Three-dimensional imaging evaluation of facial swelling after orthognathic surgery with compression and Kinesio taping therapy: a randomized clinical trial.

Background: Postoperative swelling is a common complication of orthognathic surgery. The authors used three-dimensional (3D) image analysis and body surface temperature to determine the effects of compression taping (CT) and Kinesio taping (KT) by the epidermis, dermis, and fascia method (EDF-KT) on postoperative swelling. Materials and methods: The authors conducted a prospective, parallel-group, randomized controlled trial. Among the 162 patients diagnosed with jaw deformity and who underwent orthognathic surgery from August 2020 to October 2022, 105 patients (men: 36, women: 69, mean age: 28.27±8.92) underwent Le Fort type I + sagittal split ramus osteotomy (SSRO) or SSRO and were included in this study. Patients were randomly divided into three groups: EDF-KT group (n=31), CT group (n=41), and no tape group (control group, n=30). All taping was performed immediately postoperatively and removed on postoperative day (POD) 5. Three-dimensional images of the participants' faces were obtained preoperatively and at PODs 3, 7, 30, and 90 using a hand-held 3D imaging system and infrared thermography. Results: No significant difference was observed in postoperative swelling and postoperative body surface temperature between the groups at each time point. The CT group showed a trend towards reduced swelling on PODs 3 and 7 and a trend toward residual swelling on POD 90. The EDF-KT group showed a trend towards an increase in postoperative body surface temperature. Conclusion: CT taping may not be appropriate for postoperative swelling control, suggesting that EDF-KT may affect body surface temperature. Further validation of the efficacy of KT for jaw deformities is needed.

Factors affecting progressive facial swelling immediately after orthognathic surgery: A retrospective cohort study.

The aim of this study was to identify clinical factors associated with progressive facial swelling after orthognathic surgery. Patients diagnosed with jaw deformities and undergoing orthognathic surgery were retrospectively evaluated, and those with surgical site infection, Le Fort I osteotomy, or genioplasty only were excluded. Facial swelling volume was calculated by comparing facial volume preoperatively and three days postoperatively using 3D images and image analysis software (VECTRA H2). FXIII was measured within three days after surgery in only patients with unexplained postoperative bleeding or hematoma. The correlation between facial swelling volume and clinical factors was statistically analyzed. Facial swelling volume was examined in 78 patients. Univariate analysis showed a significant difference between facial swelling volume (mean = 41.6 cm3) and operation time (mean = 209.3 min, r = 0.283, p = 0.012), ΔHb level (mean = 1.18 g/dL, r = 0.235, p = 0.039), as well as decreased factor XIII activity (mean = 75.3%, p = 0.012). Multivariate analysis showed a significant difference between facial swelling volume and FXIII deficiency (standard error = 6.44, p = 0.031).Progressive facial swelling immediately after orthognathic surgery may be due to factor XIII deficiency.

Scalable approach for continuous-wave deep-ultraviolet laser at 213nm.

We present a novel approach for generation at 213nm in continuous-wave, corresponding to the fifth harmonic of common 1064nm laser, in pure continuous-wave mode. The approach is scalable in output power. Starting from two infrared fiber laser sources, we demonstrated 0.456W output at 213nm.

Kerr-lens mode-locked Yb3+-doped Lu3Al5O12 ceramic laser.

Yb:LuAG is a promising gain medium for high-power lasers due to its high thermal conductivity and large emission cross section. Although narrowband gain media such as Yb:LuAG are not considered to be suitable for the generation of sub-100 fs pulses, we have achieved generation of 91 fs pulses with Yb:LuAG ceramic by the Kerr-lens mode-locking (KLM) technique. The obtained average power, pulse energy, and peak power were 1.64 W, 20.0 nJ, and 220 kW, respectively. These are, to the best of our knowledge, the first demonstration of KLM and the new records based on both Yb:LuAG ceramic and single crystal.

Demonstration of a Yb3+-doped Lu3Al5O12 ceramic thin-disk laser.

Yb:LuAG ceramic is very promising for thin-disk laser and amplifier architectures since it exhibits a higher thermal conductivity at high doping concentrations and a larger emission cross section than Yb:YAG. In this Letter, we present what we believe to be the first demonstration of a thin-disk laser based on Yb:LuAG ceramic. A maximum output power of 101 W with an optical efficiency of 56% and a slope efficiency of 64% was obtained with a multimode laser resonator. Fundamental-mode laser operation with near diffraction limited beam quality (M2≈1.22) was also achieved. The fundamental-mode laser resonator showed the output power of 49 W, an optical efficiency of 31%, and a slope efficiency of 44%. A linearly polarized output beam was demonstrated in multimode operation using an intracavity Brewster window. The depolarization loss was measured to be as low as 0.15% per round trip.

CW and mode-locked operation of Yb(3+)-doped Lu3Al5O12 ceramic laser.

CW laser operation and first mode-locked laser operation of Yb:LuAG ceramic are reported. Efficient CW laser operation was obtained with maximum output power of 2.14 W and a 72% slope efficiency. Femtosecond mode-locked laser operation was achieved with pulse duration of 699 fs and a 200 mW average output power.