Operative field temperature during transnasal endoscopic cranial base procedures

Background

Data regarding the safety of endoscopic skull base exploration are very scarce. With this method, fragile vital structures (cranial nerves, the optic complex, brainstem, hypothalamus or cerebral ventricles) are exposed to direct illumination within a closed space. Also, high-speed drills, cauterization and ultrasonic aspiration deliver a significant load of thermal energy. The aim of this study was to record the temperature close to the structures of the skull base and in the intradural space during the procedures performed using extended endoscopic transnasal approaches.

Methods

The temperature of the skull base was continuously recorded during six transnasal endoscopic procedures. Implantable copper-constantan thermocouples were inserted: one into the esophagus and another through the nostril to reach the operative field at the skull base.

Results

At the beginning of the procedure, the temperature of the operative field was on average 36.8 °C?±?0.80 °C, i.e. only 1 °C higher than the esophageal temperature. Then it grew continuously during the whole procedure, to eventually reach a level of 42–43 °C at the final stage, whereas the esophageal temperature remained stable. Occasionally, the temperature increased up to 45 °C during cauterization and ultrasonic aspiration, and even up to 62 °C during high-speed drilling.

Conclusion

Endoscopic skull base surgery is associated with an incessant increase of the temperature of the intraoperative field. The temperature can peak suddenly to levels which can potentially harm neural structures and influence the rate of postoperative complications.     

New Acceptor–Donor–Acceptor Systems Based on Bis-(Imino-1,8-Naphthalimide)

In this paper, six novel symmetrical bis-(imino-1,8-naphthalimides) differing in core and N-substituent structure were synthesized, and their thermal (TGA, DSC), optical (UV-Vis, PL), electrochemical (DPV, CV) properties were evaluated. The compounds were stable to 280 °C and could be transferred into amorphous materials. Electrochemical investigations showed their ability to occur reductions and oxidations processes. They exhibited deep LUMO levels of about −3.22 eV and HOMO levels above −5.80 eV. The optical investigations were carried out in the solutions (polar and non-polar) and in films and blends with PVK:PBD. Bis-(imino-1,8-naphthalimides) absorbed electromagnetic radiation in the range of 243–415 nm and emitted light from blue to yellow. Their capacity for light emission under voltage was preliminarily tested in devices with an active layer consisting of a neat compound and a blend with PVK:PBD. The diodes emitted green or red light.     

Propolis and Organosilanes as Innovative Hybrid Modifiers in Wood-Based Polymer Composites

The article presents characteristics of wood/polypropylene composites, where the wood was treated with propolis extract (EEP) and innovative propolis-silane formulations. Special interest in propolis for wood impregnation is due to its antimicrobial properties. One propolis-silane formulation (EEP-TEOS/VTMOS) consisted of EEP, tetraethyl orthosilicate (TEOS), and vinyltrimethoxysilane (VTMOS), while the other (EEP-TEOS/OTEOS) contained EEP, tetraethyl orthosilicate (TEOS), and octyltriethoxysilane (OTEOS). The treated wood fillers were characterized by Fourier transform infrared spectroscopy (FTIR), atomic absorption spectrometry (AAS), and X-ray diffraction (XRD), while the composites were investigated using differential scanning calorimetry (DSC), X-ray diffraction (XRD), and optical microscopy. The wood treated with EEP and propolis-silane formulations showed resistance against moulds, including Aspergillus niger, Chaetomium globosum, and Trichoderma viride. The chemical analyses confirmed presence of silanes and constituents of propolis in wood structure. In addition, treatment of wood with the propolis-silane formulations produced significant changes in nucleating abilities of wood in the polypropylene matrix, which was confirmed by an increase in crystallization temperature and crystal conversion, as well as a decrease in half-time of crystallization parameters compared to the untreated polymer matrix. In all the composites, the formation of a transcrystalline layer was observed, with the greatest rate recorded for the composite with the filler treated with EEP-TEOS/OTEOS. Moreover, impregnation of wood with propolis-silane formulations resulted in a considerable improvement of strength properties in the produced composites. A dependence was found between changes in the polymorphic structures of the polypropylene matrix and strength properties of composite materials. It needs to be stressed that to date literature sources have not reported on treatment of wood fillers using bifunctional modifiers providing a simultaneous effect of compatibility in the polymer-filler system or any protective effect against fungi.     

Corrosion Resistance of the CpTi G2 Cellular Lattice with TPMS Architecture for Gas Diffusion Electrodes

The corrosion of materials used in the design of metal-air batteries may shorten their cycle life. Therefore, metal-based materials with enhanced electrochemical stability have attracted much attention. The purpose of this work was to determine the corrosion resistance of commercially pure titanium Grade 2 (CpTi G2) cellular lattice with the triply periodic minimal surfaces (TPMS) architecture of G80, D80, I-2Y80 in 0.1 M KOH solution saturated with oxygen at 25 °C. To produce CpTi G2 cellular lattices, selective laser melting technology was used which allowed us to obtain 3D cellular lattice structures with a controlled total porosity of 80%. For comparison, the bulk electrode was also investigated. SEM examination and statistical analysis of the surface topography maps of the CpTi G2 cellular lattices with the TPMS architecture revealed much more complex surface morphology compared to the bulk CpTi SLM. Corrosion resistance tests of the obtained materials were conducted using open circuit potential method, Tafel curves, anodic polarization curves, and electrochemical impedance spectroscopy. The highest corrosion resistance and the lowest material consumption per year were revealed for the CpTi G2 cellular lattice with TPMS architecture of G80, which can be proposed as promising material with increased corrosion resistance for gas diffusion in alkaline metal-air batteries.     

Influence of Modified Epoxy Resins on Peroxide Curing,Mechanical Properties and Adhesion of SBR,NBR and XNBR to Silver Wires—Part II: Application of Carboxy-Containing Peroxy Oligomer (CPO)

This research was aimed at verifying the effect of carboxy-containing peroxy oligomer (CPO) addition on the possibility of rubber crosslinking and a subsequent adhesion of the modified rubber to silver wires. Three commonly industrially used rubbers were selected for the study: styrene–butadiene rubber (SBR), acrylonitrile–butadiene rubber (NBR) and carboxylated acrylonitrile–butadiene rubber (XNBR), together with carboxy-containing peroxy oligomer (CPO). An improvement in the adhesion of rubbers to silver wires was observed when applying the oligomeric peroxide with functional groups, with no deterioration of mechanical properties of the vulcanizates. Crosslinking synergy between dicumyl peroxide (DCP) and the modifier could hardly be observed. Nevertheless, the studies demonstrated, that to a small extent, even the CPO itself can crosslink NBR and especially XNBR, resulting in a material of notable elasticity and adhesion to silver wires.     

The location of the fetal ears: A hint for prenatal diagnosis of agnathia-otocephaly complex

Otocephaly is an extremely rare lethal congenital anomaly characterized by the absence or underdevelopment of the mandible. The clinical presentation is variable. Some cases may present with severe micrognathia as the only anomaly seen prenatally. The key to early diagnosis is careful assessment of the location of the fetal ears on 2D ultrasound examination.