The lingual sulcus release technique for excision of tongue cancer with trismus.

Operable oral tongue cancers are managed best with surgery followed by adjuvant therapy as and when indicated. The only factor that affects the prognosis, and is under the control of a surgeon, is the tumour margin. Often in cases with trismus, which is prevalent in tobacco and areca nut users, obtaining a clear margin intraorally can be challenging. Approaches described until now to obtain clear margins in these cases have a great impact on the postoperative recovery and morbidity. In our experience, lingual sulcus release is a safe and reproducible technique for these cases. The transcervically elevated lingual sulcus provides an additional layer of safe margin for the management of squamous cell tongue carcinoma with trismus.

Determination of reference values for optical properties of liquid phantoms based on Intralipid and India ink.

A multi-center study has been set up to accurately characterize the optical properties of diffusive liquid phantoms based on Intralipid and India ink at near-infrared (NIR) wavelengths. Nine research laboratories from six countries adopting different measurement techniques, instrumental set-ups, and data analysis methods determined at their best the optical properties and relative uncertainties of diffusive dilutions prepared with common samples of the two compounds. By exploiting a suitable statistical model, comprehensive reference values at three NIR wavelengths for the intrinsic absorption coefficient of India ink and the intrinsic reduced scattering coefficient of Intralipid-20% were determined with an uncertainty of about 2% or better, depending on the wavelength considered, and 1%, respectively. Even if in this study we focused on particular batches of India ink and Intralipid, the reference values determined here represent a solid and useful starting point for preparing diffusive liquid phantoms with accurately defined optical properties. Furthermore, due to the ready availability, low cost, long-term stability and batch-to-batch reproducibility of these compounds, they provide a unique fundamental tool for the calibration and performance assessment of diffuse optical spectroscopy instrumentation intended to be used in laboratory or clinical environment. Finally, the collaborative work presented here demonstrates that the accuracy level attained in this work for optical properties of diffusive phantoms is reliable.

Self-organized meso-patterning of soft solids by controlled adhesion: elastic contact lithography.

The surface of a soft elastic film becomes unstable and deforms when a rigid flat plate is brought into its contact proximity, without application of any external pressure. These isotropic undulations have a characteristic wavelength, lambda approximately 3H, where H is the film thickness. The wavelength is independent of the adhesive interactions and the mechanical properties of the film. We present here a mini-review of our recent work on techniques of aligning, modulating, and ordering the instability structures by the use of simple 1-D patterned stamps, by changing the stamp-surface separation, by slow shearing of a flat stamp and by confining the instability in soft narrow channels. The generality of the technique for different soft materials is illustrated by patterning cross-linked polydimethylsiloxane (PDMS), aluminum coated PDMS and hydrogels films. Use of a flexible stamp such as a metal foil provides enhanced conformal contact by adhesive forces, which aids large area patterning without critically maintaining a parallel configuration and uniform pressure between the stamp and the film. The technique has the potential to develop into a new soft lithography tool--"Elastic Contact Lithography" suitable for rapid, large area micron and sub-micron self-organized patterning of a variety of soft materials without any special equipments.

Contact instability in adhesion and debonding of thin elastic films.

Based on experiments and 3D simulations, we show that a soft elastic film during adhesion and debonding from a rigid flat surface undergoes morphological transitions to pillars, labyrinths, and cavities, all of which have the same lateral pattern length scale, lambda close to lambda/H approximately 3 for thick films, H > 1 microm . The linear stability analysis and experiments show a new thin film regime where lambda/H approximately equal to 3 + 2pi(lambda/3 muH)1/4 (gamma is surface tension, mu is shear modulus) because of a significant surface energy penalty (for example, lambda/H approximately equal to 6 for H = 200 nm; mu = 1 MPa).

Control of self-organized contact instability and patterning in soft elastic films.

The surface of a soft elastic film becomes unstable and forms a labyrinth pattern when a rigid flat plate is brought into adhesive contact, without application of any external pressure. These isotropic undulations have a characteristic wavelength, lambda approximately 3H, where H is the film thickness. We present here technique of ordering, aligning, and modulating these micro-labyrinth structures by using a patterned stamp, by varying the stamp-film inter-surface distance, by a lateral confinement of the instability and even by a simple shear motion of a flat stamp. Many complex structures, such as an array of femto-liter beakers and doubly periodic channels, are generated from a simple stamp consisting of parallel channels. The elastic nature of the patterns allows an in-situ tuning, manipulation, and reconfiguration of the microstructures. Regardless of their precise morphology, the structures continue to have the elastic length scale, lambda approximately 3H. The structures can also be made permanent as required by UV-ozone-induced oxidation of the structures. The underlying principles of the elastic contact instability presented here have the potential to develop into a new soft lithography technique-elastic contact lithography (ECL), allowing a simple, rapid and large area patterning of soft solids.