Search Results (2)

Background: Defects of the ascending ramus of the mandible, including the condylar head and neck or the whole temporomandibular joint (TMJ), are difficult to reconstruct. Reconstruction is mainly based on the use of alloplastic joint prosthesis, costochondral grafting, distraction osteogenesis of the dorsal part of the mandibular ramus, or osseous microvascular flaps of various origin. With the objective of developing a method that overcomes the restrictions of these methods, we recently introduced a sequential chimeric flap consisting of a lateral femoral condyle flap (LFC) and deep circumflex iliac artery flap (DCIA) for reconstruction of up to half of the mandible and the condylar head and neck. Methods: The chimeric flap was used in four patients with the following diagnoses: therapy-refractory osteomyelitis, extended recurrent odontogenic keratozyst, Goldenhar syndrome, and adenocarcinoma of the parotid gland. After a diagnostic workup, LFC and DCIA flaps were harvested in all patients and used in a sequential chimeric design for the reconstruction of the mandibular body and condylar head and neck. Results: Follow-up from at least 24 months up to 70 month after surgery showed a successful reconstruction in all four patients. The LFC provided a cartilaginous joint surface, allowing for a satisfactory masticatory function with a stable occlusion and unrestricted mouth opening and preserved or regained lateral and medial excursions in all patients. The DCIA allowed for a bony reconstruction anatomically resembling a non-atrophied mandibular body. No flap-related complications were observed. Conclusions: The sequential chimeric LFC and DCIA flap is an appropriate method for reconstructing up to half of the mandible and the condylar head and neck. It is suitable in cases where alloplastic joint replacement cannot be used or where other methods have failed. Due to the necessity of harvesting two flaps, the burden of care is increased, and a careful indication is required. The technique is reserved for maxillofacial surgeons who have already gained significant experience in the field of microsurgery. Full article

Many drone platforms have matured to become nearly optimal flying machines with only modest improvements in efficiency possible. “Chimera” craft combine fixed wing and rotary wing characteristics while being substantially less efficient than both. The increasing presence of chimeras suggests that their mix of vertical takeoff, hover, and more efficient cruise is invaluable to many end users. We discuss the opportunity for flapping wing drones inspired by large insects to perform these mixed missions. Dragonflies particularly are capable of efficiency in all modes of flight. We will explore the fundamental principles of dragonfly flight to allow for a comparison between proposed flapping wing technological solutions and a flapping wing organism. We chart one approach to achieving the next step in drone technology through systems theory and an appreciation of how biomimetics can be applied. New findings in dynamics of flapping, practical actuation technology, wing design, and flight control are presented and connected. We show that a theoretical understanding of flight systems and an appreciation of the detail of biological implementations may be key to achieving an outcome that matches the performance of natural systems. We assert that an optimal flapping wing drone, capable of efficiency in all modes of flight with high performance upon demand, might look somewhat like an abstract dragonfly. Full article