EarWell耳矫治器对新生儿耳廓畸形的效果及其预后不良影响因素分析

摘要 目的：探讨EarWell耳矫治器对新生儿耳廓畸形的效果及其预后不良影响因素。方法：选取我院2019年3月到2022年3月收治的60例（共78耳）耳廓畸形新生儿作为研究对象,依照患儿年龄进行分组,将年龄≤7 d的16例（21耳）患儿分为A组,8-14 d的21例（26耳）分为B组,15-28 d的23（31耳）分为C组,对所有患儿采取EarWell耳矫治器治疗,对比不同组别患儿新生儿耳廓畸形的治疗总有效率,并发症和矫治时间。通过复查随访评价患儿预后情况,将48例（60耳）预后良好的患儿分为预后良好组,将12例（18耳）预后不良的患儿分为预后不良组,对比两组患儿临床相关资料。最后,采用logistic回归分析分析EarWell耳矫治器对新生儿耳廓畸形治疗预后不良的影响因素。结果：三组患儿治疗总有效率差异显著,A组（100.00 %）高于B组（88.46 %）与C组（64.52 %）（P＜0.05）;A组患儿并发症发生率为14.29 %,B组为15.38 %,C组为19.35 %,组间对比有差异（P＞0.05）;预后良好组与预后不良组患儿性别、畸形部位对比无差异（P＞0.05）,预后良好组与预后不良组患儿年龄、耳廓畸形Max分型、外耳道闭锁分级以及容貌耳长差值对比差异显著（P＜0.05）;logistic回归分析结果显示,年龄、耳廓畸形Max分型为新生儿耳廓畸形治疗预后不良的独立影响因素（P＜0.05）。结论：EarWell耳矫治器对于新生儿耳廓畸形矫治效果显著,并发症发生率较低,且年龄越小矫治效果越好。年龄、耳廓畸形Max分型为耳廓畸形新生儿的预后不良的独立影响因素,临床上针对此类患儿需采取一定预防措施,预防预后不良现象的发生。     

生物相容性MEDPOR仪眼治疗眼窝塌陷畸形

目的：探讨眼窝塌陷畸形的重建手术方法和临床效果,方法：对42例无眼球或眼球萎缩伴眼窝塌陷形的患者,行高密度多孔聚乙烯（MEDPOR）义眼座植入联合穹隆成形术,结果：所有患者眼窝畸形均得以矫正,随访6个月－3年,义眼座在眼眶内无脱出,移位或合并感染,装入仿真义眼片后,双眼对称,义眼活动度可达10－20度,结论：MEDPOR义眼座植入联合穹隆成形术矫治复杂性眼窝畸形在总体上取得了良好的效果,MEDPOR义眼具有良好的组织相容性,是矫正眼窝塌陷畸形的理想材料。     

First record of pughead deformity in Cichla kelberi (Teleostei: Cichlidae), an invasive species in an estuarine system in south‐eastern Brazil

The first record of pughead deformity in a Neotropical freshwater fish not raised in captivity is provided, based on an adult male of Cichla kelberi introduced into an estuary of Rio de Janeiro State, south‐eastern Brazil. A general biological characterization of the specimen is provided and aspects of its aberrant anatomy are described. Environmental and biological factors that may cause pughead deformity in fishes are discussed.     

Ontogenesis of opercular deformities in gilthead sea bream Sparus aurata: a histological description

The aim of this study was to characterize histological changes during opercular osteogenesis in farmed gilthead sea bream Sparus aurata larvae from 7 to 69 days post hatching (dph) and compare normal osteogenesis with that of deformed opercles. Mild opercular deformities were first detected in 19 dph larvae by folding of the opercle's distal edge into the gill chamber. Here, the variation in the phenotype and the irregular bone structure at the curled part of the opercles is described and compared with the histology of normal opercles. Results indicated that deformed opercles still undergo bone growth with the addition of new matrix by osteoblasts at the opercular surface, especially at its edges. No significant difference was found in bone thickness between deformed and normal opercles. In addition to differences in bone architecture, differences in collagen fibre thickness between normal and deformed opercles were also found.     

First record of pugheadedness in Crenicichla cf. missioneira Lucena & Kullander, 1992 (Cichliformes: Cichlidae)

Several anomalies in the skeleton of fishes have been identified since the last century, generally caused by genetic and/or epigenetic factors. The pughead condition is an anomaly present in the cranial bones that can lead to some consequences many of which are related to feeding. Here we reported the pugheadedness in a specimen of Crenicichla, in the rio Uruguai basin, Santa Catarina, Brazil. The bulging eyeballs, retraction of the premaxilla, and consequent un-closure of the mouth are the most visible characteristics in this specimen. Since this area is surrounded by plantations, water pollution could be a potential driver of this anomaly. However, further investigation is needed to establish the cause of pugheadedness in this specimen.     

The mechanics of activated semitendinosus are not representative of the pathological knee joint condition of children with cerebral palsy

Characteristic cerebral palsy effects in the knee include a restricted joint range of motion and forcefully kept joint in a flexed position. To show whether the mechanics of activated spastic semitendinosus muscle are contributing to these effects, we tested the hypothesis that the muscle’s joint range of force exertion is narrow and force production capacity in flexed positions is high. The isometric semitendinosus forces of children with cerebral palsy (n = 7, mean (SD) = 7 years (8 months), GMFCS levels III–IV, 12 limbs tested) were measured intra-operatively as a function of knee angle, from flexion (120°) to full extension (0°). Peak force measured in the most flexed position was considered as the benchmark. However, peak force (mean (SD) = 112.4 N (54.3 N)) was measured either at intermediate or even full knee extension (three limbs) indicating no narrow joint range of force exertion. Lack of high force production capacity in flexed knee positions (e.g., at 120° negligible or below 22% of the peak force) was shown except for one limb. Therefore, our hypothesis was rejected for a vast majority of the limbs. These findings and those reported for spastic gracilis agree, indicating that the patients’ pathological joint condition must rely on a more complex mechanism than the mechanics of individual spastic muscles.     

Enigmatic osteology in Miocene odontocete rostra suggests periostitis

Eight Miocene odontocete partial rostra (six specimens from the Chesapeake Group of Maryland, one from the Chesapeake Group of Virginia, and another from the Hawthorn Group of Florida) exhibit periostitis, of unknown etiology, characterized by proliferative bone growth. Periostitis is an inflammation of the periosteum secondary to a predisposing event such as a fracture or infection. Computed tomography reveals that the lesions are limited to the premaxillae and that they became progressively swollen and gnarled as evidenced by the onion-like layering within the deformity. The level of maturity and degree of organization of the periostitis indicates that it likely developed over a period of months or years in these individuals. Given this length of time, these pathologies seem not to have been life-threatening despite the gross size and shape of most of these periosteal reactions. The fossils range in age from about 11 to 15 million yr and all eight rostra appear to be derived from the same, but as yet unnamed or unrecognized species of odontocete. The family from which these odontocetes derive remains unknown. Un-deformed rostra attributed to this species have not been identified, which opens the possibility that “abnormal” was the new normal for this species of odontocete.     

Vertebral deformities in a school shark,Galeorhinus galeus: circumstantial evidence for endoskeletal resorption?

The appearance of deformed vertebrae from a single mature female school shark, Galeorhinus galeus , are described. Two unusual, pronounced bumps were noticed in the caudal region of this shark. There were no scars in the skin over these protrusions, suggesting that the lesions had arisen internally. Radiographie and histologie investigation of these lesions showed that mineralized tissue had probably been lost following an injury to the tail. Histological observations provided circumstantial evidence that mineralized tissue had been removed by internal processes, but did not reveal the agency by which skeletal tissue had been resorbed. Since the capacity to resorb mineralized tissue is characteristic of animals possessing bone, the apparent loss of mineralized tissue seen in this shark provides circumstantial evidence for the existence of bone cell lineages in school sharks. This evidence is discussed in relation to the possible implications for evolutionary and fisheries biology.     

西藏蚤类二例生殖器官畸形

本报道西藏蚤类二例生殖器官畸形：(1)斯氏新蚤Neop sylla stettensi Rothsschild，1915雄性阉割畸形．(2)人蚤Pulex irritans Linnaeus，1758雌性受精囊畸形。     

Wildervanck syndrome with hypoplastic frontal sinus: A rare case presentation

We report a case of Wildervanck syndrome exhibiting Klippel–Feil anomaly, Duane''s retraction syndrome and congenital deafness. Since the first case was reported in 1952, there have been more reports describing this triad either complete or incomplete. Our case has a complete triad of the syndrome along with frontal sinus hypoplasia. Our case is unique as the triad was associated with frontal sinus hypoplasia, which is very rare association.