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Katrin Burkhard, Lena M Lange, Stefanie Plenzig, Marcel A Verhoff, Sarah C Kölzer
Differentiation between accessory sutures and fractures in the skull of an infant can be difficult. Apart from the regular sutures there is a multitude of variations that may be mistaken for a fracture line. Such variations include for instance the intraparietal suture between the two ossification centers of the parietal bone or the mendosal suture between the supraoccipital and interparietal bone of the occipital squama. The presented case refers to an approximately 20-month-old female child. During autopsy, a discontinuity in the right paramedian posterior cranial fossa parallel to the internal occipital crest with connection to the foramen magnum was observed...
May 2016: Archiv Für Kriminologie
E V Verbo, K N Gorkush
The aim of the study was to define and solve main problems in nasal defects reconstruction procedures planning. Fifty-two patients with nasal defects treated in Central Research Institute of Dentistry and Maxillofacial Surgery in 2010-2015 were included in the study. In 28 cases the defects were reconstructed by means of paramedial forehead flap. The authors highlight typical procedure pitfalls mainly associated with the planning stage. The study results prove paramedical forehead flap to be the most useful tool for subtotal and total nasal defects reconstruction but meticulous procedure planning is a must for success...
2016: Stomatologii︠a︡
Martin Bengtsson, Mikael Korduner, Vanessa Campbell, Philip Fransson, Jonas Becktor
PURPOSE: Paramedial mandibulotomy facilitates access for the resection of tumors in the oral and oropharyngeal space; however, severe complications related to surgical techniques and radiotherapy have been reported for this procedure. This study evaluated whether preservation of the periosteum during a mandibulotomy would decrease postoperative complications owing to the increased healing capacity provided by preserving more tissue. MATERIALS AND METHODS: Patients who underwent mandibulotomy for surgical tumor ablation from 2007 through 2012 were included in a retrospective controlled cohort study...
October 2016: Journal of Oral and Maxillofacial Surgery
Huang Yan, Xiao Han, Mengran Jin, Zhen Liu, Dingding Xie, Shifu Sha, Yong Qiu, Zezhang Zhu
PURPOSE: To investigate whether the posterior cranial fossa (PCF) morphology in Chiari I malformation without syringomyelia (also called syrinx) (CMI-only) is different from that in Chiari I malformation with syrinx (CMI-S). METHODS: Nineteen CMI patients without syrinx constituted the CMI-only group, whereas 48 CMI patients with syrinx were assigned to the CMI-S group. Another cohort of 40 age-matched asymptomatic adolescents was enrolled to serve as the control group...
July 2016: European Spine Journal
Alberto Prats-Galino, Miguel A Reina, Marija Mavar Haramija, Anna Puigdellivol-Sánchez, Juan A Juanes Méndez, José A De Andrés
A 3D model of lumbar structures of anesthetic interest was reconstructed from human magnetic resonance (MR) images and embedded in a Portable Document Format (PDF) file, which can be opened by freely available software and used offline. The MR images were analyzed using a specific 3D software platform for biomedical data. Models generated from manually delimited volumes of interest and selected MR images were exported to Virtual Reality Modeling Language format and were presented in a PDF document containing JavaScript-based functions...
March 2015: Clinical Anatomy
Ling-De Kong, Lin-Feng Wang, Jing-Tao Zhang, Ying-Ze Zhang, Wen-Yuan Ding, Yong Shen
BACKGROUND AND OBJECTIVE: Cervical spondylotic amyotrophy (CSA) is a relatively rare disorder. This study was conducted to elucidate the prognosis of proximal-type CSA after anterior decompressive surgery by evaluating clinical factors and imaging findings. METHODS: Anterior decompressive surgery was performed in 40 patients with proximal-type CSA between March 2000 and December 2011. Patients were classified into 2 categories based on axial T2-weighted magnetic resonance imaging (MRI) findings: "nerve root compression (NRC)", with nerve root compressed at the intervertebral foramen, and "spinal cord compression (SCC)" with spinal cord compressed at the medial or paramedial site of spinal canal...
2015: Journal of Back and Musculoskeletal Rehabilitation
Steen T K Dupont
The larvsal trunk wall of Sabatinca chalcophanes (Meyrick, 1885), representing the "sabatincoid morphotype," is described (brightfield and polarization microscopies, scanning and transmission electron microscopies). Eight sensillum types are identified, including four previously undescribed subventral and ventral kinds. The cuticle is nonsolid, the exocuticle being chambered in a honeycomb-like fashion with chamber walls apparently secreted along epidermal cells boundaries. The chamber contents open to the exterior via minute pores in the chamber roofs...
July 2014: Journal of Morphology
Armando Moreno-Sala, Raúl Ortiz-Martínez, Arturo G Valdivia, María G Torres-de-Moreno, Armando Martínez
OBJECTIVE: To determine whether neuromuscular blockade with rocuronium bromide (RB) would improve endotracheal intubation (EI) conditions in comparison with topical lidocaine hydrochloride (LH). STUDY DESIGN: Randomized prospective study. ANIMALS: Forty seven healthy cats of unspecified breed, aged 17 ± 11 months and weighing 2.8 ± 0.8 kg, undergoing elective procedures. METHODS: Anesthesia was induced with xylazine (XZ) (1...
July 2013: Veterinary Anaesthesia and Analgesia
Jaime Asael López-Valdez, Higinio Estrada-Juárez, Elsa Romelia Moreno-Verduzco, Mónica Aguinaga-Ríos
Sirenomelia is the most severe malformation complex affecting the human caudal pole, although its etiology is unclear, a primary defect of blastogenesis has been proposed. Studies consider sirenomelia as the most severe form of caudal dysgenesis, VACTERL association, or axial mesodermal dysplasia, although others still support the idea of a different pathologic entity. We report the prenatal, clinical, and pathologic features of a fetus with cleft lip and palate, microtia, cardiac, renal and intestinal malformations, radial aplasia, and sirenomelia...
April 2013: Fetal and Pediatric Pathology
Martin Jurlina, Zlatko Matulić, Ratko Prstačić, Saša Janjanin
OBJECTIVES: The superficial layer of deep cervical fascia represents a valuable material for the reconstruction of defects secondary to partial vertical laryngeal resections. However, there are drawbacks to the use of this flap, which include possible weakness and subsequent instability of the laryngeal wall. METHODS: To overcome this problem, we included platysma along with the superficial layer of deep cervical fascia to form a composite soft tissue flap that will meet all reconstructive needs following partial vertical laryngeal resection...
September 2011: Laryngoscope
B Blondel, T Adetchessi, G Pech-Gourg, P Métellus, H Dufour, S Fuentes
OBJECTIVES: To assess a surgical technique and the postoperative outcomes of a consecutive series of 22 patients treated for degenerative lumbar spondylolisthesis (DLS) through a minimally invasive unilateral approach associating interbody fusion and percutaneous osteosynthesis. PATIENTS AND METHODS: Twenty-two patients were included in this study, with a mean age of 60 years (range, 35-77 years). All had low-grade single-level DLS. In all cases, the technique included a posterior unilateral paramedial approach through a tubular retractor that decompressed the vertebral canal and transforaminal intervertebral cage arthrodesis...
October 2011: Orthopaedics & Traumatology, Surgery & Research: OTSR
Hanno Steinke, Toshiyuki Saito, Gudrun Herrmann, Takayoshi Miyaki, Niels Hammer, Mara Sandrock, Masahiro Itoh, Katharina Spanel-Borowski
Gross dissection for demonstrating anatomy of the human pelvis has traditionally involved one of two approaches, each with advantages and disadvantages. Classic hemisection in the median plane through the pelvic ring transects the visceral organs but maintains two symmetric pelvic halves. An alternative paramedial transection compromises one side of the bony pelvis but leaves the internal organs intact. The authors propose a modified technique that combines advantages of both classical dissections. This novel approach involves dividing the pubic symphysis and sacrum in the median plane after shifting all internal organs to one side...
September 2010: Anatomical Sciences Education
Cássio Jerônimo Machado de Barros, Abrão Rapoport, Josias de Andrade Sobrinho, Rogério Aparecido Dedivitis, Eduardo Halfen Grill
The gastric bypass is a good option in the therapy of morbid obesity. Nevertheless, it must be considered the rare condition as occurred in a patient with previous abdominal surgery with Situs Inversus Totalis. A 24 year-old male patient with body mass index of 40 Kg/ m(2), multiple dietary failures, and arterial hypertension as co-morbidities, with a anterior paramedial right incision due to a previous appendicectomy (8 years ago).With a indication for bariatric surgery, was performed Roux-en-Y gastric bypass by laparoscopic procedure, with previous planning of Situs Inversus Totalis...
April 2010: Revista do Colégio Brasileiro de Cirurgiões
Tanja Ketola-Kinnula, Riitta Suuronen, Risto Kontio, Pekka Laine, Christian Lindqvist
PURPOSE: The use of bioabsorbable self-reinforced poly(L/DL)lactide 70/30 (SR-PLDLA) miniplates and screws could offer many benefits compared with conventional metallic devices for fixation of access osteotomies in oral cancer surgery. The material neither interferes with imaging nor with postoperative radiotherapy. The plates and screws do not need to be removed. The number of operations can be diminished and rehabilitation with dental implants shortened. The purpose of the present study was to report our experience with bioabsorbable osteosynthesis in the fixation of access osteotomies of the mandible...
August 2010: Journal of Oral and Maxillofacial Surgery
María Soledad Boleas-Aguirre, François Chiron
Ocular tilt reaction (OTR) includes skew deviation, eye torsion and head tilt. It is usually accompanied by a tilt in the subjective visual vertical. OTR seems to reflect an otolithic dysfunction. This case report shows an OTR of central origin as a result of simultaneous paramedial thalamic and mesencephalon rostral infarcts.
November 2009: Acta Otorrinolaringológica Española
Kenzo Uchida, Hideaki Nakajima, Takafumi Yayama, Ryuichiro Sato, Shigeru Kobayashi, Yasuo Kokubo, Erisa S Mwaka, Hisatoshi Baba
OBJECT: The aims of this study were to review the clinicoradiological findings in patients who underwent decompressive surgery for proximal and distal types of muscle atrophy caused by cervical spondylosis and to discuss the outcome and techniques of surgical intervention. METHODS: Fifty-one patients (43 men and 8 women) with proximal (37, with arm drop) and distal muscle atrophy (14, with wrist drop) underwent cervical decompression (39 anterior decompressions and 12 open-door C3-7 laminoplasties with microsurgical foraminotomy) for muscle weakness in the upper extremities...
September 2009: Journal of Neurosurgery. Spine
José Francisco Nunes Pereira das Neves, Giovani Alves Monteiro, João Rosa de Almeida, Ademir Brun, Nivaldo Cazarin, Roberto Silva Sant'Anna, Evandro Soldate Duarte
BACKGROUND AND OBJECTIVES: Bupivacaine preparations, plain or with glucose, are frequently used in the clinical practice. Blockade upper level is determined by local anesthetic spread in the CSF. This study aimed at comparing isobaric and hyperbaric bupivacaine in patients submitted to spinal anesthesia for Cesarean section. METHODS: In this prospective, randomized and double-blind study 60 patients submitted to spinal anesthesia for Cesarean section were distributed in two groups: IB - (0...
September 2003: Revista Brasileira de Anestesiologia
Adad Baranto, Mats Börjesson, Barbro Danielsson, Mikael Hellström, Leif Swärd
STUDY DESIGN: Case report. OBJECTIVE: An unusual and previously not reported case of upper thoracic disc herniation combined with acute chest pain, is presented. SUMMARY OF BACKGROUND DATA: Disc herniation in the thoracic spine is rare. There are only a few cases of thoracic disc herniation in top athletes presented in the literature. The clinical presentation of a thoracic disc herniation can vary widely depending on its location and morphologic characteristics...
May 1, 2009: Spine
Jarosław Luczaj, Bozena Kosztyła-Hojna, Ryszard Rutkowski, Marek Rogowski
UNLABELLED: Vocal cord paralysis, a complication after strumectomy, affects about 1% of treated patients. Patients with unilateral paralysis are usually treated with foniatric and conservative therapy. Bilateral vocal cord paralysis with the paramedial placement of vocal folds usually requires surgical treatment. Trachoetomy is often done because of dyspnoe. The surgical procedures widening of glottis are performed in case no improvement after conservative therapy. MATERIAL AND METHOD: In 1989 Denis and Kashima first described the method of CO2 laser posterior cordectomy This method seems to be an effective and reliable surgical procedure...
May 2008: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
A I Gaĭvoronskiĭ
Cranioscopic and craniometric characteristics of posterior cranial fossa and correlations between them were studied using 127 skulls with different cranial shape (dolicho-, meso- and brachicraniums). It was found that most of the craniometric characteristics were independent on gender and shape of the skull, while each characteristic had some individual peculiarities. Endovideomonitoring was used to assess the optimality of suboccipital paramedial and retrosigmoid approaches to posterior cranial fossa using 20 heads of the corpses belonging to adult individuals...
2007: Morfologi︠a︡
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