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Patterns of male residency and intergroup transfer in gray-cheeked mangabeys (Lophocebus albigena).

We describe the movements and fates of 36 collared gray-cheeked male mangabeys (Lophocebus albigena) that resided in seven social groups in Kibale National Park, Uganda. The male mangabeys were captured, radiotagged, and then contacted regularly over a period of up to 8 years. Individuals varied considerably in how tightly they were associated with their groups. "Central" males were usually found in close spatial association with their own groups, but they sometimes visited others. "Peripheral" males were often found several hundred meters away from their own groups. Most adult males were characterized by repeated intergroup transfers, manifested as "visits" and "dispersals." Visits were transfers that did not result in mating. The visits were brief, and ranged from a few minutes to a few days before the male returned to his previous group, moved on to another group, or returned to solitary life. The term "dispersal" refers to a transfer that results in mating, after which the male remains in the new group. Young males began to drift away from their natal groups in early subadulthood, but the timing of first associations with estrous females in other groups was highly variable. Natal dispersers were generally solitary for a month or more, and at least half moved into nonadjacent groups. Secondary dispersal was common. After they immigrated, adult males remained in a group for a median of 19 months before they emigrated again, with the probability of departure being approximately constant in time. Secondary dispersal was usually made into an adjacent group and lasted less than 7 days. Emigration and immigration were not seasonal, and males emigrated singly and apparently independently; however, immigrations were clumped in time, and male dispersal contributed to considerable heterogeneity of group composition. L. albigena dispersal patterns are intermediate between those described for Papio baboons and forest Cercopithecus, and models that predict demographic consequences of dispersal for baboons can be refined to apply to mangabeys.

Animals↗

Correction of cervical esophageal stricture using an axial island cheek flap.

Chronic strictures of the cervical esophagus after laryngectomy and radiation therapy pose a difficult problem in reconstructive surgery. Most conventional operations for cervical esophageal reconstruction are not well suited to the treatment of stricture because of lack of mucosal surface, or because of bulky tissues that awkwardly fit around the tracheal stoma. This report describes our experience with a new operation designed to correct this defect. We transposed an island full-thickness cheek flap, which included an inner lining of mucosa and outer covering of skin. The flap was based on the facial artery and vein, and used as a patch to the stricture area. Normal swaLlowing and excellent cosmetic appearance were achieved. There has been minor numbness of the corner of the upper lip. This flap has excellent reach, and may have multiple applications to reconstruction problems in the head and neck.

Aged↗

Stability of the glandular morphogenesis produced by retinoids in the newborn hamster cheek pouch in vitro.

Retinoids can induce alterations in differentiation and morphogenesis in the hamster cheek pouch. In order to determine the stability of these changes, explants of neonatal pouch were exposed to 6 micrograms/ml of either retinyl acetate (RAc: 1.8 x 10(-5) M) or all-trans retinoic acid (RA: 2.0 x 10(-5) M) for an initial 3 of 7 days, out of a total of 21 days in organ culture. Three days of RAc or RA caused a delay in the differentiation and keratinization of the epithelium at least up to day 7 of culture. Additionally, two out of ten explants exposed to RA showed small downgrowths of epithelium into the stroma at 7 or 14 days. Seven days of exposure to either retinoid led to inhibition of epithelial keratinization, and produced a mucous metaplasia which was still seen at the end of the 21-day culture period. Periodic acid-Schiff (PAS)-positive, diastase-resistant material was present in the metaplastic epithelium, in intercellular, and in some instances, intracellular locations. An excess of either RAc or RA, for 7 days, induced persistent glandlike downgrowths of epithelium, suggesting that a stable alteration in the developmental program of the epithelium may have occurred. Many of these downgrowths possessed a lumen which was lined by cuboidal epithelium and contained PAS-positive, diastase-resistant secretory material. RA appeared more potent than RAc in inhibiting keratinization, in producing a mucous metaplasia, and in initiating glandlike downgrowths. The persistence of glandular downgrowths suggests that retinoids, either directly or indirectly, act in a manner similar to that of an embryonic inductor.

Animals↗

Venular oscillatory flow during hemorrhagic shock and NO inhibition in hamster cheek pouch microcirculation.

Blood flow oscillations (flowmotion) during hemorrhagic shock (HS) were recorded with laser Doppler perfusion monitoring (LDPM) and red blood cell (RBC) velocimetry in arterioles and venules in hamster cheek pouch microcirculation. Experiments were carried out after baroceptor denervation or inhibition of nitric oxide (NO) synthesis with NG-monomethyl-L-arginine prior to and during HS. Flowmotion was characterized by spectral analysis with fast Fourier transform and autoregressive modeling. Low frequency flowmotion was detected in LDPM and RBC velocity tracings derived from arterioles while high frequency oscillations dominated in venules under baseline conditions. Venular blood flow was significantly higher compared with arteriolar flow during HS, while large amplitude low frequency flowmotion was found in venules but not in arterioles where dominated small amplitude high frequency oscillations coincident with respiratory or heart rates. Baroceptor denervation did not affect venular blood flow and low frequency flowmotion during HS. NO inhibition reduced significantly venular blood flow compared with control and abolished low frequency flowmotion in venules. High frequency oscillations remained in arterioles during HS. In conclusion, LDPM low frequency flowmotion was not originated by variations in the diameter of vessels, but corresponded to RBC velocity changes. A compensatory higher blood flow and concomitant low frequency flowmotion in venules appeared to be related to NO production during HS, independently of neural mechanism.

Animals↗

Ultrastructural changes in contents of membrane-coating granules after extrusion from epithelial cells of hamster cheek pouch.

Membrane-coating granules of the epithelium of the hamster cheek pouch displayed a lamellated internal structure consisting of alternating thick and thin electron dense bands separated by translucent bands of equal width. The repeat distance of the contents was 8.5 nm +/- sd. 0.7 nm and the thickness of the major electron dense band was 3 nm +/- sd 0.4 nm. After exocytosis from the cells the lamellated material became organised into extensive sheets and the dimensions changed so that the repeat distance was 10.9 nm +/- sd 0.6 nm but the major electron dense band was virtually unchanged at 3.33 nm +/- sd 1.1 nm. The narrower or intermediate dense band became progressively less easy to see and was virtually invisible at the surface of the epithelium. It is suggested that the changes observed may be due to an increase in hydration of a phospholipid/protein complex in the granules by permeaton of water along the intermediate dense band.

Animals↗

Amino acid differences between the alpha-chains from two hemoglobins of the yellow-cheeked vole (Family Cricetidae).

The yellow-cheeked vole (Microtus xanthognathus) shows two electrophoretic hemoglobin components. Electrophoresis of the polypeptide chains from the separated hemoglobin components shows identical beta-chains but two alpha-chains of different mobility, alphaf and alphas. The composition of soluble tryptic peptides was determined for each alpha-chain. Amino acid differences were found in peptides alpha T1 and alpha T9; the compositions of the remainder of the homologous peptides were identical. Differences in alpha T1, found at alpha4 (alpha2-Gly-alphaf-Val) and alpha 5 (alphas-Thr-alphaf-Asp), were confirmed after a run to residue 20 of the fast component in an automatic sequencer. The differences in charge between alphaT1 peptides can account for the electrophoretic pattern of two hemoglobins. This is the first time that it has been possible to identity the residues which can account for the charge difference between the two hemoglobins observed in a Microtus species.

Amino Acids↗

Protective effect of ketoprofen lysine salt on interleukin-1beta and bradykinin induced inflammatory changes in hamster cheek pouch microcirculation.

OBJECTIVE: The purpose of this study was to assess the efficacy of topically applied ketoprofen lysine salt (KLS), a cyclooxygenase inhibitor, against the inflammatory changes induced by interleukin-1beta (IL-1beta) and bradykinin (BK) in hamster cheek pouch microcirculation. In addition, we characterised the pharmacological regulation of IL-1beta activity in this model. MATERIALS AND METHODS: Male Syrian hamsters were used. Microcirculation was visualised by fluorescent microscopy. Leukocyte adhesion, permeability, perfused capillary length (PCL) and capillary red blood cell (RBC) velocity were evaluated. TREATMENTS: KLS (25 microg/ml/min to 1.6 mg/ml/min) was topically applied for 3 min before topically administered IL-1beta (1microg/ml) and BK (10(-4) M). Monoclonal anti-mouse IL-1beta receptor antagonist (200 ng/ml), BK-B2 receptor antagonist (10(-6) M), PAF inhibitor (10(-5) M) and cycloheximide (10 microg/ml) were added topically 15, 10, 15 and 60 min, respectively, before IL-1beta (1 microg/ml). RESULTS: IL-1beta caused a significant increase in microvascular permeability, a decrease in capillary RBC velocity followed by increased leukocyte adhesion in postcapillary venules. BK caused a marked increase in leukocyte adhesion and no decrease in PCL and RBC velocity. Treatment with KLS significantly inhibited both the leukocyte adhesion and microvascular leakage induced by the two mediators. The inflammatory effects induced by IL-1beta were reduced by blockade of IL-1beta receptors and by a BK-B2 receptor antagonist but were not affected by a PAF antagonist and protein synthesis inhibition. CONCLUSIONS: These results demonstrate that KLS is effective in preventing early inflammatory changes induced by both IL-1beta and BK in the capillary network. Prostaglandin release and BK are essential components for IL-beta mediated responses, whereas neither PAF nor new protein synthesis appear to be linked to the early inflammatory changes induced by IL-1beta.

Animals↗

In-vitro mechanics of intrusive loading in porcine cheek teeth with intact and perforated root apices.

Cyclic intrusive loads were applied to deciduous cheek teeth and monitored by radiography in dissected mandibles in three successive states: (A) intact, (B) vertically bisected in a bucco-lingual plane, (C) with perforation of the apices by lateral drilling of the mandible subsequent to (B). Loading was in a compression cage in an Instron mechanical testing-machine utilizing cross-head speeds of 0.5 and 5 mm/min, leading to loading rates of approximately 2 and approximately 20 N/s. Peak loads were approximately 100 N, causing an intrusion of approximately 200 microns. Load/recovery curves for each tooth in the three states were recorded and the data treated assuming: (a) a simple shear on the periodontal ligament, (b) tensile loading on the fibres of the collagen fraction of the ligament alone. Treatment (b) gave the best agreement with published mechanical data on isolated mammalian periodontal ligament. The small effect of apicectomy on the mechanical behaviour indicates that a mobile fluid-like support mechanism is unlikely to operate for major loads in vitro and tensile support by the collagen fibres of the periodontal ligament is the most likely dominant mechanism.

Alveolar Process↗

Enhancement by cyclosporin A of metastasis from hamster cheek pouch carcinoma.

Daily intravenous administration of 50 mg/kg cyclosporin A (CsA), after excision of cheek pouch tumors induced with 9,10-dimethyl-1,2-benzanthracene (DMBA), enhanced the incidence of cervical lymph node metastasis to 93%, a significant increase over the rates observed for animals receiving a dosage of 25 mg/kg (43%), and for control animals receiving no CsA (40%). No significant effect was evident on the growth rates of the metastasized tumour cells in the lymph node.

9,10-Dimethyl-1,2-benzanthracene↗

Habit reversal vs negative practice treatment of self-destructive oral habits (biting, chewing or licking of the lips, cheeks, tongue or palate).

Ten patients with oral habits such as biting, chewing licking, or pushing of the cheeks, lips, teeth, or palate were randomly assigned to either habit reversal treatment or to negative practice treatment. Treatment was given in a single 2-hr session. The patients receiving negative practice treatment showed a mean reduction of about 65%, those receiving the habit reversal treatment showed a mean reduction of about 99% during the 22-months of follow-up.

Adult↗

Manipulation of thrombus formation in the hamster cheek pouch with drugs that interact with PGI2 in vitro.

A single platelet thrombus was formed in an arteriole of the hamster cheek pouch by electrical stimulation followed by topical application of ADP. The sizes of the thrombi were continuously recorded with a photocell placed on a TV monitor screen and quantified by areas on the record. Repeated application of small doses of ADP (5-15 nmole/10 microliters) resulted in very reproducible formation of the thrombi, and the size of the thrombi was reduced dose-dependently by topical application of PGI2. Three drugs were tested in this model. Cyclooxygenase inhibitor (indomethacin 10 mg/kg, i.p.) increased the formation of thrombi, while a smaller dose (3 mg/kg) did not have any significant effect. This could be explained by inhibition of the generation of endogenous PGI2, since aggregation of hamster platelets by ADP was not inhibited by indomethacin in vitro. EG-626 (phthalazinol, a phosphodiesterase inhibitor) (300 mg/kg, i.p.) decreased the size of thrombus. AI-122 (1.0 mg/kg, i.p.), which has been proven to enhance PGI2 biosynthesis from isolated rat aortae, also decreased the formation. Thus, drugs such as EG-626 or AI-122 are quite promising as anti-thrombotic drugs.

Adenosine Diphosphate↗

Action of the stable prostacyclin analogue iloprost on microvascular tone and -permeability in the hamster cheek pouch.

In order to further elucidate the mechanisms involved in therapeutic effects of prostacyclin and Iloprost in peripheral ischemic disease, the actions on microvascular tone, capillary density, and increases in venular permeability induced by inflammatory mediators and by ischemia were investigated in the cheek pouch of anaesthetized Syrian hamsters using intravital videomicroscopy and--for quantification of vascular permeability--venular leakage of fluorescein-labelled dextran (FITC-D; Mw 70,000). Iloprost at the nonhypotensive, platelet aggregation-inhibiting dose of 0.5 microgram/kg/min i.v. significantly increased the diameters of arterioles and venules and the density of perfused capillaries and antagonized vasoconstriction and decrease of perfused capillary density as induced by Leukotriene D4 (LTD4; 10(-7) M). Iloprost significantly antagonized venular leakage of FITC-D induced by histamine (10(-5) M), serotonin (10(-5) M), bradykinin (10(-6) M) and reperfusion after 30 min ischemia. Topical application of Iloprost (10(-8) M), intraarterial infusion of Prostaglandin E1 (PGE1; 2.0 micrograms/kg/min), and topical Forskolin (10(-5) M) also attenuated histamine-induced venular FITC-D leakage, while topical PGE1 (10(-7) M) and i.v. infusion of Nifedipine (30 micrograms/kg + 10 micrograms/kg/min) were not effective. It is concluded, that microvascular effects of Iloprost by improvement of tissue perfusion and functional antagonism of mediator-induced tissue edema and vasospasm could contribute to therapeutic effectiveness in ischemic diseases.

Alprostadil↗

Therapeutic effect of boron neutron capture therapy (BNCT) on field cancerized tissue: inhibition of DNA synthesis and lag in the development of second primary tumors in precancerous tissue around treated tumors in DMBA-induced carcinogenesis in the hamster cheek pouch oral cancer model.

OBJECTIVE: We previously reported the therapeutic success of different BNCT protocols in the treatment of oral cancer, employing the hamster cheek pouch model. The aim of the present study was to evaluate the effect of these BNCT protocols on DNA synthesis in precancerous and normal tissue in this model and assess the potential lag in the development of second primary tumors in precancerous tissue. The data are relevant to potential control of field cancerized tissue and tolerance of normal tissue. MATERIALS AND METHODS: We evaluated DNA synthesis in precancerous and normal pouch tissue 1-30 days post-BNCT mediated by boronophenylalanine (BPA), GB-10 (Na(2)(10)B(10)H(10)) or (BPA+GB-10) employing incorporation of 5-bromo-2'-deoxyuridine as an end-point. The BNCT-induced potential lag in the development of second primary tumors from precancerous tissue was monitored. RESULTS: A drastic, statistically significant reduction in DNA synthesis occurred in precancerous tissue as early as 1 day post-BNCT and was sustained at virtually all time-points until 30 days post-BNCT for all the protocols. The histological categories evaluated individually within precancerous tissue (dysplasia, hyperplasia and NUMF [no unusual microscopic features]) responded similarly. DNA synthesis in normal tissue treated with BNCT oscillated around the very low pre-treatment values. A BNCT-induced lag in the development of second primary tumors was observed. CONCLUSIONS: BNCT induced a drastic fall in DNA synthesis in precancerous tissue that would be associated to the observed lag in the development of second primary tumors. The minimum variations in DNA synthesis in BNCT-treated normal tissue would correlate with the absence of normal tissue radiotoxicity. The present data would support the control of field-cancerized areas by BNCT.

9,10-Dimethyl-1,2-benzanthracene↗

Reconstruction of labial commissure by a sliding U-shaped cheek flap.

Repair of the labial commissure following tumour removal is performed with a U-shaped posteriorly based cheek advancement flap. With such a method a very good reconstruction of this delicate area can be achieved and it has no tendency to dehiscence or scar contracture at the vermillion border of the lip. Best results are of course obtained when reconstruction is performed in three layers (skin, muscle, mucosa).

Dermatologic Surgical Procedures↗

Intraoral cheek transposition flap for primary reconstruction of the soft palate.

A method for primary reconstruction of the soft palate following radical tumor resection is described. The resulting defects can be repaired with 2 layers of tissue by combination of a cranial pedicled pharyngeal flap and a cranial pedicled intraoral cheek transposition (IOCT-) flap. For additional resection of the lateral pharyngeal wall the technique can be combined with a masseter crossover flap. The method allows satisfying restoration of swallowing and speech with relatively small operative effort.

Deglutition Disorders↗

Benign fibrous histiocytoma (BHF) of the cheek: CD 68-KP1 positivity.

We present a case of fibrous histiocytoma of the cheek in a 32-year-old male with no evidence of any regional invasion or distant metastasis. Pathologic analysis and diagnosis of these lesions is often challenging, and usually based on a combination of light microscopy and immunohistochemistry. In this study the diagnosis was confirmed using immunostaining with the antibody CD 68-KP1 that is positive in any lesion containing lysosomal granules or phagolysosomes.

Adult↗

Augmentation of the cheeks, chin and pre-jowl sulcus, and nasolabial folds.

The demand for augmentation of central and lower facial features continues to increase. There are several safe and effective materials available for this purpose, and techniques have become highly refined. The relative strengths and weaknesses of silicone, expanded polytetrafluoroethylene (ePTFE), high-density polyethylene (HDPE), and merseline mesh are discussed for augmentation of the chin/pre-jowl sulcus and cheek. Materials for augmentation of the nasolabial folds (NLF) are also discussed. There are various forms of solid ePTFE that have been developed for soft tissue augmentation. These are particularly well suited for the NLF. Techniques for facial skeletal and soft tissue augmentation are presented.

Biocompatible Materials↗

Health and safety issues pertaining to dental photographic mirrors and cheek and lip retractors.

This paper investigates the health and safety implications of using photographic dental mirrors and cheek retractors for photography of the intra-oral cavity. Medical photographers have moral and ethical responsibilities, and therefore should be aware of the diseases they are likely to encounter, and the possibility of cross infection when using these instruments. Although autoclaving is the safest way to remove infectious micro-organisms from contaminated instruments, that this may not be a practical method for small departments who only occasionally use these instruments. The alternative approach is to cold-sterilize the instruments using a chlorine- or alcohol-based disinfectant. The author provides information and guidelines for those who photograph the intra-oral cavity occasionally.

Bacterial Infections↗