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Sample records for orbital wall fracture

  1. Orbital Fracture: Significance of lateral wall

    PubMed Central

    Alsuhaibani, Adel H.

    2010-01-01

    The lateral orbital wall is the strongest among other orbital walls. However, it is commonly fractured in the setting of severe facial trauma. The fracture usually occurs at the sphenozygomatic suture line. In general, patients with lateral wall fractures are commonly young male who may present with mid facial swelling and some degree of deformity. In some cases, lateral orbital wall fracture may be associated with visual loss or change in mental status due to associated intracranial injury. Imaging studies with computed tomography is important in the proper diagnosis and planning of the surgical intervention. Management of intracranial or eye injuries should be undertaken on emergent basis. Thereafter, significantly displaced lateral wall fractures need to be repaired on timely basis. Proper realignment of the plane of the lateral orbital wall at the sphenozygomatic suture along with the other complex articulations of the zygomatic bone is necessary for proper functional and aesthetic outcome. PMID:23960875

  2. Direct oblique sagittal CT of orbital wall fractures

    SciTech Connect

    Ball, J.B. Jr.

    1987-03-01

    Direct oblique sagittal CT was used to evaluate trauma to 77 orbits. Sixty-seven orbital wall fractures with intact orbital rims (36 floor, 22 medial wall, nine roof) were identified in 47 orbits. Since persistent diplopia and/or enophthalmos may warrant surgical repair of orbital floor fractures, optimal imaging should include an evaluation of extraocular muscle status, the nature and amount of displaced orbital contents, and an accurate definition of fracture margins. For orbital floor fractures, a combination of the direct oblique sagittal and direct coronal projections optimally displayed all fracture margins, the fracture's relationship to the inferior orbital rim and medial orbital wall, and the amount of displacement into the maxillary sinus. Inferior rectus muscle status with 36 floor fractures was best seen on the direct oblique sagittal projection in 30 fractures (83.3%) and was equally well seen on sagittal and coronal projections in two fractures (5.5%). Floor fractures were missed on 100% of axial, 5.5% of sagittal, and 0% of coronal projections. Since the direct oblique sagittal projection complements the direct coronal projection in evaluating orbital floor fractures, it should not be performed alone. A technical approach to the CT evaluation or orbital wall fractures is presented.

  3. Orbital Wall Restoring Surgery for Inferomedial Blowout Fracture.

    PubMed

    Lim, Nam Kyu; Kang, Dong Hee; Oh, Sang Ah; Gu, Ja Hea

    2015-11-01

    Repairing a large inferomedial blowout fracture remains a challenge to orbital surgeon. The authors restored the fracture using combined transnasal and transorbital approaches using support of both paranasal sinuses. The authors compared surgical results of this novel method with those of the traditional procedure. Of 106 inferomedial blowout fracture patients who underwent surgical treatment between March 2007 and July 2013, 50 patients were selected in our study: 25 patients underwent the traditional procedure as controls, and the other 25 patients underwent orbital wall restoring surgery by our combined approach. Outcomes were evaluated in terms of the orbital volume ratio (OVR) and changes in Hertel scale. The OVR in the experimental group (7.19%) decreased more significantly than in the control group (2.71%) (P < 0.05). In conclusion, the orbit was restored more successfully following orbital wall restoring surgery with dual support than by using the traditional inferomedial blowout fracture procedure. PMID:26595000

  4. Orbital Wall Restoring Surgery in Pure Blowout Fractures

    PubMed Central

    Lim, Nam Kyu; Oh, Sang Ah; Gu, Ja Hea

    2014-01-01

    Background Restoring orbital volume in large blowout fractures is still a technically challenge to the orbital surgeon. In this study, we restored the orbital wall using the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses, and we compared the surgical outcome to that of a conventional transorbital method. Methods A retrospective review of all patients with pure unilateral blowout fractures between March 2007 and March 2013 was conducted. 150 patients were classified into two groups according to the surgical method: conventional transorbital method (group A, 75 patients, control group), and the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses (group B, 75 patients, experimental group). Each group was subdivided depending on fracture location: group I (inferior wall), group IM (inferomedial wall), and group M (medial wall). The surgical results were assessed by the Hertel scale and a comparison of preoperative and postoperative orbital volume ratio (OVR) values. Results In the volumetric analysis, the OVR decreased more by the experimental groups than each corresponding control groups (P<0.05). Upon ophthalmic examination, neither the differences among the groups in the perioperative Hertel scale nor the preoperative and postoperative Hertel scales were statistically significant (P>0.05). Conclusions Our surgical results suggest that orbital volume was more effectively restored by the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses than the conventional method, regardless of the type of fracture. PMID:25396181

  5. Precaruncular approach for the reconstruction of medial orbital wall fractures.

    PubMed

    You, Hi-Jin; Kim, Deok-Woo; Dhong, Eun-Sang; Yoon, Eul-Sik

    2014-01-01

    To reconstruct medial orbital wall fractures with a clear, least dissection, an alternative method, precaruncular approach, has been performed. We reviewed 36 patients with medial blowout fractures treated with this technique. The incision was made between the caruncle and medial canthal skin at the mucocutaneous junction, and was continued along the conjunctival fornix superiorly and inferiorly. An extended conjunctival incision was carried for additional access to the orbit floor. The dissection continued medially and proceeded along the preseptal plane. The clinical results were assessed by postoperative computed tomographic scan and by reviewing postoperative complications. Postoperatively, computed tomographic scans demonstrated adequate reduction of soft tissues and correct positioning of the inserted implant without surgical complications. In most cases, the edema resolved within 24 to 48 hours after surgery. The precaruncular approach is a good option in reconstructing medial orbital wall fractures because it provides satisfactory exposure with superior cosmetic result. PMID:23241800

  6. Considerations for the Management of Medial Orbital Wall Blowout Fracture

    PubMed Central

    Park, Youngsoo; Chung, Kyu Jin

    2016-01-01

    Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, transcutaneous, and transnasal endoscopic approaches are discussed. Reconstruction methods including onlay covering, inlay implantation, and repositioning methods are also discussed. Consideration and understanding of these should lead to more optimal outcomes. PMID:27218019

  7. Considerations for the Management of Medial Orbital Wall Blowout Fracture.

    PubMed

    Kim, Yong-Ha; Park, Youngsoo; Chung, Kyu Jin

    2016-05-01

    Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, transcutaneous, and transnasal endoscopic approaches are discussed. Reconstruction methods including onlay covering, inlay implantation, and repositioning methods are also discussed. Consideration and understanding of these should lead to more optimal outcomes. PMID:27218019

  8. Transcaruncular Approach for Treatment of Medial Wall and Large Orbital Blowout Fractures.

    PubMed

    Nguyen, Dennis C; Shahzad, Farooq; Snyder-Warwick, Alison; Patel, Kamlesh B; Woo, Albert S

    2016-03-01

    We evaluate the safety and efficacy of the transcaruncular approach for reconstruction of medial orbital wall fractures and the combined transcaruncular-transconjunctival approach for reconstruction of large orbital defects involving the medial wall and floor. A retrospective review of the clinical and radiographic data of patients who underwent either a transcaruncular or a combined transcaruncular-transconjunctival approach by a single surgeon for orbital fractures between June 2007 and June 2013 was undertaken. Seven patients with isolated medial wall fractures underwent a transcaruncular approach, and nine patients with combined medial wall and floor fractures underwent a transcaruncular-transconjunctival approach with a lateral canthotomy. Reconstruction was performed using a porous polyethylene implant. All patients with isolated medial wall fractures presented with enophthalmos. In the combined medial wall and floor group, five out of eight patients had enophthalmos with two also demonstrating hypoglobus. The size of the medial wall defect on preoperative computed tomography (CT) scan ranged from 2.6 to 4.6 cm(2); the defect size of combined medial wall and floor fractures was 4.5 to 12.7 cm(2). Of the 11 patients in whom postoperative CT scans were obtained, all were noted to have acceptable placement of the implant. All patients had correction of enophthalmos and hypoglobus. One complication was noted, with a retrobulbar hematoma having developed 2 days postoperatively. The transcaruncular approach is a safe and effective method for reconstruction of medial orbital floor fractures. Even large fractures involving the orbital medial wall and floor can be adequately exposed and reconstructed with a combined transcaruncular-transconjunctival-lateral canthotomy approach. The level of evidence of this study is IV (case series with pre/posttest). PMID:26889348

  9. Endoscopic endonasal versus transfacial approach for blowout fractures of the medial orbital wall.

    PubMed

    Pagnoni, Mario; Giovannetti, Filippo; Amodeo, Giulia; Priore, Paolo; Iannetti, Giorgio

    2015-05-01

    In the last decades, the introduction of computed tomography has allowed an increase in the number of diagnosed fractures of the medial orbital wall. To repair medial wall fractures, many surgical techniques have been proposed (1), each one with its advantages and disadvantages. In this study, we compared endoscopic endonasal and transcutaneous reduction approaches in terms of surgery time and clinical outcome. Between 2001 and 2005, 81 patients with orbital wall fractures were treated at our department. Among these 81 patients, 24 (29.63%) were affected by a medial orbital fracture. Patients with fracture to both floor and medial walls underwent floor reduction by a transcutaneous subpalpebral approach (n = 9, 11.1%), whereas patients with isolated medial wall fracture underwent medial wall reduction by a transcutaneous subpalpebral approach using alloplastic implants (n = 8, 9.88%) or were treated by endoscopic approach (n = 5, 6.17%). After surgery, oculomotor function improved in all 22 patients. None of the patients had complications. Computed tomography revealed a well-consolidated site of fracture in both endoscopic endonasal and transcutaneous approaches. The average operating time for endoscopic endonasal and transfacial approach was 50 and 45 minutes, respectively. In this paper, the author proposed a results comparison between the endoscopic approach and the transcutaneous one. PMID:25974823

  10. A case of acquired Brown syndrome after surgical repair of a medial orbital wall fracture.

    PubMed

    Seo, Il-Hun; Rhim, Jay-Won; Suh, Young-Woo; Cho, Yoonae A

    2010-02-01

    A case of acquired Brown syndrome caused by surgical repair of medial orbital wall fracture is reported in the present paper. A 23-year-old man presented at the hospital with right periorbital trauma. Although the patient did not complain of any diplopia, the imaging study revealed a blow-out fracture of the medial orbital wall. Surgical repair with a calvarial bone autograft was performed at the department of plastic surgery. The patient was referred to the ophthalmologic department due to diplopia that newly developed after surgery. The prism cover test at distant fixation showed hypotropia of the right eye, which was 4 prism diopters (PD) in primary gaze, 20 PD in left gaze, while orthophoric in right gaze. Eye movement of the right eye was markedly limited on elevation in adduction with normal elevation in abduction with intorsion in the right eye present. Forced duction test of the right eye showed restricted elevation in adduction. Computerized tomography scan of the orbits showed the right superior oblique muscle was entrapped between the autografted bone fragment and posterior margin of the fracture. When repairing medial orbital wall fracture that causes Brown syndrome, surgeons should always be careful of entrapment of the superior oblique muscle if the implant is inserted without identifying the superior and posterior margin of the orbital fracture site. PMID:20157416

  11. Retrocaruncular Approach for the Repair of Medial Orbital Wall Fractures: An Anatomical and Clinical Study

    PubMed Central

    Shen, Yun-Dun; Paskowitz, Daniel; Merbs, Shannath L.; Grant, Michael P.

    2014-01-01

    The aim of this article is to investigate a retrocaruncular approach for repairing medial orbital wall fractures. A total of 10 fresh cadaver orbits were dissected to investigate a transconjunctival approach to the orbit posterior to the caruncle. Medical records of consecutive patients with medial orbital wall fractures repaired via a retrocaruncular incision at Wilmer Eye Institute over a 10-year period were retrospectively reviewed. The study was approved by the Johns Hopkins Medical Institution's Institutional Review Board. Feasibility of this approach was clearly demonstrated on all cadavers. Horner muscle was observed to be directly attached to the caruncle and remained undisturbed throughout the retrocaruncular approach. For each of the 174 patients reviewed, this approach allowed successful access to the fracture and proper implant placement. The origin of the inferior oblique muscle was divided in only 19 patients. Sutures were not used for conjunctival incision closure in any patient. For 120 patients who underwent acute repair, the percentage with enophthalmos (≥ 2 mm) decreased from 34% preoperatively to 4% postoperatively; extraocular motility deficit decreased from 41 to 11%. Postoperative complications included recurrence of the preexisting retrobulbar hemorrhage, conjunctival granuloma, and temporary torsional diplopia, each in one patient. The retrocaruncular transconjunctival incision is an effective and safe approach for repairing medial orbital wall fractures with minimal complications. The retrocaruncular incision offers advantages over dividing the caruncle because Horner muscle is left undisturbed, and the incision heals well without suturing. PMID:26000079

  12. Endoscopic orbital decompression of an isolated medial orbital wall fracture: a case report.

    PubMed

    Gultekin, Erdogan; Ciftci, Zafer; Develioglu, Omer N; Celik, Oner; Yener, Murat; Kulekci, Mehmet

    2011-12-01

    Motor vehicle and bicycle accidents are the most common causes of blunt head trauma. Other common etiologies are falls, physical violence, and sports accidents. Blunt trauma toward the superior orbital rim, lateral orbital rim, frontal region, and cranium may lead to intraorbital hematoma. A fracture following the blunt head trauma may form a one-way valve, which leads to orbital emphysema and a more pronounced increase in orbital pressure. Increased tissue pressure in an enclosed space will eventually lead to an inevitable decrease in tissue perfusion. It is important to treat the patient within the first 48 hours following the trauma, which is accepted as the "critical period." In this report we present a case involving a 42-year-old man who was admitted to our clinic with left periorbital pain, edema, proptosis, and blurred vision after experiencing physical violence. The medical history and physical examination findings, along with imaging studies and a description of the endoscopic orbital decompression procedure within the first 24 hours, are reported. PMID:22180121

  13. Fixation of fractured inferior orbital wall using fibrin glue in inferior blowout fracture surgery.

    PubMed

    Jo, Eun Jun; Yang, Ho Jik; Kim, Jong Hwan

    2015-01-01

    The objectives of surgical treatment for orbital fracture are to return soft tissue to its original position as well as reduce and fix the bone fragments properly. Reduction of the orbital bone through a subciliary or conjunctival incision and reduction using a urinary balloon catheter were simultaneously performed on 53 patients between 2010 and 2013. Fibrin glue was used to attach the reduced bone fragments. These patients had less than 2 cm(2) of bone defect and showed diplopia, eye movement limitation, and enophthalmos. Diplopia, eye movement limitation, and enophthalmos were each reduced to 3/32, 2/25, and 2/48, respectively. There were no adverse effects, such as infection or hematoma, and because implants were not used, there was no possibility of its extrusion or foreign body reaction. The operation time decreased compared with when using an implant, and the bone fragments remained in a fixed position even after removing the urinary balloon catheter. Therefore, the use of fibrin glue proved to be effective in orbital floor fractures. PMID:25565237

  14. Medpor Implant Fixation Using Fibrin Glue in the Treatment of Medial Orbital Wall Fracture.

    PubMed

    Kang, Nakheon; Song, Seung Han; Kyung, Hyunwoo; Oh, Sang-Ha

    2015-06-01

    The optimal treatment modalities are determined based on the symptoms and degree of the bone defects in patients with medial orbital wall blowout fracture. Most of the patients in this series underwent implant surgery. However, there are many patients whose implants were not fixed during surgery. Therefore, some patients who had implant migration occurred had been reported. We have therefore used methods for applying fibrin glue (Tisseel, Baxter Healthcare, Norfolk, United Kingdom) for the fixation of implant. Between 2007 and 2013, a total of 168 patients underwent porous polyethylene orbital implant (Medpor) surgery with the application of Tisseel. All the patients underwent surgical treatments via a transcaruncular approach, for which the Medpor was used. Postoperative complications include 6 cases of the limitation of extraoccular movement, 10 cases of diplopia, and 7 cases of enophthalmos. However, there were no specific complications caused by Tisseel. All the patients were satisfied with the treatment outcomes. In this study, we report the usefulness of Tisseel in the fixation of the medial orbital wall fracture using the Medpor implant with a review of literatures. PMID:26080196

  15. [Isolated medial orbital wall fracture and late fronto-ethmoidal mucocele].

    PubMed

    Iinuma, T; Hirota, Y; Kase, Y; Kuriyama, J; Yamane, M; Ichimura, K; Oyama, K

    1991-12-01

    Twenty-one cases of isolated medial orbital wall fractures were reported and CT findings by coronal planes were evaluated as to the effects of fractures upon the ethmoidal cells and nasal meati. Three coronal planes, which respectively contain such structures as Agger nasi, Pars membranacea and superior meatus, were selected for the study. The extent of fracture was evaluated by dividing the medial wall into three equal portions, i.e., superior, middle and inferior. The prolapsed volume was evaluated in three classes of occupying 1/3, 2/3 and 3/3 of the ethmoid. The presence of soft tissue density was recorded at the three surfaces, upper, medial and lower, around the prolapsed orbital content. The extent of the fracture was most often seen in such cases as involving all the three divisions in 41.3%. The prolapsed volume occupying 1/3 was seen in 28, 6%, and 2/3 in 23.8%. The presence of soft tissue density was seen in 38.1% of upper surface, in 36.5% of medial, and 11.1% of lower. Summarizing the total effects of the fractures, the coronal plane containing Pars membranacea was most severely damaged followed by the plane of the superior meatus. Two rare cases of fronto-ethmoidal mucoceles, caused by the traumas of 23 and 14 years before respectively, were also included and reported. The ophthalmological prognosis was favorable in 90.5% of cases by observations extending more than 6 months. Five cases were surgically treated including two cases of mucoceles.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1779265

  16. Patient specific implants (PSI) in reconstruction of orbital floor and wall fractures.

    PubMed

    Gander, Thomas; Essig, Harald; Metzler, Philipp; Lindhorst, Daniel; Dubois, Leander; Rücker, Martin; Schumann, Paul

    2015-01-01

    Fractures of the orbital wall and floor can be challenging due to the demanding three-dimensional anatomy and limited intraoperative overview. Misfitting implants and inaccurate surgical technique may lead to visual disturbance and unaesthetic results. A new approach using individually manufactured titanium implants (KLS Martin, Group, Germany) for daily routine is presented in the current paper. Preoperative CT-scan data were processed in iPlan 3.0.5 (Brainlab, Feldkirchen, Germany) to generate a 3D-reconstruction of the affected orbit using the mirrored non-affected orbit as template and the extent of the patient specific implant (PSI) was outlined and three landmarks were positioned on the planned implant in order to allow easy control of the implant's position by intraoperative navigation. Superimposition allows the comparison of the postoperative result with the preoperative planning. Neither reoperation was indicated due to malposition of the implant and the ocular bulb nor visual impairments could be assessed. PSI allows precise reconstruction of orbital fractures by using a complete digital workflow and should be considered superior to manually bent titanium mesh implants. PMID:25465486

  17. Endoscopic transnasal approach and intraoperative navigation for the treatment of isolated blowout fractures of the medial orbital wall.

    PubMed

    Copelli, C; Manfuso, A; d'Ecclesia, A; Catanzaro, S; Cassano, L; Pederneschi, N; Tewfik Hanna, K; Cocchi, R

    2015-12-01

    The aim of this study is to describe the reduction of medial orbital wall fractures using a combination of two different techniques: the endoscopic reduction and the navigation aided reconstruction. The endoscopic approach avoids an external incision and allows the observation of the fracture site clearly. Navigation-aided reconstruction is essential to achieve precise and predictable results in orbital reconstruction. It consists in an ideal virtual reconstruction of the target area created using a mirroring tool, and superimposing and comparing the unaffected and the affected sides. This technique opens a broad spectrum of possible surgical approaches, especially in situations in which anatomical landmarks for precise positioning of bone fragments, or bone grafts, are missing. This study is the first to combine these two techniques. The study was carried out in seven patients who underwent endoscopic reduction of isolated blowout fractures of the medial orbital wall and navigation-aided reconstruction at the authors' institution. This pilot study clearly shows that a combination of the endoscopic reduction and the navigation-aided reconstruction provides functional results and great advantages in terms of anatomical preservation and postoperative morbidity. PMID:26548529

  18. A peculiar blow-out fracture of the inferior orbital wall complicated by extensive subcutaneous emphysema: A case report and review of the literature

    PubMed Central

    Rzymska-Grala, Iwona; Palczewski, Piotr; Błaż, Marcin; Zmorzyński, Michał; Gołębiowski, Marek; Wanyura, Hubert

    2012-01-01

    Summary Background: Blow-out fracture of the orbit is a common injury. However, not many cases are associated with massive subcutaneous emphysema. Even fewer cases are caused by minor trauma or are associated with barotrauma to the orbit due to sneezing, coughing, or vomiting. The authors present a case of blow-out fracture complicated by extensive subcutaneous and mediastinal emphysema that occurred without any obvious traumatic event. Case Report: A 43-year-old man presented to the Emergency Department with a painful right-sided exophthalmos that he had noticed in the morning immediately after waking up. The patient also complained of diplopia. Physical examination revealed exophthalmos and crepitations suggestive of subcutaneous emphysema. The eye movements, especially upward gaze, were impaired. CT showed blow-out fracture of the inferior orbital wall with a herniation of the orbital soft tissues into the maxillary sinus. There was an extensive subcutaneous emphysema in the head and neck going down to the mediastinum. The patient did not remember any significant trauma to the head that could explain the above mentioned findings. At surgery, an inferior orbital wall fracture with a bony defect of 3×2 centimeter was found and repaired. Conclusions: Blow-out fractures of the orbit are usually a result of a direct trauma caused by an object with a diameter exceeding the bony margins of the orbit. In 50% of cases, they are complicated by orbital emphysema and in 4% of cases by herniation of orbital soft tissues into paranasal sinuses. The occurrence of orbital emphysema without trauma is unusual. In some cases it seems to be related to barotrauma due to a rapid increase in pressure in the upper airways during sneezing, coughing, or vomiting, which very rarely leads to orbital wall fracture. Computed tomography is the most accurate method in detecting and assessing the extent of orbital wall fractures. PMID:22844312

  19. Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures

    PubMed Central

    You, Jae-Pil; Kim, Deok-Woo; Jeon, Byung-Joon; Jeong, Seong-Ho; Han, Seung-Kyu; Kim, Woo-Kyung

    2013-01-01

    Background Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial orbital wall to determine whether they are suitable for medial orbital wall reconstruction. Methods The study included 20 patients with medial orbital wall fractures who were followed up for more than 2 years postoperatively. We used absorbable mesh plates in all of the patients. We measured the following: the changes in the expanded orbital volume by comparing the preoperative and postoperative computed tomography (CT) scans and the degree of clinical enophthalmos. Results There were no major complications associated with the use of absorbable materials such as infection, migration, or extrusion of mesh plates during the long-term follow-up. The orbital volumetric changes between the preoperative and postoperative CT scans were not statistically significant. However, the expanded orbital volume was not related to the degree of clinical enophthalmos. Conclusions The reconstructed orbital wall may provide supportive scar tissue to the orbital contents even after the absorbable materials have dissolved completely. Absorbable mesh plates could be another option for the reconstruction of the medial orbital wall. PMID:24286046

  20. Three-Dimensional Pre-Bent Titanium Implant for Concomitant Orbital Floor and Medial Wall Fractures in an East Asian Population

    PubMed Central

    Lee, Kyung Min; Park, Ji Ung; Kwon, Sung Tack; Kim, Suk Wha

    2014-01-01

    Background The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population. Methods Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach with lateral canthotomy was used for the exposure of fractures. An appropriate three-dimensional preformed titanium implant was selected and inserted according to the characteristics of a given defect. Results Follow-up time ranged from 2 to 6 months (median, 4.07 months). All patients had a successful treatment outcome without any complications. Clinically significant enophthalmos was not observed after treatment. Conclusions Three-dimensional pre-bent titanium implants are appropriate for use in the East Asian population, with a high success rate of anatomic restoration of the orbital volume and prevention of enophthalmos in combined orbital floor and medial wall fracture cases. PMID:25276638

  1. Biomaterials for orbital fractures repair

    PubMed Central

    Totir, M; Ciuluvica, R; Dinu, I; Careba, I; Gradinaru, S

    2014-01-01

    The unique and complex anatomy of the orbit requires significant contouring of the implants to restore the proper anatomy. Fractures of the orbital region have an incidence of 10-25% from total facial fractures and the most common age group was the third decade of life. The majority of cases require reconstruction of the orbital floor to support the globe position and restore the shape of the orbit. The reason for this is that the bony walls are comminuted and/or bone fragments are missing. Therefore, the reconstruction of missing bone is important rather than reducing bone fragments. This can be accomplished using various materials. There is hardly any anatomic region in the human body that is so controversial in terms of appropriate material used for fracture repair: nonresorbable versus resorbable, autogenous/allogenous/xenogenous versus alloplastic material, non-prebent versus preformed (anatomical) plates, standard versus custom-made plates, nonporous versus porous material, non-coated versus coated plates. Thus, the importance of material used for reconstruction becomes more challenging for the ophthalmologist and the oral and maxillofacial surgeon. PMID:27057250

  2. Biomaterials for orbital fractures repair

    PubMed Central

    Totir, M; Ciuluvica, R; Dinu, I; Careba, I; Gradinaru, S

    2015-01-01

    The unique and complex anatomy of the orbit requires significant contouring of the implants to restore the proper anatomy. Fractures of the orbital region have an incidence of 10-25% from the total facial fractures and the most common age group was the third decade of life. The majority of cases required reconstruction of the orbital floor to support the globe position and restore the shape of the orbit. The reason for this was that the bony walls were comminuted and/ or bone fragments were missing. Therefore, the reconstruction of the missing bone was important rather than reducing the bone fragments. This could be accomplished by using various materials. There is hardly any anatomic region in the human body that is so controversial in terms of appropriate material used for fracture repair: non resorbable versus resorbable, autogenous/ allogeneic/ xenogenous versus alloplastic material, non-prebent versus preformed (anatomical) plates, standard versus custom-made plates, nonporous versus porous material, non-coated versus coated plates. Thus, the importance of the material used for reconstruction becomes more challenging for the ophthalmologist and the oral and maxillofacial surgeon. PMID:25914737

  3. Combined Orbital Floor and Medial Wall Fractures Involving the Inferomedial Strut: Repair Technique and Case Series Using Preshaped Porous Polyethylene/Titanium Implants

    PubMed Central

    Cho, Raymond I.; Davies, Brett W.

    2013-01-01

    Background Combined orbital floor and medial wall fractures can be technically challenging to repair, particularly when the inferomedial strut is involved. A surgical repair technique is described utilizing a single preshaped porous polyethylene/titanium implant to span both defects. Methods Retrospective interventional case series. Results Fracture repair was performed on 17 orbits (16 patients) between October 2009 and February 2012. Subsequent surgical revision was required in three cases (18%). Visual acuity was stable or improved in all cases. Of 7 patients with preoperative diplopia, 5 improved and 2 remained stable postoperatively, and there were no cases of new or worsened diplopia following surgery. Postoperative asymmetry in Hertel exophthalmometry averaged 1.0 mm (range 0 to 2 mm). Preoperatively, average orbital volume was 122.7% compared with control (range 109 to 147%, standard deviation [SD] 9.6), which improved to 100.3% postoperatively (range 92 to 110%, SD 5.7). The average decrease in orbital volume was 22.5% (range 10 to 54%, SD 11.4, p < 0.001). Conclusions With careful preoperative planning and meticulous surgical technique, combined orbital floor and medial wall fractures involving the inferomedial strut can be successfully repaired with a preshaped porous polyethylene/titanium implant through a transconjunctival/transcaruncular approach with inferior oblique disinsertion. PMID:24436754

  4. Blow-in fracture of the orbit.

    PubMed

    Hwang, Kun; Kim, Han Joon; Lee, Hong Sik

    2013-01-01

    We report 2 patients with blow-in fractures of the orbital floor caused by different mechanisms. In a 17-year-old boy, a sudden impact was given to the anterior maxillary wall and caused a depression fracture of a maxilla, yet the infraorbital rim remained intact. We think fragments of the orbital floor were forced into the orbit by a sudden increase in pressure in the maxillary sinus in this patient. In a 51-year-old man, the impact of a force was on the laterosuperior part of the zygoma, which pushed the zygoma medially. These 2 cases represent 2 different mechanisms of blow-in fractures of the orbital floor. PMID:24036789

  5. Safety of Silastic Sheet for Orbital Wall Reconstruction

    PubMed Central

    Moon, Seong June; Park, Bo Young; Kang, So Ra

    2014-01-01

    Background Many implants are being used for the reconstruction of orbital wall fractures. The effect of the choice of implant for the reconstruction of an orbital wall fracture on the surgical outcome is under debate. The purpose of this article is to compare the outcomes of orbital wall reconstruction of small orbital wall fractures on the basis of the implants used. Methods The authors conducted a retrospective study using electronic databases. Between March 2001 and December 2012, 461 patients with orbital wall fractures were included in this study. Among them, 431 patients in whom the fracture size was less than 300 mm2 were analyzed. The fracture size was calculated using computed tomography scans of the orbit in the sagittal and coronal images. Cases in which the fracture size was less than 300 mm2 were included in this study. Results One hundred and twenty-nine patients were treated with silastic sheets; 238 patients were treated with titanium meshes; and absorbable meshes were used in the case of 64 patients. Overall, 13 patients required revision, and the revision rate was 3.0%. The revision rate of the silastic sheet group was 5.4%. In the multivariable analysis, the revision rate of the group reconstructed with silastic sheets was highly statistically significant (P=0.043, odds ratio=3.65). However, other factors such as age, sex, fracture type, and fracture size were not significant. Conclusions Reconstruction of orbital wall fractures with silastic sheets may cause more complications than that with other materials such as titanium meshes and absorbable meshes. PMID:25075358

  6. Application of endoscopic techniques in orbital blowout fractures.

    PubMed

    Zhang, Shu; Li, Yinwei; Fan, Xianqun

    2013-09-01

    Minimally invasive surgical techniques, particularly endoscopic techniques, have revolutionized otolaryngeal surgery. Endoscopic techniques have been gradually applied in orbital surgery through the sinus inferomedial to the orbit and the orbital subperiosteal space. Endoscopic techniques help surgeons observe fractures and soft tissue of the posterior orbit to precisely place implants and protect vital structures through accurate, safe, and minimally invasive approaches. We reviewed the development of endoscopic techniques, the composition of endoscopic systems for orbital surgery, and the problems and developmental prospects of endoscopic techniques for simple orbital wall fracture repair. PMID:23794028

  7. Spontaneously reduced isolated orbital roof fracture.

    PubMed

    Itinteang, Tinte; Lambe, Gerald Francis; MacKinnon, Craig; Agir, Hakan

    2012-07-01

    We report a case of a spontaneously reduced isolated orbital roof blow-in fracture with resolution of associated diplopia and blepharoptosis highlighting the need for a low threshold for reimaging this cohort of facial fracture patients. PMID:22801127

  8. Nontraumatic orbital floor fracture after nose blowing.

    PubMed

    Sandhu, Ranjit S; Shah, Akash D

    2016-03-01

    A 40-year-old woman with no history of trauma or prior surgery presented to the emergency department with headache and left eye pain after nose blowing. Noncontrast maxillofacial computed tomography examination revealed an orbital floor fracture that ultimately required surgical repair. There are nontraumatic causes of orbital blowout fractures, and imaging should be obtained irrespective of trauma history. PMID:26973725

  9. Nontraumatic orbital floor fracture after nose blowing

    PubMed Central

    Sandhu, Ranjit S.; Shah, Akash D.

    2016-01-01

    A 40-year-old woman with no history of trauma or prior surgery presented to the emergency department with headache and left eye pain after nose blowing. Noncontrast maxillofacial computed tomography examination revealed an orbital floor fracture that ultimately required surgical repair. There are nontraumatic causes of orbital blowout fractures, and imaging should be obtained irrespective of trauma history. PMID:26973725

  10. Orbital fracture deterioration after scuba diving.

    PubMed

    Nakatani, Hiroko; Yoshioka, Nobutaka

    2009-07-01

    Sinus barotrauma is a common disease in divers. However, it is not familiar to maxillofacial surgeon. We presented orbital fracture deterioration by sinus barotrauma in scuba diving and a review of literatures. We also discussed the clinical features, the prevention, and the possible mechanism of orbital fracture deterioration after scuba diving. PMID:19625851

  11. A clinical analysis of bilateral orbital fracture.

    PubMed

    Roh, Joon Ho; Jung, Jee Woong; Chi, Mijung

    2014-03-01

    Although bilateral orbital fracture can cause serious eyeball and facial skeletal problems, few reports have been issued on the topic. We analyzed the clinical features of bilateral orbital fracture by reviewing the medical records of 147 patients and compared bilateral and unilateral fractures by reviewing the literature.Bilateral orbital fracture was most common in men aged between 50 and 59 years. A traffic accident was the leading cause of trauma, and average time between trauma and surgery was 12.2 days. Bilateral medial fracture accompanied by nasal fracture accounted for the overwhelming majority, and impure blowout fracture in at least 1 eye occurred in 69.4% of the 147 patients. Associated ocular injuries seemed to be similar for bilateral and unilateral fracture. Thirty-five patients (23.8%) had other multiple traumas affecting other than the eyes, and this significantly increased the need for surgery (P < 0.05). Of the 48 patients who underwent surgery, including 4 cases of bilateral surgery, 21 patients who had ocular motility restriction with central diplopia within 30 degrees almost completely recovered. No significant relation between the timing of surgery and improvement was found. Although unilateral surgery was performed in most cases, facial asymmetry related to enophthalmos was unclear at 6 months postoperatively.In summary, bilateral orbital fracture was found to be clinically distinguishable from unilateral fracture in several aspects. We hope these findings provide a reference guide to the approach and management of bilateral orbital fracture. PMID:24514894

  12. Orbital fractures in children: a review of outcomes.

    PubMed

    Gerber, Barbara; Kiwanuka, Paul; Dhariwal, Daljit

    2013-12-01

    The third most common facial fractures in children are fractures of the orbit, and the medial wall and floor are the commonest sites affected. The aetiology, clinical presentation, and timing of operation all differ from those of adults. If there are few or no clinical signs, but oculocardiac reflex is present, it is highly suggestive of trapdoor injury. This retrospective study includes all consecutive children (younger than 18 years) referred with confirmed fractures of the orbital floor over a 5-year period (2005-2010). A total of 24 patients were identified with a mean age of 13.5 years, and most injuries were secondary to falls. Isolated injury to the orbital floor occurred in 14 (58%); the rest involved other fractures of the orbital wall or face, or both. There were 11 trapdoor fractures (46%), and 9 open blow-out fractures (38%). Overall, nausea and vomiting occurred in 13 patients (54%); 8 of these had trapdoor fractures. Most patients had operations (22, 92%), and the mean time to operation was 4 days. Complications increased with delays to theatre. Those operated on within 1 day had fewer complications than those who had operations after 3 days. Postoperatively, diplopia (n=6/11) and restricted eye movement (n=3/11) were associated with trapdoor injury, while enophthalmos (n=1/9) and paraesthesia (n=3/9) were related to open blow-out fractures. To reduce compromised outcomes, prompt operation is warranted in all children with fractures of the orbital floor regardless of the configuration. PMID:23915493

  13. Surgical treatment of orbital floor fractures.

    PubMed

    Rankow, R M; Mignogna, F V

    1975-01-01

    Ninety patients with orbital floor fractures were treated by the Otolaryngology Service of the Columbia-Presbyterian Medical Center. Of these 90 patients, 58 were classified as coexisting and 32 as isolated. All fractures with clinical symptoms and demonstrable x-ray evidence should be explored. Despite negative findings by routine techniques, laminography may confirm fractures in all clinically suspicious cases. In this series, 100% of the patients explored had definitive fractures. A direct infraorbital approach adequately exposes the floor of the orbit. An effective and cosmetic subtarsal incision was utilized. Implants were employed when the floor could not be anatomically reapproximated or the periorbita was destroyed. PMID:1119982

  14. Natural course of orbital roof fractures.

    PubMed

    Stam, Liselotte H M; Wolvius, Eppo B; Schubert, Warren; Koudstaal, Maarten J

    2014-12-01

    The natural course of several isolated and nonisolated orbital roof fractures is reported, by showing four cases in which a "wait and see" policy was followed. All four cases showed spontaneous repositioning and stabilizing of the fracture within less than a year. This might be explained by the equilibrium between the intraorbital and intracranial pressures. PMID:25383150

  15. Management of complex orbital fractures.

    PubMed

    Bhatti, N; Kanzaria, A; Huxham-Owen, N; Bridle, C; Holmes, S

    2016-09-01

    The treatment of orbital injuries has evolved considerably over the last two decades. We describe strategies involved in the emergency management of orbital injuries, the use of imaging, preformed and customised materials for reconstruction, and endoscopic techniques. PMID:27268464

  16. Combined Orbital Fractures: Surgical Strategy of Sequential Repair

    PubMed Central

    Hur, Su Won; Kim, Sung Eun; Chung, Kyu Jin; Lee, Jun Ho; Kim, Tae Gon

    2015-01-01

    Background Reconstruction of combined orbital floor and medial wall fractures with a comminuted inferomedial strut (IMS) is challenging and requires careful practice. We present our surgical strategy and postoperative outcomes. Methods We divided 74 patients who underwent the reconstruction of the orbital floor and medial wall concomitantly into a comminuted IMS group (41 patients) and non-comminuted IMS group (33 patients). In the comminuted IMS group, we first reconstructed the floor stably and then the medial wall by using separate implant pieces. In the non-comminuted IMS group, we reconstructed the floor and the medial wall with a single large implant. Results In the follow-up of 6 to 65 months, most patients with diplopia improved in the first-week except one, who eventually improved at 1 year. All patients with an EOM limitation improved during the first month of follow-up. Enophthalmos (displacement, 2 mm) was observed in two patients. The orbit volume measured on the CT scans was statistically significantly restored in both groups. No complications related to the surgery were observed. Conclusions We recommend the reconstruction of orbit walls in the comminuted IMS group by using the following surgical strategy: usage of multiple pieces of rigid implants instead of one large implant, sequential repair first of the floor and then of the medial wall, and a focus on the reconstruction of key areas. Our strategy of step-by-step reconstruction has the benefits of easy repair, less surgical trauma, and minimal stress to the surgeon. PMID:26217562

  17. Reconstruction using 'triangular approximation' of bone grafts for orbital blowout fractures.

    PubMed

    Saiga, Atsuomi; Mitsukawa, Nobuyuki; Yamaji, Yoshihisa

    2015-10-01

    There are many orbital wall reconstruction materials that can be used in surgery for orbital blowout fractures. We consider autogenous bone grafts to have the best overall characteristics among these materials and use thinned, inner cortical tables of the ilium. A bone bender is normally used to shape the inner iliac table to match the orbital shape. Since orbital walls curve three-dimensionally, processing of bone grafts is not easy and often requires much time and effort. We applied a triangular approximation method to the processing of bone grafts. Triangular approximation is a concept used in computer graphics for polygon processing. In this method, the shape of an object is represented as combinations of polygons, mainly triangles. In this study, the inner iliac table was used as a bone graft, and cuts or scores were made to create triangular sections. These triangular sections were designed three-dimensionally so that the shape of the resulting graft approximated to the three-dimensional orbital shape. This method was used in 12 patients with orbital blowout fractures, which included orbital floor fractures, medial wall fractures, and combined inferior and medial wall fractures. In all patients, bone grafts conformed to the orbital shape and good results were obtained. This simple method uses a reasonable and easy-to-understand approach and is useful in the treatment of bone defects in orbital blowout fractures when using a hard graft material. PMID:26297418

  18. An anomalous case of an indirect orbital floor fracture.

    PubMed

    Nicolotti, Matteo; Poglio, Giuseppe; Grivetto, Fabrizio; Benech, Arnaldo

    2014-09-01

    Fractures of the orbital floor are common in facial trauma. Those that comprise only the orbital floor are called indirect fractures or pure internal orbital floor fractures. We present the case of an indirect fracture of the orbital floor after direct trauma to the back of the head caused by a bicycle accident. To the best of our knowledge this is the first time that this mechanism for such a fracture has been reported. PMID:24742591

  19. Mucocele After Orbital Fracture Repair Masquerading as Optic Neuritis.

    PubMed

    Park, Jongyeop; Kim, Jinhyun; Choi, Jinsu; Kim, Hochang

    2016-06-01

    The authors report a patient of mucocele formation after orbital wall fracture repair masquerading as optic neuritis.A 38-year-old man with a history of medial orbital wall fracture repair with an alloplastic implant 10 years previously, presented with left visual disturbance and mild ocular pain with movement of the left eye of 3-day duration, and a relative afferent papillary defect in his left eye. He reported having cold symptoms 2 weeks before presentation. His symptoms were typical of retrobulbar optic neuritis. Under suspicion of optic neuritis, computed tomography and magnetic resonance imaging were performed and revealed a large cyst in the sphenoid sinus and ethmoid sinus, just behind the alloplastic implant, that was compressing the medial rectus muscle and optic nerve of the left eye. The patient underwent endoscopic marsupialization of the cyst. Subsequent histologic examinations revealed a cyst lined with ciliated pseudostratified columnar epithelium. The patient had an uncomplicated postoperative course and the visual disturbance resolved. For patients who present solely with optic neuropathy after orbital fracture repair, it is important to be vigilant of potentially rare cause, mucocele formation. PMID:27171955

  20. Management of orbital fractures: challenges and solutions.

    PubMed

    Boyette, Jennings R; Pemberton, John D; Bonilla-Velez, Juliana

    2015-01-01

    Many specialists encounter and treat orbital fractures. The management of these fractures is often challenging due to the impact that they can have on vision. Acute treatment involves a thorough clinical examination and management of concomitant ocular injuries. The clinical and radiographic findings for each individual patient must then be analyzed for the need for surgical intervention. Deformity and vision impairment can occur from these injuries, and while surgery is intended to prevent these problems, it can also create them. Therefore, surgical approach and implant selection should be carefully considered. Accurate anatomic reconstruction requires complete assessment of fracture margins and proper implant contouring and positioning. The implementation of new technologies for implant shaping and intraoperative assessment of reconstruction will hopefully lead to improved patient outcomes. PMID:26604678

  1. Management of orbital fractures: challenges and solutions

    PubMed Central

    Boyette, Jennings R; Pemberton, John D; Bonilla-Velez, Juliana

    2015-01-01

    Many specialists encounter and treat orbital fractures. The management of these fractures is often challenging due to the impact that they can have on vision. Acute treatment involves a thorough clinical examination and management of concomitant ocular injuries. The clinical and radiographic findings for each individual patient must then be analyzed for the need for surgical intervention. Deformity and vision impairment can occur from these injuries, and while surgery is intended to prevent these problems, it can also create them. Therefore, surgical approach and implant selection should be carefully considered. Accurate anatomic reconstruction requires complete assessment of fracture margins and proper implant contouring and positioning. The implementation of new technologies for implant shaping and intraoperative assessment of reconstruction will hopefully lead to improved patient outcomes. PMID:26604678

  2. Orbital fractures due to domestic violence: an epidemiologic study.

    PubMed

    Goldberg, Stuart H.; McRill, Connie M.; Bruno, Christopher R.; Ten Have, Tom; Lehman, Erik

    2000-09-01

    Domestic violence is an important cause of orbital fractures in women. Physicians who treat patients with orbital fractures may not suspect this mechanism of injury. The purpose of this study was to assess the association between domestic violence and orbital fractures. A medical center-based case-control study with matching on age and site of admission was done. Medical center databases were searched using ICD-9 codes to identify all cases of orbital fractures encountered during a three-year period. Medical records of female patients age 13 and older were reviewed along with those of age, gender and site of admission matched controls. A stratified exact test was employed to test the association between domestic violence and orbital fracture. Among 41 adult female cases with orbital fractures treated at our medical center, three (7.3%) reported domestic violence compared to zero among the matched controls (p = 0.037). We believe that domestic violence may be under-reported in both orbital fracture cases and controls. This may result in an underestimate of the orbital fracture versus domestic violence association. Domestic violence is a serious women's health and societal problem. Domestic violence may have a variety of presentations, including illnesses and injuries. Orbital fracture is an identifiable manifestation of domestic violence. Domestic violence is more likely to be detected in adult female hospital patients with orbital fracture than in matched controls with any other diagnosis. Physicians who treat patients with orbital fractures should be familiar with this mechanism of injury. PMID:12045943

  3. Pure orbital blowout fractures reconstructed with autogenous bone grafts: functional and aesthetic outcomes.

    PubMed

    Kronig, S A J; van der Mooren, R J G; Strabbing, E M; Stam, L H M; Tan, J A S L; de Jongh, E; van der Wal, K G H; Paridaens, D; Koudstaal, M J

    2016-04-01

    The purpose of this study was to investigate the ophthalmic clinical findings following surgical reconstruction with autogenous bone grafts of pure blowout fractures. A retrospective review of 211 patients who underwent surgical repair of an orbital fracture between October 1996 and December 2013 was performed. Following data analysis, 60 patients who were followed up over a period of 1 year were included. A solitary floor fracture was present in 38 patients and a floor and a medial wall fracture in 22 patients. Comparing preoperative findings between these two groups, preoperative diplopia and enophthalmos were almost twice as frequent in the group with additional medial wall fractures: diplopia 8% and 14% and enophthalmos 18% and 55%, respectively. One year following surgery there was no diplopia present in either group. In the solitary floor fracture group, 3% still had enophthalmos. It can be concluded that at 1 year following the repair of pure orbital floor fractures using autogenous bone, good functional and aesthetic results can be obtained. In the group with both floor and medial wall fractures, no enophthalmos was found when both walls were reconstructed. When the medial wall was left unoperated, 29% of patients still suffered from enophthalmos after 1 year. PMID:26711249

  4. Evaluation of the lateral orbital approach in management of zygomatic bone fractures

    PubMed Central

    Thangavelu, K; Ganesh, N Sayee; Kumar, J Arun; Sabitha, S; Nikil

    2013-01-01

    Zygomatic maxillary fractures, also known as tripod fractures, are usually the result of a direct blow to the body of the zygoma. Tripod fracture consists of (a) zygomatic arch fracture, (b) fracture of the lateral orbital wall, and (c) fracture of the inferior orbital floor. The purpose of this study is to evaluate the functional and esthetic outcome following this lateral orbital approach in the management of zygoma fracture. This study was carried out in VMS Dental College, Salem, and in a private hospital. This study was based on the experience gained from a retrospective study of the 30 lateral orbital approaches that were used in 30 patients with fractures of the zygomatic complex, which were conducted for a period of 8 years between January 2003 and January 2011. In the retrospective study, all the 30 patients were able to open the mouth completely; eyeball movements were normal; esthetically, all patients appeared normal. There were no sinusitis or visual problems in any of the studied patients. We conclude that the lateral orbital approach is an ideal option in reduction and treatment of zygomatic bone and arch fractures. PMID:23633846

  5. Delayed Superior Orbital Fissure Syndrome After Reconstruction of Blowout Fracture.

    PubMed

    Kim, Young Joon; Choi, Woong Kyu

    2016-01-01

    The superior orbital fissure syndrome (SOFS) has been known to be a condition caused by impairment of the nerves that cross the superior orbital fissure. Traumatic SOFS is an uncommon complication which occurs usually within 48 hours after a facial injury. A 25-year-old male sustained facial trauma following an altercation. Clinical findings on presentation included swelling, ecchymosis, hyphema, subretinal hemorrhage, and mild extraocular movement limitation upon lateral gaze on his right eyelids. Facial computed tomography scan confirmed fractures of the medial walls of the right orbit and herniation of orbital soft tissue without the incarceration of medial rectus muscle. Ten days after the trauma, the operation was performed. On postoperative day 16, the patient showed ptosis of the right upper eyelid with a fixed pupil, and there was a hypoesthesia over the distribution of the right supraorbital and supratrochlear nerves. The authors diagnosed as a delayed SOFS and prescribed 4 mg of methylprednisolone q.i.d. for 30 days. After steroid therapy, extraocular movement limitations improved progressively. After 8 months, movement was completely restored. The authors experienced delayed SOFS on posttrauma day 27, and it was treated by steroid therapy. Surgical intervention is required when there is an evident etiology such as underlying hematoma or plate migration. If the reason is not clear like our case, steroid therapy can be considered as one of the options. Particularly, the authors should give special attention to the patient who has congenitally narrow superior orbital fissure, like Fujiwara et al suggested. PMID:26674904

  6. The Frequency of Decreased Visual Acuity in Orbital Fractures.

    PubMed

    Kim, Yeon Soo; Kim, Joo Ho; Hwang, Kun

    2015-07-01

    The aim of this systematic review is to summarize and evaluate the effect of orbital fractures (blowout fractures and nonblowout fractures) on visual acuity. In PubMed search and Scopus search, the terms "orbital fracture OR maxillofacial injury OR facial trauma OR craniofacial fracture," and "visual acuity OR functional outcome OR visual outcome OR improving document of visual acuity OR blindness OR optic nerve neuropathy" were used, which resulted in 1634 and 1152 papers, respectively. Of the 2226 titles excluding 560 duplicated titles, 227 abstracts were reviewed. Of the 227 abstracts reviewed, the authors found 56 potentially relevant full-text articles, of which 5 studies met our inclusion criteria. The odds ratio and 95% confidence intervals from each study were abstracted. The statistical analysis was performed with review manager (The Nordic Cochrane Centre). A summary of 5 studies affirmed that 43 patients among 532 orbital fractures (8.1%) had decreased visual acuity. Twelve patients among 159 blowout fractures (7.5%) had decreased visual acuity. Thirty-one patients among 373 orbital fractures other than pure blowout fractures (8.3%) had decreased visual acuity. In orbital fractures other than pure blowout fractures, the frequency of decreased visual acuity was higher than pure blowout fractures (n = 532, odds ratio, 2.23, 95% confidence interval = 1.06-4.70). Surgeons should acknowledge this with patients before surgery. PMID:26114513

  7. Mechanisms of orbital floor fractures: a clinical, experimental, and theoretical study.

    PubMed Central

    Bullock, J D; Warwar, R E; Ballal, D R; Ballal, R D

    1999-01-01

    PURPOSE: The purpose of this study was to investigate the two accepted mechanisms of the orbital blow-out fracture (the hydraulic and the buckling theories) from a clinical, experimental, and theoretical standpoint. METHODS: Clinical cases in which blow-out fractures resulted from both a pure hydraulic mechanism and a pure buckling mechanism are presented. Twenty-one intact orbital floors were obtained from human cadavers. A metal rod was dropped, experimentally, onto each specimen until a fracture was produced, and the energy required in each instance was calculated. A biomathematical model of the human bony orbit, depicted as a thin-walled truncated conical shell, was devised. Two previously published (by the National Aeronautics Space Administration) theoretical structural engineering formulas for the fracture of thin-walled truncated conical shells were used to predict the energy required to fracture the bone of the orbital floor via the hydraulic and buckling mechanisms. RESULTS: Experimentally, the mean energy required to fracture the bone of the human cadaver orbital floor directly was 78 millijoules (mj) (range, 29-127 mj). Using the engineering formula for the hydraulic theory, the predicted theoretical energy is 71 mj (range, 38-120 mj); for the buckling theory, the predicted theoretical energy is 68 mj (range, 40-106 mj). CONCLUSION: Through this study, we have experimentally determined the amount of energy required to fracture the bone of the human orbital floor directly and have provided support for each mechanism of the orbital blow-out fracture from a clinical and theoretical basis. Images FIGURE 2 FIGURE 3 FIGURE 4 FIGURE 5A FIGURE 5B FIGURE 5E FIGURE 5F PMID:10703119

  8. Mediastinal emphysema following fracture of the orbital floor

    PubMed Central

    Abdelrahman, Husham; Shunni, Adam; El-Menyar, Ayman; Ajaj, Ahmad; Afifi, Ibrahim; Zarour, Ahmad; Al-Thani, Hassan

    2014-01-01

    Pneumomediastinum (PM) is mainly an atypical finding among traumatic neck or thoracic injury patients. Moreover, PM secondary to isolated orbital floor fracture remains a rare event which is infrequently associated with severe complications such as mediastinitis, airway obstruction and pneumothorax. Herein, we report an atypical case of mediastinal emphysema consequent to orbital floor fracture along with review of the literature. PMID:24876504

  9. Antiferromagnetic Domain Wall Motion Driven by Spin-Orbit Torques.

    PubMed

    Shiino, Takayuki; Oh, Se-Hyeok; Haney, Paul M; Lee, Seo-Won; Go, Gyungchoon; Park, Byong-Guk; Lee, Kyung-Jin

    2016-08-19

    We theoretically investigate the dynamics of antiferromagnetic domain walls driven by spin-orbit torques in antiferromagnet-heavy-metal bilayers. We show that spin-orbit torques drive antiferromagnetic domain walls much faster than ferromagnetic domain walls. As the domain wall velocity approaches the maximum spin-wave group velocity, the domain wall undergoes Lorentz contraction and emits spin waves in the terahertz frequency range. The interplay between spin-orbit torques and the relativistic dynamics of antiferromagnetic domain walls leads to the efficient manipulation of antiferromagnetic spin textures and paves the way for the generation of high frequency signals from antiferromagnets. PMID:27588878

  10. Delayed Periorbital Abscess after Silicone Implant to Orbital Floor Fracture.

    PubMed

    Dedhia, Raj; Tollefson, Travis T

    2016-06-01

    There is a lack of consensus regarding preferred implant materials for orbital floor fracture reconstruction, leading to surgeon- and institution-dependent preferences. A variety of implants are used for orbital floor fracture reconstruction, each with their own complication profile. Knowledge of different implant materials is critical to identifying complications when they present. We report a delayed periorbital abscess 5 years after orbital floor reconstruction using a silicone implant. PMID:27162580

  11. Orbital Roof Fractures: A Clinically Based Classification and Treatment Algorithm.

    PubMed

    Connon, Felicity Victoria; Austin, S J B; Nastri, A L

    2015-09-01

    Orbital roof fractures are relatively uncommon in craniofacial surgery but present a management challenge due to their anatomy and potential associated injuries. Currently, neither a classification system nor treatment algorithm exists for orbital roof fractures, which this article aims to provide. This article provides a literature review and clinical experience of a tertiary trauma center in Australia. All cases admitted to the Royal Melbourne Hospital with orbital roof fractures between January 2011 and July 2013 were reviewed regarding patient characteristics, mechanism, imaging (computed tomography), and management. Forty-seven patients with orbital roof fractures were treated. Three of these were isolated cases. Forty were male and seven were female. Assault (14) and falls (13) were the most common causes of injury. Forty-two patients were treated conservatively and five had orbital roof repairs. On the basis of the literature and local experience, we propose a four-point system, with subcategories allowing for different fracture characteristics to impact management. Despite the infrequency of orbital roof fractures, their potential ophthalmological, neurological, and functional sequelae can carry a significant morbidity. As such, an algorithm for management of orbital roof fractures may help to ensure appropriate and successful management of these patients. PMID:26269727

  12. Reduction of nasal orbital fractures and simultaneous dacryocystorhinostomy.

    PubMed

    Smith, B

    1976-01-01

    A technique for restoration of structure and function in naso-orbital fractures has been described. Three case reports demonstrate a few of the final results. The case reports also indicate that many of these fractures require late definitive surgery in spite of optimal surgical treatment immediately subsequent to injury. PMID:1020097

  13. Long-term infectious complications of using porous polyethylene mesh for orbital fracture reconstruction

    PubMed Central

    Song, Xuefei; Li, Lunhao; Sun, Yiyuan; Fan, Xianqun; Li, Zhengkang

    2016-01-01

    Abstract Porous polyethylene is a widely used implants in orbital reconstruction, on which comprehensive clinical analysis, various treatments, and different prognosis according to specific classification principles on long-term complications have not been reported. To investigate the new clinical symptoms, intraoperative findings, treatments, and outcomes of complications long period after previous surgery, resulting from the use of porous polyethylene mesh for orbital fracture reconstruction. A retrospective study was conducted on 21 patients at the Department of Ophthalmology, Shanghai Ninth People's Hospital with orbital complications after orbital fracture reconstruction with porous polyethylene mesh for 4 ± 2.2 years from 2011 to 2013. These data included new clinical symptoms after previous surgery, computerized tomography data, intraoperative findings, treatments, and outcomes. Data from 21 patients were analyzed in this study. Two patients received conservative treatment, while the other 19 patients underwent surgical approaches. Classification principles for orbital complications after orbital wall defect reconstruction with porous polyethylene mesh were formulated according to patients’ new clinical symptoms, computed tomography (CT), and intraoperative findings after previous surgery. In the last follow-up, 19 patients (90.5%) were cured or improved according to our assessment principle. The follow-up ranged from 3 to 45 months (35 months in average). According to specific classification for orbital complications resulting from the use of porous polyethylene mesh for orbital fracture reconstruction, various medical treatments should be carried out, and the prognosis may be different. PMID:27336867

  14. Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture

    PubMed Central

    Park, Sang Wook; Seo, Bommie F.; Rhie, Jong Won; Ahn, Sang Tae; Oh, Deuk Young

    2015-01-01

    Purpose. Blowout fracture characterized by concurrent floor and medial wall fractures is a rare entity. We compared surgical outcomes between a single approach and a double approach in patients with orbital fracture by measuring the postoperative orbital volume. Methods. We confirmed that 21 (8.5%) of a total of 246 patients with orbital fractures had fractures of the medial wall and floor through a retrospective chart review. Of these, 10 patients underwent the single approach and the remaining 11 patients had the double approach. We performed a statistical analysis of changes between the preoperative and postoperative orbital volumes at a 6-month follow-up. Results. Compared with the contralateral, nonaffected side, the orbital volume was 115.3 (±6.09)% preoperatively and 106.5 (±6.15)% postoperatively in the single approach group and 118.2 (±11.16)% preoperatively and 108.6 (±13.96)% postoperatively in the double approach. These results indicated that there was a significant difference between the preoperative and postoperative orbital volumes in each group (P < 0.05). However there was no significant difference between the single approach and the double approach (P > 0.05). Conclusions. Our results showed that there were no significant differences in surgical outcomes between the two modalities. The treatment modality may be selected based on the surgeons' preference, as well as the fracture type. PMID:25961049

  15. Impact oscillators with homoclinic orbit tangent to the wall

    NASA Astrophysics Data System (ADS)

    Du, Zhengdong; Li, Yurong; Shen, Jun; Zhang, Weinian

    2013-02-01

    Homoclinic bifurcation for a nonlinear inverted pendulum impacting between two rigid walls under external periodic excitation is analyzed under the hypothesis that the unperturbed system has a homoclinc orbit tangent to the wall. Consequently, the impact surface cannot be chosen as the Poincaré section to measure the distance between the perturbed stable and unstable manifolds. Furthermore, compared to the case that the unperturbed homoclinic orbit intersects the wall transversally, more cases are involved as the parameters vary. Thus the analysis of the homoclinic orbit tangent to the wall is much more difficult. In this paper, by using a method of Melnikov type, we derive sufficient conditions under which the perturbed stable and unstable manifolds intersect transversally. As an application, an impact oscillator of Duffing type is studied in detail.

  16. Spontaneous Resorption of a Penetrating Orbital Bone Fracture Fragment.

    PubMed

    Campbell, Ashley A; Cunnane, Mary Elizabeth; Dunn, Gavin P; Gray, Stacy Tutt; Lefebvre, Daniel R

    2015-01-01

    The authors describe a 20-year-old man who sustained multiple facial fractures in a high-speed motor vehicle crash, including a bone fragment from a skull base fracture that penetrated the orbital soft tissues superomedially. Serial CT scans documented spontaneous resorption over a 6-month period. While it is known that autologous bone grafts used in craniofacial reconstruction exhibit variable amounts of bone resorption, the complete resorption of an intraorbital fracture fragment has not been documented in the literature. His clinical care and the report of his case were undertaken in a fashion in accordance with the principles of the Health Insurance Portability and Accountability Act regulations. PMID:24833452

  17. Bifurcating Particle Swarms in Smooth-Walled Fractures

    NASA Astrophysics Data System (ADS)

    Pyrak-Nolte, L. J.; Sun, H.

    2010-12-01

    Particle swarms can occur naturally or from industrial processes where small liquid drops containing thousands to millions of micron-size to colloidal-size particles are released over time from seepage or leaks into fractured rock. The behavior of these particle swarms as they fall under gravity are affected by particle interactions as well as interactions with the walls of the fractures. In this paper, we present experimental results on the effect of fractures on the cohesiveness of the swarm and the formation of bifurcation structures as they fall under gravity and interact with the fracture walls. A transparent cubic sample (100 mm x 100 mm x 100 mm) containing a synthetic fracture with uniform aperture distributions was optically imaged to quantify the effect of confinement within fractures on particle swarm formation, swarm velocity, and swarm geometry. A fracture with a uniform aperture distribution was fabricated from two polished rectangular prisms of acrylic. A series of experiments were performed to determine how swarm movement and geometry are affected as the walls of the fracture are brought closer together from 50 mm to 1 mm. During the experiments, the fracture was fully saturated with water. We created the swarms using two different particle sizes in dilute suspension (~ 1.0% by mass). The particles were 3 micron diameter fluorescent polymer beads and 25 micron diameter soda-lime glass beads. Experiments were performed using swarms that ranged in size from 5 µl to 60 µl. The swarm behavior was imaged using an optical fluorescent imaging system composed of a CCD camera illuminated by a 100 mW diode-pumped doubled YAG laser. As a swarm falls in an open-tank of water, it forms a torroidal shape that is stable as long as no ambient or background currents exist in the water tank. When a swarm is released into a fracture with an aperture less than 5 mm, the swarm forms the torroidal shape but it is distorted because of the presence of the walls. The

  18. Transantral Orbital Floor Fracture Repair Using a Folded Silastic Tube

    PubMed Central

    Kim, Joo Yeon; Choi, Gwan

    2015-01-01

    Objectives The purpose of this study was to evaluate the advantages and limitations of using a silicon tube to support the fractured orbital floor by a transantral approach. Methods A retrospective study was conducted from January 2000 to December. 2011 in 51 patients with pure orbital floor fractures. The patients underwent reduction surgery via a transantral approach for inserting a folded silastic tube to support the fractured orbital floor in the maxillary sinus. A chart review of preoperative and postoperative ocular symptoms, operation records, and complications was maintained. Results In 18 out of 25 patients with diplopia, postoperative improvement was seen. In 13 out of 15 patients with extraocular muscle limitation, postoperative improvement was seen. Enophthalmos resolved postoperatively in four of five patients. Postsurgical complications occurred in three patients: an overcorrection, an infection in the maxillary sinus, and an implant extrusion, all of which were resolved by revision surgeries. Conclusion During the course of the study, we sensed reduction using a folded silastic tube via a transantral approach as an easy and effective technique with good postoperative results, and minimal implant related complications. This novel procedure is recommended as a surgical option for the reduction of orbital floor fractures. PMID:26330920

  19. Water infiltration and intermittent flow in rough-walled fractures

    SciTech Connect

    Su, G.

    1995-05-01

    Flow visualization experiments were conducted in transparent replicas of natural rough-walled fractures. The fracture was inclined to observe the interplay between capillary and gravity forces. Water was introduced into the fracture by a capillary siphon. Preferential flow paths were observed, where intermittent flow frequently occurred. The water infiltration experiments suggest that intermittent flow in fractures appears to be the rule rather than the exception. In order to investigate the mechanism causing intermittent flow in fractures, parallel plates with different apertures were assembled using lucite and glass. A medium-coarse-fine pore structure is believed to cause the intermittency in flow. Intermittent flow was successfully produced in the parallel plate experiments using the lucite plates. After several trials, intermittent flow was also produced in the glass plates.

  20. Orbital wall infarction in child with sickle cell disease.

    PubMed

    Janssens, C; Claeys, L; Maes, P; Boiy, T; Wojciechowski, M

    2015-12-01

    We present the case of a 17-year-old boy, known with homozygous sickle cell disease, who was admitted because of generalised pain. He developed bilateral periorbital oedema and proptosis, without pain or visual disturbances. In addition to hyperhydration, oxygen and analgesia IV antibiotics were started, to cover a possible osteomyelitis. Patients with sickle cell disease are at risk for vaso-occlusive crises, when the abnormally shaped red blood cells aggregate and block the capillaries. Such a crisis typically presents at a location with high bone marrow activity, as the vertebrae and long bones. At an early age, the bone marrow is still active at other sites, for example the orbital wall, and thus infarction can also occur there. Thus, in young persons with sickle cell disease, it is important to consider orbital wall infarction in the differential diagnosis, since the approach is different from osteomyelitis. If the disease is complicated by an orbital compression syndrome, corticosteroids or surgical intervention may be necessary to preserve the vision. In our patient, an MRI of the orbitae demonstrated periorbital oedema with bone anomalies in the orbital and frontal bones, confirming orbital wall infarction. Ophthalmological examination revealed no signs of pressure on the nervus opticus. The patient recovered gradually with conservative treatment. PMID:26790559

  1. Materials used for reconstruction after orbital floor fracture.

    PubMed

    Avashia, Yash J; Sastry, Ananth; Fan, Kenneth L; Mir, Haaris S; Thaller, Seth R

    2012-11-01

    Advances in biotechnology continue to introduce new materials for reconstruction of orbital floor fractures. Which material is best fit for orbital floor reconstruction has been a controversial topic. Individual surgeon preferences have been supported by inconsistent inconclusive data. The purpose of this study was to assess and analyze published evidence supporting various materials used for orbital floor reconstruction and to develop a decision-making algorithm for clinical application. A systematic literature review was performed from which 48 studies were selected after primary and secondary screening based on set inclusion and exclusion criteria. This cumulatively included 3475 separate orbital floor reconstructions. Results revealed risk and benefit profiles for all materials. Autologous calvarial bone grafts, porous polyethylene, and polydioxanone (PDS) were most widely used for orbital floor reconstruction. Increased infection rates were reported with polyglactin 910/PDS composites and silastic rubber. Ocular motility was reduced most with lyophilized dura and PDS. Preoperative and postoperative rates for diplopia and enophthalmos varied among the materials. In conclusion, our results revealed continued inadequate evidence to exclusively support the use of any one biomaterial/implant for orbital floor reconstruction. Results have served to create a decision-making algorithm for clinical application. Our authors propose certain parameters for future studies seeking to demonstrate a comparison between 2 or more materials for orbital floor reconstruction. PMID:23154365

  2. Orbital fractures: a new classification and staging of 190 patients.

    PubMed

    Carinci, Francesco; Zollino, Ilaria; Brunelli, Giorgio; Cenzi, Roberto

    2006-11-01

    The orbit is located in the middle third of the face, composed of several bones and surrounded by complex anatomic structures so that orbital fractures (OF) often involve other parts of the face. A staging system for classifying OF is of paramount importance in order to exchange information between trauma centers. Several classifications have been proposed for describing OF but they have not a single method applicable to the whole orbit. Here, a classification for OF that can be summarized with four abbreviations is proposed. Four letters define the localization (F = frontal, N = nasal, M = maxillary and Z = zygomatic bone fracture), two acronyms describe fragment shift (in = blow-in or out = blow-out), four numbers define ocular movement impairment (1 = superior, 2 = internal, 3 = inferior, and 4 = external extrinsic muscular deficit) and two acronyms describe eye position (EX = exophthalmos and ENO = enophthalmos). To evaluate the suitability of the proposed classification a retrospective study on a series of 190 OFs is performed. Age, gender, new stage, clinical diagnosis at admission, type of surgery, and need for graft for orbital reconstruction are considered. A good correlation between the proposed classification and the studied variables is detected. In conclusion, the proposed classification is a simply and precise method to stage OF. It can summarize OF and be used in the daily practice. However, it is our belief that a multi-center study should be performed before the effectiveness of the proposed classification can be clearly stated. PMID:17119402

  3. Boiling radial flow in fractures of varying wall porosity

    SciTech Connect

    Barnitt, Robb Allan

    2000-06-01

    The focus of this report is the coupling of conductive heat transfer and boiling convective heat transfer, with boiling flow in a rock fracture. A series of experiments observed differences in boiling regimes and behavior, and attempted to quantify a boiling convection coefficient. The experimental study involved boiling radial flow in a simulated fracture, bounded by a variety of materials. Nonporous and impermeable aluminum, highly porous and permeable Berea sandstone, and minimally porous and permeable graywacke from The Geysers geothermal field. On nonporous surfaces, the heat flux was not strongly coupled to injection rate into the fracture. However, for porous surfaces, heat flux, and associated values of excess temperature and a boiling convection coefficient exhibited variation with injection rate. Nucleation was shown to occur not upon the visible surface of porous materials, but a distance below the surface, within the matrix. The depth of boiling was a function of injection rate, thermal power supplied to the fracture, and the porosity and permeability of the rock. Although matrix boiling beyond fracture wall may apply only to a finite radius around the point of injection, higher values of heat flux and a boiling convection coefficient may be realized with boiling in a porous, rather than nonporous surface bounded fracture.

  4. Lateral Orbital Wall Destruction Due to Pilonidal Sinus.

    PubMed

    Karadağ, Emine Çiğdem; Toy, Hatice; Tosun, Zekeriya

    2016-07-01

    Pilonidal sinus is a chronic inflammatory disease commonly observed in the sacrococcygeal region. The authors report a patient of a pilonidal sinus in a rare location-the lateral orbital region. The authors' patient was misdiagnosed with an epidermal cyst, and the subsequent incomplete excision of the sinus tract led a pilonidal sinus with a high morbidity resulting in the destruction of bone tissue in the lateral orbital wall. It was, therefore, crucial to accurately diagnose and treat before the infection progressed through the bone and caused osteomyelitis. PMID:27391513

  5. Biodegradable polymers: Wall slip, melt fracture, and processing aids

    NASA Astrophysics Data System (ADS)

    Othman, Norhayani; Noroozi, Nazbanoo; Jazrawi, Bashar; Mehrkhodavandi, Parisa; Schafer, Laurel; Hatzikiriakos, Savvas George

    2015-04-01

    The wall slip and melt fracture behaviour of several commercial polylactides (PLAs) and poly(ɛ-caprolactone), (PCLs) have been investigated. PLAs with molecular weights greater than a certain value were found to slip, with the slip velocity to increase with decrease of molecular weight consistent with wall slip data reported in the literature for other systems. The onset of melt fracture for the high molecular weight PLAs was found to occur at about 0.2 to 0.3 MPa, depending on the geometrical characteristics of the dies and independent of temperature. Similarly, sharkskin and gross melt fracture was observed for the case of PCLs depending on the molecular characteristics of the resins and the geometrical details of the capillary dies. It was also found that the addition of a small amount of PCL (typically 0.5 wt.%) into the PLA and vice versa is effective in eliminating and delaying the onset of melt fracture to higher shear rates in the capillary extrusion of PLA and PCL respectively. This is due to significant interfacial slip that occurs in the presence of PCL or PLA as well as to the immiscibility of the PLA/PCL blend system at all compositions.

  6. Peribulbar anesthesia for the repair of orbital floor fractures.

    PubMed

    Kezirian, G M; Hill, F D; Hill, F J

    1991-10-01

    Four patients underwent successful repair of an isolated orbital floor fracture under local anesthesia. The surgical approach was by antero-inferior orbitotomy, with placement of a Nylamid plate (S Jackson Inc, Washington, DC). The anesthetic technique used was a peribulbar and infratrochlear nerve block with local supplementation. Digital control of the globe was maintained during the peribulbar injection to prevent ocular perforation. We conclude that local anesthetic for this procedure in carefully selected cases is safe and efficacious, avoiding the morbidity of a general anesthetic. PMID:1961618

  7. Diagnosis and imaging of orbital roof fractures: a review of the current literature.

    PubMed

    Righi, Stefano; Boffano, Paolo; Guglielmi, Valeria; Rossi, Paolo; Martorina, Massimo

    2015-03-01

    Isolated adult orbital roof fractures are uncommon, and the majority of them are typically associated with extensive craniofacial, ophthalmologic, and other body injuries. It is crucial to make an appropriate diagnosis of orbital roof fracture if present. Therefore, the aim of this article was to review the current literature about diagnosis and imaging of orbital roof fracture to obtain current indications. A systematic review of articles published between January 1990 and August 2013 was performed. Early diagnosis of orbital roof fractures can reduce the incidences of intracranial and ocular complications. CT scan still plays a major role in the assessment of acute orbital trauma. Careful assessment and reporting of the CT scan findings are important. In fact, the clinicians managing the patient with acute head and facial trauma should be familiar with the common findings of CT scan in case of an orbital roof fracture. PMID:25582115

  8. Orbital blow-out fractures: correlation of preoperative computed tomography and postoperative ocular motility.

    PubMed Central

    Harris, G J; Garcia, G H; Logani, S C; Murphy, M L; Sheth, B P; Seth, A K

    1998-01-01

    BACKGROUND/PURPOSE: Although the management of orbital blow-out fractures was controversial for many years, refined imaging with computed tomography (CT) helped to narrow the poles of the debate. Many orbital surgeons currently recommend repair if fracture size portends late enophthalmos, or if diplopia has not substantially resolved within 2 weeks of the injury. While volumetric considerations have been generally well-served by this approach, ocular motility outcomes have been less than ideal. In one series, almost 50% of patients had residual diplopia 6 months after surgery. A fine network of fibrous septa that functionally unites the periosteum of the orbital floor, the inferior fibrofatty tissues, and the sheaths of the inferior rectus and oblique muscles was demonstrated by Koornneef. Entrapment between bone fragments of any of the components of this anatomic unit can limit ocular motility. Based on the pathogenesis of blow-out fractures, in which the fibrofatty-muscular complex is driven to varying degrees between bone fragments, some measure of soft tissue damage might be anticipated. Subsequent intrinsic fibrosis and contraction can tether globe movement, despite complete reduction of herniated orbital tissue from the fracture site. We postulated that the extent of this soft tissue damage might be estimated from preoperative imaging studies. METHODS: Study criteria included: retrievable coronal CT scans; fractures of the orbital floor without rim involvement, with or without extension into the medial wall; preoperative diplopia; surgical repair by a single surgeon; complete release of entrapped tissues; and postoperative ocular motility outcomes documented with binocular visual fields (BVFs). Thirty patients met all criteria. The CT scans and BVFs were assessed by different examiners among the authors. Fractures were classified into 3 general categories and 2 subtypes to reflect the severity of soft tissue damage within each category. "Trap-door" injuries

  9. Orthoptic Sequelae Following Conservative Management of Pure Blowout Orbital Fractures: Anecdotal or Clinically Relevant?

    PubMed

    Steinegger, Ken; De Haller, Raoul; Courvoisier, Delphine; Scolozzi, Paolo

    2015-07-01

    The aim of this study was to prospectively assess the prevalence of orthoptic anomalies following conservative management of pure blowout orbital fractures and to evaluate their clinical relevance. Clinical and radiologic data of patients with unilateral conservatively managed pure blowout orbital fractures with a minimum follow-up of 6 months were reviewed. Eligible patients were contacted and invited to undergo an extended ophthalmologic examination as follows: distance and near visual acuities, Hertel exophthalmometry, corneal light reflex (Hirschberg test), ductions and versions in the 6 cardinal fields of gaze, eye deviation with prisms and alternate cover test in all of the 9-gaze directions with Maddox rod, degrees of incyclo/excyclotorsion with right and left eye fixation, horizontal and vertical deviation with Hess-Weiss coordimetry, degree of horizontal/vertical and incyclo/excyclotorsion deviation with Harms wall deviometry, and vertical deviation with Bielschowsky head-tilt test. Of the 69 patients contacted, 49 declined to participate given that they were asymptomatic. Twenty patients agreed to undergo the examination. One patient complained of minimal double vision limited to the extreme downgaze. Four patients had asymptomatic ocular motility disturbances limited to the extreme gaze. Seven patients had asymptomatic horizontal heterophoria. These disturbances did not interfere with daily or professional activities in any of the patients. The current study demonstrated that conservative management of pure orbital blowout fractures can result in orthoptic anomalies. These sequelae were restricted to a very limited portion of the binocular field of the vision and were not found to be clinically relevant. PMID:26102539

  10. Sustained chiral magnetic domain wall motion driven by spin-orbit torques under the tilted current

    NASA Astrophysics Data System (ADS)

    He, Peng-Bin; Yan, Han; Cai, Meng-Qiu; Li, Zai-Dong

    2016-06-01

    We theoretically investigate the steady magnetic domain wall driven by spin-orbit torques in the heavy-metal/magnet bilayers with perpendicular anisotropy. Based on collective coordinates method and stability analysis, we analyze the effects of tilted current and Dzyaloshinskii-Moriya interaction on the wall. We find that the wall acquires a sustained motion in the high-current regime by deviating the current from the wall track. Also, a persistent motion can be supported by the competition between spin-orbit torques and Dzyaloshinskii-Moriya interaction in transforming wall type. In the low-current regime, there exist a switching of wall chirality and a reversal of wall motion.

  11. Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note.

    PubMed

    Park, Jin Young; Chung, Woo Chull; Kim, Che Keun; Huh, Soon Ho; Kim, Se Jin; Jung, Bo Hyun

    2016-06-01

    Acetabular fractures can be treated with variable method. In this study, acetabular posterior wall fracture was treated with arthroscopic reduction and fixation using cannulated screw. The patient recovered immediately and had a satisfactory outcome. In some case of acetabular fracture could be good indication with additional advantages of joint debridement and loose body removal. So, we report our case with technical note. PMID:27536654

  12. Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note

    PubMed Central

    Park, Jin young; Kim, Che Keun; Huh, Soon Ho; Kim, Se Jin; Jung, Bo Hyun

    2016-01-01

    Acetabular fractures can be treated with variable method. In this study, acetabular posterior wall fracture was treated with arthroscopic reduction and fixation using cannulated screw. The patient recovered immediately and had a satisfactory outcome. In some case of acetabular fracture could be good indication with additional advantages of joint debridement and loose body removal. So, we report our case with technical note. PMID:27536654

  13. Hydraulic fracturing model featuring initiation beyond the wellbore wall for directional well in coal bed

    NASA Astrophysics Data System (ADS)

    Li, Yuwei; Jia, Dan; Wang, Meng; Liu, Jia; Fu, Chunkai; Yang, Xinliang; Ai, Chi

    2016-08-01

    In developing internal fracture systems in coal beds, the initiation mechanism differs greatly from that of conventional ones and initiations may be produced beyond the wellbore wall. This paper describes the features of the internal structure of coal beds and RFPA2D simulation is used to attest the possible occurrence of initiation beyond the wellbore wall in coal bed hydraulic fracturing. Using the theory of elasticity and fracture mechanics, we analyse the stress distribution in the vicinal coal rock. Then by taking into consideration the effects of the spatial relationship between coal bed cleats and the wellbore, we establish a model for calculating both tensile and shear initiation pressure that occur along cleats beyond the wellbore wall. The simulation in this paper indicates that for shear initiations that happen along coal cleats, the pressure required to initiate fracture for cleats beyond the wellbore wall is evidently lower than that on the wellbore wall, thus it is easier to initiate shear fractures for cleats beyond the wellbore wall. For tensile failure, the pressure required to initiate tensile fracture for cleats beyond the wellbore wall is obviously higher than that for cleats at the wellbore wall, thus it is easier to initiate tensile fractures for cleats at the wellbore wall. On the one hand, this paper has proved the possible occurrence of initiations beyond the wellbore wall and has changed the current assumption that hydraulic fractures can only occur at the wellbore wall. On the other hand, the established theoretical model provides a new approach to calculating the initiation pressure in hydraulic fracturing.

  14. Factors Associated with Significant Ocular Injury in Conservatively Treated Orbital Fractures

    PubMed Central

    Layton, Christopher J.

    2014-01-01

    Purpose. To determine factors associated with the presence of significant ocular injury in subjects with orbital fractures. Subjects. A consecutive prospective cohort of 161 patients presenting to a general tertiary referral hospital with orbital fractures and undergoing initial conservative treatment was identified. Subjects were assessed at time of injury for the need for emergency surgery, and those initially treated conservatively were subsequently followed up by the Ophthalmology Department to assess for ocular injury requiring ophthalmic management at 1–7 days after injury. Associations between ocular injury and age, sex, visual acuity, presence of blowout fracture, extent of orbital involvement, and presence of distant facial fractures were assessed. Results. 142 male (average age of 32 [95% CI 30–35]) and 19 female (average age of 49 [95% CI 39–59]) subjects were identified. 17 subjects were diagnosed with significant ocular injury. Ocular injury was significantly associated with LogMAR VA worse than 0.2 (OR 49 [95% CI 11–217, P < 0.0001]), but no relationship was noted for age, sex, presence of blowout fracture, extent of fractures, or presence of distal facial fractures. LogMAR visual acuity worse than or equal to 0.2 had a 98% negative predictive value for ocular injury in the setting of orbital fractures. Conclusions. Demographic and nonophthalmic fracture characteristics were not useful predictors of ocular injury in orbital fractures. LogMAR visual acuity worse than or equal to 0.2 is a highly sensitive and useful guide of the need for ophthalmic referral in subjects with orbital fractures. PMID:25580279

  15. Factors associated with significant ocular injury in conservatively treated orbital fractures.

    PubMed

    Layton, Christopher J

    2014-01-01

    Purpose. To determine factors associated with the presence of significant ocular injury in subjects with orbital fractures. Subjects. A consecutive prospective cohort of 161 patients presenting to a general tertiary referral hospital with orbital fractures and undergoing initial conservative treatment was identified. Subjects were assessed at time of injury for the need for emergency surgery, and those initially treated conservatively were subsequently followed up by the Ophthalmology Department to assess for ocular injury requiring ophthalmic management at 1-7 days after injury. Associations between ocular injury and age, sex, visual acuity, presence of blowout fracture, extent of orbital involvement, and presence of distant facial fractures were assessed. Results. 142 male (average age of 32 [95% CI 30-35]) and 19 female (average age of 49 [95% CI 39-59]) subjects were identified. 17 subjects were diagnosed with significant ocular injury. Ocular injury was significantly associated with LogMAR VA worse than 0.2 (OR 49 [95% CI 11-217, P < 0.0001]), but no relationship was noted for age, sex, presence of blowout fracture, extent of fractures, or presence of distal facial fractures. LogMAR visual acuity worse than or equal to 0.2 had a 98% negative predictive value for ocular injury in the setting of orbital fractures. Conclusions. Demographic and nonophthalmic fracture characteristics were not useful predictors of ocular injury in orbital fractures. LogMAR visual acuity worse than or equal to 0.2 is a highly sensitive and useful guide of the need for ophthalmic referral in subjects with orbital fractures. PMID:25580279

  16. Numerical simulations examining the relationship between wall-roughness and fluid flow in rock fractures

    SciTech Connect

    Crandall, Dustin; Bromhal, Grant; Karpyn, Zuleima T.

    2010-07-01

    Understanding how fracture wall-roughness affects fluid flow is important when modeling many subsurface transport problems. Computed tomography scanning provides a unique view of rock fractures, allowing the measurement of fracture wall-roughness, without destroying the initial rock sample. For this computational fluid dynamics study, we used several different methods to obtain three-dimensional meshes of a computed tomography scanned fracture in Berea sandstone. These volumetric meshes had different wall-roughnesses, which we characterized using the Joint Roughness Coefficient and the fractal dimension of the fracture profiles. We then related these macroscopic roughness parameters to the effective flow through the fractures, as determined from Navier-Stokes numerical models. Thus, we used our fracture meshes to develop relationships between the observed roughness properties of the fracture geometries and flow parameters that are of importance for modeling flow through fractures in field scale models. Fractures with high Joint Roughness Coefficients and fractal dimensions were shown to exhibit tortuous flow paths, be poorly characterized by the mean geometric aperture, and have a fracture transmissivity 35 times smaller than the smoother modeled fracture flows.

  17. Treatment of Orbital Roof Blow-Up Fracture Using a Superior Blepharoplasty Incision.

    PubMed

    Matsuzaki, Kyoichi; Enomoto, Sayaka; Aoki, Tomoko

    2015-06-01

    In orbital roof blow-up fractures, reduction can be achieved easily using an approach from the anterior cranial fossa but the procedure is highly invasive. In contrast, an orbital approach using a superior blepharoplasty incision is minimally invasive. However, if bone fragments are adhered to the dura mater, there is a risk of dura mater injury when fragments are moved for reduction. In blow-in fractures, reduction is performed by pushing the bone fragments against the anterior cranial fossa. In contrast, the procedure is difficult for blow-up fractures because bone fragments must be pulled out into the orbit through the anterior cranial fossa. Orbital blow-up fractures are often associated with intracranial injuries and frequently treated by an approach from the anterior cranial fossa. There has not yet been a report that discusses whether reduction of bone fragments should be performed in blow-up fracture without intracranial injury. In this report, we describe two cases of orbital roof blow-up fracture that did not require treatment for intracranial injury and that were treated using an orbital approach. The treatment involved only the release of orbital fat entrapped between bone fragments and did not involve reduction. The treatment outcomes were good in both cases. PMID:25836594

  18. Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture.

    PubMed

    Tomasetti, Patrick; Jacbosen, Christine; Gander, Thomas; Zemann, Wolfgang

    2013-01-01

    Orbital floor fractures are generally the result of blowout orbital and may be associated with orbital emphysema leading to proptosis and even to loss of vision. A 49-year-old woman fractured the orbital floor in a fall. After blowing her nose, she developed exophthalmos and severe reduction in vision. She consulted our department and underwent emergency surgical management with orbital drainage. Decompression led to immediate resolution of the exophthalmos and postoperative improvement in visual acuity. Urgent decompression is indicated by the presence of proptosis, elevated intraocular pressure, and progressive loss of vision in cases of orbital trauma with additional emphysema. Surgical treatment of tension emphysema includes lateral canthotomy or cantholysis, needle aspiration, transconjunctival, or lateral blepharoplasty approach, and bone decompression depending on the severity of the case. Sneezing or blowing the nose can lead to proptosis and decreased visual acuity secondary to trauma to the orbit. Under such circumstances, emergency decompression is essential. PMID:24964422

  19. Blowout fracture of the orbital floor secondary to vigorous nose blowing.

    PubMed

    Halpenny, D; Corbally, C; Torreggiani, W

    2012-01-01

    Orbital floor fracture due to vigorous nose blowing in the absence of mechanical trauma is rare, only four cases having previously been reported. In each of these cases, predisposing factors have been identified; preceding URTI in three and a history of sino-nasal surgery in the fourth case. We present the case of a 49-year-old woman who developed a maxillary sinus fracture and orbital emphysema after blowing her nose. PMID:23008887

  20. The Merits of Mannitol in the Repair of Orbital Blowout Fracture

    PubMed Central

    Shin, Kyung Jin; Lee, Dong Geun; Park, Hyun Min; Choi, Mi Young; Bae, Jin Ho

    2013-01-01

    Background One of the main concerns in orbital blowout fracture repair is a narrow operation field, due mainly to the innate complex three dimensions of the orbit; however, a deep location and extensive area of the fracture and soft tissue edema can also cause concern. Swelling of the orbital contents progresses as the operation continues. Mannitol has been used empirically in glaucoma, cerebral hemorrhage, and orbital compartment syndrome for decompression. The authors adopted mannitol for the control of intraorbital edema and pressure in orbital blowout fracture repair. Methods This prospective study included 108 consecutive patients who were treated for a pure blowout fracture from January 2007 to October 2012. For group I, mannitol was administered during the operation. Under general anesthesia, all patients underwent surgery by open reduction and insertion of an absorbable mesh implant. The authors compared postoperative complications, the reoperation rate, operation time, and surgical field improvement between the two groups. Results In patients who received intraoperative administration of mannitol, the reoperation rate and operation time were decreased; however, the difference was not statistically significant. The total postoperative complication rates did not differ. Panel assessment for the intraoperative surgical field video recordings showed significantly improved vision in group I. Conclusions For six years, mannitol proved itself an effective, reliable, and safe adjunctive drug in the repair of orbital blowout fractures. With its rapid onset and short duration of action, mannitol could be one of the best methods for obtaining a wider surgical field in blowout fracture defects. PMID:24286045

  1. "Roller coaster maneuver via lateral orbital approach" for reduction of isolated zygomatic arch fractures.

    PubMed

    Pilanci, Ozgur; Basaran, Karaca; Datli, Asli; Kuvat, Samet Vasfi

    2013-11-01

    Numerous techniques have been reported for the reduction of zygomatic arch fractures. In this article, we aimed to describe a technique we named as "roller coaster maneuver via lateral orbital approach" to closed reduction of the isolated-type zygomatic arch fractures. Surgical outcomes of 14 patients treated with this method were outlined. PMID:24220411

  2. Effect of Surface Wettability on Nonlinear Flow in a Rough-Walled Fracture

    NASA Astrophysics Data System (ADS)

    Lee, H.; Yeo, I.; Park, J.; Lee, K.

    2005-12-01

    The understanding of flow behavior in rock fractures is essential to the analysis of water flow, solute transport and DNAPL migration and remediation in rock fractures. DNAPL migration and remediation in rock fractures has been an emerging issue due to its serious contamination problem and the difficulty in dealing with DNAPL trapped in rock fractures. It has been reported that while DNAPL migrates through rock fractures, DNAPL may be trapped on rock surfaces due to variable apertures and dead-end fractures, and may also change the surface wettability of rock fractures from hydrophilic to hydrophobic. In this study, the effect of surface wettability on water flow in rock fractures has been investigated. A glass replica of a real rough-walled fracture was made, and the fracture surface was brushed with corn oil to make the fracture surface hydrophobic. The corn oil was wiped off with tissues many times, to eliminate the oil remnants on the surface. Flow tests were conducted on the oil-wet fracture surface. Then, the surface was completely washed out with the cleaning agents to make the fracture surface hydrophilic, which was confirmed through contact angle measurements. Flow tests were repeated for the water-wet fracture surface. Flow tests were also carried out for a parallel glass plate fracture over the same water- and oil-wet surface conditions as in the rough fracture. In the parallel plate fracture, the hydraulic aperture from the oil-wet surface was only two percent higher that that of the water-wet surface, which indicated that the initial aperture of the fracture might not decrease by the corn-oil coating. Both oil- and water-wet surfaces of the parallel plate showed a linear flow regime, up to Reynolds number of 400. In the case of the rough fracture, the hydraulic aperture of the oil-wet fracture surface was smaller than that of the water-wet fracture surface. For the water-wet fracture surface, the non-linear flow started at Reynolds number less than 30

  3. Visualization of Fluid Flow through in a Rough-Walled Fracture Using micro-PIV Technique

    NASA Astrophysics Data System (ADS)

    Lee, S.; Yeo, I.; Song, H.; Yoo, J.; Lee, K.

    2010-12-01

    Fluid flow in rough-walled rock fractures have been described by the cubic law and the Reynolds equation which are derived from Navier-Stokes equation. They are based on the assumption of a laminar flow, and basically state that fluid flux is proportional to cube of the aperture of the channel, which yields an ideal parabolic velocity profile across the channel. However, it has been reported that even for low Reynolds numbers (Re), there are discrepancies between analytical/numerical works and experiments. It is questioned whether these assumptions are satisfied in real rough-walled fractures even for Re<1. In order to examine those assumptions, micro-PIV (particle image velocimetry) was introduced, which allowed for direct and microscopic observation of fluid flow in rough-walled fractures. Both surfaces of a rough-walled fracture were scanned, and were then duplicated on acrylics using CNC modeling machine, which formed a rough-walled acrylic fracture with and 450 micrometer average aperture. Deionized water, mixed with 2 micrometer size of fluorescent particle, was injected into the rough-walled acrylic fracture at Re = 0.01, 0.025, 0.05, and 0.10. Velocity vectors were calculated by analyzing relative movement of particles between snap shots. Fluid flow features were primarily monitored at the five representative spots of fracture roughness. As a result, it was found that the laminar flow prevails over the fracture. For Re<1, the velocity profile was highly dependent on fracture roughness. The development of dead spots at which flow velocity was almost zero was remarkable in the regions where apertures change rapidly, which significantly reduces the channel that actually contributes to fluid flow: hydraulic aperture. Further quantitative analysis is in progress to examine whether the cubic law-based analytical solutions are effective for the quantification of fluid flow through rough-walled fractures.

  4. Successful application of endoscopic modified medial maxillectomy to orbital floor trapdoor fracture in a pediatric patient.

    PubMed

    Matsuda, Yasunori; Sakaida, Hiroshi; Kobayashi, Masayoshi; Takeuchi, Kazuhiko

    2016-10-01

    Although surgical treatment of orbital floor fractures can be performed by many different approaches, the application of endoscopic modified medial maxillectomy (EMMM) for this condition has rarely been described in the literature. We report on a case of a 7-year-old boy with a trapdoor orbital floor fracture successfully treated with the application of EMMM. The patient suffered trauma to the right orbit floor and the inferior rectus was entrapped at the orbital floor. Initially, surgical repair via endoscopic endonasal approach was attempted. However, we were unable to adequately access the orbital floor through the maxillary ostium. Therefore, an alternative route of access to the orbital floor was established by EMMM. With sufficient visualization and operating space, the involved orbital content was completely released from the entrapment site and reduced into the orbit. To facilitate wound healing, the orbital floor was supported with a water-inflated urethral balloon catheter for 8 days. At follow-up 8 months later, there was no gaze restriction or complications associated with the EMMM. This case illustrates the efficacy and safety of EMMM in endoscopic endonasal repair of orbital floor fracture, particularly for cases with a narrow nasal cavity such as in pediatric patients. PMID:26926254

  5. Mydriasis during Orbital Floor Fracture Reconstruction: A Novel Diagnostic and Treatment Algorithm

    PubMed Central

    Yeo, Matthew S.; Al-Mousa, Radwan; Sundar, Gangadhara; Lim, Thiam Chye

    2010-01-01

    Orbital floor fractures are the most commonly encountered traumatic fractures in the facial skeleton. Mydriasis that is detected during orbital floor fracture reconstruction may cause significant distress to surgeons, as it may be associated with sinister events such as visual loss. It is not an uncommon problem; previous studies have shown the incidence of mydriasis to be 2.1%. The combination of careful preoperative evaluation and planning, as well as specific intraoperative investigations when mydriasis is encountered, can be immensely valuable in allaying surgeons' anxiety during orbital floor fracture reconstruction. In this review article, the authors discuss the common causes of mydriasis and present a novel systematic approach to its diagnostic evaluation devised by our unit that has been successfully implemented since 2008. PMID:22132259

  6. Solute exchange at the fracture-matrix wall involving significant buoyancy effects - an analog experiment

    NASA Astrophysics Data System (ADS)

    Michel, L.; Meheust, Y.; Bouquain, J.; Caudal, J.; de Bremond D'Ars, J.; de Dreuzy, J.; Davy, P.

    2008-12-01

    Contaminant transport in heterogeneous fractured aquifers occurs mostly through the networks of intersecting fractures. The physical mechanisms of solute transport in a single fracture with impermeable walls are well identified: advection, micro-dispersion (including molecular diffusion) Taylor-Aris dispersion, roughness dispersion, and aperture-variation dispersion. The description of the mass transfert coefficient between the region of high permeability (the fracture) and that of low permeability (the surrounding matrix), when the permeability of the latter cannot be neglected, is in contrast poorly understood. We address here solute transport through a synthetic fracture with a porous wall placed under the fracture, and for which buoyancy effects significantly promote solute exchange at the porous wall. We have developed an analog experimental setup in which the planar horizontal fracture is 1 m long, 5 cm wide and its mean aperture is 5 mm. It is bounded by either two smooth parallel Plexiglass plates (impermeable walls configuration), or by one such plate and a porous medium consisting of 1 mm glass beads ("semi-permeable" configuration). A permanent laminar water flow is forced through the fracture at controlled mean velocity (~ 1mm/s). The flow conditions inside the experimental fracture have been characterized using three-dimensional finite volume numerical simulations of the flow. A dye (patent blue) injection system simulates a point source of contaminant along the center plane of the experimental fracture. The tracer plume is tracked using a visualization system based on (i) lasers illuminating a series of vertical linear optical sensor arrays, and (ii) 4 cameras positioned side by side and providing a composite image of the fracture length, viewed from the side. The two measurement systems yield consistent quantitative temporal descriptions of the tracer concentration, integrated over the fracture width and at several positions along the fracture length

  7. Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case

    PubMed Central

    Sinha, Skand; Naik, Ananta k; Arya, Rajendra K; Jain, Vijay K

    2013-01-01

    Introduction: Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome. Case Report: 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture on the ipsilateral side. The complex fracture geometry was confirmed by CT scan. The patient was successfully managed by open reduction and internal fixation of intertrochanteric fracture was achieved with dynamic hip screw (DHS) plate fixation followed by fixation of acetabular fracture with reconstruction plate. Conclusion: Hip dislocation combined with acetabular fracture is an uncommon injury; this article presents a unique case of posterior wall and transverse fractures of ipsilateral acetabulum with intertrochanteric fracture in a patient who sustained traumatic posterior hip dislocation. Early surgical intervention is important for satisfactory outcomes of such complex fracture-dislocation injuries. PMID:27298928

  8. Longitudinal tear of the inferior rectus muscle in orbital floor fracture.

    PubMed

    Kashima, Tomoyuki; Akiyama, Hideo; Kishi, Shoji

    2012-06-01

    We report a case of longitudinal avulsion of the inferior rectus muscle following orbital floor fracture and describe its clinical presentation, computed tomography (CT) features and management. A 53-year-old man felt vertical diplopia in all gaze immediately after the trauma. Orthoptic assessment showed left over right hypertropia of 20 prism diopters and left exotropia of 10 prism diopters in primary position. The left orbital floor fracture and the prolapse of orbital contents into the maxillary sinus were presented by CT. Exploration of the orbit was performed under general anesthesia. The displaced bone fragment was elevated and repositioned below the slastic implant. Diplopia continued in all directions of gaze, although the impairment of depression was reduced postoperatively. A residual left hypertropia of 10 prism diopters and exotropia of 10 prism diopters was present in primary position 1 month after surgery, though there were no enopthalmos or worsening of hypesthesia. Repeated CT revealed the muscle avulsion of inferior rectus at the lateral portion of the belly. The avulsion of a small segment of the inferior rectus and its herniation into maxillary sinus in more posterior views was detected by review of the preoperative images. Muscle avulsion should be considered in the management of orbital fracture if orbital tissue entrapment and nerve paresis are excluded as causes of reduction in ocular motility. A thorough review of the imaging studies for possible muscle injury is required before surgery in all cases of orbital fracture. PMID:22551369

  9. Current concepts on the management of orbital blow-out fractures.

    PubMed

    Koornneef, L

    1982-09-01

    Surgical versus nonsurgical treatment of orbital blow-out fractures has been controversial in the past. In the 1950s it was advocated that all blow-out fractures be treated surgically based on the conception that extraocular muscles were blown out and trapped in the fracture hole, causing double vision and enophthalmos. Gradually, however, a shift to a more conservative approach occurred, probably because of the complications of surgery, the disappointing results in improvement of motility and enophthalmos, and the growing evidence of spontaneous improvement of double vision. This article analyzes the literature chronologically and blends this analysis with the results of a new anatomical approach to the human orbit. New theories on the mechanism of blow-out fractures are postulated. No longer is entrapment of muslces in a blow-out fracture held responsible for the severe motility problems; rather it is viewed as caused by a dysfunction of the entire motility apparatus in the fracture region. Consequently, conventional surgical treatment, repairing the orbital floor only, seems to have lost its theoretical foundation and a conservative approach is advocated until microsurgical techniques become more readily avaliable to treat the sequelae of blow-out fractures at their origin. PMID:7137815

  10. Size effect in the tensile fracture of single-walled carbon nanotubes with defects

    NASA Astrophysics Data System (ADS)

    Yang, M.; Koutsos, V.; Zaiser, M.

    2007-04-01

    Molecular simulation is used to determine the fracture strength of single-walled carbon nanotubes (SWNT) containing different concentrations of randomly distributed point defects. The results are analysed using Weibull statistics, and the dependence of the statistical distribution of fracture strengths on defect concentration is established. Arguments from extreme order statistics are then used to formulate a relationship between the length of SWNT and their fracture strength. The results of this investigation help to explain the large differences between SWNT fracture strengths measured in experiments (13-52 GPa) and those obtained from theoretical calculations assuming defect-free nanotubes (~185 GPa).

  11. Orbital wall infarction mimicking periorbital cellulitis in a patient with sickle cell disease.

    PubMed

    Ozkavukcu, Esra; Fitoz, Suat; Yagmurlu, Banu; Ciftci, Ergin; Erden, Ilhan; Ertem, Mehmet

    2007-04-01

    Orbital wall infarction and subperiosteal haematomas are unusual manifestations of sickling disorders. Here we report an 11-year-old girl with sickle cell anaemia having multiple skull infarctions including the orbital bony structures associated with subperiosteal haematomas. The diagnosis was made by MRI, which showed bone marrow changes and associated haemorrhagic collections. The patient was successfully managed without surgical intervention. PMID:17297619

  12. Infraorbital Nerve Block for Isolated Orbital Floor Fractures Repair: Review of 135 Consecutive Cases

    PubMed Central

    Spinelli, Giuseppe; Rocchetta, Davide; Carnevali, Giulia; Valente, Domenico; Conti, Marco

    2014-01-01

    Background: Orbital blowout fractures can be managed by several surgical specialties including plastic and maxillofacial surgery, otolaryngology, and ophthalmology. Recommendations for surgical fracture repair depend on a combination of clinical and imaging studies to evaluate muscle/nerve entrapment and periorbital tissue herniation. Methods: The aim of this study was to verify the applicability of regional anesthesia when repairing orbital floor fractures. A retrospective chart review was performed for isolated orbital floor fractures treated at the Department of Maxillofacial Surgery in Florence between May 2011 and July 2012. The study included 135 patients who met the inclusion criteria: 96 subjects were male (71%) and 39 were female (29%). The mean age was 45.3 years, ranging from 16 to 77 years. Results: The results revealed that isolated anterior orbital floor fractures can be safely repaired under regional and local anesthesia. Regional and local anesthesia should be combined with intravenous sedation when the fracture involves the posterior floor. The surgical outcome was comparable to the outcome achieved under general anesthesia. There was a lower rate of surgical revisions due to concealed malposition or entrapment of the inferior rectus muscle (19% vs 22%). However, this result was not statistically significant (P > 0.05). Conclusions: There are several advantages to surgically repairing isolated orbital floor fractures under regional and local anesthesia that include the following: surgeons can check the surgical outcome (enophthalmos and extrinsic ocular muscles function) intraoperatively, thereby reducing the reoperation rate; patient discomfort due to general anesthesia is eliminated; and the hospital stay is reduced, thus decreasing overall healthcare costs. PMID:25289294

  13. Preliminary studies of water seepage through rough-walled fractures

    SciTech Connect

    Geller, J.T.; Su, G.; Pruess, K.

    1996-07-01

    For groundwater aquifers in fractured rock, fractures play a significant role in the transport of water and contaminants through the unsaturated zone to the groundwater table. Fractures can provide preferential flow paths for infiltrating liquids that dramatically accelerate contaminant transport compared to predictions based upon spatially uniform infiltration. The actual liquid distribution during infiltration determines the contact area between the flowing water and rock, and liquid residence time, which in turn affects the potential for rock-water and rock-solute interaction, as well as mass transfer between liquid and gas phases. This report summarizes flow- visualization experiments of water percolation through transparent replicas of a natural rock fracture. We have focused on phenomenological and exploratory experiments that can lead to a conceptual model which incorporates the important physical mechanisms that control flow.

  14. Influence of remaining dentin wall thickness on the fracture strength of endodontically treated tooth

    PubMed Central

    Haralur, Satheesh B.; Al-Qahtani, Ali Saad; Al-Qarni, Marie Mohammed; Al-Homrany, Rami Mohammed; Aboalkhair, Ayyob Ehsan

    2016-01-01

    Background: Remaining dentin wall thickness may influence the fracture resistance of tooth. Aims: To investigate the effect of various coronal dentin wall widths on the fracture strength of root canal treated teeth. Materials and Methods: Fifty recently extracted single canal mandibular premolars were used for the study. Ten unrestored teeth were used as control (Group 1); remaining teeth were root canal treated and divided into four groups (n = 10). The Groups 2a, 2b and 3a, 3b were having 2.5 mm, 1.5 mm remaining dentin with and without post, respectively. The samples fracture resistance was tested under the universal testing machine. The data were analyzed with one-way ANOVA and post-hoc Tukey test for comparative evaluation. Results: The mean fracture strength observed in Group 1 was (29.75 Mpa) followed by Group 2a (28.97 Mpa), Group 2b (27.70 Mpa), Group 3a (23.39 Mpa), and Group 3b (16.38 Mpa). There was no statistically significant difference between control and Groups 2a and 2b with P > 0.05. The post contributed significantly for fracture resistance in Group 3a. Conclusion: The endodontic post is not required in root canal treated teeth >2.5 mm coronal dentin wall width while the post is essential for a tooth with <1.5 mm dentin wall width to improve fracture resistance. PMID:26957796

  15. A case of blowout fracture of the orbital floor in early childhood

    PubMed Central

    Sugamata, Akira; Yoshizawa, Naoki

    2015-01-01

    There are few reports of blowout fractures of the orbital floor in children younger than 5 years of age; in a search of the literature, we found only six reported cases which revealed the exact age, correct diagnosis, and treatment. We herein report the case of a 3-year-old boy with a blowout fracture of the orbital floor. Computed tomography showed a pure blowout fracture of the left orbital floor with a slight dislocation of the orbital contents. The patient was treated conservatively due to the absence of abnormal limitation of eye movement or enophthalmos. The patient did not develop any complications that necessitated later surgical intervention. Computed tomography at 6 months after the injury showed the regeneration of the orbital floor in the area of the fracture and no abnormalities in the left maxillary sinus. We herein present our case and the details of six other cases reported in the literature, and discuss their etiology, diagnosis, and treatment methods. PMID:26251631

  16. A case of blowout fracture of the orbital floor in early childhood.

    PubMed

    Sugamata, Akira; Yoshizawa, Naoki

    2015-01-01

    There are few reports of blowout fractures of the orbital floor in children younger than 5 years of age; in a search of the literature, we found only six reported cases which revealed the exact age, correct diagnosis, and treatment. We herein report the case of a 3-year-old boy with a blowout fracture of the orbital floor. Computed tomography showed a pure blowout fracture of the left orbital floor with a slight dislocation of the orbital contents. The patient was treated conservatively due to the absence of abnormal limitation of eye movement or enophthalmos. The patient did not develop any complications that necessitated later surgical intervention. Computed tomography at 6 months after the injury showed the regeneration of the orbital floor in the area of the fracture and no abnormalities in the left maxillary sinus. We herein present our case and the details of six other cases reported in the literature, and discuss their etiology, diagnosis, and treatment methods. PMID:26251631

  17. Pressure wall hole size and maximum tip-to-tip crack length following orbital debris penetration

    NASA Technical Reports Server (NTRS)

    Schonberg, William P.

    1996-01-01

    The threat of damage from high speed meteoroid and orbital debris particle impacts has become a significant design consideration in the development and construction of long duration earth-orbiting spacecraft. Historically, significant amounts of resources have been devoted to developing shielding for such structures as a means of reducing the penetration potential of high speed on-orbit impacts. These efforts have typically focused on simply whether or not the inner (or 'pressure') walls of candidate multi-wall structural systems would be perforated. Only recently the nature and extent of pressure wall penetration damage have begun to be explored. This report presents the results of a study whose objective was to characterize the hole formation and cracking phenomena associated with the penetration of the multi-wall systems being considered for the International Space Station Alpha (ISSA).

  18. How reactive fluids alter fracture walls and affect shale-matrix accessibility

    NASA Astrophysics Data System (ADS)

    Fitts, J. P.; Deng, H.; Peters, C. A.

    2014-12-01

    Predictions of mass transfer across fracture boundaries and fluid flow in fracture networks provide fundamental inputs into risk and life cycle assessments of geologic energy technologies including oil and gas extraction, geothermal energy systems and geologic CO2 storage. However, major knowledge gaps exist due to the lack of experimental observations of how reactive fluids alter the pore structures and accessible surface area within fracture boundaries that control the mass transfer of organics, metals and salts, and influence fluid flow within the fracture. To investigate the fracture and rock matrix properties governing fracture boundary alteration, we developed a new flow-through cell that enables time-dependent 2D x-ray imaging of mineral dissolution and/or precipitation at a fracture surface. The parallel plate design provides an idealized fracture geometry to investigate the relationship between flow rate, reaction rate, and mineral spatial heterogeneity and variation. In the flow-cell, a carbonate-rich sample of Eagle Ford shale was reacted with acidified brine. The extent and rate of mineral dissolution were correlated with calcite abundance relative to less soluble silicate minerals. Three-dimensional x-ray tomography of the reacted fracture wall shows how calcite dissolution left behind a porous network of silicate minerals. And while this silicate network essentially preserved the location of the initial fracture wall, the pore network structures within the fracture boundary were dramatically altered, such that the accessible surface area of matrix components increased significantly. In a second set of experiments with a limestone specimen, however, the extent of dissolution and retreat of the fracture wall was not strictly correlated with the occurrence of calcite. Instead, the pattern and extent of dissolution suggested secondary causes such as calcite morphology, the presence of argillaceous minerals and other diagenetic features. Our experiments

  19. Diplopia of pediatric orbital blowout fractures: a retrospective study of 83 patients classified by age groups.

    PubMed

    Su, Yun; Shen, Qin; Lin, Ming; Fan, Xianqun

    2015-01-01

    Orbital blowout fractures are relatively rare in patients under 18 years of age, but may lead to serious complications. We conducted this retrospective study to evaluate diplopia, clinical characteristics, and postoperative results in cases of orbital blowout fractures in the pediatric population. Eighty-three patients, all less than 18 years old, with orbital blowout fractures, were divided into 3 groups by age: 0 to 6 years old, 7 to 12 years old, and 13 to 18 years old. The cause of injury, fracture locations, diplopia grades, ocular motility restrictions, enophthalmos, and postoperative results were reviewed from their records. Chi-square tests, Fisher's exact analyses, analyses of variance, and logistic regressions were performed to determine characteristics associated with diplopia, and to identify factors related to residual diplopia in pediatric patients. The most common causes of injuries were traffic accidents in the 0 to 6 years old group, normal daily activities in the 7 to 12 years old group, and assaults in the 13 to 18 years old group. Floor fractures were the most common location in both the 0 to 6- and 7 to 12 years old groups, and medial-floor fractures were the most common location in the 13 to 18 years old group. The occurrence of preoperative diplopia was related to ocular motility restriction and enophthalmos, but not with the age group, the gender, the cause of injury, or the fracture locations. The time interval from injury to surgery was significant in the outcome of postoperative diplopia (P < 0.01). A statistical difference was also found in the recovery time from diplopia among the 3 age groups (P < 0.01). The characteristics of orbital blowout fracture varied among the different age groups. It was related to 2 factors, the cause of injury and fracture locations, which probably resulted from structural growth changes and differences in daily habits. Children had a slower recovery from orbital fractures, and the younger the

  20. Diplopia of Pediatric Orbital Blowout Fractures: A Retrospective Study of 83 Patients Classified by Age Groups

    PubMed Central

    Su, Yun; Shen, Qin; Lin, Ming; Fan, Xianqun

    2015-01-01

    Abstract Orbital blowout fractures are relatively rare in patients under 18 years of age, but may lead to serious complications. We conducted this retrospective study to evaluate diplopia, clinical characteristics, and postoperative results in cases of orbital blowout fractures in the pediatric population. Eighty-three patients, all less than 18 years old, with orbital blowout fractures, were divided into 3 groups by age: 0 to 6 years old, 7 to 12 years old, and 13 to 18 years old. The cause of injury, fracture locations, diplopia grades, ocular motility restrictions, enophthalmos, and postoperative results were reviewed from their records. Chi-square tests, Fisher's exact analyses, analyses of variance, and logistic regressions were performed to determine characteristics associated with diplopia, and to identify factors related to residual diplopia in pediatric patients. The most common causes of injuries were traffic accidents in the 0 to 6 years old group, normal daily activities in the 7 to 12 years old group, and assaults in the 13 to 18 years old group. Floor fractures were the most common location in both the 0 to 6- and 7 to 12 years old groups, and medial-floor fractures were the most common location in the 13 to 18 years old group. The occurrence of preoperative diplopia was related to ocular motility restriction and enophthalmos, but not with the age group, the gender, the cause of injury, or the fracture locations. The time interval from injury to surgery was significant in the outcome of postoperative diplopia (P < 0.01). A statistical difference was also found in the recovery time from diplopia among the 3 age groups (P < 0.01). The characteristics of orbital blowout fracture varied among the different age groups. It was related to 2 factors, the cause of injury and fracture locations, which probably resulted from structural growth changes and differences in daily habits. Children had a slower recovery from orbital fractures, and the younger

  1. Nonlinear fracture mechanics-based analysis of thin wall cylinders

    NASA Technical Reports Server (NTRS)

    Brust, Frederick W.; Leis, Brian N.; Forte, Thomas P.

    1994-01-01

    This paper presents a simple analysis technique to predict the crack initiation, growth, and rupture of large-radius, R, to thickness, t, ratio (thin wall) cylinders. The method is formulated to deal both with stable tearing as well as fatigue mechanisms in applications to both surface and through-wall axial cracks, including interacting surface cracks. The method can also account for time-dependent effects. Validation of the model is provided by comparisons of predictions to more than forty full scale experiments of thin wall cylinders pressurized to failure.

  2. Acoustic apparatus and method for detecting borhole wall discontinuities such as vertical fractures

    SciTech Connect

    Havira, R.M.; Seeman, B.

    1989-12-05

    This patent describes an acoustic investigation method for detecting discontinuities in a wall of a borehold penetrating an earth formation. It comprises: directing from inside the borehole pulses of acoustic energy each at beam forming frequencies towards the borehold wall with orientations of the beams selected to preferentially enhance the excitation of transverse acoustic waves traveling away from the borehole wall segments in directions determined by the angle of incidence of the acoustic beams upon the borehole wall segment, while substantially maintaining the beam orientations, varying the direction which the acoustic beams are incident upon the borehole wall segments to correspondingly vary the directions which the transverse waves travel from the borehole wall segments; detecting acoustic reflections produced by the transverse waves when these are incident upon a discontinuity in the borehole wall; deriving fracture signals representative of the presence of a the discontinuity from the detected acoustic reflections; and recording the derived signals.

  3. Acoustic and optical borehole-wall imaging for fractured-rock aquifer studies

    USGS Publications Warehouse

    Williams, J.H.; Johnson, C.D.

    2004-01-01

    Imaging with acoustic and optical televiewers results in continuous and oriented 360?? views of the borehole wall from which the character, relation, and orientation of lithologic and structural planar features can be defined for studies of fractured-rock aquifers. Fractures are more clearly defined under a wider range of conditions on acoustic images than on optical images including dark-colored rocks, cloudy borehole water, and coated borehole walls. However, optical images allow for the direct viewing of the character of and relation between lithology, fractures, foliation, and bedding. The most powerful approach is the combined application of acoustic and optical imaging with integrated interpretation. Imaging of the borehole wall provides information useful for the collection and interpretation of flowmeter and other geophysical logs, core samples, and hydraulic and water-quality data from packer testing and monitoring. ?? 2003 Elsevier B.V. All rights reserved.

  4. The isolated orbital floor fracture from a transconjunctival or subciliary perspective-A standardized anthropometric evaluation

    PubMed Central

    Djedovic, Gabriel; Peisker, Andre; Wohlrath, Rene; Rieger, Ulrich; Guentsch, Arndt; Gomez-Dammeier, Marta; Schultze-Mosgau, Stefan

    2016-01-01

    Background The influence of orbital fractures and their repair on the rate of deformities of the lower eyelid is an ongoing source of discussion in the literature. Most of the present studies include isolated blowout as well as combined orbital fractures. Material and Methods We present a retrospective evaluation of a series of 100 patients after isolated blowout fracture repair using reference anthropometric data on standardized photographs. Analysis included eye fissure width and height, lid sulcus height, upper lid height, upper and lower iris coverage, position of cornea to palpebra inferior, canthal tilt, scleral show, ectropion and entropion. It was clearly distinguished between operated and contralateral eyelid, whether a transconjunctival or a subciliary approach was performed and amount of fracture. Our main interests were changes of the aforementioned parameters with regards to eyelid deformities. Results Surgery per se did not significantly influence eyelid deformities. However, the surgical approach selected significantly affected eye fissure index, lower iris coverage and rate of scleral show, indicating retraction of the lower eyelid. Conclusions The standardized measurements described here are accurate and objective to evaluate postoperative results. The subciliary approach included the highest risk of lower lid retraction as compared to transconjunctival approaches. Key words:Transconjunctical approach, subciliary approach, orbital floor fracture. PMID:26595833

  5. Mass removal of chlorinated ethenes from rough-walled fractures using permanganate

    NASA Astrophysics Data System (ADS)

    Tunnicliffe, B. S.; Thomson, N. R.

    2004-11-01

    In situ chemical oxidation (ISCO) employing permanganate is an emerging technology that has been successful at enhancing mass removal from DNAPL source zones in unconsolidated media at the pilot-scale. The focus of this study was to evaluate the applicability of flushing a permanganate solution across two single vertical fractures in a laboratory environment to remove free phase DNAPL. The fracture experiments were designed to represent a portion of a larger fractured aquifer system impacted by a near-surface DNAPL spill over a shallow fractured rock aquifer. Each fracture was characterized by hydraulic and tracer tests, and the aperture field for one of the fractures was mapped using a co-ordinate measurement machine. Following DNAPL emplacement, a series of water and permanganate flushes were performed. To support observations from the fracture experiments, a set of batch experiments was conducted. The data from both fracture experiments showed that the post-oxidation effluent concentration was not impacted by the oxidant flush; however, changes in the aperture distribution, flow field, and flow rate were observed. These changes resulted in a significant decrease to the mass loading from the fractures, and were attributed to the build-up of oxidation by-products (manganese oxides and carbon dioxide) within the fracture which was corroborated by the batch experiment data and visual examination of the walls of one fracture. These results provide insight into the potential impact that a permanganate solution and oxidation by-products can have on the aperture distribution within a fracture and on DNAPL mass transfer rates. A permanganate flush or injection completed within a fractured rock aquifer may lead to the development of an insoluble product adjacent to the DNAPL which results in the reduction or complete elimination of advective regions near the DNAPL and reduces mass transfer rates. This outcome would have significant implications on the plume generating

  6. Spin-orbit coupling and the static polarizability of single-wall carbon nanotubes

    SciTech Connect

    Diniz, Ginetom S. Ulloa, Sergio E.

    2014-07-14

    We calculate the static longitudinal polarizability of single-wall carbon tubes in the long wavelength limit taking into account spin-orbit effects. We use a four-orbital orthogonal tight-binding formalism to describe the electronic states and the random phase approximation to calculate the dielectric function. We study the role of both the Rashba as well as the intrinsic spin-orbit interactions on the longitudinal dielectric response, i.e., when the probing electric field is parallel to the nanotube axis. The spin-orbit interaction modifies the nanotube electronic band dispersions, which may especially result in a small gap opening in otherwise metallic tubes. The bandgap size and state features, the result of competition between Rashba and intrinsic spin-orbit interactions, result in drastic changes in the longitudinal static polarizability of the system. We discuss results for different nanotube types and the dependence on nanotube radius and spin-orbit couplings.

  7. Treatment of orbital blowout fracture using porous polyethylene with embedded titanium.

    PubMed

    Qian, Zhuyun; Zhuang, Ai; Lin, Ming; Li, Zhengkang; Ge, Shengfang; Fan, Xianqun

    2015-03-01

    The study was performed to evaluate the effectiveness and safety of porous polyethylene with embedded titanium in the repair of orbital blowout fracture. The study was designed as a prospective case series. Patients who were diagnosed with orbital blowout fracture from May 2012 to March 2013 were included in the study. A composite material of porous polyethylene and titanium mesh was used. Orbital volumes before and after surgery were measured, and the results of diplopia and ocular movement were recorded. The occurrence of diplopia was grouped and compared according to the time interval between injury and surgery. The incidence of other complications was also recorded. A total of 26 patients were involved in the study. The minimal follow-up time was 12 months. All surgeries were performed uneventfully. The orbital volume significantly decreased after the surgery, and the remission rate and the elimination rate of diplopia in 12 months were 85.7% and 47.6%, respectively. Postoperative diplopia was correlated with the time interval between injury and surgery. One patient presented with undercorrection of enophthalmos, and another patient presented with acute aggravation of diplopia and exophthalmos after surgery, which was resolved with treatment. In conclusion, porous polyethylene with embedded titanium was effective and safe in the repair of orbital blowout fracture, and studies with more subjects and longer follow-up period are recommended in future studies. PMID:25699530

  8. Estimation of DNAPL dissolution stage from aqueous phase concentrations in rough-walled fractures

    NASA Astrophysics Data System (ADS)

    Kim, Hyun Jung; Yeo, In Wook

    2013-04-01

    Contamination of dense non-aqueous phase liquids (DNAPLs) poses a serious environmental problem. Because of higher density of DNAPLs than water, they migrate downward through water table, finally entering the fractures where they tend to be trapped as residual phases by capillary resistance of smaller apertures. It has been reported that many industrial complexes in Korea, placed on the fractured bedrock, have been contaminated by DNAPLs. Due to the way DNAPLs are discontinuously in small quantity at unfixed spots even within the site in Korea, DNAPL sources tend to exist scattered in the subsurface environment and are almost impossible to locate, especially in fractured bedrocks. Furthermore, DNAPL contamination is often found after a long period of time has passed since the contamination started. These characteristics of DNAPL contamination make it very difficult to infer DNAPL source configuration, which consequently leads to considerable uncertainties about the effective management and remediation of DNAPL contaminated site. This study aims to figure out DNAPL source zone configuration in rough-walled fractures, in particular dissolution stage of DNAPL, from downgradient aqueous phase concentrations. Interpretation and estimation of the dissolution stage are very important for the design and required time of site remediation. Numerical works have been systematically conducted with a single rough-walled fracture to investigate the interrelationship between DNAPL architecture and downgradient aqueous-phase contaminant concentrations. The finite element code was programmed for fluid flow and solute transport through a rough-walled fracture, which was incorporated with the dissolution kinetics. DNAPL is emplaced as residual phase in a rough-walled fracture with variable apertures measured from a real rock fracture, and the mass transfer is allowed to take place at the interface between DNAPL and flowing groundwater. The aqueous phase contaminant transports with

  9. Tail shortening with developing eddies in a rough-walled rock fracture

    NASA Astrophysics Data System (ADS)

    Lee, Seung Hyun; Yeo, In Wook; Lee, Kang-Kun; Detwiler, Russell L.

    2015-08-01

    Understanding fluid flow and solute transport in rough-walled fractures is important in many problems such as geological storage of CO2 and siting of radioactive waste repositories. The first microscopic observation of fluid flow and solute transport through a rough-walled fracture was made to assess the evolution of eddies and their effect on non-Fickian tailing. A noteworthy phenomenon was observed that as the eddy grew, the particles were initially caught in and swirled around within eddies, and then cast back into main flow channel, which reduced tailing. This differs from the conventional conceptual model, which presumes a distinct separation between mobile and immobile zones. Fluid flow and solute transport modeling within the 3-D fracture confirmed tail shortening due to mass transfer by advective paths between the eddies and the main flow channel, as opposed to previous 2-D numerical studies that showed increased tailing with growing eddies.

  10. Semi-automatic analysis of rock fracture orientations from borehole wall images

    SciTech Connect

    Thapa, B.B.; Hughett, P.; Karasaki, K.

    1997-01-01

    The authors develop a semiautomatic method of identifying rock fractures and analyzing their orientations from digital images of borehole walls. This method is based on an algorithm related to the Hough transform which is modified to find sinusoidal rather than linear patterns. The algorithm uses the high-intensity contrast between the fracture aperture and the rock wall, as well as the sinusoidal trajectory defined by the intersection of the borehole and the fracture. The analysis rate of the algorithm itself is independent of fracture contrast and network complexity. The method has successfully identified fractures both in test cases containing several fractures in a noisy background and in real borehole images. The analysis rate was 0.3--1.2 minutes/m of input data, compared to an average of 12 minutes/m using an existing interactive method. An automatic version under development should open new possibilities for site characterization, such as real-time exploration and analysis of tunnel stability and support requirements as construction proceeds.

  11. Clinical and surgical implications regarding morphometric variations of the medial wall of the orbit in relation to age and gender.

    PubMed

    Morales-Avalos, Rodolfo; Santos-Martínez, Arlette Gabriela; Ávalos-Fernández, Cesia Gisela; Mohamed-Noriega, Karim; Sánchez-Mejorada, Gabriela; Montemayor-Alatorre, Adolfo; Martínez-Fernández, David A; Espinosa-Uribe, Abraham G; Mohamed-Noriega, Jibran; Cuervo-Lozano, Edgar E; Mohamed-Hamsho, Jesús; Quiroga-García, Oscar; Lugo-Guillen, Roberto A; Guzmán-López, Santos; Elizondo-Omaña, Rodrigo E

    2016-09-01

    The ethmoidal foramens are located on the medial wall of the orbit and are key reference points for intraoperative orientation. Detailed knowledge of the anatomy, bony landmarks and morphometric characteristics of the medial wall of the orbit is essential for various surgical procedures. The aim of this study was to determine the morphometric variations in the medial wall of the orbit and establish significant variations regarding age and gender. A total of 110 orbits were analyzed and subdivided by age (over or under 40 years) and gender. The distances of the medial wall of the orbit between the anterior lacrimal crest, the ethmoidal foramen, the optic canal and the interforamina were determined. Safe surgical areas were sought. Statistical tests were used to determine the differences between groups. In men, there is a safe surgical area proximal to the anterior and posterior ethmoidal foramen. In women, this area is in the posterior third of the medial wall of the orbit between the posterior ethmoidal foramen and the optic canal. Regarding variation according to age, the results of this study suggested that the anteroposterior diameter of the medial wall increases with age. This study showed that the anteroposterior total length of the medial orbit wall is similar between genders of similar age, increases with age, and has significant variations in the distances between the various structures that make up the medial orbit wall with regard to gender and age. PMID:26683469

  12. The submuscular sliding plate technique for acetabular posterior wall fractures extending to the acetabular roof.

    PubMed

    Kim, J J; Kim, J W; Oh, H K

    2014-12-01

    There is extension of the Kocher-Langenbeck approach using trochanteric osteotomy for posterior wall fracture extending to acetabular roof, but it exposes to complications such as nonunion, breakage, and heterotopic ossification. The current study introduces a submuscular sliding plate technique. We retrospectively analyzed 13 patients treated with this technique. It is based on conventional method for posterior wall fracture. After reduction of roof fragment with direct visualization, a pre-contoured plate was passed through a submuscular tunnel under the gluteus medius and minimus. A small split incision was performed on the muscles, and screws were inserted with a triple trocar complex safely under fluoroscopic imaging. All patients had fracture union without complications. X-rays results showed anatomical reduction in 10 cases and imperfect reduction in 3 cases. Our results were satisfactory, particularly without heterotopic ossifications despite no prophylactic regimen of NSAID was applied and no neurological complications, so we believe that this technique is a good option for posterior wall fractures extending to the acetabular roof. PMID:25453921

  13. Is Delayed Release of Superior Oblique Muscle Entrapment in Orbital Roof Fracture Worth Correcting?

    PubMed

    Sharma, Rohit; Muralidharan, Chiyyarath Gopalan; Roy, Indranil Deb; Janjani, Lalit

    2016-07-01

    Acquired Brown's syndrome is a rare entity. Delay in treatment can cause fibrosis or scarring with questionable prognosis of vertical diplopia. To the best of the knowledge of the authors the present case of 22-year-old male is the first in existing literature where delayed release of superior oblique muscle entrapment in orbital roof fracture was found to be an effective technique. PMID:27391521

  14. Transmission electron microscopy observations of fracture of single-wall carbon nanotubes under axial tension

    NASA Astrophysics Data System (ADS)

    Lourie, O.; Wagner, H. D.

    1998-12-01

    Well-aligned bundles of single-wall carbon nanotubes under tensile stresses were observed to fracture in real-time by transmission electron microscopy. The expansion of elliptical holes in the polymer matrix results in a tensile force in bridging nanotubes. The polymer matrix at both ends of the bundles deforms extensively under the tension force, and fracture of the nanotubes occurs in tension within the polymer hole region rather than in shear within the gripping polymer region at the ends of the bundles. This provides evidence of significant polymer-nanotube wetting and interfacial adhesion.

  15. High Antiferromagnetic Domain Wall Velocity Induced by Néel Spin-Orbit Torques.

    PubMed

    Gomonay, O; Jungwirth, T; Sinova, J

    2016-07-01

    We demonstrate the possibility to drive an antiferromagnetic domain wall at high velocities by fieldlike Néel spin-orbit torques. Such torques arise from current-induced local fields that alternate their orientation on each sublattice of the antiferromagnet and whose orientation depends primarily on the current direction, giving them their fieldlike character. The domain wall velocities that can be achieved by this mechanism are 2 orders of magnitude greater than the ones in ferromagnets. This arises from the efficiency of the staggered spin-orbit fields to couple to the order parameter and from the exchange-enhanced phenomena in antiferromagnetic texture dynamics, which leads to a low domain wall effective mass and the absence of a Walker breakdown limit. In addition, because of its nature, the staggered spin-orbit field can lift the degeneracy between two 180° rotated states in a collinear antiferromagnet, and it provides a force that can move such walls and control the switching of the states. PMID:27419586

  16. High Antiferromagnetic Domain Wall Velocity Induced by Néel Spin-Orbit Torques

    NASA Astrophysics Data System (ADS)

    Gomonay, O.; Jungwirth, T.; Sinova, J.

    2016-07-01

    We demonstrate the possibility to drive an antiferromagnetic domain wall at high velocities by fieldlike Néel spin-orbit torques. Such torques arise from current-induced local fields that alternate their orientation on each sublattice of the antiferromagnet and whose orientation depends primarily on the current direction, giving them their fieldlike character. The domain wall velocities that can be achieved by this mechanism are 2 orders of magnitude greater than the ones in ferromagnets. This arises from the efficiency of the staggered spin-orbit fields to couple to the order parameter and from the exchange-enhanced phenomena in antiferromagnetic texture dynamics, which leads to a low domain wall effective mass and the absence of a Walker breakdown limit. In addition, because of its nature, the staggered spin-orbit field can lift the degeneracy between two 180° rotated states in a collinear antiferromagnet, and it provides a force that can move such walls and control the switching of the states.

  17. Fracture toughness of irradiated candidate materials for ITER first wall/blanket structures: Summary report

    SciTech Connect

    Alexander, D.J.; Pawel, J.E.; Grossbeck, M.L.; Rowcliffe, A.F.

    1996-04-01

    Disk compact specimens of candidate materials for first wall/blanket structures in ITER have been irradiated to damage levels of about 3 dpa at nominal irradiation temperatures of either 90 250{degrees}C. These specimens have been tested over a temperature range from 20 to 250{degrees}C to determine J-integral values and tearing moduli. The results show that irradiation at these temperatures reduces the fracture toughness of austenic stainless steels, but the toughness remains quite high. The toughness decreases as the temperature increases. Irradiation at 250{degrees}C is more damaging that at 90{degrees}C, causing larger decreases in the fracture toughness. The ferritic-martensitic steels HT-9 and F82H show significantly greater reductions in fracture toughness that the austenitic stainless steels.

  18. Influence of kinesiologic tape on postoperative swelling, pain and trismus after zygomatico-orbital fractures.

    PubMed

    Ristow, Oliver; Pautke, Christoph; Victoria Kehl; Koerdt, Steffen; Schwärzler, Katharina; Hahnefeld, Lilian; Hohlweg-Majert, Bettina

    2014-07-01

    Surgical treatment of zygomatico-orbital (ZO) fractures is a common procedure in maxillofacial surgery. Often accompanied by pain, trismus and swelling, postoperative morbidity is a major disadvantage, affecting patients' quality of life. The appliance of kinesiologic tape (KT) improves the blood and lymph flow, removing congestions of lymphatic fluid and haemorrhages. The aim of this study was to find out if the application of kinesiologic tape prevents or improves swelling, pain and trismus after zygomatico-orbital fracture surgery, improving patients' postoperative quality of life. A total of 30 patients were assigned for treatment of zygomatico-orbital fractures and were randomly divided into treatment either with or without kinesiologic tape. Tape was applied directly after surgery and maintained for at least 5 days postoperatively. Facial swelling was quantified using a five-line measurement at six specific time points. Pain and degree of mouth opening was measured. Patient's subjective feeling and satisfaction was queried. The results of this study show that application of kinesiologic tape after zygomatico-orbital surgery significantly reduced the incidence of swelling with an earlier swelling maximum, and decreased the maximum turgidity for more than 60% during the first 2 days after surgery. Although, kinesiologic tape has no significant influence on pain control and trismus, mouth opening increased earlier after operation in the kinesiologic tape group compared to the no-kinesiologic tape group. Furthermore, patients with kinesiologic tape felt significantly lower morbidity than those without kinesiologic tape. Therefore kinesiologic tape is a promising, simple, less traumatic, economical approach, which is free from adverse reaction and improves patients' quality of life. PMID:23830769

  19. Miniaturized fracture tests for thin-walled tubular SiC specimens

    SciTech Connect

    Byun, Thak Sang; Lara-Curzio, Edgar; Lowden, Richard Andrew; Snead, Lance Lewis; Katoh, Yutai

    2007-01-01

    Two testing methods have been developed for miniaturized tubular specimens to evaluate the fracture stress of chemically vapor deposited (CVD) SiC coatings in nuclear fuel particles. In the first method hoop stress is applied to a thin-walled tubular specimen by internal pressurization using a polyurethane insert. The second method is a crushing technique, in which tubular specimen is fractured by diametrical compressive loading. Tubular SiC specimens with a wall thickness of about 100 {micro}m and inner diameters of about 0.9 mm (SiC-A) and 1 mm (SiC-B) were extracted from surrogate nuclear fuels and tested using the two test methods. Mean fracture stresses of 239, 263, and 283 MPa were measured for SiC-A and SiC-B by internal pressurization, and SiC-A by diametrical loading, respectively. In addition, size effects in the fracture stress were investigated using tubular alumina specimens with various sizes. A significant size effect was found in the experimental data and was also predicted by the effective area-based scaling method.

  20. Modeling gravity-driven fingering in rough-walled fractures using modified percolation theory

    SciTech Connect

    Glass, R.J.

    1992-12-31

    Pore scale invasion percolation theory is modified for imbibition of.wetting fluids into fractures. The effects of gravity, local aperture field geometry, and local in-plane air/water interfacial curvatureare included in the calculation of aperture filling potential which controls wetted structure growth within the fracture. The inclusion of gravity yields fingers oriented in the direction of the gravitational gradient. These fingers widen and tend to meander and branch more as the gravitational gradient decreases. In-plane interfacial curvature also greatly affects the wetted structure in both horizontal and nonhorizontal fractures causing the formation of macroscopic wetting fronts. The modified percolation model is used to simulate imbibition into an analogue rough-walled fracture where both fingering and horizontal imbibition experiments were previously conducted. Comparison of numerical and experimental results showed reasonably good agreement. This process oriented physical and numerical modeling is-a necessary step toward including gravity-driven fingering in models of flow and transport through unsaturated, fractured rock.

  1. Fracture Toughness Measurements and Assessment of Thin Walled Conduit Alloys in a Cicc Application

    NASA Astrophysics Data System (ADS)

    Walsh, R. P.; Han, K.; Toplosky, V. J.

    2008-03-01

    The Series-Connected Hybrid Magnets under construction at the NHMFL use Cable-in-Conduct-Conductor (CICC) technology. The 4 K mechanical properties of the conduit are extremely important to the performance and reliability of the magnets. We have measured tensile and fracture toughness of two candidate conduit alloys (Haynes 242 and modified 316LN) in various metallurgical states, with emphasis on the final state of production. To assess the material in its final production state, non-standard specimens are removed directly from the round-corner rectangular conduit and tested after exposure to a simulated Nb3Sn reaction heat treatment. Non-standard middle-tension (MT) fracture toughness specimens enable toughness evaluation of the base metal, welds and weld/base transitional region in the as-fabricated conduit with final dimensions not suitable for conventional fracture toughness specimens. Although fracture toughness tests of the thin walled conduit fail to meet ASTM test validity requirements they provide a qualitative evaluation and estimate of the fracture toughness of the conduit and the welds.

  2. FRACTURE TOUGHNESS MEASUREMENTS AND ASSESSMENT OF THIN WALLED CONDUIT ALLOYS IN A CICC APPLICATION

    SciTech Connect

    Walsh, R. P.; Han, K.; Toplosky, V. J.

    2008-03-03

    The Series-Connected Hybrid Magnets under construction at the NHMFL use Cable-in-Conduct-Conductor (CICC) technology. The 4 K mechanical properties of the conduit are extremely important to the performance and reliability of the magnets. We have measured tensile and fracture toughness of two candidate conduit alloys (Haynes 242 and modified 316LN) in various metallurgical states, with emphasis on the final state of production. To assess the material in its final production state, non-standard specimens are removed directly from the round-corner rectangular conduit and tested after exposure to a simulated Nb{sub 3}Sn reaction heat treatment. Non-standard middle-tension (MT) fracture toughness specimens enable toughness evaluation of the base metal, welds and weld/base transitional region in the as-fabricated conduit with final dimensions not suitable for conventional fracture toughness specimens. Although fracture toughness tests of the thin walled conduit fail to meet ASTM test validity requirements they provide a qualitative evaluation and estimate of the fracture toughness of the conduit and the welds.

  3. Orbital roof fracture and orbital cellulitis secondary to halo pin penetration: case report.

    PubMed

    Menon, K Venugopal; Al Rawi, Asif Esam; Taif, Sawsan; Al Ghafri, Khalifa; Mollahalli, Kishore Kumar

    2015-02-01

    Study Design Case report. Objective To report and discuss a rare complication after a patient was treated conservatively with a halo vest. Methods A 51-year-old man sustained a hangman's injury of the C2 vertebra following a motor vehicle collision. He was treated conservatively in a halo vest appliance and following mobilization was discharged from the hospital. Two weeks after discharge, the patient presented to the emergency department complaining of proptosis, ptosis, diplopia, and pin loosening. He was readmitted to the hospital, the halo vest was removed, and urgent imaging studies including computed tomography scan and magnetic resonance imaging were performed. They revealed that one of the halo pins had penetrated the orbital roof with active infection of the extraocular soft tissues. In consultation with the ophthalmologist, he was treated conservatively with antibiotics for 10 days. Results His ophthalmologic complaints resolved gradually and his eye returned to normal appearance and function. In the meantime, he was immobilized in a sterno-occipital mandibular immobilizer brace. Conclusion Though rare, penetrating injuries after cranial pin insertion can occur. Halo devices must be applied by, or under close supervision of, experienced personnel to avoid such complications, and halo vests should be reviewed frequently to detect such incidents early. PMID:25648519

  4. Epistaxis as the only initial symptom in pediatric naso-orbital-ethmoid fracture complicated with meningitis.

    PubMed

    Chou, Erh-Kang; Wu, Chao-I; Yu, Jack Chung-Kai; Chang, Sophia Chia-Ning

    2009-05-01

    Epistaxis is a frequent finding in patients with facial trauma. Herein, we report an unusual presentation of pediatric naso-orbital-ethmoid (NOE) fracture with epistaxis as the only initial symptom. The course of the patient's condition was later complicated by meningitis, related in part to the delay in diagnosis. A 3-year-old girl with preexisting upper respiratory symptoms was involved in a traffic accident, sustaining blunt trauma to the right side of her face. During the initial examination, only right-sided epistaxis was noted. Five days later, she developed febrile convulsion and was admitted to the intensive care unit with other signs of meningitis such as mental status change and neck stiffness. Her craniofacial computed tomographic scan showed a right-sided NOE fracture with minimal displacement and without dura tear. The cerebrospinal fluid culture grew Streptococcus pneumoniae, which may be due to ascending infection as a result of cribriform plate fracture. Intravenous antibiotic therapy was initiated with good response, and she was discharged from the hospital after 2 weeks. The presence of epistaxis and periorbital bruise, together with other symptoms and signs, helps in the identification of NOE and cribriform plate fracture. A high index of suspicion with repetitive computed tomographic scans is necessary to achieve correct early diagnosis. Parental antibiotic therapy is indicated if ascending cerebrospinal fluid infection develops. PMID:19461340

  5. Maxillofacial Fractures: Midface and Internal Orbit-Part II: Principles and Surgical Treatment.

    PubMed

    Mast, Gerson; Ehrenfeld, Michael; Cornelius, Carl-Peter; Tasman, Abel-Jan; Litschel, Ralph

    2015-08-01

    Current clinical assessment and imaging techniques were described in part 1, and this article presents a systematic review of the surgical treatment principles in the management of midface and internal orbit fractures from initial care to definitive treatment, including illustrative case examples. New developments enabled limited surgical approaches by standardization of osteosynthesis principles regarding three-dimensional buttress reconstruction, by newly developed individualized implants such as titanium meshes and, especially for complex fracture patterns, by critical assessment of anatomical reconstruction through intraoperative endoscopy, as well as intra- and postoperative imaging. Resorbable soft tissue anchors can be used both for ligament and soft tissue resuspension to reduce ptosis effects in the cheeks and nasolabial area and to achieve facial aesthetics similar to those prior to the injury. PMID:26372710

  6. Cosmic bubble and domain wall instabilities II: fracturing of colliding walls

    SciTech Connect

    Braden, Jonathan; Bond, J. Richard; Mersini-Houghton, Laura

    2015-08-26

    We study collisions between nearly planar domain walls including the effects of small initial nonplanar fluctuations. These perturbations represent the small fluctuations that must exist in a quantum treatment of the problem. In a previous paper, we demonstrated that at the linear level a subset of these fluctuations experience parametric amplification as a result of their coupling to the planar symmetric background. Here we study the full three-dimensional nonlinear dynamics using lattice simulations, including both the early time regime when the fluctuations are well described by linear perturbation theory as well as the subsequent stage of fully nonlinear evolution. We find that the nonplanar fluctuations have a dramatic effect on the overall evolution of the system. Specifically, once these fluctuations begin to interact nonlinearly the split into a planar symmetric part of the field and the nonplanar fluctuations loses its utility. At this point the colliding domain walls dissolve, with the endpoint of this being the creation of a population of oscillons in the collision region. The original (nearly) planar symmetry has been completely destroyed at this point and an accurate study of the system requires the full three-dimensional simulation.

  7. Blowout fracture-orbital floor reconstruction using costochondral cartilage causing pain, warping, and diplopia

    PubMed Central

    Balaji, S. M.

    2015-01-01

    Orbital floor reconstruction is the most challenging component in the midfacial trauma management. Most often owing to the complexity of the fractures, the floor reconstruction requires grafts or other substitutes. Literature reveals several sources of autogenous sources of such grafts. Though most of the grafts are well taken and gives an ideal result, at certain instances, owing to the complex nature of the graft, its biochemical nature, reaction to the grafting, biochemical response, a reactionary change may result at late stages. The aim of this manuscript is to present a rare instance of warping of a costochondral graft that was used as a part of the orbital floor reconstruction giving rise to an ophthalmic emergency. The situation was immediately diagnosed and successfully managed. The situation, structural, and biochemical mechanisms behind such a phenomenon are discussed. PMID:26981485

  8. Blowout fracture-orbital floor reconstruction using costochondral cartilage causing pain, warping, and diplopia.

    PubMed

    Balaji, S M

    2015-01-01

    Orbital floor reconstruction is the most challenging component in the midfacial trauma management. Most often owing to the complexity of the fractures, the floor reconstruction requires grafts or other substitutes. Literature reveals several sources of autogenous sources of such grafts. Though most of the grafts are well taken and gives an ideal result, at certain instances, owing to the complex nature of the graft, its biochemical nature, reaction to the grafting, biochemical response, a reactionary change may result at late stages. The aim of this manuscript is to present a rare instance of warping of a costochondral graft that was used as a part of the orbital floor reconstruction giving rise to an ophthalmic emergency. The situation was immediately diagnosed and successfully managed. The situation, structural, and biochemical mechanisms behind such a phenomenon are discussed. PMID:26981485

  9. Paediatric Orbital Fractures: The Importance of Regular Thorough Eye Assessment and Appropriate Referral

    PubMed Central

    Kassam, Karim; Rahim, Ishrat; Mills, Caroline

    2013-01-01

    The paediatric orbital fracture should always raise alarm bells to all clinicians working in an emergency department. A delay or failure in diagnosis and appropriate referral can result in rapidly developing and profound complications. We present a boy of childhood age who sustained trauma to his eye during a bicycle injury. Acceptance of the referral was based on no eye signs; however, on examination in our unit the eye had reduction in visual acuity, no pupillary reaction, and ophthalmoplegia. CT scan suggested bone impinging on the globe and the child was rushed to theatre for removal of the bony fragment. Postoperatively no improvement was noted and a diagnosis of traumatic optic neuropathy was made. An overview of factors complicating paediatric orbital injuries, their associated “red flags”, and appropriate referral are discussed in this short paper. PMID:24349804

  10. Paediatric orbital fractures: the importance of regular thorough eye assessment and appropriate referral.

    PubMed

    Kassam, Karim; Rahim, Ishrat; Mills, Caroline

    2013-01-01

    The paediatric orbital fracture should always raise alarm bells to all clinicians working in an emergency department. A delay or failure in diagnosis and appropriate referral can result in rapidly developing and profound complications. We present a boy of childhood age who sustained trauma to his eye during a bicycle injury. Acceptance of the referral was based on no eye signs; however, on examination in our unit the eye had reduction in visual acuity, no pupillary reaction, and ophthalmoplegia. CT scan suggested bone impinging on the globe and the child was rushed to theatre for removal of the bony fragment. Postoperatively no improvement was noted and a diagnosis of traumatic optic neuropathy was made. An overview of factors complicating paediatric orbital injuries, their associated "red flags", and appropriate referral are discussed in this short paper. PMID:24349804

  11. Fracture resistance of premolars with one remaining cavity wall restored using different techniques.

    PubMed

    Kivanç, Bagdagül Helvacioglu; Alaçam, Tayfun; Görgül, Güliz

    2010-05-01

    The aim of the study was to compare the fracture resistance of maxillary premolars with one remaining cavity wall restored using different post systems. Forty-eight maxillary premolars were endodontically treated and randomly assigned to four groups for postcore restoration. The first three test groups were restored with polyethylene woven fiber posts, custom-made glass fiber-reinforced composite posts, and titanium posts respectively. In the control Group 4, standardized cavities (3.5 x 1.5 mm) were prepared in the palatal canal entrance and filled with a resin composite. All the specimens were then restored with a resin composite crown seated on the post. Load was applied with a stainless steel ball (1 mm/min), and the failure modes of all specimens were evaluated. There were no significant differences in fracture resistance and failure mode among the different restorative materials (p>0.05). Within the limitations of this in vitro study, it was concluded that the presence and type of post did not influence the fracture load and failure mode of maxillary premolar teeth with one remaining cavity wall. PMID:20448409

  12. Wettability-dependent DNAPL migration in a rough-walled fracture

    NASA Astrophysics Data System (ADS)

    Lee, Hang-Bok; Yeo, In Wook; Ji, Sung-Hoon; Lee, Kang-Kun

    2010-04-01

    The effect of wettability on the migration of dense non-aqueous phase liquids (DNAPLs) through a rough-walled fracture was investigated. The migration characteristics of DNAPL were found to be strongly dependent on the wettability. For a fracture with a hydrophilic surface, DNAPL migrated through larger apertures as disconnected blobs when the groundwater flow regime was linear (Re = 1). However, for non hydrophilic surfaces DNAPL did not migrate in the same way as for the hydrophilic surface. The intermediate-wet surface, with a contact angle of ≈90°, makes gravity pressure dominant over the capillary pressure, resulting in the fastest DNAPL migration. DNAPL was retained on the hydrophobic fracture, where the capillary barrier of larger apertures forced the DNAPL to migrate through the smaller apertures. In the nonlinear flow regime of Re = 60, DNAPL generally migrated downward as a result of the inertial pressure of flowing water for all the wettability conditions, but the local downward migration paths were still determined by the capillary pressure, which resulted in the fastest and slowest migration on the hydrophilic and the hydrophobic fractures, respectively. This study implies that the hydrophilic and intermediate-wet surfaces will be favorable for DNAPL and oil recovery.

  13. Wettability-dependent DNAPL migration in a rough-walled fracture.

    PubMed

    Lee, Hang-Bok; Yeo, In Wook; Ji, Sung-Hoon; Lee, Kang-Kun

    2010-04-01

    The effect of wettability on the migration of dense non-aqueous phase liquids (DNAPLs) through a rough-walled fracture was investigated. The migration characteristics of DNAPL were found to be strongly dependent on the wettability. For a fracture with a hydrophilic surface, DNAPL migrated through larger apertures as disconnected blobs when the groundwater flow regime was linear (Re=1). However, for non hydrophilic surfaces DNAPL did not migrate in the same way as for the hydrophilic surface. The intermediate-wet surface, with a contact angle of approximately 90 degrees , makes gravity pressure dominant over the capillary pressure, resulting in the fastest DNAPL migration. DNAPL was retained on the hydrophobic fracture, where the capillary barrier of larger apertures forced the DNAPL to migrate through the smaller apertures. In the nonlinear flow regime of Re=60, DNAPL generally migrated downward as a result of the inertial pressure of flowing water for all the wettability conditions, but the local downward migration paths were still determined by the capillary pressure, which resulted in the fastest and slowest migration on the hydrophilic and the hydrophobic fractures, respectively. This study implies that the hydrophilic and intermediate-wet surfaces will be favorable for DNAPL and oil recovery. PMID:20110134

  14. Fracture toughness of irradiated candidate materials for ITER first wall/blanket structures

    SciTech Connect

    Alexander, D.J.; Pawel, J.E.; Grossbeck, M.L.; Rowcliffe, A.F.; Shiba, Kiyoyuki

    1994-12-31

    Disk compact specimens of candidate materials for first wall/blanket structures in ITER have been irradiated to damage levels of about 3 dpa at nominal irradiation temperatures of either 90 or 250{degrees}C. These specimens have been tested over a temperature range from 20 to 250{degrees}C to determine J-integral values and tearing moduli. The results show that irradiation at these temperatures reduces the fracture toughness of austenitic stainless steels, but the toughness remains quite high. The toughness decreases as the test temperature increases. Irradiation at 250{degrees}C is more damaging than at 90{degrees}C, causing larger decreases in the fracture toughness. Ferritic-martensitic steels are embrittled by the irradiation, and show the lowest toughness at room temperature.

  15. The stability of steady motion of magnetic domain wall: Role of higher-order spin-orbit torques

    SciTech Connect

    He, Peng-Bin Yan, Han; Cai, Meng-Qiu; Li, Zai-Dong

    2015-12-14

    The steady motion of magnetic domain wall driven by spin-orbit torques is investigated analytically in the heavy/ferromagnetic metal nanowires for three cases with a current transverse to the in-plane and perpendicular easy axis, and along the in-plane easy axis. By the stability analysis of Walker wall profile, we find that if including the higher-order spin-orbit torques, the Walker breakdown can be avoided in some parameter regions of spin-orbit torques with a current transverse to or along the in-plane easy axis. However, in the case of perpendicular anisotropy, even considering the higher-order spin-orbit torques, the velocity of domain wall cannot be efficiently enhanced by the current. Furthermore, the direction of wall motion is dependent on the configuration and chirality of domain wall with a current along the in-plane easy axis or transverse to the perpendicular one. Especially, the direction of motion can be controlled by the initial chirality of domain wall. So, if only involving the spin-orbit mechanism, it is preferable to adopt the scheme of a current along the in-plane easy axis for enhancing the velocity and controlling the direction of domain wall.

  16. The stability of steady motion of magnetic domain wall: Role of higher-order spin-orbit torques

    NASA Astrophysics Data System (ADS)

    He, Peng-Bin; Yan, Han; Cai, Meng-Qiu; Li, Zai-Dong

    2015-12-01

    The steady motion of magnetic domain wall driven by spin-orbit torques is investigated analytically in the heavy/ferromagnetic metal nanowires for three cases with a current transverse to the in-plane and perpendicular easy axis, and along the in-plane easy axis. By the stability analysis of Walker wall profile, we find that if including the higher-order spin-orbit torques, the Walker breakdown can be avoided in some parameter regions of spin-orbit torques with a current transverse to or along the in-plane easy axis. However, in the case of perpendicular anisotropy, even considering the higher-order spin-orbit torques, the velocity of domain wall cannot be efficiently enhanced by the current. Furthermore, the direction of wall motion is dependent on the configuration and chirality of domain wall with a current along the in-plane easy axis or transverse to the perpendicular one. Especially, the direction of motion can be controlled by the initial chirality of domain wall. So, if only involving the spin-orbit mechanism, it is preferable to adopt the scheme of a current along the in-plane easy axis for enhancing the velocity and controlling the direction of domain wall.

  17. Probabilistic elastic-plastic fracture analysis of cracked pipes with circumferential through-wall flaws

    SciTech Connect

    Rahman, S.; Brust, F.

    1995-11-01

    A probabilistic fracture model was developed to analyze circumferential through-walled-cracked pipes subjected to bending loads. It involved elastic-plastic finite element analysis for estimating energy releases rates, J-tearing theory for characterizing ductile fracture, and standard methods of structural reliability theory for conduction probabilistic analysis. The evaluation of J-integral was based on the deformation theory of plasticity and power-law idealizations of the stress-strain and fracture toughness curves. This allows J to be expressed in terms of non-dimensional influence functions (F- and h{sub 1}-functions) that depend on the crack size, pipe geometry, and material hardening constant. New equations were proposed to represent these functions and were applied to conduct stochastic pipe fracture evaluations. Both analytical and simulation methods were formulated to determine the probabilistic characteristics of J. The same methods were used later to predict the failure probability of pipes as a function of the applied load. Numerical examples are provided to illustrate the proposed methodology. The validity of J-integral based on the proposed equations for predicting crack driving force in a through-wall-cracked pipe was evaluated by comparing with available results in the current literature. Probability densities of J-integral were predicted as a function of applied loads. Failure probabilities corresponding to three different performance criteria were evaluated for a stainless steel nuclear piping in the Boiling Water Reactor plant. The results suggest that large differences may exist in the failure probability estimates produced by these performance criteria.

  18. Examination of Relationship Between Photonic Signatures and Fracture Strength of Fused Silica Used in Orbiter Windows

    NASA Technical Reports Server (NTRS)

    Yost, William T.; Cramer, K. Elliott; Estes, Linda R.; Salem, Jonathan A.; Lankford, James, Jr.; Lesniak, Jon

    2011-01-01

    A commercially available grey-field polariscope (GFP) instrument for photoelastic examination is used to assess impact damage inflicted upon the outermost pane of the orbiter windows. Four categories of damage: hyper-velocity impacts that occur during space-flight (HVI); hypervelocity impacts artificially made at the Hypervelocity Impact Technology Facility (HIT-F); impacts made by larger objects falling onto the pane surface to simulate dropped items on the window during service/storage of vehicle (Bruises); and light scratches from dull objects designed to mimic those that might occur by dragging a dull object across the glass surface (Chatter Checks) are examined. The damage sites are cored from fused silica window carcasses, examined with the GFP and other methodologies, and broken using the ASTM Standard C1499-09 to measure the fracture strength. A correlation is made between the fracture strength and damage-site measurements including geometrical measurements and GFP measurements of photoelastic retardation (stress patterns) surrounding the damage sites. An analytical damage model to predict fracture strength from photoelastic retardation measurements is presented and compared with experimental results.

  19. The Hydraulic Mechanism in the Orbital Blowout Fracture Because of a High-Pressure Air Gun Injury.

    PubMed

    Kang, Seok Joo; Chung, Eui Han

    2015-10-01

    There are 2 predominant mechanisms that are used to explain the pathogenesis of orbital blowout fracture; these include hydraulic and buckling mechanisms. Still, however, its pathophysiology remains uncertain. To date, studies in this series have been conducted using dry skulls, cadavers, or animals. But few clinical studies have been conducted to examine whether the hydraulic mechanism is involved in the occurrence of pure orbital blowout fracture. The authors experienced a case of a 52-year-old man who had a pure medial blowout fracture after sustaining an eye injury because of a high-pressure air gun. Our case suggests that surgeons should be aware of the possibility that the hydraulic mechanism might be involved in the blowout fracture in patients presenting with complications, such as limitation of eye movement, diplopia, and enophthalmos. PMID:26468824

  20. Infraorbital nerve transpositioning into orbital floor: a modified technique to minimize nerve injury following zygomaticomaxillary complex fractures

    PubMed Central

    Kotrashetti, Sharadindu Mahadevappa; Kale, Tejraj Pundalik; Bhandage, Supriya

    2015-01-01

    Objectives Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory disturbance of the area innervated by it. Ten patients with infraorbital nerve entrapment were treated in similar way at our maxillofacial surgery centre. Materials and Methods In this article we are reporting three cases of zygomatico-maxillary complex fracture in which intra-operative repositioning of infra-orbital nerve into the orbital floor was done. This was done to release the nerve from fractured segments and to reduce the postoperative neural complications, to gain better access to fracture site and ease in plate fixation. This procedure also decompresses the nerve which releases it off the soft tissue entrapment caused due to trauma and the organized clot at the fractured site. Results There was no evidence of sensory disturbance during their three month follow-up in any of the patient. Conclusion Infraorbital nerve transposition is very effective in preventing paresthesia in patients which fracture line involving the infraorbital nerve. PMID:25922818

  1. Orbital Wall Reconstruction with Two-Piece Puzzle 3D Printed Implants: Technical Note.

    PubMed

    Mommaerts, Maurice Y; Büttner, Michael; Vercruysse, Herman; Wauters, Lauri; Beerens, Maikel

    2016-03-01

    The purpose of this article is to describe a technique for secondary reconstruction of traumatic orbital wall defects using titanium implants that act as three-dimensional (3D) puzzle pieces. We present three cases of large defect reconstruction using implants produced by Xilloc Medical B.V. (Maastricht, the Netherlands) with a 3D printer manufactured by LayerWise (3D Systems; Heverlee, Belgium), and designed using the biomedical engineering software programs ProPlan and 3-Matic (Materialise, Heverlee, Belgium). The smaller size of the implants allowed sequential implantation for the reconstruction of extensive two-wall defects via a limited transconjunctival incision. The precise fit of the implants with regard to the surrounding ledges and each other was confirmed by intraoperative 3D imaging (Mobile C-arm Systems B.V. Pulsera, Philips Medical Systems, Eindhoven, the Netherlands). The patients showed near-complete restoration of orbital volume and ocular motility. However, challenges remain, including traumatic fat atrophy and fibrosis. PMID:26889349

  2. Lateral view of facial fractures: new observations

    SciTech Connect

    Daffner, R.H.; Apple, J.S.; Gehweiler, J.A.

    1983-09-01

    Traditional plain film evaluation of facial fractures includes a lateral view of the face. This projection is often not exploited to its full potential because the many overlapping shadows are perceived to detract from its usefulness. To assess the value of this view, the authors reviewed the lateral facial films of 50 patients with a variety of fractures including 25 orbital blow-out fractures, 27 zygomaticomaxillary complex fractures, and 17 maxillary (including Le Fort) fractures. Three observations were encountered: orbital floor displacement in 60% of orbital fractures; malar strut displacement in 41% of zygomaticomaxillary complex fractures; and maxillary wall displacement in 76% of maxillary fractures. The presence of any of these structural displacements, either alone or in combination, provides further direct evidence of skeletal disruption and should serve to augment the findings observed on frontal views.

  3. Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries.

    PubMed

    Kesselring, Alexandra G; Promes, Paul; Strabbing, Elske M; van der Wal, Karel G H; Koudstaal, Maarten J

    2016-06-01

    The aim of this study is to analyze the development of lower eyelid malposition following reconstruction of orbital fractures, in relation to the incisions used for access. A total of 198 surgical orbital floor reconstructions were performed in 175 patients between 2001 and 2011. Preoperative and postoperative presence of lower eyelid malposition of patients was reported. The types of incision used for access were as follows: approach via laceration (4.5%), via preexisting scar (16.2%), infraorbital (40.9%), subciliar (23.7%), transconjunctival (13.1%), and transconjunctival with lateral canthotomy (1.5%). The incidence of ectropion development following surgery was 3.0% and the incidence of entropion development following surgery was 1.0%. The highest rate of ectropion (11.1%) was seen using an approach via a laceration, followed by approach via a scar (6.3%). Our conclusion is that the transconjunctival incision without a lateral canthotomy has a low complication rate, provides adequate exposure, and leaves no visible scar. PMID:27162565

  4. Predictive value of visual evoked potentials, relative afferent pupillary defect, and orbital fractures in patients with traumatic optic neuropathy

    PubMed Central

    Tabatabaei, Seyed Ali; Soleimani, Mohammad; Alizadeh, Mahdi; Movasat, Morteza; Mansoori, Mohammad Reza; Alami, Zakieh; Foroutan, Alireza; Joshaghani, Mahmood; Safari, Saeid; Goldiz, Arzhang

    2011-01-01

    Background: The purpose of this study was to determine the predictive value of flash visual-evoked potentials (VEP), relative afferent pupillary defect, and presence of orbital fractures in patients with traumatic optic neuropathy. Methods: A prospective study was conducted in 15 patients with indirect traumatic optic neuropathy. All patients underwent a thorough ophthalmic examination. Initial visual acuity, final visual acuity, and relative afferent pupillary defect were determined, and visual acuity was converted into logMAR units. We performed flash VEP and an orbital computed tomography scan in all patients. Results: There was a good correlation between relative afferent pupillary defect and final visual acuity (r = −0.83), and better initial visual acuity could predict better final visual acuity (r = 0.92). According to findings from flash VEP parameters, there was a relationship between final visual acuity and amplitude ratio of the wave (r = 0.59) and latency ratio of the wave (r = −0.61). Neither primary visual acuity nor final visual acuity was related to the presence of orbital fractures in the orbital CT scan. Conclusion: Patients with traumatic optic neuropathy often present with severe vision loss. Flash VEP, poor initial visual acuity, and higher grade of relative afferent pupillary defect could predict final visual acuity in these patients. Presence of orbital fracture was not a predictive factor for primary visual acuity or final visual acuity. PMID:21845028

  5. Crystal orbital study on the double walls made of nanotubes encapsulated inside zigzag carbon nanotubes

    SciTech Connect

    Zhao, Xin; Qiao, Weiye; Li, Yuliang; Huang, Yuanhe

    2015-01-15

    The structure stabilities and electronic properties are investigated by using ab initio self-consistent-field crystal orbital method based on density functional theory for the one-dimensional (1D) double-wall nanotubes made of n-gon SiO{sub 2} nanotubes encapsulated inside zigzag carbon nanotubes. It is found that formation of the combined systems is energetically favorable when the distance between the two constituents is around the Van der Waals scope. The obtained band structures show that all the combined systems are semiconductors with nonzero energy gaps. The frontier energy bands (the highest occupied band and the lowest unoccupied band) of double-wall nanotubes are mainly derived from the corresponding carbon nanotubes. The mobilities of charge carriers are calculated to be within the range of 10{sup 2}–10{sup 4} cm{sup 2} V{sup −1} s{sup −1} for the hybrid double-wall nanotubes. Young’s moduli are also calculated for the combined systems. For the comparison, geometrical and electronic properties of n-gon SiO{sub 2} nanotubes are also calculated and discussed. - Graphical abstract: Structures and band structures of the optimum 1D Double walls nanotubes. The optimized structures are 3-gon SiO2@(15,0), 5-gon SiO2@(17,0), 6-gon SiO2@(18,0) and 7-gon SiO2@(19,0). - Highlights: • The structure and electronic properties of the 1D n-gon SiO{sub 2}@(m,0)s are studied using SCF-CO method. • The encapsulation of 1D n-gon SiO{sub 2} tubes inside zigzag carbon nanotubes can be energetically favorable. • The 1D n-gon SiO{sub 2}@(m,0)s are all semiconductors. • The mobility of charge carriers and Young’s moduli are calculated.

  6. Environmentally-controlled fracture of an overstrained A723 steel thick-walled cylinder

    NASA Astrophysics Data System (ADS)

    Underwood, J. H.; Olmstead, V. J.; Askew, J. C.; Kapusta, A. A.; Young, G. A.

    1992-08-01

    A through-wall, 1.7 m long crack grew suddenly from a notch in a 285 mm outer diameter (OD) of an A723 steel overstrained tube that was undergoing plating operations with no externally applied loads. The fracture mechanics tests and analyses and the fractography performed to characterize the cracking are described. The tube had a yield strength of 1200 MPa, fracture toughness of 150 MPavm, and a tensile residual stress at the OD of about 600 MPa. The composition was typical of an air-melt A723 steel, and the electropolishing bath, consisting of sulfuric and phosphoric acids, was held at 54 C. The bolt-loaded test for the threshold stress intensity factor for environmentally controlled cracking described by Wei and Novak was used here with two significant modifications. Some tests included only a notch with the radius matching that of the tube, and a new expression for K in terms of crack-mouth displacement was developed and used. Scanning electron microscope fractography and energy dispersive x ray spectra were used to identify crack mechanisms. Results of the study include: (1) a measured threshold of hydrogen stress cracking for the material/environment below 20 MPavm; (2) da/dt versus K behavior typical of classic environmental control; and (3) an improved K/v expression for the bolt-loaded specimen and associated criteria for determining plane-strain test conditions in relation to the Irwin plastic zone.

  7. Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves' Orbitopathy

    PubMed Central

    Fichter, Nicole; Guthoff, Rudolf F.

    2015-01-01

    Purpose. To evaluate the effect of en bloc lateral wall decompression with additional orbital fat resection in terms of exophthalmos reduction and complications. Methods. A retrospective, noncomparative case series study from 1999 to 2011 (chart review) in Graves' orbitopathy (GO) patients. The standardized surgical technique involved removal of the lateral orbital wall including the orbital rim via a lid crease approach combined with additional orbital fat resection. Exophthalmos, diplopia, retrobulbar pressure sensation, and complications were analyzed pre- and postoperatively. Results. A total of 111 patients (164 orbits) with follow-up >3 months were analysed. Mean exophthalmos reduction was 3.05mm and preoperative orbital pressure sensation resolved or improved in all patients. Visual acuity improved significantly in patients undergoing surgery for rehabilitative or vision threatening purposes. Preoperative diplopia improved in 10 patients (9.0%) but worsened in 5 patients (4.5%), necessitating surgical correction in 3 patients. There were no significant complications; however, one patient had slight hollowing of the temporalis muscle around the scar that did not necessitate revision, and another patient with a circumscribed retraction of the scar itself underwent surgical correction. Conclusions. The study confirms the efficiency of en bloc lateral wall decompression in GO in a large series of patients, highlighting the low risk of disturbance of binocular functions and of cosmetic blemish in the temporal midface region. PMID:26221142

  8. Numerical Investigation of the Effect of the Location of Critical Rock Block Fracture on Crack Evolution in a Gob-side Filling Wall

    NASA Astrophysics Data System (ADS)

    Li, Xuehua; Ju, Minghe; Yao, Qiangling; Zhou, Jian; Chong, Zhaohui

    2016-03-01

    Generation, propagation, and coalescence of the shear and tensile cracks in the gob-side filling wall are significantly affected by the location of the fracture of the critical rock block. The Universal Discrete Element Code software was used to investigate crack evolution characteristics in a gob-side filling wall and the parameter calibration process for various strata and the filling wall was clearly illustrated. The cracks in both the filling wall and the coal wall propagate inward in a V-shape pattern with dominant shear cracks generated initially. As the distance between the fracture and the filling wall decreases, the number of cracks in the filling wall decreases, and the stability of the filling wall gradually improves; thus, by splitting the roof rock at the optimal location, the filling wall can be maintained in a stable state. Additionally, we conducted a sensitivity analysis that demonstrated that the higher the coal seam strength, the fewer cracks occur in both the filling wall and the coal wall, and the less failure they experience. With the main roof fracturing into a cantilever structure, the higher the immediate roof strength, the fewer cracks are in the filling wall. With the critical rock block fracturing above the roadway, an optimal strength of the immediate roof can be found that will stabilize the filling wall. This study presents a theoretical investigation into stabilization of the filling wall, demonstrating the significance of pre-splitting the roof rock at a desirable location.

  9. Survey of Common Practices among Oculofacial Surgeons in the Asia-Pacific Region: Management of Orbital Floor Blowout Fractures

    PubMed Central

    Koh, Victor; Chiam, Nathalie; Sundar, Gangadhara

    2014-01-01

    A web-based anonymous survey was performed to assess common practices of oculofacial surgeons in the management of traumatic orbital floor blowout fractures. A questionnaire which contained questions on several controversial topics in the management of orbital floor fractures was sent out via e-mail to 131 oculofacial surgeons in 14 countries in the Asia-Pacific region. A total response rate of 58.3% was achieved from May to December 2012. The preferred time for surgical intervention was within 2 weeks for adult patients, porous polyethylene implant was the most popular choice, and most surgeons preferred the transconjunctival approach. Postoperatively, diplopia was the most commonly encountered complication and most oculofacial surgeons reviewed their patients regularly for up to 12 months. We report the results of the first survey of oculofacial surgeons within the Asia-Pacific region on the management of orbital floor blowout fractures. Compared with previous surveys (from year 2000 to 2004), the duration to surgical intervention was comparable but there was a contrasting change in preferred surgical approach and choice of orbital implant. PMID:25136408

  10. Retroseptal Transconjunctival Approach for Blowout Fracture of the Orbital Floor: An Ideal Choice in East-Asian Patients

    PubMed Central

    Chuman, Takahiro; Fujii, Tatsuya; Morikawa, Aya; Kikuchi, Mamoru; Watanabe, Hidetaka

    2016-01-01

    Objective: To ask experts in the field to evaluate a surgeon’s experience with a retroseptal transconjunctival approach for the repair of the orbital floor damaged by blowout fracture that the surgeon encountered in 12 East-Asian patients. Methods: Patients were identified from a database, and a retrospective case note review was conducted. A total of 12 conjunctival procedures were conducted for the repair of blowout fracture with no other complicating fractures. All operative procedures were done by transconjunctival approach alone without lateral canthotomy or any other additional approach. Results: The repair of the orbital floor was successful in all the cases. Three patients had bone grafting to the orbital floor after reduction. The mean of overall surgical time was 48.8 minutes (range, 22–85 minutes) for orbit exposure by transconjunctival approach plus reduction and bone grafting when applicable. There were 6 urgent surgeries associated with missing or entrapment of the inferior rectus muscle, and its repair took an average of 32.0 minutes (range, 22–41 minutes). Postoperative diplopia recovered at an average of 12.4 weeks (range, 0–60 weeks); in urgent cases, it took an average of 5.3 weeks (range, 0–14 weeks) before recovery. Conclusions: A retroseptal transconjunctival approach in repairing the orbital floor is a simple, easily manageable, and effective procedure, leaving no conspicuous facial scars. It has proved to be an optimal choice in blowout fracture cases, especially when there was urgency to decompress the ischemic inferior rectus muscle in as short a surgery time as possible. PMID:27579249

  11. Blow-in fracture of the orbital roof presenting as a case of non-resolving choroidal effusion.

    PubMed

    Mukherjee, Bipasha; Bhende, Muna

    2010-01-01

    A 34-year-old male patient was referred to us as a case of non-resolving suprachoroidal hemorrhage. History revealed decrease in right eye vision following trauma to forehead. B scan ultrasonography (USG) of the right eye showed a high-reflective structure indenting the globe. It turned out to be an inferiorly displaced fracture fragment from the orbital roof on computerized tomography (CT) scan. The choroidal elevation disappeared after open reduction of the fracture fragment and patient had good recovery of vision. USG and CT scan were helpful in the diagnosis and management of this case. PMID:20534928

  12. The application and progress of high-density porous polyethylene in the repair of orbital wall defect.

    PubMed

    Qian, Zhuyun; Fan, Xianqun

    2014-07-01

    High-density porous polyethylene is a type of polymeric biomaterial. When used to efficiently fill the extensive orbital volume and correct enophthalmos caused by orbital wall defect, it has a significant advantage of biocompatibility, which results in a low rate of postoperative exposure and infection. The major disadvantage of this material is its radiolucency. However, with the development of imaging techniques, it is now possible to use multidetector computed tomography to directly contour the implant and describe its position. The use of tissue engineering involving high-density porous polyethylene will further improve its biocompatibility. At the same time, composite materials will play an important role in the repair of orbital wall defect. PMID:24911609

  13. Posttraumatic Orbital Emphysema: A Numerical Model

    PubMed Central

    Skorek, Andrzej; Kłosowski, Paweł; Plichta, Łukasz; Zmuda Trzebiatowski, Marcin; Lemski, Paweł

    2014-01-01

    Orbital emphysema is a common symptom accompanying orbital fracture. The pathomechanism is still not recognized and the usually assumed cause, elevated pressure in the upper airways connected with sneezing or coughing, does not always contribute to the occurrence of this type of fracture. Observations based on the finite model (simulating blowout type fracture) of the deformations of the inferior orbital wall after a strike in its lower rim. Authors created a computer numeric model of the orbit with specified features—thickness and resilience modulus. During simulation an evenly spread 14400 N force was applied to the nodular points in the inferior rim (the maximal value not causing cracking of the outer rim, but only ruptures in the inferior wall). The observation was made from 1 · 10−3 to 1 · 10−2 second after a strike. Right after a strike dislocations of the inferior orbital wall toward the maxillary sinus were observed. Afterwards a retrograde wave of the dislocation of the inferior wall toward the orbit was noticed. Overall dislocation amplitude reached about 6 mm. Based on a numeric model of the orbit submitted to a strike in the inferior wall an existence of a retrograde shock wave causing orbital emphysema has been found. PMID:25309749

  14. Posttraumatic orbital emphysema: a numerical model.

    PubMed

    Skorek, Andrzej; Kłosowski, Paweł; Plichta, Lukasz; Raczyńska, Dorota; Zmuda Trzebiatowski, Marcin; Lemski, Paweł

    2014-01-01

    Orbital emphysema is a common symptom accompanying orbital fracture. The pathomechanism is still not recognized and the usually assumed cause, elevated pressure in the upper airways connected with sneezing or coughing, does not always contribute to the occurrence of this type of fracture. Observations based on the finite model (simulating blowout type fracture) of the deformations of the inferior orbital wall after a strike in its lower rim. Authors created a computer numeric model of the orbit with specified features-thickness and resilience modulus. During simulation an evenly spread 14400 N force was applied to the nodular points in the inferior rim (the maximal value not causing cracking of the outer rim, but only ruptures in the inferior wall). The observation was made from 1 · 10(-3) to 1 · 10(-2) second after a strike. Right after a strike dislocations of the inferior orbital wall toward the maxillary sinus were observed. Afterwards a retrograde wave of the dislocation of the inferior wall toward the orbit was noticed. Overall dislocation amplitude reached about 6 mm. Based on a numeric model of the orbit submitted to a strike in the inferior wall an existence of a retrograde shock wave causing orbital emphysema has been found. PMID:25309749

  15. Spin-orbit torques for current parallel and perpendicular to a domain wall

    SciTech Connect

    Schulz, Tomek; Lee, Kyujoon; Karnad, Gurucharan V.; Alejos, Oscar; Martinez, Eduardo; Moretti, Simone; Garcia, Karin; Ravelosona, Dafiné; Vila, Laurent; Lo Conte, Roberto; Kläui, Mathias; Ocker, Berthold; Brataas, Arne

    2015-09-21

    We report field- and current-induced domain wall (DW) depinning experiments in Ta\\Co{sub 20}Fe{sub 60}B{sub 20}\\MgO nanowires through a Hall cross geometry. While purely field-induced depinning shows no angular dependence on in-plane fields, the effect of the current depends crucially on the internal DW structure, which we manipulate by an external magnetic in-plane field. We show depinning measurements for a current sent parallel to the DW and compare its depinning efficiency with the conventional case of current flowing perpendicularly to the DW. We find that the maximum efficiency is similar for both current directions within the error bars, which is in line with a dominating damping-like spin-orbit torque (SOT) and indicates that no large additional torques arise for currents perpendicular to the DW. Finally, we find a varying dependence of the maximum depinning efficiency angle for different DWs and pinning levels. This emphasizes the importance of our full angular scans compared with previously used measurements for just two field directions (parallel and perpendicular to the DW) to determine the real torque strength and shows the sensitivity of the SOT to the precise DW structure and pinning sites.

  16. Spin-orbit torques for current parallel and perpendicular to a domain wall

    NASA Astrophysics Data System (ADS)

    Schulz, Tomek; Alejos, Oscar; Martinez, Eduardo; Hals, Kjetil M. D.; Garcia, Karin; Vila, Laurent; Lee, Kyujoon; Lo Conte, Roberto; Karnad, Gurucharan V.; Moretti, Simone; Ocker, Berthold; Ravelosona, Dafiné; Brataas, Arne; Kläui, Mathias

    2015-09-01

    We report field- and current-induced domain wall (DW) depinning experiments in TaCo20Fe60B20MgO nanowires through a Hall cross geometry. While purely field-induced depinning shows no angular dependence on in-plane fields, the effect of the current depends crucially on the internal DW structure, which we manipulate by an external magnetic in-plane field. We show depinning measurements for a current sent parallel to the DW and compare its depinning efficiency with the conventional case of current flowing perpendicularly to the DW. We find that the maximum efficiency is similar for both current directions within the error bars, which is in line with a dominating damping-like spin-orbit torque (SOT) and indicates that no large additional torques arise for currents perpendicular to the DW. Finally, we find a varying dependence of the maximum depinning efficiency angle for different DWs and pinning levels. This emphasizes the importance of our full angular scans compared with previously used measurements for just two field directions (parallel and perpendicular to the DW) to determine the real torque strength and shows the sensitivity of the SOT to the precise DW structure and pinning sites.

  17. Clinical effect of a mixed solution of sodium hyaluronate and sodium carboxymethylcellulose during the transconjunctival approach for orbital wall reconstruction.

    PubMed

    Kang, Byung Wan; Lee, Hyo Seok; Oh, Han Jin; Yoon, Kyung Chul

    2012-08-01

    This study aimed to evaluate the anti-adhesive effect of a mixed solution of sodium hyaluronate and sodium carboxymethylcellulose (HACMC, Guardix-sol®) during the transconjunctival approach to orbital wall reconstruction. Eighty-seven patients who underwent orbital wall reconstruction by the transconjunctival approach were enrolled in this prospective study. We applied HACMC between the orbicularis oculi muscle and the orbital septum after surgery in 47 patients and did not use it in 40 patients. Lower lid retraction and marginal reflex distance 2 (MRD(2)) were measured to analyze the degree of postoperative adhesion at 1 week and 1, 3, and 6 months. The degree of MRD(2) showed clinically significant differences at postoperative 1 week and 1 month between the HACMC and control groups (p<0.05). Lower lid ectropion developed in two patients (5.0%) in the control group but did not occur in the HACMC group. In orbital wall reconstruction by the transconjunctival approach, the HACMC mixture solution is effective for preventing adhesion and lower lid ectropion during the early postoperative period. PMID:22977754

  18. Clinical Effect of a Mixed Solution of Sodium Hyaluronate and Sodium Carboxymethylcellulose During the Transconjunctival Approach for Orbital Wall Reconstruction

    PubMed Central

    Kang, Byung Wan; Lee, Hyo Seok; Oh, Han Jin

    2012-01-01

    This study aimed to evaluate the anti-adhesive effect of a mixed solution of sodium hyaluronate and sodium carboxymethylcellulose (HACMC, Guardix-sol®) during the transconjunctival approach to orbital wall reconstruction. Eighty-seven patients who underwent orbital wall reconstruction by the transconjunctival approach were enrolled in this prospective study. We applied HACMC between the orbicularis oculi muscle and the orbital septum after surgery in 47 patients and did not use it in 40 patients. Lower lid retraction and marginal reflex distance 2 (MRD2) were measured to analyze the degree of postoperative adhesion at 1 week and 1, 3, and 6 months. The degree of MRD2 showed clinically significant differences at postoperative 1 week and 1 month between the HACMC and control groups (p<0.05). Lower lid ectropion developed in two patients (5.0%) in the control group but did not occur in the HACMC group. In orbital wall reconstruction by the transconjunctival approach, the HACMC mixture solution is effective for preventing adhesion and lower lid ectropion during the early postoperative period. PMID:22977754

  19. Epithelial cysts associated with alloplastic implants after repair of orbital fractures: a systematic review and four new cases.

    PubMed

    Su, Yun; Sun, Jing; Fan, Xianqun

    2016-07-01

    An epithelial cyst is a rare and often late complication of long-term alloplastic implants, which has the potential to lead to further complications and harm to patients. We made a systematic review of papers published during the past 30 years about the mechanisms and clinical characteristics formation of epithelial cysts after repair of an orbital fracture by searching PubMed, Medline, and Web of Science to collect all related case reports and series published in the English language. We also made a retrospective review of casenotes of all patients diagnosed with orbital epithelial cysts in our department. We found 19 cases of epithelial cysts, including the four cases of our own, associated with alloplastic material, 12 of which were associated with silicone. There were 12 men and seven women aged from 26-71 years old. Orbital cysts developed 15 months-31 (median 8) years after implantation. Histological analysis confirmed that the cysts were all epithelial cysts lined with squamous or respiratory (or both) cells, and differing degrees of chronic inflammation. Epithelial cysts after implantation of alloplastic material may present with various symptoms several years after repair of orbital fractures, and their formation probably results from the synergistic effects of both ectopic cells and chronic inflammation. The implant itself may be a trigger, and the cysts did not seem to be limited to one specific type of implant. PMID:27094498

  20. Isolated trapdoor-type medial blowout fracture in an adult presenting horizontal diplopia treated by endoscopic endonasal approach.

    PubMed

    Noh, Woong Jae; Park, Tae Jung; Kim, Joo Yeon; Kwon, Jae Hwan

    2013-01-01

    Orbital blowout fracture frequently occurs along the floor or medial aspect of the orbital wall, which are the two thinnest areas of the bony orbit. True trapdoor injury of the orbit is less common and is rare as an isolated medial wall injury, because the medial orbital wall has several bony septa within the ethmoid sinus that provide support and decrease the risk of a trapdoor fracture. Additionally, the incidence of trapdoor-type blowout fracture in adults is lower than in children. In a trapdoor-type blowout fracture with restricted ocular movement, prompt diagnosis and early intervention are associated with better clinical outcomes. We encountered a case of trap door-type medial blowout fracture with horizontal eye ball movement limitation in an adult. She underwent endonasal endoscopic reduction surgery for the medial blowout fractures. Here we report this case, and suggest early diagnosis and prompt surgical exploration. PMID:24964421

  1. The history of the walls of the Acropolis of Athens and the natural history of secondary fracture healing process.

    PubMed

    Lyritis, G P

    2000-09-01

    During its long and adventurous history, the Acropolis of Athens has been a site of many dramatic events. It suffered its most disastrous destruction during the Persian wars. Under the command of King Xerxes, the Persians invaded Athens and ruined the Temple of the Parthenon and the walls of the Acropolis. After their victorious sea battle at Salamis, the Athenians, led by Themistocles, returned home and tried to repair the damage. Their priority still was to defend their city by restoring the walls of the Acropolis. Materials of all kinds were salvaged from the ruins of the Acropolis and used for an immediate reconstruction of the walls. Later, when the Athenians became the leaders of the Greek world, it was decided that the walls should be rebuilt in a proper artistic way. Themistocles suggested that a small section of the walls, which had formerly been a part of the urgent restoration, should remain in place so as to remind the citizens of this historical event. This is a characteristic example of the biological and mechanical adaptation of fracture callus to musculoskeletal function. After a period of urgency with the fixation of a fracture by means of a primitive secondary callus formation, the broken limb gradually returns to its usual function. Increased mechanical loading enhances the remodelling of the callus and the replacement of woven bone with lamellar bone. PMID:15758516

  2. Clinical and Radiologic Characteristics of Inferior Rectus Muscle Sheath Entrapment in Orbital Blowout Fracture.

    PubMed

    Bagheri, Abbas; Tavakoli, Mehdi; Khosravifard, Keivan; Yazdani, Shahin

    2015-10-01

    Blowout fracture is a common condition in the oculoplastics clinic. One of the indications for its repair is entrapment of the inferior rectus muscle within the fracture site. Herein, the authors present 3 patients of inferior rectus muscle sheath entrapment without entrapment of the muscle itself. The outcome of treatment was excellent in all patients. The aim of this report is to present the special clinical and radiologic findings in such patients. PMID:26413961

  3. Fractures

    PubMed Central

    Hall, Michael C.

    1963-01-01

    Recent studies on the epidemiology and repair of fractures are reviewed. The type and severity of the fracture bears a relation to the age, sex and occupation of the patient. Bone tissue after fracture shows a process of inflammation and repair common to all members of the connective tissue family, but it repairs with specific tissue. Cartilage forms when the oxygen supply is outgrown. After a fracture, the vascular bed enlarges. The major blood supply to healing tissue is from medullary vessels and destruction of them will cause necrosis of the inner two-thirds of the cortex. Callus rapidly mineralizes, but full mineralization is achieved slowly; increased mineral metabolism lasts several years after fracture. PMID:13952119

  4. Orbital Fracture Leading to Severe Multifascial Space Infection Including the Parapharyngeal Space: A Report of a Case and Review of the Literature

    PubMed Central

    Park, Chan; Marchiori, Erica; Barber, Jacob; Cardon, Curtis

    2014-01-01

    Orbital trauma can result in periorbital and orbital infections. Orbital infections have been classified by Chandler et al in 1970 to their anatomic location and boundaries. This case report describes a patient who developed a severe orbital infection following orbital fractures. The infection progressed to the parapharyngeal space. The patient required multiple incision and drainage surgeries and tissue debridements to have clinical resolution. To our knowledge, there has not been a case described in the literature of an orbital infection progressing to the parapharyngeal space. A literature review of orbital trauma leading to infection discusses the pathogenesis of the infections. This case demonstrates that close clinical follow-up and appropriate medical management of comorbidities that put a patient at higher risk of developing an infection is of the utmost importance in the treatment of maxillofacial trauma patients. PMID:25136414

  5. Fractures

    MedlinePlus

    ... commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the ...

  6. Fractures

    MedlinePlus

    A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open ... falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the ...

  7. Lubrication theory analysis of the permeability of rough-walled fractures

    SciTech Connect

    Zimmerman, R.W.; Kumar, S.; Bodvarsson, G.S.

    1991-01-01

    The flow of a fluid between the rough surfaces of a rock fracture is very complex, due to the tortuous paths followed by the fluid particles. Exact analytical modeling of these flows is made difficult by the irregular geometry of rock fracture surfaces, while full three-dimensional numerical simulations of these flows are as yet still impractical. To overcome the difficulties of working with the three-dimensional Navier-Stokes equations, the simpler Reynolds lubrication equation has sometimes been used to model flow in fractures. This paper focuses on two aspects of lubrication theory. First, lubrication theory is applied to two simplified aperture profiles, sinusoidal and sawtooth, and analytical expressions are found for the permeabilities. These results are then compared with numerical results obtained by solving the lubrication equation for fractures with random surfaces. Secondly, the validity of the lubrication equations for modeling flow in rough fractures is studied by examining higher-order perturbation solutions, as well as numerical solutions, to the Navier-Stokes equations for flow in fractures with sinusoidally-varying apertures. 22 refs., 6 figs.

  8. Numerical Simulation of Impact Damage Induced by Orbital Debris on Shielded Wall of Composite Overwrapped Pressure Vessel

    NASA Astrophysics Data System (ADS)

    Cherniaev, Aleksandr; Telichev, Igor

    2014-12-01

    This paper presents a methodology for numerical simulation of the formation of the front wall damage in composite overwrapped pressure vessels under hypervelocity impact. Both SPH particles and Lagrangian finite elements were employed in combination for numerical simulations. Detailed numerical models implementing two filament winding patterns with different degree of interweaving were developed and used to simulate 2.5 km/s and 5.0 km/s impacts of 5 mm-diameter spherical aluminum-alloy projectile. Obtained results indicate that winding pattern may have a pronounced effect on vessel damage in case of orbital debris impact, influencing propagation of the stress waves in composite material.

  9. Determination of effective field induced by spin-orbit torque using magnetic domain wall creep in Pt/Co structure

    NASA Astrophysics Data System (ADS)

    Koyama, T.; Chiba, D.

    2015-12-01

    We investigated the effect of electric current on the magnetic-field-driven magnetic domain wall (DW) creep velocity in ultrathin Co with perpendicular magnetic anisotropy deposited on a Pt underlayer. The DW velocity was considerably modulated by the current, and its field dependence deviated from the scaling law with the critical exponent of 1/4, which is generally valid in ferromagnetic metals. This characteristic feature of the DW motion can be explained by considering the perpendicular effective field generated by spin-orbit torque at the Pt/Co interface. From the relation between the injected current and the modified creep velocity, the determination of the effective field was demonstrated.

  10. Fracture behavior of shallow cracks in full-thickness clad beams from an RPV wall section

    SciTech Connect

    Keeney, J.A.; Bass, B.R.; McAfee, W.J.

    1995-04-01

    A testing program is described that utilizes full-thickness clad beam specimens to quantify fracture toughness for shallow cracks in weld material for which metallurgical conditions are prototypic of those found in reactor pressure vessels (RPVs). The beam specimens are fabricated from an RPV shell segment that includes weld, plate and clad material. Metallurgical factors potentially influencing fracture toughness for shallow cracks in the beam specimens include material gradients and material inhomogeneities in welded regions. The shallow-crack clad beam specimens showed a significant loss of constraint similar to that of other shallow-crack single-edge notch bend (SENB) specimens. The stress-based Dodds-Anderson scaling model appears to be effective in adjusting the test data to account for in-plane loss of constraint for uniaxially tested beams, but cannot predict the observed effects of out-of-plane biaxial loading on shallow-crack fracture toughness. A strain-based dual-parameter fracture toughness correlation (based on plastic zone width) performed acceptably when applied to the uniaxial and biaxial shallow-crack fracture toughness data.

  11. Flow visualization and relative permeability measurements in rough-walled fractures

    SciTech Connect

    Persoff, P.; Pruess, K.

    1993-01-01

    Two-phase (gas-liquid) flow experiments were done in a natural rock fracture and transparent replicas of natural fractures. Liquid was injected at constant volume flow rate, and gas was injected at either constant mass flow rate or constant pressure. When gas was injected at constant mass flow rate, the gas inlet pressure, and inlet and outlet capillary pressures, generally did not reach steady state but cycled irregularly. Flow visualization showed that this cycling was due to repeated blocking and unblocking of gas flow paths by liquid. Relative permeabilities calculated from flow rate and pressure data show that the sum of the relative permeabilities of the two phases is much less than 1, indicating that each phase interferes strongly with the flow of the other. Comparison of the relative permeability curves with typical curves for porous media (Corey curves) show that the phase interference is stronger in fractures than in typical porous media.

  12. Modified solution for finding the optimal angle of spacecraft walls under orbital debris impacts

    NASA Astrophysics Data System (ADS)

    Pantelides, Chris P.; Tzan, Shyh-Rong

    1993-06-01

    A modification to the procedure developed by Schonberg and Tullos (1991) to find the configuration and the parameters of a corrugated bumper that can reduce the potential for creation of ricochet debris, in the event of an on-orbit impact, is presented. It is shown that the optimal bumper rise angle depends on the ratio of ricochet debris velocity to spacecraft velocity, has an asymptotic value of 45 deg, and is independent of the spacecraft orientaion.

  13. Effects of capillary pressure and use of polymer solutions on dense, non-aqueous-phase liquid retention and mobilization in a rough-walled fracture

    SciTech Connect

    Longino, B.L.; Kueper, B.H. . Dept. of Civil Engineering)

    1999-07-15

    In this laboratory study, perchloroethylene (PCE) was permitted to migrate through a horizontal rough-walled limestone fracture under controlled conditions to assess fracture retention capacity. Retention of immiscible-phase PCE in the absence of an applied wetting-phase hydraulic gradient varied between 11% and 26% of the fracture volume. A portion of this residual could be removed through water flooding; however, even at the maximum applied hydraulic gradient of 1.0, residual PCE remained in the fracture. The observed correlation of reduced residual saturation with capillary number (N[sub c]) demonstrated that this rough-walled fracture exhibited behavior similar to that of a porous medium under water-flooding conditions. For a given hydraulic gradient, polymer-enhanced floods (using xanthan gum) were not as successful as conventional water flooding at removing residual from the fracture. The traditional form of the capillary number became an increasingly poor predictor of mobilization behavior as the viscosity of the displacing phase was increased. Incorporation of ([mu][sub w]/[mu][sub nw])[sup [minus]0.5] into the traditional capillary number provided a more appropriate dimensionless group with which to correlate residual PCE saturation in the fracture as [mu][sub w] increased.

  14. Fracture strengths of HIPed DS-Cu/SS joints for ITER shielding blanket/first wall

    NASA Astrophysics Data System (ADS)

    Hatano, T.; Kanari, M.; Sato, S.; Gotoh, M.; Furuya, K.; Kuroda, T.; Saito, M.; Enoeda, M.; Takatsu, H.

    1998-10-01

    Fracture toughness and crack propagation tests were performed to investigate the effect of HIP temperature and fracture behavior of HIPed DS-Cu/SS joints. Test specimens of DS-Cu/SS HIPed joints were manufactured by bonding flat plates of DS-Cu and SS under HIP temperatures of 980°C, 1030°C and 1050°C. JQ of the joint at HIP temperature of 1050°C was larger than the other two joints. For the crack propagation test, two types of test specimens were prepared. One had a notch along the HIPed interface and the other in DS-Cu and normal to the interface. The crack in the former specimen propagated along the interface. On the other hand, the crack in the latter specimen propagated in the DS-Cu perpendicular to the loading direction, stopped at the interface, and then exfoliated along the HIPed interface. In the fracture tests, the crack was observed propagating in DS-Cu side at approximately 5-10 μm away from the interface.

  15. Failure Analysis of Fractured Poppet from Space Shuttle Orbiter Flow Control Valve

    NASA Technical Reports Server (NTRS)

    Russell, Richard

    2010-01-01

    This slide presentation reviews the failure analysis of a fractured poppet from a flow control valve (FCV) used on the space shuttle. This presentation has focused on the laboratory analysis of the failed hardware. The use of Scanning electron fractography during the investigation led to the conclusion that the poppet failed due to fatigue cracking that, most likely, occurred under changing loading conditions. The initial investigation led to a more thorough test of poppets that had been retired, this testing led to the conclusion that the thumbnail cracks in the flight hardware had existed for the life of the shuttle program. This led to a program to develop an eddy current technique that was capable of detecting small very tight cracks.

  16. Recommendations for protecting against failure by brittle fracture: Category II and III ferritic steel shipping containers with wall thickness greater than four inches

    SciTech Connect

    Schwartz, M.W.; Fischer, L.E.

    1996-08-01

    This report provides criteria for selecting ferritic steels that would prevent brittle fracture in Category II and III shipping containers with wall thickness greater than 4 inches. These methods are extensions of those previously used for Category II and III containers less than 4 inches thick and Category I containers more than 4 inches thick.

  17. Ethmoid Osteoma as a Culprit of Orbital Emphysema

    PubMed Central

    Zhuang, Ai; Li, Yinwei; Lin, Ming; Shi, Wodong; Fan, Xianqun

    2015-01-01

    Abstract Orbital emphysema is generally recognized as a complication of orbital fractures involving any paranasal sinuses. The recognition about its etiology has extended beyond sole trauma, but few articles mentioned tumors to be a possible cause. In this case report, we present a patient with orbital emphysema associated with ethmoid osteoma without orbital cellulitis or trauma history. The patient developed sudden proptosis, eyelid swelling, and movement limitation of the left eye, peripheral diplopia, and left periorbital crepitus after a vigorous nose blowing. Complete surgical resection of ethmoid osteoma followed by repair of the orbital medial wall was performed with assistance of combined endoscopy and navigational techniques. Twelve-month follow-up showed no residual lesion or recurrence; the orbital medial wall was accurately repaired with good visual function and facial symmetry. Tumors should be considered for differential diagnosis of orbital emphysema, and combined endoscopy and navigational techniques may improve safety, accuracy, and effectiveness of orbital surgeries. PMID:25950683

  18. Nanoscale transport in single-walled carbon nanotubes with doubly degenerate orbitals

    NASA Astrophysics Data System (ADS)

    Makarovski, Alexander

    The unique properties of carbon nanotubes (CNT) have made these structures a popular subject of scientific research. One of the experimental techniques used to study the electronic band structure of nanotubes is low-temperature magneto-transport measurements. In this thesis, we report the results of employing this technique to study: (1) double orbital degeneracy of the quantum-mechanical energy levels in closed CNT Quantum Dots, (2) the Kondo effect at high contact transparency in the presence of level degeneracy, and (3) the influence of the superconductivity on electron transport in nanotubes. In the Coulomb blockade regime in CNT Quantum Dots, the alignment of the energy levels belonging to different orbitals is analyzed from the measured spacings between the conductance peaks. It is found that in properly fabricated individual nanotube samples a large percentage of the orbitals are doubly degenerate. The degree of the residual energy level misalignment is lower than in any of the previously published observations. We provide an explanation of how the degeneracy can be sustained in real nanotube samples. Additionally, observations of unexpected low-energy excitations at complete filling of four-electron shells are reported. In samples with relatively high tunneling barrier transparency, Kondo processes contribute to the enhancement of zero-bias conductance inside the Coulomb blockade valleys. At sufficiently low temperatures, individual single-electron conductance peaks within each four-electron shell completely merge. A new transport regime, where the different charge states are hybridized by the Kondo processes is reported. It is also found that the Kondo features at one-electron and three-electron shell occupancies behave noticeably different in a magnetic field, in violation of the electron-hole symmetry. The superconducting transition in the contacts significantly alters the properties of the nanotube; this is due to the superconducting proximity effect

  19. Improvement of the fracture toughness of hydroxyapatite (HAp) by incorporation of carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and nylon.

    PubMed

    Khanal, S P; Mahfuz, H; Rondinone, A J; Leventouri, Th

    2016-03-01

    The potential of improving the fracture toughness of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and polymerized ε-caprolactam (nylon) was studied. A series of HAp samples with CfSWCNTs concentrations varying from 0 to 1.5 wt.%, without, and with nylon addition was prepared. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) were used to characterize the samples. The three point bending test was applied to measure the fracture toughness of the composites. A reproducible value of 3.6±0.3 MPa.√m was found for samples containing 1 wt.% CfSWCNTs and nylon. This value is in the range of the cortical bone fracture toughness. Increase of the CfSWCNTs content results to decrease of the fracture toughness, and formation of secondary phases. PMID:26706523

  20. Improvement of the fracture toughness of hydroxyapatite (HAp) by incorporation of carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and nylon

    SciTech Connect

    Khanal, Suraj P.; Mahfuz, Hassan; Rondinone, Adam Justin; Leventouri, Th.

    2015-11-12

    The potential of improving the fracture toughness of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and polymerized ε-caprolactam (nylon) was researched. A series of HAp samples with CfSWCNTs concentrations varying from 0 to 1.5 wt.%, without, and with nylon addition was prepared. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) were used to characterize the samples. The three point bending test was applied to measure the fracture toughness of the composites. A reproducible value of 3.6 ± 0.3 MPa.√m was found for samples containing 1 wt.% CfSWCNTs and nylon. This value is in the range of the cortical bone fracture toughness. Lastly, the increase of the CfSWCNTs content results to decrease of the fracture toughness, and formation of secondary phases.

  1. Improvement of the fracture toughness of hydroxyapatite (HAp) by incorporation of carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and nylon

    DOE PAGESBeta

    Khanal, Suraj P.; Mahfuz, Hassan; Rondinone, Adam Justin; Leventouri, Th.

    2015-11-12

    The potential of improving the fracture toughness of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and polymerized ε-caprolactam (nylon) was researched. A series of HAp samples with CfSWCNTs concentrations varying from 0 to 1.5 wt.%, without, and with nylon addition was prepared. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) were used to characterize the samples. The three point bending test was applied to measure the fracture toughness of the composites. A reproducible value of 3.6 ± 0.3 MPa.√m was found for samples containing 1 wt.% CfSWCNTs and nylon. This valuemore » is in the range of the cortical bone fracture toughness. Lastly, the increase of the CfSWCNTs content results to decrease of the fracture toughness, and formation of secondary phases.« less

  2. BUMPERII - DESIGN ANALYSIS CODE FOR OPTIMIZING SPACECRAFT SHIELDING AND WALL CONFIGURATION FOR ORBITAL DEBRIS AND METEOROID IMPACTS

    NASA Technical Reports Server (NTRS)

    Hill, S. A.

    1994-01-01

    BUMPERII is a modular program package employing a numerical solution technique to calculate a spacecraft's probability of no penetration (PNP) from man-made orbital debris or meteoroid impacts. The solution equation used to calculate the PNP is based on the Poisson distribution model for similar analysis of smaller craft, but reflects the more rigorous mathematical modeling of spacecraft geometry, orientation, and impact characteristics necessary for treatment of larger structures such as space station components. The technique considers the spacecraft surface in terms of a series of flat plate elements. It divides the threat environment into a number of finite cases, then evaluates each element of each threat. The code allows for impact shielding (shadowing) of one element by another in various configurations over the spacecraft exterior, and also allows for the effects of changing spacecraft flight orientation and attitude. Four main modules comprise the overall BUMPERII package: GEOMETRY, RESPONSE, SHIELD, and CONTOUR. The GEOMETRY module accepts user-generated finite element model (FEM) representations of the spacecraft geometry and creates geometry databases for both meteoroid and debris analysis. The GEOMETRY module expects input to be in either SUPERTAB Universal File Format or PATRAN Neutral File Format. The RESPONSE module creates wall penetration response databases, one for meteoroid analysis and one for debris analysis, for up to 100 unique wall configurations. This module also creates a file containing critical diameter as a function of impact velocity and impact angle for each wall configuration. The SHIELD module calculates the PNP for the modeled structure given exposure time, operating altitude, element ID ranges, and the data from the RESPONSE and GEOMETRY databases. The results appear in a summary file. SHIELD will also determine the effective area of the components and the overall model, and it can produce a data file containing the probability

  3. Removal of PCB-DNAPL from a rough-walled fracture using alcohol/polymer flooding.

    PubMed

    Gauthier, M; Kueper, B H

    2006-03-01

    Phase behaviour experiments employing PCB (Aroclor 1242)/alcohol/water systems were conducted with ethanol (EtOH) and n-propanol (nPA). Both exhibited an affinity for the aqueous phase within the entire two-phase region. As much as 88% by volume (88% vol.) EtOH and 80% vol. nPA were necessary to achieve full miscibility of the PCB in the aqueous phase. DNAPL-water interfacial tension (IFT) was reduced from 38.9 dyn/cm to 4.7 dyn/cm and 2.4 dyn/cm with 80% vol. EtOH and 76% vol. nPA. The addition of alcohol brought about 41% and 54% reductions in DNAPL viscosity at maximal concentrations of EtOH and nPA. Density of the PCB-DNAPL was relatively unaffected by the presence of alcohol. A series of seven experiments were conducted where successive slugs of nPA and xanthan gum polymer solutions were injected into a fractured shale sample. A 30% vol. nPA solution injected under a hydraulic gradient of 0.36 allowed enhanced PCB removal primarily through reduction of IFT and resulted in 72% DNAPL recovery. Several pore volumes of alcohol solution were necessary to displace all the potentially mobile non-wetting phase since the high-viscosity DNAPL was mobilized at a lower flow rate than the overall fluid velocity, illustrating non-piston displacement. The injection of a 95% vol. nPA alcohol solution, theoretically at a sufficient concentration to produce fully miscible displacement of the residual DNAPL at equilibrium, resulted in non-equilibrium partitioning of the PCB into the flushing solution, likely due to the high fluid velocities in the fracture. The injection of 200 pore volumes of 95% vol. nPA solution resulted in 94% DNAPL recovery. Alcohol floods operated below the miscibility envelope appear to be a valuable source zone remedial alternative where the objective is to reduce DNAPL mobility to zero, but it should be noted that DNAPL mobility is increased during the application of the technology and steps may need to be taken to prevent unwanted vertical mobilization

  4. Removal of PCB-DNAPL from a rough-walled fracture using alcohol/polymer flooding

    NASA Astrophysics Data System (ADS)

    Gauthier, M.; Kueper, B. H.

    2006-03-01

    Phase behaviour experiments employing PCB (Aroclor 1242)/alcohol/water systems were conducted with ethanol (EtOH) and n-propanol (nPA). Both exhibited an affinity for the aqueous phase within the entire two-phase region. As much as 88% by volume (88% vol.) EtOH and 80% vol. nPA were necessary to achieve full miscibility of the PCB in the aqueous phase. DNAPL-water interfacial tension (IFT) was reduced from 38.9 dyn/cm to 4.7 dyn/cm and 2.4 dyn/cm with 80% vol. EtOH and 76% vol. nPA. The addition of alcohol brought about 41% and 54% reductions in DNAPL viscosity at maximal concentrations of EtOH and nPA. Density of the PCB-DNAPL was relatively unaffected by the presence of alcohol. A series of seven experiments were conducted where successive slugs of nPA and xanthan gum polymer solutions were injected into a fractured shale sample. A 30% vol. nPA solution injected under a hydraulic gradient of 0.36 allowed enhanced PCB removal primarily through reduction of IFT and resulted in 72% DNAPL recovery. Several pore volumes of alcohol solution were necessary to displace all the potentially mobile non-wetting phase since the high-viscosity DNAPL was mobilized at a lower flow rate than the overall fluid velocity, illustrating non-piston displacement. The injection of a 95% vol. nPA alcohol solution, theoretically at a sufficient concentration to produce fully miscible displacement of the residual DNAPL at equilibrium, resulted in non-equilibrium partitioning of the PCB into the flushing solution, likely due to the high fluid velocities in the fracture. The injection of 200 pore volumes of 95% vol. nPA solution resulted in 94% DNAPL recovery. Alcohol floods operated below the miscibility envelope appear to be a valuable source zone remedial alternative where the objective is to reduce DNAPL mobility to zero, but it should be noted that DNAPL mobility is increased during the application of the technology and steps may need to be taken to prevent unwanted vertical mobilization.

  5. Canal wall reconstruction and mastoid obliteration with composite multi-fractured osteoperiosteal flap.

    PubMed

    Uçar, Cevat

    2006-12-01

    We used inferior pedicled composite multi-fractured osteoperiosteal flap (CMOF), our original and new surgical approach, to obliterate the mastoid cavity and reconstruct the external auditory canal (EAC) to prevent the open cavity problems. CMOF was used to obliterate the mastoid cavity and reconstruct the EAC in 24 patients (13 women, 11 men; age span 12-51 years) who underwent radical mastoidectomy to treat the chronic otitis media between 1998 and 2004. Small meatoplasty was done in all 24 patients to relieve their aesthetical concerns. Temporal bone CT scanning was done to observe the neo-osteogenesis in the mastoidectomy cavity and the CMOF, and the EAC volume was measured postoperatively. All our patients were followed-up for 2 years. The epithelization of the new EAC in our patients was complete at the end of the second month. Cholesteatoma, granulation, and recurrence of osteitis did not occur in any of the patients. We saw the new bone formation filling the mastoid cavity in the postoperative temporal bone CT scanning images. The mean volume of the new EAC on the 24th month was 1.83 +/- 0.56 cm(3). We had an almost natural EAC, which owed its existence to the neo-osteogenesis that grows behind the CMOF, which we use to obliterate the mastoid cavity and to reconstruct the EAC. PMID:17006636

  6. A Study On Critical Thinning In Thin-walled Tube Bending Of Al-Alloy 5052O Via Coupled Ductile Fracture Criteria

    SciTech Connect

    Li Heng; Yang He; Zhan Mei

    2010-06-15

    Thin-walled tube bending(TWTB) method of Al-alloy tube has attracted wide applications in aerospace, aviation and automobile,etc. While, under in-plane double tensile stress states at the extrados of bending tube, the over-thinning induced ductile fracture is one dominant defect in Al-alloy tube bending. The main objective of this study is to predict the critical wall-thinning of Al-alloy tube bending by coupling two ductile fracture criteria(DFCs) into FE simulation. The DFCs include Continuum Damage Mechanics(CDM)-based model and GTN porous model. Through the uniaxial tensile test of the curved specimen, the basic material properties of the Al-alloy 5052O tube is obtained; via the inverse problem solution, the damage parameters of both the two fracture criteria are interatively determined. Thus the application study of the above DFCs in the TWTB is performed, and the more reasonable one is selected to obtain the critical thinning of Al-alloy tube in bending. The virtual damage initiation and evolution (when and where the ductile fracture occurs) in TWTB are investigated, and the fracture mechanisms of the voided Al-alloy tube in tube bending are consequently discussed.

  7. Models of Lithospheric Flexure and Outer Trench Wall Fracturing using an Iterative Spectral Method

    NASA Astrophysics Data System (ADS)

    Garcia, E. S. M.; Sandwell, D. T.

    2014-12-01

    We have developed and tested an iterative spectral solution technique for flexure of thin elastic plates having continuously varying rigidity in both horizontal directions. This novel method was used to model oceanic lithosphere bending seaward of deep-sea trenches. In our formulation, the various mechanical loads that lead to plate flexure are simulated as applied bending moments and vertical forces acting on an arbitrary trench planform. Another input required by our model is a grid of flexural rigidity covering the plate domain laterally. We developed a procedure for estimating the rigidity from the plate age and curvature. With the loading and rigidity as input, the iterative spectral method gives the plate deflection as output. The plate curvature is then recalculated to obtain updated values of the rigidity, from which a new deflection grid is produced. These computations proceed iteratively until convergence is achieved. For our parameter estimation problem, we sought to find values of applied moments and vertical loads that produce a plate deflection surface which matches the seafloor bathymetry from ship soundings and marine gravity from satellite altimetry. By referring to a yield strength envelope formulation, we can take the modeled deflection surface and predict the lateral distribution of brittle failure at the bent areas of the plate. If we consider optimally-oriented faults according to an assumed value of the friction coefficient, we find that the upper layer of the plate undergoing brittle failure deepens with increasing proximity to the trench. We conducted tests for our modeling approach on an outer rise region adjacent to the South American Trench. Our preliminary results suggest a correspondence between the prevalence of surface fractures observed in high-resolution bathymetry with model predictions of brittle failure extending more than 10 kilometers deep into the plate.

  8. Analytical Modeling of Pressure Wall Hole Size and Maximum Tip-to-Tip Crack Length for Perforating Normal and Oblique Orbital Debris Impacts

    NASA Technical Reports Server (NTRS)

    Schonberg, William P.; Mohamed, Essam

    1997-01-01

    This report presents the results of a study whose objective was to develop first-principles-based models of hole size and maximum tip-to-tip crack length for a spacecraft module pressure wall that has been perforated in an orbital debris particle impact. The hole size and crack length models are developed by sequentially characterizing the phenomena comprising the orbital debris impact event, including the initial impact, the creation and motion of a debris cloud within the dual-wall system, the impact of the debris cloud on the pressure wall, the deformation of the pressure wall due to debris cloud impact loading prior to crack formation, pressure wall crack initiation, propagation, and arrest, and finally pressure wall deformation following crack initiation and growth. The model development has been accomplished through the application of elementary shock physics and thermodynamic theory, as well as the principles of mass, momentum, and energy conservation. The predictions of the model developed herein are compared against the predictions of empirically-based equations for hole diameters and maximum tip-to-tip crack length for three International Space Station wall configurations. The ISS wall systems considered are the baseline U.S. Lab Cylinder, the enhanced U.S. Lab Cylinder, and the U.S. Lab Endcone. The empirical predictor equations were derived from experimentally obtained hole diameters and crack length data. The original model predictions did not compare favorably with the experimental data, especially for cases in which pressure wall petalling did not occur. Several modifications were made to the original model to bring its predictions closer in line with the experimental results. Following the adjustment of several empirical constants, the predictions of the modified analytical model were in much closer agreement with the experimental results.

  9. Non-perturbative modelling of energetic particle effects on resistive wall mode: Anisotropy and finite orbit width

    SciTech Connect

    Liu, Yueqiang Chapman, I. T.; Hao, G. Z.; Wang, Z. R.; Menard, J. E.; Okabayashi, M.; Strait, E. J.; Turnbull, A.

    2014-05-15

    A non-perturbative magnetohydrodynamic-kinetic hybrid formulation is developed and implemented into the MARS-K code [Liu et al., Phys. Plasmas 15, 112503 (2008)] that takes into account the anisotropy and asymmetry [Graves et al., Nature Commun. 3, 624 (2012)] of the equilibrium distribution of energetic particles (EPs) in particle pitch angle space, as well as first order finite orbit width (FOW) corrections for both passing and trapped EPs. Anisotropic models, which affect both the adiabatic and non-adiabatic drift kinetic energy contributions, are implemented for both neutral beam injection and ion cyclotron resonant heating induced EPs. The first order FOW correction does not contribute to the precessional drift resonance of trapped particles, but generally remains finite for the bounce and transit resonance contributions, as well as for the adiabatic contributions from asymmetrically distributed passing particles. Numerical results for a 9MA steady state ITER plasma suggest that (i) both the anisotropy and FOW effects can be important for the resistive wall mode stability in ITER plasmas; and (ii) the non-perturbative approach predicts less kinetic stabilization of the mode, than the perturbative approach, in the presence of anisotropy and FOW effects for the EPs. The latter may partially be related to the modification of the eigenfunction of the mode by the drift kinetic effects.

  10. Spin-orbit-coupling induced torque in ballistic domain walls: Equivalence of charge-pumping and nonequilibrium magnetization formalisms

    NASA Astrophysics Data System (ADS)

    Yuan, Zhe; Kelly, Paul J.

    2016-06-01

    To study the effect of spin-orbit coupling (SOC) on spin-transfer torque in magnetic materials, we have implemented two theoretical formalisms that can accommodate SOC. Using the "charge-pumping" formalism, we find two contributions to the out-of-plane spin-transfer torque parameter β in ballistic Ni domain walls (DWs). For short DWs, the nonadiabatic reflection of conduction electrons caused by the rapid spatial variation of the exchange potential results in an out-of-plane torque that increases rapidly with decreasing DW length. For long DWs, the Fermi level conduction channel anisotropy that gives rise to an intrinsic DW resistance in the presence of SOC leads to a linear dependence of β on the DW length. To understand this counterintuitive divergence of β in the long DW limit, we use the "nonequilibrium magnetization" formalism to examine the spatially resolved spin-transfer torque. The SOC-induced out-of-plane torque in ballistic DWs is found to be quantitatively consistent with the values obtained using the charge-pumping calculations, indicating the equivalence of the two theoretical methods.

  11. Comparison of Absorbable Mesh Plate versus Titanium-Dynamic Mesh Plate in Reconstruction of Blow-Out Fracture: An Analysis of Long-Term Outcomes

    PubMed Central

    Baek, Woon Il; Kim, Woo Seob; Bae, Tae Hui

    2014-01-01

    Background A blow-out fracture is one of the most common facial injuries in midface trauma. Orbital wall reconstruction is extremely important because it can cause various functional and aesthetic sequelae. Although many materials are available, there are no uniformly accepted guidelines regarding material selection for orbital wall reconstruction. Methods From January 2007 to August 2012, a total of 78 patients with blow-out fractures were analyzed. 36 patients received absorbable mesh plates, and 42 patients received titanium-dynamic mesh plates. Both groups were retrospectively evaluated for therapeutic efficacy and safety according to the incidence of three different complications: enophthalmos, extraocular movement impairment, and diplopia. Results For all groups (inferior wall fracture group, medial wall fractrue group, and combined inferomedial wall fracture group), there were improvements in the incidence of each complication regardless of implant types. Moreover, a significant improvement of enophthalmos occurred for both types of implants in group 1 (inferior wall fracture group). However, we found no statistically significant differences of efficacy or complication rate in every groups between both implant types. Conclusions Both types of implants showed good results without significant differences in long-term follow up, even though we expected the higher recurrent enophthalmos rate in patients with absorbable plate. In conclusion, both types seem to be equally effective and safe for orbital wall reconstruction. In particular, both implant types significantly improve the incidence of enophthalmos in cases of inferior orbital wall fractures. PMID:25075357

  12. Pseudo-Orbital Apex Syndrome in the Acute Trauma Setting Due to Ipsilateral Dissection of Internal Carotid Artery.

    PubMed

    Anders, Ursula M; Taylor, Elise J; Martel, Joseph R; Martel, James B

    2016-01-01

    Traumatic causes of orbital apex and superior orbital fissure syndrome are uncommon. The authors present the first case of a traumatic superior orbital fissure syndrome simulating orbital apex syndrome, with loss of vision from posterior ischemic optic neuropathy. A 35-year-old man was initially felt to have a right orbital apex syndrome with left craniofacial and orbital trauma. CT revealed left orbital fractures, a right superior orbital fissure fracture, a retained metallic foreign body in the right sphenoid sinus, and a right frontoparietal subdural hematoma. CT angiography showed a secondary dissection and occlusion of the right internal carotid artery from osseous erosion of the posterolateral wall of the sphenoid sinus. Internal carotid artery dissection is a possible, though rare, cause of ischemic optic neuropathy. The right pseudo-orbital apex syndrome resulted from a mechanical superior orbital fissure syndrome and posterior ischemic optic neuropathy from an internal carotid artery dissection. PMID:25216200

  13. Assessment of the validity of Stokes and Reynolds equations for fluid flow through a rough-walled fracture with flow imaging

    NASA Astrophysics Data System (ADS)

    Lee, Seung Hyun; Lee, Kang-Kun; Yeo, In Wook

    2014-07-01

    Understanding fluid flow through a rough-walled fracture is important in many problems such as petroleum and geothermal reservoir exploitation, geological storage of CO2, and sitting of radioactive waste repositories. In order to advance the understanding of fracture flow, we conducted the first direct measurement of flow velocity across rough-walled fractures at Reynolds number (Re) of 0.014 to 0.086. The results were used for an order of magnitude analysis to evaluate assumptions underlying the Stokes and the Reynolds equations, which are derived from simplifying the Navier-Stokes equations. Even at very rough subregions, viscous forces were at least 2 orders of magnitude greater than inertial forces, indicating that the Stokes equations are valid for Re < 0.1. However, the assumption made in the derivation of the Reynolds equation that ∂2ux/∂z2 is dominant over other viscous terms was not satisfied even at moderate roughness for Re < 0.1. The Reynolds equation overestimated flow rate.

  14. Chest Wall Volume Receiving >30 Gy Predicts Risk of Severe Pain and/or Rib Fracture After Lung Stereotactic Body Radiotherapy

    SciTech Connect

    Dunlap, Neal E.; Cai, Jing; Biedermann, Gregory B.; Yang, Wensha; Benedict, Stanley H.; Sheng Ke; Schefter, Tracey E.; Kavanagh, Brian D.; Larner, James M.

    2010-03-01

    Purpose: To identify the dose-volume parameters that predict the risk of chest wall (CW) pain and/or rib fracture after lung stereotactic body radiotherapy. Methods and Materials: From a combined, larger multi-institution experience, 60 consecutive patients treated with three to five fractions of stereotactic body radiotherapy for primary or metastatic peripheral lung lesions were reviewed. CW pain was assessed using the Common Toxicity Criteria for pain. Peripheral lung lesions were defined as those located within 2.5 cm of the CW. A minimal point dose of 20 Gy to the CW was required. The CW volume receiving >=20, >=30, >=40, >=50, and >=60 Gy was determined and related to the risk of CW toxicity. Results: Of the 60 patients, 17 experienced Grade 3 CW pain and five rib fractures. The median interval to the onset of severe pain and/or fracture was 7.1 months. The risk of CW toxicity was fitted to the median effective concentration dose-response model. The CW volume receiving 30 Gy best predicted the risk of severe CW pain and/or rib fracture (R{sup 2} = 0.9552). A volume threshold of 30 cm{sup 3} was observed before severe pain and/or rib fracture was reported. A 30% risk of developing severe CW toxicity correlated with a CW volume of 35 cm{sup 3} receiving 30 Gy. Conclusion: The development of CW toxicity is clinically relevant, and the CW should be considered an organ at risk in treatment planning. The CW volume receiving 30 Gy in three to five fractions should be limited to <30 cm{sup 3}, if possible, to reduce the risk of toxicity without compromising tumor coverage.

  15. Fractured Craters on Ganymede

    NASA Technical Reports Server (NTRS)

    1997-01-01

    Two highly fractured craters are visible in this high resolution image of Jupiter's moon, Ganymede. NASA's Galileo spacecraft imaged this region as it passed Ganymede during its second orbit through the Jovian system. North is to the top of the picture and the sun illuminates the surface from the southeast. The two craters in the center of the image lie in the ancient dark terrain of Marius Regio, at 40 degrees latitude and 201 degrees longitude, at the border of a region of bright grooved terrain known as Byblus Sulcus (the eastern portion of which is visible on the left of this image). Pervasive fracturing has occurred in this area that has completely disrupted these craters and destroyed their southern and western walls. Such intense fracturing has occurred over much of Ganymede's surface and has commonly destroyed older features. The image covers an area approximately 26 kilometers (16 miles) by 18 kilometers (11 miles) across at a resolution of 86 meters (287 feet) per picture element. The image was taken on September 6, 1996 by the solid state imaging (CCD) system on NASA's Galileo spacecraft.

    The Jet Propulsion Laboratory, Pasadena, CA manages the Galileo mission for NASA's Office of Space Science, Washington, DC. JPL is an operating division of California Institute of Technology (Caltech).

    This image and other images and data received from Galileo are posted on the World Wide Web, on the Galileo mission home page at URL http://galileo.jpl.nasa.gov.

  16. Limited-interval definitions of the photometric functions of lunar crater walls by photography from orbiting Apollo

    USGS Publications Warehouse

    Wildey, R.L.

    1971-01-01

    By the use of only relative photometry (intraframe) it is shown that the photometric functions of material reposed on the inner walls of some of the ypunger lunar craters photographed on the far side of the Moon from the Apollo 11 Command Module are not of a form which can be reduced to a dependence on phase angle and brightness-longitude (g, ??) alone. Some other dependence on the completely general degrees of freedom described by phase angle, angle of incidence, and angle of emergence (g, i, ??{lunate}) seems to be required. In addition, however, it has been found that a dependence of g and ?? is more closely approached for the crater, in the group observed, which is obviously the oldest by virtue of the roundedness of the rim crest and the mass-wasting which has occured on its inner walls. The possibility thus arises of crater age-dating by making a brightness ratio measurement together with some image geometry measurements. It is at least evident that more than one type of geologic material has been encountered. ?? 1971.

  17. High efficiency of the spin-orbit torques induced domain wall motion in asymmetric interfacial multilayered Tb/Co wires

    SciTech Connect

    Bang, Do; Awano, Hiroyuki

    2015-05-07

    We investigated current-induced DW motion in asymmetric interfacial multilayered Tb/Co wires for various thicknesses of magnetic and Pt-capping layers. It is found that the driving mechanism for the DW motion changes from interfacial to bulk effects at much thick magnetic layer (up to 19.8 nm). In thin wires, linearly depinning field dependence of critical current density and in-plane field dependence of DW velocity suggest that the extrinsic pinning governs field-induced DW motion and injecting current can be regarded as an effective field. It is expected that the high efficiency of spin-orbit torques in thick magnetic multilayers would have important implication for future spintronic devices based on in-plane current induced-DW motion or switching.

  18. Orbital trauma and its impact on the heart

    PubMed Central

    Borumandi, Farzad; Rippel, Christian; Gaggl, Alexander

    2014-01-01

    We present the case of a 16-year-old boy, who was hit in the right orbital region during a soccer match. Immediately after the blow, the patient felt nauseous and fell to the ground. The otherwise healthy patient presented with headache, nausea and sinus bradycardia (38 bpm). Clinically there were no obvious signs of fracture of facial bones. There was no sign of injury to the eyes, only the right globe was slightly restricted in movement. With suspicion of head injury, a CT scan was performed revealing a trapdoor fracture of the medial orbital wall. The medial rectus muscle was entrapped within the fracture inducing the oculocardiac reflex. The trapped rectus muscle was released endoscopically on the same day and the heart rate normalised. Early surgical intervention is recommended to avoid prolonged muscle ischaemia and to shorten the vagal symptoms. PMID:24810440

  19. An analysis of pure blowout fractures and associated ocular symptoms.

    PubMed

    Shin, Jun Woo; Lim, Jin Soo; Yoo, Gyeol; Byeon, Jun Hee

    2013-05-01

    Blowout fractures are one of the commonly occurring facial bone fractures and clinically important, as they may cause serious complications such as diplopia, extraocular movement limitation, and enophthalmos. The purpose of this study was to evaluate the current patient demographics and surgical outcomes of 952 pure blowout fractures from 2 hospitals of the Catholic University of Korea, from 2003 to 2011. The medical records were reviewed according to the cause, fracture site, ocular symptoms, time of operation, and sequela. Male patients outnumbered female patients, and blowout fractures were most often seen in 21- to 30-year-old men. The most common cause was violent assault (40.7%). The medial orbital wall (45.8%) was the most common site, followed by floor (29.4%) and inferomedial wall (24.6%). The most common ocular injury was hyphema. Diplopia was presented in 27.6%; extraocular movement limitation was detected in 12.8% patients, and enophthalmos was encountered in 3.4% patients. Diplopia, extraocular movement limitation, and enophthalmos were significantly improved by surgical repair (P < 0.05). Postoperative complications were persistent diplopia (1.6%) and enophthalmos (0.4%). We surveyed a large series of blowout fracture in the Republic of Korea and recommend this study to serve as an important guideline in treating pure blowout fractures. PMID:23714863

  20. Nose fracture

    MedlinePlus

    Fracture of the nose; Broken nose; Nasal fracture; Nasal bone fracture; Nasal septal fracture ... A fractured nose is the most common fracture of the face. It ... with other fractures of the face. Sometimes a blunt injury can ...

  1. Summary and interpretation of dye-tracer tests to investigate the hydraulic connection of fractures at a ridge-and-valley-wall site near Fishtrap Lake, Pike County, Kentucky

    USGS Publications Warehouse

    Taylor, C.J.

    1994-01-01

    Dye-tracer tests were done during 1985-92 to investigate the hydraulic connection between fractures in Pennsylvanian coal-bearing strata at a ridge-and-valley-wall site near Fishtrap Lake, Pike County, Ky. Fluorescent dye was injected into a core hole penetrating near-surface and mining- induced fractures near the crest of the ridge. The rate and direction of migration of dye in the subsurface were determined by measuring the relative concentration of dye in water samples collected from piezometers completed in conductive fracture zones and fractured coal beds at various stratigraphic horizons within the ridge. Dye-concentration data and water-level measurements for each piezometer were plotted as curves on dye- recovery hydrographs. The dye-recovery hydrographs were used to evaluate trends in the fluctuation of dye concentrations and hydraulic heads in order to identify geologic and hydrologic factors affecting the subsurface transport of dye. The principal factors affecting the transport of dye in the subsurface hydrologic system were determined to be (1) the distribution, interconnection, and hydraulic properties of fractures; (2) hydraulic-head conditions in the near-fracture zone at the time of dye injection; and (3) subsequent short- and long-term fluctuations in recharge to the hydrologic system. In most of the dye-tracer tests, dye-recovery hydrographs are characterized by complex, multipeaked dye-concentration curves that are indicative of a splitting of dye flow as ground water moved through fractures. Intermittent dye pulses (distinct upward spikes in dye concentration) mark the arrivals of dye-labeled water to piezometers by way of discrete fracture-controlled flow paths that vary in length, complexity, and hydraulic conductivity. Dye injections made during relatively high- or increasing-head conditions resulted in rapid transport of dye (within several days or weeks) from near-surface fractures to piezometers. Injections made during relatively low- or

  2. Nose fracture

    MedlinePlus

    Fracture of the nose; Broken nose; Nasal fracture; Nasal bone fracture; Nasal septal fracture ... A fractured nose is the most common fracture of the face. It usually occurs after an injury and often occurs with ...

  3. Skull fracture

    MedlinePlus

    Basilar skull fracture; Depressed skull fracture; Linear skull fracture ... Skull fractures may occur with head injuries . The skull provides good protection for the brain. However, a severe impact ...

  4. Fracture detection logging tool

    DOEpatents

    Benzing, William M.

    1992-06-09

    A method and apparatus by which fractured rock formations are identified and their orientation may be determined includes two orthogonal motion sensors which are used in conjunction with a downhole orbital vibrator. The downhole vibrator includes a device for orienting the sensors. The output of the sensors is displayed as a lissajou figure. The shape of the figure changes when a subsurface fracture is encountered in the borehole. The apparatus and method identifies fractures rock formations and enables the azimuthal orientation of the fractures to be determined.

  5. Blowout Fracture after Descemet's Stripping Automated Endothelial Keratoplasty

    PubMed Central

    Tachibana, Eri; Koh, Shizuka; Maeda, Naoyuki; Nishida, Kohji

    2014-01-01

    We present the case of an 86-year-old woman who developed a blowout fracture after Descemet's stripping automated endothelial keratoplasty (DSAEK). Sixteen months after DSAEK, she suffered a blow to her left eye caused by a fall. Computed tomography confirmed the presence of a blowout fracture of the inferior wall of the left orbit with soft tissue prolapsing into the orbit. The patient complained of no abnormal symptoms, and her operated cornea was intact and clear. There was no abnormal finding in both the anterior and posterior segments. This case highlights that the DSAEK technique provides adequate tectonic stability of the globe throughout the traumatic event in contrast to penetrating keratoplasty, which can lead to devastating vision damage after trauma. PMID:25759661

  6. Blowout Fracture after Descemet's Stripping Automated Endothelial Keratoplasty.

    PubMed

    Tachibana, Eri; Koh, Shizuka; Maeda, Naoyuki; Nishida, Kohji

    2014-01-01

    We present the case of an 86-year-old woman who developed a blowout fracture after Descemet's stripping automated endothelial keratoplasty (DSAEK). Sixteen months after DSAEK, she suffered a blow to her left eye caused by a fall. Computed tomography confirmed the presence of a blowout fracture of the inferior wall of the left orbit with soft tissue prolapsing into the orbit. The patient complained of no abnormal symptoms, and her operated cornea was intact and clear. There was no abnormal finding in both the anterior and posterior segments. This case highlights that the DSAEK technique provides adequate tectonic stability of the globe throughout the traumatic event in contrast to penetrating keratoplasty, which can lead to devastating vision damage after trauma. PMID:25759661

  7. Development and experimental evaluation of models for low capillary number two-phase flows in rough walled fractures relevant to natural gradient conditions

    SciTech Connect

    Glass, R.J.; Yarrington, L.; Nicholl, M.J.

    1997-09-01

    The major results from SNL`s Conceptual Model Development and Validation Task (WBS 1.2.5.4.6) as developed through exploration of small scale processes were synthesized in Glass et al. to give guidance to Performance Assessment on improving conceptual models for isothermal flow in unsaturated, fractured rock. There, pressure saturation and relative permeability curves for single fractures were proposed to be a function of both fracture orientation within the gravity field and initial conditions. We refer the reader to Glass et al. for a discussion of the implications of this behavior for Performance Assessment. The scientific research we report here substantiates this proposed behavior. We address the modeling of phase structure within fractures under natural gradient conditions relevant to unsaturated flow through fractures. This phase structure underlies the calculation of effective properties for individual fractures and hence fracture networks as required for Performance Assessment. Standard Percolation (SP) and Invasion Percolation (IP) approaches have been recently proposed to model the underlying phase saturation structures within the individual fractures during conditions of two-phase flow. Subsequent analysis of these structures yields effective two-phase pressure-saturation and relative permeability relations for the fracture. However, both of these approaches yield structures that are at odds with physical reality as we see in experiments and thus effective properties calculated from these structures are in error. Here we develop and evaluate a Modified Invasion Percolation (MIP) approach to better model quasi-static immiscible displacement in fractures. The effects of gravity, contact angle, local aperature field geometry, and local in-plane interfacial curvature between phases are included in the calculation of invasion pressure for individual sites in a discretized aperture field.

  8. Waterflood-induced fractures

    SciTech Connect

    Dikken, B.J.; Niko, H.

    1987-01-01

    Fracturing occurs quite often in water injection wells, with sometimes unforeseen consequences on waterflood sweep efficiency. One of the causes of fracturing is often the cooling of hot formations by cold injection water. A special version of a thermal reservoir simulator for prototype applications has thus been constructed that is capable of dealing with propagating waterflood-induces hydraulic fractures. With this simulator, fracture propagation and the effect of growing fractures on the sweep efficiency are studied. Infinite fracture conductivity is assumed. The limitation to a very high leak-off fractures justifies disregarding the changes in fracture volume. Fracture growth is calculated using the concept of a critical stress intensity factor. Both poro- and thermo-elastic changes in the horizontal stresses are calculated numerically and their influence on the fracture initiation/propagation is continuously taken into account. In addition, a model of fracture wall impairment because of filter-cake build-up due to poor quality injection water is included. Results are presented for both thermal and isothermal situations. It is observed in isothermal cases that the voidage replacement ratio (volume balance during injection) determined to a great extent the length to which the fracture eventually may grow.

  9. [Diseases of the orbit].

    PubMed

    Lukasik, S; Betkowski, A; Cyran-Rymarz, A; Szuber, D

    1995-01-01

    Diseases of the orbital cavity require more attention because of its specific anatomic structure and placement. Their curing requires cooperation of many medical specialties. Analysis consider orbital fractures, mainly caused by car accidents (69.2%). The next half of them consider inflammatory processes and tumor in equal numbers. Malignant tumors of orbital cavity occur most frequently (48.0%), less frequent are pseudotumors--pseudotumor orbitae (36.0%) and rare--malignant ones (16.0%). Malignant tumors more frequently infiltrate the orbit in neighborhood (63.3%), less frequently they come out from orbit tissue (16.7%). It should be emphasized that the number of orbit inflammations decreases in subsequent years, whereas occurrence of orbit tumors increases. PMID:9454170

  10. Management of ocular, orbital, and adnexal trauma

    SciTech Connect

    Spoor, T.C.; Nesi, F.A.

    1988-01-01

    This book contains 20 chapters. Some of the chapter titles are: The Ruptured Globe: Primary Care; Corneal Trauma, Endophthalmitis; Antibiotic Usage; Radiology of Orbital Trauma; Maxillofacial Fractures; Orbital Infections; and Basic Management of Soft Tissue Injury.

  11. A Wrapping Method for Inserting Titanium Micro-Mesh Implants in the Reconstruction of Blowout Fractures

    PubMed Central

    Choi, Tae Joon; Yang, Won Yong; Kang, Sang Yoon

    2016-01-01

    Titanium micro-mesh implants are widely used in orbital wall reconstructions because they have several advantageous characteristics. However, the rough and irregular marginal spurs of the cut edges of the titanium mesh sheet impede the efficacious and minimally traumatic insertion of the implant, because these spurs may catch or hook the orbital soft tissue, skin, or conjunctiva during the insertion procedure. In order to prevent this problem, we developed an easy method of inserting a titanium micro-mesh, in which it is wrapped with the aseptic transparent plastic film that is used to pack surgical instruments or is attached to one side of the inner suture package. Fifty-four patients underwent orbital wall reconstruction using a transconjunctival or transcutaneous approach. The wrapped implant was easily inserted without catching or injuring the orbital soft tissue, skin, or conjunctiva. In most cases, the implant was inserted in one attempt. Postoperative computed tomographic scans showed excellent placement of the titanium micro-mesh and adequate anatomic reconstruction of the orbital walls. This wrapping insertion method may be useful for making the insertion of titanium micro-mesh implants in the reconstruction of orbital wall fractures easier and less traumatic. PMID:26848451

  12. A Wrapping Method for Inserting Titanium Micro-Mesh Implants in the Reconstruction of Blowout Fractures.

    PubMed

    Choi, Tae Joon; Burm, Jin Sik; Yang, Won Yong; Kang, Sang Yoon

    2016-01-01

    Titanium micro-mesh implants are widely used in orbital wall reconstructions because they have several advantageous characteristics. However, the rough and irregular marginal spurs of the cut edges of the titanium mesh sheet impede the efficacious and minimally traumatic insertion of the implant, because these spurs may catch or hook the orbital soft tissue, skin, or conjunctiva during the insertion procedure. In order to prevent this problem, we developed an easy method of inserting a titanium micro-mesh, in which it is wrapped with the aseptic transparent plastic film that is used to pack surgical instruments or is attached to one side of the inner suture package. Fifty-four patients underwent orbital wall reconstruction using a transconjunctival or transcutaneous approach. The wrapped implant was easily inserted without catching or injuring the orbital soft tissue, skin, or conjunctiva. In most cases, the implant was inserted in one attempt. Postoperative computed tomographic scans showed excellent placement of the titanium micro-mesh and adequate anatomic reconstruction of the orbital walls. This wrapping insertion method may be useful for making the insertion of titanium micro-mesh implants in the reconstruction of orbital wall fractures easier and less traumatic. PMID:26848451

  13. [Wooden spike orbital injury].

    PubMed

    Kiel, R; Wiaux, C; Atipo-Tsiba, P W; Gottrau, P de

    2005-03-01

    A 71-year-old female patient fell in her garden, inducing a skin wound on the temporal left eyebrow. Skin disinfection and wound closure were performed elsewhere, an X-ray image did not reveal a foreign body. She was referred to our service three days later with a progressive left periorbital swelling. Clinical inspection demonstrated a painfully, fluctuant swelling around the wound with an inflammatory pseudoptosis of the left eye. Vision was reduced on the left eye; anterior and posterior segments of both eyes were unharmed. After opening the wound sutures a purulent liquid was drained and a wooden fragment was found, measuring 22 x 0.5 mm. Because of restriction of abduction of the left eye, magnetic resonance imaging (MRI) was performed, detecting another organic intraorbital foreign body and a fracture of the left medial orbital wall. Anterior orbitotomy was performed and a wooden fragment was removed, measuring 47 x 0.6 mm. Under administration of intravenous antibiotics vision and ocular motility recovered uneventfully. This case emphasizes the value of MRI in the diagnostics of retained wooden foreign bodies as well as the importance of a soigneuse inspection of skin wounds with a high risk for remaining foreign bodies. PMID:15785993

  14. Fracture patterns in the maxillofacial region: a four-year retrospective study

    PubMed Central

    2015-01-01

    Objectives The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures. PMID:26734557

  15. Comparison of pre-bent titanium mesh versus polyethylene implants in patient specific orbital reconstructions

    PubMed Central

    2013-01-01

    Introduction Computerized tomography DICOM file can be relatively easily transformed to a virtual 3D model. With the help of additional software we are able to create the mirrored model of an undamaged orbit and on this basis produce an individual implant for the patient Authors decided to apply implants with any thickness, which are authors own invention to obtain volumetric support and more stable orbital wall reconstruction outcome. Material of choice was ultra-high molecular weight polyethylene (UHMWPE). Objective The aim of this study was to present and compare functional results of individual reconstructions of orbital wall using either titanium mesh or ultra-high molecular weight polyethylene. Materials and methods 57 consecutive patients affected by orbital wall fracture (46 males, 11 females, mean age 34±14 year) were treated in Department of Maxillofacial Surgery from 2010 to 2012. In the first group we used patient specific treatment by titanium mesh shaped on a 3D printed model of a mirrored intact orbit (37 orbits) or by individually manufactured UHMW-PE implantby CAM milling in second group (20 orbits). All of these patients were subjected to preoperative helical computerized tomography and consultation of an ophthalmologist (including binocular single vision loss test - BSVL). Further on, patients were operated under general anaesthesia using transconjuctival approach. BSVL was again evaluated post-operationally in 1 month and 6 months later. Results Functional treatment results (BSVL) for both groups were similar in 1 month as well as 6 months post operational time. There was no statistically significant difference between these two groups. Conclusions This study of 6 months functional result assessment of pre-bent individual implants and CNC milled ultra-high molecular weight polyethylene of the orbital wall has shown it to be a predictable reconstruction method. Individually shaped UHMWPE seems to be as good as pre-bent titanium mesh. PMID

  16. Orbital emphysema following remote skull trauma.

    PubMed

    Brown, S M; Lissner, G

    1995-06-01

    In an unusual case of orbital emphysema following nose blowing, a reliable patient history and examination demonstrated no direct trauma to the orbit. Blunt posterior skull trauma was sustained several hours before the development of the orbital emphysema. A "seismic" transmittal of force to the orbital walls is postulated. PMID:7654620

  17. Fractured Surface

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site] Context image for PIA03084 Fractured Surface

    These fractures and graben are part of Gordii Fossae, a large region that has undergone stresses which have cracked the surface.

    Image information: VIS instrument. Latitude 16.6S, Longitude 234.3E. 18 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  18. Late migration of an orbital implant causing orbital hemorrhage with sudden proptosis and diplopia.

    PubMed

    Rosen, C E

    1996-12-01

    A 31-year-old woman complained of sudden diplopia and proptosis associated with a headache. Approximately 10 years earlier, she had sustained a right orbital blowout fracture during a snow machine accident that was repaired using a Supramid implant. She presented with 4 mm of right-sided proptosis by Hertel exophthalmometry, with limitation of up and down gaze. She manifested a right gaze preference with a left head turn to achieve fusion. Visual acuity was 20/20 on both sides; however, there was 20% red desaturation and a subtle afferent pupillary defect on the right side. Goldmann visual fields were full and the retinal examination was normal. A computed tomography (CT) scan of the orbits with and without contrast demonstrated a large right posterior inferior orbital mass. Once the periorbita was breached during orbitotomy, a burgundy serosanguinous material emerged. Gram staining revealed red cells without organisms. The implant had not been fixed by wires or screws. Upon removal, the implant appeared oversized, encompassing the orbital floor, medial and lateral walls. Postoperatively, the proptosis, gaze preference with face turn, afferent pupillary defect, desaturation abnormality, and diplopia resolved. PMID:8944386

  19. Need for airbag and seatbelt to reduce orbital injuries from steering wheel knob.

    PubMed

    Hwang, Kun; Kim, Joo Ho

    2014-11-01

    The aims of this study are to report a blowout fracture of the orbital floor and medial wall caused by being struck by a steering wheel knob of an automobile and to discuss the use of airbags and seatbelts as a preventive measure for orbital injuries. A 58-year-old man was struck in the left eye by a steering wheel. His car hit a telephone pole, and he had a frontal collision injury. In this frontal impact, his left eye was hit by a Brodie knob attached to the steering wheel. At the time of injury, the speed of the car was about 65 km/h. He was not wearing a seatbelt, and the airbag had not deployed. Swelling and ecchymosis were observed at the left periorbital area, and he had diplopia on a left-side gaze. A CT revealed fractures in the medial and inferior wall of the left orbit. Entrapped soft tissues were reduced, and the medial wall and floor were reconstructed with a resorbable sheet. His diplopia disappeared 12 days after surgery. To prevent the injury from the steering wheel knob, an airbag should be installed in any vehicle, which has a steering wheel knob. Legislation mandating the use of airbags as well as seatbelts in vehicles with attached steering wheel knobs should be made. PMID:25376138

  20. Relative permeability through fractures

    SciTech Connect

    Diomampo, Gracel, P.

    2001-08-01

    The mechanism of two-phase flow through fractures is of importance in understanding many geologic processes. Currently, two-phase flow through fractures is still poorly understood. In this study, nitrogen-water experiments were done on both smooth and rough parallel plates to determine the governing flow mechanism for fractures and the appropriate methodology for data analysis. The experiments were done using a glass plate to allow visualization of flow. Digital video recording allowed instantaneous measurement of pressure, flow rate and saturation. Saturation was computed using image analysis techniques. The experiments showed that gas and liquid phases flow through fractures in nonuniform separate channels. The localized channels change with time as each phase path undergoes continues breaking and reforming due to invasion of the other phase. The stability of the phase paths is dependent on liquid and gas flow rate ratio. This mechanism holds true for over a range of saturation for both smooth and rough fractures. In imbibition for rough-walled fractures, another mechanism similar to wave-like flow in pipes was also observed. The data from the experiments were analyzed using Darcy's law and using the concept of friction factor and equivalent Reynold's number for two-phase flow. For both smooth- and rough-walled fractures a clear relationship between relative permeability and saturation was seen. The calculated relative permeability curves follow Corey-type behavior and can be modeled using Honarpour expressions. The sum of the relative permeabilities is not equal one, indicating phase interference. The equivalent homogeneous single-phase approach did not give satisfactory representation of flow through fractures. The graphs of experimentally derived friction factor with the modified Reynolds number do not reveal a distinctive linear relationship.

  1. Blow-Out Fracture due to a Hazel Stick Beat.

    PubMed

    Erbilen, Esin; Yuksel, Harun; Onder, H Ibrahim; Tunc, Murat; Kaya, Murat

    2008-12-01

    The aim of this case report is to demonstrate that blow-out fractures can occur not only by a classical trauma mechanism but also from the consequences of a stick beat. A 66-year-old male was admitted to our hospital complaining of a sudden swelling of his right eyelid after blowing his nose. In his medical history there was the report of a hazel stick beat the previous day. Upon ophthalmological examination, ecchymosis was observed in the right orbital region, and subcutaneous amphisema in addition to a dense subconjunctival hemorrhage were detected. Using computed tomography (CT), the intraorbital air density in the soft tissues and the right maxillary sinus wall fracture possessing fluid density compatible with hemorrhage was observed. The patient was treated conservatively with prednisolone and antibiotics. We conclude that a blow-out fracture may occur in patients who experience orbital trauma, even in cases of low-energy trauma. These patients may be symptomatic after an episode of hard nose-blowing. PMID:25610052

  2. Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures

    PubMed Central

    Lee, Yewon; Shin, Dong Hyeok; Uhm, Ki Il; Kim, Soon Heum; Kim, Cheol Keun; Jo, Dong In

    2014-01-01

    Background Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures. Methods Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws. Results Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed. Conclusions The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture. PMID:25396180

  3. Clinical outcome following use of transconjunctival approach in reducing orbitozygomaticomaxillary complex fractures

    PubMed Central

    Kumar, Saurabh; Shubhalaksmi, S.

    2016-01-01

    Background: The increasing emphasis on the open reduction and internal fixation of orbito-zygomatico-maxillary complex fractures has led to a more critical appraisal of the various surgical approaches to the orbital and zygomatic skeleton. Transconjunctival approach popularized by Tessier although credited to Bourquet in 1924 offer excellent exposure of the orbito-zygomatico-maxillary complex fracture especially the infra-orbital rim, frontozygomatic suture and the orbital floor. The argument against a transconjunctival access focuses primarily on concern about limited exposure that apparently makes accurate reduction and osteosynthesis of displaced fracture fragments difficult or impossible. Also, due to close association with eye and various ocular complications reported in the literature, most of the surgeons feel skeptical about using this approach. Aim: The aim of this study is to analyze the efficacy of transconjunctival approach in the treatment of orbito-zygomatico-maxillary complex fractures by evaluating the functional and esthetic results and its associated complications. Material and Method: We report a series of eight patients who have undergone fracture repair of the orbito-zygomatico-maxillary complex via a transconjunctival approach. Postoperative patient evaluation was performed with specific attention paid towards wound healing, functional stability, esthetic appearance and postoperative ocular complications. Postoperatively clinical examination along with radiographic examination was done to evaluate the position of the zygoma and determine the adequacy of fracture reduction. Results: In all the patients excellent surgical exposure has been achieved for reduction and rigid fixation of the fracture fragments. None of the patients had any form of complication related to the approach. There were no postoperative ocular complications. Only one patient had postoperative chemosis which was transient and subsided subsequently. All the patients had

  4. Orbit to orbit transportation

    NASA Technical Reports Server (NTRS)

    Bergeron, R. P.

    1980-01-01

    Orbital transfer vehicle propulsion options for SPS include both chemical (COTV) and electrical (EOTV) options. The proposed EOTV construction method is similar to that of the SPS and, by the addition of a transmitting antenna, may serve as a demonstration or precursor satellite option. The results of the studies led to the selection of a single stage COTV for crew and priority cargo transfer. An EOTV concept is favored for cargo transfer because of the more favorable orbital burden factor over chemical systems. The gallium arsenide solar array is favored over the silicon array because of its self annealing characteristics of radiation damage encountered during multiple transitions through the Van Allen radiation belt. Transportation system operations are depicted. A heavy lift launch vehicle (HLLV) delivers cargo and propellants to LEO, which are transferred to a dedicated EOTV by means of an intraorbit transfer vehicle (IOTV) for subsequent transfer to GEO. The space shuttle is used for crew transfer from Earth to LEO. At the LEO base, the crew module is removed from the shuttle cargo bay and mated to a COTV for transfer to GEO. Upon arrival at GEO, the SPS construction cargo is transferred from the EOTV to the SPS construction base by IOTV. Crew consumables and resupply propellants are transported to GEO by the EOTV. Transportation requirements are dominated by the vast quantity of materials to be transported to LEO and GEO.

  5. Elbow Fractures

    MedlinePlus

    ... and held together with pins and wires or plates and screws. Fractures of the distal humerus (see ... doctor. These fractures usually require surgical repair with plates and/or screw, unless they are stable. SIGNS ...

  6. Olecranon Fractures.

    PubMed

    Brolin, Tyler J; Throckmorton, Thomas

    2015-11-01

    Olecranon fractures are common upper extremity injuries, with all but nondisplaced fractures treated surgically. There has been a recent shift in the surgical management of these fractures from tension band wiring to locking plate fixation and intramedullary nailing; however, this comes with increased implant cost. Although most patients can expect good outcomes after these various techniques, there is little information to guide a surgeon's treatment plan. This article reviews the epidemiology, classification, treatment, and outcomes of olecranon fractures. PMID:26498547

  7. Orbital cellulitis

    MedlinePlus

    ... Haemophilus influenzae B) vaccine. The bacteria Staphylococcus aureus , Streptococcus pneumoniae , and beta-hemolytic streptococci may also cause orbital cellulitis. Orbital cellulitis infections in children may get worse very quickly and can lead ...

  8. Orbital pseudotumor

    MedlinePlus

    ... Names Idiopathic orbital inflammatory syndrome (IOIS) Images Skull anatomy References Goodlick TA, Kay MD, Glaser JS, Tse DT, Chang WJ. Orbital disease and neuro-ophthalmology. In: Tasman W, Jaeger EA, eds. Duane’s ...

  9. Kepler's Orbit

    NASA Video Gallery

    Kepler does not orbit the Earth, rather it orbits the Sun in concert with the Earth, slowly drifting away from Earth. Every 61 Earth years, Kepler and Earth will pass by each other. Throughout the ...

  10. Patterns of Fracture and Tidal Stresses Due to Nonsynchronous Rotation: Implications for Fracturing on Europa

    NASA Technical Reports Server (NTRS)

    Parmentier, E. M.; Helfenstein, P.

    1985-01-01

    Global lineaments on Europa were interpreted as fractures in an icy crust. A variety of lineament types were identified, which appear to form a systematic pattern on the surface. For a synchronously rotating body, the patterns of fractures observed could be produced by a combination of stresses due to orbital recession, orbital eccentricity, and internal contraction. However, it was recently suggested that the forced eccentricity of Europa's orbit may result in nonsynchronous rotation. The hypothesis that fractures in a thin icy crust may have formed in response to stresses resulting from nonsynchronous rotation is studied.

  11. Sports fractures.

    PubMed Central

    DeCoster, T. A.; Stevens, M. A.; Albright, J. P.

    1994-01-01

    Fractures occur in athletes and dramatically influence performance during competitive and recreational activities. Fractures occur in athletes as the result of repetitive stress, acute sports-related trauma and trauma outside of athletics. The literature provides general guidelines for treatment as well as a variety of statistics on the epidemiology of fractures by sport and level of participation. Athletes are healthy and motivated patients, and have high expectations regarding their level of function. These qualities make them good surgical candidates. Although closed treatment methods are appropriate for most sports fractures, an aggressive approach to more complicated fractures employing current techniques may optimize their subsequent performance. PMID:7719781

  12. Novel Surgical Approaches to the Orbit

    PubMed Central

    Campbell, Ashley A.; Grob, Seanna R.; Yoon, Michael K.

    2015-01-01

    Determining safe surgical access to the orbit can be difficult given the complex anatomy and delicacy of the orbital structures. When considering biopsy or removal of an orbital tumor or repair of orbital fractures, careful planning is required to determine the ideal approach. Traditionally, this has at times necessitated invasive procedures with large incisions and extensive bone removal. The purpose of this review was to present newly techniques and devices in orbital surgery that have been reported over the past decade, with aims to provide better exposure and/or minimally invasive approaches and to improve morbidity and/or mortality. PMID:26692713

  13. Spin-Orbit Caloritronics

    NASA Astrophysics Data System (ADS)

    Manchon, Aurelien; Ndiaye, Papa Birame; Moon, Jung-Hwan; Lee, Hyun-Woo; Lee, Kyung-Jin

    2014-03-01

    Utilizing spin-orbit coupling to enable the electrical manipulation of ferromagnets has recently attracted a considerable amount of interest. This spin-orbit torque appears in magnetic systems displaying inversion symmetry breaking. Another adjacent emerging topic, spin caloritronics, aims at exploiting magnonic spin currents driven by temperature gradients, allowing for the transmission of information and the control of magnetic domain walls. In this work, we demonstrate that a magnon flow generates torques on the local magnetization when subjected to Dzyaloshinskii-Moriya interaction (DMI) just as an electron flow generates torques when submitted to Rashba interaction. A direct consequence is the capability to control the magnetization direction of a homogeneous ferromagnet by applying a temperature gradient or local RF excitations. Merging the spin-orbit torques with spin caloritronics is rendered possible by the emergence of DMI in magnetic materials and opens promising avenues in the development of chargeless information technology.

  14. Alloplastic template fixation of blow-out fracture.

    PubMed

    Hwang, Kun; Kita, Yoko

    2002-07-01

    Alloplasts are widely used to reconstruct the orbital defects. The alloplastic material, however, is not uncommonly infected, displaced, and extruded, and forms an epithelial pseudocyst around it. To prevent the depressed fractured bone of the orbital floor from dropping down into the maxillary sinus, an en block fragment of the depressed fracture of the orbital floor was restored after being attached to an alloplastic sheet template which was fixed to the intact orbital floor. This procedure is simple and secure, and intramaxillary packing is not needed to buttress the depressed fractured bone into the sinus. PMID:12140413

  15. Hip fracture - discharge

    MedlinePlus

    Inter-trochanteric fracture repair - discharge; Subtrochanteric fracture repair - discharge; Femoral neck fracture repair - discharge; Trochanteric fracture repair - discharge; Hip pinning surgery - discharge

  16. Melt fracture revisited

    SciTech Connect

    Greenberg, J. M.

    2003-07-16

    In a previous paper the author and Demay advanced a model to explain the melt fracture instability observed when molten linear polymer melts are extruded in a capillary rheometer operating under the controlled condition that the inlet flow rate was held constant. The model postulated that the melts were a slightly compressible viscous fluid and allowed for slipping of the melt at the wall. The novel feature of that model was the use of an empirical switch law which governed the amount of wall slip. The model successfully accounted for the oscillatory behavior of the exit flow rate, typically referred to as the melt fracture instability, but did not simultaneously yield the fine scale spatial oscillations in the melt typically referred to as shark skin. In this note a new model is advanced which simultaneously explains the melt fracture instability and shark skin phenomena. The model postulates that the polymer is a slightly compressible linearly viscous fluid but assumes no slip boundary conditions at the capillary wall. In simple shear the shear stress {tau}and strain rate d are assumed to be related by d = F{tau} where F ranges between F{sub 2} and F{sub 1} > F{sub 2}. A strain rate dependent yield function is introduced and this function governs whether F evolves towards F{sub 2} or F{sub 1}. This model accounts for the empirical observation that at high shears polymers align and slide more easily than at low shears and explains both the melt fracture and shark skin phenomena.

  17. Fracture and Failure in Micro- and Nano-Scale

    NASA Astrophysics Data System (ADS)

    Charitidis, Costas A.

    Indentation and scratch in micro- and nano-scale are the most commonly used techniques for quantifying thin film and systems properties. Among them are different failure modes such as deformation, friction, fracture toughness, fatigue. Failure modes can be activated either by a cycle of indentation or by scratching of the samples to provide an estimation of the fracture toughness and interfacial fracture energies. In the present study, we report on the failure and fracture modes in two cases of engineering materials; that is transparent SiOx thin films onto poly(ethylene terephthalate) (PET) membranes and glass-ceramic materials. The SiOx/PET system meets the demands regarding scratch-resistance, wettability, biocompatibility, gas transmission, or friction, while maintaining the bulk characteristics of PET (such as easy processing, good mechanical properties, reasonably low permeability to oxygen and carbon dioxide gases (barrier properties), and good chemical coupling with antibacterial coatings). Glass-ceramic materials, since their first accidental production in the mid fifties by S.D. Stookey, have been used in a vast area of applications, from household cooktops and stoves, to missile nose cones and mirror mounts of orbital telescopes and from decorative wall coverings to medical applications. The fracture modes, namely transgranular and intergranular modes in glass-ceramic materials have paid less attention in literature comparing with ceramic materials. In the former case the crack paves its way irrespectively of the direction of the grain boundaries, i.e., the interfaces between the different phases. In the latter case the crack preferentially follows them, i.e., debonds the interfaces.

  18. Use of human nail for reconstruction of the orbital floor: an experimental study in rabbits.

    PubMed

    Görgülü, Tahsin; Akçal, Arzu; Uğurlu, Kemal

    2016-07-01

    The orbital floor is the thinnest part of the orbital wall, and in 20% of all maxillofacial injuries it is fractured. Autografts, allografts, and alloplastic materials are used in reconstruction, but there is no consensus about which material is the most appropriate. Nail is a semirigid material that is easy to reshape and is not antigenic. Alloplastic materials, which are used in reconstructions of the orbital floor, have various complications and are expensive. Autografts have donor-site problems, high rates of resorption, and take a long time to do. We created bilateral 10mm defects in the orbital floors in 18 New Zealand rabbits. We reconstructed the left orbital floors with double-ground human nail while the right orbital floors were left open as controls. The orbital floors were examined macroscopically and microscopically at 4, 8, and 12 weeks postoperatively, and there were no macroscopic signs of infection, inflammation, or extrusion. Forced duction tests showed that it was possible to induce movement of the eyeball for all 18 of the reconstructed sides throughout the observation period, and in 14 of the 18 rabbits on the control sides. Positive forced duction test shows us that orbital muscles are trapped in orbital floor defect and due to this movement of eyeball is restricted. Acute and chronic inflammation, fibrosis, vascularisation, and the presence of foreign body giant cells were evaluated microscopically. Acute inflammation and the presence of foreign body giant cells were recorded as mild, whereas fibrosis, chronic inflammation, and vascularisation were severe, as were epithelialisation on the maxillary sinus side of the nails, calcification, and progression of collagen. We found no signs of resorption of the nails. PMID:27090026

  19. [Orbital inflammation].

    PubMed

    Mouriaux, F; Coffin-Pichonnet, S; Robert, P-Y; Abad, S; Martin-Silva, N

    2014-12-01

    Orbital inflammation is a generic term encompassing inflammatory pathologies affecting all structures within the orbit : anterior (involvement up to the posterior aspect of the globe), diffuse (involvement of intra- and/or extraconal fat), apical (involvement of the posterior orbit), myositis (involvement of only the extraocular muscles), dacryoadenitis (involvement of the lacrimal gland). We distinguish between specific inflammation and non-specific inflammation, commonly referred to as idiopathic inflammation. Specific orbital inflammation corresponds to a secondary localization of a "generalized" disease (systemic or auto-immune). Idiopathic orbital inflammation corresponds to uniquely orbital inflammation without generalized disease, and thus an unknown etiology. At the top of the differential diagnosis for specific or idiopathic orbital inflammation are malignant tumors, represented most commonly in the adult by lympho-proliferative syndromes and metastases. Treatment of specific orbital inflammation begins with treatment of the underlying disease. For idiopathic orbital inflammation, treatment (most often corticosteroids) is indicated above all in cases of visual loss due to optic neuropathy, in the presence of pain or oculomotor palsy. PMID:25455557

  20. Altered disc pressure profile after an osteoporotic vertebral fracture is a risk factor for adjacent vertebral body fracture.

    PubMed

    Tzermiadianos, Michael N; Renner, Susan M; Phillips, Frank M; Hadjipavlou, Alexander G; Zindrick, Michael R; Havey, Robert M; Voronov, Michael; Patwardhan, Avinash G

    2008-11-01

    This study investigated the effect of endplate deformity after an osteoporotic vertebral fracture in increasing the risk for adjacent vertebral fractures. Eight human lower thoracic or thoracolumbar specimens, each consisting of five vertebrae were used. To selectively fracture one of the endplates of the middle VB of each specimen a void was created under the target endplate and the specimen was flexed and compressed until failure. The fractured vertebra was subjected to spinal extension under 150 N preload that restored the anterior wall height and vertebral kyphosis, while the fractured endplate remained significantly depressed. The VB was filled with cement to stabilize the fracture, after complete evacuation of its trabecular content to ensure similar cement distribution under both the endplates. Specimens were tested in flexion-extension under 400 N preload while pressure in the discs and strain at the anterior wall of the adjacent vertebrae were recorded. Disc pressure in the intact specimens increased during flexion by 26 +/- 14%. After cementation, disc pressure increased during flexion by 15 +/- 11% in the discs with un-fractured endplates, while decreased by 19 +/- 26.7% in the discs with the fractured endplates. During flexion, the compressive strain at the anterior wall of the vertebra next to the fractured endplate increased by 94 +/- 23% compared to intact status (p < 0.05), while it did not significantly change at the vertebra next to the un-fractured endplate (18.2 +/- 7.1%, p > 0.05). Subsequent flexion with compression to failure resulted in adjacent fracture close to the fractured endplate in six specimens and in a non-adjacent fracture in one specimen, while one specimen had no adjacent fractures. Depression of the fractured endplate alters the pressure profile of the damaged disc resulting in increased compressive loading of the anterior wall of adjacent vertebra that predisposes it to wedge fracture. This data suggests that correction of

  1. Fracture control for the Oman India Pipeline

    SciTech Connect

    Bruno, T.V.

    1996-12-31

    This paper describes the evaluation of the resistance to fracture initiation and propagation for the high-strength, heavy-wall pipe required for the Oman India Pipeline (OIP). It discusses the unique aspects of this pipeline and their influence on fracture control, reviews conventional fracture control design methods, their limitations with regard to the pipe in question, the extent to which they can be utilized for this project, and other approaches being explored. Test pipe of the size and grade required for the OIP show fracture toughness well in excess of the minimum requirements.

  2. Flow upscaling in propped fracture

    NASA Astrophysics Data System (ADS)

    Jasinski, Lukasz; Dabrowski, Marcin

    2016-04-01

    Proppants in combination with hydraulic fracturing are widely used to maintain the production of oil or gas from low permeability formations (i.e. shale rocks). There are also examples of proppants use in geothermal reservoirs. Flow patterns in propped fracture control transport processes and give information about fracture/matrix exchange surface. Our main motivation is to understand flow behavior in such structures using direct numerical simulations and to find a good upscaling technique to be able to investigate models on reservoir scale. We study fracture made of two parallel plane walls, where void space between them is filled with partial monolayer of proppant. As the fracture is affected by closing pressure, the proppant grains are squeezed between two opposite fracture walls which can change the grain shapes or embed the grains into impermeable rock matrix. To take this effect into account and simplify the geometry, the grains are approximated as cylinders. Imposed macroscopic pressure gradient invokes flow in such medium. As the flow is considered in the low Reynolds number regime, a stationary velocity flow field is obtained by solving the Stokes equations in 3D by means of finite element method. Void space between the grains is accurately discretized by using tetrahedral mesh. To reduce computational effort, the Stokes equation is reduced over the fracture aperture to 2D Stokes-Brinkman equation, which is further numerically solved and compared against numerical solution in 3D. Systematic flow calculations using 2D Stokes-Brinkman equation are performed for periodic domain and no slip boundary condition on the grain surface. Results are discussed in terms of effective properties as a function of geometrical parameters of the medium, such as proppant packing fraction and proppant grain diameter to fracture aperture ratio.

  3. Orbiter's Skeleton

    NASA Technical Reports Server (NTRS)

    2005-01-01

    The structure of NASA's Mars Reconnaissance Orbiter spacecraft is constructed from composite panels of carbon layers over aluminum honeycomb, lightweight yet strong. This forms a basic structure or skeleton on which the instruments, electronics, propulsion and power systems can be mounted. The propellant tank is contained in the center of the orbiter's structure. This photo was taken at Lockheed Martin Space Systems, Denver, during construction of the spacecraft.

  4. Fracture Management

    MedlinePlus

    ... to hold the fracture in the correct position. • Fiberglass casting is lighter and stronger and the exterior ... with your physician if this occurs. • When a fiberglass cast is used in conjunction with a GORE- ...

  5. Solute transport at fracture intersections

    NASA Astrophysics Data System (ADS)

    Mourzenko, V. V.; Yousefian, F.; Kolbah, B.; Thovert, J.-F.; Adler, P. M.

    2002-01-01

    A numerical study of three-dimensional solute transportat fracture intersections by using a particle tracking technique is presented.Two models of orthogonal fracture intersection are considered, namely, twoparallel-walled channels and two rough-walled Gaussian fractures. The fluidvelocity is calculated by solving the three-dimensional Stokes equation withno-slip boundary condition at the solid wall. Examples of individual trajectoriesof particles are first given in order to illustrate the main features of thephenomenon. Solute mass partitioning between outgoing fracture branches isconsidered for various transport regimes, characterized by the local Pécletnumber, and for various ratios of the flow rates in the intersecting channels.Generally speaking, it can be said that at dominant diffusion the influenceof the flow rates ratio is weak, while it is important in the opposite situation.Validity of the classical models of solute mixing, stream tube routing, andperfect mixing is analyzed by comparing their predictions with the numericaldata. Preliminary recommendations are made for the use of these results inlarge-scale modeling.

  6. Acetabular fractures: what radiologists should know and how 3D CT can aid classification.

    PubMed

    Scheinfeld, Meir H; Dym, Akiva A; Spektor, Michael; Avery, Laura L; Dym, R Joshua; Amanatullah, Derek F

    2015-01-01

    Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article. PMID:25763739

  7. Blowout Fracture in a 3-Year-Old

    PubMed Central

    Pluijmers, Britt I.; Koudstaal, Maarten J.; Paridaens, Dion; van der Wal, Karel G.H.

    2013-01-01

    A 3-year-old patient was referred to the oral and maxillofacial department with a fracture of the orbital floor. Due to the lack of clinical symptoms, a conservative approach was chosen. After 3 weeks, an enophthalmos developed. The orbital floor reconstruction was successfully performed through a transconjunctival approach. This case highlights the rarity of pure blowout fractures in young children. The specific presentation and diagnostics of orbital floor fractures in children and the related surgical planning and intervention are discussed. PMID:24436749

  8. Blowout fracture in a 3-year-old.

    PubMed

    Pluijmers, Britt I; Koudstaal, Maarten J; Paridaens, Dion; van der Wal, Karel G H

    2013-06-01

    A 3-year-old patient was referred to the oral and maxillofacial department with a fracture of the orbital floor. Due to the lack of clinical symptoms, a conservative approach was chosen. After 3 weeks, an enophthalmos developed. The orbital floor reconstruction was successfully performed through a transconjunctival approach. This case highlights the rarity of pure blowout fractures in young children. The specific presentation and diagnostics of orbital floor fractures in children and the related surgical planning and intervention are discussed. PMID:24436749

  9. Application of fracture mechanics on the Space Shuttle

    NASA Technical Reports Server (NTRS)

    Forman, R. G.; Hu, T.

    1984-01-01

    During the design stages of the shuttle orbiter, fracture-mechanics concepts were applied extensively to the highly stressed areas of the structure. This was the first space program to require a comprehensive fracture mechanics approach to prevent structural failures from crack or crack-like defects. As anticipated, some difficult problems were encountered. This paper briefly describes some of them together with the procedure used for fracture control on the orbiter. It is believed that the principles and methods as presented herein can serve as an example of fracture control for aerospace and other industries.

  10. Laboratory Visualization Experiments of Temperature-induced Fractures Around a Borehole (Cryogenic Fracturing) in Shale and Analogue Rock Samples

    NASA Astrophysics Data System (ADS)

    Kneafsey, T. J.; Nakagawa, S.; Wu, Y. S.; Mukhopadhyay, S.

    2014-12-01

    In tight shales, hydraulic fracturing is the dominant method for improving reservoir permeability. However, injecting water-based liquids can induce formation damage and disposal problems, thus other techniques are being sought. One alternative to hydraulic fracturing is producing fractures thermally, using low-temperature fluids (cryogens). The primary consequence of thermal stimulation is that shrinkage fractures are produced around the borehole wall. Recently, cryogenic stimulation produced some promising results when the cryogen (typically liquid nitrogen and cold nitrogen gas) could be brought to reservoir depth. Numerical modeling also showed possible significant increases in gas production from a shale reservoir after cryogenic stimulation. However, geometry and the dynamic behavior of these thermally induced fractures under different stress regimes and rock anisotropy and heterogeneity is not yet well understood.Currently, we are conducting a series of laboratory thermal fracturing experiments on Mancos Shale and transparent glass blocks, by injecting liquid nitrogen under atmospheric pressure into room temperature blocks under various anisotropic stress states. The glass blocks allow clear optical visualization of fracture development and final fracturing patterns. For the shale blocks, X-ray CT is used to image both pre-existing and induced fractures. Also, the effect of borehole orientation with respect to the bedding planes and aligned preexisting fractures is examined. Our initial experiment on a uniaxially compressed glass block showed fracturing behavior which was distinctly different from conventional hydraulic fracturing. In addition to tensile fractures in the maximum principal stress directions, the thermal contraction by the cryogen induced (1) chaotic, spalling fractures around the borehole wall, and (2) a series of disk-shaped annular fractures perpendicular to the borehole. When applied to a horizontal borehole, the propagation plane of the