, de Andrés JA, Sellers F, Arrizabalaga M, Mora MJ. [Thickness variation of the dural sac]. Rev Esp Anestesiol Reanim 1999; 46:344-9. [PMID: 10563140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
OBJECTIVE To measure carefully the thickness of the dural sac and evaluate possible variation in recently removed human specimens that had not yet undergone postmortem change. The thickness of the dural membrane is of interest because of its function as a barrier during diffusion processes and during closure of spinal lesions. MATERIAL AND METHODS After receiving the consent of our hospital's ethics committee and the family of the deceased, and immediately after extraction of organs for transplantation, we removed the dural sac and nerves contained therein from the cadaver of 56-year-old patient diagnosed of brain death. The membrane was dissected and 240 measurements of thickness were made over the entire surface of the sample. A micrometer was used, controlled through a surgical microscope. To analyze variations in thickness, the specimen was divided into 48 zones. RESULTS The dural sac open on its anterior side was treated as a rectangular membrane measuring 130 x 54 mm. Mean thickness of the sample was 0.322 mm. Mean thickness of anterior zones was 0.353 mm, with no significant differences among them. Posterior zones measured a mean 0.295 mm with significant differences among them (p < 0.001). Up to the second lumbar root, anterior and posterior zone thicknesses presented no significant differences. However, after the space between the second and third lumbar roots, the posterior side was significantly thinner. Where the first, second and third lumbar roots emerged, we measured thicknesses of 0.315, 0.361 and 0.322 mm, with no significant differences among anterior, posterior and side zones on any level. At the fourth lumbar root and in the spaces of the dura mater between the emergence of the first and second, the second and third, the third and fourth and fourth and fifth lumbar roots, we observed significant differences. The measurements were 0.298 mm (p < 0.01); 0.348 mm (p < 0.01); 0.337 mm (p < 0.001), 0.306 mm (p < 0.01); 0.289 mm (p < 0.001), respectively. CONCLUSION Possible inter- or intra-individual variation in dural sac thickness is an unpredictable variable affecting the management of dural lesions. The data we report on thickness allow for future objective assessment of the maximum sizes recommended for the lateral orifices of bevelled, pencil-point needles in order to avoid straddling the membrane when subarachnoid anesthesia is given. The data also contributes to the study of substance diffusion through this membrane.
Collapse
Affiliation(s)
- M A Reina
- Servicio de Anestesiología y Reanimación, Hospital General de Móstoles, Madrid
| | | | | | | | | | | |
Collapse
|
10
|
Abstract
The cosmetic appearance of a removable partial denture is of great importance to both the patient and the dentist. Traditional facial clasp arms are usually unsightly. Other options are expensive and/or technically difficult, and may require time-consuming maintenance. Furthermore, when these clasps are broken, replacement of the entire removable partial denture may be required. This article describes a procedure for making a simple but effective twin-flex clasp. The clasp has excellent esthetics and can be readily adjusted or replaced.
Collapse
Affiliation(s)
- U Santana-Penín
- Faculty of Medicine and Odontology, University of Santiago de Compostela, Spain
| | | |
Collapse
|
11
|
Giraldo F, Solano A, Mora MJ, Smith V. Hair growth in the vagina after reconstruction with pudendal thigh flaps in congenital vaginal agenesis. Plast Reconstr Surg 1998; 102:924-5. [PMID: 9727476 DOI: 10.1097/00006534-199809030-00066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
12
|
Abstract
Accurate determination of the inclination of the occlusal plane is important in a number of situations, and includes confirming the correct development of the dentition in children, providing a basis for nonanatomic tooth design in the preparation of fixed prostheses, and assisting in decisions as to whether to perform intrusions or extrusions. This article describes a simple device for determination of the inclination of the occlusal plane.
Collapse
Affiliation(s)
- U A Santana-Penin
- Faculty of Medicine and Odontology, University of Santiago de Compostela, Spain
| | | |
Collapse
|
13
|
Abstract
Electromyographic activity of anterior temporal, superficial masseter, deep masseter and anterior digastric muscles was measured in 40 young healthy men and women during rest (at the beginning and the end of tests), clench, maximal opening, lateral displacement and CR manipulation. During initial rest position myoelectrical activity was 1.9 microV increasing to 2.1 microV at the end of tests (P = 0.08). During clench and maximal opening no significant differences between the sexes were found. The digastric muscle showed considerable activity during maximal opening, lateral displacement and CR manipulation.
Collapse
Affiliation(s)
- B Rilo
- Prosthodontics Department, School of Dentistry, Faculty of Medicine, Santiago de Compostela University, Spain
| | | | | | | |
Collapse
|
14
|
Giraldo F, Mora MJ, Solano A, Abehsera M, Ferrón M, Smith JM. Anatomic study of the superficial perineal neurovascular pedicle: implications in vulvoperineal flap design. Plast Reconstr Surg 1997; 99:100-8. [PMID: 8982192 DOI: 10.1097/00006534-199701000-00016] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Thirty superficial perineal neurovascular pedicles from 15 formaldehyde-fixed female cadavers were dissected and analyzed with the purpose of establishing the anatomic basis for the design and elevation of vulvoperineal fasciocutaneous flaps based on their anatomic elements. The average internal diameter of the superficial perineal artery was 0.53 +/- 0.2 mm, determined by means of an image analysis system. Three distinct anatomic patterns of cutaneous arterial vascularization were seen bilaterally, and two types of vulvoperineal fasciocutaneous flaps are described.
Collapse
Affiliation(s)
- F Giraldo
- Pathologic and Normal Morphology Department, Faculty of Medicine, University of Málaga, Spain
| | | | | | | | | | | |
Collapse
|
15
|
Giraldo F, Solano A, Mora MJ, Abehsera M, González C, Rus JA. The Málaga flap for vaginoplasty in the Mayer-Rokitansky-Kuster-Hauser syndrome: experience and early-term results. Plast Reconstr Surg 1996; 98:305-12. [PMID: 8764719 DOI: 10.1097/00006534-199608000-00015] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
We report our experience in vaginoplasty for the treatment of six cases of the Mayer-Rokitansky syndrome using bilateral vulvoperineal fasciocutaneous flaps measuring 8 to 9 X 3 cm. We consider a detailed description of the operative technique, noting the modifications that we have introduced as our experience increased, in addition to the cosmetic and functional results. On the other hand, the indications for using this vaginoplasty are presented. On the basis of our clinical results, the actual anatomy of the blood vessels leading to the pedicle of the flap, and the geometric design of the vulvoperineal flap, the following technical points can be made: (1) It is a secure and reliable technique because of well-established vascularization beneath the lateral border of the labia majora. (2) It is a straightforward method because the transposition and rotation of a vertical flap is easier than the use of more distant flaps. (3) There is a minor risk of injury to the superficial perineal neurovascular pedicle and Bartholin's gland. (4) Innervation extends into the external two-thirds of the artificial vagina. And (5) an acceptable cosmetic and functional result is achieved without the need to use dilators, obturators, or molds.
Collapse
Affiliation(s)
- F Giraldo
- Plastic and Reconstructive Unit, Regional Hospital 'Carlos Haya' Málaga, Spain
| | | | | | | | | | | |
Collapse
|
16
|
Santana U, Mora MJ. Electromyographic analysis of the masticatory muscles of patients after complete rehabilitation of occlusion with protection by non-working side contacts. J Oral Rehabil 1995; 22:57-66. [PMID: 7897560 DOI: 10.1111/j.1365-2842.1995.tb00211.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Surface electromyography was used to study the function of the anterior temporal, surface masseter, deep masseter and anterior digastric muscles of 14 patients after complete rehabilitation of occlusion with fixed prostheses and/or removable partial prostheses. All patients had a balanced occlusion with protection by non-working side contacts during lateral excursion. Mean resting myoelectric activity was 2.5-3.8 microV, showing no hypertonia or muscular spasm. When patients clenched their teeth (i.e. exerted maximum voluntary occlusal force in centric occlusion), the anterior temporal muscles were the most active, followed by the surface masseters; the digastrics were significantly less active. During lateral displacements, the muscles exhibiting significantly higher potentials than the other muscles monitored were the working side anterior temporal muscle and the contralateral surface masseter. During mastication, the muscle that was most active in relation to its contralateral homologue was the working side surface masseter, the difference between the two being statistically significant.
Collapse
Affiliation(s)
- U Santana
- Prosthodontics Department, School of Dentistry, Santiago de Compostela University, Spain
| | | |
Collapse
|
17
|
Navarro FJ, Mora MJ, Extramiana J, Barros C, Mañas A, Arrizabalaga M, González P, Pérez MJ, Paniagua P. [Renal fungal infection: presentation forms and therapeutic advances]. Actas Urol Esp 1992; 16:296-304. [PMID: 1636452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Fluconazole is a broad spectrum anti-fungal agent which combines good tolerance, efficacy and low toxicity, and offers useful advantages in the treatment of certain forms of mycosis. Three cases of renal fungal disease treated with surgery (nephrectomy in two cases and pyelolitectomy plus partial nephrectomy in the third one) and fluconazole or amphotericin B are presented. In all three cases there was at least one predisposing factor (diabetes, urolithiasis, urinary catheter, previous therapy with antibiotics, or AIDS), and the causing pathogens were Candida and Mucor. Administration of fluconazole 100 mg b.i.d. for 4 weeks in the two candida infected patients accomplished a complete cure of the disease. Incidence, etiopathology, presentation forms and diagnostic techniques of urinary mycosis are analyzed together with the current therapeutical options, making special reference to fluconazole.
Collapse
|
18
|
González Castillo P, Mora MJ, Mañas A, Extramiana J, Manzarbeitia F, Pérez MJ, Paniagua P, Pamplona M. [Renal cholesteatoma: keratin accumulation tumor]. Actas Urol Esp 1992; 16:39-43. [PMID: 1375428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Presentation of 6 cases of renal cholesteatoma in 4 male and 2 female patients ranging between 30 and 67 years of age. The most consistent clinical data was a history of relapsing nephritic colic of long-evolution. The average time to diagnose was 19 years. In 50% cases an association to malignant neoplastic pathology was found. The clinical diagnosis was based on the urography and the histopathological examination of the material passed with the urine. Renal exeresis was performed in 5 cases. One was treated in a conservative fashion. Also the etiology causes, diagnostic procedure and other therapeutic possibilities were reviewed.
Collapse
|
19
|
Mora MJ, Extramiana J, Paniagua P, González P, Mañas A, Pérez MJ, Navarro J, Arrizabalaga M. [Orchiectomy and buserelin in combination with flutamide: comparative results in metastatic prostatic carcinoma]. Actas Urol Esp 1991; 15:548-52. [PMID: 1792994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
In a prospective, non-randomized study in 44 patients with metastatic prostate carcinoma (D2), without previous hormone therapy, two alternative therapeutic courses to achieve complete androgenic blockade were compared. A first group (n = 29) was assigned to received Flutamide plus Buserelin, whereas the second group (n = 15) underwent orchidectomy, also in association to Flutamide. Both regimes were sustained without interruption, except when progression was evident, and both achieved castration levels of testosterone plasma titres. Mean follow-up duration was 13 months and 7 days, ranging between 2 and 36 months. There were no significant differences between both groups with regard to therapy objective responses and survival. Whereas the responses (CR + PR + E) were 93% in the LHRH analogues group and 86% in the orchidectomy group, overall survival was 66% and 67%, respectively. There were no secondary complications related to the surgical procedure nor adverse effects to drug therapy which required its cessation.
Collapse
Affiliation(s)
- M J Mora
- Servicio de Urología, Hospital de Móstoles, Madrid
| | | | | | | | | | | | | | | |
Collapse
|
20
|
Mora MJ, Cisneros J, Martínez-Piñeiro L, Martínez-Piñeiro JA. [Ureteral metastasis of carcinoma of the kidney]. ARCH ESP UROL 1990; 43:245-50. [PMID: 2369156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Involvement of the ureter from metastatic renal cell carcinoma is doubtlessly uncommon. Five cases of ureteric secondaries are studied herein. All were ipsilateral and synchronous with the appearance of the primary tumor except for one that was diagnosed 5 years following nephrectomy. The most consistent clinical feature was that of hematuria which presented in all cases. Urography (IVP) and retrograde ureteropyelography (RUP) proved to be fundamental in the morphologic diagnosis of these lesions. Treatment was always by surgery. The foregoing was combined with immunotherapy (BCG) in one case and palliative external radiotherapy in another case. In all cases, tumor stage and grade were T3-T4 and G2-G3, respectively, and all but one patient presented extrarenal venous spread (3 cases V2 and 1 case V1). The regional lymph nodes were positive in all 5 cases. In 2 cases, the histopathologic examination revealed concomitant metastasis to the ipsilateral adrenal. Because prognosis is poor, the therapeutic alternatives and the possible indication of prophylactic nephroureterectomy in certain cases are discussed.
Collapse
Affiliation(s)
- M J Mora
- Servicio de Urología, Hospital La Paz, Universidad Autónoma de Madrid, Facultad de Medicina, España
| | | | | | | |
Collapse
|
21
|
Mora MJ, Hidalgo L, Machuca J, Cisneros J, Martínez-Piñeiro JA. [Double-J ureteral catheters: indications and results]. ARCH ESP UROL 1988; 41:45-52. [PMID: 3369891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
22
|
Machuca J, Cisneros J, Cárcamo PI, Mora MJ, Mancebo J, Mosteiro JA, Beneitez M, Ortín M, Martínez-Piñeiro JA. [Surgical treatment of plastic induration of the corpora cavernosa]. ARCH ESP UROL 1987; 40:244-6. [PMID: 3632051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|