OBJECTIVE A case of extreme microstomia in an 8-month-old infant is presented. As a result of caustic acid ingestion at the age of a few weeks, the male infant developed progressive stricture of the perioral region preventing him from normal food intake. METHODS The patient was treated by bilateral commissurotomies and a total of 4 rhomboid flaps based in the buccal mucosa. RESULTS We were ...

BACKGROUND There are few Spanish studies on acute poisoning in the elderly despite the associated risk factors of this group of patients. MATERIAL AND METHODS Retrospective descriptive study of acute poisonings treated in the Emergency Service of the University Hospital of Zaragoza from 1995 to 2009 on patients 65 years old or older. RESULTS A total of 762 patients were selected in the stud...

S tenosis of the supraglottic larynx and pharynx is an uncommon and difficult condition to treat. The most common etiologies include iatrogenic injury from oropharyngeal and supraglottic surgery, radiation therapy, prolonged intubation, trauma, caustic ingestion, and inflammatory diseases. Presenting symptoms are a function of stenosis severity and can range from dysphagia and dysphonia to pote...

To maximize the number of planet detections, current microlensing follow-up observations are focusing on high-magnification events which have a higher chance of being perturbed by central caustics. In this paper, we investigate the properties of central caustics and the perturbations induced by them. We derive analytic expressions of the location, size, and shape of the central caustic as a fun...

Benzalkonium chloride (BAC) is a caustic agent which is used in farms, homes and hospitals for cleaning skin and wounds as an antiseptic solution. It may lead to digestive system injuries in case of ingestion. We present a two-days-old newborn case which was carried to the emergency unit with complaints of poor breastfeeding, uneasiness and crying for 4-6 hours. Her mom confessed that she had g...

The following recommendations for management of caustic and foreign body ingestion in children have been developed following a multicentre study performed by the Italian Society for Paediatric Gastroenterology, Hepatology and Nutrition (SIGENP). They are principally addressed to medical professionals involved in casualty. Because there is paucity of good quality clinical trials in children on t...

Although the numbers have decreased compared with in the past, cases of patients who ingest caustic substances and visit the emergency room are not rare. However, well-summarized data about caustic injuries are insufficient. Therefore, in this article, I will discuss the etiologic causative agents, injury mechanism, and clinical characteristics, as well as the endoscopic evaluation of the degre...

It is well known that the geometrical optics approximation, generally valid for high-frequency fields, fails in the vicinity of a caustic. A systematic procedure of V. P. Maslov that remedies this situation will be reviewed in this paper. Maslov's method makes use of a representation of the geometrical optics field in the phase space M = X x K, where a point m = (x, •c) is a pair of a position ...

We present a real-time GPU caustics rendering technique in dynamic scenes under multiple directional lights taking into account light occlusion. Our technique renders caustics cast on receiver objects as well as volumetric caustics. We precompute caustic patterns of caustic objects for several directional lights and store them in caustic images. During the rendering, we interpolate the precompu...

Chronic corrosive strictures of the upper cervical esophagus and hypopharynx resulting from ingestion of caustic substances are a challenging surgical entity when repeated endoscopic dilatations fail to yield satisfactory results. Restoring the continuity of the upper digestive tract by esophageal substitution at healthy tissue margins not only compromises the integrity of the swallowing mechan...