BACKGROUND Hump reduction in aesthetic rhinoplasty destabilizes the middle vault. Secondary maneuvers are necessary to avoid the long-term functional and aesthetic sequelae of middle vault collapse. We describe a new technique of reinserting the resected hump that combines (a) placement of the modified hump between the upper laterals and (b) bridging sutures between the upper laterals. METHOD...

OBJECTIVE To describe and evaluate results of a surgical procedure to treat internal nasal valve insufficiency with the use of spreader grafts placed via an endonasal approach without division of the upper lateral cartilages from the nasal septum. DESIGN Eighty-nine patients with complaints of nasal obstruction, at least partially due to internal nasal valve insufficiency, underwent this oper...

The objective of this paper was to study and optimize the concrete paving operations taking place in the reconstruction project of Interstate 74 using simulation. To achieve this objective, field data were collected during construction, and were then used to determine adequate probabilistic density functions for the activities duration and to validate a developed simulation model. Upon validati...

For nitrogen to be transferred from a legume to grass through hyphae of arbuscular mycorrhizal fungi (AMF), as reported for a number of grass/legume combinations, the two species should be linked by a common hyphal network, which gives rise to the question of host–fungus preference. To examine the relative preference of perennial ryegrass and white clover for co-existing AMF, two experiments, a...