Objective The middle turbinate axilla(MTA)is a crucial anatomical landmark for localizing the lacrimal sac(LS)during endonasal dacryocystorhinostomy(En-DCR).Despite being a standard surgical procedure,En-DCR may lead ...Objective The middle turbinate axilla(MTA)is a crucial anatomical landmark for localizing the lacrimal sac(LS)during endonasal dacryocystorhinostomy(En-DCR).Despite being a standard surgical procedure,En-DCR may lead to severe complications,such as cerebrospinal fluid(CSF)leakage,which is closely associated with anatomical variations between the LS and the anterior skull base(ASB).This study aimed to investigate the anatomical location of the LS relative to the MTA and ASB in Chinese patients with nasolacrimal duct obstruction(NLDO)and analyze the influencing factors.Methods This cross-sectional study enrolled 227 Chinese patients who were diagnosed with NLDO and underwent computed tomographic dacryocystography(CT-DCG).Anatomical distances between LS and MTA,as well as LS and ASB,were measured using CT-DCG images.Results The mean distances from the superior and inferior edges of the LS to the MTA were 9.94±4.70 mm and−0.23±4.15 mm,respectively.Male patients showed significantly more superior–anterior displacement of the LS compared to female patients(P<0.001),while patients with chronic dacryocystitis(CD)had an inferior and posterior LS position relative to those with simple NLDO(P=0.005,P=0.001).The mean distance from the intersection(Point P)of the superior and posterior boundaries of the LS to the ASB(MP)was 18.35±4.48 mm,which was shorter in females and those with frontal sinus aplasia(P=0.001;P<0.001).A subgroup(28/227,12.3%)with a critical anatomical feature was identified,where the distance from Point Q(10 mm posterior to P)to the ASB(NQ distance)was≤10 mm.This subgroup had a higher prevalence of complete supra-MTA LS positioning(71.4%vs.41.2%,P=0.003).Conclusion Preoperative CT-DCG provides essential anatomical insights into the spatial relationship between the LS and MTA in Chinese patients with NLDO.The LS position varies significantly by gender and disease type,with males showing more superior–anterior and CD patients more inferior–posterior positioning relative to the MTA.Special attention should be paid to patients with frontal sinus aplasia or LS entirely above the MTA to minimize the risk of CSF leakage during En-DCR.展开更多
BACKGROUND Cases of turbinate mucocele or pyogenic mucocele are extremely rare.During nasal endoscopy,turbinate hypertrophy can be detected in patients with turbinate or pyogenic mucocele.However,in many instances,dif...BACKGROUND Cases of turbinate mucocele or pyogenic mucocele are extremely rare.During nasal endoscopy,turbinate hypertrophy can be detected in patients with turbinate or pyogenic mucocele.However,in many instances,differentiating between turbinate hypertrophy and turbinate mucocele is difficult.Radiological examinations,such as computed tomography(CT)or magnetic resonance imaging(MRI),are essential for the accurate diagnosis of turbinate mucocele.Herein,we report three cases of mucocele or pyogenic mucocele of turbinate,including their clinical presentation,imaging findings,and treatments,to help rhinologists understand this condition better.CASE SUMMARY Three cases of turbinate and pyogenic mucocele were encountered in our hospital.In all patients,nasal obstruction and headache were the most common symptoms,and physical examination revealed hypertrophic turbinates.On CT scan,mucocele appeared as non-enhancing,homogeneous,hypodense,well-defined,rounded,and expansile lesions.Meanwhile,MRI clearly illustrated the cystic nature of the lesion on T2 sequences.Two patients with inferior turbinate mucocele underwent mucocele lining removal,while the patient with pyogenic mucocele underwent endoscopic middle turbinate marsupialization.The patients were followed up on the first,third,sixth month,and 1 year after discharge,and no complaints of headache and nasal congestion were reported during this period.CONCLUSION In conclusion,both CT and MRI are helpful in the diagnosis of turbinate or pyogenic mucocele.Additionally,endoscopic nasal surgery is considered to be the most effective treatment method.展开更多
Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divid...Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divided into an observation group（n=31） and a control group（n=30）.In the observation group,electroacupuncture was applied to Sìbái（四白 ST 2）,Xiàguān（下关 ST 7）,Hégǔ（合谷 LI 4） and Zhīgōu（支沟 TE 6） on the left side for the anesthesia and the routine local anesthesia was done on the right side.In the control group,the routine local anesthesia was adopted on both sides.The feelings of pain,circulatory index and operation effect were observed and compared between the two groups.Results During radiofrequency ablation,the pain grades of two measurements on the left side and the 2nd measurement on the right in the observation group were all lower than those in the control group（all P〈0.05）.In the observation group,the pain grade on the left side was lower than that on the right side（P〈0.05）,and the systolic blood pressure and the heart rate were lower than those in the control group when undergoing the 2nd radiofrequency ablation on the right side and on the left side,respectively（all P〈0.05）.There was no significant difference in operation effect between the two groups.Conclusion Electroacupuncture compound anesthesia can meet the analgesia requirement of radiofrequency ablation for hypertrophic inferior turbinate,and would be helpful to prevent cyclic fluctuation during the operation at the same time.展开更多
BACKGROUND The nasal bone,being the most protruding bone in the center of the facial bones,is particularly susceptible to damage.Nasal bone fractures can often result in secondary deformation and dysfunction of the no...BACKGROUND The nasal bone,being the most protruding bone in the center of the facial bones,is particularly susceptible to damage.Nasal bone fractures can often result in secondary deformation and dysfunction of the nose,including septal fractures.Studies on functional or intra-nasal complications have been rarely reported after nasal bone fracture reduction.AIM To evaluate the severity of nasal obstruction and its improvement following nasal bone fracture reduction using inferior turbinoplasty.METHODS We conducted a retrospective review of data from 50 patients with symptomatic nasal obstruction between January to December 2010.All patients underwent preoperative Computed tomography evaluation,and symptom changes and nasal cavity volume were analyzed using a visual analog scale and acoustic rhinometry before and after surgery.Closed reduction and out-fracture of both inferior turbinates performed by the same surgeon.Treatment outcomes were assessed by comparing changes in the nasal airway volume measured using acoustic rhinometry before and after surgery.The minimal cross-sectional area(MCA)was also analyzed based on the Stranc classification.RESULTS Before reduction,the mean MCA for all cases was 0.59±0.06 cm^(2),which represented an 11%decrease compared to the average size of a Korean adult(0.65±0.03 cm^(2)).The MCA for frontal impact was 0.60±0.02 cm^(2) and for lateral impact,it was 0.58±0.03 cm^(2).After reduction via inferior turbinoplasty,the MCA improved to 0.64±0.04 cm^(2).CONCLUSION This study suggests that turbinoplasty is helpful in addressing nasal obstruction.Out-fracture of the inferior turbinate is an effective and durable technique that can be easily performed to enlarge the nasal airway with minimal morbidity.展开更多
Mucotomy is one of the most frequently applied surgical techniques for the management of inferior turbinate hyperplasia. Mucotomy guarantees patent airway, however, it might lead to the emergence of sicca syndrome. In...Mucotomy is one of the most frequently applied surgical techniques for the management of inferior turbinate hyperplasia. Mucotomy guarantees patent airway, however, it might lead to the emergence of sicca syndrome. In contrast, KTP (potassium titanyl phosphate) laser treatment spares the medial part of the inferior turbinate mucosa, contributing to maintenance of physiological nasal function. A retrospective comparative clinical study was performed to reveal the advantages and side-effects of both surgical methods in medium- and long-term in allergic rhinitis and non-allergic patients. Furthermore, we wished to determine the exact indications of the up-to-date laser treatment. Ninety-one of the 117 patients who underwent bilateral turbinate surgery during an 8-year period (2000-2007) responded to our questionnaire focusing on subjective postoperative changes. Patients were separated into 6 groups, based on the type of operation they underwent, the length of the follow-up and whether they suffered from allergies. The major complaint, nasal obstruction, improved in all 6 groups, which reached significance (p ? 0.05) in 4 groups. The most pronounced improvement was observed in the group of non-allergic patients with medium-term follow-up who underwent mucotomy. Nevertheless, a serious side- effect: crusting also increased significantly (p ? 0.05) in the latter group, while it was absent in allergic patients with medium-term follow-up, who underwent mucotomy. These results lead us to propose the following protocol for the treatment of inferior turbinate hyperplasia: 1) after unsuccessful conservative treatment, laser treatment is suggested for non-allergic patients;2) following unsuccessful conservative and even repeated laser treatment in the allergic group, mucotomy or turbinoplasty should be attempted.展开更多
Objective:Nasal packing is routinely applied after septoplasty.Patients,however,report feeling very uncomfortable while the packing is in place.The aim of this study was to compare the effects of nasal septum suture c...Objective:Nasal packing is routinely applied after septoplasty.Patients,however,report feeling very uncomfortable while the packing is in place.The aim of this study was to compare the effects of nasal septum suture combined with inferior turbinate coblation to the effects of nasal packing after septoplasty.Methods:In this study,135 patients undergoing septoplasty were divided into 3 groups:group 1 patients had microdebrider with packing,group 2 received coblation with packing and group 3 had coblation with suture.Early postoperative quality of life and complications were compared between the 3 groups.Results:The patients in group 1 experienced the most postoperative nasal pain,headache,dysphagia,sleep disturbance and bleeding on the night of surgery;while the patients in group 3 experienced the fewest symptoms.No difference in epiphora was observed between the 3 groups.More pain and bleeding were experienced when comparing the pack removal (Group 1 and 2) with the clearance of the nasal cavity (Group 3).We noted one case of postoperative bleeding in group 1,one septal hematoma in group 1 and a second septal hematoma in group 2.No such postoperative complications were found in group 3.Conclusion:Nasal septum suture combined with inferior turbinate coblation was not only associated with less pain,increased patient satisfaction and an improved quality of life;but also reduced postoperative complications.Our results confirm that it is a more comfortable,reliable alternative to the more common nasal packing.展开更多
Objectives:Resection of the middle turbinate(MT)during endoscopic sinus surgery(ESS)has been a controversial topic among otolaryngologists for many years.Some studies advocate resection and have shown improved outcome...Objectives:Resection of the middle turbinate(MT)during endoscopic sinus surgery(ESS)has been a controversial topic among otolaryngologists for many years.Some studies advocate resection and have shown improved outcomes postoperatively,while studies favoring preservation show a decreased incidence of postoperative complications.The current practice pattern regarding this subject is unknown.The goal of this study was to learn the current practice of MT resection during ESS among otolaryngologists.Method:We performed an electronic anonymous survey of practicing otolaryngologists.Results:We found that the majority of the 252 responders stated that they will perform an MT resection in certain clinical situations,while there is a small subset that advocates never resecting the MT for inflammatory sinus disease(n=6,2.4%).Participants were significantly more likely to perform MT resection in patients undergoing revision compared to primary ESS for all conditions included.The complication of greatest concern among participants was iatrogenic frontal sinus obstruction,while empty nose was of the least concern.The majority of participants responded that MT resection was of extreme or moderate benefit for improved visualization and drug delivery postoperatively.When compared to general otolaryngologists,fellowship-trained rhinologists were less concerned about potential complications following MT resection and were more likely to perceive an extreme or moderate benefit from turbinate resection postoperatively.Conclusion:There remains debate over MT resection among otolaryngologists,but the results of this study show that the majority of participating otolaryngologists will perform a resection in certain clinical situations.展开更多
Robustness against measurement uncertainties is crucial for gas turbine engine diagnosis.While current research focuses mainly on measurement noise,measurement bias remains challenging.This study proposes a novel perf...Robustness against measurement uncertainties is crucial for gas turbine engine diagnosis.While current research focuses mainly on measurement noise,measurement bias remains challenging.This study proposes a novel performance-based fault detection and identification(FDI)strategy for twin-shaft turbofan gas turbine engines and addresses these uncertainties through a first-order Takagi-Sugeno-Kang fuzzy inference system.To handle ambient condition changes,we use parameter correction to preprocess the raw measurement data,which reduces the FDI’s system complexity.Additionally,the power-level angle is set as a scheduling parameter to reduce the number of rules in the TSK-based FDI system.The data for designing,training,and testing the proposed FDI strategy are generated using a component-level turbofan engine model.The antecedent and consequent parameters of the TSK-based FDI system are optimized using the particle swarm optimization algorithm and ridge regression.A robust structure combining a specialized fuzzy inference system with the TSK-based FDI system is proposed to handle measurement biases.The performance of the first-order TSK-based FDI system and robust FDI structure are evaluated through comprehensive simulation studies.Comparative studies confirm the superior accuracy of the first-order TSK-based FDI system in fault detection,isolation,and identification.The robust structure demonstrates a 2%-8%improvement in the success rate index under relatively large measurement bias conditions,thereby indicating excellent robustness.Accuracy against significant bias values and computation time are also evaluated,suggesting that the proposed robust structure has desirable online performance.This study proposes a novel FDI strategy that effectively addresses measurement uncertainties.展开更多
This study employed a computational fluid dynamics model with an overset mesh technique to investigate the thrust and power of a floating offshore wind turbine(FOWT)under platform floating motion in the wind–rain fie...This study employed a computational fluid dynamics model with an overset mesh technique to investigate the thrust and power of a floating offshore wind turbine(FOWT)under platform floating motion in the wind–rain field.The impact of rainfall on aerodynamic performance was initially examined using a stationary turbine model in both wind and wind–rain conditions.Subsequently,the study compared the FOWT’s performance under various single degree-of-freedom(DOF)motions,including surge,pitch,heave,and yaw.Finally,the combined effects of wind–rain fields and platform motions involving two DOFs on the FOWT’s aerodynamics were analyzed and compared.The results demonstrate that rain negatively impacts the aerodynamic performance of both the stationary turbines and FOWTs.Pitch-dominated motions,whether involving single or multiple DOFs,caused significant fluctuations in the FOWT aerodynamics.The combination of surge and pitch motions created the most challenging operational environment for the FOWT in all tested scenarios.These findings highlighted the need for stronger construction materials and greater ultimate bearing capacity for FOWTs,as well as the importance of optimizing designs to mitigate excessive pitch and surge.展开更多
This paper presents an overview of the recent developments in hybrid wind-wave energy.With the focus on floating concepts,the possible configurations introduced in the literature are categorized and depicted,and the m...This paper presents an overview of the recent developments in hybrid wind-wave energy.With the focus on floating concepts,the possible configurations introduced in the literature are categorized and depicted,and the main conclusions obtained from the references are summarized.Moreover,offshore wind and wave resources are discussed in terms of complementarity and supplementarity,offering a new perspective to developing hybrid wind-wave energy systems that look for synergies not limited to maximizing power output.Then,the feasibility of the concepts under development is discussed in detail,with focus on technical feasibility,dynamic feasibility and limitations of the methods employed.The hybrid configurations that surpassed the experimental validation phase are highlighted,and the experimental results are summarized.By compiling more than 40 floating wind turbine concepts,new relations are drawn between power,wind turbine dimensions,platforms’draft and displacement,which are further related to the payload allowance of the units to accommodate wave devices and onboard power take-off systems.Bearing in mind that it is a challenge to model the exact dynamics of hybrid floating wind-wave platforms,this paper elucidates the current research gaps,limitations and future trends in the field.Lastly,based on the overview and topics discussed,several major conclusions are drawn concerning hybrid synergies,dynamics and hydrodynamics of hybrid platforms,feasibility of concepts,among other regards.展开更多
To improve the vertical axis wind turbine(VAWT)design,the angle of attack(AOA)and airfoil data must be treated correctly.The present paper develops a method for determining AOA on a VAWT based on computational fluid d...To improve the vertical axis wind turbine(VAWT)design,the angle of attack(AOA)and airfoil data must be treated correctly.The present paper develops a method for determining AOA on a VAWT based on computational fluid dynamics(CFD)analysis.First,a CFD analysis of a two-bladed VAWT equipped with a NACA 0012 airfoil is conducted.The thrust and power coefficients are validated through experiments.Second,the blade force and velocity data at monitoring points are collected.The AOA at different azimuth angles is determined by removing the blade self-induction at the monitoring point.Then,the lift and drag coefficients as a function of AOA are extracted.Results show that this method is independent of the monitoring points selection located at certain distance to the blades and the extracted dynamic stall hysteresis is more precise than the one with the“usual”method without considering the self-induction from bound vortices.展开更多
基金funded by grants from the Natural Science Foundation of Hubei Province(No.2022CFB199)the National Natural Science Foundation of China(No.82271127).
文摘Objective The middle turbinate axilla(MTA)is a crucial anatomical landmark for localizing the lacrimal sac(LS)during endonasal dacryocystorhinostomy(En-DCR).Despite being a standard surgical procedure,En-DCR may lead to severe complications,such as cerebrospinal fluid(CSF)leakage,which is closely associated with anatomical variations between the LS and the anterior skull base(ASB).This study aimed to investigate the anatomical location of the LS relative to the MTA and ASB in Chinese patients with nasolacrimal duct obstruction(NLDO)and analyze the influencing factors.Methods This cross-sectional study enrolled 227 Chinese patients who were diagnosed with NLDO and underwent computed tomographic dacryocystography(CT-DCG).Anatomical distances between LS and MTA,as well as LS and ASB,were measured using CT-DCG images.Results The mean distances from the superior and inferior edges of the LS to the MTA were 9.94±4.70 mm and−0.23±4.15 mm,respectively.Male patients showed significantly more superior–anterior displacement of the LS compared to female patients(P<0.001),while patients with chronic dacryocystitis(CD)had an inferior and posterior LS position relative to those with simple NLDO(P=0.005,P=0.001).The mean distance from the intersection(Point P)of the superior and posterior boundaries of the LS to the ASB(MP)was 18.35±4.48 mm,which was shorter in females and those with frontal sinus aplasia(P=0.001;P<0.001).A subgroup(28/227,12.3%)with a critical anatomical feature was identified,where the distance from Point Q(10 mm posterior to P)to the ASB(NQ distance)was≤10 mm.This subgroup had a higher prevalence of complete supra-MTA LS positioning(71.4%vs.41.2%,P=0.003).Conclusion Preoperative CT-DCG provides essential anatomical insights into the spatial relationship between the LS and MTA in Chinese patients with NLDO.The LS position varies significantly by gender and disease type,with males showing more superior–anterior and CD patients more inferior–posterior positioning relative to the MTA.Special attention should be paid to patients with frontal sinus aplasia or LS entirely above the MTA to minimize the risk of CSF leakage during En-DCR.
文摘BACKGROUND Cases of turbinate mucocele or pyogenic mucocele are extremely rare.During nasal endoscopy,turbinate hypertrophy can be detected in patients with turbinate or pyogenic mucocele.However,in many instances,differentiating between turbinate hypertrophy and turbinate mucocele is difficult.Radiological examinations,such as computed tomography(CT)or magnetic resonance imaging(MRI),are essential for the accurate diagnosis of turbinate mucocele.Herein,we report three cases of mucocele or pyogenic mucocele of turbinate,including their clinical presentation,imaging findings,and treatments,to help rhinologists understand this condition better.CASE SUMMARY Three cases of turbinate and pyogenic mucocele were encountered in our hospital.In all patients,nasal obstruction and headache were the most common symptoms,and physical examination revealed hypertrophic turbinates.On CT scan,mucocele appeared as non-enhancing,homogeneous,hypodense,well-defined,rounded,and expansile lesions.Meanwhile,MRI clearly illustrated the cystic nature of the lesion on T2 sequences.Two patients with inferior turbinate mucocele underwent mucocele lining removal,while the patient with pyogenic mucocele underwent endoscopic middle turbinate marsupialization.The patients were followed up on the first,third,sixth month,and 1 year after discharge,and no complaints of headache and nasal congestion were reported during this period.CONCLUSION In conclusion,both CT and MRI are helpful in the diagnosis of turbinate or pyogenic mucocele.Additionally,endoscopic nasal surgery is considered to be the most effective treatment method.
基金Supported by Foundation Project in Guang'anmen Hospital,China Academy of Chinese Medical Sciences:2006 S 195
文摘Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divided into an observation group（n=31） and a control group（n=30）.In the observation group,electroacupuncture was applied to Sìbái（四白 ST 2）,Xiàguān（下关 ST 7）,Hégǔ（合谷 LI 4） and Zhīgōu（支沟 TE 6） on the left side for the anesthesia and the routine local anesthesia was done on the right side.In the control group,the routine local anesthesia was adopted on both sides.The feelings of pain,circulatory index and operation effect were observed and compared between the two groups.Results During radiofrequency ablation,the pain grades of two measurements on the left side and the 2nd measurement on the right in the observation group were all lower than those in the control group（all P〈0.05）.In the observation group,the pain grade on the left side was lower than that on the right side（P〈0.05）,and the systolic blood pressure and the heart rate were lower than those in the control group when undergoing the 2nd radiofrequency ablation on the right side and on the left side,respectively（all P〈0.05）.There was no significant difference in operation effect between the two groups.Conclusion Electroacupuncture compound anesthesia can meet the analgesia requirement of radiofrequency ablation for hypertrophic inferior turbinate,and would be helpful to prevent cyclic fluctuation during the operation at the same time.
基金Supported by the National Research Foundation of Korea Grant funded by the Korea Government(MSIT),No.2020R1A2C1100891Soonchunhyang Research und,No.2023-0048.
文摘BACKGROUND The nasal bone,being the most protruding bone in the center of the facial bones,is particularly susceptible to damage.Nasal bone fractures can often result in secondary deformation and dysfunction of the nose,including septal fractures.Studies on functional or intra-nasal complications have been rarely reported after nasal bone fracture reduction.AIM To evaluate the severity of nasal obstruction and its improvement following nasal bone fracture reduction using inferior turbinoplasty.METHODS We conducted a retrospective review of data from 50 patients with symptomatic nasal obstruction between January to December 2010.All patients underwent preoperative Computed tomography evaluation,and symptom changes and nasal cavity volume were analyzed using a visual analog scale and acoustic rhinometry before and after surgery.Closed reduction and out-fracture of both inferior turbinates performed by the same surgeon.Treatment outcomes were assessed by comparing changes in the nasal airway volume measured using acoustic rhinometry before and after surgery.The minimal cross-sectional area(MCA)was also analyzed based on the Stranc classification.RESULTS Before reduction,the mean MCA for all cases was 0.59±0.06 cm^(2),which represented an 11%decrease compared to the average size of a Korean adult(0.65±0.03 cm^(2)).The MCA for frontal impact was 0.60±0.02 cm^(2) and for lateral impact,it was 0.58±0.03 cm^(2).After reduction via inferior turbinoplasty,the MCA improved to 0.64±0.04 cm^(2).CONCLUSION This study suggests that turbinoplasty is helpful in addressing nasal obstruction.Out-fracture of the inferior turbinate is an effective and durable technique that can be easily performed to enlarge the nasal airway with minimal morbidity.
文摘Mucotomy is one of the most frequently applied surgical techniques for the management of inferior turbinate hyperplasia. Mucotomy guarantees patent airway, however, it might lead to the emergence of sicca syndrome. In contrast, KTP (potassium titanyl phosphate) laser treatment spares the medial part of the inferior turbinate mucosa, contributing to maintenance of physiological nasal function. A retrospective comparative clinical study was performed to reveal the advantages and side-effects of both surgical methods in medium- and long-term in allergic rhinitis and non-allergic patients. Furthermore, we wished to determine the exact indications of the up-to-date laser treatment. Ninety-one of the 117 patients who underwent bilateral turbinate surgery during an 8-year period (2000-2007) responded to our questionnaire focusing on subjective postoperative changes. Patients were separated into 6 groups, based on the type of operation they underwent, the length of the follow-up and whether they suffered from allergies. The major complaint, nasal obstruction, improved in all 6 groups, which reached significance (p ? 0.05) in 4 groups. The most pronounced improvement was observed in the group of non-allergic patients with medium-term follow-up who underwent mucotomy. Nevertheless, a serious side- effect: crusting also increased significantly (p ? 0.05) in the latter group, while it was absent in allergic patients with medium-term follow-up, who underwent mucotomy. These results lead us to propose the following protocol for the treatment of inferior turbinate hyperplasia: 1) after unsuccessful conservative treatment, laser treatment is suggested for non-allergic patients;2) following unsuccessful conservative and even repeated laser treatment in the allergic group, mucotomy or turbinoplasty should be attempted.
文摘Objective:Nasal packing is routinely applied after septoplasty.Patients,however,report feeling very uncomfortable while the packing is in place.The aim of this study was to compare the effects of nasal septum suture combined with inferior turbinate coblation to the effects of nasal packing after septoplasty.Methods:In this study,135 patients undergoing septoplasty were divided into 3 groups:group 1 patients had microdebrider with packing,group 2 received coblation with packing and group 3 had coblation with suture.Early postoperative quality of life and complications were compared between the 3 groups.Results:The patients in group 1 experienced the most postoperative nasal pain,headache,dysphagia,sleep disturbance and bleeding on the night of surgery;while the patients in group 3 experienced the fewest symptoms.No difference in epiphora was observed between the 3 groups.More pain and bleeding were experienced when comparing the pack removal (Group 1 and 2) with the clearance of the nasal cavity (Group 3).We noted one case of postoperative bleeding in group 1,one septal hematoma in group 1 and a second septal hematoma in group 2.No such postoperative complications were found in group 3.Conclusion:Nasal septum suture combined with inferior turbinate coblation was not only associated with less pain,increased patient satisfaction and an improved quality of life;but also reduced postoperative complications.Our results confirm that it is a more comfortable,reliable alternative to the more common nasal packing.
文摘Objectives:Resection of the middle turbinate(MT)during endoscopic sinus surgery(ESS)has been a controversial topic among otolaryngologists for many years.Some studies advocate resection and have shown improved outcomes postoperatively,while studies favoring preservation show a decreased incidence of postoperative complications.The current practice pattern regarding this subject is unknown.The goal of this study was to learn the current practice of MT resection during ESS among otolaryngologists.Method:We performed an electronic anonymous survey of practicing otolaryngologists.Results:We found that the majority of the 252 responders stated that they will perform an MT resection in certain clinical situations,while there is a small subset that advocates never resecting the MT for inflammatory sinus disease(n=6,2.4%).Participants were significantly more likely to perform MT resection in patients undergoing revision compared to primary ESS for all conditions included.The complication of greatest concern among participants was iatrogenic frontal sinus obstruction,while empty nose was of the least concern.The majority of participants responded that MT resection was of extreme or moderate benefit for improved visualization and drug delivery postoperatively.When compared to general otolaryngologists,fellowship-trained rhinologists were less concerned about potential complications following MT resection and were more likely to perceive an extreme or moderate benefit from turbinate resection postoperatively.Conclusion:There remains debate over MT resection among otolaryngologists,but the results of this study show that the majority of participating otolaryngologists will perform a resection in certain clinical situations.
文摘Robustness against measurement uncertainties is crucial for gas turbine engine diagnosis.While current research focuses mainly on measurement noise,measurement bias remains challenging.This study proposes a novel performance-based fault detection and identification(FDI)strategy for twin-shaft turbofan gas turbine engines and addresses these uncertainties through a first-order Takagi-Sugeno-Kang fuzzy inference system.To handle ambient condition changes,we use parameter correction to preprocess the raw measurement data,which reduces the FDI’s system complexity.Additionally,the power-level angle is set as a scheduling parameter to reduce the number of rules in the TSK-based FDI system.The data for designing,training,and testing the proposed FDI strategy are generated using a component-level turbofan engine model.The antecedent and consequent parameters of the TSK-based FDI system are optimized using the particle swarm optimization algorithm and ridge regression.A robust structure combining a specialized fuzzy inference system with the TSK-based FDI system is proposed to handle measurement biases.The performance of the first-order TSK-based FDI system and robust FDI structure are evaluated through comprehensive simulation studies.Comparative studies confirm the superior accuracy of the first-order TSK-based FDI system in fault detection,isolation,and identification.The robust structure demonstrates a 2%-8%improvement in the success rate index under relatively large measurement bias conditions,thereby indicating excellent robustness.Accuracy against significant bias values and computation time are also evaluated,suggesting that the proposed robust structure has desirable online performance.This study proposes a novel FDI strategy that effectively addresses measurement uncertainties.
基金Supported by the National Natural Science Foundation of China(51679080 and 51379073)the Fundamental Research Funds for the Central Universities(B230205020).
文摘This study employed a computational fluid dynamics model with an overset mesh technique to investigate the thrust and power of a floating offshore wind turbine(FOWT)under platform floating motion in the wind–rain field.The impact of rainfall on aerodynamic performance was initially examined using a stationary turbine model in both wind and wind–rain conditions.Subsequently,the study compared the FOWT’s performance under various single degree-of-freedom(DOF)motions,including surge,pitch,heave,and yaw.Finally,the combined effects of wind–rain fields and platform motions involving two DOFs on the FOWT’s aerodynamics were analyzed and compared.The results demonstrate that rain negatively impacts the aerodynamic performance of both the stationary turbines and FOWTs.Pitch-dominated motions,whether involving single or multiple DOFs,caused significant fluctuations in the FOWT aerodynamics.The combination of surge and pitch motions created the most challenging operational environment for the FOWT in all tested scenarios.These findings highlighted the need for stronger construction materials and greater ultimate bearing capacity for FOWTs,as well as the importance of optimizing designs to mitigate excessive pitch and surge.
基金supported by the Portuguese Foundation for Science and Technology(Fundação para a Ciência e Tecnologia-FCT)it contributes to the Strategic Research Plan of the Centre for Marine Technology and Ocean Engineering(Grant No.UIDB/UIDP/00134/2020)funded the first author for his PhD Scholarship(Grant No.SFRH/BD/145602/2019).
文摘This paper presents an overview of the recent developments in hybrid wind-wave energy.With the focus on floating concepts,the possible configurations introduced in the literature are categorized and depicted,and the main conclusions obtained from the references are summarized.Moreover,offshore wind and wave resources are discussed in terms of complementarity and supplementarity,offering a new perspective to developing hybrid wind-wave energy systems that look for synergies not limited to maximizing power output.Then,the feasibility of the concepts under development is discussed in detail,with focus on technical feasibility,dynamic feasibility and limitations of the methods employed.The hybrid configurations that surpassed the experimental validation phase are highlighted,and the experimental results are summarized.By compiling more than 40 floating wind turbine concepts,new relations are drawn between power,wind turbine dimensions,platforms’draft and displacement,which are further related to the payload allowance of the units to accommodate wave devices and onboard power take-off systems.Bearing in mind that it is a challenge to model the exact dynamics of hybrid floating wind-wave platforms,this paper elucidates the current research gaps,limitations and future trends in the field.Lastly,based on the overview and topics discussed,several major conclusions are drawn concerning hybrid synergies,dynamics and hydrodynamics of hybrid platforms,feasibility of concepts,among other regards.
文摘To improve the vertical axis wind turbine(VAWT)design,the angle of attack(AOA)and airfoil data must be treated correctly.The present paper develops a method for determining AOA on a VAWT based on computational fluid dynamics(CFD)analysis.First,a CFD analysis of a two-bladed VAWT equipped with a NACA 0012 airfoil is conducted.The thrust and power coefficients are validated through experiments.Second,the blade force and velocity data at monitoring points are collected.The AOA at different azimuth angles is determined by removing the blade self-induction at the monitoring point.Then,the lift and drag coefficients as a function of AOA are extracted.Results show that this method is independent of the monitoring points selection located at certain distance to the blades and the extracted dynamic stall hysteresis is more precise than the one with the“usual”method without considering the self-induction from bound vortices.
