Search results for "defect"

Propeller Flaps: A Review of Indications, Technique, and Results

2014

In the last years, propeller flaps have become an appealing option for coverage of a large range of defects. Besides having a more reliable vascular pedicle than traditional flap, propeller flaps allow for great freedom in design and for wide mobilization that extend the possibility of reconstructing difficult wounds with local tissues and minimal donor-site morbidity. They also allow one-stage reconstruction of defects that usually require multiple procedures. Harvesting of a propeller flap requires accurate patient selection, preoperative planning, and dissection technique. Complication rate can be kept low, provided that potential problems are prevented, promptly recognized, and adequate…

Combination prosthetic design providing a superior retention for mid-facial defect rehabilitation: A Case Report

2017

Large maxillofacial defects from malignant tumor treatment are rarely rehabilitated by surgical reconstruction alone. Ameloblastic carcinoma, a rare aggressive odontogenic malignant tumor, requires wide surgical excision to gain a tumor-free margin. In the post-surgical defect, prosthetic rehabilitation is the treatment of choice to restore function and esthetics. Moreover, an intra-oral prosthesis such as an obturator restores speech, mastication and deglutition. Retention of the obturator is a major problem while rehabilitating large defects. The existing anatomical structures from the defect with the help of magnet attachments are suitable to enhance retention, stability and support of t…

Critical Structural Defects Explain Filamin A Mutations Causing Mitral Valve Dysplasia

2019

Mitral valve diseases affect approximately 3% of the population and are the most common reasons for valvular surgery because no drug-based treatments exist. Inheritable genetic mutations have now been established as the cause of mitral valve insufficiency, and four different missense mutations in the filamin A gene (FLNA) have been found in patients suffering from non-syndromic mitral valve dysplasia (MVD). The FLNA protein is expressed, in particular, in endocardial endothelia during fetal valve morphogenesis and is key in cardiac development. The FLNA-MVD causing mutations are clustered in the N-terminal region of FLNA. How the mutations in FLNA modify its structure and function, have mos…

Aspectual suppletion and paradigm defectiveness in the Proto-Indo-European verbal system

2009

The existence of suppletion in the Proto-Indo-European language is still a question of debate (García Ramón 2002). While the evidence for such a phenomenon has been widely recognized within the verbal system of most Indo-European languages, some scholars describe it as a recent monoglot development which characterizes the history of each single language without involving a previous common stage (Van der Laar 2000). According to Strunk (1977), the hypothesis of a PIE suppletive paradigm based on the alternation of basic verbal root pairs such as *es-: *bhū- “be”, or *ei/i-: *gwā/ gwem- “go”, must be ruled out because it violates what he calls b-criterium, i.e. the complementary distribution …

Modeling and numerical simulation of the propagation of pitting corrosion of iron in chlorinated medium : contribution to the evaluation of the durab…

2012

This study deals with the understanding of the mechanisms of pitting corrosion susceptible to occur on carbon steel selected for high level nuclear waste containers. Transport/reaction models have been developed in order to simulate, by finite element method, the propagation of a pit on iron in chlorinated medium. For conservative models, pit is activated by imposing a potential on metal. Thanks to different parametric studies (geometry, environment…) simulations have permitted to classify, by severity order, the factors responsible of the increase or the inhibition of the localized corrosion rate. Otherwise, experiments on occluded (called « lead-in-pencil ») electrodes confirm that confin…

Bidirectional Glenn and antegrade pulmonary blood flow: temporary or definitive palliation?

2008

Background We sought to investigate the role of the bidirectional Glenn with antegrade pulmonary blood flow in the surgical history of children with univentricular hearts. Methods A series of 246 patients, from three joint institutions, having univentricular heart with restricted but not critical pulmonary blood flow received a bidirectional cavopulmonary shunt with additional forward pulmonary blood flow. All patients have been studied according to their progression, or not, to Fontan operation. Two hundred and eight (84.5%) patients underwent bidirectional cavopulmonary anastomosis as primary palliation. Twenty patients (8.1%) with previous pulmonary artery banding were also enrolled in t…

Invited commentary.

2007

Evaluation of gastric intramucosal pH during and after pediatric cardiac surgery.

1997

Objectives: In adult patients, intramucosal pH (pHi) has been advocated to detect postoperative complications. The purpose of our study was to evaluate this technique in pediatric patients during and after cardiac surgery. Methods: Thirty-five infants (age: 5 days to 15 years, median 1.8 years; and weight: 3.2‐32 kg, median 9.8 kg) were studied. pHi was measured before cardiopulmonary bypass (CPB), after 30 min of CPB, prior to weaning off CPB, at intensive care unit arrival, and 6, 12, 24, 48 and 72 h after surgery. Results: There were no complications related to the tonometer. A pathologically low pHiB 7.32 was found during surgery in less than 17%, at intensive care unit arrival in 83% a…

H(II) centers in natural silica under repeated UV laser irradiations

2004

We investigated the kinetics of H(II) centers (=Ge'-H) in natural silica under repeated 266nm UV irradiations performed by a Nd:YAG pulsed laser. UV photons temporarily destroy these paramagnetic defects, their reduction being complete within 250 pulses. After re-irradiation, H(II) centers grow again, and the observed recovery kinetics depends on the irradiation dose; multiple 2000 pulses re-irradiations induce the same post-irradiation kinetics of H(II) centers after each exposure cycle. The analysis of these effects allows us to achieve a deeper understanding of the dynamics of the centers during and after laser irradiation.

Defect detection in laser powder deposition components by laser thermography and laser ultrasonic inspections

2013

Laser Powder Deposition (LDP) techniques are being adopted within aerospace and automotive manufacturing to produce innovative precision components. Non-destructive techniques (NDT) for detecting and quantifying flaws within these components enables performance and acceptance criteria to be verified, improving product safety and reducing ongoing maintenance and product repair costs. In this work, software enabled techniques are presented for in-process analysis of NDT laser ultrasonic signals and pulsed laser thermography images of sequential metallic LPD layers. LPD tracks can be as thin as 200μm while deposited at a rate of 500 mm/min, requiring ultrafast inspection and processing times. …