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Deep Fascia

Weiwei Tang, Huimin Zhu, Zhengkang Li, Yuan Deng
OBJECTIVE: This study aimed to evaluate the safety of a modified pre-aricular approach in the treatment of orbital zygomatic maxillary complex fractures. METHODS: This was a retrospective study of clinical data from 108 adults who were diagnosed with orbital zygomatic maxillary complex fractures and undergo open reduction and internal fixation through a modified pre-auricular approach. Exophthalmometry and limitation of extraocular muscle movement were determined using a Hertel exophthalmometer or synoptophore examination respectively...
August 13, 2018: Journal of Craniofacial Surgery
Thomas von Arx, Marc J. Nakashima, Scott Lozanoff
The individual appearance and facial expression are based on the musculoskeletal system of the face. The bones of the face contribute to the anterior portion of the skull. This region is also referred to as the facial skeleton or viscerocranium. The muscles of the face include all mimetic muscles innervated by the cranial nerve VII (facial nerve). Two masticatory muscles (masseter, temporalis) that are supplied by the motoric portion of the cranial nerve V3 (mandibular nerve) also contribute to the contour of the face...
July 30, 2018: Swiss Dental Journal
Dennis Mazingi, George C Jakanani, Prudance Mushayavanhu
INTRODUCTION: The Morel-Lavallée lesion is an infrequently described, post-traumatic closed de-gloving wound that results from separation of the skin and subcutaneous tissues from the underlying deep fascia as a result of shearing forces that tear perforating vessels and lymphatics. This condition is rare in children and to our knowledge it represents the youngest case of Morel-Lavallée lesion yet reported. PRESENTATION OF CASE: We report on a twelve-month-old girl who presented after a motor vehicle accident with a tender fluctuant mass of the back and buttocks...
July 12, 2018: International Journal of Surgery Case Reports
R Ipaktchi, M K Boyce, T R Mett, P M Vogt
OBJECTIVE: The tensor fasciae latae (TFL) muscle flap can be used for reconstruction of decubital ulcers in the trochanteric or ischial region. INDICATIONS: Deep decubital ulcers in the gluteal or ischial area after debridement and exhaustion of conservative measures. CONTRAINDICATIONS: Moribund or palliative patients who do not benefit from defect coverage and are likely to suffer a life-threatening complication. Noncompliant patients who cannot follow the postoperative recommendations or protocols in regard to positioning or recurrence prevention...
June 27, 2018: Operative Orthopädie und Traumatologie
Fu-Hui Dong
The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.). This needling technique is based on the traditional Chinese medicine theories of Pi Bu (cutaneous), Jing Jin (sinew), Jing Luo (meridian), Wu Ti (five body structure components) and Zang Fu (organ system). Commonly used needles include: needle Dao , needle with edge, Pi needle, Shui needle, Ren needle, Gou needle, Chang Yuan needle, Bo needle and so on...
June 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Amir Wolff, Gabriel Santiago, Jon Weingart, Judy Huang, Chad R Gordon
OBJECTIVE: Patients with cranioplasty in need of skull reconstruction are at increased risk of complications when presenting with abnormally thin scalps. As such, the authors sought to develop and investigate a new technique for scalp augmentation using autologous rectus fascia grafts (ARFGs) for prevention of implant extrusion and long-term scalp durability. METHODS: A retrospective review of our database, consisting of 450 consecutive cranial reconstructions from 2012 to 2017, was performed under institutional review board approval...
June 25, 2018: Journal of Craniofacial Surgery
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Kazuyoshi Yamazaki, Masanori Isobe
Superficial peroneal nerve (S-PN) entrapment neuropathy (S-PNEN) is comparatively rare and may be an elusive clinical entity. There is yet no established surgical procedure to treat idiopathic S-PNEN. We report our surgical treatment and clinical outcomes. We surgically treated 5 patients (6 sites) with S-PNEN. The 2 men and 3 women ranged in age from 67 to 91 years; one patient presented with bilateral leg involvement. Mean post-operative follow-up was 25.3 months. We recorded their symptoms before- and at the latest follow-up visit after surgery using a Numerical Rating Scale and the Japan Orthopedic Association score to evaluate the affected area...
July 15, 2018: Neurologia Medico-chirurgica
Andreas Schilder, Walter Magerl, Thomas Klein, Rolf-Detlef Treede
Introduction/Objectives: Verbal descriptors are an important pain assessment parameter. The purpose of this study was to explore the ability to discriminate deep muscle pain and overlying fascia pain according to verbal descriptors and compare the pattern with skin stimulation (from previously published data). Methods: In 16 healthy human subjects, electrical stimulation was chosen to excite a broad spectrum of nociceptive primary afferents innervating the respective tissues...
May 2018: Pain Reports (Baltimore, Md.)
So Young Kim, Young Jae Lee, Goo-Hyun Mun
BACKGROUND: Thinned perforator flaps, reported techniques, and degree of thinning differ by study. This study investigated the anatomy of subcutaneous tissue according to the varying fattiness and identified which component and how much of the subcutaneous tissue layer needed to be excluded to meet target flap thickness using computed tomography. METHODS: Three stratified fattiness groups consisting of 30 donors were formed for thoracodorsal artery perforator, superficial circumflex iliac artery perforator, and anterolateral thigh flaps...
August 2018: Plastic and Reconstructive Surgery
Tadanobu Onishi, Takamasa Shimizu, Shohei Omokawa, Kanit Sananpanich, Akira Kido, Pasuk Mahakkanukrauh, Yasuhito Tanaka
There is lack of anatomical information regarding the cutaneous perforator of the popliteal artery and its connections with the descending branch of the inferior gluteal and profunda femoris arteries. The authors aimed to evaluate the anatomical basis of the popliteal artery perforator-based propeller flap from the posterior thigh region and to demonstrate their experience using this flap. Ten fresh cadaveric lower extremities were dissected following injection of a silicone compound into the femoral artery...
August 2018: Plastic and Reconstructive Surgery
Yunfei Huang, Yubo Fan, Michele Salanova, Xiao Yang, Lianwen Sun, Dieter Blottner
The deep fascia of the vertebrate body comprises a biomechanically unique connective cell and tissue layer with integrative functions to support global and regional strain, tension, and even muscle force during motion and performance control. However, limited information is available on deep fascia in relation to bone in disuse. We used rat hindlimb unloading as a model of disuse (21 days of hindlimb unloading) to study biomechanical property as well as cell and tissue changes to deep fascia and bone unloading...
2018: Frontiers in Physiology
Adam Ostrzenski
OBJECTIVES: To determine whether the clitoral infrafrenulum layer exists. EXPERIMENTAL DESIGN: This descriptive observational study was conducted using 15 fresh human female cadavers. Macro and micro stratum-by-stratum anatomical dissections of the clitoral frenulum were performed bilaterally. Target tissue biopsies were obtained for microscopic examination and the specimens were stained with eosin and hematoxylin. The principal observations: The skin folds with erectile tissue between them create the superficial stratum of the clitoral frenulum...
June 5, 2018: Clinical Anatomy
Won Kyu Choi, Christopher R Bailey, Jan Fritz, Clifford R Weiss
Low-flow vascular malformations are congenital lesions that can occur throughout the body. Treatment of these lesions is indicated to ameliorate pain, cosmetic disfigurement, and functional impairment. The first-line treatment of low-flow vascular malformations is percutaneous sclerotherapy. Traditionally, sclerotherapy is performed with a combination of ultrasound and fluoroscopy. However, malformations that are deep in the abdomen and pelvis or are obscured by overlying fascia or scar may be difficult to be visualized with ultrasound and fluoroscopy...
June 2018: Topics in Magnetic Resonance Imaging: TMRI
Nathan T Zwagerman, Mathew N Geltzeiler, Eric W Wang, Juan C Fernandez-Miranda, Carl H Snyderman, Paul A Gardner
We present a case of cerebrospinal fluid (CSF) leak after endoscopic endonasal resection of a large clival chordoma in an obese patient. The leak was at the lower reconstruction at the craniocervical junction and had failed repositioning. Using the V-Loc™ wound closure device (Covidien, New Haven, Connecticut) to suture the nasoseptal flap to the nasopharyngeal fascia, a water-tight seal was created and, along with a lumbar drain, the patient healed successfully.CSF leak after an endoscopic endonasal approach (EEA) to intradural pathologies remains one of the more common complications...
May 30, 2018: Operative Neurosurgery (Hagerstown, Md.)
Lihong Wen, Jinhuang Wang, Yang Li, Dalie Liu
Objective: To review the research progress of midfacial fat compartments, and to thoroughly understand its current state of the anatomy and the aging morphologic characters of midfacial fat compartments, as well as the current status of clinical applications. Methods: The recent literature concerning the midfacial fat compartments and related clinical applications were extensively reviewed and analyzed. Results: Midfacial fat layer has been considered as a fusion and a continuous layer, experiencing a global atrophy when aging...
February 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Lüjun Yang, Hongjuan Wu, Mingjun Zhang, Sitian Xie, Danyan Ye, Shijie Tang
Objective: To investigate the feasibility of human amniotic membrane-living skin equivalent (AM-LSE) in repairing the skin defect. Methods: A 5-year-old boy with giant nevus at neck, shoulder, and back was admitted in July 2016. Normal skin tissue of the patient was harvested and keratinocytes and dermal fibroblasts were separated and expanded in vitro . Human AM was donated from a normal delivery and de-epithelialized for constructing an LSE as a matrix. Keratinocytes were seeded on the epithelial side of the AM which was previously seeded with fibroblasts on the stromal side and then the complex was lifted for air-liquid surface cultivation for 10 days and observed under naked eyes and sampled for histological study...
December 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Meng Li, Xu Lan, Ping Zeng, Zhiling Li, Qiuming Gao, Jie Gao
Objective: To investigate the effectiveness on the re-fracture of the femur with occult infection by using non-contact locking plate which was placed under the deep fascia. Methods: Clinical data of 12 cases of occult infective re-fracture after femoral fracture operation were retrospectively analysed between January 2010 and December 2014. There were 8 males and 4 females with an age of 28-69 years (mean, 42.8 years). Femur re-fractured in 5 cases after 3 days to 4 weeks (mean, 10...
January 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
R S Camenzind, K Stoffel, N J Lash, M Beck
SURGICAL PRINCIPLE AND OBJECTIVE: The direct anterior approach for total hip arthroplasty is associated with higher complication rates and difficult femoral component positioning. Performing a modified technique in the lateral position allows secure component positioning. INDICATIONS: Primary hip replacement (including femoral neck fracture) and cup revision without bone deficiency. CONTRAINDICATIONS: Destruction/deformities of proximal femur or acetabulum, bone deficiency or malignancy...
May 25, 2018: Operative Orthopädie und Traumatologie
Chenxi Cao, Zhengming Cao, Guangyu Liu, Songyang Liu, Yanqi Ye, Tiezheng Sun
BACKGROUND: Angioleiomyoma is a very rare benign solitary soft tissue neoplasm originating from smooth muscle layer of blood vessels. The tumor is usually located in the subcutis or the superficial fasciae, but less often in the deep fasciae, especially rare in the knee joint cavity. Diagnosis is frequently delayed or misdiagnosed as loose body or anterior knee pain because of its rare occurrence and poor awareness of physicians. Few studies have presented intra-articular angioleiomyoma and such cases become rarer and more difficult to diagnose when it presents as loose body...
May 24, 2018: BMC Musculoskeletal Disorders
Antonio Iannelli, Francesco Ciancio, Paolo Annoscia, Michelangelo Vestita, Rosario Emanuele Perrotta, Giuseppe Giudice, Michele De Robertis
INTRODUCTION: Abdominoplasty is one of the most performed operations in Plastic Surgery in the world. Postoperative seroma is one of the most frequently cited complications in literature. The aim of this study is to propose our experience with abdominoplasty with Scarpa Fascia preservationand compare it with recent scientific literature. PRESENTATION OF CASE: We present the case of a 55-year-old woman underwent bariatric surgery in 2014, after which she lost 55kg of weight...
2018: International Journal of Surgery Case Reports
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