The Relationship of the Fronto-Temporal Branches of The
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Middle Cranial Fossa Sphenoidal Region Dural Arteriovenous Fistulas: Anatomic and Treatment Considerations
ORIGINAL RESEARCH INTERVENTIONAL Middle Cranial Fossa Sphenoidal Region Dural Arteriovenous Fistulas: Anatomic and Treatment Considerations Z.-S. Shi, J. Ziegler, L. Feng, N.R. Gonzalez, S. Tateshima, R. Jahan, N.A. Martin, F. Vin˜uela, and G.R. Duckwiler ABSTRACT BACKGROUND AND PURPOSE: DAVFs rarely involve the sphenoid wings and middle cranial fossa. We characterize the angiographic findings, treatment, and outcome of DAVFs within the sphenoid wings. MATERIALS AND METHODS: We reviewed the clinical and radiologic data of 11 patients with DAVFs within the sphenoid wing that were treated with an endovascular or with a combined endovascular and surgical approach. RESULTS: Nine patients presented with ocular symptoms and 1 patient had a temporal parenchymal hematoma. Angiograms showed that 5 DAVFs were located on the lesser wing of sphenoid bone, whereas the other 6 were on the greater wing of the sphenoid bone. Multiple branches of the ICA and ECA supplied the lesions in 7 patients. Four patients had cortical venous reflux and 7 patients had varices. Eight patients were treated with transarterial embolization using liquid embolic agents, while 3 patients were treated with transvenous embo- lization with coils or in combination with Onyx. Surgical disconnection of the cortical veins was performed in 2 patients with incompletely occluded DAVFs. Anatomic cure was achieved in all patients. Eight patients had angiographic and clinical follow-up and none had recurrence of their lesions. CONCLUSIONS: DAVFs may occur within the dura of the sphenoid wings and may often have a presentation similar to cavernous sinus DAVFs, but because of potential associations with the cerebral venous system, may pose a risk for intracranial hemorrhage. -
Questions on Human Anatomy
Standard Medical Text-books. ROBERTS’ PRACTICE OF MEDICINE. The Theory and Practice of Medicine. By Frederick T. Roberts, m.d. Third edi- tion. Octavo. Price, cloth, $6.00; leather, $7.00 Recommended at University of Pennsylvania. Long Island College Hospital, Yale and Harvard Colleges, Bishop’s College, Montreal; Uni- versity of Michigan, and over twenty other medical schools. MEIGS & PEPPER ON CHILDREN. A Practical Treatise on Diseases of Children. By J. Forsyth Meigs, m.d., and William Pepper, m.d. 7th edition. 8vo. Price, cloth, $6.00; leather, $7.00 Recommended at thirty-five of the principal medical colleges in the United States, including Bellevue Hospital, New York, University of Pennsylvania, and Long Island College Hospital. BIDDLE’S MATERIA MEDICA. Materia Medica, for the Use of Students and Physicians. By the late Prof. John B Biddle, m.d., Professor of Materia Medica in Jefferson Medical College, Phila- delphia. The Eighth edition. Octavo. Price, cloth, $4.00 Recommended in colleges in all parts of the UnitedStates. BYFORD ON WOMEN. The Diseases and Accidents Incident to Women. By Wm. H. Byford, m.d., Professor of Obstetrics and Diseases of Women and Children in the Chicago Medical College. Third edition, revised. 164 illus. Price, cloth, $5.00; leather, $6.00 “ Being particularly of use where questions of etiology and general treatment are concerned.”—American Journal of Obstetrics. CAZEAUX’S GREAT WORK ON OBSTETRICS. A practical Text-book on Midwifery. The most complete book now before the profession. Sixth edition, illus. Price, cloth, $6.00 ; leather, $7.00 Recommended at nearly fifty medical schools in the United States. -
CME Anatomy of Aging Face
Published online: 2020-01-15 Free full text on www.ijps.org CME Anatomy of aging face Rakesh Khazanchi, Aditya Aggarwal, Manoj Johar1 Department of Plastic and Cosmetic Surgery, Sir Ganga Ram Hospital, New Delhi - 110 060, 1Fortis Hospital, Noida, UP, India Address for correspondence: Dr. Rakesh Khazanchi, Department of Plastic and Cosmetic Surgery, Sir Ganga Ram Hospital, New Delhi - 110 060, India. E-mail: [email protected] ejuvenation of the face is evolving into a common deposition in regions of body called ‘depots’ procedure in India. This may be attempted by f) Fascial and ligament laxity Reither surgical or non surgical means. Surgical g) Shrinkage of glandular tissue (Salivary glands) rejuvenation of face includes a large variety of procedures h) Skeletal resorption to revert the changes of aging. In the past, face lift operation was done to simply lift the sagging skin rather Facial soft tissues are arranged in concentric layers. than shaping the face. However it often ended up in Skin is the outermost layer and then the basic building giving the patient an ‘operated on’ look producing tight blocks-fat, superficial fascia also known as superficial appearing face. The surgeons have now learnt that aging musculoaponeurotic system (SMAS), deep fascia and the process is a complex process that involves soft tissues as periosteum that covers the facial skeleton. Interspersed well as skeleton of face and is not just sagging of skin. in these layers are vessels, nerves, facial muscles and Therefore in order to get a good result after surgical retaining ligaments. Knowledge of these layers allows facial rejuvenation, it is paramount to understand these the surgeon to dissect in a given anatomic plane without anatomical structures and the effect of aging process on damaging important structures. -
Head & Neck Muscle Table
Robert Frysztak, PhD. Structure of the Human Body Loyola University Chicago Stritch School of Medicine HEAD‐NECK MUSCLE TABLE PROXIMAL ATTACHMENT DISTAL ATTACHMENT MUSCLE INNERVATION MAIN ACTIONS BLOOD SUPPLY MUSCLE GROUP (ORIGIN) (INSERTION) Anterior floor of orbit lateral to Oculomotor nerve (CN III), inferior Abducts, elevates, and laterally Inferior oblique Lateral sclera deep to lateral rectus Ophthalmic artery Extra‐ocular nasolacrimal canal division rotates eyeball Inferior aspect of eyeball, posterior to Oculomotor nerve (CN III), inferior Depresses, adducts, and laterally Inferior rectus Common tendinous ring Ophthalmic artery Extra‐ocular corneoscleral junction division rotates eyeball Lateral aspect of eyeball, posterior to Lateral rectus Common tendinous ring Abducent nerve (CN VI) Abducts eyeball Ophthalmic artery Extra‐ocular corneoscleral junction Medial aspect of eyeball, posterior to Oculomotor nerve (CN III), inferior Medial rectus Common tendinous ring Adducts eyeball Ophthalmic artery Extra‐ocular corneoscleral junction division Passes through trochlea, attaches to Body of sphenoid (above optic foramen), Abducts, depresses, and medially Superior oblique superior sclera between superior and Trochlear nerve (CN IV) Ophthalmic artery Extra‐ocular medial to origin of superior rectus rotates eyeball lateral recti Superior aspect of eyeball, posterior to Oculomotor nerve (CN III), superior Elevates, adducts, and medially Superior rectus Common tendinous ring Ophthalmic artery Extra‐ocular the corneoscleral junction division -
Atlas of the Facial Nerve and Related Structures
Rhoton Yoshioka Atlas of the Facial Nerve Unique Atlas Opens Window and Related Structures Into Facial Nerve Anatomy… Atlas of the Facial Nerve and Related Structures and Related Nerve Facial of the Atlas “His meticulous methods of anatomical dissection and microsurgical techniques helped transform the primitive specialty of neurosurgery into the magnificent surgical discipline that it is today.”— Nobutaka Yoshioka American Association of Neurological Surgeons. Albert L. Rhoton, Jr. Nobutaka Yoshioka, MD, PhD and Albert L. Rhoton, Jr., MD have created an anatomical atlas of astounding precision. An unparalleled teaching tool, this atlas opens a unique window into the anatomical intricacies of complex facial nerves and related structures. An internationally renowned author, educator, brain anatomist, and neurosurgeon, Dr. Rhoton is regarded by colleagues as one of the fathers of modern microscopic neurosurgery. Dr. Yoshioka, an esteemed craniofacial reconstructive surgeon in Japan, mastered this precise dissection technique while undertaking a fellowship at Dr. Rhoton’s microanatomy lab, writing in the preface that within such precision images lies potential for surgical innovation. Special Features • Exquisite color photographs, prepared from carefully dissected latex injected cadavers, reveal anatomy layer by layer with remarkable detail and clarity • An added highlight, 3-D versions of these extraordinary images, are available online in the Thieme MediaCenter • Major sections include intracranial region and skull, upper facial and midfacial region, and lower facial and posterolateral neck region Organized by region, each layered dissection elucidates specific nerves and structures with pinpoint accuracy, providing the clinician with in-depth anatomical insights. Precise clinical explanations accompany each photograph. In tandem, the images and text provide an excellent foundation for understanding the nerves and structures impacted by neurosurgical-related pathologies as well as other conditions and injuries. -
Temporal Branch of the Facial Nerve and Its Relationship to Fascial Layers
ORIGINAL ARTICLE Temporal Branch of the Facial Nerve and Its Relationship to Fascial Layers Seda T. Babakurban, MD; Ozcan Cakmak, MD; Simel Kendir, MD; Alaittin Elhan, PhD, MD; Vito C. Quatela, MD Objectives: To eliminate the inconsistency in the no- 3 (14.3%), and 4 (14.3%) twigs in the specimens. The menclature, to anatomically and definitively describe the temporoparietal fascia had no attachment to the zygo- topographic relationship of the temporal branch of the matic arch and continued caudally as the superficial mus- facial nerve to the fascial layers and the fat pads, and to culoaponeurotic system. Adhesions were between the tem- create an effective algorithm to define the safest ap- poroparietal fascia and the superficial layer of the deep proaches and planes for surgical procedures in this area. temporal fascia around the zygomatic arch. In most speci- mens, the superficial layer of the deep temporal fascia con- Methods: The study was performed using 18 hemifa- tinued as the parotideomasseterica fascia, and a deep layer cial cadaveric specimens. In 12 hemifacial specimens, the abutted the posterosuperior edge of the zygomatic arch. facial halves were coronally sectioned and dissected. In 6 hemifacial specimens, planar dissection was per- Conclusion: An easy and safe surgical approach in this formed layer by layer. area is to elevate the superficial layer deep to the inter- mediate fat pad directly on the deep layer of the deep tem- Results: The temporal branch of the facial nerve that tra- poral fascia descending to the periosteum along the zy- versed inside the deep layers of the temporoparietal fas- gomatic arch. -
The Human Central Nervous System
The Human Central Nervous System A Synopsis and Atlas Bearbeitet von Rudolf Nieuwenhuys, Jan Voogd, Christiaan van Huijzen 4th ed. 2007. Buch. xiv, 967 S. Hardcover ISBN 978 3 540 34684 5 Format (B x L): 20,3 x 27,6 cm Weitere Fachgebiete > Psychologie > Allgemeine Psychologie / Grundlagenfächer > Biologische Psychologie, Neuropsychologie, Psychophysiologie Zu Inhaltsverzeichnis schnell und portofrei erhältlich bei Die Online-Fachbuchhandlung beck-shop.de ist spezialisiert auf Fachbücher, insbesondere Recht, Steuern und Wirtschaft. Im Sortiment finden Sie alle Medien (Bücher, Zeitschriften, CDs, eBooks, etc.) aller Verlage. Ergänzt wird das Programm durch Services wie Neuerscheinungsdienst oder Zusammenstellungen von Büchern zu Sonderpreisen. Der Shop führt mehr als 8 Millionen Produkte. 4 Blood Supply, Meninges and Cerebrospinal Fluid Circulation Introduction......................... 95 through the arachnoid villi to the venous sys- ArteriesoftheBrain................... 95 tem. The nervous tissue of the central nervous Meninges, Cisterns system and the CSF spaces remain segregated and Cerebrospinal Fluid Circulation ........110 from the rest of the body by barrier layers in Circumventricular Organs ................126 the meninges (the barrier layer of the arach- Veins of the Brain .....................126 noid), the choroid plexus (the blood-CSF bar- Vessels and Meninges of the Spinal Cord .....128 rier) and the capillaries (the blood-brain bar- rier). The circulation of the CSF plays an impor- tant role in maintaining the environment of the nervous tissue; moreover, the subarachnoidal space forms a bed that absorbs external shocks. Introduction The vascularization and the circulation of the Arteries of the Brain cerebrospinal fluid (liquor cerebrospinalis, CSF) of the brain and the spinal cord are of great clinical importance. -
The Role of the “C-Line” in Obtaining a Permanent Brow Elevation
My Practice To Yours The Role of the “C-line” in Obtaining a Permanent Brow Elevation any different aspects of the techniques used for tion the lateral portion of brow lifting have been explored. I have not been the eyebrow but will often fully satisfied, however, by the long-term results lift the medial brow to give M Downloaded from https://academic.oup.com/asj/article/19/2/148/227917 by guest on 23 September 2021 obtained by the forehead lift through either the open the “surprised look” technique or the endoscopic technique as it has been pre- because of inadequate eleva- viously described. After reviewing the functional anato- tion of the lateral brow. my of the area and the effectiveness of the successful surgical maneuvers,1-5 I have reached several conclusions. The temporal crest is the site of convergence of the super- A brief review of the anatomy reveals the location of the ficial temporal fascia and Adrien E. Aiache, MD, Beverly 6-10 Hills, CA, is a board-certified retaining structures in the lateral eyebrow region. the deep temporal fascia or plastic surgeon and an ASAPS These structures prevent the full elevation of the lateral temporal fascia proper. member. aspect of the brow whereas the medial brow elevation is These fasciae enclose the satisfactory. The localized and limited technique temporalis muscle with the periosteum below it. Medially described as “forehead lift” does not take into considera- the fascial elements enclosing the frontalis muscle are the fascia superiorly and the frontal muscle fascia and the periosteum inferiorly. These convergences create the so- called “line of fusion.” Its release and elevation are neces- sary to obtain a proper lifting. -
The Deep Structures of the Face
Thomas Jefferson University Jefferson Digital Commons Regional anatomy McClellan, George 1896 Vol. 1 Jefferson Medical Books and Notebooks November 2009 The Deep Structures of the Face Follow this and additional works at: https://jdc.jefferson.edu/regional_anatomy Part of the History of Science, Technology, and Medicine Commons Let us know how access to this document benefits ouy Recommended Citation "The Deep Structures of the Face" (2009). Regional anatomy McClellan, George 1896 Vol. 1. Paper 8. https://jdc.jefferson.edu/regional_anatomy/8 This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in Regional anatomy McClellan, George 1896 Vol. 1 by an authorized administrator of the Jefferson Digital Commons. For more information, please contact: [email protected]. 136 THE DEEP STRUOTURES OF THE FAOE. in to the back part of the cavity; and the internal carotid ar tery and intern al jugular vein, with the hypoglossal, glosso-pharyngeal, and pneu mogastric nerves, were at the bottom of the wound, covered by a thin layer of fascia. THE DEEP STRUOTURES OF THE FAOE. The deep structures of the face, included in the pterygo-maxillary and superior maxillary regions, are of great surgical interest, owing to the importance of their relations and connections. -
Genigraphics Research Poster Template 44X30
Harvesting the Middle Temporal Artery for Bypass: Microanatomical Description and Surgical Technique Roberto Rodriguez Rubio, MD1,2; Halima Tabani, MD1,2; Michael T Lawton, MD1,2; Sonia Yousef BS1,2; Olivia Kola1,2; Arnau Benet, MD1,2 1Department of Neurological Surgery, University of California, San Francisco 2Skull Base and Cerebrovascular Laboratory, University of California, San Francisco Objective Discussion To present a novel isolation technique of the MTA using a conventional This is the first microanatomical and morphometric study of the curvilinear incision for an anterolateral approach, and to evaluate its neurosurgical exposure of the MTA. Although previous clinical studies morphological characteristics with the aim of using it in cerebrovascular have demonstrated the use of an MTA-based flap for reconstruction of bypass surgery. the surgical cavity post-mastoidectomy2 and in otological procedures,3 there is no common nomenclature for its branches or anatomical landmarks related to its particular orientation. Background The potential of MTA as a donor for cerebral revascularization has not The middle temporal artery (MTA) is the proximal medial branch of the been explored. The medial disposition and relatively hidden position superficial temporal artery (STA). MTA supplies the temporalis muscle between the temporalis muscle and fascia could lead to unnoticed along with the deep temporal arteries. Its use in vascularized flaps for damage during temporalis muscle dissection and/or reflection during reconstructive and otological procedures have been described, yet its standard anterolateral neurosurgical approaches. However, we found potential use in neurosurgery is not studied. We report a novel technique that the MTA was easy to locate and unlikely to be damaged for exposing the MTA and evaluated its characteristics for a extracranial- inadvertently during anterolateral approaches, if one keeps its location intracranial (EC-IC) cerebrovascular bypass. -
Preservation of the Nerves to the Frontalis Muscle During Pterional Craniotomy
LABORATORY INVESTIGATION J Neurosurg 122:1274–1282, 2015 Preservation of the nerves to the frontalis muscle during pterional craniotomy Tomas Poblete, MD, Xiaochun Jiang, MD, Noritaka Komune, MD, PhD, Ken Matsushima, MD, and Albert L. Rhoton Jr., MD Department of Neurological Surgery, University of Florida, Gainesville, Florida OBJECT There continues to be confusion over how best to preserve the branches of the facial nerve to the frontalis muscle when elevating a frontotemporal (pterional) scalp flap.The object of this study was to examine the full course of the branches of the facial nerve that must be preserved to maintain innervation of the frontalis muscle during elevation of a frontotemporal scalp flap. METHODS Dissection was performed to follow the temporal branches of facial nerves along their course in 5 adult, cadaveric heads (n = 10 extracranial facial nerves). RESULTS Preserving the nerves to the frontalis muscle requires an understanding of the course of the nerves in 3 areas. The first area is on the outer surface of the temporalis muscle lateral to the superior temporal line (STL) where the interfascial or subfascial approaches are applied, the second is in the area medial to the STL where subpericranial dis- section is needed, and the third is along the STL. Preserving the nerves crossing the STL requires an understanding of the complex fascial relationships at this line. It is important to preserve the nerves crossing the lateral and medial parts of the exposure, and the continuity of the nerves as they pass across the STL. Prior descriptions have focused largely on the area superficial to the temporalis muscle lateral to the STL. -
Topographic Anatomy of the Head
O. V. Korencov, G. F. Tkach TOPOGRAPHIC ANATOMY OF THE HEAD Study guide Ministry of Education and Science of Ukraine Ministry of Health of Ukraine Sumy State University O. V. Korencov, G. F. Tkach TOPOGRAPHIC ANATOMY OF THE HEAD Study guide Recommended by Academic Council of Sumy State University Sumy Sumy State University 2016 УДК 611.91(075.3) ББК 54.54я73 K66 Reviewers: L. V. Phomina – Doctor of Medical Sciences, Professor of Vinnytsia National Medical University named after M. I. Pirogov; M. V. Pogorelov – Doctor of Medical Sciences, Professor of Sumy State University Recommended for publication by Academic Council of Sumy State University as а study guide (minutes № 5 of 11.02.2016) Korencov O. V. K66 Topographic anatomy of the head : study guide / O. V. Korencov, G. F. Tkach. – Sumy : Sumy State University, 2016. – 81 р. ISBN 978-966-657-607-4 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 611.91(075.3) ББК 54.54я73 © Korencov O. V., Tkach G. F., 2016 ISBN 978-966-657-607-4 © Sumy State University, 2016 TOPOGRAPHIC ANATOMY OF THE HEAD The head is subdivided into two following departments: the brain and facialohes. They are shared by line from the glabella to the supraorbital edge along the zygomatic arch to the outer ear canal. The brain part consists of fornix and base of the skull. The fornix is divided into fronto- parieto-occipital region, paired temporal and mastoid area.