Orbital Abscess during Endodontic Treatment: A Case Report

Introduction: Orbital infections may result in permanent morbidity because of the severity of infection. Furthermore, delayed diagnosis or treatment of orbital infections can lead to intracranial complications and even death. The majority of orbital infections develop from paranasal sinus infections, cutaneous infections, and periorbital trauma. Dacryocystitis and odontogenic infection are also accounted as potential etiologies but are scarcely reported in scientific literature. Methods: The patient revealed a history of having endodontic treatment on left maxillary second molar performed 2 weeks previously. Moreover, she exhibited signs of facial pain accompanied by sinusitis symptoms, fever, and nasal obstruction the week after this endodontic procedure. The patient presented proptosis, impairment of ocular motility to the right side, facial tenderness, palpebral erythema, and referred decreased visual acuity. Intraoral exam revealed root fragments of left maxillary first molar and an extensive carious lesion on left maxillary second molar. Computed tomography enabled the observation of frontal sinus, left-sided maxillary, opacity of sphenoidal and ethmoidal sinuses, and apical lesion of left maxillary first and second molars, all suggesting the presence of their apex in the maxillary sinus. In addition, images revealed ocular proptosis and presence of high-density areas suggestive of pus in the medial orbital wall region. Results: The patient was submitted to surgical drainage under general anesthesia approximately 8 hours after the clinical evaluation. Conclusions: Early detection of orbital infection, proper diagnostic tests, and treatment may provide successful outcomes of this rarely occurring disease. (J Endod 2012;38:1541-1543)

Orbital Invasion by Squamous Cell Carcinoma Arising in Multiple Epidermoid Cysts

Epidermal or epidermoid cysts usually are benign, solitary-growing masses located in the mid- or lower dermis. They are believed to derive from pilosebaceous units and are lined with an epidermis-like epithelium including a granular cell layer.(1) The occurrence of multiple epidermal cysts on the scalp of nonsyndromic patients is extremely rare. Although the presence of squamous cell carcinoma in the wall of an isolated epidermoid cysts is well documented in the dermatological literature,(2,3) the authors are not aware of any article in the English literature describing orbital invasion by a carcinoma developed in isolated or multiple epidermoid cysts.

Quantification of Orbital Apex Crowding for Screening of Dysthyroid Optic Neuropathy Using Multidetector CT

BACKGROUND AND PURPOSE: DON, a serious complication of GO, is frequently difficult to diagnose clinically in its early stages because of confounding signs and symptoms of congestive orbitopathy. We evaluated the ability of square area measurements of orbital apex crowding, calculated with MDCT, to detect DON. MATERIALS AND METHODS: Fifty-six patients with GO were studied prospectively with complete neuro-ophthalmologic examination and MDCT scanning. Square measurements were taken from coronal sections 12 mm, 18 mm, and 24 mm from the interzygomatic line. The ratio between the extraocular muscle area and the orbital bone area was used as a Cl. Intracranial fat prolapse through the superior orbital fissure was recorded as present or absent. Severity of optic nerve crowding was also subjectively graded on corona! images. Orbits were divided into 2 groups (with or without clinical evidence of DON) and compared. RESULTS: Ninety-five orbits (36 with and 59 without DON) were studied. The CIs at all 3 levels and the subjective crowding score were significantly greater in orbits with DON (P<.001). No significant difference was observed regarding intracranial fat prolapse (P=.105). The area under the ROC curves was 0.91, 0.93, and 0.87 for CIs at 12, 18, and 24 mm, respectively. The best performance was at 18 mm, where a cutoff value of 57.5% corresponded to 91.7% sensitivity, 89.8% specificity, and an odds ratio of 97.2 for detecting DON. A significant correlation (P<.001) between the CIs and VF defects was observed. CONCLUSIONS: Orbital Cls based on area measurements were found to predict DON more reliably than subjective grading of orbital crowding or intracranial fat prolapse.

Cosmetic Orbital Inferomedial Decompression: Quantifying the Risk of Diplopia Associated With Extraocular Muscle Dimensions

Purpose: To quantify the risk of new diplopia in inferomedial orbital decompression performed for cosmetic reasons. Methods: Retrospective analysis of 114 patients with Graves orbitopathy who underwent an inferomedial orbital decompression. No patient had diplopia in any of the gaze positions or optic neuropathy. A single coronal slice 9 mm posterior to the lateral orbital rim was employed to quantify the muscular index of the extraocular recti and of the superior complex. A control group of 56 patients imaged for other reasons were also measured. After surgery the oculomotor status of all patients who complained of diplopia and of 51 patients free of diplopia was measured with the prism and cover test in the primary and secondary gaze positions. Results: The rate of new-onset diplopia was 14.0% (16 patients). Eye deviations were confirmed in 14 patients. Of these, 10 had significant strabismus that warranted surgical or prism treatment. Most patients had esotropia associated with small vertical deviations. The size of the medial and inferior recti was significantly associated with the development of diplopia. The estimated odds for the appearance of diplopia in patients with muscle enlargement was 12.76 (medial rectus) and 5.21 (inferior rectus). Small-angle deviations were also detected in 27.4% of patients who did not experience diplopia. Conclusions: Medial and inferior recti enlargement is a strong predictor of new-onset diplopia. A large number of patients who do not report diplopia also present with small-angle deviations. (Ophthal Plast Reconstr Surg 2012;28:204-207)

Orbital Hemangiopericytoma/Solitary Fibrous Tumor in Childhood

A 12-year-old girl had a 6-year history of a large soft-tissue mass in her left orbit. The tumor biopsy was previously performed elsewhere when she was 7 years old, but no treatment was offered at that time. Later, the tumor was completely excised, and histologic examination revealed a mesenchymal neoplasia with typical hemangiopericytoma features. At 9 months of follow up, no evidence of local recurrence or metastasis was seen.

Beyond the diffraction limit of optical/IR interferometers I. Angular diameter and rotation parameters of Achernar from differential phases

Context. Spectrally resolved long-baseline optical/IR interferometry of rotating stars opens perspectives to investigate their fundamental parameters and the physical mechanisms that govern their interior, photosphere, and circumstellar envelope structures. Aims. Based on the signatures of stellar rotation on observed interferometric wavelength-differential phases, we aim to measure angular diameters, rotation velocities, and orientation of stellar rotation axes. Methods. We used the AMBER focal instrument at ESO-VLTI in its high-spectral resolution mode to record interferometric data on the fast rotator Achernar. Differential phases centered on the hydrogen Br gamma line (K band) were obtained during four almost consecutive nights with a continuous Earth-rotation synthesis during similar to 5h/night, corresponding to similar to 60 degrees position angle coverage per baseline. These observations were interpreted with our numerical code dedicated to long-baseline interferometry of rotating stars. Results. By fitting our model to Achernar's differential phases from AMBER, we could measure its equatorial radius R-eq = 11.6 +/- 0.3 R-circle dot, equatorial rotation velocity V-eq = 298 +/- 9 km s(-1), rotation axis inclination angle i = 101.5 +/- 5.2 degrees, and rotation axis position angle (from North to East) PA(rot) = 34.9 +/- 1.6 degrees. From these parameters and the stellar distance, the equatorial angular diameter circle divide(eq) of Achernar is found to be 2.45 +/- 0.09 mas, which is compatible with previous values derived from the commonly used visibility amplitude. In particular, circle divide(eq) and PA(rot) measured in this work with VLTI/AMBER are compatible with the values previously obtained with VLTI/VINCI. Conclusions. The present paper, based on real data, demonstrates the super-resolution potential of differential interferometry for measuring sizes, rotation velocities, and orientation of rotating stars in cases where visibility amplitudes are unavailable and/or when the star is partially or poorly resolved. In particular, we showed that differential phases allow the measurement of sizes up to similar to 4 times smaller than the diffraction-limited angular resolution of the interferometer.

An anatomical analysis of the mini-modified orbitozygomatic and supra-orbital approaches

Seven sides of cadaver heads were used to compare the surgical exposures provided by the mini-modified orbitozygomatic (MOz) and supra-orbital (SO) approaches. The Optotrak 3020 computerized tracking system (Northern Digital, Waterloo, ON, Canada) was utilized to evaluate the area of anatomical exposure defined by six points: (1) ipsilateral sphenoid ridge; (2) most distal point of the ipsilateral middle cerebral artery (MCA); (3) most distal point of the ipsilateral posterior cerebral artery (PCA); (4) most distal point of the contralateral PCA; (5) most distal point of the contralateral MCA; and (6) contralateral sphenoid ridge. Additionally, angles of approach for the ipsilateral MCA bifurcation, ipsilateral ICA bifurcation, basilar artery tip, contralateral MCA and ICA bifurcation and anterior communicating artery (AcomA) were evaluated, first for SO and then for MOz. An image guidance system was used to evaluate the limits of surgical exposure. No differences in the area of surgical exposure were noted (p > 0.05). Vertical angles were significantly wider for the ipsilateral and contralateral ICA bifurcation, AcomA, contralateral MCA and basilar tip (p < 0.05) for MOz. No differences in horizontal angles were observed between the approaches for the six targets (p > 0.05). There were no differences in the limits of exposure. MOz affords no additional surgical working space. However, our results demonstrate systematically that vertical exposure is improved. The MOz should be performed while planning an approach to these regions and a wider exposure in the vertical axis is needed. (C) 2012 Elsevier Ltd. All rights reserved.

Suppression of high transverse momentum D mesons in central Pb-Pb collisions at root s(NN)=2.76 TeV

The production of the prompt charm mesons D-0, D+, D*(+), and their antiparticles, was measured with the ALICE detector in Pb-Pb collisions at the LHC, at a centre-of-mass energy root s(NN) = 2.76 TeV per nucleon-nucleon collision. The p(t)-differential production yields in the range 2 < p(t) < 16 GeV/c at central rapidity, vertical bar y vertical bar < 0.5, were used to calculate the nuclear modification factor R-AA with respect to a proton-proton reference obtained from the cross section measured at root s = 7 TeV and scaled to root s = 2.76 TeV. For the three meson species, R-AA shows a suppression by a factor 3-4, for transverse momenta larger than 5 GeV/c in the 20% most central collisions. The suppression is reduced for peripheral collisions.

Quantum deformation of the angular distributions of synchrotron radiation. Emission from particles in the first excited state

The exact expressions for the characteristics of synchrotron radiation of charged particles in the first excited state are obtained in analytical form using quantum theory methods. We performed a detailed analysis of the angular distribution structure of radiation power and its polarization for particles with spin 0 and 1/2. It is shown that the exact quantum calculations lead to results that differ substantially from the predictions of classical theory.

Tidal evolution in co-orbital configurations

We study the orbital evolution of a two co-orbital planet system which undergo tidal interactions with the central star. Our main goal is to investigate the final outcome of a system originally evolving in a 1:1 resonant configuration when the tidal effect acts to change the orbital elements. Preliminary results of the numerical simulations of the exact equations of motions indicate that, at least for equal mass planets, the combined effect of resonant motion and tidal interaction leads the system to orbital instability, including collisions between the planets. We discuss the cases of two hot super-Earths and two hot-Saturn planets, comparing with the results of dynamical maps.

(18O,16O) Two-neutron transfer reactions for spectroscopic studies.

A systematic study of the response of different nuclei to the (18O, 16O) two-neutron transfer reaction at 84 MeV incident energy was pursued at the INFN-LNS in Catania (Italy). The experiments were performed using several solid targets from light (9Bc, 11 B, 12,13C, 16O, 28Si) to heavier ones (58,64Ni, 120Sn, 208Pb). The 16O ejectiles were detected at forward angles by the MAGNEX magnetic spectrometer and identified without the need of time of flight measurements. Exploiting the large momentum (≈ 25%) and angular (50 msr) acceptance of the spectrometer, energy spectra were obtained with a relevant yield up to about 20 MeV excitation energy. A common feature of the light nuclei spectra is the strong population of states with well known configuration of two-particle over a core and the appearance of unknown resonant structures in the continuum. These latter can reveal the excitation of a collective mode connected with the transfer of a pair. For the heavier nuclei as 66Ni a completely different behaviour is observed indicating the presence of more dissipative processes in the reaction mechanisms that hide the spectroscopic information.

Entwicklung einer Fokalebenen-Driftkammer für niederenergetische Pionen und experimentelle Bestimmung einer inversen Transfermatrix für das Short-Orbit-Spektrometer

Die Drei-Spektrometer-Anlage am Mainzer Institut für Kernphysik wurde um ein zusätzliches Spektrometer ergänzt, welches sich durch seine kurze Baulänge auszeichnet und deshalb Short-Orbit-Spektrometer (SOS) genannt wird. Beim nominellen Abstand des SOS vom Target (66 cm) legen die nachzuweisenden Teilchen zwischen Reaktionsort und Detektor eine mittlere Bahnlänge von 165 cm zurück. Für die schwellennahe Pionproduktion erhöht sich dadurch im Vergleich zu den großen Spektrometern die Überlebenswahrscheinlichkeit geladener Pionen mit Impuls 100 MeV/c von 15% auf 73%. Demzufolge verringert sich der systematische Fehler ("Myon-Kontamination"), etwa bei der geplanten Messung der schwachen Formfaktoren G_A(Q²) und G_P(Q²), signifikant. Den Schwerpunkt der vorliegenden Arbeit bildet die Driftkammer des SOS. Ihre niedrige Massenbelegung (0,03% X_0) zur Reduzierung der Kleinwinkelstreuung ist auf den Nachweis niederenergetischer Pionen hin optimiert. Aufgrund der neuartigen Geometrie des Detektors musste eine eigene Software zur Spurrekonstruktion, Effizienzbestimmung etc. entwickelt werden. Eine komfortable Möglichkeit zur Eichung der Driftweg-Driftzeit-Relation, die durch kubische Splines dargestellt wird, wurde implementiert. Das Auflösungsvermögen des Spurdetektors liegt in der dispersiven Ebene bei 76 µm für die Orts- und 0,23° für die Winkelkoordinate (wahrscheinlichster Fehler) sowie entsprechend in der nicht-dispersiven Ebene bei 110 µm bzw. 0,29°. Zur Rückrechnung der Detektorkoordinaten auf den Reaktionsort wurde die inverse Transfermatrix des Spektrometers bestimmt. Hierzu wurden an Protonen im ¹²C-Kern quasielastisch gestreute Elektronen verwendet, deren Startwinkel durch einen Lochkollimator definiert wurden. Daraus ergeben sich experimentelle Werte für die mittlere Winkelauflösung am Target von sigma_phi = 1,3 mrad bzw. sigma_theta = 10,6 mrad. Da die Impulseichung des SOS nur mittels quasielastischer Streuung (Zweiarmexperiment) durchgeführt werden kann, muss man den Beitrag des Protonarms zur Breite des Piks der fehlenden Masse in einer Monte-Carlo-Simulation abschätzen und herausfalten. Zunächst lässt sich nur abschätzen, dass die Impulsauflösung sicher besser als 1% ist.

QCD-Strahlungskorrekturen zu Polarisationsobservablen in semileptonischen Zerfällen schwerer Quarks

In dieser Arbeit werden die QCD-Strahlungskorrekturen in erster Ordnung der starken Kopplungskonstanten für verschiedene Polarisationsobservablen zu semileptonischen Zerfällen eines bottom-Quarks in ein charm-Quark und ein Leptonpaar berechnet. Im ersten Teil wird der Zerfall eines unpolarisierten b-Quarks in ein polarisiertes c-Quark sowie ein geladenes Lepton und ein Antineutrino im Ruhesystem des b-Quarks analysiert. Es werden die Strahlungskorrekturen für den unpolarisierten und den polarisierten Beitrag zur differentiellen Zerfallsrate nach der Energie des c-Quarks berechnet, wobei das geladene Lepton als leicht angesehen und seine Masse daher vernachlässigt wird. Die inklusive differentielle Rate wird durch zwei Strukturfunktionen in analytischer Form dargestellt. Anschließend werden die Strukturfunktionen und die Polarisation des c-Quarks numerisch ausgewertet. Nach der Einführung der Helizitäts-Projektoren befaßt sich der zweite Teil mit dem kaskadenartigen Zerfall eines polarisierten b-Quarks in ein unpolarisiertes c-Quark und ein virtuelles W-Boson, welches weiter in ein Paar leichter Leptonen zerfällt. Es werden die inklusiven Strahlungskorrekturen zu drei unpolarisierten und fünf polarisierten Helizitäts-Strukturfunktionen in analytischer Form berechnet, welche die Winkelverteilung für die differentielle Zerfallsrate nach dem Viererimpulsquadrat des W-Bosons beschreiben. Die Strukturfunktionen enthalten die Informationen sowohl über die polare Winkelverteilung zwischen dem Spinvektor des b-Quarks und dem Impulsvektor des W-Bosons als auch über die räumliche Winkelverteilung zwischen den Impulsen des W-Bosons und des Leptonpaars. Der Impuls und der Spinvektor des b-Quarks sowie der Impuls des W-Bosons werden im b-Ruhesystem analysiert, während die Impulse des Leptonpaars im W-Ruhesystem ausgewertet werden. Zusätzlich zu den genannten Strukturfunktionen werden noch die unpolarisierte und die polarisierte skalare Strukturfunktion angegeben, die in Anwendungen bei hadronischen Zerfällen eine Rolle spielen. Anschließend folgt eine numerische Auswertung aller berechneten Strukturfunktionen. Im dritten Teil werden die nichtperturbativen HQET-Korrekturen zu inklusiven semileptonischen Zerfällen schwerer Hadronen diskutiert, welche ein b-Quark enthalten. Sie beschreiben hadronische Korrekturen, die durch die feste Bindung des b-Quarks in Hadronen hervorgerufen werden. Es werden insgesamt fünf unpolarisierte und neun polarisierte Helizitäts-Strukturfunktionen in analytischer Form angegeben, die auch eine endliche Masse und den Spin des geladenen Leptons berücksichtigen. Die Strukturfunktionen werden sowohl in differentieller Form in Abhängigkeit des quadrierten Viererimpulses des W-Bosons als auch in integrierter Form präsentiert. Zum Schluß werden die zuvor erhaltenen Resultate auf die semi-inklusiven hadronischen Zerfälle eines polarisierten Lambda_b-Baryons oder eines B-Mesons in ein D_s- oder ein D_s^*-Meson unter Berücksichtigung der D_s^*-Polarisation angewandt. Für die zugehörigen Winkelverteilungen werden die inklusiven QCD- und die nichtperturbativen HQET-Korrekturen zu den Helizitäts-Strukturfunktionen in analytischer Form angegeben und anschließend numerisch ausgewertet.

Polarization in heavy quark decays

In this thesis I concentrate on the angular correlations in top quark decays and their next--to--leading order (NLO) QCD corrections. I also discuss the leading--order (LO) angular correlations in unpolarized and polarized hyperon decays. In the first part of the thesis I calculate the angular correlation between the top quark spin and the momentum of decay products in the rest frame decay of a polarized top quark into a charged Higgs boson and a bottom quark in Two-Higgs-Doublet-Models: $t(uparrow)rightarrow b+H^{+}$. The decay rate in this process is split into an angular independent part (unpolarized) and an angular dependent part (polar correlation). I provide closed form formulae for the ${mathcal O}(alpha_{s})$ radiative corrections to the unpolarized and the polar correlation functions for $m_{b}neq 0$ and $m_{b}=0$. The results for the unpolarized rate agree with the existing results in the literature. The results for the polarized correlations are new. I found that, for certain values of $tanbeta$, the ${mathcal O}(alpha_s)$ radiative corrections to the unpolarized, polarized rates, and the asymmetry parameter can become quite large. In the second part I concentrate on the semileptonic rest frame decay of a polarized top quark into a bottom quark and a lepton pair: $t(uparrow) to X_b + ell^+ + nu_ell$. I analyze the angular correlations between the top quark spin and the momenta of the decay products in two different helicity coordinate systems: system 1a with the $z$--axis along the charged lepton momentum, and system 3a with the $z$--axis along the neutrino momentum. The decay rate then splits into an angular independent part (unpolarized), a polar angle dependent part (polar correlation) and an azimuthal angle dependent part (azimuthal correlation). I present closed form expressions for the ${mathcal O}(alpha_{s})$ radiative corrections to the unpolarized part and the polar and azimuthal correlations in system 1a and 3a for $m_{b}neq 0$ and $m_{b}=0$. For the unpolarized part and the polar correlation I agree with existing results. My results for the azimuthal correlations are new. In system 1a I found that the azimuthal correlation vanishes in the leading order as a consequence of the $(V-A)$ nature of the Standard Model current. The ${mathcal O}(alpha_{s})$ radiative corrections to the azimuthal correlation in system 1a are very small (around 0.24% relative to the unpolarized LO rate). In system 3a the azimuthal correlation does not vanish at LO. The ${mathcal O}(alpha_{s})$ radiative corrections decreases the LO azimuthal asymmetry by around 1%. In the last part I turn to the angular distribution in semileptonic hyperon decays. Using the helicity method I derive complete formulas for the leading order joint angular decay distributions occurring in semileptonic hyperon decays including lepton mass and polarization effects. Compared to the traditional covariant calculation the helicity method allows one to organize the calculation of the angular decay distributions in a very compact and efficient way. This is demonstrated by the specific example of the polarized hyperon decay $Xi^0(uparrow) to Sigma^+ + l^- + bar{nu}_l$ ,($l^-=e^-, mu^-$) followed by the nonleptonic decay $Sigma^+ to p + pi^0$, which is described by a five--fold angular decay distribution.

Aufbau und Simulation des KAOS-Spektrometers für Koinzidenzmessungen in der assoziierten Kaonproduktion

Mit der Erweiterung des Elektronenbeschleunigers MAMI um eine dritte Stufe ist es möglich geworden, am Institut für Kernphysik Teilchen mit offener Strangeness zu produzieren. Für deren Nachweis ist die Drei-Spektrometeranlage der Kollaboration A1 um das von der GSI in Darmstadt übernommene KAOS-Spektrometer erweitert worden. Untersucht wird damit die elementare Reaktion p(e,e' K+)Lambda/Sigma0 wobei das auslaufende Elektron und das Kaon nachgewiesen werden müssen. Wird als Target nicht Wasserstoff verwendet, besteht die Möglichkeit dass sich ein Hyperkern bildet. Spektroskopische Untersuchungen an diesen bieten die Möglichkeit das Potential von Hyperonen in Atomkernen und die Hyperon-Nukleon-Wechselwirkung zu untersuchen. Aufgrund der hervorragenden Strahlqualität bei der Elektroproduktion können hier Massenauflösungen von einigen hundert keV/c² erreicht werden. Mit Hilfe von GEANT4 wurden die Detektoren und die Abbildungseigenschaften des Spektrometers simuliert. Geeignete Ereignisgeneratoren wurden implementiert. Es wurde untersucht, wie mögliche Treffermuster in den Detektoren aussehen, die von einem Trigger auf FPGA-Basis selektiert werden müssen. Ebenso konnte hieraus eine erste Abbildung der Spurkoordinaten auf die Targetkoordinaten und den Teilchenimpuls gewonnen werden. Für das Hyperkernprogramm muss KAOS unter 0° Vorwärtsrichung betrieben werden und der Primärstrahl mit Hilfe einer Schikane durch den Dipol gelenkt werden. Die Simulation zeigt hier eine nur moderate Erhöhung der Strahlenbelastung, vor allem im Bereich des Strahlfängers. Somit ist es möglich, KAOS als doppelseitiges Spektrometer in der Spektrometerhalle zu betreiben. Im Rahmen dieser Arbeit wurden die für sämtliche Detektoren nötige Auslese- und Steuerungselektronik in das vorhandene Datenerfassungssystem und das Steuerungssystem eingebunden. In zwei Strahlzeiten im Herbst 2008 wurden Kaonen im Winkelbereich von 20°-40° mit Impulsen zwischen 400MeV/c und 600MeV/c nachgewiesen. Die aus der Simulation gewonnenen Daten zum Trigger und zur Abbildung kamen zum Einsatz. Es konnte die für eine gute Teilchenidentifikation nötige Zeitauflösung von ca. 1ns FWHM erreicht werden. Die erreichte Winkel- und Impulsauflösung war ausreichend um Lambda und Sigma0-Hyperonen im Spektrum der fehlenden Masse leicht trennen zu können.