Papillary cystoadenoma lymphomatosum (Warthin-like) of minor salivary glands

Papillary cystadenoma lymphomatosum is a benign salivary gland tumor most frequently located in the parotid gland (Warthin"s tumor). Its presentation in other major, or in minor, salivary glands is rare. Clinically, it manifests as a slow growing tumor, fluctuant on palpation due to its cystic morphology. The treatment of choice is complete excision with wide tumor-free margins. We present a 73-year-old female patient with an asymptomatic tumor of 8 years evolution in the right posterior area of the hard palate. We performed surgical excision and a biopsy, which was reported as papillary cystadenoma lymphomatosum. During the post-operative examination carried out after 3 weeks, it was observed that the lesion had recurred. The lesion was re-operated, performing the excision with CO2 laser and including the periosteum to ensure complete resection of the tumor. At 10 months follow-up, there was no recurrence of the lesion. This article includes a review of this condition and discusses its most important clinical and pathologic features and therapeutic approaches.

Jauhinterien valmistuksen kehittäminen

Diplomityö käsittelee eräälle paperiteollisuuden komponentteja valmistavalle yritykselle tehtyä tutkimusta, jossa tutkittiin erilaisia valmistusmenetelmiä, joilla voidaan valmistaa uudenlaisia jauhinteriä. Diplomityössä ideoitiin erilaisia jauhinteränkonstruktiovaihtoehtoja. Vaihtoehtoja havainnollistamaan piirrettiin jokaisesta ratkaisusta 3D- mallit. Vaihtoehtojen pohjalta päätettiin suoritettavat valmistustestaukset. Työssä suoritettiin valmistustestejä kuitulaserilla, hiilidioksidilaserilla sekä hienosädeplasmalla. Näiden testien perusteella saatiin näkemys siitä, mikä konstruktiovaihto on valmistusteknisesti paras, täyttäen samalla jauhinterälle asetetut vaatimukset. Diplomityön tuloksena syntyi toimiva ja kustannustehokas ratkaisu jauhinterien valmistamiseksi.

Use of the Optical Cantilever Microphone in Photoacoustic Spectroscopy

A novel cantilever pressure sensor was developed in the Department of Physics at the University of Turku in order to solve the sensitivity problems which are encountered when condenser microphones are used in photoacoustic spectroscopy. The cantilever pressure sensor, combined with a laser interferometer for the measurement of the cantilever movements, proved to be highly sensitive. The original aim of this work was to integrate the sensor in a photoacoustic gas detector working in a differential measurement scheme. The integration was made successfully into three prototypes. In addition, the cantilever was also integrated in the photoacoustic FTIR measurement schemes of gas-, liquid-, and solid-phase samples. A theoretical model for the signal generation in each measurement scheme was created and the optimal celldesign discussed. The sensitivity and selectivity of the differential method were evaluated when a blackbody radiator and a mechanical chopper were used with CO₂, CH4, CO, and C2H4 gases. The detection limits were in the sub-ppm level for all four gases with only a 1.3 second integration time and the cross interference was well below one percent for all gas combinations other than those between hydrocarbons. Sensitivity with other infrared sources was compared using ethylene as an example gas. In the comparison of sensitivity with different infrared sources the electrically modulated blackbody radiator gave a 35 times higher and the CO2-laser a 100 times lower detection limit than the blackbody radiator with a mechanical chopper. As a conclusion, the differential system is well suited to rapid single gas measurements. Gas-phase photoacoustic FTIR spectroscopy gives the best performance, when several components have to be analyzed simultaneously from multicomponent samples. Multicomponent measurements were demonstrated with a sample that contained different concentrations of CO₂, H₂O, CO, and four different hydrocarbons. It required an approximately 10 times longer measurement time to achieve the same detection limit for a single gas as with the differential system. The properties of the photoacoustic FTIR spectroscopy were also compared to conventional transmission FTIR spectroscopy by simulations. Solid- and liquid-phase photoacoustic FTIR spectroscopy has several advantages compared to other techniques and therefore it also has a great variety of applications. A comparison of the signal-to-noise ratio between photoacoustic cells with a cantilever microphone and a condenser microphone was done with standard carbon black, polyethene, and sunflower oil samples. The cell with the cantilever microphone proved to have a 5-10 times higher signal-to-noise ratio than the reference detector, depending on the sample. Cantilever enhanced photoacoustics will be an effective tool for gas detection and analysis of solid- and liquid-phase samples. The preliminary prototypes gave good results in all three measurement schemes that were studied. According to simulations, there are possibilities for further enhancement of the sensitivity, as well as other properties, of each system.

Control d'un sistema de marcatge làser de caixes

Avui en dia, l’alta competitivitat que existeix al mercat, fa que les empreses hagin d’esprémer al màxim les seves possibilitats per no quedar-se enrere. Un dels processos en que aquest fet hi és més present és el productiu. L’empresa JCM Technologies també engloba aquest camp i és en un dels seus processos productius on aquest projecte pren part. L’objectiu d’aquest projecte final de carrera ha estat desenvolupar un sistema per poder marcar caixes mitjançant un làser de CO2 i un automatisme manipulador de caixes. D’aquesta manera aquest procés productiu té una durada molt inferior a l’antic procés, que consistia en enganxar una etiqueta al lloc on ara és marcat pel làser. Per satisfer els objectius, s’ha creat una aplicació de Windows que per mitjà d’una interfície gràfica, permet a l’usuari realitzar els passos necessaris per fer el marcatge. Primerament es recullen les dades procedents de la comanda; seguidament es seleccionen les que s’han de marcar a les caixes i s’envien al làser mitjançant comunicació sèrie; una vegada aquesta inicialització ha finalitzat correctament, s’engega la seqüència de marcatge de les caixes, que en marcarà la quantitat indicada. Aquest procés de marcatge consisteix en supervisar l’estat en que es troben certes senyals, procedents de l’automatisme i del làser, i depenent d’aquestes generar-ne unes altres. Aconseguint així realitzar el procés de marcatge de cada caixa. Com a conclusions cal dir, que els objectius s’han complert, ja que s’ha aconseguit un procés de marcatge ràpid i robust. També s’ha aconseguit que les parts de configuració de l’aplicació, i de les caixes siguin de fàcil manipulació. Per tant, amb l’acompliment dels objectius d’aquest projecte, aconseguim completar el sistema de marcatge, i permetre que les caixes siguin marcades de forma correcta, ràpida i eficient.

Fabrication and Characterization of Chalcogenide nano composite based materials for Photonic device applications

In this context,in search of new materials based on chalcogenide glasses,we have developed a novel technique for fabrication of chalcogenide nano composites which are presented in this theis.The techniques includes the dissolution of bulk chalcogenide glasses in amine solvent.This solution casting method allows to retain the attractive optical properties of chalcogenide glasses enabling new fabrication routes for realization of large area thick-thin films with less cost. Chalcogenide glass fiber geometry opens new possibilities for a large number of applications in optics,like remote temperature measurements ,CO2 laser power delivery, and optical sensing and single mode propagation of IR light.We have fabricated new optical polymer fibers doped with chalcogenide glasses which can be used for many optical applications.The present thesis also describes the structural,thermal and optical characterization of certain chalocogenide based materials prepared for different methods and its applications.

Avaliação do emprego de microeletrocautério na cirurgia da otite média secretora

Este estudo apresenta os resultados de tratamento em 83 pacientes com Idade entre 2–10 anos, que apresentaram otite média secretora com efusão, bilateral ou unilateral, acompanhada ou não de hipertrofia de adenóides e cornetos, no Hospital Universitário São Francisco de Paula da Universidade Católica de Pelotas – UCPel, no período de julho de 1997 a julho de 1999. Os pacientes foram submetidos a timpanocentese com uso do Microcautério por Rádio-freqüência (modelo Lavinsky – HCPA), uni ou bilateralmente. Na avaliação periódica de 15 dias, um mês e três meses, observamos dois pontos principais: a) a cura dos pacientes (que apresentaram membrana e caixa timpânica normais); b) a relação com a literatura em trabalhos semelhantes com uso do Laser CO2. Relatamos também a incidência em percentuais, com identificação das alterações de imagem da membrana timpânica nestes três períodos cronológicos, e na distribuição conforme cor, sexo e idade, uni/bilateralidade e simultaneidade na presença das duas afecções relatadas. Na avaliação final, percebemos 80,5% de cura da patologia. Na comparação com a literatura existente sobre o uso de Laser CO2, os nossos resultados mostraram-se homogêneos. O tempo de oclusão da membrana timpânica foi de 2,73 meses (desvio – padrão = 1,39 meses), normalizando a secreção da caixa timpânica.

Granuloma facial: A proposito de dois casos

Granuloma faciale is a benign and rare disease restricted to the skin. Its etiopathogenesis is not related to systemic granulomatous and eosinophilic diseases. Two adult patients with reddish-brown lesions on the facial are reported. Among the treatments used, the more consistent results were observed with intralesional triamcinolona (Case 1) and with CO2 Laser (Case 2), with clear advantage of the laser therapy. The histopathology and the therapeutic options are discussed.

[Oral erythroplakia and erythroleukoplakia: red and red-white dysplastic lesions of the oral mucosa--part 2: cytodiagnosis, pathogenesis, therapy, and prognostic aspects]

The second part of the present review article presents and discusses the current literature regarding cytodiagnostic aspects, pathogenesis, therapy, incidence of recurrence, and malignant transformation rate of oral erythroplakia (OE) and oral erythroleukoplakia (OEL). Oral cytopathology, eventually in combination with DNA cytometry, can add valuable information to conventional histopathology, but is not able yet to replace the aforementioned. Numerous molecular genetic variants have been studied in precancerous lesions to gain knowledge about the prognosis of these lesions. Still, there are no evidence-based parameters available to safely detect precursor lesions that will undergo malignant transformation in the future. Excision of OE and OEL should be performed with a margin of safety using the CO2 laser or a scalpel. Data about incidence of recurrence and malignant tranformation rates of OE are mostly based upon case reports or case series. The OEL has a significantly higher risk of malignant transformation than oral leukoplakias.

Does the maxillary midline diastema close after frenectomy?

OBJECTIVE To analyze the closure, persistence or reopening of the maxillary midline diastema after frenectomy in patients with and without subsequent orthodontic treatment. METHOD AND MATERIALS All patients undergoing frenectomy with a CO2 laser were included in this retrospective study during the period of September 2002 to June 2011. Age and sex, the dimension of the diastema, eruption status of the maxillary canines, and the presence of an orthodontic treatment were recorded at the day of frenectomy and during follow-up. RESULTS Of the 59 patients fulfilling the inclusion criteria, 31 (52.5%) had an active orthodontic therapy, while 27 (45.8%) had a frenectomy without orthodontic treatment. For one patient, information concerning orthodontic treatment was not available. In the first follow-up (2 to 12 weeks), only four diastemas closed after frenectomy and orthodontic treatment, and none after frenectomy alone. In the second follow-up (4 to 19 months), statistically significantly (P = .002) more diastemas (n = 20) closed with frenectomy and orthodontic treatment than with frenectomy alone (n = 3). At the long-term (21 to 121 months) follow-up, only four patients had a persisting diastema, and in three patients orthodontic treatment was ongoing. CONCLUSION Closure of the maxillary midline diastema with a prominent frenum is more predictable with frenectomy and concomitant orthodontic treatment than with frenectomy alone. This study demonstrates the importance of an interdisciplinary approach to treat maxillary midline diastemas, ideally including general practitioners, oral surgeons, periodontists, and orthodontists.

Estudio de las formas de aplicación de la fotografía sobre los materiales pétreos para la arquitectura = Study of photography application methods over architectural stony materials

Desde que el Hombre era morador de las cavernas ha sido manifiesto su deseo innato por grabar y reproducir "instantáneas con las que perpetuarse o sobre las que mirarse ". La aparición y desarrollo de la fotografía como medio para poder captar y fijar "la imagen directa de la realidad circundante " pronto se convierte en un nuevo lenguaje estético y poético que permite al artista la interpretación y reflexión de lo observado. Se imprime a la imagen el carácter de la mirada del fotógrafo, estableciendo un diálogo conceptual con el juego de luces. La presente Tesis plantea la creación de una nueva piel de arquitectura mediante la impresión fotográfica sobre materiales pétreos. La búsqueda de la expresividad de los materiales como soporte de expresión artística implica un cambio de escala al trasladar la instantánea fotográfica a la arquitectura y la aplicación de un nuevo soporte al imprimir la fotografía sobre materiales arquitectónicos. Se justifica la elección del dispositivo láser CO2 como sistema de impresión fotográfica sobre los materiales pétreos arquitectónicos, como la técnica que permite la unión física de la imagen y el proyecto arquitectónico, generando un valor añadido a través del arte de la fotografía. Se justifica la elección de los materiales investigados, Silestone® Blanco Zeus y GRC® con TX Active® Aria, de forma que la investigación de esta nueva piel de arquitectura abarca tanto la envolvente del edificio como su volumen interior, permitiendo cerrar el círculo arquitectónico "in&out" y dota al proyecto arquitectónico de un valor añadido al introducir conceptos sostenibles de carácter estético y medioambiental. Se realiza una consulta a las empresas del sector arquitectónico relacionadas directamente con la producción y distribución de los materiales Silestone® y GRC®, así como a las empresas especializadas en sistemas de impresión fotográfica sobre materiales, acerca del estado del arte. Se recorre la Historia de la fotografía desde sus orígenes hasta el desarrollo de la era digital y se analiza su condición artística. Se recopilan los sistemas de impresión fotográfica que han evolucionado en paralelo con los dispositivos de captura de la instantánea fotográfica y se describe en profundidad el sistema de impresión fotográfica mediante dispositivo láser CO2. Se describen los procesos de fabricación, las características técnicas, cualidades y aplicaciones de los materiales pétreos arquitectónicos Silestone® Blanco Zeus y GRC® con TX Active® Aria. Se explica la técnica utilizada para la captación de la imagen fotográfica, su justificación artística y su proceso de impresión mediante dispositivo láser CO2 bajo diferentes parámetros sobre muestras de los materiales arquitectónicos investigados. Se comprueba la viabilidad de desarrollo de la nueva piel de arquitectura sobre Silestone® Blanco Zeus y GRC® con TX Active® Aria sometiendo a las piezas impresas bajo diferentes parámetros a tres ensayos de laboratorio. En cada uno de ellos se concreta el objetivo y procedimiento del ensayo, la enumeración de las muestras ensayadas y los parámetros bajo los que han sido impresas, el análisis de los resultados del ensayo y las conclusiones del ensayo. Ensayo de amplitud térmica. Se determina el grado de afectación de las imágenes impresas bajo la acción de contrastes térmicos. Series de muestras de Silestone® Blanco Zeus y GRC® con TX Active® Aria impresas con láser CO2 se someten a ciclos de contraste frío-calor de 12 horas de duración para una amplitud térmica total de 102°C. Se realiza una toma sistemática de fotografías microscópicas con lupa de aumento de cada pieza antes y después de los ciclos frío-calor y la observación de las transformaciones que experimentan los materiales bajo la acción del láser CO2. Ensayo de exposición a la acción de la radiación ultravioleta (UV). Se determina el grado de afectación de las imágenes impresas al activar la capacidad autolimpiante de partículas orgánicas. Una serie de muestras de GRC® con TX Active® Aria impresa con láser CO2 se someten a ciclos de exposición de radiación ultravioleta de 26 horas de duración. Se somete la serie a un procedimiento de activación del aditivo TX Active®. Se simula la contaminación orgánica mediante la aplicación controlada de Rodamina B, tinte orgánico, y se simula la radiación UV mediante el empleo de una bombilla de emisión de rayos ultravioleta. Se realiza una toma sistemática de fotografías macroscópicas de la serie de muestras ensayadas: antes de aplicación de la Rodamina B, momento 00:00h, momento 04:00h y momento 26:00h del ensayo. Se procede a la descarga y análisis del histograma de las fotografías como registro de la actividad fotocatalítica. Ensayo de la capacidad autodescontaminante del GRC® con TX Active® impreso con láser CO2. Se comprueba si la capacidad autodescontaminante del GRC® con TX Active® se ve alterada como consecuencia de la impresión de la imagen fotográfica impresa con láser CO2. Serie de muestras de GRC® con TX Active® Aria impresa con láser CO2 se someten a test de capacidad autodescontaminante: atmósfera controlada y contaminada con óxidos de nitrógeno en los que se coloca cada pieza ensayada bajo la acción de una lámpara de emisión de radiación ultravioleta (UV). Se registra la actividad fotocatalítica en base a la variación de concentración de óxido de nitrógeno. Se recopila el análisis e interpretación de los resultados de los ensayos de laboratorio y se elaboran las conclusiones generales de la investigación. Se sintetizan las futuras líneas de investigación que, a partir de las investigaciones realizadas y de sus conclusiones generales, podrían desarrollarse en el ámbito de la impresión fotográfica sobre materiales arquitectónicos. Se describe el rendimiento tecnológico y artístico generado por las investigaciones previas que han dado origen y desarrollo a la Tesis Doctoral. ABSTRACT Since ancient time, humanity has been driven by an innate wish to reproduce and engrave "snapshots that could help to perpetúate or to look at one self". Photography's birth and its development as a mean to capture and fix "the direct image of the surrounding reality" quickly becomes a new aesthetical and poetical language allowing the artist to interpret and think over what has been observed. The photographer's eye is imprinted onto the image, and so the conceptual dialogue between the artist and the light beams begins. The current thesis suggests the creation of a new architectural skin through photography imprinting over stony materials. The search for material's expressiveness as a medium of artistic expression involves a change of scale as it transfers photographic snapshot into architecture and the use of a new photographic printing support over architectural materials. CO2 laser is the chosen printing system for this technique as it allows the physical union of the image and the architectonic project, generating an added value through the art of photography. The researched materials selected were Silestone®, Blanco Zeus and GRC® with TX Active® Aria. This new architectural skin contains the building surrounding as well as its interior volume, closing the architectonic "in & out" circle and adding a value to the project by introducing aesthetical and environmental sustainable concepts. Architecture companies related to the production and distribution of materials like Silestone® and GRC®, as well as companies specialized in photography printing over materials were consulted to obtain a State of the Art. A thorough analysis of photography's History from its origins to the digital era development was made and its artistic condition was studied in this thesis. In this study the author also makes a compilation of several photographic printing systems that evolved together with photographic snapshot devices. The CO2 laser-based photographic printing system is also described in depth. Regarding stony materials of architecture like Silestone®, Blanco Zeus and GRC® with TX Active® Aria, the present study also describes their manufacture processes as well as technical features, quality and application. There is also an explanation about the technique to capture the photographic image, its artistic justification and its CO2 laser-based printing system over the researched materials under different parameters. We also tested the feasibility of this new architectural skin over Silestone® Blanco Zeus and GRC® with TX Active® Aria. The pieces were tested under different parameters in three laboratory trials. Each trial comprises of an explanation of its objective and its process, the samples were numbered and the printing parameters were specified. Finally, with the analysis of the results some conclusions were drawn. In the thermal amplitude trial we tried to determine how printed images were affected as a result of the action of thermal contrasts. Series of samples of Silestone® Blanco Zeus and GRC® with TX Active® Aria printed with CO2 laser were subjected to several 12h warm-cold cycles for thermal total amplitude of 102oc. Each sample was captured systematically with microscopic enhanced lenses before and after cold-warm cycles. The changes experienced by these materials under the effect of CO2 laser were observed and recorded. Trial regarding the Ultraviolet Radiation (UR) effect on images. We determined to which extent printed images were affected once the self-cleaning organic particles were activated. This time GRC® with TX Active® Aria samples printed with CO2 laser were exposed to a 26h UR cycle. The samples were subjected to the activation of TX Active® additive. Through the controlled application of Rodamine B and organic dye we were able to simulate the organic contamination process. UR was simulated using an ultraviolet beam emission bulb. A systematic capture of macroscopic pictures of the tested sample series was performed at different time points: before Rodamine B application, at moment 00:00h, moment 04:00h and moment 26:00h of the trial. Picture's histogram was downloaded and analyzed as a log of photocatalytic activity. Trial regarding the self-decontaminating ability of GRC® with TX Active® printed with CO2 laser. We tested if this self-decontaminating ability is altered as a result of CO2 laser printed image. GRC® with TX Active® Aria samples printed with CO2 laser, were subject to self-decontaminating ability tests with controlled and nitrogen oxide contaminated atmosphere. Each piece was put under the action of an UR emission lamp. Photocatalytic activity was recorded according to the variation in nitrogen oxide concentration. The results of the trial and their interpretation as well as the general conclusions of the research are also compiled in the present study. Study conclusions enable to draw future research lines of potential applications of photographic printing over architecture materials. Previous research generated an artistic and technological outcome that led to the development of this doctoral thesis.

Optical microbubble resonator

We develop a method for fabricating very small silica microbubbles having a micrometer-order wall thickness and demonstrate the first optical microbubble resonator. Our method is based on blowing a microbubble using stable radiative CO2 laser heating rather than unstable convective heating in a flame or furnace. Microbubbles are created along a microcapillary and are naturally opened to the input and output microfluidic or gas channels. The demonstrated microbubble resonator has 370 µm diameter, 2 µm wall thickness, and a Q factor exceeding 10. © 2010 Optical Society of America.

Optical microbubble resonator

We develop a method for fabricating very small silica microbubbles having a micrometer-order wall thickness and demonstrate the first optical microbubble resonator. Our method is based on blowing a microbubble using stable radiative CO2 laser heating rather than unstable convective heating in a flame or furnace. Microbubbles are created along a microcapillary and are naturally opened to the input and output microfluidic or gas channels. The demonstrated microbubble resonator has 370 µm diameter, 2 µm wall thickness, and a Q factor exceeding 10. © 2010 Optical Society of America.

Micromachined silicon lenses for terahertz applications

Silicon microlenses are a very important tool for coupling terahertz (THz) radiation into antennas and detectors in integrated circuits. They can be used in a large array structures at this frequency range reducing considerably the crosstalk between the pixels. Drops of photoresist have been deposited and their shape transferred into the silicon by means of a Reactive Ion Etching (RIE) process. Large silicon lenses with a few mm diameter (between 1.5 and 4.5 mm) and hundreds of μm height (between 50 and 350 μm) have been fabricated. The surface of such lenses has been characterized using Scanning Electron Microscopy (SEM) and Atomic Force Microscopy (AFM), resulting in a surface roughness of about ∼3 μm, good enough for any THz application. The beam profile at the focal plane of such lenses has been measured at a wavelength of 10.6 μm using a tomographic knife-edge technique and a CO2 laser.

Impact de la cécité sur le système nociceptif

La vision joue un rôle très important dans la prévention du danger. La douleur a aussi pour fonction de prévenir les lésions corporelles. Nous avons donc testé l’hypothèse qu’une hypersensibilité à la douleur découlerait de la cécité en guise de compensation sensorielle. En effet, une littérature exhaustive indique qu’une plasticité intermodale s’opère chez les non-voyants, ce qui module à la hausse la sensibilité de leurs sens résiduels. De plus, plusieurs études montrent que la douleur peut être modulée par la vision et par une privation visuelle temporaire. Dans une première étude, nous avons mesuré les seuils de détection thermique et les seuils de douleur chez des aveugles de naissance et des voyants à l’aide d’une thermode qui permet de chauffer ou de refroidir la peau. Les participants ont aussi eu à quantifier la douleur perçue en réponse à des stimuli laser CO2 et à répondre à des questionnaires mesurant leur attitude face à des situations douloureuses de la vie quotidienne. Les résultats obtenus montrent que les aveugles congénitaux ont des seuils de douleur plus bas et des rapports de douleur plus élevés que leurs congénères voyants. De plus, les résultats psychométriques indiquent que les non-voyants sont plus attentifs à la douleur. Dans une deuxième étude, nous avons mesuré l’impact de l'expérience visuelle sur la perception de la douleur en répliquant la première étude dans un échantillon d’aveugles tardifs. Les résultats montrent que ces derniers sont en tous points similaires aux voyants quant à leur sensibilité à la douleur. Dans une troisième étude, nous avons testé les capacités de discrimination de température des aveugles congénitaux, car la détection de changements rapides de température est cruciale pour éviter les brûlures. Il s’est avéré que les aveugles de naissance ont une discrimination de température plus fine et qu’ils sont plus sensibles à la sommation spatiale de la chaleur. Dans une quatrième étude, nous avons examiné la contribution des fibres A∂ et C au traitement nociceptif des non-voyants, car ces récepteurs signalent la première et la deuxième douleur, respectivement. Nous avons observé que les aveugles congénitaux détectent plus facilement et répondent plus rapidement aux sensations générées par l’activation des fibres C. Dans une cinquième et dernière étude, nous avons sondé les changements potentiels qu’entrainerait la perte de vision dans la modulation descendante des intrants nociceptifs en mesurant les effets de l’appréhension d’un stimulus nocif sur la perception de la douleur. Les résultats montrent que, contrairement aux voyants, les aveugles congénitaux voient leur douleur exacerbée par l’incertitude face au danger, suggérant ainsi que la modulation centrale de la douleur est facilitée chez ces derniers. En gros, ces travaux indiquent que l’absence d’expérience visuelle, plutôt que la cécité, entraine une hausse de la sensibilité nociceptive, ce qui apporte une autre dimension au modèle d’intégration multi-sensorielle de la vision et de la douleur.