Efficacy and safety of maxillomandibular advancement in treatment of obstructive sleep apnoea syndrome.

To assess the effectiveness of maxillomandibular adavancement for treatment of adults with obstructive sleep apnoea, we report the results obtained after maxillomandibular advancement. A group of 16 patients were studied before surgery, at 6 months after surgery and at followup. The analysis included: upper airway endoscopy during Mueller's manoeuvre, lateral cephalometry, polysomnography and Epworth Sleepiness Scale. The results of surgical treatment were divided into "surgical success" and "surgical cure". The former was defined as an AHI 50\% reduction in AHI after surgical procedure, while the latter was defined as an AHI < 5 events/hour after surgical procedure. At follow-up, all patients had AHI < 20 events/hour with a surgical success rate of 100\%. The surgical cure rate was 37.5\%, with 6 patients having an AHI < 5 events/hour. Surgical success and long term stability of outcomes confirm the efficacy and safety of MMA for treatment of obstructive sleep apnoea syndrome. However, a continuous follow-up of these patients is necessary to control their lifestyle and to detect possible relapse.Abstract available from the publisher

Integrated optics for astronomical interferometry. I. Concept and astronomical applications

We propose a new instrumental concept for long-baseline optical single-mode interferometry using integrated optics which were developed for telecommunication. Visible and infrared multi-aperture interferometry requires many optical functions (spatial filtering, beam combination, photometric calibration, polarization control) to detect astronomical signals at very high angular resolution. Since the 80's, integrated optics on planar substrate have become available for telecommunication applications with multiple optical functions like power dividing, coupling, multiplexing, etc. We present the concept of an optical / infrared interferometric instrument based on this new technology. The main advantage is to provide an interferometric combination unit on a single optical chip. Integrated optics are compact, provide stability, low sensitivity to external constrains like temperature, pressure or mechanical stresses, no optical alignment except for coupling, simplicity and intrinsic polarization control. The integrated optics devices are inexpensive compared to devices that have the same functionalities in bulk optics. We think integrated optics will fundamentally change single-mode interferometry. Integrated optics devices are in particular well-suited for interferometric combination of numerous beams to achieve aperture synthesis imaging or for space-based interferometers where stability and a minimum of optical alignments are wished.Comment: 11 pages, 8 figures, accpeted by Astronomy and Astrophysics Supplement Serie

Intraoral extra-mucosal fixation of fractures in the atrophic edentulous mandible.

Atrophy of the mandible leads to a decrease in the bone mass, making it more vulnerable to fractures. A direct relationship has been demonstrated between the height of the bone in the area of the fracture and the incidence of postoperative complications of bone healing. Basic principles of fracture management in both edentulous and non edentulous patients are open reduction and internal fixation with osteosynthesis of the fracture to achieve restoration in terms of aesthetics and functionality. Several authors have discussed the advantages and disadvantages of the transoral and extraoral approaches. Between January 2007 and June 2011, 13 patients affected by bilateral fractures of atrophic mandibles were treated by extra-mucosal intraoral stabilization with satisfactory results. This approach reduces the risks of damage of the marginalis mandibulae nerve with low operation time, while avoiding unsightly scars