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International audience; PurposeEthmoidal slit (ES) and cribroethmoidal foramen (CF) have been poorly studied, without any radiological description. They may ease cribriform plate’s diseases. The objective was to describe the frequency, size, and computed tomography (CT) appearance of these foramina.MethodsA two-part anatomoradiological study was performed: first on dry skulls using a surgical microscope and CT, second on patients CT scans. For each, foramina were searched for, described, and measured when possible.ResultsThirteen dry macerated skulls were studied. The orbitomeatal plane was relevant for studying ES. With microscope, ES and CF were identified in, respectively, 92% and 100% of cases. Using CT, all ES and CF were visible, with a mean length and width of, respectively, 3.9 ± 1.7 mm and 0.9 ± 0.3 mm for ES and 1.6 ± 1 mm and 0.9 ± 0.3 mm for CF. CT scans from 153 patients were reviewed. ES and CF were identified in, respectively, 80% and 91% of cases, with a mean length and width of, respectively, 3.9 ± 0.8 mm and 0.8 ± 0.2 mm for ES.ConclusionLarge-sized ES was found frequently, and were clearly visible in patients CT scans. CF was markedly smaller, but seen in most patient scans. ES and CF could be areas of least resistance in the anterior part of the cribriform plate. CT might be helpful in understanding their pathological implications.

International audience; Rhinoplasty, via either an open or a closed approach, is classically performed in the supraperichondrial plane, i.e. underneath the SMAS. Total subperichondrial and subperiosteal approaches, providing large exposure of all of the osteocartilaginous framework of the nose, have been described in recent years. This deeper dissection requires adaptation of surgical instruments to perform both subperichondrial and subperiosteal dissection, but also to perform osteotomies. New tools, such as the Rhinosculpture or piezoelectric motor are particularly useful in this context. Acquisition of this dissection technique, although it requires a long learning curve, is largely rewarded by the advantages of this technique in primary and secondary rhinoplasty. The objective of this technical note is to provide a detailed description of the operative technique and the instrumentation required.

International audience; The vestibular system encodes linear and angular head motion supporting numerous functions from gaze stabilization and postural control, to high-level cortical functions involving spatial cognition, including self-body perception, verticality perception, orientation, navigation and spatial memory. At the brainstem and mesencephalic levels, the vestibular organs also influence postural blood pressure regulation, bone density and muscle composition via specific vestibulo-sympathetic efferences and have been shown to act as a powerful synchronizer of circadian rhythms. Here, we review the evidence that sleep deprivation and sleep apnea syndrome alter vestibular-related oculo-motor and postural control, and that, in turn, vestibular pathologies induce sleep disturbances. We suggest that sleep-related neuroplasticity might serve the adaptation and compensation processes following vestibular lesions in patients. Interestingly, a reciprocal neuroanatomical route between the vestibular nuclei and the orexinergic neurons has been reported. While orexinergic modulation of the vestibular nuclei related to postural control has been suggested, we postulate that vestibular inputs might in turn influence the sleep-wake state switch, informing the brain about the daily quantity of motion.

International audience; Rats are the most commonly used species in the neurosciences; however, little is known about the effects of selective electrical stimulation of individual vestibular sensors, on their eye movements. This limits their use to study the effects of vestibular stimulation on the brain, and their use in further exploring novel technologies such as artificial vestibular implants. We describe the effects of electrical stimulation of each vestibular sensor on vestibular-related eye movement in rats and compared the results to other species. We demonstrated that each sensor is responsible for specific bilateral eye movements. We found that the eye movements in rats differed from other species. Although the results were similar when stimulating the horizontal canal ampulla, differences appeared when stimulating the vertical canal sensors. During utricular stimulation, the ipsilateral eye moved dorsally in most cases, while the contralateral eye usually moved either caudally, or in extorsion. Saccular stimulation usually moved the ipsilateral eye dorsally or ventrally, while the contralateral eye usually moved ventrally or caudally. This study provides the first data on the application of selective electrical vestibular stimulation in the rat to the study of vestibular-related eye movements.

International audience; Several studies have demonstrated that electrical activation of the peripheral vestibular system can evoke field potential, multi-unit neuronal activity and acetylcholine release in the hippocampus (HPC). However, no study to date has employed the immediate early gene protein, c-Fos, to investigate the distribution of activation of cells in the HPC following electrical stimulation of the vestibular system. We found that vestibular stimulation increased the number of animals expressing c-Fos in the dorsal HPC compared to sham control rats (P ≤ 0.02), but not in the ventral HPC. c-Fos was also expressed in an increased number of animals in the dorsal dentate gyrus (DG) compared to sham control rats (P ≤ 0.0001), and to a lesser extent in the ventral DG (P ≤ 0.006). The results of this study show that activation of the vestibular system results in a differential increase in the expression of c-Fos across different regions of the HPC.

International audience; Background * The nasopharyngeal and parapharyngeal spaces are difficult for surgeons to access. Of the various external routes described, the maxillary swing has emerged as the gold standard because of its simplicity. However, its morbidity has led to the development of less invasive techniques. The purpose of our study was to compare the surgical anatomy of the maxillary swing with that of the endoscopic endonasal approach. * Methods * Each procedure was performed on 10 anatomic specimens. The exposure and the limits obtained were evaluated. A CT scan analysis was performed. * Results * The endoscopic endonasal approach extended the limits, offering wider exposure. The endoscopic endonasal approach made possible better visualization of deep structures and precise dissection of the parapharyngeal spaces. However, the maxillary swing provided better access to the oropharynx and could be completed 3 times faster. * Conclusion * The endoscopic endonasal approach provides excellent exposure, a wide dissection range, and precise definition of anatomic structures, making it an alternative of choice rather than the maxillary swing approach.

Background The rat is one of the most used species in the neurosciences, but how to selectively reach each of its 5 vestibular sensors has never been described. Besides, new functions of the vestibular system have been recently discovered in the rat involving vegetative, circadian and cognitive functions. But the central pathways sustaining these functions and the role of each of the vestibular sensors are not clear. New methods Here we want to describe the anatomy and look for a direct surgical approach to the 5 vestibular sensors in rats, as an indispensable technique to further study the central vestibular pathways. To do so we studied 10 rats either by microtomography with osmium tetroxide staining, histology with hematoxilyn-eosine staining or microsurgical dissection. Results The microtomography allows a 3D representation of the 5 vestibular sensors and their nerves, with precise landmarks confirmed by the histological analysis. Each of the landmarks are illustrated and a selective surgical approach to each sensor and their nerves, is described step by step. Comparison with existing method Selective approaches to the vestibular sensors have been used in other species such as cats, monkeys and recently humans but the current study is the first allowing this technique in rats. Conclusion Each vestibular sensor of the rat can be reached by a selective surgical approach. This allows further techniques such as electrophysiology or neurotracing of the central vestibular pathways. This also indicates the rat as a potential model for vestibular prostheses.

Scientific Reports 5: Article number: 1152810.1038/srep11528; published online: June252015; updated: July202016 This Article contains typographical errors. In the Methods section under subheading ‘Measurement error evaluation’, “Measurement errors were 1.33° degree for OA, 0.93° for OA; 1.12° for OA-CA; 0.44 mm for orbital width; 0.35 mm for orbital height; 0.015 for the orbital width/height ratio.” should read: “Measurement errors were 1.33° degree for CA, 0.93° for OA; 1.12° for OA-CA; 0.44 mm for orbital width; 0.35 mm for orbital height; 0.015 for the orbital width/height ratio.”

While convergent, the human orbit differs from that of non-human apes in that its lateral orbital margin is significantly more rearward. This rearward position does not obstruct the additional visual field gained through eye motion. This additional visual field is therefore considered to be wider in humans than in non-human apes. A mathematical model was designed to quantify this difference. The mathematical model is based on published computed tomography data in the human neuro-ocular plane (NOP) and on additional anatomical data from 100 human skulls and 120 non-human ape skulls (30 gibbons; 30 chimpanzees / bonobos; 30 orangutans; 30 gorillas). It is used to calculate temporal visual field eccentricity values in the NOP first in the primary position of gaze then for any eyeball rotation value in abduction up to 45° and any lateral orbital margin position between 85° and 115° relative to the sagittal plane. By varying the lateral orbital margin position, the human orbit can be made “non-human ape-like”. In the Pan-like orbit, the orbital margin position (98.7°) was closest to the human orbit (107.1°). This modest 8.4° difference resulted in a large 21.1° difference in maximum lateral visual field eccentricity with eyeball abduction (Pan-like: 115°; human: 136.1°).

International audience; Vestibular lesions are found after cochlear implantation in 23–100 % of cases. The objectives of this study were to evaluate the vestibular function before and after implantation while focusing its feasibility. This prospective study included 35 patients, mean age 49 years. Each patient enjoyed a vestibular balance before and after implantation in a median period of 5 months compared to surgery. Vestibular evaluations were performed using vestibular-evoked myogenic potentials (VEMP) and videonystagmography. Before implantation, the VEMPs were bilateral in 73 % of cases. They are modified after implantation for 13 patients, including 12 missing or reduced potentials on implanted side (p = 0.0015). Caloric tests found themselves a significant decrease in the reflectivity of the ear implanted (p < 0.0001). Vestibular symptoms were independent of changes on vestibular tests. No relation was found between the occurrence of post-operative vestibular symptoms and the results of the vestibular investigations. However, the achievement of these exams is not easy especially for children and only part of the vestibule is tested. In conclusion, the vestibular assessments help to choose the side of implantation, assess the pre-operative vestibular condition and assess and locate vestibular lesions induced. Further tests should enable a complete vestibular assessment.

Objective: to evaluate functional myocardial contractility after 21 days of head-down bed rest (HDTBR) in sedentary control (CON) or with a resistive vibration exercise (RVE) countermeasure (CM) applied, by using 4D echocardiographic (4D Echo) imaging and speckle tracking strain quantification.Methods: Twelve volunteers were enrolled in a crossover HDTBR design, and 4D Echo was performed in supine position (REST) at BDC-2 and at R+2, and in -6° HDTBR (on day 18), and also during the first and the last minute of the 80° head-up step of Standard Measures tilt test, performed at both BDC-2 and R+2. Radial (Rad-Str), longitudinal (Lg-Str) and twist (Tw-Str) strain were measured by 4D speckle tracking, as well as left ventricle diastolic volume (LVDV) and mass (LVmass).Results: On day 18: in the CON group, LVDV and LVmass were reduced (p

Objective: to evaluate functional myocardial contractility after 21 days of head-down bed rest (HDTBR) in sedentary control (CON) or with a resistive vibration exercise (RVE) countermeasure (CM) applied, by using 4D echocardiographic (4D Echo) imaging and speckle tracking strain quantification.Methods: Twelve volunteers were enrolled in a crossover HDTBR design, and 4D Echo was performed in supine position (REST) at BDC-2 and at R+2, and in -6° HDTBR (on day 18), and also during the first and the last minute of the 80° head-up step of Standard Measures tilt test, performed at both BDC-2 and R+2. Radial (Rad-Str), longitudinal (Lg-Str) and twist (Tw-Str) strain were measured by 4D speckle tracking, as well as left ventricle diastolic volume (LVDV) and mass (LVmass).Results: On day 18: in the CON group, LVDV and LVmass were reduced (p, L'objectif était de quantifier les modifications de la contractilité cardiaque au cours d’un bedrest de 21 jours (HDBR) par la methode speckle tracking 4D et de déterminer si la contre-mesure « exercice » était capable de préserver cette contractilité cardiaque. Les méthodes traditionnelles 2D ne mesurent qu'une variation de la taille du ventricule de la systole à la diastole et ne suivent pas la cinetique des mouvements de contractilité à l’interieur de la paroi. De plus l’echographie 2D ne permet d’acceder qu’a la contractilite longitudinale globale par la mesure de la distance Apex-Valve mitrale. Le suivi des mouvements des speckles (points singuliers a l’interieur du myocarde) en 4D montre que la contractilité radiale diminuée signifcativement pendant le HDTBR chez les sujets témoins alors qu’elle est conservée dans le groupe exercice. Par contre la contractilité longitudinale n’est pas affectée dans aucun des 2 groupes. Bien sûr, l'IRM pourrait fournir des données similaires, mais il n’est pas possible à ce jour d’imaginer avoir une IRM a bord de l’ISS dans un futur proche. A la suite de ces resultats nous avons mis au point un algorithme de traitement des video cardiaque qui permet d’acceder a la contractilite radiale et longitudinale en vol (prog Vasc-Aging en cours) .L’objectif de l’experimentation était de montrer que quatre jours en immersion seche suffisaient pour realiser un transfert liquidien important vers les régions céphaliques comparable à celui observé en vol spatial. Notre protocole consistait donc a mesurer les volume veineux au niveau cervical cerebral et porte au debut de la periode en immersion (a 2h) puis a 4 jours d’immersion. Compte tenu des problemes engendrés par ce transfert liquidien en vol nous avions proposé de tester la capacité des brassarts de cuisse a reduire l’amplitude du transfert veineux. Les résultats montrent que l’immersion provoque un transfert de sang veineux au niveau cervical maximal à 2H et que les Brassarts de cuisse reduisent signifcativement ce transfert dans cette phase precoce. Par contre a 4 jours d’immersion l’amplitude du transfert sanguin est considerablement diminuée (bien que toujours presente) et les brassarts de cuisse n’ont pas d’effet visible à ce moment-là. En fait le volume plasmatique decroit significativement à la fin du premier jour (env 20%) des lors la masse de sang deplacées vers la tete par l’immersion est insuffisante pour generer une stase importante au niveau cervical comme à 2h d’immersion. Pour cette meme raison la vitesse dans les veines cerebrales n’est pas augmentée à 4 jours d’immersion contrairement à ce qu’on avait observé à 2h d’immersion lors d’une precedente etude. Donc le modele immersion seche est un modele pour etudier les transferts liquidiens en microgravité mais seulement en debut de phase d’immersion. Sur cette période de temps, les Brassarts de cuisse ont bien un effet protecteur pour les organes de la zone cephalique.