Hemodynamic Investigation regarding Cerebral AVMs using Animations PhaseContrast MR Photo

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Variants of the temporal bone are all related one with each other in males, whereas in females only the relationship between pneumatized petrous apex and infralabyrinthine portion was found. Moreover, in females the pneumatized petrous apex was related with pneumatized anterior clinoid process, and the pneumatized infralabyrinthine portion was related with the sphenoid sinus volume.Results may be useful for predicting these important variants in planning surgical interventions of the cranial base.
Modern human palate shape has been reported to vary by sex and ancestry, but limitations in the methods used to quantify shape and in population coverage have led to inconsistent findings. In the present study, the authors aim to characterize the effects of sex and ancestry on normal-range three-dimensional palate shape through landmark-based morphometrics.Three-dimensional digital dental casts were obtained and landmarked from 794 adults of European (n = 429), African (n = 295), and East Asian (n = 70) ancestry. Principal component analysis was conducted to identify patterns of shape variation present in our cohort, and canonical variates analysis was performed to test for shape differences between sexes and ancestries.Principal component analysis showed that 3 principal components, explaining 76.52% of variance, linked higher palatal vault with either a relative reduction in anteroposterior or mediolateral dimensions. Canonical variates analysis showed that males had wider and shorter palates with more popalates with more anteriorly located maximum vault depths. Individuals of East Asian ancestry showed the shallowest vaults.It was found that both sex and ancestry influence palate shape, suggesting a possible genetic component underlying this variation. Additionally, our findings indicate that vault height tends to co-vary with anteroposterior or mediolateral dimensions. Further investigation of these morphological patterns may shed light on possible links to common congenital anomalies such as orofacial clefting.
Finite element analysis of the stresses subjected to both the intraoral and the extraoral distractors devices used in the mandibular distraction of hemifacial microsomia patients.
Two models were included in the current study. The first model was an extraoral distractor and the second model was an intraoral distractor model. To generate the results in the simulated models; 2 vertical loads were applied (222.7 and 137.78 N) on the defective and normal side, respectively.
The intraoral system observed lower stress (6.85 MPa) in the mandibular bone compared to the extraoral system (13.21 MPa). The intraoral distractor had a higher stress concentration on the distractor fixing screws (352 MPa) compared to the extraoral distractor fixing pins (15 MPa). The extraoral distractor had a higher displacement effect on the mandibular bone around the pins of 263.35 μm in comparison to the intraoral distractor effect which was 77.87 μm.
Internal oral distractor provides a sort of stress shielding to the distracted bone and less displacement, so it is more advisable to be used in general. The external devices are advised only in extralong distraction distance because the distractor is subjected to lower stresses compared to intraoral counterparts.
Internal oral distractor provides a sort of stress shielding to the distracted bone and less displacement, so it is more advisable to be used in general. The external devices are advised only in extralong distraction distance because the distractor is subjected to lower stresses compared to intraoral counterparts.
The goal of this study is to evaluate postpunctoplasty symptoms with lacrimal symptoms questionnaire (Lac-Q). A retrospective study was conducted on 31 patients (14 men and 17 woman) with a diagnosis of canalicular stenosis 26 patients with unilateral occlusion and 5 patients with bilateral occlusion. The Lac-Q was administered preoperative and at 1, at 3, and at 6 months following the surgery. Moreover, the Lac-Q questionnaire was administered by an independent observer (SI). The mono-lateral and bilateral postoperative Lac-Q score showed a significant improvement of symptoms at 1, 3, and 6 months than the preoperative results. The Lac-Q questionnaire is a way to evaluate the quality of outcomes after punctoplasty surgery. selleck In this study, all patients showed a significant improvement of symptoms after surgery.
The goal of this study is to evaluate postpunctoplasty symptoms with lacrimal symptoms questionnaire (Lac-Q). A retrospective study was conducted on 31 patients (14 men and 17 woman) with a diagnosis of canalicular stenosis 26 patients with unilateral occlusion and 5 patients with bilateral occlusion. The Lac-Q was administered preoperative and at 1, at 3, and at 6 months following the surgery. Moreover, the Lac-Q questionnaire was administered by an independent observer (SI). The mono-lateral and bilateral postoperative Lac-Q score showed a significant improvement of symptoms at 1, 3, and 6 months than the preoperative results. The Lac-Q questionnaire is a way to evaluate the quality of outcomes after punctoplasty surgery. In this study, all patients showed a significant improvement of symptoms after surgery.
In the last 3 decades, the incidence of positional cranial deformations in infants, such as positional plagiocephaly and positional brachycephaly, has increased. The deviating shape often causes parental concern for the later psychosocial wellbeing of the child. Treatment options are nonoperative, varying from positional change to helmet therapy, of which the effect has often been debated. Multiple risk factors have been associated with an increased risk on the development of these deformations. The goal of this study was to assess the impact of known risk factors on the type and severity of resulting positional cranial deformation.Parents were asked to fill out a questionnaire regarding the presence of risk factors, such as gender, age, pregnancy duration, method of delivery and reasons for atypical deliveries, breech position, birth weight, developmental status, positional preference, family history, number of siblings, and torticollis presence. Treatment methods were documented and plagiocephalometry was the impact of known risk factors on the type and severity of resulting positional cranial deformation.Parents were asked to fill out a questionnaire regarding the presence of risk factors, such as gender, age, pregnancy duration, method of delivery and reasons for atypical deliveries, breech position, birth weight, developmental status, positional preference, family history, number of siblings, and torticollis presence. Treatment methods were documented and plagiocephalometry was used to measure the cranial proportions. All children were invited to participate in short-term follow-up. The significance of the risk factors and the effect of different kinds of therapy are discussed. Although no significant correlation was found between severity and risk factors, some risk factors could be correlated with the kind of positional cranial deformation. Of the different therapies, helmet therapy had a significant impact on the reduction of positional plagiocephaly.
Otoplasty procedures consist of around 30% of facial plastics surgeries in the adult population. In this study, we aimed to assess the reliability of YouTube otoplasty videos based on technical video analysis, usefulness scores, and recommended surgical steps.
The present study evaluated 356 videos after a search on YouTube with the keywords "otoplasty, prominent ear, cosmetic otoplasty, and aesthetic ear surgery" during the period from October 2008 to June 2020. The viewer interest parameters such as the total number of views, comments, subscribers, likes, dislikes, source of videos, and video upload date were assessed. Besides, usefulness scores and recommended surgical steps were also analyzed.
Among the 356 videos that were compatible with the keywords of the study, only 122 (34%) of them were in agreement with the inclusion criteria. Group 1 (not useful and slightly useful) comprised 69 (57%) videos, and Group 2 (useful and very useful) consisted of 53 (43%) videos. The mean numbers of views, subscribers, and likes were 20544.65 ± 55235.41, 6718.37 ± 20213.54, and 44.34 ± 121.48, respectively, in Group 1, and 82905.22 ± 292819.49, 18603.57 ± 58007.94, and 1089.09 ± 6991.91, respectively, in Group 2. All 3 parameters were significantly higher in Group 2 than Group 1 (P 0.02, P 0.005, P 0.01, respectively).
Overall, only 43% of YouTube videos presenting otoplasty procedures were defined as useful or very useful. The interest rates of the viewers are compatible with the usefulness rate of the otoplasty videos.
Overall, only 43% of YouTube videos presenting otoplasty procedures were defined as useful or very useful. The interest rates of the viewers are compatible with the usefulness rate of the otoplasty videos.
The perioperative period is quite challenging because of the featured anatomical and clinical properties of the babies with cleft lip and palate (CLP). Therefore follow-up in the intensive care unit (ICU) is a crucial parameter for managing these patients. Although various studies in cleft literature, limited studies have analyzed the ICU admission rate and its etiology in the cleft population. link2 At this point, the present study aims to reveal the etiology and rate of ICU admission of babies with an orofacial cleft to contribute to taking preventive precautions.The rate of primary CLP patients was 69.5% (937 of 1348 patients). Intensive care unit admission rate of primary CLP patients was 6.2% (n = 58). The expected and unexpected ICU admission rate was 4.8% and 1.4%, respectively. Of the patients admitted to the ICU, 53.4% (n = 31) were boys and 46.6% (n = 27) were girls. There was no statistically significant association between gender and ICU admission (P = 0.896). However, the association between cleft tytients). Intensive care unit admission rate of primary CLP patients was 6.2% (n = 58). The expected and unexpected ICU admission rate was 4.8% and 1.4%, respectively. Of the patients admitted to the ICU, 53.4% (n = 31) were boys and 46.6% (n = 27) were girls. There was no statistically significant association between gender and ICU admission (P = 0.896). link3 However, the association between cleft type and ICU follow-up was statistically significant (P  less then  0.001).The findings of the present study reveal the high ICU admission rate of cleft patients within all patients admitted to ICU. Due to many unique statuses of cleft babies, attentive assessment in the preoperative period and determining the postoperative need for ICU follow-up would contribute to preventing postoperative complications.
Orbital reconstruction has traditionally been accomplished utilizing different techniques developed for this purpose and has been modified and improved throughout the years. However, there is a high rate of complications associated with eye globe positioning and/or migration of implants, which has created the need to continue to improve these techniques to decrease the frequency of complications. On the other hand, techniques that involve an endoscopic approach and technologies that use virtual surgical planning and three-dimensional model impressions are being used more often to decrease complication rates and seek better surgical outcomes. Combining these 2 methods results in endoscopically integrated virtual surgical navigation. When used for orbital reconstruction, it can be a great alternative and can be useful to decrease the risk of complications associated with this procedure. Therefore, this technical note aims to describe the integration of these 2 techniques into the same instrument to demonstrate the synergy of their benefits when used together.