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Biomedical subjects

P Arbour

Publications and source records attributed to P Arbour.

13 recordsLinked to original sources

Molten aluminium inhalation in the nose and ethmoid sinus. Report of an unusual case.

Accidental nasal inhalation of molten aluminium can occur during the industrial production of aluminium in spite of stringent safety precautions. In this case, believed to be the first reported in the literature, the initial evaluation of damage to the nasal mucosa was underestimated, because, in addition to a large nugget of aluminium in one nasal fossa, smaller fragments had penetrated deep into the middle meatus. These smaller fragments, undetected because of the poor radiopacity of aluminium, were responsible for extensive tissue damage which caused ethmoiditis and secondary maxillary sinusitis.

Accidents, Occupational↗

Spectra of molecular changes induced in DNA of Drosophila spermatozoa by 1-ethyl-1-nitrosourea and X-rays.

Mutations induced in Drosophila spermatozoa at the alcohol dehydrogenase Adh locus by 1-ethyl-1-nitrosourea (ENU) were compared to X-ray-induced mutations using genetic tests for complementation, southern blotting, western blotting and northern blotting. 8 of 10 ENU-induced mutations complemented all known adjacent loci and were presumed to be intragenic. In contrast, 8 of 30 X-ray-induced mutations were intragenic. Southern blot analysis showed that 2 of 7 intragenic mutations induced by X-rays were altered at the Adh locus, whereas all 8 intragenic ENU mutants appeared normal. Western blot analysis showed 4 of 7 intragenic mutants induced by X-rays produced a detectable polypeptide; 1 of the 4 had normal molecular weight and charge. In contrast, 7 of the 8 intragenic mutants induced by ENU produced a polypeptide of normal molecular weight and charge. One ENU and two X-ray-induced mutants, which had normal southern blots and no detectable polypeptide, produced normal molecular weight mRNA by northern blots. The interpretation of these results is that in spermatozoa X-rays induce primarily deletions that either produce deficiencies of the Adh locus or nonsense mutations within the locus, whereas ENU induces primarily missense mutations. This forward mutation assay based on loss of enzymatic activity efficiently recovered a broad spectrum of mutations ranging from missense to intragenic deletions and multi-locus deficiencies. Only 3 of these 40 mutations produced a polypeptide detectable as an electrophoretic variant.

Alcohol Dehydrogenase↗

Understanding aerodynamics in the correction of the narrow nose.

Nasal obstruction can be relieved in the prominent and narrow nose by a nasal widening procedure called the "let out" based on the "en bloc" mobilization used in the "push down" rhinoplasty. Calculations using measurements made on the cadaver show that widening of the angle of the liminal valve and an increased rigidity of the upper lateral cartilage are responsible for the improved airway rather a presumed increase of the cross section of the valve. The associated increase of intranasal velocity provides an aerodynamic explanation for certain phenomenons observed after cosmetic rhinoplasties. A clinical case is presented and the principles of "en bloc" mobilization are shown by line drawings.

Airway Obstruction↗

Experimental study of velocity fields in a human nasal fossa by laser anemometry.

Velocity fields for various cross sections of a model of a normal human nasal fossa were determined by laser anemometry, a dynamic, quantitative and non-invasive technique. Velocity fields showed, in the laboratory, the very definite influence of the irregular architecture of the fossa on the characteristics of flow namely the streamlining action of the turbinates, the directional effect of the liminal valve and the greater velocity near the floor and the septum. They also allow a more precise evaluation of the flow mode than the Reynolds number. The aerodynamic effects of certain non-obstructive deformities were discussed.

Computers↗

Pathology and correction of the stenosed nasal vestibule.

Stenosis of the nasal vestibule is a frequent cause of nasal obstruction. An anatomical study of the region will enable one to understand the physiopathology of the stenosis of the floor of the vestibule which frequently accompanies septal deformities in the premaxilla region, or which occurs after septal surgery. The correction of this circumferential stenosis has been handled satisfactorily by the use of a "Z" plasty of the floor of the vestibule. Pertinent anatomical material, schematic drawings, and clinical cases are presented.

Airway Obstruction↗

The phenomenon of paradoxical nasal obstruction.

Some patients with a fixed uninasal obstruction in whom the normal or patent side becomes temporarily obstructed because of the nasal cycle, and in whom the total nasal resistance is elevated, complain of nasal obstruction. It is when the normal side responds to the congestive phase of the nasal cycle that the patient becomes symptomatic; hence, the term "paradoxical nasal obstruction." Rhinomanometric tests, serial tomography, and direct patient observation allow confirmation of the phenomenon of paradoxical nasal obstruction.

Airway Obstruction↗

[Surgery of the narrow liminal valve extranasal let out: technic and biomechanical explanation].

Using cadaver material and drawings, the surgical procedure called "let out" of the nasal pyramid was described. It utilizes the principles of conservation of the skeletal integrity of the nasal dorsum of the "push down". This procedure is indicated in patients with a narrow valve and high thin nose, without vasomotor rhinopathy or allergy. A patient illustrates the good functional results of the surgery as shown by the base view and the secondary benefits from an appearance standpoint as shown by the profile view. We thought that we could explain the improved nasal ventilation by an augmentation of the cross section area of the nose at the valve. Measurements on the cadaver showed that the area was smaller after surgery. We hypothesized finally that the improved rigidity of the valve secondary to its shortening and the augmentation of the angle of the liminal valve created a conduit that allowed normal inspiratory flow through the nose.

Biomechanical Phenomena↗

Paradoxical nasal obstruction.

The phenomenon of paradoxical nasal obstruction is described. An understanding of this phenomenon is made possible by the knowledge of the nasal cycle and of the concept of total nasal airway resistance. These topics are reviewed and two patients with paradoxical nasal obstruction are described. Direct observation, rhinomanometric tests and serial tomograms were utilized to substantiate these findings.

Airway Obstruction↗

Experimental study of velocity fields in a human nasal fossa by laser anemometry.

Velocity fields were mapped in a model of a human nasal fossa by laser doppler velocimetry, an innovative, quantitative and noninvasive method of optical anemometry, and by computerization. Other pertinent parameters were also calculated. Studies made at different cross sections of the nasal fossa showed the very definite influence not only of shapes and dimensions but also of direction of flow on velocity fields. The turbinates had a streamlining effect on the velocity fields while the liminal valve had a directional effect. Flow was usually greater in the lower half of the fossa and closer to the septum. The flow was generally turbulent. Velocity fields appear to give more information on intranasal aerodynamics than the calculated flow and Reynolds number for the sections studied, and this allows one to at least theorize that there may be an aerodynamic basis to certain pathological conditions of the nasal airway and its adjoining cavities, the paranasal sinuses, and the eustachian tubes.

Computers↗