Flow Field–Flow Fractionation for size analysis and characterization of nanoparticles for applications in Life Sciences

Nanotechnologies are rapidly expanding because of the opportunities that the new materials offer in many areas such as the manufacturing industry, food production, processing and preservation, and in the pharmaceutical and cosmetic industry. Size distribution of the nanoparticles determines their properties and is a fundamental parameter that needs to be monitored from the small-scale synthesis up to the bulk production and quality control of nanotech products on the market. A consequence of the increasing number of applications of nanomaterial is that the EU regulatory authorities are introducing the obligation for companies that make use of nanomaterials to acquire analytical platforms for the assessment of the size parameters of the nanomaterials. In this work, Asymmetrical Flow Field-Flow Fractionation (AF4) and Hollow Fiber F4 (HF5), hyphenated with Multiangle Light Scattering (MALS) are presented as tools for a deep functional characterization of nanoparticles. In particular, it is demonstrated the applicability of AF4-MALS for the characterization of liposomes in a wide series of mediums. Afterwards the technique is used to explore the functional features of a liposomal drug vector in terms of its biological and physical interaction with blood serum components: a comprehensive approach to understand the behavior of lipid vesicles in terms of drug release and fusion/interaction with other biological species is described, together with weaknesses and strength of the method. Afterwards the size characterization, size stability, and conjugation of azidothymidine drug molecules with a new generation of metastable drug vectors, the Metal Organic Frameworks, is discussed. Lastly, it is shown the applicability of HF5-ICP-MS for the rapid screening of samples of relevant nanorisk: rather than a deep and comprehensive characterization it this time shown a quick and smart methodology that within few steps provides qualitative information on the content of metallic nanoparticles in tattoo ink samples.

A new method for continuous quality control of nsm cfrp systems

In the last decade the near-surface mounted (NSM) strengthening technique using carbon fibre reinforced polymers (CFRP) has been increasingly used to improve the load carrying capacity of concrete members. Compared to externally bonded reinforcement (EBR), the NSM system presents considerable advantages. This technique consists in the insertion of carbon fibre reinforced polymer laminate strips into pre-cut slits opened in the concrete cover of the elements to be strengthened. CFRP reinforcement is bonded to concrete with an appropriate groove filler, typically epoxy adhesive or cement grout. Up to now, research efforts have been mainly focused on several structural aspects, such as: bond behaviour, flexural and/or shear strengthening effectiveness, and energy dissipation capacity of beam-column joints. In such research works, as well as in field applications, the most widespread adhesives that are used to bond reinforcements to concrete are epoxy resins. It is largely accepted that the performance of the whole application of NSM systems strongly depends on the mechanical properties of the epoxy resins, for which proper curing conditions must be assured. Therefore, the existence of non-destructive methods that allow monitoring the curing process of epoxy resins in the NSM CFRP system is desirable, in view of obtaining continuous information that can provide indication in regard to the effectiveness of curing and the expectable bond behaviour of CFRP/adhesive/concrete systems. The experimental research was developed at the Laboratory of the Structural Division of the Civil Engineering Department of the University of Minho in Guimar\~aes, Portugal (LEST). The main objective was to develop and propose a new method for continuous quality control of the curing of epoxy resins applied in NSM CFRP strengthening systems. This objective is pursued through the adaptation of an existing technique, termed EMM-ARM (Elasticity Modulus Monitoring through Ambient Response Method) that has been developed for monitoring the early stiffness evolution of cement-based materials. The experimental program was composed of two parts: (i) direct pull-out tests on concrete specimens strengthened with NSM CFRP laminate strips were conducted to assess the evolution of bond behaviour between CFRP and concrete since early ages; and, (ii) EMM-ARM tests were carried out for monitoring the progressive stiffness development of the structural adhesive used in CFRP applications. In order to verify the capability of the proposed method for evaluating the elastic modulus of the epoxy, static E-Modulus was determined through tension tests. The results of the two series of tests were then combined and compared to evaluate the possibility of implementation of a new method for the continuous monitoring and quality control of NSM CFRP applications.

Adsorption of macromolecules on interfaces studied by isothermal titration calorimetry

The mixing of nanoparticles with polymers to form composite materials has been applied for decades. They combine the advantages of polymers (e.g., elasticity, transparency, or dielectric properties) and inorganic nanoparticles (e.g., specific absorption of light, magneto resistance effects, chemical activity, and catalysis etc.). Nanocomposites exhibit several new characters that single-phase materials do not have. Filling the polymeric matrix with an inorganic material requires its homogeneous distribution in order to achieve the highest possible synergetic effect. To fulfill this requirement, the incompatibility between the filler and the matrix, originating from their opposite polarity, has to be resolved. A very important parameter here is the strength and irreversibility of the adsorption of the surface active compound on the inorganic material. In this work the Isothermal titration calorimetry (ITC) was applied as a method to quantify and investigate the adsorption process and binding efficiencies in organic-inorganic–hybrid-systems by determining the thermodynamic parameters (ΔH, ΔS, ΔG, KB as well as the stoichiometry n). These values provide quantification and detailed understanding of the adsorption process of surface active molecules onto inorganic particles. In this way, a direct correlation between the adsorption strength and structure of the surface active compounds can be achieved. Above all, knowledge of the adsorption mechanism in combination with the structure should facilitate a more rational design into the mainly empirically based production and optimization of nanocomposites.

Safety by design: production of engineering surface modified nanomaterials

This PhD thesis focused on nanomaterial (NM) engineering for occupational health and safety, in the frame of the EU project “Safe Nano Worker Exposure Scenarios (SANOWORK)”. Following a safety by design approach, surface engineering (surface coating, purification process, colloidal force control, wet milling, film coating deposition and granulation) were proposed as risk remediation strategies (RRS) to decrease toxicity and emission potential of NMs within real processing lines. In the first case investigated, the PlasmaChem ZrO2 manufacturing, the colloidal force control applied to the washing of synthesis rector, allowed to reduce ZrO2 contamination in wastewater, performing an efficient recycling procedure of ZrO2 recovered. Furthermore, ZrO2 NM was investigated in the ceramic process owned by CNR-ISTEC and GEA-Niro; the spray drying and freeze drying techniques were employed decreasing NM emissivity, but maintaining a reactive surface in dried NM. Considering the handling operation of nanofibers (NFs) obtained through Elmarco electrospinning procedure, the film coating deposition was applied on polyamide non-woven to avoid free fiber release. For TiO2 NF the wet milling was applied to reduce and homogenize the aspect ratio, leading to a significant mitigation of fiber toxicity. In the Colorobbia spray coating line, Ag and TiO2 nanosols, employed to transfer respectively antibacterial or depolluting properties to different substrates, were investigated. Ag was subjected to surface coating and purification, decreasing NM toxicity. TiO2 was modified by surface coating, spray drying and blending with colloidal SiO2, improving its technological performance. In the extrusion of polymeric matrix charged with carbon nanotube (CNTs) owned by Leitat, the CNTs used as filler were granulated by spray drying and freeze spray drying techniques, allowing to reduce their exposure potential. Engineered NMs tested by biologists were further investigated in relevant biological conditions, to improve the knowledge of structure/toxicity mechanisms and obtain new insights for the design of safest NMs.

Outcome a lungo termine dei pazienti pediatrici con rene singolo. Valutazione di marker laboratoristici e strumentali di danno renale

Obiettivi: valutare in pazienti con rene singolo congenito la correlazione tra il filtrato glomerulare misurato con il DTPA (DTPA-VFG) e 1) marker laboratoristici di danno renale (creatinina, cistatinaC, proteinuria) 2) formule per stimare il filtrato glomerulare 3) parametri di valutazione della crescita renale ecografica. Materiali e metodi: Sono stati arruolati 118 pazienti con rene singolo congenito tra 0 e 18 anni. Sono stati valutati a ogni visita altezza, creatinina, cistatinaC, proteinuria e lunghezza ecografica renale. E’ stato calcolato il filtrato stimato con formule basate sulla creatinina (Schwartz), sulla cistatina C (Zappitelli, Filler, Grubb e Bokenkamp) e su entrambe (equazione di Zappitelli). La crescita renale è stata valutata come rapporto lunghezza ecografica/altezza corporea (USL/H), differenza percentuale tra lunghezza renale misurata e attesa per età (delta%) e presenza o meno d’ipertrofia compensatoria. In 74 bambini è stata misurata la DTPA-VFG. Risultati: Il follow-up è di 2.1 ± 0.9 anni. Il 65% sono maschi. Nessun paziente ha sviluppato danno renale cronico. La media del DTPA-VFG era di 135±44ml/min/1.73m², il valore medio della creatinina 0.47±0.17mg/dl e di cistatinaC di 1±0.4mg/L. La lunghezza ecografica renale media era di 100±17 mm, il rapporto USL/H medio di 0.8±0,1 e il delta% di 1,13±11,4, il 66% presentava ipertrofia renale. Le uniche correlazioni significative con DTPA-VFG sono inversa con la creatinina (p=<.001) e lineare con USL/H (p=<.001). Discussione: Lo studio ha mostrato che come per altre nefrouropatie, la creatina e l’ecografia renale siano due strumenti validi per il follow-up dei pazienti con rene singolo congenito. Il limite principale è dovuto al fatto che nessuno dei pazienti ha sviluppato danno renale cronico e pertanto non è stato possibile stabilire dei cutt-off di rischio per parametri quali USL/H.

Schriftlicher Text im Film und seine Übersetzung : die Inserts der BBC-Serie Sherlock (2010-12) ; aus der Perspektive von Untertiteltheorie, Comictheorie und Translationspraxis

Die BBC-Serie SHERLOCK war 2011 eine der meistexportierten Fernsehproduktionen Großbritanniens und wurde weltweit in viele Sprachen übersetzt. Eine der Herausforderungen bei der Übersetzung stellen die Schrifteinblendungen der Serie (kurz: Inserts) dar. Die Inserts versprachlichen die Gedanken des Protagonisten, bilden schriftliche und digitale Kommunikation ab und zeichnen sich dabei durch ihre visuelle Auffälligkeit und teilweise als einzige Träger sprachlicher Kommunikation aus, womit sie zum wichtigen ästhetischen und narrativen Mittel in der Serie werden. Interessanterweise sind in der Übersetztung alle stilistischen Eigenschaften der Original-Inserts erhalten. In dieser Arbeit wird einerseits untersucht, wie Schrifteinblendungen im Film theoretisch beschrieben werden können, und andererseits, was sie in der Praxis so übersetzt werden können, wie es in der deutschen Version von Sherlock geschah. Zur theoretischen Beschreibung werden zunächst die Schrifteinblendungen in Sherlock Untertitelungsnormen anhand relevanter grundlegender semiotischer Dimensionen gegenübergestellt. Weiterhin wird das Verhältnis zwischen Schrifteinblendungen und Filmbild erkundet. Dazu wird geprüft, wie gut verschiedene Beschreibungsansätze zu Text-Bild-Verhältnissen aus der Sprachwissenschaft, Comicforschung, Übersetzungswissenschaft und Typografie die Einblendungen in Sherlock erklären können. Im praktischen Teil wird die Übersetzung der Einblendungen beleuchtet. Der Übersetzungsprozess bei der deutschen Version wird auf Grundlage eines Experteninterviews mit dem Synchronautor der Serie rekonstruiert, der auch für die Formulierung der Inserts zuständig war. Abschließend werden spezifische Übersetzungsprobleme der Inserts aus der zweiten Staffel von SHERLOCK diskutiert. Es zeigt sich, dass Untertitelungsnormen zur Beschreibung von Inserts nicht geeignet sind, da sie in Dimensionen wie Position, grafische Gestaltung, Animation, Soundeffekte, aber auch Timing stark eingeschränkt sind. Dies lässt sich durch das historisch geprägte Verständnis von Untertiteln erklären, die als möglichst wenig störendes Beiwerk zum fertigen Filmbild und -ablauf (notgedrungen) hinzugefügt werden, wohingegen für die Inserts in SHERLOCK teilweise sogar ein zentraler Platz in der Bild- und Szenenkomposition bereits bei den Dreharbeiten vorgesehen wurde. In Bezug auf Text-Bild-Verhältnisse zeigen sich die größten Parallelen zu Ansätzen aus der Comicforschung, da auch dort schriftliche Texte im Bild eingebettet sind anstatt andersherum. Allerdings sind auch diese Ansätze zur Beschreibung von Bewegung und Ton unzureichend. Die Erkundung der Erklärungsreichweite weiterer vielversprechender Konzepte, wie Interface und Usability, bleibt ein Ziel für künftige Studien. Aus dem Experteninterview lässt sich schließen, dass die Übersetzung von Inserts ein neues, noch unstandardisiertes Verfahren ist, in dem idiosynkratische praktische Lösungen zur sprachübergreifenden Kommunikation zwischen verschiedenen Prozessbeteiligten zum Einsatz kommen. Bei hochqualitative Produktionen zeigt ist auch für die ersetzende Insertübersetzung der Einsatz von Grafikern unerlässlich, zumindest für die Erstellung neuer Inserts als Übersetzungen von gefilmtem Text (Display). Hierbei sind die theoretisch möglichen Synergien zwischen Sprach- und Bildexperten noch nicht voll ausgeschöpft. Zudem zeigt sich Optimierungspotential mit Blick auf die Bereitstellung von sorgfältiger Dokumentation zur ausgangssprachlichen Version. Diese wäre als Referenzmaterial für die Übersetzung insbesondere auch für Zwecke der internationalen Qualitätssicherung relevant. Die übersetzten Inserts in der deutschen Version weisen insgesamt eine sehr hohe Qualität auf. Übersetzungsprobleme ergeben sich für das genretypische Element der Codes, die wegen ihrer Kompaktheit und multiplen Bezügen zum Film eine Herausforderung darstellen. Neben weiteren bekannten Übersetzungsproblemen wie intertextuellen Bezügen und Realia stellt sich immer wieder die Frage, wieviel der im Original dargestellten Insert- und Displaytexte übersetzt werden müssen. Aus Gründen der visuellen Konsistenz wurden neue Inserts zur Übersetzung von Displays notwendig. Außerdem stellt sich die Frage insbesondere bei Fülltexten. Sie dienen der Repräsentation von Text und der Erweiterung der Grenzen der fiktiv dargestellten Welt, sind allerdings mit hohem Übersetzungsaufwand bei minimaler Bedeutung für die Handlung verbunden.

Thermoelektrische und strukturelle Eigenschaften gefüllter Skutterudite, sowie Verbesserung ihres Gütefaktors durch Nanostrukturierung

Gefüllte Skutterudite mit der Summenformel MxCo4Sb12 sind vielversprechende thermoelektrische Materialien. Die Standardsynthese führt jedoch oft zur Bildung von MSbx, Sb, CoSb oder CoSb2 als Nebenphasen. In dieser Arbeit wird eine neue zweistufige Synthese vorgestellt, bei der die Bildung des Kieftits (CoSb3) getrennt von dem topotaktischen Füllen mit dem Metallatom M erfolgt. Dieser Ansatz erlaubt eine Durchführung der Reaktion bei niedrigeren Temperaturen mit kürzeren Reaktionszeiten. Ein geringer Antimon-Unterschuss im so erhaltenen Kieftit erhöht die Anzahl der Ladungsträger und unterdrückt die Bildung von Verunreinigungsphasen. Zunächst wurden Skutteruditproben mit der nominellen Zusammensetzung InxCo4Sb12 mit x = 0,12; 0,15; 0,18 und 0,20 in hoher Reinheit hergestellt und mit Spark Plasma Sintering (SPS) kompaktiert. Messaufnahmen mit Potential- und Seebeck-Mikrosonde und Rasterelektronenmikroskop zeigten eine hohe Probenhomogenität. Produkte waren nahezu phasenrein, was eine Untersuchung der Transporteigenschaften ohne Verfälschung durch Nebenphasen ermöglichte. Die quantitative Phasenanalyse mittels Synchrotron-Beugungsdaten zeigte < 0,1 % InSb bei In0,18Co4Sb12 und In0,20Co4Sb12, sowie eine lineare Korrelation zwischen dem wahren Füllgrad und der Gitterkonstante. Die Bindung von < 0,1 % InSb verringerte den Füllgrad der nominellen In0,20Co4Sb12-Probe auf x = 0,144. Die nominelle In0,18Co4Sb12-Probe mit dem wahren Gehalt x = 0,160 hatte den höchsten zT-Wert nahe eins bei 420 °C. Es konnte anschließend die Anwendbarkeit der Synthesemethode für Barium- und mehrfach gefüllte (Na+In) Skutterudite gezeigt werden. Die Na-gefüllte Probe war gegenüber der thermischen Behandlung in der SPS oder der Charakterisierung instabil. Alle Verbindungen wurden gesintert und ihre Transporteigenschaften wurden charakterisiert. Des weiterem wurde der Einfluss der Konzentration der Korngrenzen bei den Mischungen von zu Nanomaßstab vermahlenem In0,18Co4Sb12 (Partikelgrößen zwischen 20 und 100 nm) mit dem ursprünglichen Bulk untersucht. Proben mit verschiedenen Anteilen von Nanopulver wurden gesintert, ihre thermoelektrischen und strukturellen Eigenschaften wurden untersucht. Die Gütezahl zT von 1,39 bei 375 °C wurde bei der Probe mit gleichen Anteilen des Nano- und des unbehandelten Pulvers erreicht. Die Komposite mit Anteilen <10 % oder >75 % des Nanopulvers zeigten keine Verbesserung gegenüber der unbehandelten Verbindung.rn

Impiego di terre decoloranti esauste per la realizzazione di miscele bituminose di usura drenanti e fonoassorbenti

La continua e crescente esigenza da parte dei gestori delle reti stradali ed autostradali di contenere i costi di gestione e manutenzione, ha da tempo impegnato l'industria delle pavimentazioni nell'individuazione di metodi innovativi, in grado di aumentare la redditività dei budget predisposti per il ripristino della sede stradale. Il presente lavoro di tesi si propone di approfondire tale argomento e in particolare di indagare l’impiego di terre decoloranti esauste all'interno di miscele bituminose drenanti per strati di usura. Il riutilizzo di queste terre porterebbe a risparmiare risorse naturali come il filler calcareo e diminuire i volumi che vengono smaltiti in discarica. È stato osservato che il filler bentonitico digestato può essere utilizzato nel confezionamento di miscele bituminose per strati di usura drenanti e fonoassorbenti con prestazioni simili o addirittura superiori alle equivalenti con filler calcareo tradizionale. Le prove condotte non hanno evidenziato nessun deterioramento delle caratteristiche meccaniche. Si ricorda che sono necessari studi circa il drenaggio del legante e il comportamento a fatica delle miscele bituminose in relazione alle fasi di esercizio dei materiali. Sulla base delle considerazioni elaborate si può affermare che nel caso in esame l'impiego del filler bentonitico digestato consente di risparmiare una risorsa naturale come il filler calcareo, a parità di inerti e legante nella miscela. Inoltre, si ha un vantaggio dal punto di vista economico, poiché meno volumi di questo materiale vengono smaltiti in discarica.

Preparazione e proprietà di trasporto di gas di membrane a base di polimeri e nanoplatelets grafenici per la cattura di CO2 da processi energetici

Lo scopo di questo studio sperimentale è stato quello di determinare l’effetto dell’aggiunta di piccole quantità (1wt%) di grafene e ossido di grafene al poli(1-trimetilsilil-1-propino) (PTMSP). Il PTMSP è uno dei polimeri più promettenti per la separazione di gas tramite membrane polimeriche grazie al suo elevato volume libero (26%). Sono state studiate sia membrane spesse (60-180 micron) preparate per solvent casting che sottili (2-10 micron) preparate per spin coating supportate su un film poroso di polipropilene commerciale. L’ossido di grafene aumenta la permeabilità del PTMSP, mentre il grafene ha mostrato un comportamento variabile in funzione del protocollo di preparazione che è risultato dipendere fortemente dalla velocità di evaporazione del solvente. Le membrane così ottenute sono state testate al permeometro. È stata osservata una dipendenza della permeabilità in funzione dello spessore del film e del grado di invecchiamento. In particolare, la presenza di nanofiller riduce il grado di invecchiamento dei film di PTMSP. Nel caso specifico della coppia di gas permeanti He/CO2, i campioni hanno mostrato un comportamento intercambiabile di selettività all’He o alla CO2, modulabile in funzione della temperatura tra 30-60°C e del filler utilizzato.

T-cell recognition of chemicals, protein allergens and drugs: towards the development of in vitro assays

Chemicals can elicit T-cell-mediated diseases such as allergic contact dermatitis and adverse drug reactions. Therefore, testing of chemicals, drugs and protein allergens for hazard identification and risk assessment is essential in regulatory toxicology. The seventh amendment of the EU Cosmetics Directive now prohibits the testing of cosmetic ingredients in mice, guinea pigs and other animal species to assess their sensitizing potential. In addition, the EU Chemicals Directive REACh requires the retesting of more than 30,000 chemicals for different toxicological endpoints, including sensitization, requiring vast numbers of animals. Therefore, alternative methods are urgently needed to eventually replace animal testing. Here, we summarize the outcome of an expert meeting in Rome on 7 November 2009 on the development of T-cell-based in vitro assays as tools in immunotoxicology to identify hazardous chemicals and drugs. In addition, we provide an overview of the development of the field over the last two decades.

Functionalization of deproteinized bovine bone with a coating-incorporated depot of BMP-2 renders the material efficiently osteoinductive and suppresses foreign-body reactivity

The repair of critical-sized bony defects remains a challenge in the fields of implantology, maxillofacial surgery and orthopaedics. As an alternative bone-defect filler to autologous bone grafts, deproteinized bovine bone (DBB) is highly osteoconductive and clinically now widely used. However, this product suffers from the disadvantage of not being intrinsically osteoinductive. In the present study, this property was conferred by coating DBB with a layer of calcium phosphate into which bone morphogenetic protein 2 (BMP-2) was incorporated. Granules of DBB bearing a coating-incorporated depot of BMP-2--together with the appropriate controls (DBB bearing a coating but no BMP-2; uncoated DBB bearing adsorbed BMP-2; uncoated DBB bearing no BMP-2)--were implanted subcutaneously in rats. Five weeks later, the implants were withdrawn for a histomorphometric analysis of the volume densities of (i) bone, (ii) bone marrow, (iii) foreign-body giant cells and (iv) fibrous capsular tissue. Parameters (i) and (ii) were highest, whilst parameters (iii) and (iv) were lowest in association with DBB bearing a coating-incorporated depot of BMP-2. Hence, this mode of functionalization not only confers DBB with the property of osteoinductivity but also improves its biocompatibility--thus dually enhancing its clinical potential in the repair of bony defects.

Intraoperative Patient-Specific Reconstruction of Partial Bone Flap Defects After Convexity Meningioma Resection

OBJECTIVE: To evaluate implant accuracy and cosmetic outcome of a new intraoperative patient-specific cranioplasty method after convexity meningioma resection. METHODS: The patient's own bone flap served as a template to mold a negative form with the use of polymethyl methacrylate (PMMA). The area of bone invasion was determined and broadly excised under white light illumination with a safety margin of at least 1 cm. The definitive replica was cast within the remaining bone flap frame and the imprint. Clinical and radiologic follow-up examinations were performed 3 months after surgery. RESULTS: Four women and two men (mean age 51.4 years ± 12.8) underwent reconstruction of bone flap defects after meningioma resection. Mean duration of intraoperative reconstruction of the partial bone flap defects was 19 minutes ± 4 (range 14-24 minutes). Implant sizes ranged from 17-35 cm(2) (mean size 22 cm(2) ± 8). Radiologic and clinical follow-up examinations revealed excellent implant alignment and favorable cosmesis (visual analogue scale for cosmesis [VASC] = 97 ± 5) in all patients. CONCLUSIONS: Patient-specific reconstruction of partial bone flap defects after convexity meningioma resection using the presented intraoperative PMMA cast method resulted in excellent bony alignment and a favorable cosmetic outcome. Relatively low costs and minimized operation time for adjustment and insertion of the cranioplasty implant justify use of this method in small bony defects as well.

Investigation of Solid-State Shear Pulverization Processing Parameters for Polyethylene-Clay Nanocomposites

Investigates multiple processing parameters, includingpolymer type, filler type, processing technique, severity of SSSP (Solid-state shear pulverization)processing, and postprocessing, of SSSP. HDPE and LLDPE polymers with pristine clay and organo-clay samples are explored. Effects on crystallization, high-temperature behavior, mechanicalproperties, and gas barrier properties are examined. Thermal, mechanical, and morphological characterization is conducted to determine polymer/filler compatibility and superior processing methods for the polymer-clay nanocomposites.

Combined bone and soft-tissue augmentation surgery in temporo-orbital contour reconstruction

Temporal hollowing due to temporal muscle atrophy after standard skull base surgery is common. Various techniques have been previously described to correct the disfiguring defect. Most often reconstruction is performed using freehand molded polymethylmethacrylate cement. This method and material are insufficient in terms of aesthetic results and implant characteristics. We herein propose reconstruction of such defects with a polyetheretherketone (PEEK)-based patient-specific implant (PSI) including soft-tissue augmentation to preserve normal facial topography. We describe a patient who presented with a large temporo-orbital hemangioma that had been repaired with polymethylmethacrylate 25 years earlier. Because of a toxic skin atrophy fistula, followed by infection and meningitis, this initial implant had to be removed. The large, disfiguring temporo-orbital defect was reconstructed with a PEEK-based PSI. The lateral orbital wall and the temporal muscle atrophy were augmented with computer-aided design and surface modeling techniques. The operative procedure to implant and adopt the reconstructed PEEK-based PSI was simple, and an excellent cosmetic outcome was achieved. The postoperative clinical course was uneventful over a 5-year follow-up period. Polyetheretherketone-based combined bony and soft contour remodeling is a feasible and effective method for cranioplasty including combined bone and soft-tissue reconstruction of temporo-orbital defects. Manual reconstruction of this cosmetically delicate area carries an exceptional risk of disfiguring results. Augmentation surgery in this anatomic location needs accurate PSIs to achieve satisfactory cosmetic results. The cosmetic outcome achieved in this case is superior compared with previously reported techniques.

980-nm laser lipolysis (LAL): About 674 procedures in 359 patients

Since the first studies by Apfelberg in 1994, laser lipolysis (LAL) has been on the rise. Laser lipolysis leads to reduced operator fatigue, excellent patient tolerance, quick recovery time, as well as the additional benefit of dermal tightening. This article reports a 5-year experience of LAL and underlines the potential evolutions of the technique.