No abstract

Certain preoperative anatomical features may lead the surgeon to choose one particular incision pattern in preference to another, but in this study, it was found that one technique was essentially as good as the other. This suggests that the technique for closure of the underlying tissues is probably of more importance.

Provided in this article are the quantitative and qualitative morphological results describing the action of several nanostructured surfaces for bactericidal and bacteriostatic action. Results are also provided to illustrate microbial corrosion and its impact. Biofilm formation is correlated to colony formation. Nanostructured surfaces, i.e. surfaces with welded nanoparticles are noted to display biocidal activity with varying efficacies. Porous nanostructures, on stainless steel and copper substrates, made of high purity Ag, Ti, Al, Cu, MoSi2, and carbon nanotubes, are tested for their efficacy against bacterial colony formation for both gram-negative, and gram-positive bacteria. Silver and Molybdenum disilicide (MoSi2) nanostructures are found to be the most effective bactericidal agents with MoSi2 being particularly effective in both low and high humidity conditions. Bacteriostatic activity is also noted. The nanostructured surfaces are tested by controlled exposures to several microbial species including (Gram+ve) bacteria such as Bacillus Cereus and (Gram-ve) bacteria such as Enterobacter Aerogenes. The resistance to simultaneous exposure from diverse bacterial species including Arthrobacter Globiformis, Bacillus Megaterium, and Cupriavidus Necator is also studied. The nanostructured surfaces were found to eliminates or delay bacterial colony formation, even with short exposure times, and even after simulated surface abrasion. The virgin 316 stainless steel and copper substrates, i.e. without the nanostructure, always displayed rapid bacterial colony evolution indicating the lack of antimicrobial action. The efficacy of the nanostructured surface against colony formation (bacterial recovery) for E-Coli (two strains) and virus Phi 6 Bacteriophage with a host Pseudomonas Syringae was also studied. Preliminary results are presented that also show possible anti-fungal properties by the nanostructured MoSi2. When comparing antimicrobial efficacy of flat polished surfaces (no curvature or nanostructure) with nanostructure containing surfaces (high curvature) of the same chemistry, shows that bacterial action results from both the nanostructure size and chemistry.

Repair of unilateral cleft lip is a fascinating and challenging procedure. Although a great number of operations have been described for the unilateral cleft lip repair, none fulfill all the plastic surgical criteria, and in most cases, cleft lip repairs require secondary operations in an attempt to achieve described goals of primary cheiloplasty. The Afroze incision is a combination 2 incisions, that is, the Millard incision on the noncleft side and Pfeiffer incision on the cleft side. The flap design is the Millard flap on the noncleft side rotated downward, and the peak of the distal curve of the Pfeiffer flap is positioned in the triangular defect formed by the movement of the Millard flap. The proximal curve lengthens downward to receive the Millard's "C" flap. The advantage of this technique is that there is no tension on the postoperative scar because the incision is essentially horizontal in nature, and the contracture of the scar occurs horizontally rather than vertically. Primary septal repositioning is performed, which provides stability and exact positioning of the previously lifted alar crus of the cleft side and nasal tip, and the nose can grow in a balanced way with equal muscular force being exerted on both sides. This incision can be used in all types of complete unilateral cleft lip regardless of the width of the cleft, shortening the cleft lip segment.