Large Rim Research Articles

Transition Metals Coordination by Bis-imidazole-calix[4]arene Ligands with and Without Pyrene Units Grafted at the Large Rim.

Herein, the presented results show that previously studied DNA/RNA-interacting bis-imidazole-calix[4]arene systems can, in aqueous solutions, efficiently bind a series of biorelevant transition metal cations by coordination with the two imidazole arms at the small rim of their macrocyclic basket. The SCXRD and NMR results structurally characterised the complexes formed by referent bis-imidazole-calix[4]arene with Cu2+ and Zn2+. In solid-state (crystal), the bis-anilino derivative/Cu2+ complex, only upon exposure to the air, undergoes intramolecular dehydrogenative coupling of two neighbouring aniline units, yielding an azo bridge at the large rim of the calix[4]arene basket. In the biorelevant aqueous solution, the comparison of fluorometric titrations of referent calix[4]arene, with its analogues having one or two pyrene units grafted at the opposite (large) rim, revealed moderate-to-strong affinity towards transition metal cations, and, more importantly, a strong impact of pyrene on the binding affinity towards some cations. The pyrene arm(s) significantly diminished the affinity of the calix[4]arene-imidazole ligand towards Cu+ and strongly increased the affinity towards divalent Co2+ and Cd2+ cations. Moreover, the fluorometric response of some studied derivatives was strappingly sensitive to cation type. Since the counter-anion plays only a marginal role, such a change in selectivity is attributed to the intramolecular interaction of pyrene(s) with the calix[4]arene-imidazole system, sterically controlling the metal cation binding site.

Surgical management and results of glenohumeral combination fractures of the anterior glenoid rim and the proximal humerus

IntroductionThe combination of anterior large glenoid rim fractures (GRF) and proximal humerus fractures (PHF) is rare, with limited data available on specific treatments for these glenohumeral combination fractures (GCF). This study aimed to evaluate the treatment approaches for GCF, analyze patient outcomes, and outline surgical management strategies for different fracture types.Materials and methodsThis retrospective study included patients with GCF, excluding those with fossa glenoidalis fractures, isolated greater tuberosity fractures, or small glenoid rim fractures (< 5 mm). Preoperative radiographs, CT scans, and follow-up radiographs were reviewed. Clinical outcomes were assessed using the Constant-Murley Score (CMS), Western Ontario Shoulder Instability Index (WOSI), Rowe Score (RS), and Oxford Shoulder Score (OSS).ResultsSixteen patients with 17 GCFs (mean age 62 years) were followed for an average of 39 months. PHFs were categorized into three-part (76%), four-part (12%), and two-part fractures (12%). The average medial displacement of GRF was 5 mm, with an average dehiscence of 4 mm in the sagittal plane. Fourteen patients (88%) underwent surgical treatment; 35% had only the PHF surgically addressed, while 53% had both lesions surgically treated. Two patients (12%) received non-operative treatment. Complications were observed in 29% of cases, primarily involving the humeral side. The average CMS was 68 points, WOSI was 75%, RS was 77 points, and OSS was 41 points.ConclusionTreating GCF is complex and routinely necessitates surgical intervention, with or without GRF refixation. CT imaging is crucial for precise assessment of fracture morphology. The involvement of the minor tuberosity is critical in selecting the optimal surgical approach and managing the subscapularis muscle.

Simple local composite flap for a large superior helical rim defect

Simple local composite flap for a large superior helical rim defect

UNILATERAL OVARIAN TORSION IN FIVE GECKOS: CLINICAL AND ULTRASOUND FINDINGS.

Few cases of antemortem ovarian torsion and diagnosis have been described in reptiles. This case series reports clinical and ultrasound findings in five adult (aged 1-6 yr) female geckos (three leopard geckos [Eublepharis macularius], one crested gecko [Correlophus ciliatus], and one gargoyle gecko [Rhacodactylus auriculatus]) diagnosed with unilateral ovarian torsion between 2019 and 2023. All animals presented with acute weakness associated with coelomic distension, and one suffered from chronic diarrhea and cachexia. Coelomic ultrasound examination (12-MHz linear probe) revealed signs of bilateral follicular stasis and oophoritis in all cases (heterogenic follicles ≤1.3 cm diameter) associated with a large anechoic periovarian rim and a hyperechoic chord, consistent with twisted ovarian vessels. Blood supply to ovarian structures was not detected using a Doppler flow, and a unilateral ovarian torsion was diagnosed in all geckos. A bilateral ovariectomy was performed under general anesthesia in all five animals. The mass of the excised ovaries varied between 7 to 15 g (12.7-22.2% of body weight). One gecko died 1 d postsurgery; the four remaining animals were healthy 6 mon postsurgery. Gekkonids are unique among reptiles in that they undergo a monoautochronic ovulation (only one follicle is recruited by each ovary during each ovarian cycle); the presence of multiple vitellogenic follicles on each ovary facilitates the diagnosis of follicular stasis. This condition was present in all five geckos and was suspected to have led to ovarian torsion. This case series emphasizes the value of ultrasound examination for antemortem diagnosis of reproductive disorders in reptiles.

Arthroscopic suture anchor fixation results in similar clinical outcomes, less range of motion limitation, but poorer quality of reduction compared to open screw fixation for acute large anterior glenoid rim fractures

BackgroundThe purpose of the present study was to retrospectively compare the clinical and radiological outcomes of arthroscopic suture anchor fixation and open screw fixation for acute large anterior glenoid rim fractures. MethodsThis study enrolled patients with acute large anterior glenoid rim fractures treated with arthroscopic suture anchor fixation (group A) or open screw fixation (group O) from January 2013 to June 2020 with a minimum follow-up of＞2 years. The Subjective Shoulder Value (SSV), American Shoulder and Elbow Surgeons (ASES) score, Rowe score, Constant score, range of motion (ROM), recurrent instability rate, and complications were recorded as clinical results. The quality of the postoperative reduction, reconstructed glenoid sizes, rate of fracture healing, and progression of osteoarthritis (OA) were evaluated as radiological outcomes. ResultsThis retrospective study included 66 patients, including 37 in Group A and 29 in Group O with a mean follow-up of 46.9 (range, 24.3-94.2) months and a mean patient age of 46.8 (range, 21-69) years. No significant differences were found in the clinical outcomes between the two groups. A significant ROM limitation in all planes was found in both groups and group O showed more limitations in external rotation at the side (ERs) (18° vs. 10°, P = 0.002). The reduction quality was better in group O (P < 0.001). However, there was no significant difference between the two groups in terms of reconstructed glenoid size (101.6% ± 4.6% vs. 100.6% ± 7.1%, P = 0.460) and the rate of OA progression (26.9% vs. 20%, P = 0.525). ConclusionArthroscopic suture anchor fixation and open screw fixation achieved similar clinical outcomes, reconstructed glenoid sizes, and OA progression in patients with acute large anterior glenoid rim fractures. Arthroscopic suture fixation showed a poorer quality of reduction but less ERs limitations.

The Utility of Chondrocutaneous Advancement Flap in Conjunction with Postauricular SkinFlap for Reconstruction of Large Helical Rim Defects

The Utility of Chondrocutaneous Advancement Flap in Conjunction with Postauricular SkinFlap for Reconstruction of Large Helical Rim Defects

Synthesis of β-cyclodextrin derivatives substituted at larger or smaller rims via amine-catalyzed ring-opening oligomerization of ε-caprolactone

The involvement of cyclodextrins in transesterification reactions with active esters has been described to mimic enzyme-catalyzed reactions, making cyclodextrin molecules suitable as enzyme models. Cyclodextrin-catalyzed ring-opening of cyclic esters in bulk reaction conditions was considered to proceed similarly. However, the mechanism of activating cyclic esters through inclusion in the cyclodextrin cavity remains incompletely understood to date. The present research is focused on observing the transesterification of ε-caprolactone in the presence of β-cyclodextrin and additional amine organocatalysts within dimethyl sulfoxide solutions. The conducted experiments provide insights into the structural changes caused by various catalytic conditions in terms of the substitution pattern of the cyclodextrins. Our results are supported by a deep structural characterization through NMR and MALDI MS, which revealed the prospect of promoting rim-selective substitution of β-cyclodextrin at either secondary or primary hydroxyl groups using 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU) and 1,5,7-triazabicyclo[4.4.0]dec-5-ene (TBD) organocatalysts. This offers the possibility to prepare cyclodextrin derivatives with specific substitution patterns. Based on the acquired structural information, the particular pathway in which β-cyclodextrin influences the ring-opening of ε-caprolactone is delineated as follows: monomer complexation, substitution at the larger rim, chain elongation, and intramolecular transfer toward the smaller rim.

Synthesis of C3v-Symmetrical 1,3,5-Tris-Protected Calix[6]arene-Based Molecular Platforms.

Few synthetic methodologies that yield tris-functionalized C3v-symmetrical calix[6]arenes have been reported. In this work, three allyl protecting groups are selectively placed in 1,3,5 alternate positions of three pristine calix[6]arenes, each differing by their substituent on the large rim, resulting in three new C3v-symmetrical molecular platforms. Removal of the protecting allylic groups gives access to sophisticated calix[6]arenes that can be further modified. The potential of these new C3v-symmetrical molecular platforms is notably exemplified through the development of a new family of calix[6]arene-based N ligands.

Impact of sea level rise on the Mediterranean Lithophyllum byssoides rims

The calcified red macroalga Lithophyllum byssoides, a very common midlittoral species in the western Mediterranean Sea, is a significant ecosystem engineer capable, under exposed and dim light conditions, of building wide and solid endemic bioconstructions near the mean sea level: the L. byssoides rims or 'trottoirs à L. byssoides'. Although the growth of the species is relatively rapid for a calcified alga, the construction of a large rim requires several centuries of near stable or slowly rising sea level. As the time scale of their formation is measured in centuries, L. byssoides bioconstructions constitute valuable and sensitive sea level markers. The health status of L. byssoides rims has been studied at two sites located far apart from each other (Marseille and Corsica), both in areas heavily impacted by humans and in areas with little impact (MPAs and unprotected areas). A health index is proposed: Lithophylum byssoides Rims Health Index. The main and inevitable threat is the rise in the sea level. This ecosystem would be the first case worldwide of marine ecosystem collapse resulting, indirectly, from man-induced global change.

Modeling Chondrule Dust Rim Growth with Ellipsoidal Monomers

Fine-grained dust rims (FGRs) surrounding chondrules in carbonaceous chondrites encode important information about early processes in the solar nebula. Here, we investigate the effect of the nebular environment on FGR porosity, dust size distribution, and grain alignment, comparing the results for rims comprised of ellipsoidal and spherical grains. We conduct numerical simulations in which FGRs grow by collisions between dust particles and chondrules in both neutral and ionized turbulent gas. The resultant rim morphology is related to the ratio ϵ of the electrostatic potential energy at the collision point to the relative kinetic energy between colliding particles. In general, large ϵ leads to a large rim porosity, large rim grain size, and low growth rate. Dust rims comprised of ellipsoidal monomers initially grow faster in thickness than rims comprised of spherical monomers, due to their higher porosity. As the rims grow and obtain a greater electrostatic potential, repulsion becomes dominant, and this effect is reversed. Grain size coarsening toward the outer regions of the rims is observed for low- and high-ϵ regimes, and is more pronounced in the ellipsoidal case, while for the medium-ϵ regime, small monomers tend to be captured in the middle of the rims. In neutral environments, ellipsoidal grains have random orientations within the rim, while in charged environments ellipsoidal grains tend to align with maximum axial alignment for ϵ = 0.15. The characterization of these FGR features provides a means to relate laboratory measurements of chondrite samples to the formation environment of the parent bodies.

Ternary complexes of cyclodextrins with alkali earth cations and amino acids in gas phase investigated by mass spectrometry

Noncovalent ternary complexes between cyclodextrins (CDs), small molecules and alkali earth cations drew growing attention due to their potential application in many chemical and pharmaceutical fields. To date, the main factors affect the formation mechanism of noncovalent ternary complexes in gas phase have not been fully investigated. In this study, ternary complexes of CDs, divalent metal cations and amino acids (AAs) were investigated by electrospray ionization mass spectrometry (ESI-MS), demonstrating the formation of 1:1:1 stoichiometric noncovalent ternary complex of [CD + cation(II)+AA]2+ in gas phase. The results revealed that only +2 valence cations can form stable ternary complexes in ESI-MS. The ratio of peak intensities for [β-CD + Mg(II)+AA]2+ to those for [β-CD + Mg(II)]2+ hydrophobicity of AAs was also determined to discuss the effect of hydrophobicity of AAs. Exceptions exist for Pro, Gly, and Val indicated that other factors such as side-chain structure and rigidity of AAs can also influence the binding strength for ternary complexes. Collision induced dissociations (CID) were performed to further confirm the formation of the β-CD ternary complexes, revealing the binding strength of [CD + Mg(II)+Phe]2+ decreased in the order of γ-CD, β-CD, and α-CD. Although Leu and Ile are isomers, the ESI-MS demonstrated the peak intensity for ternary complexe of [β-CD + Mg(II)+Ile]2+ exhibited stronger than that of [β-CD + Mg(II)+Leu]2+, DFT theoretical calculations were conducted to explain the phenomenon. The calculation indicated when Mg2+ existing, the conformations of the two ternary complexes could be affected due to the electrostatic force. In the complexes, the Leu and Ile turn a way round, inserting to the cavity with their carboxylic acid side into the large rim side of β-CD and interacting with Mg2+. This work not only clearly explained the factors influencing the formation of [CD + cation(II)+AA]2+ in gas phase, but it also provides an insight in designing ternary complexes for areas such as drug design and chiral discrimination.

Open reduction, acetabular and femoral head fixation of Pipkin type IV fracture in an adolescent: A case report

AbstractBACKGROUND Femoral head fracture is extremely rare in adolescent. There are few studies that focus on cases treated of pipkin type IVCASE SUMMARY A 15-year-old male adolescent suffered a serious traffic accident when he was sitting on the front seat of car. Several hours after accident at the local hospital, he diagnosed as posterior dislocation of the right hip with drop foot , and treat closed reduction immobilisation with skin traction. After first operation he transferred to another hospital. Pelvic radiograph computed tomography revealed a head femoral fracture and large acetabular rim fracture. This was diagnosed as a Pipkin type IV acetabular and femoral head fracture with dislocation. An open reduction Inion Freedom bioscrew fixation of head femur and 4.5 cortical screw fixation of acetabular fracture was performed via a Kocher Langenbeck approach. After 1-year follow-up, the patient could walk without aid and participate in physical activities. The X-ray results showed that the fractures healed well with no evidence of complications.CONCLUSION Open reduction, fixation both acetabular and femoral head is an available therapy to treat Pipkin type IV in adolescent

Risk factors for glaucoma are reflected in abnormal responses to frequency-doubling technology screening in both normal and glaucoma eyes

The frequency-doubling technology (FDT) screening test (FDT-C-20-1) has adopted in many recent population-based glaucoma surveys, but factors associated with false-positive (FP) responses to FDT-C-20-1 in normal eyes and false-negative (FN) responses in glaucoma eyes were not known. These factors were investigated in a population-based setting using the data from 3805 normal eyes (2381 subjects) and 272 eyes with definite glaucoma (215 subjects) in the Kumejima Study participants with reliable FDT-C-20-1 results. Considering the presence of at least one abnormal test point (P < 0.01) as abnormal, the specificity and sensitivity of FDT-C-20-1 for glaucoma were 91.8% (95% confidence interval, 91.1 ~ 92.5) and 56.3% (47.0 ~ 62.5), respectively. Multivariate linear mixed-model logistic regression analysis showed correlations with older age, worse visual acuity, greater β-peripapillary area (P < 0.001 for all comparisons) and more myopic refraction (P = 0.030) with the FP responses in normal eyes, and normal-tension glaucoma (P = 0.043), a better mean deviation value of Humphrey perimetry (P = 0.001), larger rim area (P = 0.041), and absence of disc hemorrhage (P = 0.015) with the FN responses in glaucoma eyes. In a population-based setting, abnormal responses to FDT-C-20-1 indicate the presence of a risk factor for glaucoma in normal eyes and risk factors for more rapid progression in glaucoma eyes.

Use of Retroauricular Flaps to Reconstruct Defects of the Helical Rim and Adjuvant Intralesional Corticosteroids after Resection of Large Keloids.

The optimal treatment for large helical rim keloids remains unclear. The authors evaluated patient outcomes when retro auricular flaps were used to reconstruct helical rim defects and adjuvant intralesional corticosteroids were prescribed after resection of large keloids. The authors evaluated 7 females with 12 large keloids of the helical rim (5 patients had lesions in both ears). All patients were aged 18 to 33 years. The authors used retro auricular flaps to reconstruct the helical rim defects and prescribed adjuvant intralesional corticosteroids after resection. The lesion area ranged from 2.5 × 2.0 to 3.5 × 3.5 cm2. The flap size ranged from 2.5 × 3.0 to 3.5 × 4.5 cm2. The flaps and wound bases received 3 steroid injections at approximately 1, 2, and 3 months postoperatively. No flap necrosis or complications were noted. The postoperative esthetic results were satisfactory in 8 patients and excellent in 4. All patients were followed up for 14 to 28 months (median, 20.6 months). No recurrence was noted, although 3 patients exhibited mild scarring of the wound flap base. A retro auricular flap is safe and effective for reconstructing helical rim defects; adjuvant intralesional corticosteroids prevent scarring of the flap wound base after resection of large keloids.

Reconstruction of Extensive Periorbital Defects With Pericranial Flap.

Wide excision of recurrent malignant tumors of periorbital region leaves deep and large composite defects, requiring a reconstruction to restore both the form and function of the eyelids. In this study, a pericranial flap was utilized in the reconstruction of large, complex defects of periorbital region.This study included 5 patients who underwent wide excision of recurrent large medial canthus and supraorbital rim malignant tumors. All defects involved the medial parts of eyelids including medial canthal ligaments, nasal walls, periosteum, and medial orbital walls. Defects were reconstructed via a pericranial flap, which was facilitated by the natural concavity and the acute angled nature of the medial canthus.The pericranial flap is not only a versatile alternative to the local or regional flaps in the reconstruction of periorbital defects, but also has the advantages of availability of abundant amount of flap tissue.

Study Compares Fluid-Tracking-Modeling Approaches for Mature Onshore Field

This article, written by JPT Technology Editor Chris Carpenter, contains highlights of paper SPE 202747, “Fluid-Tracking Modeling for Condensate/Oil Production and Gas Use Allocation: An Abu Dhabi Onshore Example,” by Yun Wang and Gary Jerauld, SPE, BP, and Yatindra Bhushan, SPE, ADNOC, et al., prepared for the 2020 Abu Dhabi International Petroleum Exhibition and Conference, Abu Dhabi, held virtually 9–12 November. The paper has not been peer reviewed. A reservoir in a giant field onshore Abu Dhabi has been producing for 6 decades. The reservoir was already saturated at the time of production commencement, with a large oil rim and a gas cap. This paper presents a comprehensive comparison of two modeling-based approaches of fluid tracking for condensate allocation and gas usage: a tracer modeling option in a commercial reservoir simulator and a full-component fluid-tracking approach. Introduction Examples of benchmarking fluid-tracking options against an independent fluid-tracking approach are rare in the literature. The goal of this paper, therefore, is to document a comprehensive and detailed comparison between the fluid-tracking option (TRACK) in NEXUS (a commercial reservoir simulator used by companies of the coauthors of this paper) and a full-component fluid-tracking (FCFT) approach. This work is motivated by the commercial arrangement of a concession covering an onshore field in Abu Dhabi. Because of different equity entitlements among the shareholders for the oil rim and gas cap per the concession commercial terms, a need exists to allocate the condensate vs. oil-rim oil production and the injected lean-gas usage. FCFT The idea of FCFT is relatively straightforward. Before discussing the approach, it is important to note that the focus of this paper is to compare the modeling of different tracking approaches. It is assumed that a fit-for-purpose fully compositional reservoir simulation model already exists. For fluid-tracking modeling with a full-field model (FFM), this means that the compositional reservoir model has already been history matched properly at both field and individual well levels and that no additional reconciliation is required before the hydrocarbon liquid and vapor streams are split into tracked substreams. In this paper, FCFT is completed on the field level for the comparison with the TRACK option in NEXUS. One could easily extend the field level tracking to either regional well-group levels or individual well levels. In the case of the onshore reservoir, lean-gas injection has been active during much of the producing history. In future development schemes under consideration, lean-gas injection, carbon dioxide (CO2) injection, and gas lift are all possible scenarios, raising the question of how to treat injected gas components within the FCFT framework. Different approaches exist to handle the injected gas components. One may treat the injected gas components as either the gas-cap components, the oil-rim components, or entirely new components. Lean gas injected in the onshore field example is actually a dry gas, according to the 11-component equation-of-state (EOS) prediction. Thus, the lean gas can be reasonably modeled with only one new component as long as that component replicates the volumetric behavior of the injected lean gas.

Closing a Calix[6]arene-Based Funnel Zn2+ Complex at Its Large Rim Entrance: Consequences on Metal Ion Affinity and Host-Guest Properties.

A molecular capsule based on a calix[6]arene core closed at the small rim by a three-point coordinated metal ion and at the large rim by a three-point covalent capping is described. It is derived from a trisimidazole funnel complex capped by a trenamide unit that prevents in/out exchange of guest molecules through the large rim. A detailed comparative study with three different calixarenes provides a unique opportunity for (i) comparing the binding ability of two different coordination sites in well three-dimensional (3D)-structured macrocyclic receptors and (ii) evaluating the impact of a covalent closing of one rim of a funnel receptor while the other rim is closed by weaker coordination bonds. Indeed, this study allowed for highlighting various interesting new features. It is first shown that the trenamide site can bind a metal ion such as Zn2+ by itself. This involves a 1:1 coordination of the metal ion to the three carbonyl groups of the amide functions, which undergo trans-to-cis isomerization and are partially embedded in the calix core. When the trisimidazole core is present, the Zn2+ ion preferentially binds at the small rim, thus closing the cavity. Guest ligand exchange must then occur through a decoordination/recoordination process of the metal ion. The modification and rigidification of the calixarene conformation induced by the large rim capping strengthen the metal ion coordination at the small rim. This also leads to a selective metallo-receptor that readily binds EtNH2 under conditions where PrNH2 is not recognized at all. The increased rigidity of the receptor, however, weakens the host-guest interactions, precluding important induced-fit behaviors that are at work in the parent, large rim opened, funnel complex.

Instability and results after non-operative treatment of large anterior glenoid rim fractures: is there a correlation between fragment size or displacement and recurrence?

IntroductionThere is little data available on non-operative treatment of anterior glenoid rim fractures (GRF). Nothing is known about fracture size and displacement in comparison to clinical outcomes and instability in a mainly middle-aged patient population. The aim of this study was to demonstrate the results of non-operative treatment in anterior glenoid rim fractures with the special focus on potential instability/recurrence.MethodsThe inclusion criteria were non-operatively treated anterior GRF of at least ≥ 5 mm width using the age- and gender-matched Constant/Murley score (a.-/g.-CMS) and the Western Ontario Instability Index (WOSI). Radiographic parameters (fracture morphology, displacement, major tuberosity fractures and Hill–Sachs lesion using initial CT and radiographs) and the proportion of the fractured glenoid were detected (2D-CT-circle-method) and osteoarthritis (A.P. and axial radiographs) was classified according to Samilson/Prieto. Proportion of fractured glenoid and medial displacement were correlated with the recurrence rate and the clinical scores.ResultsN = 36 patients could be followed-up after a mean of 4.4 years [12–140 month, average age: 58 (± 13, 33–86) years]. The a.-/g.-CMS was 93 (± 11, 61–100) points, and the WOSI was 81% (± 22%, 35–100%) on average. The mean intraarticular displacement was 4 mm (± 3 mm; 0–14 mm). The 2D-circle-method showed a mean glenoid fracture involvement of 21% (± 11, 10–52%). Two cases of frozen shoulders and one case with biceps pathology were associated with the trauma. Within the followed-up patient group re-instability has occurred in n = 2 patients (6%) within the first two weeks after trauma. Osteoarthritis was found in n = 11 cases. There was no correlation between the scores and the fracture size/displacement [(a.-/g.-CMS vs. displacement: r = − 0.08; p = 0.6; vs. size: r = − 0.29; p = 0.2); (WOSI vs. displacement: r = − 0.14; p = 0.4; vs. size: r = − 0.37; p = 0.06)], but very large (≥ 21%) fractures with displacement ≥ 4 mm showed slightly worse results without significant difference (a.-/g.-CMS p = 0.2; WOSI p = 0.2). The apprehension test was negative in all patients at final follow-up.ConclusionNon-operative treatment of anterior GRF was associated with overall good results within a mainly middle-aged larger patient group. Re-instability is rare and is not associated with fragment size but can occur in the first weeks after trauma. Size and dislocation of the fracture is not a criterion for the prognosis of potential instability.Level of evidenceLevel IV, retrospective case series.

Modified Chondrocutaneous Flaps for Middle Helical Rim Defects.

SUMMARY This article describes a unique approach for reconstruction of large helical rim defects. By raising bilateral chondrocutaneous flaps of the helical rim while including a semicircular chondrocutaneous excision of the adjacent scapha and antihelix, large defects can be repaired with minimal loss to the overall external ear circumference. This is a technically simple and reliable method that has resulted in excellent cosmetic outcomes and minimal morbidity in our practice.

Understanding the storage conditions and fluctuating eruption style of a young monogenetic volcano: Blue Lake crater (

Blue Lake crater (<3 ka) is monogenetic volcano that produced one of the youngest eruptions in the central Oregon Cascades. Understanding monogenetic volcano behavior – from storage through eruption – is imperative in planning for future eruptions. Here we combine physical volcanology and geochemistry to determine the pre-eruptive storage conditions, ascent rate, eruption style, and deposit distribution of this young eruption. We find that the eruption of Blue Lake was initially phreatomagmatic, producing lithic-rich fall deposits and thin surge deposits and excavating the maar crater, before transitioning rapidly to a final voluminous magmatic-volatile driven explosive eruption. The mapped fall deposit has an estimated volume of 3.9 × 107 m3 (2.2 × 107 m3 DRE) which suggests a VEI of 3. Although similar in magnitude (as measured by fall deposit volume) to many other recent cinder cone eruptions in the Cascades, the Blue Lake crater eruption lacks an effusive phase. The absence of lava flows may reflect the lack of evidence for syn-eruptive magma storage at shallow levels. Indeed, corrected volatile contents of olivine-hosted melt inclusions (2.9–4.2 wt% H2O, 910–1330 ppm CO2) are strikingly uniform and indicate storage and crystallization at a restricted pressure range (average ~ 235 MPa), equating to a depth of ~8.6 km. Melt inclusion geochemistry indicates that the basaltic andesite magma cooled and crystallized ~25% during storage at this pressure. Crystals in the Blue Lake magma show evidence of mixing with, or entrainment in, a more evolved magma. Feldspar crystals have large An-rich cores (An80–85) and abrupt An-poor rims (An60–70); olivine crystals have large, broad cores (~Fo82–84) and thin rims with lower Fo and NiO contents. Diffusion modeling of olivine zoning suggests that an intrusion event occurred ~10–60 days prior to eruption. Diffusive loss of H+ from melt inclusions was minimal (<1.3 wt% H2O) during magma ascent, from which we calculate minimum ascent times from 235 MPa of <1 day. Many inclusions indicate ascent times of <3 h, corresponding to ascent rates of ~1 to >13 m/s. This study illustrates the pre-eruptive and eruptive complexities of monogenetic volcanoes and highlights the minimal warning that may precede future eruptions.