Level I to III Craniofacial Approaches Based on Barrow Classification For
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MR Imaging of the Orbital Apex
J Korean Radiol Soc 2000;4 :26 9-0 6 1 6 MR Imaging of the Orbital Apex: An a to m y and Pat h o l o g y 1 Ho Kyu Lee, M.D., Chang Jin Kim, M.D.2, Hyosook Ahn, M.D.3, Ji Hoon Shin, M.D., Choong Gon Choi, M.D., Dae Chul Suh, M.D. The apex of the orbit is basically formed by the optic canal, the superior orbital fis- su r e , and their contents. Space-occupying lesions in this area can result in clinical d- eficits caused by compression of the optic nerve or extraocular muscles. Even vas c u l a r changes in the cavernous sinus can produce a direct mass effect and affect the orbit ap e x. When pathologic changes in this region is suspected, contrast-enhanced MR imaging with fat saturation is very useful. According to the anatomic regions from which the lesions arise, they can be classi- fied as belonging to one of five groups; lesions of the optic nerve-sheath complex, of the conal and intraconal spaces, of the extraconal space and bony orbit, of the cav- ernous sinus or diffuse. The characteristic MR findings of various orbital lesions will be described in this paper. Index words : Orbit, diseases Orbit, MR The apex of the orbit is a complex region which con- tains many nerves, vessels, soft tissues, and bony struc- Anatomy of the orbital apex tures such as the superior orbital fissure and the optic canal (1-3), and is likely to be involved in various dis- The orbital apex region consists of the optic nerve- eases (3). -
Gross Anatomy Assignment Name: Olorunfemi Peace Toluwalase Matric No: 17/Mhs01/257 Dept: Mbbs Course: Gross Anatomy of Head and Neck
GROSS ANATOMY ASSIGNMENT NAME: OLORUNFEMI PEACE TOLUWALASE MATRIC NO: 17/MHS01/257 DEPT: MBBS COURSE: GROSS ANATOMY OF HEAD AND NECK QUESTION 1 Write an essay on the carvernous sinus. The cavernous sinuses are one of several drainage pathways for the brain that sits in the middle. In addition to receiving venous drainage from the brain, it also receives tributaries from parts of the face. STRUCTURE ➢ The cavernous sinuses are 1 cm wide cavities that extend a distance of 2 cm from the most posterior aspect of the orbit to the petrous part of the temporal bone. ➢ They are bilaterally paired collections of venous plexuses that sit on either side of the sphenoid bone. ➢ Although they are not truly trabeculated cavities like the corpora cavernosa of the penis, the numerous plexuses, however, give the cavities their characteristic sponge-like appearance. ➢ The cavernous sinus is roofed by an inner layer of dura matter that continues with the diaphragma sellae that covers the superior part of the pituitary gland. The roof of the sinus also has several other attachments. ➢ Anteriorly, it attaches to the anterior and middle clinoid processes, posteriorly it attaches to the tentorium (at its attachment to the posterior clinoid process). Part of the periosteum of the greater wing of the sphenoid bone forms the floor of the sinus. ➢ The body of the sphenoid acts as the medial wall of the sinus while the lateral wall is formed from the visceral part of the dura mater. CONTENTS The cavernous sinus contains the internal carotid artery and several cranial nerves. Abducens nerve (CN VI) traverses the sinus lateral to the internal carotid artery. -
The Role of Movements in the Development of Sutural
J. Anat. (1983), 137, 3, pp. 591-599 591 With 11 figures Printed in Great Britain The role of movements in the development of sutural and diarthrodial joints tested by long-term paralysis of chick embryos MAURITS PERSSON Department of Orthodontics, Faculty of Odontology, University of Umea, Norrlandsgatan 18 B, S-902 48 Umea, Sweden (Accepted 17 February 1983) INTRODUCTION The factors regulating the development of sutural fibrous joints are a subject of controversy. Movements of muscular origin (Pritchard, Scott & Girgis, 1956), an osteogenesis-inhibiting factor (Markens, 1975) and physiolQgical cell death (Ten Cate, Freeman & Dickinson, 1977) have been suggested. More recently, Smith & Tondury (1978) concluded that stretch-growth tensile forces in the dura mater are responsible for the development of the calvaria and its sutures, the primary deter- minant in their development being the form and growth of the early brain. A similar biomechanical explanation for the morphogenesis of sutures in areas of the skull where no dura mater exists was also given by Persson & Roy (1979). Based on studies of suture development and bony fusion in the rabbit palate, they con- cluded that the spatial separation of bones during growth is the factor regulating suture formation. Lack of such movements of developing bones results in bone fusion when the bones meet. Further, when cranial bones at suture sites are im- mobilised, fusion of the bones across the suture is produced (Persson et al. 1979). In the normal development of diarthrodial joints, skeletal muscle contractions are essential (Murray & Selby, 1930; Lelkes, 1958; Drachman & Coulombre, 1962; Murray & Drachman, 1969; Hall, 1975), and lack of muscular movements results in stiff, fused joints. -
Nasal Morphology and Its Correlation to Craniofacial Morphology in Lateral Cephalometric Analysis
International Journal of Environmental Research and Public Health Article Nasal Morphology and Its Correlation to Craniofacial Morphology in Lateral Cephalometric Analysis Agnieszka Jankowska 1 , Joanna Janiszewska-Olszowska 2,* and Katarzyna Grocholewicz 2 1 Private Practice “Dental Clinic Jankowscy”, 68-200 Zary,˙ Poland; [email protected] 2 Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland; [email protected] * Correspondence: [email protected]; Tel.: +48-91-466-1690 Abstract: Nose shape, size, and inclination influence facial appearance, but few studies concern the relationship between the nasal profile and craniofacial structures. The objective of this study was to analyze association of nasal cephalometric variables with skeletal structures, age, and sex. Cephalometric and nasal analysis was performed in 386 Polish orthodontic patients (aged 9–25 years). Student t-test and Mann–Whitney test were used to compare quantitative variables and Pearson’s or Spearman’s correlation coefficients—to find correlations. Soft tissue facial convexity angle corre- lates to Holdaway ratio, ANB (A-Nasion-B), and Wits appraisal. Nasal dorsum axis, nose length, nose depth (1) and nose depth (2), nose hump, lower dorsum convexity, and columella convexity increase with age. Nasal base angle, nasolabial angle, nasomental angle, soft tissue facial convex- ity and nasal bone angle decrease with age. Nasal base angle and nasomental angle are smaller in females. Thus, a relationship exists between nasal morphology and sagittal jaw configuration. Nasal parameters significantly change with age. Sexual dimorphism characterizes nasal bone angle Citation: Jankowska, A.; and nasomental angle. Janiszewska-Olszowska, J.; Grocholewicz, K. Nasal Morphology Keywords: nose; nose profile; cephalometry; orthodontics and Its Correlation to Craniofacial Morphology in Lateral Cephalometric Analysis. -
Craniotomy for Anterior Cranial Fossa Meningiomas: Historical Overview
Neurosurg Focus 36 (4):E14, 2014 ©AANS, 2014 Craniotomy for anterior cranial fossa meningiomas: historical overview SAUL F. MORALES-VALERO, M.D., JAMIE J. VAN GOMPEL, M.D., IOANNIS LOUMIOTIS, M.D., AND GIUSEPPE LANZINO, M.D. Department of Neurologic Surgery, Mayo Clinic, Mayo Medical School, Rochester, Minnesota The surgical treatment of meningiomas located at the base of the anterior cranial fossa is often challenging, and the evolution of the surgical strategy to resect these tumors parallels the development of craniotomy, and neurosur- gery in general, over the past century. Early successful operations to treat these tumors were pioneered by prominent figures such as Sir William Macewen and Francesco Durante. Following these early reports, Harvey Cushing made significant contributions, allowing a better understanding and treatment of meningiomas in general, but particularly those involving the anterior cranial base. Initially, large-sized unilateral or bilateral craniotomies were necessary to approach these deep-seated lesions. Technical advances such as the introduction of electrosurgery, the operating microscope, and refined microsurgical instruments allowed neurosurgeons to perform less invasive surgical proce- dures with better results. Today, a wide variety of surgical strategies, including endoscopic surgery and radiosurgery, are used to treat these tumors. In this review, the authors trace the evolution of craniotomy for anterior cranial fossa meningiomas. (http://thejns.org/doi/abs/10.3171/2014.1.FOCUS13569) KEY WORDS • intracranial meningiomas • craniotomy • history • anterior cranial fossa ENINGIOMAS of the anterior cranial fossa represent has a few distinct clinical features. However, in practice, 12%–20% of all intracranial meningiomas.5,30 this group of tumors often represents a continuum. -
Ardipithecus Ramidus and the Evolution of the Human Cranial Base
Ardipithecus ramidus and the evolution of the human cranial base William H. Kimbela,1, Gen Suwab, Berhane Asfawc, Yoel Raka,d, and Tim D. Whitee,1 aInstitute of Human Origins and School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287; bThe University Museum, University of Tokyo, Bunkyo-ku, Tokyo 113-0033, Japan; cRift Valley Research Service, Addis Ababa, Ethiopia; dDepartment of Anatomy and Anthropology, Sackler School of Medicine, Tel Aviv University, 69978 Ramat Aviv, Israel; and eDepartment of Integrative Biology, Human Evolution Research Center, University of California, Berkeley, CA 94720 Contributed by Tim D. White, December 5, 2013 (sent for review October 14, 2013) The early Pliocene African hominoid Ardipithecus ramidus was di- We report here results of a metrical and morphological study agnosed as a having a unique phylogenetic relationship with the of the Ar. ramidus basicranium as another test of its hypothesized Australopithecus + Homo clade based on nonhoning canine teeth, phylogenetic affinity with Australopithecus and Homo. We ana- a foreshortened cranial base, and postcranial characters related to lyzed the length and breadth of the external cranial base and the facultative bipedality. However, pedal and pelvic traits indicating structural relationship between the petrous and tympanic elements substantial arboreality have raised arguments that this taxon may of the temporal bone in Ar. ramidus, Australopithecus (including instead be an example of parallel evolution of human-like traits Paranthropus of some authors), and mixed-sex samples of extant among apes around the time of the chimpanzee–human split. Here African hominoid (Gorilla gorilla, Pan troglodytes, Pan paniscus) we investigated the basicranial morphology of Ar. -
Septation of the Sphenoid Sinus and Its Clinical Significance
1793 International Journal of Collaborative Research on Internal Medicine & Public Health Septation of the Sphenoid Sinus and its Clinical Significance Eldan Kapur 1* , Adnan Kapidžić 2, Amela Kulenović 1, Lana Sarajlić 2, Adis Šahinović 2, Maida Šahinović 3 1 Department of anatomy, Medical faculty, University of Sarajevo, Čekaluša 90, 71000 Sarajevo, Bosnia and Herzegovina 2 Clinic for otorhinolaryngology, Clinical centre University of Sarajevo, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina 3 Department of histology and embriology, Medical faculty, University of Sarajevo, Čekaluša 90, 71000 Sarajevo, Bosnia and Herzegovina * Corresponding Author: Eldan Kapur, MD, PhD Department of anatomy, Medical faculty, University of Sarajevo, Bosnia and Herzegovina Email: [email protected] Phone: 033 66 55 49; 033 22 64 78 (ext. 136) Abstract Introduction: Sphenoid sinus is located in the body of sphenoid, closed with a thin plate of bone tissue that separates it from the important structures such as the optic nerve, optic chiasm, cavernous sinus, pituitary gland, and internal carotid artery. It is divided by one or more vertical septa that are often asymmetric. Because of its location and the relationships with important neurovascular and glandular structures, sphenoid sinus represents a great diagnostic and therapeutic challenge. Aim: The aim of this study was to assess the septation of the sphenoid sinus and relationship between the number and position of septa and internal carotid artery in the adult BH population. Participants and Methods: A retrospective study of the CT analysis of the paranasal sinuses in 200 patients (104 male, 96 female) were performed using Siemens Somatom Art with the following parameters: 130 mAs: 120 kV, Slice: 3 mm. -
A Forensic Case Report
Skeletonized body identified by analysis of frontal sinus morphology and characteristics of osteosynthesis material: a forensic case report Rhonan Ferreira-Silva1, Andréa Pinheiro de- Abreu Meirelles2, Isabela Machado3, Lívia Graziele Rodrigues4, Roberta Gomes-Resende5, Alicia Picapedra6, Carlos Sassi7 DOI: 10.22592/ode2018n31a10 Abstract Forensic dentistry is essential for the identification of highly decomposed and charred bodies, as well as skeletal remains. This study reports a case of human identification by analyzing the morphology of the frontal sinuses and osteosynthesis material. In the anthropological assess- ment of skeletal remains a surgical plate used for osteosynthesis was detected in the periorbital regions. Relatives of the potential victim provided ante-mortem (AM) radiographs which re- vealed the presence of an osteosynthesis plate. Post-mortem (PM) imaging exams were per- formed to reproduce the AM data. Similarities were observed between the AM and PM radio- graphs, especially regarding the morphology of the frontal sinuses and the position and outline of the surgical plate used for osteosynthesis. The comparison of AM and PM images made it possible to identify the victim and to aid the criminal investigation. It also highlighted the role of radiographs and anatomical characteristics in the process of human identification. Keywords: forensic dentistry, forensic anthropology, frontal sinus, radiography. 1 Professor of Forensic Dentistry, School of Dentistry, Universidad Federal de Goiás. Criminal Expert at the Scientific Police of Goiás (Goiânia, Goiás, Brazil). ORCID: 0000-0002-3680-7020 2 Undergraduate Student, School of Dentistry, Universidad Federal de Goiás (Goiânia, Goiás, Brazil). ORCID: 0000-0002-1290-3755 3 Undergraduate Student, School of Dentistry, Universidad Federal de Goiás (Goiânia, Goiás, Brazil). -
Benign Tumors of the Frontal Sinuses with and Fibro-Osseous Tumors of the Frontal Sinus: Their Propensity to Recur and Cause Local Open Approaches
Chapter 18 Benign Tumors 18 of the Frontal Sinuses Brent A. Senior, Marc G. Dubin Management of Benign Lesions of the Frontal Sinus . 157 Core Messages Preoperative Evaluation . 157 í Surgical Treatment of Bony Benign tumors of the frontal sinuses with and Fibro-osseous Tumors of the Frontal Sinus: their propensity to recur and cause local Open Approaches . 157 injury present unique challenges to the Surgical Treatment of Bony otolaryngologist and Fibro-osseous Tumors of the Frontal Sinus: Endoscopic Approaches . 158 í Fibro-osseous lesions may be managed ex- Cases: Fibro-osseus Lesions of the Frontal Sinus . 159 pectantly, or may be removed in the setting Case 1: Endoscopic Resection of Tumor of symptomatic pathology such as cosmet- in the Frontal Recess . 159 ic or functional deformity Case 2: Open Resection of Tumor of the Frontal Sinus . 160 í Inverted papillomas with their high rate of Surgical Management of Inverted Papilloma: associated malignancy should be complete- Open and Endoscopic . 161 ly removed Cases: Inverted Papilloma of the Frontal Sinus . 161 Case 1: Recurrent Inverted Papilloma of the Frontal Sinus . 161 í Tumors that in the past required open ap- proaches may now be managed successful- Postoperative Considerations . 162 ly with endoscopic approaches alone or Conclusions . 163 with combined approaches, lowering over- References . 163 all morbidity while not sacrificing outcome í Cases must be individually assessed in or- der to determine the appropriate manage- ment approach Introduction Management of disease of the frontal recess and frontal sinus is one of the greatest challenges in rhi- nology. Despite advances in the understanding of the Contents anatomy and physiology of this area along with in- creased comfort with endoscopic techniques, man- Introduction . -
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. -
A New Radiological Classification for the Risk Assessment of Anterior Skull
www.nature.com/scientificreports OPEN A new radiological classifcation for the risk assessment of anterior skull base injury in endoscopic sinus surgery Baharudin Abdullah 1*, Shiun Chuen Chew1, Mohd Ezane Aziz2, Norasnieda Md Shukri1, Salina Husain3, Sng Weirong Joshua4, De Yun Wang4 & Kornkiat Snidvongs5 Keros and Gera classifcations are widely used to assess the risk of skull base injury during endoscopic sinus surgery. Although, both classifcations are useful preoperatively to stratify risk of patients going for surgery, it is not practical to measure the respective lengths during surgery. In this study, we aimed to propose a new radiological classifcation (Thailand-Malaysia-Singapore (TMS)) to assess the anatomical risk of anterior skull base injury using the orbital foor (OF) as a reference. A total of 150 computed tomography images of paranasal sinuses (300 sides) were reviewed. The TMS classifcation was categorized into 3 types by measuring OF to cribriform plate and OF to ethmoid roof. Most patients were classifed as TMS type 1, Keros type 2 and Gera class II, followed by patients classifed as TMS type 3, Keros type 1 and Gera class 1. TMS has signifcant correlation with Keros classifcation (p < 0.05). There was no signifcant correlation between Keros and Gera classifcations (p = 0.33) and between TMS and Gera classifcations (p = 0.80). The TMS classifcation has potential to be used for risk assessment of skull base injury among patients undergoing ESS. It serves as an additional assessment besides the Keros and Gera classifcations. Endoscopic sinus surgery (ESS) has an overall complication rate of 0.5% with the specifc complications of cere- brospinal fuid leak, orbital injury, haemorrhage requiring surgery, blood transfusion and toxic shock syndrome at 0.09%, 0.09%, 0.10%, 0.18%, and 0.02%, respectively1. -
98796-Anatomy of the Orbit
Anatomy of the orbit Prof. Pia C Sundgren MD, PhD Department of Diagnostic Radiology, Clinical Sciences, Lund University, Sweden Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 Lay-out • brief overview of the basic anatomy of the orbit and its structures • the orbit is a complicated structure due to its embryological composition • high number of entities, and diseases due to its composition of ectoderm, surface ectoderm and mesoderm Recommend you to read for more details Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 3 x 3 Imaging technique 3 layers: - neuroectoderm (retina, iris, optic nerve) - surface ectoderm (lens) • CT and / or MR - mesoderm (vascular structures, sclera, choroid) •IOM plane 3 spaces: - pre-septal •thin slices extraconal - post-septal • axial and coronal projections intraconal • CT: soft tissue and bone windows 3 motor nerves: - occulomotor (III) • MR: T1 pre and post, T2, STIR, fat suppression, DWI (?) - trochlear (IV) - abducens (VI) Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 Superior orbital fissure • cranial nerves (CN) III, IV, and VI • lacrimal nerve • frontal nerve • nasociliary nerve • orbital branch of middle meningeal artery • recurrent branch of lacrimal artery • superior orbital vein • superior ophthalmic vein Lund University / Faculty of Medicine / Inst. Clinical Sciences / Radiology / ECNR Dubrovnik / Oct 2018 Lund University / Faculty of Medicine / Inst.