Modified frontolateral partial laryngectomy operation: combined muscle-pedicle hyoid bone and thyrohyoid membrane flap in laryngeal reconstruction

Objective: Laryngeal reconstruction is needed to preserve laryngeal function in patients who have undergone extensive vertical or frontal partial laryngectomy. However, the procedure remains a difficult challenge. Several reconstruction techniques have been described, but these techniques pose risks of complications such as laryngeal stenosis. This study aimed to evaluate the postoperative course and functional outcomes of a new technique that combined a muscle-pedicle hyoid bone and a thyrohyoid flap during laryngeal reconstruction after tumor resection. Methods: Four patients underwent extensive vertical partial or frontal partial laryngectomy for cancer. After tumor resection, laryngeal reconstruction was performed using the proposed technique. Postoperative recovery time, complications, and oncologic results were evaluated. Results: The four patients were successfully treated with the proposed technique. No dyspnea, dysphagia, or death occurred during the postoperative course. Decannulation was performed after a median of 3 days. The average postoperative hospital stay was 7 days. Short-term postoperative functional recovery was normal. No laryngeal stenosis or tumor recurrence was observed in any of the four patients after a follow-up period of more than 24 months. Conclusion: The combination of the muscle-pedicle hyoid bone and the thyrohyoid flap is a reliable procedure for laryngeal reconstruction after extensive vertical partial or frontal partial laryngectomy.

Coexistence of All-Order Topological States in a Three-Dimensional Phononic Topological Crystalline Insulator

Classical-wave topological materials lacking intrinsic half-integer spins are less robust while more tunable.Here,we explore a single 3-dimensional phononic topological crystalline insulator that simultaneously exhibits a whole family of first-order quadratic surface,second-order hinge,and third-order corner states within the same bandgap.Such a topological crystalline insulator hosting all-order phases originates from the different topological nature when hierarchically projected onto different facets and lower dimensions,thus free from trivial cladding crystals.Our work offers an ideal platform for either robust wave propagation or localization in on-demand dimensions and may facilitate dimension division multiplexing technology.

Various topological phases and their abnormal effects of topological acoustic metamaterials

The last 20 years have witnessed growing impacts of the topological concept on the branches of physics,including materials,electronics,photonics,and acoustics.Topology describes objects with some global invariant property under continuous deformation,which in mathematics could date back to the 17th century and mature in the 20th century.In physics,it successfully underpinned the physics of the Quantum Hall effect in 1984.To date,topology has been extensively applied to describe topological phases in acoustic metamaterials.As artificial structures,acoustic metamaterials could be well theoretically analyzed,on-demand designed,and easily fabricated by modern techniques,such as three-dimensional printing.Some new theoretical topological models were first discovered in acoustic metamaterials analogous to electronic counterparts,associated with novel effects for acoustics closer to applications.In this review,we focused on the concept of topology and its realization in airborne acoustic crystals,solid elastic phononic crystals,and surface acoustic wave systems.We also introduced emerging concepts of non-Hermitian,higher-order,and Floquet topological insulators in acoustics.It has been shown that the topology theory has such a powerful generality that among the disciplines from electron to photon and phonon,from electronic to photonics and acoustics,from acoustic topological theory to acoustic devices,could interact and be analogous to fertilize fantastic new ideas and prototype devices,which might find applications in acoustic engineering and noisevibration control engineering in the near future.

Topological boundary states transport in synthetic four-dimensional acoustic system

Topological phase is an important development and unexplored degree of freedom of traditional band theory[1].Generally,it manifests in physics through the boundary states revealed by the bulkedge correspondence.Kaleidoscopic bulk topology implies various low-dimensional states at the boundary,giving extraordinary approaches to manipulate waves.Another structure that encodes the band topology is the system associated with space–time evolution,such as Floquet topological insulator[2,3].Its quasistatic limit involves time-dependent dynamic adiabatic evolution[4,5].However,dynamic evolution is challenging as it requires fast modulation to overcome the dissipation of state before it is pumped from one edge to another[6].An alternative approach is to use an additional degree of freedom to replace the role of time,and an illuminating system is the weakly coupled waveguides,whose governing equation can be directly mapped to Schrodinger equation with time modulation replaced by wave propagation along the waveguides.Recently,such strategy has been largely explored to realize the pumping of topological boundary states in optics[7,8]and elastic wave[9,10].However,the strategy for acoustics is subtly different as the coupling of the acoustic waveguides is not weak for the fundamental waveguide mode.Thus exploring the possibility to realize two-dimensional(2D)topological acoustic pumping in a continuous regime remains an open question.