Rekonstruktion von Oberkieferdefekten mit einem freien Skapula-angle-Lappen

Zusammenfassung: Hintergrund: Neben der prothetischen Versorgung von Maxilladefekten gibt es Möglichkeiten der chirurgischen Rekonstruktion: die Weichgeweberekonstruktion mit einem Radialis- oder Latissimus-dorsi-Lappen und die knöcherne Rekonstruktion mittels Fibula, Beckenkamm oder Skapulalappen. Die Rekonstruktion mit einem Skapulalappen wird unterteilt in den traditionellen Skapulalappen mit der A.scapularis circumflexa und den Skapula-angle-Lappen mit der A.angularis aus der A.thoracodorsalis als versorgendem Gefäß. Material und Methoden: Wir berichten über 4Patienten, die zwischen 2009 und 2011 aufgrund von malignen Tumoren der Maxilla nach erfolgter Resektion eine Rekonstruktion mit einem freien Skapula-angle-Lappen erhalten haben. Ergebnisse: Die Möglichkeit vertikaler Positionierung des Skapula-angle-Lappens erlaubt die Rekonstruktion der fazialen Kontur. Bei horizontaler Ausrichtung des mikrovaskulär anastomosierten Skapula-angle-Lappens ist eine zusätzliche knöcherne Rekonstruktion des Gaumens möglich. Schlussfolgerung: Der Skapula-angle-Lappen eignet sich wegen seiner Variabilität, geringer Donormorbidität und aufgrund seiner Form, die der des Hartgaumens ähnelt, gut zur plastischen Rekonstruktion. Die knöcherne Beschaffenheit für eine dentale Rehabilitation mithilfe von Implantaten wird kontrovers diskutiert. Er stellt eine Alternative zur Versorgung ausgewählter Maxilladefekte ≥ GradI nach Okay mit einer Obturatorprothese da

Rekonstruktion von Oberkieferdefekten mit einem freien Skapula-angle-Lappen [Reconstruction of maxillary defects using a free scapular angle flap].

BACKGROUND: In addition to prosthetic rehabilitation, maxillary defects can also be surgically reconstructed. Soft-tissue reconstruction employs a radial forearm or latissimus dorsi muscle flap, while bony reconstruction can be achieved using a fibula, iliac crest, or scapular flap. Reconstruction using a scapular flap is further divided into two subgroups: the traditional scapular flap with the circumflex scapular artery as the donor vessel and the scapular angle flap with the angular artery originating from the thoracodorsal artery as the donor vessel. MATERIALS AND METHODS: We report on four patients who underwent successful reconstruction with a free scapular angle flap between 2009 and 2011, following maxillary resection due to malignancy. RESULTS: Vertical positioning of the scapular angle flap enables reconstruction of the facial contour, whereas its horizontal alignment and microvascular anastomosis makes a bony reconstruction of the hard palate possible. CONCLUSIONS: The versatility, low rate of donor site morbidity and shape of the scapular angle flap--which resembles that of the hard palate--render it ideal for plastic reconstruction. The suitability of bone quality for dental rehabilitation with implants is a topic of controversial discussion. The scapular angle flap represents an alternative to obturator prosthesis for the reconstruction of maxillary defects ≥ grade I according to Okay et al

Efficient parallel generation of partitioned, unstructured meshes

In this paper we introduce a method for generating unstructured meshes in parallel which are partitioned in a ‘good’ way. When solving a partial differential equation on a parallel distributed memory machine, the mesh should be decomposed so that the communication requirement of the numerical solver is minimised and also the amount of work to be performed on each processor is approximately equal. Most previous work in this area has concentrated on partitioning a mesh that has already been generated. We introduce a method which actually generates the partitioned mesh in parallel whilst producing a good quality decomposition and compare this method with other approaches

The Effects of Atmospheric Dispersion on High-Resolution Solar Spectroscopy

We investigate the effects of atmospheric dispersion on observations of the Sun at the ever-higher spatial resolutions afforded by increased apertures and improved techniques. The problems induced by atmospheric refraction are particularly significant for solar physics because the Sun is often best observed at low elevations, and the effect of the image displacement is not merely a loss of efficiency, but the mixing of information originating from different points on the solar surface. We calculate the magnitude of the atmospheric dispersion for the Sun during the year and examine the problems produced by this dispersion in both spectrographic and filter observations. We describe an observing technique for scanning spectrograph observations that minimizes the effects of the atmospheric dispersion while maintaining a regular scanning geometry. Such an approach could be useful for the new class of high-resolution solar spectrographs, such as SPINOR, POLIS, TRIPPEL, and ViSP

The Potts Fully Frustrated model: Thermodynamics, percolation and dynamics in 2 dimensions

We consider a Potts model diluted by fully frustrated Ising spins. The model corresponds to a fully frustrated Potts model with variables having an integer absolute value and a sign. This model presents precursor phenomena of a glass transition in the high-temperature region. We show that the onset of these phenomena can be related to a thermodynamic transition. Furthermore this transition can be mapped onto a percolation transition. We numerically study the phase diagram in 2 dimensions (2D) for this model with frustration and {\em without} disorder and we compare it to the phase diagram of $i)$ the model with frustration {\em and} disorder and of $ii)$ the ferromagnetic model. Introducing a parameter that connects the three models, we generalize the exact expression of the ferromagnetic Potts transition temperature in 2D to the other cases. Finally, we estimate the dynamic critical exponents related to the Potts order parameter and to the energy.Comment: 10 pages, 10 figures, new result

Finite-time fluctuations in the degree statistics of growing networks

This paper presents a comprehensive analysis of the degree statistics in models for growing networks where new nodes enter one at a time and attach to one earlier node according to a stochastic rule. The models with uniform attachment, linear attachment (the Barab\'asi-Albert model), and generalized preferential attachment with initial attractiveness are successively considered. The main emphasis is on finite-size (i.e., finite-time) effects, which are shown to exhibit different behaviors in three regimes of the size-degree plane: stationary, finite-size scaling, large deviations.Comment: 33 pages, 7 figures, 1 tabl

Continental-scale variation in otolith geochemistry of juvenile American shad (Alosa sapidissima)

Author Posting. © NRC Research Press, 2008. This article is posted here by permission of NRC Research Press for personal use, not for redistribution. The definitive version was published in Canadian Journal of Fisheries and Aquatic Sciences 65 (2008): 2623-2635, doi:10.1139/F08-164.We assembled a comprehensive atlas of geochemical signatures in juvenile American shad (Alosa sapidissima) to discriminate natal river origins on a large spatial scale and at a high spatial resolution. Otoliths and (or) water samples were collected from 20 major spawning rivers from Florida to Quebec and were analyzed for elemental (Mg:Ca, Mn:Ca, Sr:Ca, and Ba:Ca) and isotope (87Sr:86Sr and δ18O) ratios. We examined correlations between water chemistry and otolith composition for five rivers where both were sampled. While Sr:Ca, Ba:Ca, 87Sr:86Sr, and δ18O values in otoliths reflected those ratios in ambient waters, Mg:Ca and Mn:Ca ratios in otoliths varied independently of water chemistry. Geochemical signatures were highly distinct among rivers, with an average classification accuracy of 93% using only those variables where otolith values were accurately predicted from water chemistry data. The study represents the largest assembled database of otolith signatures from the entire native range of a species, encompassing approximately 2700 km of coastline and 19 degrees of latitude and including all major extant spawning populations. This database will allow reliable estimates of natal origins of migrating ocean-phase American shad from the 2004 annual cohort in the future.This work was funded by National Science Foundation (NSF) grants OCE-0215905 and OCE-0134998 to SRT and by an American Museum of Natural History Lerner–Gray Grant for Marine Research and a scholarship from SEASPACE, Inc., to BDW

Noncommutative Induced Gauge Theory

We consider an external gauge potential minimally coupled to a renormalisable scalar theory on 4-dimensional Moyal space and compute in position space the one-loop Yang-Mills-type effective theory generated from the integration over the scalar field. We find that the gauge invariant effective action involves, beyond the expected noncommutative version of the pure Yang-Mills action, additional terms that may be interpreted as the gauge theory counterpart of the harmonic oscillator term, which for the noncommutative $\phi^4$-theory on Moyal space ensures renormalisability. The expression of a possible candidate for a renormalisable action for a gauge theory defined on Moyal space is conjectured and discussed.Comment: 20 pages, 6 figure

Local well-posedness for membranes in the light cone gauge

In this paper we consider the classical initial value problem for the bosonic membrane in light cone gauge. A Hamiltonian reduction gives a system with one constraint, the area preserving constraint. The Hamiltonian evolution equations corresponding to this system, however, fail to be hyperbolic. Making use of the area preserving constraint, an equivalent system of evolution equations is found, which is hyperbolic and has a well-posed initial value problem. We are thus able to solve the initial value problem for the Hamiltonian evolution equations by means of this equivalent system. We furthermore obtain a blowup criterion for the membrane evolution equations, and show, making use of the constraint, that one may achieve improved regularity estimates.Comment: 29 page

Hamiltonian Description of Composite Fermions: Magnetoexciton Dispersions

A microscopic Hamiltonian theory of the FQHE, developed by Shankar and myself based on the fermionic Chern-Simons approach, has recently been quite successful in calculating gaps in Fractional Quantum Hall states, and in predicting approximate scaling relations between the gaps of different fractions. I now apply this formalism towards computing magnetoexciton dispersions (including spin-flip dispersions) in the $\nu=1/3$, 2/5, and 3/7 gapped fractions, and find approximate agreement with numerical results. I also analyse the evolution of these dispersions with increasing sample thickness, modelled by a potential soft at high momenta. New results are obtained for instabilities as a function of thickness for 2/5 and 3/7, and it is shown that the spin-polarized 2/5 state, in contrast to the spin-polarized 1/3 state, cannot be described as a simple quantum ferromagnet.Comment: 18 pages, 18 encapsulated ps figure