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Stefan Janik, Julian Pyka, Isabella Stanisz, Tamara Wachholbinger, Matthias Leonhard, Imme Roesner, Doris-Maria Denk-Linnert, Brett A Miles, Berit Schneider-Stickler, Boban M Erovic
PURPOSE: To describe the use of a myocutaneous serratus anterior free flap (SAFF) for tongue reconstruction after salvage subtotal (STG) and total glossectomy (TG). METHODS: In this prospective case series, seven patients underwent salvage STG or TG and reconstruction with a myocutaneous SAFF between 10/2015 and 02/2017. Functional and oncologic outcomes were prospectively evaluated. Donor side morbidity was determined using the Disabilities of the Arm, Shoulder and Hand (DASH) score...
December 14, 2018: European Archives of Oto-rhino-laryngology
Ranjit Joseph, Talia Alenabi, Tea Lulic, Clark R Dickerson
OBJECTIVE: The purpose of this study was to quantify the activation of partitions within supraspinatus and infraspinatus and some periscapular muscles during four resistance exercises with elastic bands. DESIGN: 27 right handed healthy volunteers (22.5 ± 2.7 years old) were recruited. Intramuscular EMG from supraspinatus (anterior and posterior) and infraspinatus (superior and middle) and surface EMG data from the upper, middle and lower trapezius and serratus anterior were recorded during four elastic resistance exercises (Y, T, W, L)...
December 13, 2018: American Journal of Physical Medicine & Rehabilitation
Ramonica Scott, Hyung Suk Yang, C Roger James, Steven F Sawyer, Phillip S Sizer
CONTEXT: The abdominal-bracing maneuver, a volitional preemptive abdominal contraction (VPAC) strategy, is commonly used during resisted shoulder exercises. How VPAC affects shoulder-muscle function during resisted shoulder exercise is unknown. OBJECTIVE: To identify the effects of VPAC on selected parascapular and glenohumeral muscles during specific shoulder exercises with or without resistance. DESIGN: Cross-sectional study. SETTING: Clinical biomechanics research laboratory...
December 13, 2018: Journal of Athletic Training
Christopher W Frye, Cristina M Hansen, Karine Gendron, Dirsko J F von Pfeil
Dorsal displacement of the scapula in dogs is rare and often traumatic. This report describes dorsal luxation of the scapula in a sled dog. This case is unique given the injury was sport-related. Magnetic resonance imaging helped direct therapy and monitor healing; and medical management with rehabilitation resulted in full recovery and return to sport. One year after injury, the dog completed both a 482 km and a 1600 km endurance race, placing among the leading teams in the 1600-km race.
December 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
Hajime Matsumine, Wataru Kamei, Kaori Fujii, Mari Shimizu, Atsuyoshi Osada, Hiroyuki Sakurai
The authors developed a one-stage double-muscle reconstruction technique for facial paralysis using a latissimus dorsi (LD) flap and a serratus anterior (SA) flap, which were dually reinnervated by the contralateral facial nerve (FN) and ipsilateral masseter nerve (MN). The procedure was performed for 61-year-old man 3-years after resection of a malignant tumor and a 24-year-old woman 10-years after temporal fracture with facial paralysis. A double-muscle flap comprising left LD and SA flaps was harvested, a 15-cm thoracodorsal nerve (TN) section was attached to the LD flap, and 5-cm and 1-cm sections of the long thoracic nerve (LTN) were attached to the proximal and distal sides of SA flap...
December 4, 2018: Microsurgery
Taeyeong Kim, Minhee Kim, Minyoung Lee, Bumchul Yoon
BACKGROUND: The prevalence of degenerative shoulder disease is increasing, and most shoulder diseases are accompanied by changed activation of the scapular muscles. However, the characteristics of scapular muscle activation in older adults have not yet been reported. OBJECTIVE: The aim of this study was to investigate the effect of age and load on scapular muscle activation during shoulder abduction and flexion. METHODS: Eleven older adults (5 men, 6 women; 71...
November 16, 2018: Journal of Back and Musculoskeletal Rehabilitation
J C Galán Gutiérrez, B Tobera Noval, F J Sáenz Abós, M González Rodríguez, L A Fernández Meré, L A Sopena Zubiria
The addition of ultrasound to locoregional anaesthesia in the last few years has led to the description of various fascial thoracic blocks with analgesic purposes: PECS 1 and 2 block, serratus plane block, serratus intercostal fascial block, blockade in the plane of the thoracic transverse muscle..., which have been added to other well-known nerve blocks, such as thoracic paravertebral block or intercostal block. In this sense, locoregional anaesthesia has been universally recommended in patients with severe respiratory processes in order to avoid ventilatory support and subsequent weaning that considerably increases postoperative morbidity and mortality rates...
November 29, 2018: Revista Española de Anestesiología y Reanimación
Nathan E Thompson, Danielle Rubinstein, Susan G Larson
Great apes exhibit a suite of morphological traits of the shoulder and upper thorax that have traditionally been linked to orthograde arborealism. Recently it has been proposed that these traits are instead adaptations for knuckle-walking, and more broadly, that knuckle-walking itself is an adaptation for shock absorption during terrestriality. Here we test several tenets of these hypotheses using kinematic and kinetic data from chimpanzees and macaques, and electromyographic data of shoulder muscle activity in chimpanzees...
December 2018: Journal of Human Evolution
Antonio Carlos Abramo, Marcio Scartozzoni, Thiago Walmsley Lucena, Romulo Grechi Sgarbi
BACKGROUND: Rippling and implant edge visibility after breast augmentation depends on several factors. Among the most relevant are breast soft tissue thickness, particularly the retroareolar mammary parenchyma, and implant profile. They were correlates to prevent these occurrences. METHODS: Thirty patients underwent breast augmentation through subfascial dissection involving the pectoralis, serratus, external oblique, and rectus abdominis fascias. The thickness of the retroareolar mammary parenchyma distributed patients into two groups...
November 27, 2018: Aesthetic Plastic Surgery
Fady Samy Saad, Samia Yehia El Baradie, Maha Abdel Wahab Abdel Aliem, Mohamed Metwally Ali, Tamer Ahmed Mahmoud Kotb
Background: Thoracotomy needs adequate powerful postoperative analgesia. This study aims to compare the safety and efficacy of ultrasound (US)-guided serratus anterior plane block (SAPB) and thoracic paravertebral block (TPVB) for perioperative analgesia in cancer patients having lung lobectomy. Patients and Methods: This clinical trial involved 90 patients with lung cancer scheduled for lung lobectomy randomly divided into three groups according to the type of preemptive regional block...
October 2018: Saudi Journal of Anaesthesia
Stefan J Janik, István Paraszti, Lena Hirtler, Rudolf Seemann, Hannes Traxler, Wolfgang Weninger, Boban M Erovic
OBJECTIVES: The main purpose of this study was to evaluate flap size and flap design of skin islands in myocutaneous serratus anterior free flaps (SAFFs) in fresh cadavers and to further investigate whether myocutaneous SAFFs are suitable flaps for pharyngeal reconstruction after laryngopharyngectomy. METHODS: Dissection and injection of methylene blue was performed in 20 hemithoraces of 13 fresh cadavers to evaluate flap size and location of skin islands. Based on these preclinical data, we performed pharyngeal reconstruction with myocutaneous SAFF in 5 patients after laryngopharyngectomy...
November 9, 2018: Clinical Otolaryngology
Victoria H Woolner, Rose M A Gordon, John H Miller, Matthias Lein, Peter T Northcote, Robert A Keyzers
A detailed examination of the red alga Callophycus serratus collected in Tonga led to the isolation of six new halogenated meroditerpenoids: callophycol C (1), callophycoic acid I (2), iodocallophycols E (3) and F (4), iodocallophycoic acid B (5), and callophycoic acid J (6). Of these, compounds 3-5 are new iodinated additions to the growing family of Callophycus meroditerpenoids. The relative configurations of compounds 1-6 were deduced by analyses of 1D NOE data and 1 H-1 H scalar coupling constants, and 3-6 are proposed to differ from the closely related compounds reported in the literature, iodocallophycoic acid A and iodocallophycols A-D...
November 8, 2018: Journal of Natural Products
Mary Thomas, Frenny A Philip, Arun P Mathew, K M Jagathnath Krishna
Background and Aims: In centers with high turnover of breast surgeries, pectoral nerve block (Pec II) is time-consuming and requires ultrasound familiarity for administration. We decided to block the same nerves under vision after resection to evaluate postoperative analgesic effects. Material and Methods: Sixty patients scheduled for modified radical mastectomy were enrolled in this prospective, randomized, placebo-controlled, triple-blinded study. All patients received standardized general anesthesia...
July 2018: Journal of Anaesthesiology, Clinical Pharmacology
A-Reum Shin, Ji-Hyun Lee, Da-Eun Kim, Heon-Seock Cynn
Serratus anterior muscle weakness causes scapular winging, characterized by scapular downward rotation and scapular anterior tipping in the resting position. Knee push-up plus (KPP), a modified push-up plus that is generally used in early rehabilitation programs, is performed to elicit SA activation. However, excessive thoracic kyphosis can easily occur as a compensatory movement during KPP. Therefore, the aim of this study was to examine the effect of tactile cues during KPP on activities of the thoracic erector spinae, rectus abdominis, lower trapezius, serratus anterior, and upper trapezius; scapular winging; and thoracic kyphosis in subjects with scapular winging...
November 2018: Medicine (Baltimore)
Lucian Fodor, Marius Fodor, Raluca Sobec, Laura Sita, Ioan Stefan Florian
Complex scalp defects with poor recipient vessels represent a challenge for plastic surgeons. In these cases, free flaps are the last resort for solving the problem. The authors present 5 difficult cases with complex large scalp and calvarium defects with unsuitable small recipient vessels for anastomoses. For these cases, the lesser saphenous vein was harvested and used as an interposition graft between the external carotid artery, the jugular vein, and the flap. Latissimus Dorsi, Anterolateral Thigh, and serratus anterior were the flaps used for reconstruction...
October 29, 2018: Journal of Craniofacial Surgery
Sumeet S Teotia, Min-Jeong Cho, Nicholas T Haddock
Background: Over the years, the choice of recipient vessels for free flap autologous breast reconstruction has shifted from the thoracodorsal to the internal mammary vessels due to ease of flap inset and predictability of anatomy. However, thoracodorsal vessels are still great recipient vessels, and can be useful, especially in the previously failed or staged autologous breast reconstruction. In this study, we present our experience using thoracodorsal or serratus vessels for profunda artery perforator flaps...
September 2018: Plastic and Reconstructive Surgery. Global Open
Vivien Berthoud, Omar Ellouze, Maxime Nguyen, Maria Konstantinou, Serge Aho, Ghislain Malapert, Claude Girard, Pierre-Gregoire Guinot, Olivier Bouchot, Belaid Bouhemad
BACKGROUND: Minimal invasive heart surgery (MIHS) presents several benefits, but provides intense and prolonged post-operative pain. Our objective was to compare efficacy of serratus anterior plane block (SAPB) with continuous wound infiltration (CWI) for management of post-operative pain following MIHS. METHODS: It's retrospective, monocentric study between November 2016 to April 2017. The study was performed at the University hospital of Dijon, Burgundy, France...
October 20, 2018: BMC Anesthesiology
Shanshan He, Jian Yin, Jingyan Sun, Qingfeng Huang, Jing Liu, Chunyong Han, Zhuming Yin
INTRODUCTION: Breast reconstruction for Chinese patients is vastly different given cultural differences, patient preferences, access to resources, and insurance coverage in China. Given these unique factors, a different approach for optimizing outcomes should be considered. METHODS: Retrospective review of all patients undergoing implant-based breast reconstruction from January 2013 to May 2016 was performed. Esthetic evaluations were made both by the patients and 1 nonoperative surgeon at least 6 months postoperative, and patient satisfaction was assessed using the Breast-Q...
October 15, 2018: Annals of Plastic Surgery
Maher Barsaoui, Hend Riahi, Mouna Chelly Bouaziz, Med Fethi Ladeb
Elastofibromas are rare benign soft tissue tumors that are commonly located at the inferior pole of the scapula, typically in the right side, deep to the serratus anterior muscle. They occur mainly in elderly women and are usually asymptomatic. We  present four cases of elastofibroma dorsi in which the clinical and ultrasound diagnosis was confirmed by CT and magnetic resonance imaging. The location of the lesions (bilateral in two cases) was typical, in the thoraco-scapular region. When the lesion show typical imaging features and produces no symptoms, as is usually the case; further investigations are probably unnecessary...
January 2018: La Tunisie Médicale
Yew L Loo, Sajjad Haider
Background: There have been many reported benefits of the usage of acellular dermal matrices (ADMs) in breast reconstruction. ADM reduces the need for rectus abdominis muscle and serratus anterior coverage by providing an inferolateral coverage of the implant/tissue expander. ADM can provide patients with a 1-staged reconstruction. This study was designed to look at the complication rates of 2 major hospitals in the United Kingdom. Methods: A large, 2-center retrospective cohort review of patients, who underwent implant-based breast reconstruction using Strattice (LifeCell Corp...
August 2018: Plastic and Reconstructive Surgery. Global Open
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