Differences In Width Research Articles

Differences in Femoral Medullary Canal Dimensions in the USA and East Asian Populations

With emerging technologies and improved operative techniques, cementless total hip arthroplasty is becoming more popular and showing better results. The femoral prosthesis and intramedullary nail should precisely fit in the medullary canal to prevent micromotion and loosening. Most of the femoral prosthesis and nail designs are made from the data obtained from Caucasian femur and may not press fit if used in Asian populations. This study compares the femoral medullary canal diameter in American and Oriental populations at different bony levels. A total of 245 dry femora were collected which included 47 from United States, 77 from China, 44 from Japan, 50 from Korea and 27 from Taiwan, and plan radiographs were taken. Radiographs were digitized to measure the medullary canal width at 20% (lesser trochanter; LT), 35% (supra-isthmus; SI), 50% (mid-isthmus; MI), 65% and 80% of the total femur length. The results revealed significant differences in the medullary canal width between the US and East Asian Oriental populations. The medullary canal in the US population was significantly larger at the LT, SI, MI, and 65% but significantly smaller at 80% of the femoral shaft length compared to the East Asian populations. Among the East Asian populations, significant differences were obse4rved between the Chinese and Taiwanese populations as well as the Japanese and Taiwanese populations. The Taiwanese population had the smallest femoral medullary canal size among the east Asian populations. We conclude that there are significant differences in the femoral medullary width between the American and East Asian populations. These results will be useful for surgeons operating on the proximal or distal femur.

A Study of the Cereal Benches Based System for Protection of Soil in Algerian Oued Mellegue Tebessa Dry Lands

The study was intended to mitigate the destructive after-effects of erosion, where runoff water erodes the arable layers through the increased transport of soil particles. The study was conducted in Ain Zerga across 40 plots, covering an area of 405 hectares, during 2023 and 2024, with a focus on the dimensional evaluation of cereal beds. The evaluation mainly focused (a) on the durability of the structure, including the measurement of settlement, which indicates distribution and strength of resistance to climatic hazards, and (b) proportional sustainability and the interbank aspects. The height of benches, at 0.481± 0.086 m, and the length of 82.583 ± 24.203 m were influenced by height differences and the intensity of water flows. The retention of runoff water was influenced by the slope toward the natural spillway. Furthermore, the destructive intensity of the runoff, amplified by the sharp increase in altitude, was confirmed by statistically significant differences in the length, height, and number of cracks between the study sites (p-value = 0.000). The number of cracks per breach at the Gastel site (4.25 units) and Kef Mebdoua (3.917 units) was higher compared to Ain Zerga, Berket Frass, Ouled Mebarek, and Zlassde, where the number ranged from 0.750 to 1.583 units. The statistical significance in the number of cracks (p<0.001) signified that variation in cracks between the locations was due to the topographic steep slopes on site. The non-significant difference in width suggests that the observed differences could be due to the phenomenon of compaction following the annual infiltration of water on the ridges of cereal bench, plus the act of trampling constantly exercised by sheep and cattle herds when passing to the paths. This work proposed in this article is an attempt to structure a chain of impact analysis of risks and vulnerability of intensity via the sustainability of cereal bench carried out in the Tebessa region.

Long-Term Three-Dimensional Morphometric Outcome Study of Nasal Bone in Cleft Patients.

Cleft lip nose deformities are characterized by underlying features in the bony skeleton as well as the soft tissues; however, no previous study has focused on the evaluation of the nasal bone. The aim of this study was to compare nasal bone features among adult patients with unilateral cleft lip with or without cleft palate, those with bilateral cleft lip and palate, and controls. Included in this retrospective study were patients aged ≥16 years with nonsyndromic cleft who underwent long-term orthodontic treatment and controls aged 18-45 years who underwent surgery for jaw deformities at Keio University Hospital. Piriform width, nasal width, and nasomaxillary angle values measured on CT were compared among the groups using the Wilcoxon rank sum test. Nine patients had unilateral cleft lip and alveolar cleft, 19 had unilateral cleft lip and cleft palate, and 14 had bilateral cleft lip and palate (BCLCP). There were 18 controls. Mean piriform width and mean nasomaxillary angle were significantly greater in the BCLCP group than the control group (20.1±2.54mm versus 18.8±1.35mm, P<0.05; and 105.8±8.13 degrees versus 100.4±7.95 degrees, P<0.05, respectively). There was no significant difference in mean nasal width among the groups. Nasal bone morphology was not affected by initial cleft lip alone or by the presence or absence of cleft palate. Patients with bilateral cleft lip and palate have a wider and lower nose than those without cleft deformity and might benefit more from reduction of the bony nasal width than from treatment of the soft tissues.

Morphometric analysis of the skull base and palatal regions for gender identification using CBCT: a retrospective study.

The objectives of this study were to evaluate the accuracy of morphometry of skull base and palate in gender discrimination using cone beam computed tomography (CBCT) scanning and to assess the accuracy of the results among a sample of the Arab population. Using CBCT scans, a cross-sectional analysis was conducted on 142 consented patients who underwent various dental procedures at the University Dental Hospital, Sharjah (UDHS). Of these patients, 70 were females and 72 were males, with respective means of 38.5 and 36.2 years. Eleven parameters related to skull base and palatal region were measured on the CBCT scans by two expert radiologists followed by statistical analysis. There was significant gender-based difference in the mean palatal width (PW) (p=0.001), mean palatal height (PH) (p=0.005). Among other skull base region parameters that were significant in term of gender-based difference like; the clivus length (CL) (p<0.001), occipital condyle height (OCH) (p<0.001), basal angle (BA) (p=0.006) and transverse diameter of foramen magnum (p=0.003). Only palate variables showed a significant age difference. Discriminant analysis related to gender showed that occipital condyle height was the most accurate and best discriminator among the skull base region parameters. The use of discriminant analysis in CBCT based on skull base and palatal region variables provides an efficient method for determining gender, which is particularly valuable in forensic science and anthropological research. Accurate gender identification is crucial in forensic investigations, and the skull base region, being a stable and sexually dimorphic anatomical feature, can serve as a reliable marker for this purpose.

New constraints on CPT symmetry violation in charm mesons

Small CPT-violating effects are admissible in several theories beyond the Standard Model of interactions. We analyze experimental data obtained with neutral flavored meson mixing and place bounds on the scale of such phenomena. The constraints on the CPT-violating parameter z are derived by reinterpreting the LHCb measurement of the time-dependent asymmetry in the Cabbibo-favored D0→K−π+ and D0¯→K+π− decay rates. The bounds provided in this paper are 2 orders of magnitude stricter compared to the results obtained by the FOCUS Collaboration. Among other constraints, we report bounds on the differences in the decay widths and masses of the neutral D meson flavor states at a 95% confidence level. The decay width difference is bounded by (−4.7&lt;δΓD&lt;2.1)×10−16 GeV. The mass difference lies within (−2.0&lt;δmD&lt;2.0)×10−15 GeV for 95% of arg(z) values. The paper includes an assessment of the influence of CP violation on the results and a discussion of the future prospects. Published by the American Physical Society 2024

Long-Term Outcomes of Collagen Matrix versus Subepithelial Connective Tissue in Root Coverage for Multiple Teeth: A Systematic Review and Meta-Analysis

Background: This study aimed to conduct a meta-analysis to assess the differences in the performance of root coverage between collagen matrix and subepithelial connective tissue. Methods: A comprehensive search using a combination of controlled vocabulary (MeSH) and free-text terms was undertaken by two reviewers to identify published systematic reviews. Three major electronic databases (Medline via PubMed, Cochrane database, and Embase) were searched up to October 2023. Results: Initially, five hundred and seventy-six articles were identified, but only nine studies met the criteria for inclusion in the meta-analysis. Meta-analysis showed that the pooled mean difference in mean root coverage of collagen matrix compared with subepithelial connective tissue was −0.48 (95% confidence interval of −0.69 to −0.26). The relative risk of complete root coverage of collagen matrix compared with subepithelial connective tissue was 0.68 (95% confidence interval, 0.49 to 0.94). The pooled mean difference in width of keratinized tissue of collagen matrix compared with subepithelial connective tissue was −0.75 (95% confidence interval of −1.25 to −0.26). Conclusions: The outcomes of this study revealed that subepithelial connective tissue generally exhibited superior performance. Nonetheless, the utilization of the coronally advanced flap with collagen matrix may yield comparable results in terms of the percentage of complete root coverage.

Variations in some Morphological Indicators of Tubuca rhizophorae Regarding Sex and Site at Bac Lieu and Ca Mau

This study was conducted to supplement information on the fluctuation of some morphological characteristics for species identification of Tubuca rhizophorae in some coastal provinces of the Mekong Delta. A total of 407 individuals (296 males and 111 females) were collected by hand in Bac Lieu and Ca Mau provinces from January 2024 to April 2024. The analysis results showed that Tubuca rhizophorae exhibited differences in manus width (MW3), pollex width (PW5), and dactyl width (DW7) between the two sampling sites (p&lt;0.05). Specifically, MW3, PW5, DW7 values in Ca Mau and Bac Lieu were 1.55±0.01 and 1.62±0.02; 0.54±0.01 and 0.59±0.01; 0.48±0.01 and 0.53±0.01, respectively. Similarly, carapace width [CW(L-R) and CW(R-L)] and manus width (MW2) showed significant change with sex (p&lt;0.05). Specifically, CW(L-R), CW(R-L), and MW2 of females and males were 12.30±0.10 and 12.99±0.08; 12.31±0.09 and 12.93±0.08; 1.03±0.02 and 1.17±0.03, respectively. The results also noted that environmental factors such as temperature, salinity, and pH displayed a positive relationship with morphological trait variations of this species.

Modified Surgical Guide for Root Sectioning in the Socket Shield Technique-In Vitro Study.

This in vitro study aimed to evaluate the effectiveness of a printed surgical guide for root sectioning in the socket-shield technique. A typodont model of the maxilla with augmented filler was used for the upper right central incisor, and CBCT images were obtained. Two types of vertical root sectioning guides were tested: one with a buccal sleeve (Group A, n = 10) and another with a buccal orientation slit (Group B, n = 10). Control group (n = 10) performed freehand cuts on printed models. After crown cutting with diamond burs, root sectioning was conducted using an ultrasonic tip with the guides. Mean and standard deviation were calculated for the remaining root length, width, and volume. Data were analyzed using the Kruskal-Wallis test and Dunn's post hoc test. Statistical analysis showed significant differences in root width between the control group (2.0 mm) and both Groups A (2.655 mm; p < 0.0001) and B (2.460 mm; p < 0.0001). Group B (5.585 mm) also showed a significant difference in root remnant compared with the control (13.880 mm; p < 0.0043). Groups A and B did not differ significantly from each other. The socket shield technique is safe and effective, this study aimed to add improvements through the introduction of surgical guides, facilitating the root section, which is the critical phase so that the parameters that are requisite for success are achieved in terms of width, length, and volume of the root remnant. Both guided techniques effectively facilitated root sectioning, maintaining satisfactory root thickness and length. Sectioning the root is challenging for the correct angulation to remove the palatal portion in the socket shield technique. Therefore, modifying this technique with the use of the presented guides, it is possible to prevent damage to the soft tissues and to plan the surgery with the help of cone beam computed tomography (CBCT) scans to remove the root apex and maintain the root remnant with a thickness greater than 1.5 mm, making the socket-shield technique more predictable.

Versatile Papertronics: Photo-Induced Synapse and Security Applications on Papers.

Paper is a readily available material in nature. Its recyclability, eco-friendliness, portability, flexibility, and affordability make it a favored substrate for researchers seeking cost-effective solutions. Electronic devices based on solution process are fabricated on paper and banknotes using PVK and SnO2 nanoparticles. The devices manufactured on paper substrates exhibit photosynaptic behavior under ultraviolet pulse illumination, stemming from numerous interactions on the surface of the SnO2 nanoparticles. A light-modulated artificial synapse device is realized on a paper at a low voltage bias of -0.01V, with an average recognition rate of 91.7% based on the Yale Face Database. As a security device on a banknote, 400 devices in a 20 × 20 array configuration exhibited random electrical characteristics owing to the local morphology of the SnO2 nanoparticles and differences in the depletion layer width at the SnO2/PVK interface. The security Physically Unclonable Functions (PUF) key based on the current distribution extracted at -1V show unpredictable reproducibility with 50% uniformity, 48.7% inter-Hamming distance, and 50.1% bit-aliasing rates. Moreover, the device maintained its properties for more than 210 days under a curvature radius of 8.75mm and bias and UV irradiation stress conditions.

Sex difference, growth pattern, and cephalic index of Turi ducks at different ages based on head morphometry

This study aims to determine the morphometric differences in the head of male and female Turi ducks. Ten male and ten female day-old ducks (DOD) were randomly selected by a lottery system from the population, raised, and had their head morphology measured using a digital caliper with an accuracy of 0.01 mm on the first day, and at the age of 2, 4, 6, and 8weeks. The result showed that male Turi duck had wider (p &lt;0.05) head at the ages of 1 day, 2 and 6 weeks, head length and head height at the ages of 1 day, 2, 4, 6, and 8 weeks, rostrum width at the ages of 1 day, 4, 6, and 8 weeks, and rostrum length at the age of 2, 4, 6 and 8 weeks. There were no significant differences (p &gt;0.05) in the head width at the ages of 4 and 8 weeks, rostrum width at 2 weeks, and rostrum length at 1day old male and female Turi ducks. Morphometric growth pattern showed that older Turi ducks (at a range of 1 day to 8 weeks) had larger (p &lt;0.05) head morphometry. However, the cephalic index in male and female Turi ducks was not significantly different (p &gt; 0.05) at all ages. It could be concluded that in general head morphometry was useful for determining male and female Turi ducks at the ages of 1 day, 2, 4, 6, and 8 weeks

Local delivery of pamidronate with collagen matrix mitigates buccal bone resorption following immediate implant placement - An experimental invivo study.

The aim of this experimental invivo pilot study was to evaluate the effect of the local delivery of pamidronate within a collagen membrane on the changes in the buccal soft and hard tissue dimensions at the time of immediate implant placement and whether this effect was influenced by the placement of bone substitutes. In six beagle dogs, the distal roots of the third and fourth premolars were extracted, and immediate implants were placed. Treatment groups were randomly allocated to each socket: (i) covering the buccal bone with pamidronate-soaked collagen membrane (BP group), (ii) filling the gap defect with synthetic bone substitute (BS group), (iii) filling the gap defect with synthetic bone substitute and covering the buccal bone with pamidronate soaked collagen membrane (BP/BS group), (iv) no treatment (control group). Intraoral scanning was performed immediately after the surgery and at 20 weeks. Histomorphometric and micro-computed tomography (CT) outcomes were evaluated at 20 weeks. The micro CT analysis demonstrated that the BP group showed no apparent difference in vertical bone level with residual mesial root area, while control group showed significant buccal bone resorption at the implant site. The histomorphometric analysis demonstrated that the vertical bone level of buccal plate was significantly differed between the BP and control group (0.34 ± 0.93 and 1.27 ± 0.56 mm, respectively; p = .041). There was no statistically significant difference in the horizontal ridge width (HRW 1, 2, 3) among the groups. Also, the thickness, height and buccal contours of the soft tissue did not reveal significant changes among the groups. The local delivery of pamidronate to the outer surface of the buccal wall at the time of immediate implant placement effectively limits buccal bone resorption. The results from the present investigation should be interpreted with caution, as well as its clinical translatability. Further investigation is needed to understand the pamidronate binding and releasing kinetic, as well as the ideal carrier of this drug for its topical application.

Changes in 3-Dimensional Measurements of Masseter Muscle After Orthognathic Surgery in Patients with Facial Asymmetry

ObjectiveThe aim of this study was to quantitatively evaluate morphological and volumetric changes in the masseter muscle using 3-dimensional analysis of facial asymmetry patients and to identify factors influencing these changes before and after orthognathic surgery.Methods[Reviewer1 (2)]A single-center retrospective cohort study was conducted on twenty-two patients with deviation of the chin > 4 mm. Masseter muscle volume and morphology were measured at different periods during long-term follow-up (mean 15 ± 3.2 months). Factors related to changes in masseter muscle cross-sectional area and volume analyzed were also analyzed.Results[Reviewer1 (2) and (9)]The volume and cross-sectional area of the masseter muscle on the non-deviated side reduced by 13.5% (P < 0.05) and 16.4% (P < 0.05), respectively, after orthognathic surgery. The length of the masseter muscle increased by 13.9% on the deviated side (P < .05) but decreased by 11.7% on the non-deviated side (P < 0.05). The width decreased on the deviated side from T1 to T2 (13.51 ± 2.09 mm vs. 12.04 ± 1.39 mm), but the non-deviated side showed an opposite tendency (10.81 ± 1.31 mm vs. 12.69 ± 2.37 mm). The difference in masseter muscle length and width between the two sides significantly reduced after surgery (P < 0.05). There was a noticeable decrease in the asymmetry in the muscle in proportion to the degree of the occlusal plane angle.ConclusionMasseter muscle asymmetry exists in patients with facial asymmetry, but it could be improved with maxilla-mandible correction. Atrophy of the masseter muscle after orthognathic surgery was greater in patients with a large inclined occlusal plane angle due to improved dental compensation.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Screening and Validation of Leaf Width-Related Genes in Inbred Maize Lines.

Leaf width is a key determinant of planting density and photosynthetic efficiency. In an effort to determine which genes regulate maize plant leaf width, we performed a genome-wide association study (GWAS) of 1.49 × 106 single nucleotide polymorphisms (SNPs) in 80 sequenced backbone inbred maize lines in Jilin Province, China, based upon phenotypic leaf width data from two years. In total, 14 SNPs were identified as being significantly related to leaf width (p < 0.000001), with these SNPs being located on chromosomes 1, 2, 3, 5, 6, 7, 8, and 9. A total of five candidate genes were identified within a mean linkage disequilibrium (LD) distance of 9.7 kb, with a significant SNP being identified within the Zm00001d044327 candidate gene. RNA was then isolated from 12 different inbred maize lines from this GWAS study cohort and was used to conduct qPCR analyses which revealed significant differences in Zm00001d044327 expression among strains exhibiting significant differences in leaf width. Based on an assessment of EMS mutant lines harboring a conserved amino acid stop mutation and two non-synonymous mutations in Zm00001d044327 that exhibited a narrow leaf width, these data suggested that Zm00001d044327 is a key regulator of maize leaf width.

Experimental and analytical investigation of T-beams retrofitted through the external post-tensioning using steel and various FRP strands

This study aimed to scrutinize the potential benefits of using fiber-reinforced polymer (FRP) materials as unbonded strands in post-tensioning systems for reinforced concrete (RC) flexural members. The research meticulously evaluated the influence of these FRP materials on global and local response levels. To this end, four-point loading tests were performed on T-beam specimens, and the experimental results were compared with numerical predictions. The study also incorporated insights from previous research on external post-tensioning variables. The results of this study, with their practical implications, demonstrate a strengthening technique that significantly enhances the load-carrying capacity at ultimate and yielding points, as well as the crack initiation load of non-strengthened specimens. The strengthening technique also significantly influences deflection during yielding and maximum loads and plays a crucial role in restoring deflection after unloading. However, it is essential to note that strengthening with external post-tensioning does reduce the member’s ductility. The choice of materials also emerges as a significant factor that leads to noticeable differences in crack widths and distribution among the specimens. These practical findings hold considerable importance and offer valuable insights into the potential use of FRP materials in post-tensioning systems for RC flexural members.

An Evaluation of Different Sweet Olive Cultivars with Different Ripening Degrees Grown in the Puglia Region, Southeastern Italy

Some olive cultivars grown in southeastern Italy are characterized by the production of olives with a reduced level of bitterness. They are known as sweet olive cultivars and fruits are usually consumed directly or cooked without any debittering process, offering either health benefits to consumers, thanks to the high content of antioxidants, or an economic benefit to farmers for their higher price with respect to both table and oil olives. This study evaluates and compares the organoleptic, pomological, chemical, and physical parameters of seven sweet olive cultivars at different ripening degrees in the Puglia region over 8 weeks of maturity stage for two consecutive seasons (2022 and 2023). The organoleptic evaluation was performed by a restricted panel of usual consumers/experts of sweet olives. The results showed a higher preference for the olive cultivars locally named Triggiano Dolce, Cerasella, and Mele. Significant differences in weight, length, and width of the fruits were observed based on both cultivar and year. The phenolic composition of olive cultivars was significantly affected by both cultivar and harvest year, with Cazzinicchio and Cellina di Nardò having the highest total polyphenols. The analysis of water fraction extracted from olive samples by liquid chromatography coupled with mass spectrometry led to the identification of eleven compounds belonging to the secoiroids, phenylpropanoids, phenylethanolids, and flavonoids classes. The comparison of these compounds among the studied cultivars highlighted significant differences.

Novel Technique for Alveolar Ridge Expansion: A Comparative Clinical Study

Background: Piezosurgery improved the split approach by making it safer, easier, and less prone to complications when treating extremely atrophic crests. Densah drills, with their unique design, expand the ridge by densifying bone in a reverse, non-cutting mode. Objective: To assess the effectiveness of sagittal piezosurgery, which involves cutting bone to the full implant depth and then expanding it using osseodensification drills. We use this technique to expand narrow alveolar bones and simultaneously place dental implants in the maxillary and mandibular arches. Methods: Fourteen patients received 31 dental implants. The maxillary arch received 19, and the mandible received 12 dental implants. This study will include patients who have narrow alveolar bone ridges (2.5–4 mm). After marking the implant sites with a pilot drill, we used a piezoelectric surgery tip to cut the alveolar crest to the depth of the planned dental implant. We then sequentially used Versah Drills, accompanied by extensive irrigation using cooled, sterile normal saline, and finally inserted the implant into the subcrestal level. Results: This study revealed a significant difference in alveolar ridge width immediately after the procedure, and the significant change in the mandible was slightly higher than that in the maxillary arch. However, all implants in both jaws achieved successful osseointegration. Conclusions: The alveolar ridge width changed a lot more in the mandible than in the maxillary arch after the procedure. These two strategies work well together to properly and simply expand severely atrophied alveolar ridges without affecting bone healing or the osseointegration process.

Terahertz Frequency-Domain Spectroscopy with a Method for Suppressing Water Vapor Absorption Peaks for Analysis of Pharmaceutical Hydrate Samples

Measurements of terahertz absorption spectra of pharmaceutical hydrate samples are achieved under a normal humidity condition by combining terahertz frequency-domain spectroscopy with a newly proposed method for suppressing absorption peaks caused by water vapor. In this method, only simple mathematical operations such as subtraction, thresholding, interpolation, and smoothing are applied to extinction (or absorbance) data obtained by locating samples under a normal humidity condition. By considering the difference in spectral line width between narrow absorption peaks caused by water vapor and the relatively wide absorption peaks caused by active pharmaceutical ingredients (APIs) in solid forms, the absorption peaks caused by water vapor can be effectively suppressed without affecting the absorption peaks of the APIs in the samples. In the present study, levofloxacin hydrates were used as samples to investigate the performance of the proposed method. Spectra were obtained under both dry and normal humidity conditions. The temperature of the samples was raised from 300 to 363 K to dehydrate them and brought back to 313 K to observe hydration under the normal humidity condition. Spectra obtained under the normal humidity condition were processed with the proposed method. The spectra of the hydrates obtained under the dry condition were slightly different from those obtained under the normal humidity condition and processed by our method. Dehydration during the measurements under the dry condition was suggested. Stable and reliable results are expected by measuring spectra under normal humidity conditions and applying the proposed method to suppress absorption peaks by water vapor.

Auricular growth potential of patients with concha-type microtia after auricular cartilage stretching surgery: A prospective study

BackgroundsFor patients with concha-type microtia, surgical intervention and the degree of deformity may affect the growth rate of auricular cartilage, which was also different at different ages. This study aimed to explore the auricular growth potential of patients with concha-type microtia at different ages after auricular cartilage stretching surgery. MethodsA total of 66 patients with unilateral grade II and III concha-type microtia were involved in this prospective cohort study. All patients underwent auricular cartilage stretching surgery. Relevant data were collected before surgery, at immediate after surgery, and at the last follow-up. ResultsThe perimeter, width, and length of auricle, between each follow-up, was statistically significant, which supported the surgical effect and auricular development. For patients in grade II group, no statistical significance was found in the difference of perimeter, width, and length between the affected and the normal auricle. For the patients in grade III group, the difference of such relevant indexes of the affected auricle was significantly different from those of the normal auricle. Between subgroups divided according to their age, the growth potential of affected auricle with the same degree of deformity was statistically significant. ConclusionsGrowth potential of the affected auricle of grade II group was consistent with that of the normal auricle, which was significantly higher than that of grade III group. For patients at different ages, auricles grew faster before 3 years. Surgical intervention improved the auricular aesthetics and released the auricular growth potential, which had better be recommend as early as possible.

A new corrective method for the Tanzer’s group IIB constricted ear: Helical expansion using V-Y advancement flap combined with concha cartilage graft

BackgroundThe complexity of the constricted ear's shape renders a uniform surgical method unattainable, thus posing an ongoing challenge in its correction. The Tanzer’s group IIB constricted ear is characterized by a prominent downward folding, an underdeveloped antihelix, and the absence of sacpha. The present study utilized a V-Y advancement flap combined with concha cartilage for the repair of Tanzer’s group IIB constricted ear. MethodFrom September 2016 to September 2022, a total of 16 patients diagnosed with type IIB ear constriction were enrolled in this retrospective study. The correction procedure for constricted ear involved the utilization of a V-Y advancement flap combined with concha cartilage graft. The auricle shape data of the patients, as well as their VAS satisfaction score and auricle aesthetic score, were examined both preoperatively and 12 months postoperatively. ResultThe mean duration of follow-up in this study was 18 months. The postoperative measurements of ear length, ear width, bilateral differences in ear length, and bilateral differences in ear width exhibited significant improvement compared to preoperative values. The mean preoperative AOS score was 1.12±0.34, while the mean postoperative AOS score increased to 3.81±0.40. The preoperative VAS satisfaction score was recorded as 2.31±0.70, while the postoperative VAS score significantly increased to 8.00±0.89. The follow-up period did not present any cases of flap necrosis, hematoma, infection, or wound dehiscence. ConclusionThe combination of V-Y advancement flap and concha cartilage transplantation for the correction of Tanzer’s group IIB constricted ear can achieve a natural and aesthetically pleasing auricle shape, resulting in high patient satisfaction.

Responses of C4 grasses to aridity reflect species‐specific strategies in a semiarid savanna

AbstractThe C4 Poaceae are a diverse group in terms of both evolutionary lineage and biochemistry. There is a distinct pattern in the distribution of C4 grass groups with aridity; however, the mechanistic basis for this distribution is not well understood. Additionally, few studies have investigated the functional strategies of co‐occurring C4 grass species for dealing with aridity in their natural environments. We explored the coordination of leaf‐level gas exchange, water use, and morphology among five co‐occurring semiarid C4 grasses belonging to divergent clades, biochemical subtypes, and size classes at three sites along a natural aridity gradient. More specifically, we measured predawn and midday water potential, stomatal conductance, water use efficiency, and photosynthesis. Leaf tissue was also collected for the analysis of stable isotopes of carbon and oxygen as well as for measurement of specific leaf area (SLA) and leaf width. Species differences in responsiveness of stomata to changes in vapor pressure deficit (VPD) were also assessed. It was expected that NAD‐me species would maintain higher rates of photosynthesis, higher water use efficiency, and have more responsive stomata than other co‐occurring species based on observed biogeographic patterns and past greenhouse studies. We found that Aristidoideae and Chloridoideae NAD‐me‐type grasses had greater stomatal sensitivity to VPD, consistent with a more isohydric strategy. However, midgrasses had both greater apparent water access and water use efficiency, regardless of subtype or lineage. PCK‐type species had less responsive stomata and maintained lower levels of photosynthesis with increasing aridity. There were strong interspecific differences in δ13C, leaf width, and SLA; however, these were not significantly correlated with water use efficiency. C4 grasses in our study did not fit discretely into functional groups as defined by lineage, biochemistry, or size class. Interspecific differences, evolutionary legacy, and biochemical pathway are likely to interact to determine water use and photosynthetic strategies of these plants. Control of water loss via highly responsive stomata may form the basis for dominance of certain C4 grass groups in arid environments. These findings build on our understanding of contrasting strategies of C4 grasses for dealing with aridity in their natural environments.