Endoscopic Trans-Lateral Molar Approach to Infratemporal Fossa Lesions.

BACKGROUND: To study the endoscopic trans-lateral molar (ETLM) approach to infratemporal fossa (ITF) lesions and analyze the advantages and disadvantages of this method. METHODS: Four cases of ITF lesions were analyzed retrospectively. The clinical features, diagnosis and treatments, the operative process, and clinical applications of this surgical approach were discussed. RESULTS: Postoperative pathologies were 2 pleomorphic adenomas, 1 schwannoma, and 1 inflammatory lesion. All patients had self-resolving cheek swelling and pharyngalgia in the short term, but 2 patients had numbness in the long term. There was no infection or bleeding in the postoperative period, and no difficulty in chewing after disease recovery. There was no tumor recurrence during the follow-up period. CONCLUSION: The ETLM approach is convenient, minimally invasive, and allows complete excision of benign ITF lesions, posterior to the lateral pterygoid muscle and mainly below the level of the hard palate. It is a simple and direct access to the ITF, but it is a narrow access because of the limitations of bones and soft tissues. Appropriate patient selection is mandatory for successful surgery.

Investigation of the physical and chemical characteristics of rural solid waste in China and its spatiotemporal distributions.

Despite governmental efforts toward the development of policies, funds, and technologies, the inherent characteristics of rural solid waste (RSW) discharge have led to great difficulties in RSW pollution control. However, establishing a realistic management strategy requires greater knowledge of RSW generation. Therefore, the RSW of 72 typical towns and villages from 12 provinces of China was analyzed for physicochemical characteristics, as well as its spatiotemporal distribution. The largest proportion of kitchen waste, coal ash, plastic, and paper of RSW was 33.70% ± 17.87%, 26.50% ± 17.61%, 13.48% ± 5.68%, and 10.75% ± 5.75%, respectively, in 2015. Although RSW had the potential for composting, it was still necessary to pay special attention to heavy metals pollution of RSW. The spatiotemporal distributions of RSW components were extremely non-homogenous, and significant variations existed in the kitchen residue, coal ash, plastic, and paper because of differences in economic growth, climatic changes, dietary habits, energy consumption structure, and consumer preferences. No obvious differences in RSW components were observed between villages and market towns. Overall, RSW treatment and management approaches should be considered based on local conditions of RSW generation.