Correction of secondary deformity of unilateral cleft lip with refined anatomic repair in orbicularis oris muscle

Objective To investigate the functional repair of secondary deformity of unilateral cleft lip. Methods The nasal branch,nasolabial branch,and labial branch of orbicularis oris muscle were dissected and repositioned precisely to correct the secondary deformity of unilateral cleft lip. Results 96 parients were treated

High-resolution visible imaging with piezoelectric deformable secondary mirror: experimental results at the 1.8-m adaptive telescope

Integrating deformable mirrors within the optical train of an adaptive telescope was one of the major innovations in astronomical observation technology,distinguished by its high optical throughput,reduced optical surfaces,and the incorporation of the deformable mirror.Typically,voice-coil actuators are used,which require additional position sensors,internal control electronics,and cooling systems,leading to a very complex structure.Piezoelectric deformable secondary mirror technologies were proposed to overcome these problems.Recently,a high-order piezoelectric deformable secondary mirror has been developed and installed on the 1.8-m telescope at Lijiang Observatory in China to make it an adaptive telescope.The system consists of a 241-actuator piezoelectric deformable secondary mirror,a 192-sub-aperture Shack-Hartmann wavefront sensor,and a multi-core-based real-time controller.The actuator spacing of the PDSM measures 19.3 mm,equivalent to approximately 12.6 cm when mapped onto the primary mirror,significantly less than the voicecoil-based adaptive telescopes such as LBT,Magellan and VLT.As a result,stellar images with Strehl ratios above 0.49 in the R band have been obtained.To our knowledge,these are the highest R band images captured by an adaptive telescope with deformable secondary mirrors.Here,we report the system description and on-sky performance of this adaptive telescope.

A modified technique for the repair of secondary unilateral cleft nasal deformity

Objective To investigate the effect of a modified technique for reparing secondary unilateral cleft nasal deformity. Methods Nasal alar cartilage was explosed through dish - like incision,and base of naris was cut to loosening and replacing the orbicularis oris,releasing

Modeling of ratcheting accumulation of secondary deformation due to stress-controlled high-cyclic loading in granular soils

An objective of this work is to develop a validated computational model that can be used to estimate ratcheting accumulation behavior of granular soils due to high-cyclic loading. An accumulation model was proposed to describe only the envelope of the maximum plastic deformations generated during the cyclic loading process, which can calculate the accumulated deformation by means of relatively large load cycle increments. The concept of volumetric hardening was incorporated into the model and a so-called overstress formulation was employed to describe the evolution of the accumulated volumetric deformation as a state parameter. The model accounted for ratcheting shakedown and accumulation such as a pseudo-yield surface(a shakedown surface) associated with loading inside the current virgin yield surface which was implemented into the well-known modified Cam-clay model. Finally, the model was calibrated using data from the stress-controlled drained cyclic triaxial tests on homogeneous fine grained sands. It is seen that the model can successfully represent important features of the ratcheting accumulation of both volumetric and deviatoric deformation caused by repeated drained loading over a large number of cycles.

Effect of Deformation between Stands on the Strip Shape in Hot Rolling

A theoretical model about the secondary deformation is developed by the combination of analytical and experimental approaches. A system simulation based on the model is completed to predict the strip profile after the interstand deformation. On the other hand, comprehensive experiments and quantitative comparisons are made to calibrate the model for a wide variety of products. As a result, the correction of the model has been verified by the actual rolling data from production mill and it is helpful to improve the strip shape control.

A new modified forked flap and a reverse V shaped flap for secondary correction of bilateral cleft lip nasal deformities

Background The columella, nasal tip, lip relationship in the bilateral cleft lip nasal deformity remains a great challenge for plastic surgeon. An esthetically satisfying result is difficult to obtain. A subset of patients with bilateral cleft lip nasal deformity still require columellar lengthening and nasal correction and philtrial construction. This study aimed to provide a new method based on the forked flap to improve the final appearance of these patients. Methods A technique to correct this deformity is described. This consists of （1） a newly modified forked flap including the orbicularis oris muscle and nasalis muscle along the whole flap for columellar lengthening, （2） a reverse V shaped flap from the lower portion of the columella and the prolabium for normal size phitrum construction, （3） inserting the vermilion portion of the forked flap and advancing the nasal floor medially and anteriorly to lengthen and maintain the nasal septum side of the columella for proper tip positioning, （4） open rhinoplasty, allowing definitive repositioning of the lower lateral cartilages, （5） reconstruction of the orbicularis orismuscle as required, and （6） the flaring nostril floor advancing medially and constructing the sill. Results This technique was applied to 15 cases of secondary bilateral cleft lip nasal deformity. All the flaps took without signs of partial necrosis. In all cases, the nasal tip was projected forward with adequate columella elongation, and the height of the prolabium was added with normal size philtrial dimensions. Conclusions This method makes maximum use of the tissue containing the scar in the lip and limits tissues in the lower portion of the columella and the prolabium for adequate columella elongation and reconstruction with normal size philtrial dimensions. It is a very reasonable and useful method in correction of secondary bilateral cleft lip nasal deformities.