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Autologous Unilateral Breast Reconstruction with Venous Supercharged IMAP-Flaps: a Step by Step Guide of the Split Breast Technique
Journal of Clinical Medicine Article Autologous Unilateral Breast Reconstruction with Venous Supercharged IMAP-Flaps: A Step by Step Guide of the Split Breast Technique , Kathrin Bachleitner * y, Laurenz Weitgasser y, Amro Amr and Thomas Schoeller Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart, 70199 Stuttgart, Germany; [email protected] (L.W.); [email protected] (A.A.); [email protected] (T.S.) * Correspondence: [email protected]; Tel.: +49-711-6489-7202 Both authors contributed equally to this work. y Received: 13 August 2020; Accepted: 18 September 2020; Published: 20 September 2020 Abstract: Various techniques for breast reconstruction ranging from reconstruction with implants to free tissue transfer, with the disadvantage of either carrying a foreign body or dealing with donor site morbidity, have been described. In patients who had a unilateral mastectomy and offer a contralateral mamma hypertrophy a breast reconstruction can be performed with the excess tissue from the hypertrophic side using the split breast technique. Here a local internal mammary artery perforator (IMAP) flap of the hypertrophic breast can be used for reconstruction avoiding the downsides of implants or a microsurgical reconstruction and simultaneously reducing the enlarged donor breast in order to achieve symmetry. Methods: Between April 2010 and February 2019 the split breast technique was performed in five patients after mastectomy due to breast cancer. Operating time, length of stay, complications and the need for secondary operations were analyzed and the surgical technique including flap supercharging were described in detail. Results: All five IMAP-flaps survived and an aesthetically pleasant result could be achieved using the split breast technique. -
Morfofunctional Structure of the Skull
N.L. Svintsytska V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 Ministry of Public Health of Ukraine Public Institution «Central Methodological Office for Higher Medical Education of MPH of Ukraine» Higher State Educational Establishment of Ukraine «Ukranian Medical Stomatological Academy» N.L. Svintsytska, V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 2 LBC 28.706 UDC 611.714/716 S 24 «Recommended by the Ministry of Health of Ukraine as textbook for English- speaking students of higher educational institutions of the MPH of Ukraine» (minutes of the meeting of the Commission for the organization of training and methodical literature for the persons enrolled in higher medical (pharmaceutical) educational establishments of postgraduate education MPH of Ukraine, from 02.06.2016 №2). Letter of the MPH of Ukraine of 11.07.2016 № 08.01-30/17321 Composed by: N.L. Svintsytska, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor V.H. Hryn, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor This textbook is intended for undergraduate, postgraduate students and continuing education of health care professionals in a variety of clinical disciplines (medicine, pediatrics, dentistry) as it includes the basic concepts of human anatomy of the skull in adults and newborns. Rewiewed by: O.M. Slobodian, Head of the Department of Anatomy, Topographic Anatomy and Operative Surgery of Higher State Educational Establishment of Ukraine «Bukovinian State Medical University», Doctor of Medical Sciences, Professor M.V. -
Incidence, Number and Topography of Wormian Bones in Greek Adult Dry Skulls K
CORE Metadata, citation and similar papers at core.ac.uk Provided by Via Medica Journals Folia Morphol. Vol. 78, No. 2, pp. 359–370 DOI: 10.5603/FM.a2018.0078 O R I G I N A L A R T I C L E Copyright © 2019 Via Medica ISSN 0015–5659 journals.viamedica.pl Incidence, number and topography of Wormian bones in Greek adult dry skulls K. Natsis1, M. Piagkou2, N. Lazaridis1, N. Anastasopoulos1, G. Nousios1, G. Piagkos2, M. Loukas3 1Department of Anatomy, Faculty of Health and Sciences, Medical School, Aristotle University of Thessaloniki, Greece 2Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Greece 3Department of Anatomical Sciences, School of Medicine, St. George’s University, Grenada, West Indies [Received: 19 January 2018; Accepted: 7 March 2018] Background: Wormian bones (WBs) are irregularly shaped bones formed from independent ossification centres found along cranial sutures and fontanelles. Their incidence varies among different populations and they constitute an anthropo- logical marker. Precise mechanism of formation is unknown and being under the control of genetic background and environmental factors. The aim of the current study is to investigate the incidence of WBs presence, number and topographical distribution according to gender and side in Greek adult dry skulls. Materials and methods: All sutures and fontanelles of 166 Greek adult dry skulls were examined for the presence, topography and number of WBs. One hundred and nineteen intact and 47 horizontally craniotomised skulls were examined for WBs presence on either side of the cranium, both exocranially and intracranially. Results: One hundred and twenty-four (74.7%) skulls had WBs. -
Development and Teratology of Cardiovascular and Lymphatic Systems
Development and teratology of cardiovascular and lymphatic systems Repetition: Muscle tissue Beginning of the cardiovascular system development – the 3rd week: Hemangiogenesis (day 15 – 16) – blood islets (insulae sanguinae) in extraembryonic mesoderm and splanchnic mesenchyme of embryo Clusters of mesenchyme cells (angiogenic cells) differentiate into: - angioblasts endothelium (at the periphery of blood islets) - hemoblasts primitive erythrocytes (in the center of blood islets) Clusters of angiogenic cells form a "horseshoe-shaped" space between somatic and splanchnic layer of mesoderm = pericardial cavity. Two endothelial tubes arrise in splanchnic mesoderm. The ventral portion of these tubes forms the cardiogenic area with two heart tubes, while the lateral portions form the dorsal aortae. Germ disc: prosencephalon mesencephalon eye rhombencephalon heart lateral mesoderm somites small blood vessels blood islands 8,9 Spine primitive streak Initially, the cardiogenic area is located anterior to the prechordal plate and the neural plate. The growth of the central nervous system pulls the cardiogenic area and prechordal plate (buccopharyngeal membrane ventrally and caudally ( ). Cardiogenic region just cranial to the prechordal plate. The canalization of cardiogenic clusters in the splanchnic mesoderm results in the formation of the paired heart tubes. Folding of embryo and primitive gut separation from yolk sac. Fusion of the heart tubes a single heart tube is, temporarily attached to the dorsal side of the pericardial cavity by the -
Ministry of Education and Science of Ukraine Sumy State University 0
Ministry of Education and Science of Ukraine Sumy State University 0 Ministry of Education and Science of Ukraine Sumy State University SPLANCHNOLOGY, CARDIOVASCULAR AND IMMUNE SYSTEMS STUDY GUIDE Recommended by the Academic Council of Sumy State University Sumy Sumy State University 2016 1 УДК 611.1/.6+612.1+612.017.1](072) ББК 28.863.5я73 С72 Composite authors: V. I. Bumeister, Doctor of Biological Sciences, Professor; L. G. Sulim, Senior Lecturer; O. O. Prykhodko, Candidate of Medical Sciences, Assistant; O. S. Yarmolenko, Candidate of Medical Sciences, Assistant Reviewers: I. L. Kolisnyk – Associate Professor Ph. D., Kharkiv National Medical University; M. V. Pogorelov – Doctor of Medical Sciences, Sumy State University Recommended for publication by Academic Council of Sumy State University as а study guide (minutes № 5 of 10.11.2016) Splanchnology Cardiovascular and Immune Systems : study guide / С72 V. I. Bumeister, L. G. Sulim, O. O. Prykhodko, O. S. Yarmolenko. – Sumy : Sumy State University, 2016. – 253 p. This manual is intended for the students of medical higher educational institutions of IV accreditation level who study Human Anatomy in the English language. Посібник рекомендований для студентів вищих медичних навчальних закладів IV рівня акредитації, які вивчають анатомію людини англійською мовою. УДК 611.1/.6+612.1+612.017.1](072) ББК 28.863.5я73 © Bumeister V. I., Sulim L G., Prykhodko О. O., Yarmolenko O. S., 2016 © Sumy State University, 2016 2 Hippocratic Oath «Ὄμνυμι Ἀπόλλωνα ἰητρὸν, καὶ Ἀσκληπιὸν, καὶ Ὑγείαν, καὶ Πανάκειαν, καὶ θεοὺς πάντας τε καὶ πάσας, ἵστορας ποιεύμενος, ἐπιτελέα ποιήσειν κατὰ δύναμιν καὶ κρίσιν ἐμὴν ὅρκον τόνδε καὶ ξυγγραφὴν τήνδε. -
Mechanical Characterization of the Hard Palate
MECHANICAL CHARACTERIZATION OF THE HARD PALATE By JENNIFER LANE HOTZMAN A DISSERTATION PRESENTED TO THE GRADUATE SCHOOL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY UNIVERSITY OF FLORIDA 2010 1 © 2010 Jennifer Lane Hotzman 2 To my family and friends 3 ACKNOWLEDGMENTS Many individuals have contributed to the success of my dissertation. First, I would like to thank my advisor, Dr. David Daegling, for all of his assistance throughout this entire experience. I would have never been able to complete this undertaking without all of his patience and guidance. I would also like to thank my parents who were unfailing in their support of my dream to accomplish this goal. I give general thanks to Kaki York and Chris Ward who helped answer questions regarding statistics throughout the entire process. There are also specific individuals and organizations I would like to thank for providing help with particular portions of my project. Dr. Gerald Bourne assited with granting access to both the nanoindenter and microindenter. The nanoindentater is in the Major Analytical Instrumentation Center, Department of Materials Science and Engineering, University of Florida. I would like to thank Dr. Andrew Rapoff for providing guidance on how to best prepare the specimens for indentation. Laurel Freas assisted with the initial sawing of the palate that was completed in order to prepare the specimens for indentation. SCANCO USA, Inc. conducted the micro-computed tomography scanning of the macaque skull. I would like to thank Dr. Rasheesh Kapadia for coordinating the scanning and providing the data to me. -
SŁOWNIK ANATOMICZNY (ANGIELSKO–Łacinsłownik Anatomiczny (Angielsko-Łacińsko-Polski)´ SKO–POLSKI)
ANATOMY WORDS (ENGLISH–LATIN–POLISH) SŁOWNIK ANATOMICZNY (ANGIELSKO–ŁACINSłownik anatomiczny (angielsko-łacińsko-polski)´ SKO–POLSKI) English – Je˛zyk angielski Latin – Łacina Polish – Je˛zyk polski Arteries – Te˛tnice accessory obturator artery arteria obturatoria accessoria tętnica zasłonowa dodatkowa acetabular branch ramus acetabularis gałąź panewkowa anterior basal segmental artery arteria segmentalis basalis anterior pulmonis tętnica segmentowa podstawna przednia (dextri et sinistri) płuca (prawego i lewego) anterior cecal artery arteria caecalis anterior tętnica kątnicza przednia anterior cerebral artery arteria cerebri anterior tętnica przednia mózgu anterior choroidal artery arteria choroidea anterior tętnica naczyniówkowa przednia anterior ciliary arteries arteriae ciliares anteriores tętnice rzęskowe przednie anterior circumflex humeral artery arteria circumflexa humeri anterior tętnica okalająca ramię przednia anterior communicating artery arteria communicans anterior tętnica łącząca przednia anterior conjunctival artery arteria conjunctivalis anterior tętnica spojówkowa przednia anterior ethmoidal artery arteria ethmoidalis anterior tętnica sitowa przednia anterior inferior cerebellar artery arteria anterior inferior cerebelli tętnica dolna przednia móżdżku anterior interosseous artery arteria interossea anterior tętnica międzykostna przednia anterior labial branches of deep external rami labiales anteriores arteriae pudendae gałęzie wargowe przednie tętnicy sromowej pudendal artery externae profundae zewnętrznej głębokiej -
A 3D Stereotactic Atlas of the Adult Human Skull Base Wieslaw L
Nowinski and Thaung Brain Inf. (2018) 5:1 https://doi.org/10.1186/s40708-018-0082-1 Brain Informatics ORIGINAL RESEARCH Open Access A 3D stereotactic atlas of the adult human skull base Wieslaw L. Nowinski1,2* and Thant S. L. Thaung3 Abstract Background: The skull base region is anatomically complex and poses surgical challenges. Although many textbooks describe this region illustrated well with drawings, scans and photographs, a complete, 3D, electronic, interactive, real- istic, fully segmented and labeled, and stereotactic atlas of the skull base has not yet been built. Our goal is to create a 3D electronic atlas of the adult human skull base along with interactive tools for structure manipulation, exploration, and quantifcation. Methods: Multiple in vivo 3/7 T MRI and high-resolution CT scans of the same normal, male head specimen have been acquired. From the scans, by employing dedicated tools and modeling techniques, 3D digital virtual models of the skull, brain, cranial nerves, intra- and extracranial vasculature have earlier been constructed. Integrating these models and developing a browser with dedicated interaction, the skull base atlas has been built. Results: This is the frst, to our best knowledge, truly 3D atlas of the adult human skull base that has been created, which includes a fully parcellated and labeled brain, skull, cranial nerves, and intra- and extracranial vasculature. Conclusion: This atlas is a useful aid in understanding and teaching spatial relationships of the skull base anatomy, a helpful tool to generate teaching materials, and a component of any skull base surgical simulator. Keywords: Skull base, Electronic atlas, Digital models, Skull, Brain, Stereotactic atlas 1 Introduction carotid arteries, among others. -
Concerning Blood Supply of the Body Wall Cairns Base Hospital
Cairns Base Hospital Emergency Department Part 1 FACEM MCQs 1 Concerning blood supply of the body wall A Venous drainage follows the arteries B Anterior structures are supplied by the intercostal arteries C The thoracoepigastric vein joins the superior and inferior epigastric veins D the thoracoepigastric vein becomes prominent in inferior vena cava obstruction E The caput Medusae is commonly found in normal individuals 2 Concerning dermatomes of the body wall A The inguinal region is supplied by no B The nipple is supplied by T6 C The umbilicus is supplied by L1 D The infraclavicular region is supplied by C2 E The supraclavicular region is supplied by C1 3 Concerning joints of the thoracic wall A The manubriosternal joint is a secondary cartilaginous joint B All midline joints are of the primary cartilaginous type C The sternoclavicular joint is a typical synovial joint D All sternocostal joints are synovial joints st E The 1 sternocostal joint is a secondary cartilaginous joint 4 Concerning the intercostal space A The neurovascular bundle lies between the external and internal intercostals muscles B The intercostal vein is typically the most superior structure in the neurovascular bundle C All intercostals spaces are supplied by posterior intercostal arteries posteriorly st D The internal thoracic artery supplies the 1 4 intercostal spaces only E Intercostal nerves have no cutaneous supply 5 Concerning the diaphragm A The central tendon is at the level of L1 B The left dome rises to the ih intercostal space in full expiration C The -
The Surgical Anatomy of the Mammary Gland. Vascularisation, Innervation, Lymphatic Drainage, the Structure of the Axillary Fossa (Part 2.)
NOWOTWORY Journal of Oncology 2021, volume 71, number 1, 62–69 DOI: 10.5603/NJO.2021.0011 © Polskie Towarzystwo Onkologiczne ISSN 0029–540X Varia www.nowotwory.edu.pl The surgical anatomy of the mammary gland. Vascularisation, innervation, lymphatic drainage, the structure of the axillary fossa (part 2.) Sławomir Cieśla1, Mateusz Wichtowski1, 2, Róża Poźniak-Balicka3, 4, Dawid Murawa1, 2 1Department of General and Oncological Surgery, K. Marcinkowski University Hospital, Zielona Gora, Poland 2Department of Surgery and Oncology, Collegium Medicum, University of Zielona Gora, Poland 3Department of Radiotherapy, K. Marcinkowski University Hospital, Zielona Gora, Poland 4Department of Urology and Oncological Urology, Collegium Medicum, University of Zielona Gora, Poland Dynamically developing oncoplasty, i.e. the application of plastic surgery methods in oncological breast surgeries, requires excellent knowledge of mammary gland anatomy. This article presents the details of arterial blood supply and venous blood outflow as well as breast innervation with a special focus on the nipple-areolar complex, and the lymphatic system with lymphatic outflow routes. Additionally, it provides an extensive description of the axillary fossa anatomy. Key words: anatomy of the mammary gland The large-scale introduction of oncoplasty to everyday on- axillary artery subclavian artery cological surgery practice of partial mammary gland resec- internal thoracic artery thoracic-acromial artery tions, partial or total breast reconstructions with the use of branches to the mammary gland the patient’s own tissue as well as an artificial material such as implants has significantly changed the paradigm of surgi- cal procedures. A thorough knowledge of mammary gland lateral thoracic artery superficial anatomy has taken on a new meaning. -
Prevention of Maxillary Collapse During Sutural Distraction Osteogenesis for Cleft Palate Closure
Prevention of Maxillary Collapse During Sutural Distraction Osteogenesis for Cleft Palate Closure Miroslav S. Gilardino, BSc, MD Department of Experimental Surgery McGill University, Montreal, Quebec, Canada A thesis submitted to McGill University in partial fulfillment of the requirements of the degree of Master' s of Science (Experimental Surgery). July 2005 ~McGill'~-' © Miroslav Sergio Gilardino, 2005 Library and Bibliothèque et 1+1 Archives Canada Archives Canada Published Heritage Direction du Branch Patrimoine de l'édition 395 Wellington Street 395, rue Wellington Ottawa ON K1A ON4 Ottawa ON K1A ON4 Canada Canada Your file Votre référence ISBN: 978-0-494-22726-8 Our file Notre référence ISBN: 978-0-494-22726-8 NOTICE: AVIS: The author has granted a non L'auteur a accordé une licence non exclusive exclusive license allowing Library permettant à la Bibliothèque et Archives and Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par télécommunication ou par l'Internet, prêter, telecommunication or on the Internet, distribuer et vendre des thèses partout dans loan, distribute and sell theses le monde, à des fins commerciales ou autres, worldwide, for commercial or non sur support microforme, papier, électronique commercial purposes, in microform, et/ou autres formats. paper, electronic and/or any other formats. The author retains copyright L'auteur conserve la propriété du droit d'auteur ownership and moral rights in et des droits moraux qui protège cette thèse. this thesis. Neither the thesis Ni la thèse ni des extraits substantiels de nor substantial extracts from it celle-ci ne doivent être imprimés ou autrement may be printed or otherwise reproduits sans son autorisation. -
A Cadaveric Study of Coronary Artery Variations
University of Nebraska Medical Center DigitalCommons@UNMC Theses & Dissertations Graduate Studies Spring 5-6-2017 A Cadaveric Study of Coronary Artery Variations Mitchell Lee Milanuk University of Nebraska Medical Center Follow this and additional works at: https://digitalcommons.unmc.edu/etd Part of the Cardiovascular System Commons Recommended Citation Milanuk, Mitchell Lee, "A Cadaveric Study of Coronary Artery Variations" (2017). Theses & Dissertations. 187. https://digitalcommons.unmc.edu/etd/187 This Thesis is brought to you for free and open access by the Graduate Studies at DigitalCommons@UNMC. It has been accepted for inclusion in Theses & Dissertations by an authorized administrator of DigitalCommons@UNMC. For more information, please contact [email protected]. A CADAVERIC STUDY OF CORONARY ARTERY VARIATIONS by Mitchell Lee Milanuk A THESIS Presented to the Faculty of the University of Nebraska Graduate College in Partial Fulfillment of the Requirements for the Degree of Master of Science Genetics, Cell Biology, and Anatomy Graduate Program Under the Supervision of Dr. Keely Cassidy University of Nebraska Medical Center Omaha, Nebraska May, 2017 Advisory Committee: Keely Cassidy, PhD. Travis McCumber, PhD. Karen Gould, PhD. Samantha Simet, PhD. Shantaram Joshi, PhD. ii Acknowledgements First and foremost, the author would like to thank his advisor, Dr. Keely Cassidy, for her guidance and assistance, as well as Dr. Karen Gould for her supervision throughout this project. He would also like to thank Syd Clausen, Jesse Boyd, and Jon VanErdwyk for their assistance in obtaining photographs of the cadaveric hearts studied. The author would like to thank and acknowledge all the UNMC GCBA teaching faculty, especially Drs.