Theory of Dyakonov-Tamm waves at the planar interface of a sculptured nematic thin film and an isotropic dielectric material

In order to ascertain conditions for surface-wave propagation guided by the planar interface of an isotropic dielectric material and a sculptured nematic thin film (SNTF) with periodic nonhomogeneity, we formulated a boundary-value problem, obtained a dispersion equation therefrom, and numerically solved it. The surface waves obtained are Dyakonov-Tamm waves. The angular domain formed by the directions of propagation of the Dyakonov--Tamm waves can be very wide (even as wide as to allow propagation in every direction in the interface plane), because of the periodic nonhomogeneity of the SNTF. A search for Dyakonov-Tamm waves is, at the present time, the most promising route to take for experimental verification of surface-wave propagation guided by the interface of two dielectric materials, at least one of which is anisotropic. That would also assist in realizing the potential of such surface waves for optical sensing of various types of analytes infiltrating one or both of the two dielectric materials.Comment: accepted for publication in J. Opt.

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Postoperative Complications After Interpolated Flap Repair for Mohs Defects of the Nose: A Multicenter Prospective Cohort Study

BACKGROUND: Dermatologists perform most interpolated flaps after skin cancer resection. Prospective, multicenter data on complications after interpolated flap repair in this setting are limited. OBJECTIVE: To determine the rate of physician-reported complications after interpolated flap repair of the nose. METHODS: Multicenter, prospective cohort study of 169 patients undergoing 2-stage interpolated flap repair of post-Mohs nasal defects. Frequency of bleeding, infection, dehiscence, necrosis, hospitalization, and death in the 30 days after flap placement and flap takedown are reported. RESULTS: Patients experienced 23 complications after flap placement (13.61%) and 6 complications after flap takedown (3.55%) that were related to the surgical procedure. The most frequent complication after flap placement was bleeding (9, 5.33%, 95% confidence interval [CI]: 2.83%-9.82%). The most frequent complication after flap takedown was infection (5, 2.96%, 95% CI: 1.27%-6.74%). There was one hospitalization related to an adverse reaction to antibiotics. There were no deaths. CONCLUSION: Most complications after interpolated flap repair for post-Mohs defects of the nose are minor and are associated with flap placement. Interpolated flap repair for post-Mohs defects can be performed safely in the outpatient setting under local anesthesia

Patient-Reported Nasal Function and Appearance After Interpolation Flap Repair Following Skin Cancer Resection: A Multicenter Prospective Cohort Study

Among patients undergoing two-stage interpolated flap repair of nasal defects, nasal function, and appearance before surgery and at 16 weeks after flap takedown were compared using the Nasal Appearance and Function Evaluation Questionnaire (NAFEQ). Multicenter prospective cohort study. Adult patients with a nasal skin cancer anticipated to require two-stage interpolation flap repair completed the NAFEQ before surgery, at 1 week after flap placement, 4 weeks after flap takedown, and 16 weeks after flap takedown. One hundred sixty-nine patients were enrolled, with 138 patients completing both presurgical and 16-week post-takedown NAFEQs. Overall NAFEQ score increased by 1.09 points (1.91% improvement, confidence interval [95% CI -0.34 to 2.53]). NAFEQ functional subscale increased by 0.72 points (2.58% increase; 95% CI [0.10-1.35]) and appearance subscale increased by 0.37 points (1.28% improvement, 95% CI [-0.65 to 1.39]). At 16 weeks after flap takedown, patients\u27 perceptions of their nasal function and appearance are similar to or slightly improved when compared with their presurgical assessments