Pediatric Laryngotracheal Stenosis and Airway Reconstruction: A Review of Voice Outcomes, Assessment, and Treatment Issues

Laryngotracheal stenosis is defined as a congenital or acquired narrowing of the airway. Congenital causes may include subglottic membranous or cartilaginous narrowing. Acquired causes may include trauma due to prolonged endotracheal or tracheal intubation or laryngotracheal injury. Although advances have been made over the past 30 years in reconstructive surgeries to improve airway patency in these patients, long-term laryngeal function for voice production is not well defined in this population. This review examines causes, symptoms and signs, and methods for diagnosing laryngotracheal stenosis. Surgical management procedures are briefly summarized. The current literature on voice outcomes is summarized. The predominant voice characteristics in the population are presented, although results are challenged by the heterogeneity of voice presentation and paucity of data from instrumental measures. Considerations for subjective and instrumental assessment, measures of quality of life, instrumental methods, and treatment options specific to the needs of this population are discussed. Research strategies to identify long-term outcomes of surgical and behavioral treatments in this population are posed.     

Novel M(II)–Hg(II) coordination polymers generated from metal-containing building blocks M(2-pyrazinecarboxylate)2 · (H2O)2 (M=Cu, Ni, Co) and HgCl2

A new class of M(II)–Hg(II) (M=Cu(II), Co(II), Ni(II)) mixed-metal coordination polymers, Cu(2-pyrazinecarboxylate)₂HgCl₂ (4), [Co(2-pyrazinecarboxylate)₂(HgCl₂)₂] · 0.61H₂O (5) and [Ni(2-pyrazinecarboxylate)₂(HgCl₂)₂] · 0.77H₂O (6), have been prepared by self assembly of metal-containing building blocks, M(2-pyrazinecarboxylate)₂ · (H₂O)₂(M=Cu(II), Co(II), Ni(II)), with HgCl₂. Compounds 4–6 were characterized fully by IR, elemental analysis and single crystal X-ray diffraction. Compound 4 crystallized in the monoclinic space group C2/c, with a=17.916(5) Å, b=7.223(2) Å, c=13.335(4) Å, β=128.726(3)°, V=1346.2(6) ų, Z=4. It contains alternating Hg(II) and Cu(II) metal centers that are cross-linked by 2-pyrazinecarboxylate spacers and chlorine co-ligands to generate a unique three-dimensional Hg(II)–Cu(II) mixed metal framework. Compound 5 crystallized in the triclinic space group P , with a=6.3879(7) Å, b=6.6626(8) Å, c=13.2286(15) Å, α=96.339(2)°, β=91.590(2)°, γ=113.462(2)°, V=511.71(10) ų, Z=1. Compound 6 also crystallized in the triclinic space group P , with a=6.3543(8) Å, b=6.6194(8) Å, c=13.2801(16) Å, α=96.449(2)°, β=92.263(2)°, γ=113.541(2)°, V=506.67(11) ų, Z=1. Compounds 5 and 6 are isostructural and in the solid state the Hg(II)M(II)Hg(II) units are connected by Hg₂Cl₂ linkages to produce a novel M(II)–Hg(II) (M=Co(II), Ni(II)) zigzag mixed-metal chain, in which a new type of M–M′–M′–M array was observed. The metal containing building blocks, M(2-pyrazinecarboxylate)₂ · (H₂O)₂ (M=Cu(II), Co(II), Ni(II)), exhibit different connectivities to HgCl₂ depending on the metal cation contained within them.     

Quantitation of acrylamide in food products by liquid chromatography/mass spectrometry

A simple and inexpensive liquid chromatography/mass spectrometry (LC/MS) method was developed for the quantitation of acrylamide in various food products. The method involved spiking the isotope-substituted internal standard (1-C13 acrylamide) onto 6.00 g of the food product, adding 40 mL distilled/deionized water, and heating at 65 degrees C for 30 min. Afterwards, 10 mL ethylene dichloride was added and the mixture was homogenized for 30 s and centrifuged at 2700 x g for 30 min, and then 8 g supernatant was extracted with 10, 5, and 5 mL portions of ethyl acetate. The extracts were combined, dried with sodium sulfate, and concentrated to 100-200 microL. Acrylamide was determined by analysis of the final extract on a single quadrupole, bench-top mass spectrometer with electrospray ionization, using a 2 mm id C18 column and monitoring m/z = 72 (acrylamide) and m/z = 73 (internal standard). For difficult food matrixes, such as coffee and cocoa, a solid-phase extraction cleanup step was incorporated to improve both chromatography and column lifetime. The method had a limit of quantitation of 10 ppb, and coefficients of determination (r2) for calibration curves were typically better than 0.998. Acceptable spike recovery results were achieved in 11 different food matrixes. Precision in potato chip analyses was 5-8% (relative standard deviation). This method provides an LC/MS alternative to the current LC/MS/MS methods and derivatization gas chromatography/mass spectrometry methods, and is applicable to difficult food products such as coffee, cocoa, and high-salt foods.     

Assembly of large simple 1D and rare polycatenated 3D molecular ladders from T-shaped building blocks containing a new, long N,N'-bidentate ligand

Molecular ladders [Co(2)(nbpy4)(3)(NO(3))(4)]*solvents and [Cd(2)(nbpy4)(3)(NO(3))(4)](nbpy4 =N,N'-bis-(4-pyridinylmethylene)-1,5-naphthalenediamine) were synthesized via self-assembly; the former is a large, simple, noninterpenetrated 1D ladder that contains guest solvent molecules between the rungs, while the latter exists as 1D ladders in a rare four-fold interlocked 3D structure.     

Crystal structures and magnetic properties of mixed iridium-ruthenium triple perovskites. 1. Ba3MRuIrO9 (M=Lanthanide, Y)

Crystal structures and magnetic properties of Ba3MRuIrO9 (M=lanthanides, Y) were investigated. Rietveld refinements using powder diffraction data indicate that all the compounds crystallize in the 6H-BaTiO3 structure type in space group P63/mmc. Magnetic susceptibility measurements were carried out on each compound. Effective magnetic moments were smaller than values estimated using spin-only moments, which indicate the presence of spin-orbit coupling and strong interactions in the [(Ru0.5Ir0.5)2O9] face-sharing octahedra that contain a disordered mixture of Ru and Ir on a single crystallographic site. Magnetic anomalies were observed for the compounds Ba3PrRuIrO9, Ba3TbRuIrO9, and Ba3NdRuIrO9 at 3.5, 13, and 8 K, respectively.     

Formation of dinuclear,macrocyclic, and chain structures from HgI(2) and a semirigid benzimidazole-based bridging ligand: an example of ring-opening supramolecular isomerism

The reactions of HgI(2) with the semirigid ditopic ligand 1,3-bis(benzimidazol-1-ylmethyl)-2,4,6-trimethylbenzene (bbimms) afforded three new complexes, [Hg(2)(mu-I)(2)I(2)(bbimms)] (1), [Hg(2)I(4)(bbimms)(2)] (2), and catena-poly[HgI(2)(bbimms)] (3). The ligand and all complexes have been structurally characterized by single-crystal X-ray diffraction. 1 is a triply bridged dinuclear complex comprised of two Hg(II) ions, one bridging ligand, two bridging I(-) anions, and two terminal I(-) anions. 2 is a dinuclear metallamacrocycle comprised of two Hg(II) ions, two bridging ligands, and four terminal I(-) anions, while 3 is a helical chain with the repeating unit of HgI(2)(bbimms). 2 and 3 can be classified as supramolecular isomers, and both are related to the triply bridged precursor 1 via the addition of one more ligand in a ring-opening process.