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Biomedical subjects

B Hynes

Publications and source records attributed to B Hynes.

9 recordsLinked to original sources

Contact granulomas.

Explore the source record for details and available documents.

Anti-Bacterial Agents↗

Nasoalveolar cysts: a review of two cases.

Nasoalveolar cysts, also referred to as Klestadt's or nasolabial cysts, though well-recognized, are very rare. Patients with these nonodontogenic cystic masses may present to the otolaryngologist-head and neck surgeon with either intranasal, gingival, or perinasal soft-tissue complaints. The congenital nature of these soft-tissue cysts necessitates that the clinician be aware of the embryology of these lesions when planning a surgical approach to their removal. The authors present two such cases, both in middle-aged females, with left-sided nasoalveolar cysts, who presented to the senior author's practice within 1 month of each other.

Adult↗

Concurrent Poland's syndrome and gynecomastia: a case report.

Gynecomastia (enlargement of the male breast) is a common occurrence during puberty and usually resolves. Poland's syndrome or hypoplasia of the chest wall is a rare congenital anomaly associated with hypoplasia of the ipsilateral extremity. Simultaneous presentation of gynecomastia and Poland's syndrome in a 26-year-old man increased the extent of asymmetry and the perception of each deformity. Surgical reduction of the enlarged breast greatly reduced the asymmetry, giving a satisfactory result.

Adult↗

The evaluation of intranasal topical beclomethasone spray in the treatment of children with non-purulent rhinitis using rhinometric, cytologic and symptomatologic assessment.

The diagnosis and treatment of non-purulent rhinitis in the pediatric population poses a challenge to the clinician. In this randomized double blind study, the authors conclude that rhinometry is more effective than cytologic or symptomologic assessment in children with non-purulent rhinitis treated with either intranasal beclomethasone or placebo spray. Intranasal beclomethasone spray produced significant reductions in nasal airflow resistance values compared to the placebo-treated group.

Administration, Intranasal↗

The nasolabial flap. Axial or random?

Considerable confusion exists regarding the nature of the blood supply of the inferiorly based nasolabial flap. This report seeks to clarify the situation. Anatomic dissections were performed on 12 cadaveric specimens and microangiography on six others. We confirmed that the facial artery passes deep to the facial mimetic muscles and is not normally included within the flap. Although the vasculature of the flap is technically random, the small vessels of the subdermal plexus are generally oriented along its long axis giving it a "degree of axiality." We believe this vascular orientation is responsible for the flap's reliability.

Angiography↗

Extensive pharyngo-oesophageal reconstruction using multiple jejunal loops.

Two patients underwent subtotal pharyngo-oesophageal reconstruction using jejunum transferred by means of microvascular anastomosis. In both cases, two sets of vascular anastomoses were required, one in the lower neck and the other at the mid-sternal level. In the first patient, a continuous length of jejunum was employed but this led to great redundancy of the bowel on account of coiling as a result of its mesenteric attachment. In the second case, two isolated loops were employed with minimal redundancy. An anatomical study on three fresh cadavers indicated that the maximum defect which can be bridged by a single loop of jejunum lies between 15 and 20 cm. No particular part of the jejunum or ileum seems particularly advantageous in terms of its ability to span large defects.

Adult↗

Free jejunal grafts in pharyngoesophageal reconstruction.

The free jejunal graft with microvascular anastomosis offers the head and neck surgeon a reliable, single-stage method of repair for small cervical defects and also for more extensive pharyngoesophageal defects where one or more loops of jejunum can successfully be used. If microvascular expertise is available, this method of reconstruction offers early alimentary rehabilitation and a physiologic repair. The free jejunal graft is a reliable method of reconstruction not only after failed gastric pull-up or when that procedure is not feasible, but also, where the facilities exist, as a primary method of pharyngoesophageal reconstruction.

Adult↗

Effects of ozone exposure: a comparison between oral and nasal breathing.

Mode of inhalation, by nose or by mouth, as a determinant of pulmonary toxicity to acute inhalant exposure has been investigated incompletely. This communication addresses whether there are significant differences in toxic pulmonary responses to acute ozone (O3) exposure between differing modes of inhalation (nasal vs. oral breathing). Changes in the results of pulmonary function tests and symptomatology of healthy young adults were compared following both exclusive nose and exclusive mouth breathing during a 30-min exposure to approximately 0.4 ppm O3 under conditions of moderate continuous exercise. In this single-blind, randomized, crossover study, no significant differences in either the results of pulmonary function tests or in symptomatology were found between the two modes of inhalation.

Adult↗