Repositioning template for mandibular reconstruction with fibular free flap: an alternative technique to pre-plating and virtual surgical planning

Oral malignancies involving the mandibular bone require a complex reconstructive plan. Mandibular reconstruction with a fibular free flap is currently considered the best choice for functional and aesthetic rehabilitation after oncological surgery. This flap can be modelled with multiple osteotomies and can provide bone, muscle and skin for composite reconstruction. One of the most delicate aspects of mandibular reconstruction is the technique of bone modelling; the risk of prolonging the period of ischaemia and not restoring the correct maxillomandibular and occlusal relationships can ultimately lead to a higher rate of complications as well as poor aesthetic and functional results. Recently, there has been rising interest in virtual surgical planning and computer-assisted mandibular reconstruction in pre-operative planning; however, this is not always possible because of the costs involved and the set-up time for the entire procedure. In this paper, we present a simple and inexpensive technique for fibular free flap modelling and repositioning after segmental resection of the mandible; the technique entails the pre-operative preparation of a resin repositioning template on a stereolithographic model. This technique has been successfully applied in four cases: two cases underwent resection involving only the mandibular body, one case involving the mandibular body and symphysis and one case in which a ramus to ramus resection was performed. In this preliminary report, we show that the resin repositioning template is an easy, safe and useful tool for mandibular reconstruction with a fibular free flap

Localization of bosonic atoms by fermionic impurities in a 3d optical lattice

We observe a localized phase of ultracold bosonic quantum gases in a 3-dimensional optical lattice induced by a small contribution of fermionic atoms acting as impurities in a Fermi-Bose quantum gas mixture. In particular we study the dependence of this transition on the fermionic 40K impurity concentration by a comparison to the corresponding superfluid to Mott insulator transition in a pure bosonic 87Rb gas and find a significant shift in the transition parameter. The observed shift is larger than expected based on a mean-field argument, which is a strong indication that disorder-related effects play a significant role.Comment: 4 pages, 4 figure

Deformation Sequence and Paleofluids in Carbonate Buckle Folds Under Transpression (Pag Anticline, External Dinarides, Croatia)

Contractional deformation structures at the front of transpressional orogens display complex three-dimensional geometries deviating from the interpretative templates commonly applied in thrust belts. Accordingly, detailed constraints on deformation patterns and associated paleofluid circulation are desirable, especially for fracture geometry and permeability predictive purposes. The Pag anticline, which is located in the Dinaric fold and thrust belt, provides an appropriate field site for studying fold- and fault-related deformation structures in a transpressive setting. We performed a multiscale structural analysis together with petrographic and stable isotope characterization of the deformation-related calcite cements. Structural mapping suggests that the Pag anticline is a detachment fold developed mainly by buckling, since large-scale thrust faults are absent. Fold tightening in a transpressive setting produced a complex deformational structure including two sets of N-S right-lateral and E-W left-lateral late-stage strike-slip fault sets trending oblique to the NW-SE fold axis. The pre-folding deformation pattern includes incipient normal faults likely related to the forebulge stage, veins and stylolites coherent with NE-SW layer parallel shortening contraction in a strike-slip regime, and metric to decametric scale conjugate thrusts coherent with layer parallel shortening in a compressive regime. Buckle folding preceded propagation of a series of accommodation structures during fold tightening. Petrographic and isotopic data indicate meteoric alteration of the Cretaceous platform carbonates in the prefolding stage, likely due to forebulge subaerial exposure. Layer parallel shortening and early syn-folding veins involved formational fluids resulting from mixed marine and meteoric fluids during folding at shallow burial conditions. Eventually, meteoric fluid infiltrated again along strike-slip faults, acting as cross-formational conduits in the postfolding stage

Analysis of videofluoroscopic variables affecting swallowing safety and efficiency in ophl patients

Open partial horizontal laryngectomy (OPHL) could represent a valuable alternative to total laryngectomy for selected laryngeal carcinoma. In long-term, occasional aspiration ranges from 12.9 to 67% after OPHL [1]. Rate of aspiration pneumonia can reach the 21.7% [2]. Main causes of swallowing impairment vary from a defective glottic closure to a reduced upper esophageal sphincter (UES) opening. At the present time, only one study analysed spatial and temporal videofluoroscopic variables to evaluate factors affecting postoperative aspiration. No studies before have compared videofluoroscopic variables between OPHL patients with and without dysphagia