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Objective: To investigate the relationship between vestibular aqueduct (VA) morphology and Meniere's disease (MD) using ultrahigh‐resolution computed tomography (U‐HRCT). Methods: Retrospective data were collected from 34 patients (40 ears) diagnosed with MD in our hospital who underwent temporal bone U‐HRCT with isotropic 0.05‐mm resolution, magnetic resonance with gadolinium‐enhanced, and pure‐tone audiometry; 34 age‐ and sex‐matched controls (68 ears) who underwent U‐HRCT were also included. VA patency was qualitatively classified as locally not shown (grade 1), locally faintly shown (grade 2), or clearly shown throughout (grade 3). The width of the outer orifice and VA length and angle were quantitatively measured. Differences in VA morphology between the MD and control groups were analyzed. The correlations between VA morphology and the degrees of hearing loss and endolymphatic hydrops (EH) were also analyzed. Results: VA was classified as grades 1–3 in 11, 17, and 12 ears in the MD group and 5, 26, and 37 ears in the control group, respectively. The patency differed significantly between the groups (p < 0.01). The width of the outer orifice and length of VA were significantly smaller in the MD group than those in the control group (p < 0.05). Both VA patency and length were correlated with the degree of EH in the cochlea and the vestibule (p < 0.05). No difference was found between VA morphology and the degree of hearing loss (p > 0.05). Conclusion: The morphological characteristics of VA were found to be associated with the occurrence of MD and the degree of EH. Level of Evidence: 4 Laryngoscope, 134:3349–3354, 2024 [ABSTRACT FROM AUTHOR]

This study aimed to investigate the effect of the transverse sinus (TS) stenosis (TSS) position caused by arachnoid granulation on patients with venous pulsatile tinnitus (VPT) and to further identify the types of TSS that are of therapeutic significance for patients. Multiphysics interaction models of six patients with moderate TSS caused by arachnoid granulation and virtual stent placement in TSS were reconstructed, including three patients with TSS located in the middle segment of the TS (group 1) and three patients with TTS in the middle and proximal involvement segment of the TS (group 2). The transient multiphysics interaction simulation method was applied to elucidate the differences in biomechanical and acoustic parameters between the two groups. The results revealed that the blood flow pattern at the TS and sigmoid sinus junction was significantly changed depending on the stenosis position. Preoperative patients had increased blood flow in the TSS region and TSS downstream where the blood flow impacted the vessel wall. In group 1, the postoperative blood flow pattern, average wall pressure, vessel wall vibration, and sound pressure level of the three patients were comparable to the preoperative state. However, the postoperative blood flow velocity decreased in group 2. The postoperative average wall pressure, vessel wall vibration, and sound pressure level of the three patients were significantly improved compared with the preoperative state. Intravascular intervention therapy should be considered for patients with moderate TSS caused by arachnoid granulations in the middle and proximal involvement segment of the TS. TSS might not be considered the cause of VPT symptoms in patients with moderate TSS caused by arachnoid granulation in the middle segment of the TS. [ABSTRACT FROM AUTHOR]

ObjectiveWe aim to investigate the feasibility of using diffusion tensor imaging (DTI) to evaluate changes in extraocular muscles (EOMs) and lacrimal gland (LG) in patients with thyroid-associated ophthalmopathy (TAO) and to evaluate disease severity.Materials and MethodsA total of 74 participants, including 17 healthy controls (HCs), 22 patients with mild TAO, and 35 patients with moderate-severe TAO, underwent 3-Tesla DTI to measure fractional anisotropy (FA) and mean diffusivity (MD) of the EOMs and LG. Ophthalmological examinations, including visual acuity, exophthalmos, intraocular pressure, and fundoscopy, were performed. FA and MD values were compared among patients with different disease severity. Multiple linear regression was adopted to predict the impact of clinical variables on DTI parameters of orbital soft tissue.ResultsTAO patients’ EOMs and LG showed significantly lower FA values and higher MD compared to HCs’ (P < 0.05). Moderate-severe TAO patients’ EOMs and LG had dramatically lower FA and higher MD compared with HCs (P < 0.05). In addition, only the DTI parameters of the medial rectus were considerably different between mild and moderate-severe TAO patients (P = 0.017, P = 0.021). Multiple linear regression showed that disease severity had a significant impact on the DTI parameters of orbital soft tissue.ConclusionDTI is a useful tool for detecting microstructural changes in TAO patients’ orbital soft tissue. DTI findings, especially medial rectus DTI parameters, can help to indicate the disease severity in TAO patients.

Accurate simulation of evapotranspiration (ET) is essential to enhance efficient irrigation management in the maize field. Here, we evaluated the performance of four mathematical models for estimating the ET of maize. The four models based on surface resistance calculate ET from different vapor sources, which are Penman‐Monteith (PM) through the "big leaf" model, the Shuttleworth‐Wallace (SW) model for distinguishing between soil and canopy, the clumping (C) model for distinguishing between canopy, soils under the canopy and bare soil, and the seasonal clumping (Cj) model for dividing ET into transpiration of sunlit leaves and shaded leaves, evaporation of bare soil surface, sunlit soil surface of canopy gap fraction, and canopy shaded soil surfaces. The models were calibrated by ET measured from a weighing lysimeter, transpiration by the sap flux method, and soil evaporation by micro‐lysimeters in 2014, 2015, and 2017. Results showed that the measured daily transpiration was 3.32 mm/day during the full‐grown stage of maize, and the mean measured daily soil evaporation was 1.46 mm/day. The performance of the sap flow for transpiration plus micro‐lysimeter for soil evaporation method was consistent with the large‐weighted lysimeter method in measuring daily ET. For simulating versus measuring hourly transpiration, the Cj model performed better than the C model with a slope of 0.94, determination coefficient (R2) of 0.85, mean absolute error (MAE) of 0.08 mm/h, and modified agreement index (d) of 0.81. In simulating daily soil evaporation, the Cj model also had a higher slope and less MAE than the C and SW models. Nevertheless, the Cj model yielded increased slope and d and decreased MAE between simulated and measured daily ET. The most sensitive environmental factor in the Cj model is temperature. With a 50% increase in temperature, ET, transpiration, and evaporation increase by 45%, 36%, and 69%, respectively. In summary, the Cj model improved the accuracy for hourly and daily ET of maize and helped separate plant transpiration and soil evaporation, thus giving an available approach for precision irrigation in water management of maize planting systems. [ABSTRACT FROM AUTHOR]