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Hypothesis: Carbon dioxide hydrates are ice-like nonstoichiometric inclusion solid compounds with importance to global climate change, and gas transportation and storage. The thermodynamic and kinetic mechanisms that control carbon dioxide nucleation critically depend on hydrate-water interfacial free energy. Only two independent indirect experiments are available in the literature. Interfacial energies show large uncertainties due to the conditions at which experiments are performed. Under these circumstances, we hypothesize that accurate molecular models for water and carbon dioxide combined with computer simulation tools can offer an alternative but complementary way to estimate interfacial energies at coexistence conditions from a molecular perspective., Calculations: We have evaluated the interfacial free energy of carbon dioxide hydrates at coexistence conditions (three-phase equilibrium or dissociation line) implementing advanced computational methodologies, including the novel Mold Integration methodology. Our calculations are based on the definition of the interfacial free energy, standard statistical thermodynamic techniques, and the use of the most reliable and used molecular models for water (TIP4P/Ice) and carbon dioxide (TraPPE) available in the literature., Findings: We find that simulations provide an interfacial energy value, at coexistence conditions, consistent with the experiments from its thermodynamic definition. Our calculations are reliable since are based on the use of two molecular models that accurately predict: (1) The ice-water interfacial free energy; and (2) the dissociation line of carbon dioxide hydrates. Computer simulation predictions provide alternative but reliable estimates of the carbon dioxide interfacial energy. Our pioneering work demonstrates that is possible to predict interfacial energies of hydrates from a truly computational molecular perspective and opens a new door to the determination of free energies of hydrates., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

The increased emergence of cereal stem rust in southern and western Europe, caused by the pathogen Puccinia graminis , and the prevalence of alternate (sexual) host, Berberis species, have regained attention as the sexual host may serve as source of novel pathogen variability that may pose a threat to cereal supply. The main objective of the present study was to investigate the functional role of Berberis species in the current epidemiological situation of cereal stem rust in Europe. Surveys in 11 European countries were carried out from 2018 to 2020, where aecial infections from five barberry species were collected. Phylogenetic analysis of 121 single aecial clusters of diverse origin using the elongation factor 1-α gene indicated the presence of different special forms (aka formae speciales ) of P. graminis adapted to different cereal and grass species. Inoculation studies using aecial clusters from Spain, United Kingdom, and Switzerland resulted in 533 stem rust isolates sampled from wheat, barley, rye, and oat, which confirmed the presence of multiple special forms of P. graminis . Microsatellite marker analysis of a subset of 192 sexually-derived isolates recovered on wheat, barley and rye from the three populations confirmed the generation of novel genetic diversity revealed by the detection of 135 multilocus genotypes. Discriminant analysis of principal components resulted in four genetic clusters, which grouped at both local and country level. Here, we demonstrated that a variety of Berberis species may serve as functional alternate hosts for cereal stem rust fungi and highlights the increased risks that the sexual cycle may pose to cereal production in Europe, which calls for new initiatives within rust surveillance, epidemiological research and resistance breeding., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Rodriguez-Algaba, Hovmøller, Schulz, Hansen, Lezáun, Joaquim, Randazzo, Czembor, Zemeca, Slikova, Hanzalová, Holdgate, Wilderspin, Mascher, Suffert, Leconte, Flath and Justesen.)

Recently, we have proposed the SAFT-VR Mie MF DFT approach [Algaba et al. , Phys. Chem. Chem. Phys. , 2019, 21 , 11937-11948] to investigate systems that exhibit fluid-fluid interfaces. This formalism is based on the combination of the Statistical Associating Fluid Theory for attractive potentials of variable range using Mie intermolecular potential (SAFT-VR Mie) and a Density Functional Theory (DFT) treatment of the free energy. A mean-field approach is used to evaluate the attractive term, neglecting the pair correlations associated to attractions. This theory has been combined with reported SAFT-γ Coarse-Grained (CG) Mie force fields to provide an excellent description of the vapor-liquid interface of carbon dioxide and water pure fluids. The present work is a natural and necessary extension of this previous study. We assess the adequacy of the proposed methodology for dealing with inhomogeneous fluid systems of large complex molecules, in particular carbon tetrafluoride and sulfur hexafluoride greenhouse gases, the refrigerant 2,3,3,3-tetrafluoro-1-propene, and the long-chain n -decane and n -eicosane hydrocarbons. The obvious diversity of these fluids, their chemical and industrial interest, and the fact of that SAFT-γ CG Mie force fields have been reported for them justify such choice. With the aim of testing the theory, we perform Molecular Dynamics simulations in the canonical ensemble using the direct coexistence technique for the same models. We focus both on bulk, such as coexistence diagrams and vapor pressure curves, as well as interfacial properties, including surface tension. The comparison of the theoretical predictions with the computational results as well as with experimental data taken from the literature demonstrates the reliability and generalization of this method for dealing simultaneously with vapor-liquid equilibrium and interfacial phenomena. Hence, it appears as a potential tool for the interface analysis, with the main advantage over molecular simulation of low computational cost, and solving the experimental difficulties in accurately measuring the surface tension of certain systems., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (This journal is © The Royal Society of Chemistry.)

The objective of this study was to investigate the re-emergence of a previously important crop pathogen in Europe, Puccinia graminis f.sp. tritici, causing wheat stem rust. The pathogen has been insignificant in Europe for more than 60 years, but since 2016 it has caused epidemics on both durum wheat and bread wheat in local areas in southern Europe, and additional outbreaks in Central- and West Europe. The prevalence of three distinct genotypes/races in many areas, Clade III-B (TTRTF), Clade IV-B (TKTTF) and Clade IV-F (TKKTF), suggested clonal reproduction and evolution by mutation within these. None of these genetic groups and races, which likely originated from exotic incursions, were detected in Europe prior to 2016. A fourth genetic group, Clade VIII, detected in Germany (2013), was observed in several years in Central- and East Europe. Tests of representative European wheat varieties with prevalent races revealed high level of susceptibility. In contrast, high diversity with respect to virulence and Simple Sequence Repeat (SSR) markers were detected in local populations on cereals and grasses in proximity to Berberis species in Spain and Sweden, indicating that the alternate host may return as functional component of the epidemiology of wheat stem rust in Europe. A geographically distant population from Omsk and Novosibirsk in western Siberia (Russia) also revealed high genetic diversity, but clearly different from current European populations. The presence of Sr31 -virulence in multiple and highly diverse races in local populations in Spain and Siberia stress that virulence may emerge independently when large geographical areas and time spans are considered and that Sr31 -virulence is not unique to Ug99. All isolates of the Spanish populations, collected from wheat, rye and grass species, were succesfully recovered on wheat, which underline the plasticity of host barriers within P. graminis . The study demonstrated successful alignment of two genotyping approaches and race phenotyping methodologies employed by different laboratories, which also allowed us to line up with previous European and international studies of wheat stem rust. Our results suggest new initiatives within disease surveillance, epidemiological research and resistance breeding to meet current and future challenges by wheat stem rust in Europe and beyond., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Patpour, Hovmøller, Rodriguez-Algaba, Randazzo, Villegas, Shamanin, Berlin, Flath, Czembor, Hanzalova, Sliková, Skolotneva, Jin, Szabo, Meyer, Valade, Thach, Hansen and Justesen.)

Stem rust, caused by Puccinia graminis , is a destructive group of diseases. The pathogen uses Berberis species as alternate hosts to complete its life cycle. B . vulgaris and the endemic species B. hispanica and B. garciae are present in Spain. The objective of this study was to investigate the functionality of the indigenous barberry as alternate hosts. Field surveys were conducted in 2018 and 2019 in Huesca, Teruel and Albacete provinces of Spain. Aecial samples on barberry were analysed via infection assays and DNA analysis. B . garciae was predominant in Huesca and Teruel provinces, often found in the field margins of cereal crops. Aecial infections on B . garciae were observed in May and uredinial infections on cereal crops in June. Scattered B . hispanica bushes were occasionally found near cereal crops in Albacete, where aecial infections on B . hispanica were observed in June when most cereal crops were mature. Infection assays using aeciospores resulted in stem rust infections on susceptible genotypes of wheat, barley, rye and oat, indicating the presence of the sexual cycle for P . graminis f. sp. tritici , f. sp. secalis and f. sp. avenae . Sequence analyses from aecial samples supported this finding as well as the presence of Puccinia brachypodii . This study provides the first evidence that indigenous Berberis species play an active role in the sexual cycle of P . graminis under natural conditions in Spain., (© 2022 The Authors. Plant Pathology published by John Wiley & Sons Ltd on behalf of British Society for Plant Pathology. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.)

In this work, the liquid-liquid phase equilibria and interfacial properties of methyl ester + water binary mixtures are determined at atmospheric pressure and from 278 to 358 K combining the direct coexistence technique and molecular dynamics simulations. Methyl esters are modelled using new parametrizations based on the united atom TraPPE model force field proposed recently by us [E. Feria, J. Algaba, J. M. Míguez, A. Mejía, P. Gómez-Álvarez and F. J. Blas, Phys. Chem. Chem. Phys. , 2019, 22 , 4974-4983] that are able to predict the vapour-liquid interfacial properties of pure methyl esters with high accuracy. In the case of water, we consider the well-known TIP4P/2005 model, the most popular rigid and non-polarizable model to describe the interfacial properties of pure water. The simulations are performed using the direct coexistence technique in the isothermal-isobaric or NP z  T ensemble in combination with molecular dynamics. We obtain density profiles, temperature-densities and temperature-composition projections of the phase diagrams, and interfacial tensions. The liquid-liquid interfacial tension is calculated from the normal and tangential components of the pressure tensor according to the mechanical virial route. We pay attention particularly to the ability of the molecular models in predicting the experimental behavior of the systems. Simulation results are able to account for the liquid-liquid phase equilibria of these binary mixtures, in good agreement with the experimental data taken from the literature. Unfortunately, experimental values for interfacial tensions are substantially overestimated by predictions from computer simulations in all cases. To our knowledge, this is the first time that the liquid-liquid phase equilibrium and interfacial properties of methyl ester + water mixtures have been predicted from computer simulations.

Stripe rust, caused by the fungal pathogen Puccinia striiformis f. sp. tritici , is a major threat to wheat ( Triticum spp.) production worldwide. The objective of this study was to determine the virulence of P. striiformis f. sp. tritici races prevalent in the main wheat growing regions of Kenya, which includes Mt. Kenya, Eastern Kenya, and the Rift Valley (Central, Southern, and Northern Rift). Fifty P. striiformis f. sp. tritici isolates collected from 1970 to 1992 and from 2009 to 2014 were virulence phenotyped with stripe rust differential sets, and 45 isolates were genotyped with sequence characterized amplified region (SCAR) markers to differentiate the isolates and identify aggressive strains PstS1 and PstS2 . Virulence corresponding to stripe rust resistance genes Yr1 , Yr2 , Yr3 , Yr6 , Yr7 , Yr8 , Yr9 , Yr17 , Yr25 , and Yr27 and the seedling resistance in genotype Avocet S were detected. Ten races were detected in the P. striiformis f. sp. tritici samples obtained from 1970 to 1992, and three additional races were detected from 2009 to 2014, with a single race being detected in both periods. The SCAR markers detected both Pst1 and Pst2 strains in the collection. Increasing P. striiformis f. sp. tritici virulence was found in the Kenyan P. striiformis f. sp. tritici population, and different P. striiformis f. sp. tritici race groups were found to dominate different wheat growing regions. Moreover, recent P. striiformis f. sp. tritici races in East Africa indicated possible migration of some race groups into Kenya from other regions. This study is important in elucidating P. striiformis f. sp. tritici evolution and virulence diversity and useful in breeding wheat cultivars with effective resistance to stripe rust.

Wheat ( Triticum aestivum L.) is one of the world's staple food crops and one of the most devastating foliar diseases attacking wheat is powdery mildew (PM). In Denmark only a few specific fungicides are available for controlling PM and the use of resistant cultivars is often recommended. In this study, two Chinese wheat landraces and two synthetic hexaploid wheat lines were used as donors for creating four multi-parental populations with a total of 717 individual lines to identify new PM resistance genetic variants. These lines and the nine parental lines (including the elite cultivars used to create the populations) were genotyped using a 20 K Illumina SNP chip, which resulted in 8,902 segregating single nucleotide polymorphisms for assessment of the population structure and whole genome association study. The largest genetic difference among the lines was between the donors and the elite cultivars, the second largest genetic difference was between the different donors; a difference that was also reflected in differences between the four multi-parental populations. The 726 lines were phenotyped for PM resistance in 2017 and 2018. A high PM disease pressure was observed in both seasons, with severities ranging from 0 to >50%. Whole genome association studies for genetic variation in PM resistance in the populations revealed significant markers mapped to either chromosome 2A, B, or D in each of the four populations. However, linkage disequilibrium between these putative quantitative trait loci (QTL) were all above 0.80, probably representing a single QTL. A combined analysis of all the populations confirmed this result and the most associated marker explained 42% of the variation in PM resistance. This study gives both knowledge about the resistance as well as molecular tools and plant material that can be utilised in marker-assisted selection. Additionally, the four populations produced in this study are highly suitable for association studies of other traits than PM resistance., Competing Interests: The study was performed in a collaboration between Aarhus University and the plant breeding company Nordic Seed A/S. NN, PS, JA, AJ, and JO were employed by company Nordic Seed A/S. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Nordestgaard, Thach, Sarup, Rodriguez-Algaba, Andersen, Hovmøller, Jahoor, Jørgensen and Orabi.)

Literature studies on interfacial tension versus temperature between normal alcohols and water show that it increases with temperature and exhibits a maximum value at a given temperature depending on the molecular weight of the alcohol. This very unusual behavior is supposedly accompanied by the formation of monolayers of alcohol molecules oriented preferentially at the interface, a structural issue not confirmed until now. We use molecular-based models for water and alcohols in combination with molecular dynamics simulations to provide physical insights, from a molecular perspective, into the structural and thermodynamic behavior at the liquid-liquid interfaces of aqueous solutions of alcohols.

We have determined the phase equilibria and interfacial properties of a methyl ester homologous series (from methyl acetate to methyl heptanoate) using direct simulations of the vapour-liquid interfaces. The methyl esters are modelled using the united atom approach in combination with transferable parameters for phase equilibria (TraPPE) force fields for alkanes, alkenes, carbon dioxide, ethers, and carboxylic acids in a transferable way. This allows us to take into account explicitly both dispersive and coulombic interactions, as well as the repulsive Pauli-exclusion interactions. Simulations are performed in the NVT or canonical ensemble using molecular dynamics. Vapour-liquid surface tension is determined using the virial route, i.e., evaluating the normal and tangential components of the pressure tensor along the simulation box. We have also calculated density profiles, coexistence densities, vapour pressures, surface entropies and enthalpies, and interfacial thickness as functions of temperature, as well as the normal boiling temperatures and the critical temperatures, densities, and pressures for each member of the series. Special attention is paid to the comparison between experimental data taken from the literature and our results obtained using molecular dynamics simulations. We also analyze the effect of increasing the molecular weight of the methyl esters (at fixed temperature) on all the properties considered, with special emphasis on phase equilibria envelopes and surface tension. The TraPPE force fields transferred from other molecules and chemical families are able to predict very accurately the experimental vapour-liquid phase envelopes of methyl esters. We also compare the results obtained from simulations of the surface tension, with experimental data taken from the literature. To our knowledge, this is the first time that vapour-liquid phase equilibria and interfacial properties, and particularly surface tension, of this methyl ester homologous series are obtained using computer simulation.

A new Helmholtz free energy density functional is presented to predict the vapor-liquid interface of chainlike molecules. The functional is based on the last version of the statistical associating fluid theory for potentials of variable range for homogeneous Mie chainlike fluids (SAFT-VR Mie). Following the standard formalism, the density functional theory (SAFT-VR Mie DFT) is constructed using a perturbative approach in which the free energy density contains a reference term to describe all the short-range interactions treated at the local level, and a perturbative contribution to account for the attractive perturbation which incorporates the long-range dispersive interactions. In this first work, we use a mean-field version of the theory in which the pair correlations are neglected in the attractive term. The SAFT-VR Mie DFT formalism is used to examine the effect of molecular chain length and the repulsive exponent of the intermolecular potential on density profiles and surface tension of linear chains made up of up to six Mie (λr - 6) segments with different values of the repulsive exponent of the intermolecular potential. Theoretical predictions from the theory are compared directly with molecular simulation data for density profiles and surface tension of Mie chainlike molecules taken from the literature. Agreement between theory and simulation data is good for short-chain molecules under all thermodynamic conditions of coexistence considered. Once the theory has proven that it is able to predict the interfacial properties, and particularly interfacial tension, the SAFT-VR Mie DFT formalism is used to predict the interfacial behavior of two new coarse-grained models for carbon dioxide and water recently proposed in the literature. In particular, the theoretical formalism, in combination with the coarse-grained models for carbon dioxide and water, is able to predict the interfacial properties of these important substances in a reasonable way.

We investigated whether the recent worldwide epidemics of wheat yellow rust were driven by races of few clonal lineage(s) or populations of divergent races. Race phenotyping of 887 genetically diverse Puccinia striiformis isolates sampled in 35 countries during 2009-2015 revealed that these epidemics were often driven by races from few but highly divergent genetic lineages. PstS1 was predominant in North America; PstS2 in West Asia and North Africa; and both PstS1 and PstS2 in East Africa. PstS4 was prevalent in Northern Europe on triticale; PstS5 and PstS9 were prevalent in Central Asia; whereas PstS6 was prevalent in epidemics in East Africa. PstS7, PstS8 and PstS10 represented three genetic lineages prevalent in Europe. Races from other lineages were in low frequencies. Virulence to Yr9 and Yr27 was common in epidemics in Africa and Asia, while virulence to Yr17 and Yr32 were prevalent in Europe, corresponding to widely deployed resistance genes. The highest diversity was observed in South Asian populations, where frequent recombination has been reported, and no particular race was predominant in this area. The results are discussed in light of the role of invasions in shaping pathogen population across geographical regions. The results emphasized the lack of predictability of emergence of new races with high epidemic potential, which stresses the need for additional investments in population biology and surveillance activities of pathogens on global food crops, and assessments of disease vulnerability of host varieties prior to their deployment at larger scales.

An isolate of the fungus Puccinia striiformis, causing yellow (stripe) rust on cereals and grasses, was selfed on the alternate (sexual) host, Berberis vulgaris. This enabled us to investigate genetic variability of progeny isolates within and among aecia. Nine aecial clusters each consisting of an aecium (single aecial cup) and nine clusters containing multiple aecial cups were selected from 18 B. vulgaris leaves. Aeciospores from each cluster were inoculated on susceptible wheat seedlings and 64 progeny isolates were recovered. Molecular genotyping using 37 simple sequence repeat markers confirmed the parental origin of all progeny isolates. Thirteen molecular markers, which were heterozygous in the parental isolate, were used to analyse genetic diversity within and among aecial cups. The 64 progeny isolates resulted in 22 unique recombinant multilocus genotypes and none of them were resampled in different aecial clusters. Isolates derived from a single cup were always of the same genotype whereas isolates originating from clusters containing up to nine aecial cups revealed one to three genotypes per cluster. These results implied that each aecium was the result of a successful fertilization in a corresponding pycnium and that an aecium consisted of genetically identical aeciospores probably multiplied via repetitive mitotic divisions. Furthermore, the results suggested that aecia within a cluster were the result of independent fertilization events often involving genetically different pycniospores. The application of molecular markers represented a major advance in comparison to previous studies depending on phenotypic responses on host plants. The study allowed significant conclusions about fundamental aspects of the biology and genetics of an important cereal rust fungus., (Copyright © 2017 British Mycological Society. Published by Elsevier Ltd. All rights reserved.)

A procedure for virulence phenotyping of isolates of yellow (stripe) rust using spray inoculation of wheat seedlings by spores suspended in an engineered fluid, Novec™ 7100, is presented. Differential sets consisting of near-isogenic Avocet lines, selected lines from the "World" and "European" sets, and additional varieties showing race-specificity facilitate a robust assessment of race, irrespectively of geographical and evolutionary origin of isolates. A simple procedure for purification of samples consisting of multiple races is also presented.

An isolate of the basidiomycete Puccinia striiformis, which causes yellow (stripe) rust on wheat, was selfed on the newly discovered alternate host, Berberis vulgaris. This allowed a study of the segregation of molecular markers and virulence in the progeny isolates, and of the development of fungal sexual structures and spore forms. Pycnia and aecia were obtained after inoculation of B. vulgaris with basidiospores resulting from germinating teliospores from infected wheat leaves. Subsequent inoculation of wheat with aeciospores from bulked aecia resulted in 16 progeny isolates of the S1 generation. Genotyping with 42 simple sequence repeat (SSR) markers confirmed a parental origin of progeny isolates. Of the 42 analyzed loci, 15 were heterozygous in the parental isolate and 14 revealed segregation in the progenies. This resulted in 11 new multilocus genotypes (MLGs), which confirmed segregation following sexual reproduction. Additionally, parental and progeny isolates were phenotyped using a genetic stock of wheat genotypes representing 21 resistance genes. All S1 progeny isolates had virulence for 14 out of 15 loci where the parental isolate was virulent. This was consistent with the hypothesis that virulence in plant pathogens is often recessive to avirulence, i.e., only expressed in a homozygous state. Furthermore, no segregation was observed for five out of six loci, for which the parental isolate had an avirulent phenotype. The results for one of the two segregating virulence/avirulence loci suggested that the parental isolate was heterozygous with Avr alleles resulting in different but clearly avirulent phenotypes. The other locus indicated that additional genes modifying the phenotypic expression of avirulence were involved., (Copyright © 2014 Elsevier Inc. All rights reserved.)

We report our experience with island cartilage tympanoplasty in revision cases and assess the anatomical and functional outcomes. We conducted a retrospective chart review at a tertiary referral center for patients who underwent revision tympanoplasty using cartilage with the island technique without mastoidectomy between January 2002 and December 2008. 60 cases were included in the study and successful closure without reperforation was obtained in 52 of 60 patients (87%). Three failed cases underwent a subsequent procedure endaurally with a positive result (92% accumulated success rate). Average postoperative pure-tone audiometry air-bone gap was 13 ± 7 dB compared with 21 ± 11 dB preoperatively (p = 0.004). An overall postoperative air-bone gap of 20 dB or less was achieved in 46 of the 60 patients (76.7%). Tympanoplasty with island cartilage grafting is a reliable procedure for revision cases with excellent anatomic results as well as significant improvement of hearing.

Objectives: Assess p63 and p73 expression in acoustic neuroma and its correlation with clinical and radiological findings., Materials and Methods: medical records of 34 patients who were operated on for acoustic neuroma during a 3-year period (2001-2003) were evaluated retrospectively. Immunohistochemical analysis of the schwannoma was performed with p63 and p73 antibodies and clinical patient characteristics were correlated with the immunoreactivity results., Results: 41% of the acoustic neuroma specimens showed p63 and p73 staining. Correlation between both proteins was 100%. Age of the patients tended to be older when staining was positive, but no statistical significance was achieved. Likewise, tumour size was bigger for positive tumours but, again, this difference was not statistically significant. There was no correlation between gender and immunostaining., Discussion and Conclusions: Expression of p63 and p73 was demonstrated in almost half of the patients studied. Although both proteins were more prevalent in older patients and bigger tumours, this difference was not statistically significant, probably due to the reduced sample size. No differences were found in laterality, gender or audiogram. However, the expression of these two proteins in almost half of the tumours shows that they can play a role in the development and progression of acoustic neuromas, although further studies are needed., (Copyright © 2011 Elsevier España, S.L. All rights reserved.)

Introduction and Objectives: In certain situations ("high risk perforations") such as large perforations, revision cases, middle ear pathology, eustachian tube dysfunction and atelectatic ears, the failure rate of myringoplasty is high. Some authors have suggested that the materials most frequently used for myringoplasty (fascia and perichondrium) may have a role in this failure rate. Cartilage myringoplasty, however, achieves good results in these "high risk" cases. The purpose of this study is to analyze our results and describe the technique., Methods: A retrospective study of all consecutive patient charts for cartilage myringoplasties performed in a 5-year period (2002-2007) was carried out., Results: During the study period, cartilage was used in 99 patients (122 cases). More than 66% of the cases were large perforations and 26% of the cases were revision cases. Successful closure was achieved in 92% of the cases and the functional results show an improvement in the air-bone gap average with statistical significance for type I tympanoplasties., Discussion: The reconstruction of tympanic membrane perforations with cartilage is recommended in certain cases ("high risk" perforations). The results described here show that the anatomical and functional results are good and we consider the technique easy to learn., Conclusions: We consider cartilage myringoplasty a technique that could be used in "high risk" perforations where a technique using fascia or perichondrium may have a higher risk of failure., (Copyright 2009 Elsevier España, S.L. All rights reserved.)

Introduction and Objectives: We address the efficacy of aerosol therapy in the treatment of otitis media with effusion during childhood. We study audiometric recovery in comparison with other classic treatments., Material and Methods: This is a retrospective analysis of 37 patients suffering from otitis media with effusion treated with aerosols. We analyze the pure tone audiometry gap results for the whole sample of patients. We also evaluate the characteristics of the group of patients that had previously required surgery and the group withdrawn from aerosol therapy for not responding., Results: Thirty seven patients with a mean age of 6.8 years met the inclusion criteria. Audiometric tests were performed at the beginning of the treatment and after one month, 3 months and finally 6-12 months. In audiometric terms, 76% of the patients achieved results similar to those obtained after surgery. Seven patients were withdrawn from treatment due to poor or no response to aerosol therapy or due to a lack of collaboration. Two patients developed complications not related to aerosol therapy (tympanic perforation and cholesteatoma pearl)., Conclusion: The efficacy of aerosol therapy is comparable to that obtained with classic treatments. We have found no differences in the outcomes obtained in the group previously treated with surgery. We found no indicators of poor response in those patients where the treatment failed.

Inverted Papilloma is a frequent bening nasosinusal tumour. The high frequency of recurrences and the malignant potential are its clinical characteristics. We present our experience in a retrospective study done in the last 10 years. 10 patients with Inverted Papilloma have been treated during that period. According to the Classification made by krouse who divides the Inverted Papilloma in four stages, we found 3 in stage I, 6 in stage II and 1 in stage IV. The treatment in almost all of the patients in Stage I and II was endonasal surgery. External approach was performed for stage IV. The recurrence rate was 30% and malignization occurred in 10% of the cases. Finally, we have compared other publications, and revised the literature.

We present a clinical case of middle ear Ganglioneuroma correctly diagnosed after its complete exeresis. A previous surgical biopsy of the mass was consistent with an schwannoma of the VIIth cranial nerve. Considering the newness of the case we make this brief note exposing the clinical process as well as the review of the related bibliography of this neoplasm. None previous mention of middle ear ganglioneuroma have been found, according to the reporters perusal.

Haemangiopericytoma is a rare vascular tumour arising from the proliferation of pericytes which are cells surrounding the capillaries. Since 1949 only 54 cases of haemangiopericytomas of the nose and paranasal sinuses have been reported in the literature. Of the latter, only 8 cases originated from the maxillary sinus. We report a further case originated from the maxillary sinus.

The chemodectoma a paragangliomas of the carotid body are infrequent tumors in the daily medical practice, but they must be taken into account in the differential diagnosis of any lateral neck mass. We present two new cases, reconsidering the existing literature.