No abstract

Use of free flaps with a high ratio of fat to muscle is sustainable and can gain volume over time, as transplanted fat can increase depending on host condition.

OBJECTIVES AND DESIGN: A preceding paper has noted a detection of defensin‐1 (HNP‐1), a peptide with antimicrobial and cytotoxic properties, in the saliva of patients with oral squamous cell carcinoma. The present study deals with the presence of HNP‐1 in the saliva of patients with various oral diseases. METHODS: Whole saliva samples were obtained from the patientS. HNP‐1 in the saliva was isolated and purified by HPLC and the amino acid sequence of the peptide was determined. The molecular weight of HNP‐1 was measured by mass spectrometry. The concentration of HNP‐1 in saliva was determined by comparing the height of eluted HNP‐1 with that of a synthetic HNP‐1 standard. RESULTS: The concentrations of HNP‐1 in the saliva of patients with oral lichen planus (n= 5), leukoplakia (n= 4), and glossitis associated with iron deficiency (n= 4) were 8.3± 4.3μg ml‐1, 13.2± 7.9/w.g ml ‐1, and 11.4± 4.9 μg ml‐1, (mean± S. d.), respectively. These concentrations were significantly higher than those in healthy subjects (0.8 μg ml‐1) (P < 0.01). In contrast, salivary HNP‐1 concentrations in patients with glossodynia (n= 4) and oral discomfort (n= 4) were similar to those in healthy subjects. CONCLUSIONS: Since HNP‐1 is a non‐specific defensive peptide present in neutrophils, it may play an important role in the protection against diseases such as oral lichen planus, leukoplakia, and glossitis associated with iron deficiency.

No abstract

Grafted periosteum is known to have potential for heterotopic bone formation by endochondral ossification. Although osteochondrogenic cells have been thought to originate from the osteogenic layer in grafted periosteum, no histological report has yet demonstrated this. The present study was designed to elucidate the origin of chondrogenesis preceding bone formation in grafted periosteum. Periostea harvested from young Japanese white rabbits' tibiae were grafted into suprahyoid muscles and examined radiographically and histologically at postoperative days 1, 7, 9, 14, 21, and 35. Normal periostea and tibial graft site were also examined. Surgical harvesting of the periosteum split and damaged its osteogenic layer but retained the fibrous layer intact. Most of the osteoblasts remained on the tibial bone surface, and only few cells of the osteogenic layer were present in grafted tissue. By the seventh day after grafting, the fibrous layer had thickened. The fibroblastic cells in the fibrous layer had significantly increased in number (P Ͻ 0.01) and were positively stained for proliferating cell nuclear antigen. These cells exhibited alkaline phosphatase activity at day 9. The differentiated chondrocytes had formed cartilage at postoperative day 14. Cells in the osteogenic layer appeared necrotic and subsequently disappeared. Following postoperative day 21, cartilage was replaced by trabecular bone. Bone formation was completed by 35 days. An X-ray analysis at this time also revealed new bone formation. These findings indicate that grafted periosteum forms bone by endochondral ossification and that the cells of the fibrous layer play essential roles in chondrogenesis that precedes such bone formation. Anat Rec 264: 348 -357, 2001.