RESUMEN
BACKGROUND: Based on electroencephalogram (EEG) analysis, index of consciousness (IoC) monitoring is a new technique for monitoring anesthesia depth. IoC is divided into IoC1 (depth of sedation) and IoC2 (depth of analgesia). The potential for concurrent monitoring of IoC1 and IoC2 to expedite postoperative convalescence remains to be elucidated. We investigated whether combined monitoring of IoC1 and IoC2 can effectively enhances postoperative recovery compared with bispectral index (BIS) in elderly patients undergoing laparoscopic urological surgery under general anesthesia. METHODS: In this prospective, controlled, double-blinded trail, 120 patients aged 65 years or older were arbitrarily assigned to either the IoC group or the control group (BIS monitoring). All patients underwent blood gas analysis at T1 (before anesthesia induction) and T2 (the end of operation). The Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) were administered to all patients at T0 (1 day before surgery) and T4 (7 days after surgery). Serum concentrations of C-reactive protein (CRP) and glial fibrillary acid protein (GFAP) were assessed at T1, T2, and T3 (24 h after surgery). Postoperative complications and the duration of hospitalization were subjected to comparative evaluation. RESULTS: The incidence of postoperative cognitive dysfunction (POCD) was notably lower in the IoC group (10%) than in the control group (31.7%) (P = 0.003). Postoperative serum CRP and GFAP concentrations exhibited significant differences at time points T2 (CRP: P = 0.000; GFAP: P = 0.000) and T3 (CRP: P = 0.003; GFAP: P = 0.008). Postoperative blood glucose levels (P = 0.000) and the overall rate of complications (P = 0.037) were significantly lower in Group IoC than in Group control. CONCLUSION: The employment of IoC monitoring for the management of elderly surgical patients can accelerate postoperative convalescence by mitigating intraoperative stress and reducing peripheral and central inflammatory injury. TRIAL REGISTRATION: Chinese Clinical Trial Registry Identifier: ChiCTR1900025241 (17/08/2019).
Asunto(s)
Convalecencia , Laparoscopía , Anciano , Humanos , Estado de Conciencia , Estudios Prospectivos , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/prevención & control , Proteína C-Reactiva/metabolismo , Anestesia General/métodosRESUMEN
BACKGROUND: Trigeminal neuralgia (TN) is a debilitating pain disorder that still lacks an ideal treatment option. Pulsed radiofrequency (PRF), especially with high output voltage, is a novel and minimally invasive technique. PRF is regarded a promising treatment option for TN patients who respond poorly to medical treatment; however, the available evidence still lacks high quality randomized controlled trials (RCTs). Our study aimed to evaluate the long-term (1 year and 2 years) effects and safety of high-voltage PRF in primary TN patients and provide stronger evidence for TN treatment options. METHODS: We performed a multicenter, double-blind, RCT in adults (aged 18-75 years) with primary TN who responded poorly to drug therapy or were unable to tolerate the side effects of drug. Eligible participants were randomly assigned (1:1) to receive either high voltage PRF or nerve block with steroid and local anesthetic drugs. The primary endpoint was the 1-year response rate. This trial has been registered in the clinicaltrials.gov website (registration number: NCT03131466). RESULTS: One hundred and sixty-two patients were screened for enrollment between April 28th,2017 and September1st, 2019, among whom, 28 were excluded. One hundred and thirty-four participants were randomly assigned to either receive high voltage PRF (n = 67) or nerve block (n = 67). The proportion of patients with a positive response at 1-year after the procedure in the PRF group was significantly higher than that in the nerve block group in the intention-to-treat population (73.1% vs. 32.8%, p < 0.001). There was no difference between groups in the incidence of adverse events. CONCLUSIONS: Our findings support that high voltage PRF could be a preferred interventional choice prior to receiving more invasive surgical treatment or neuro-destructive treatment for TN patients who have poor responses to medical treatment. TRIAL REGISTRATION: Our study has been registered at ClinicalTrials.gov (trial registration number: NCT03131466).
Asunto(s)
Bloqueo Nervioso , Tratamiento de Radiofrecuencia Pulsada , Neuralgia del Trigémino , Adulto , Humanos , Neuralgia del Trigémino/terapia , Tratamiento de Radiofrecuencia Pulsada/métodos , Resultado del Tratamiento , Método Doble Ciego , Ensayos Clínicos Controlados Aleatorios como AsuntoRESUMEN
With the developments of the tunable laser source (TLS), there are increasing demands for high-resolution dynamic wavelength calibration in recent years. Considering mutual constraints between wide measurement range and high calibration resolution, we propose a dynamic wavelength calibration method based on an auxiliary Mach-Zehnder interferometer (MZI) and the synchrosqueezed wavelet transform (SSWT). Our proposed method can achieve a calibration resolution of 5 fm and a tuning range of 10 nm. Moreover, the measurement range and spatial resolution of the optical frequency domain reflectometer (OFDR) system are improved to â¼80 m and â¼mm, respectively. Our proposed approach can substantially reduce the subtle spectrum distortion (tens of fm) in coherent optical spectrum analyzer (COSA) systems.
RESUMEN
BACKGROUND: In the treatment of peripheral early-staged lung cancer and benign lesions, segmentectomy and wedge resection are both reliable treatment methods. It is debatable that how much pulmonary function will be lost after different sublobar resection in the treatment of early-staged deep-located peripheral NSCLC (non-small cell lung cancer). The purpose of this study was to explore postoperative pulmonary function changes of sublobar resection in enrolled patients with non-subpleural peripheral nodules. METHODS: We collected clinical data of patients undergoing VATS (video-assisted thoracoscopic surgery) segmentectomy or wedge resection for single nodule. These nodules were confirmed as peripheral non-subpleural nodules by preoperative 3D imaging. Patients were divided into two groups according to the operation procedure. Demographic characteristics, pulmonary function, postoperative outcomes, and others were collected. All data was gathered at the First Affiliated Hospital of Soochow University. Outcomes after wedge resection were compared with those after segmentectomy resection. RESULTS: A total of 88 patients were included in this study, including 46 patients with VATS wedge resection and 42 patients with VATS segmentectomy. No difference was detected when comparing FEV1 (forced expiratory volume in 1 s) loss between these two groups (17.6 ± 2.1%, wedge resection vs. 19.4 ± 5.4%, segmentectomy, P = 0.176). FVC (forced vital capacity) loss (8.7 ± 2.3%, wedge resection vs. 17.1 ± 2.2%, segmentectomy, P < 0.001) and MVV (maximum ventilatory volume) loss (11.5 ± 3.1%, wedge resection vs. 20.6 ± 7.8%, segmentectomy, P < 0.001) in segmentectomy group was significantly higher than those in wedge resection group. Discrepancies were investigated when comparing duration of surgery (70 ± 22 min, wedge resection vs. 111 ± 52 min, segmentectomy, P = 0.0002), postoperative drainage (85 ± 45 mL, wedge resection vs. 287 ± 672 mL, segmentectomy, P = 0.0123), and treatment hospitalization expenses [35148 ± 889CNY, wedge resection vs. 52,502 (38,276-57,772) CNY, segmentectomy, P < 0.0002]. No significant difference was found between air leak time (1.7 ± 0.7 days, wedge resection vs. 2.5 ± 1.7 days, segmentectomy, P = 0.062) and hospitalization time (2.7 ± 0.7 days, wedge resection vs. 3.5 ± 1.7 days, segmentectomy, P = 0.051). CONCLUSIONS: For patients with peripheral non-subpleural nodules, we observed that patients who underwent wedge resection had less lung function loss than those who underwent segmentectomy when their lung function was reviewed at the 6th month after surgery. Patients undergoing wedge resection had partial advantages over patients with segmental resection in terms of hospitalization cost, operation time and postoperative drainage, etc. Wedge resection, as a treatment for peripheral non-subpleural pulmonary nodules, seemed to have more advantages in preserving patients' pulmonary function.
Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas , Neoplasias Pulmonares , Humanos , Carcinoma de Pulmón de Células no Pequeñas/cirugía , Neumonectomía/métodos , Neoplasias Pulmonares/cirugía , Neoplasias Pulmonares/patología , Cirugía Torácica Asistida por Video/métodos , Pulmón/cirugíaRESUMEN
BACKGROUND: Hypotension following spinal anesthesia (SA) during cesarean delivery (CD) occurs commonly and is related with maternal and fetal complications. Norepinephrine infusion is increasingly used for prevention of post-SA hypotension; however, its effects as compared to the traditional phenylephrine infusion remain unclear. This study aimed to compare the effects of phenylephrine and norepinephrine administered as continuous infusion during elective CD on maternal hemodynamic parameters and maternal and fetal outcomes. METHODS: This prospective, single-center, randomized, controlled study included 238 consecutive term parturients who underwent CD from February 2019 to October 2019. They were randomized to receive continuous infusion of 0.25 µg/kg/min phenylephrine, 0.05 µg/kg/min norepinephrine, or placebo. Hemodynamic monitoring was performed at 10 time points using LiDCOrapid. We analyzed umbilical vein (UV), umbilical artery (UA), and peripheral vein (PV) blood gas indexes and recorded intraoperative complications. RESULTS: In phenylephrine group, the systolic blood pressure (SBP) remain during the whole operation. Compared to the control group, phenylephrine, but not norepinephrine, significantly increased the systemic vascular resistance (SVR) to counteract the SA-induced vasodilatation, 3 min following norepinephrine/phenylephrine/LR administration (T4): 957.4 ± 590.3 vs 590.1 ± 273.7 (P < 0.000001); 5 min following norepinephrine/phenylephrine/LR administration (T5): 1104 ± 468.0 vs 789.4 ± 376.2 (P = 0.000002). at the time of incision (T6): 1084 ± 524.8 vs 825.2 ± 428.6 (P = 0.000188). Parturients in the phenylephrine group had significantly lower UV (1.91 ± 0.43) (P = 0.0003) and UA (2.05 ± 0.61) (P = 0.0038) lactate level compared to controls. Moreover, the UV pH value was higher in the phenylephrine than in the control group7.37 ± 0.03(P = 0.0013). Parturients had lower incidence of nausea, tachycardia, hypotension in phenylephrine group. CONCLUSIONS: In this dataset, continuous phenylephrine infusion reduced the incidence of SA-induced hypotension, ameliorated SVR, while decreasing overall maternal complications. Phenylephrine infusions are considered the better choice during CD because of the significant benefit to the fetus. TRIAL REGISTRATION: Clinicaltrial.gov Registry, NCT03833895 , Registered on 1 February 2019.
Asunto(s)
Monitoreo Fetal/métodos , Monitoreo Intraoperatorio/métodos , Norepinefrina/administración & dosificación , Parto/efectos de los fármacos , Fenilefrina/administración & dosificación , Vasoconstrictores/administración & dosificación , Adulto , Anestesia Obstétrica/métodos , Presión Sanguínea/efectos de los fármacos , Presión Sanguínea/fisiología , Método Doble Ciego , Femenino , Humanos , Hipotensión/diagnóstico , Hipotensión/fisiopatología , Hipotensión/prevención & control , Infusiones Intravenosas , Parto/fisiología , Embarazo , Estudios ProspectivosRESUMEN
The depth of anesthesia is commonly assessed in clinical practice by the patient's clinical signs. However, during cardiopulmonary bypass and hypothermia, common symptoms of nociception such as tachycardia, hypertension, sweating, or movement have low sensitivity and specificity in the description of the patient nociception and hypnosis, in particular, detecting nociceptive stimuli. Better monitoring of the depth of analgesia during hypothermia under cardiopulmonary bypass will avoid underdosage or overdosage of analgesia, especially opioids. Induced hypothermia has a multifactorial effect on the level of analgesia and hypnosis. Thermoregulatory processes appear essential for the activation of analgesic mechanisms, ranging from a physiological strong negative affiliation between nerve conduction velocity and temperature, until significant repercussions on the pharmacological dynamics of the analgesic drugs, the latter decreasing the clearance rate with a subsequent increase in the effect-site concentrations. Under the hypothesis that deep hypothermia induces massive effects on the analgesia and hypnosis levels of the patient, we studied whether hypothermia effects were mirrored by several neuromonitoring indices: two hypnosis indices, consciousness index and bispectral index, and a novel nociception index designed to evaluate the analgesic depth. In this clinical trial, 39 patients were monitored during general anesthesia with coronary atherosclerosis cardiopathy who were elective for on-pump coronary artery bypass graft surgery under hypothermia. The changes and correlation between the consciousness index, bispectral index, and nociception index with respect to the temperature were compared in different timepoints at basic state, during cardiopulmonary bypass and after cardiopulmonary bypass. While the three neuromonitoring indices showed significant correlations with respect to the temperature, the nociception index and consciousness index showed the strongest sensitivities, indicating that these two indices could be an important means of intraoperative neuromonitoring during induced hypothermia under cardiopulmonary bypass.
Asunto(s)
Analgesia/métodos , Puente Cardiopulmonar/métodos , Estado de Conciencia/efectos de los fármacos , Electroencefalografía/métodos , Hipotermia Inducida/métodos , Nocicepción/efectos de los fármacos , Femenino , Humanos , Hipnosis , Masculino , Persona de Mediana Edad , Monitoreo Intraoperatorio/métodos , Estudios ProspectivosRESUMEN
Micro absolute distance measurement (MADM) is widely used in industrial and military fields. To achieve high accuracy and frequency response, a polarized low-coherence interferometry (PLCI)-based method for MADM is proposed. The nearly linear relationship between the envelope center and m-order PLCI fringe (PLCIF) peak center is found and verified. Dispersion compensation is achieved by fringe peak position estimation and polynomial fitting to get rid of the dependence on an a priori model and birefringence parameters, and make this method very robust. Meanwhile, the zero-order PLCIF center is estimated and located to demodulate the measured displacement. Then, the measurement accuracy is raised by polynomial fittings. In comparison to conventional methods, the proposed method can effectively avoid jump errors and has a higher accuracy. Experimental results indicate that the measurement accuracy is higher than 19.51 nm, the resolution is better than 2 nm, and its processing data rate can reach 35 kHz.
RESUMEN
Polarized low-coherence interferometry (PLCI) is widely used for the demodulation of Fabry-Perot (F-P) sensors. To avoid the influence of noise and dispersion on interference fringes, this paper proposes a data processing method in which the wavelet tools are applied to extract useful information from the extremum locations and envelope center of the fringes. Firstly, the wavelet threshold denoising (WTD) algorithm is used to remove electrical noise, and the complex Morlet wavelet is used to extract the fringe envelope. Based on this, the envelope center is used to predict the extremum locations of the specified order in its adjacent interval, the predicted locations are used as references to track the exact extremum locations, and the middle location of the peak and valley values is obtained to demodulate the F-P cavity accurately. The validity of this demodulation theory is verified by an air F-P cavity whose cavity length varies from 17 to 20 µm. With a sampling interval of 30 nm, the experimental results indicate that the repeatability accuracy is higher than 6.04 nm, and the resolution is better than 4.0 nm.
RESUMEN
Optical fiber distributed sensing that is based on optical frequency domain reflectometer (OFDR) is a promising technology for achieving a highest spatial resolution downwards to several millimeters. An OFDR signal demodulation method that is based on Morlet wavelet transformation (WT) is demonstrated in detail to improve the resolution of distributed sensing physical quantity under a high spatial resolution, aiming at the trade-off between spatial and spectrum resolution. The spectrum resolution, spatial interval of the measured gauges, and spatial resolution can be manually controlled by adjusting the wavelet parameters. The experimental results that were achieved by the wavelet transformation (WT) method are compared with these by short time Fourier transformation (STFT) method and they indicate that significant improvements, such as strain resolution of 1 µÎµ, spatial resolution of 5 mm, average repeatability of 4.3 µÎµ, and stability of 7.3 µÎµ within one hour, have been achieved. The advantages of this method are high spatial and spectral resolution, robust, and applicability with current OFDR systems.
RESUMEN
The decrease of overlap between the reference spectrum and measurement spectrum (ReS and MeS) is found to limit the strain measurable range of the optical frequency domain reflectometer (OFDR) and signal-to-noise ratio (SNR) of cross-correlation results. In this Letter, the local similar characteristics of Rayleigh scattering (RS) fingerprint spectrum are discovered and, thus, an improved OFDR based on local similarity of RS spectrum is proposed to ensure the feasibility of the OFDR during measuring a large distribution strain with a high spatial resolution. The normalized length and location of the local spectrum are optimized to obtain a high spectral similarity between the ReS and MeS and achieve a robust suppression on cross-correlation fake peaks and multi-peaks. By this method, four times enhancement of similarity is experimentally achieved, compared to conventional OFDR methods when the measured distribution strain varies from 0 to 3000 µÏµ with a 3 mm long fiber gauge. The experimental results verify that it effectively avoids influences of fake peaks and multi-peaks. The advantages of this method are a large strain measurable range, robust performance, a high SNR, and applicability with current OFDR systems.
RESUMEN
A novel optical frequency domain reflectometer (OFDR) processing algorithm is proposed to enhance the measurable range and data processing rate using a narrow swept spectrum range and reducing the time consuming of the process distributed sensing results. To reduce the swept wavelength range and simultaneously enhance strain measurable range, the local similarity characteristics of Rayleigh scattering fingerprint spectrum is discovered and a new similarity evaluation function based on least-square method is built to improve the data processing rate and sensing performance. By this method, the strain measurable range is raised to 3000 µÎµ under a highest spatial resolution of 3 mm when the swept spectrum range is only 10 nm and the data processing rate is improved by at least 10 times. Experimental results indicate that a nonlinearity of less than 0.5%, a strain resolution of better than 10 µÎµ, a repeatability at zero strain of below ±0.4 GHz and a full-scale accuracy is lower than 0.85 GHz under a highest spatial resolution of 3 mm can be achieved. Advantages of this method are fast processing rate, large strain measurable range, high SNR, and applicability with current OFDR systems.
RESUMEN
Three-dimensional micro-scale sensors are in high demand in the fields of metrology, precision manufacturing and industry inspection. To extend the minimum measurable dimension and enhance the accuracy, a tapered four-cores fiber Bragg grating (FBG) probe is proposed. The sensing model is built to investigate the micro-scale sensing characteristics of this method and the design of the tapered stylus is found to influence the accuracy. Therefore, a π/2 phase-shift point is introduced into the FBGs comprised in the probe to suppress spectrum distortion and improve accuracy. Then, the manufacturing method based on capillary self-assembly is proposed to form the probe and the critical length to form a square array for four cylindrical fibers is verified to be effective for the tapered fibers. Experimental results indicate that the design of the tapered stylus can extend the minimum measurable dimension by twofold and has nearly no influence on its sensitivity. The three-dimensional measurement repeatability is better than 31.1 nm and the stability is better than 200 nm within once measuring process. Furthermore, the measurement precision of the three-dimensional micro-scale measurement results is less than 150 nm. It would be widely used in measuring micro-scale features for industry inspection or metrology.
RESUMEN
To achieve a narrow bandwidth optical filter with a wide swept range for new generation optical spectrum analysis (OSA) of high performance optical sensors, an optoelectronic equivalent narrowband filter (OENF) was investigated and a swept optical filter with bandwidth of several MHz and sweep range of several tens of nanometers was built using electric filters and a sweep laser as local oscillator (LO). The principle of OENF is introduced and analysis of the OENF system is presented. Two electric filters are optimized to be RBW filters for high and medium spectral resolution applications. Both simulations and experiments are conducted to verify the OENF principle and the results show that the power uncertainty is less than 1.2% and the spectral resolution can reach 6 MHz. Then, a real-time wavelength calibration system consisting of a HCN gas cell and Fabry-Pérot etalon is proposed to guarantee a wavelength accuracy of ±0.4 pm in the C-band and to reduce the influence of phase noise and nonlinear velocity of the LO sweep. Finally, OSA experiments on actual spectra of various optical sensors are conducted using the OENF system. These experimental results indicate that OENF system has an excellent capacity for the analysis of fine spectrum structures.
RESUMEN
Focusing on high resolution optical spectroscopy, a coherent optical spectrum analysis (COSA) system is investigated in this paper. Principle is built to demonstrate the operation of COSA and its signal processing in both time and frequency domain. According to COSA principle, resolution bandwidth (RBW) filters are found to have significant influence on power accuracy and spectral resolution of the optical spectrum analysis (OSA). Much effort is paid to design RBW filters, including center frequency, bandwidth and type of filters. Two RBW filters are optimized to reduce the power uncertainty of different spectral resolution and satisfy different signal under test. Then, simulations and experiments are conducted to verify COSA principle and results show that the power uncertainty is less than 0.5% and 1.2% for high and medium spectral resolution application, respectively. Finally, experiments on the OSA of actual spectra indicate that COSA system can achieve a 6 MHz spectral resolution and has an excellent capacity in analysis of fine spectrum structures.
RESUMEN
A 3-dimensional fiber probe based on orthogonal micro focal-length collimation (MFL-collimation) is proposed for the measurement of micro parts with high aspect ratios. The probe consists of a fiber stylus which acts as a micro focal-length cylindrical lens (MFLC-lens) of the two orthogonal MFL-collimation optical paths and a probe tip fixed on the free end of the fiber stylus for touching the workpiece. The fiber stylus will deflect (deflection mode) or buckle (buckling mode) under contacts, and the deflection or buckling of the fiber stylus will cause corresponding shifts of the fringe images of the two orthogonal MFL-collimation optical paths. Therefore, the 3-dimensional displacements of the probe tip are transformed into the centroid position shifts of the zero-order fringe images. Experimental results indicate that the fiber probe has a measuring capability in 3-dimensional tactility, and a radial and axial resolution of 5 nm and 3 nm can be obtained respectively. The probe is easily applied in the measurement of micro parts because of its high resolution, low cost, high measurable aspect ratio, low probing forces and capability in three-dimensional tactility.
RESUMEN
Focusing on the ultra-precision dimensional measurement of parts with micro-scale dimensions and high aspect ratios, a two-dimensional double fiber probe with a single fiber Bragg grating (DS-FBG probe) is investigated in detail in this paper. The theoretical analysis of the sensing principle is verified by spectrum simulations of the DS-FBG probe with a modified transfer matrix method using the strain distribution within the DS-FBG probe. The fabrication process and physical principle of the capillary-driven self-assembly of double fibers in the UV adhesive with a low viscosity are demonstrated. Experimental results indicate that resolutions of 30 nm in radial direction and 15 nm in axial direction can be achieved, and the short-term displacement drifts within 90 seconds are 28.0 nm in radial direction and 7.9 nm in axial direction, and the long-term displacement drifts within 1 hour are 61.3 nm in radial direction and 17.3 nm in axial direction. The repeatability of the probing system can reach 60 nm and the measurement result of a standard nozzle is 300.49 µm with a standard deviation of 20 nm.
RESUMEN
A three-dimensional (3D) fiber probe is proposed for the measurement of micro parts. The probe is made of a fiber Bragg grating (FBG) that acts as a micro focal-length cylindrical lens (MFLC-lens) of two mutually orthogonal micro focal-length collimation (MFL-collimation) optical paths. The radial displacement of the probe tip is transformed into the shift of the fringe image collimated by the MFL-collimation optical path; the axial displacement of the probe tip is transformed into the power ratio variation caused by the Bragg wavelength shift. Advantages of the probe are high precision, low cost, high measurable aspect ratio, and capability of decoupling the 3D tactility.
RESUMEN
In this paper, a high resolution and response speed interrogation method based on a reï¬ective-matched Fiber Bragg Grating (FBG) scheme is investigated in detail. The nonlinear problem of the reï¬ective-matched FBG sensing interrogation scheme is solved by establishing and optimizing the mathematical model. A mechanical adjustment to optimize the interrogation method by tuning the central wavelength of the reference FBG to improve the stability and anti-temperature perturbation performance is investigated. To satisfy the measurement requirements of optical and electric signal processing, a well- designed acquisition circuit board is prepared, and experiments on the performance of the interrogation method are carried out. The experimental results indicate that the optical power resolution of the acquisition circuit border is better than 8 pW, and the stability of the interrogation method with the mechanical adjustment can reach 0.06%. Moreover, the nonlinearity of the interrogation method is 3.3% in the measurable range of 60 pm; the influence of temperature is significantly reduced to 9.5%; the wavelength resolution and response speed can achieve values of 0.3 pm and 500 kHz, respectively.
Asunto(s)
Tecnología de Fibra Óptica , TransductoresRESUMEN
A fiber Bragg grating (FBG)-based probe is developed by designing a novel double fiber structure to make the probe sensitive to both axial and radial contact displacements. A matched FBG pair interrogation system for the probe is modeled, and the best matched initial condition is found to make the probing system work in the linear and most sensitive mode. Actual measurements of ring gauges and fuel injection nozzles indicate that, for a microhole with an aspect ratio of greater than 14â¶1, an axial resolution of 8 nm and a radial resolution of 30 nm can be achieved with the developed probe. It is therefore concluded that the double fiber probe with a single FBG developed can be used to measure high aspect ratio microholes.
RESUMEN
BACKGROUND: The ectopic superior parathyroid in the tracheoesophageal groove and paraesophageal region is rare. Hyperparathyroidism results when these glands become hyperfunctioning. That may necessitate surgical intervention in the form of parathyroidectomy, which requires a transsternal or transthoracic approach due to a deeply seated mediastinal parathyroid gland. Minimally invasive strategies have emerged recently as an alternative approach with less morbidity. CASE PRESENTATION: We present a case of the paraesophageal ectopic parathyroid gland in the superior posterior mediastinum, which was successfully treated with thoracoscopic resection. CONCLUSION: The current imaging tools improve the thoracoscopic management of mediastinal parathyroid glands. Video-assisted thoracoscopic surgery (VATS) can provide access and exposure to ectopic parathyroid adenoma with low morbidity and financial burden.