An Investigation of the Sensory and Motor Innervation of Extraocular
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Neuromuscular Organisation of Mammalian Extraocular Muscles
Rapporter fra Høgskolen i Buskerud nr. 36 RAPPORT RAPPORT Neuromuscular organisation of mammalian extraocular muscles Inga-Britt Kjellevold Haugen (M.Phil) Rapporter fra Høgskolen i Buskerud Nr. 36 Neuromuscular organisation of mammalian extraocular muscles Inga-Britt Kjellevold Haugen (M.Phil) Kongsberg 2002 HiBus publikasjoner kan kopieres fritt og videreformidles til andre interesserte uten avgift. En forutsetning er at navn på utgiver og forfatter(e) angis - og angis korrekt. Det må ikke foretas endringer i verket. ISBN 82-91116-52-0 ISSN 0807-4488 2 CONTENTS 1. PREFACE ...................................................................................................................................... 4 2. ACKNOWLEDGEMENT............................................................................................................. 5 3. INTRODUCTION ......................................................................................................................... 6 4. LITERATURE REVIEW OF MAMMALIAN EXTRAOCULAR MUSCLES .................... 10 4.1 MUSCLE HISTOLOGY .................................................................................................................. 14 4.1.1 Ultrastructure and physiology ............................................................................................. 14 4.1.2 Fibre classification and distribution .................................................................................... 21 4.1.3 Motor innervation ............................................................................................................... -
Entrapment Neuropathy of the Central Nervous System. Part II. Cranial
Entrapment neuropathy of the Cranial nerves central nervous system. Part II. Cranial nerves 1-IV, VI-VIII, XII HAROLD I. MAGOUN, D.O., F.A.A.O. Denver, Colorado This article, the second in a series, significance because of possible embarrassment considers specific examples of by adjacent structures in that area. The same entrapment neuropathy. It discusses entrapment can occur en route to their desti- nation. sources of malfunction of the olfactory nerves ranging from the The first cranial nerve relatively rare anosmia to the common The olfactory nerves (I) arise from the nasal chronic nasal drip. The frequency of mucosa and send about twenty central proces- ocular defects in the population today ses through the cribriform plate of the ethmoid bone to the inferior surface of the olfactory attests to the vulnerability of the optic bulb. They are concerned only with the sense nerves. Certain areas traversed by of smell. Many normal people have difficulty in each oculomotor nerve are pointed out identifying definite odors although they can as potential trouble spots. It is seen perceive them. This is not of real concern. The how the trochlear nerves are subject total loss of smell, or anosmia, is the significant to tension, pressure, or stress from abnormality. It may be due to a considerable variety of causes from arteriosclerosis to tu- trauma to various bony components morous growths but there is another cause of the skull. Finally, structural which is not usually considered. influences on the abducens, facial, The cribriform plate fits within the ethmoid acoustic, and hypoglossal nerves notch between the orbital plates of the frontal are explored. -
Surgical Anatomy of the Upper Eyelid Relating to Upper Blepharoplasty Or Blepharoptosis Surgery
Review Article http://dx.doi.org/10.5115/acb.2013.46.2.93 pISSN 2093-3665 eISSN 2093-3673 Surgical anatomy of the upper eyelid relating to upper blepharoplasty or blepharoptosis surgery Kun Hwang Department of Plastic Surgery and Center for Advanced Medical Education by BK21 Project, Inha University School of Medicine, Incheon, Korea Abstract: Eyelid anatomy, including thickness measurements, was examined in numerous age groups. The thickest part of the upper eyelid is just below the eyebrow (1.127±238 μm), and the thinnest near the ciliary margin (320±49 μm). The thickness of skin at 7 mm above the eyelashes was 860±305 μm. The results revealed no significant differences among the age groups. Fast fibers (87.8±3.7%) occupied a significantly larger portion of the orbicularis oculi muscle (OOM) than nonfast fibers (12.2±3.7%). The frontalis muscle passed through and was inserted into the bundles of the OOM on the superior border of the eyebrow at the middle and medial portions of the upper eyelid. Laterally, the frontalis muscle inserted about 0.5 cm below the superior border of the eyebrow. Fast fibers occupied a significantly larger portion of the OOM than did non-fast fibers. The oculomotor nerve ends that extend forward to the distal third of the levator muscle are exposed and vulnerable to local anesthetics and may be numbed during blepharoplasty. The orbital septum consists of 2 layers. The outer layer of loose connective tissue descends to interdigitate with the levator aponeurosis and disperses inferiorly. The inner layer follows the outer layer, then reflects and continues posteriorly with the levator sheath. -
CHAPTER 8 Face, Scalp, Skull, Cranial Cavity, and Orbit
228 CHAPTER 8 Face, Scalp, Skull, Cranial Cavity, and Orbit MUSCLES OF FACIAL EXPRESSION Dural Venous Sinuses Not in the Subendocranial Occipitofrontalis Space More About the Epicranial Aponeurosis and the Cerebral Veins Subcutaneous Layer of the Scalp Emissary Veins Orbicularis Oculi CLINICAL SIGNIFICANCE OF EMISSARY VEINS Zygomaticus Major CAVERNOUS SINUS THROMBOSIS Orbicularis Oris Cranial Arachnoid and Pia Mentalis Vertebral Artery Within the Cranial Cavity Buccinator Internal Carotid Artery Within the Cranial Cavity Platysma Circle of Willis The Absence of Veins Accompanying the PAROTID GLAND Intracranial Parts of the Vertebral and Internal Carotid Arteries FACIAL ARTERY THE INTRACRANIAL PORTION OF THE TRANSVERSE FACIAL ARTERY TRIGEMINAL NERVE ( C.N. V) AND FACIAL VEIN MECKEL’S CAVE (CAVUM TRIGEMINALE) FACIAL NERVE ORBITAL CAVITY AND EYE EYELIDS Bony Orbit Conjunctival Sac Extraocular Fat and Fascia Eyelashes Anulus Tendineus and Compartmentalization of The Fibrous "Skeleton" of an Eyelid -- Composed the Superior Orbital Fissure of a Tarsus and an Orbital Septum Periorbita THE SKULL Muscles of the Oculomotor, Trochlear, and Development of the Neurocranium Abducens Somitomeres Cartilaginous Portion of the Neurocranium--the The Lateral, Superior, Inferior, and Medial Recti Cranial Base of the Eye Membranous Portion of the Neurocranium--Sides Superior Oblique and Top of the Braincase Levator Palpebrae Superioris SUTURAL FUSION, BOTH NORMAL AND OTHERWISE Inferior Oblique Development of the Face Actions and Functions of Extraocular Muscles Growth of Two Special Skull Structures--the Levator Palpebrae Superioris Mastoid Process and the Tympanic Bone Movements of the Eyeball Functions of the Recti and Obliques TEETH Ophthalmic Artery Ophthalmic Veins CRANIAL CAVITY Oculomotor Nerve – C.N. III Posterior Cranial Fossa CLINICAL CONSIDERATIONS Middle Cranial Fossa Trochlear Nerve – C.N. -
Botulinum Toxin to Improve Lower Facial Symmetry in Facial Nerve Palsy SA Sadiq Et Al 1432
Eye (2012) 26, 1431–1436 & 2012 Macmillan Publishers Limited All rights reserved 0950-222X/12 www.nature.com/eye 1;2 3 4 Botulinum toxin to SA Sadiq , S Khwaja and SR Saeed CLINICAL STUDY improve lower facial symmetry in facial nerve palsy Abstract Introduction In long-standing facial palsy, Introduction muscles on the normal side overcontract In facial palsy, paralysis of muscles on the causing difficulty in articulation, eating, affected side of the face results in loss of drinking, cosmetic embarrassment, and forehead creases, loss of the nasolabial fold, psychological effects as patients lack lagophthalmos, brow droop, and drooping of confidence in public. the corner of the mouth. In contrast, muscles on Methods We injected botulinum toxin A the unaffected side of the face no longer have (BTXA) into the normal contralateral smile opposing forces.1 This may cause difficulty in muscles to weaken them and restore symmetry 1Manchester Royal Eye articulation, eating, drinking, and is often to both active and passive movements by Hospital, Manchester, UK cosmetically unacceptable to patients because of neutralising these overacting muscles. asymmetry, especially when speaking, smiling, 2 Results A total of 14 patients received BTXA The University of and laughing. There are significant Manchester, Manchester (79% women, median age 47 years, average psychological effects as patients lack the Academic Health Science length of palsy 8 years). They were all difficult confidence to carry out many daily activities in Centre, Central Manchester cases graded between 2 and 6 (average grade 3 Foundation Trust, public, such as appearing in photographs. House–Brackmann). All 14 patients reported Manchester, UK Although management is difficult, there are a improved facial symmetry with BTXA (dose range of reanimation options available. -
1 Extraocular Muscle Anatomy and Innervation
BLBK403-c01 BLBK403-Rowe December 14, 2011 7:18 Trim: 244mm×172mm Char Count= SECTION I COPYRIGHTED MATERIAL 1 BLBK403-c01 BLBK403-Rowe December 14, 2011 7:18 Trim: 244mm×172mm Char Count= 2 BLBK403-c01 BLBK403-Rowe December 14, 2011 7:18 Trim: 244mm×172mm Char Count= Extraocular Muscle Anatomy 1 and Innervation This chapter outlines the anatomy of the extraocular muscles and their innervation and associated cranial nerves (II, V, VII and VIII). There are four rectus and two oblique muscles attached to each eye. The rectus muscles originate from the Annulus of Zinn, which encircles the optic foramen and medial portion of the superior orbital fissure (Fig. 1.1). These muscles pass forward in the orbit and gradually diverge to form the orbital muscle cone. By means of a tendon, the muscles insert into the sclera anterior to the rotation centre of the globe (Fig. 1.2). The extraocular muscles are striated muscles. They contain slow fibres, which produce a graded contracture on the exterior surface, and fast fibres, which produce rapid movements on the interior surface adjacent to the globe. The slow fibres con- tain a high content of mitochondria and oxidative enzymes. The fast fibres contain high amounts of glycogen and glycolytic enzymes and less oxidative enzymes than the slow fibres. The global layer of the extraocular muscles contains palisade end- ings in the myotendonous junctions, which are believed to act as sensory receptors. Signals from the palisade endings passing to the central nervous system may serve to maintain muscle tension (Ruskell 1999, Donaldson 2000). -
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. -
Anatomy of the Periorbital Region Review Article Anatomia Da Região Periorbital
RevSurgicalV5N3Inglês_RevistaSurgical&CosmeticDermatol 21/01/14 17:54 Página 245 245 Anatomy of the periorbital region Review article Anatomia da região periorbital Authors: Eliandre Costa Palermo1 ABSTRACT A careful study of the anatomy of the orbit is very important for dermatologists, even for those who do not perform major surgical procedures. This is due to the high complexity of the structures involved in the dermatological procedures performed in this region. A 1 Dermatologist Physician, Lato sensu post- detailed knowledge of facial anatomy is what differentiates a qualified professional— graduate diploma in Dermatologic Surgery from the Faculdade de Medician whether in performing minimally invasive procedures (such as botulinum toxin and der- do ABC - Santo André (SP), Brazil mal fillings) or in conducting excisions of skin lesions—thereby avoiding complications and ensuring the best results, both aesthetically and correctively. The present review article focuses on the anatomy of the orbit and palpebral region and on the important structures related to the execution of dermatological procedures. Keywords: eyelids; anatomy; skin. RESU MO Um estudo cuidadoso da anatomia da órbita é muito importante para os dermatologistas, mesmo para os que não realizam grandes procedimentos cirúrgicos, devido à elevada complexidade de estruturas envolvidas nos procedimentos dermatológicos realizados nesta região. O conhecimento detalhado da anatomia facial é o que diferencia o profissional qualificado, seja na realização de procedimentos mini- mamente invasivos, como toxina botulínica e preenchimentos, seja nas exéreses de lesões dermatoló- Correspondence: Dr. Eliandre Costa Palermo gicas, evitando complicações e assegurando os melhores resultados, tanto estéticos quanto corretivos. Av. São Gualter, 615 Trataremos neste artigo da revisão da anatomia da região órbito-palpebral e das estruturas importan- Cep: 05455 000 Alto de Pinheiros—São tes correlacionadas à realização dos procedimentos dermatológicos. -
Double-Bellied Superior Rectus Muscle
Surgical and Radiologic Anatomy (2019) 41:713–715 https://doi.org/10.1007/s00276-019-02211-0 ANATOMIC VARIATIONS Double-bellied superior rectus muscle Satheesha B. Nayak1 · Surekha D. Shetty1 · Naveen Kumar1 · Ashwini P. Aithal1 Received: 3 September 2018 / Accepted: 23 February 2019 / Published online: 7 March 2019 © Springer-Verlag France SAS, part of Springer Nature 2019 Abstract Congenital variations of extraocular muscles are rare. We report a double-bellied superior rectus muscle, observed in an adult male cadaver aged 70 years. The superior rectus muscle had two equal-sized bellies, which took separate origins from the common tendinous ring and united to form a common belly 1 cm before the insertion. Due to the duplication, the muscle extended laterally beyond the levator palpebrae superioris. Both its bellies were supplied by oculomotor nerve. To the best of our knowledge, this is the first report on doubling of the belly of the superior rectus muscle. Keywords Extraocular · Orbit · Superior rectus muscle · Eye movement · Strabismus Introduction Case report Voluntary movements of the eyeball are performed by six During dissection classes for the first-year medical students, extraocular muscles, namely superior rectus muscle, the we observed a unique variation in the right orbit of an adult inferior rectus muscle, medial rectus muscle, lateral rectus male cadaver aged 70 years. The cadaver was donated to the muscle, superior oblique muscle, and inferior oblique mus- department for teaching and research purpose. No history of cles. Variations of these muscles can result in restrictions of strabismus or visual defects is available. The variation was movements of eyeball, causing strabismus. -
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- and V-Patterns and Oblique Muscle Overaction A- and V-Patterns
18 A- and V-Patterns and Oblique Muscle Overaction A- and V-Patterns Clinical Features Etiology Management with Horizontal Rectus Muscle Offsets Inferior Oblique Overaction Etiology Clinical Features Differential Diagnosis Management Superior Oblique Overaction Etiology Clinical Features Differential Diagnosis Management Superior Oblique Weakening Procedures Complications A- and V-patterns of strabismus are changes in the horizontal deviation as the patient looks up and down. They are usually associated with oblique dysfunction, either overaction or paresis. Primary oblique muscle overaction is when an oblique muscle is too strong for its antagonist and there is no known cause. Secondary oblique overaction is caused by a paresis of the antagonist muscle. A superior oblique paresis results in inferior oblique overaction, and inferior oblique paresis results in superior oblique overaction. This chapter covers the management of A- and V- patterns and primary oblique muscle overaction. A- and V-Patterns CLINICAL FEATURES A-patterns are defined as increasing divergence in down gaze (>10 prism diopters [PD]), whereas Vpatterns are increased divergence (>15 prism diopters) in up gaze. The type of A- or V-pattern helps identify the cause. Superior oblique paresis produces a V-pattern, arrow subtype, with convergence in down gaze. The arrow pattern subtype indicates a lack of abduction in down gaze, the field of action of the superior oblique muscles. Inferior oblique overaction, on the other hand, has a V-pattern, Y subtype, with increased abduction in up gaze. The Y-pattern occurs because the field of action of the inferior oblique muscles is up gaze and they are abductors. Lambda subtype is typically associated with superior oblique overaction, with increased abduction in down gaze, because the field of action is in down gaze. -
Muscles of the Head, Neck, and Torso
MusclesMuscles ofof thethe Head,Head, Neck,Neck, andand TorsoTorso DanilDanil HHammoudi.MDammoudi.MD MuscleMuscle myofibril Fiber/NerveFiber/Nerve motor end plate TerminalTerminal sarcomere I-band A-band Z-line sarcolemma motor neuron endomysium SomeSome definitiondefinition •• aponeurosisaponeurosis -- AA sheetlikesheetlike fibrousfibrous membrane,membrane, resemblingresembling aa flattenedflattened tendon,tendon, thatthat servesserves asas aa fasciafascia toto bindbind musclesmuscles togethertogether oror asas aa meansmeans ofof connectingconnecting musclemuscle toto bobone.ne. anyany ofof thethe deeperdeeper andand thickerthicker fasciafascia thatthat attachattach musclesmuscles toto bobones;nes; resembleresemble flattenedflattened tendons,tendons, •• ffasciaascia -- aa sheetsheet oror bandband ofof fibroufibrouss connectiveconnective tissuetissue separatingseparating oror bindingbinding togethertogether musclesmuscles andand organsorgans etcetc •• Ligament:Ligament: AA ligaligamentment isis aa toughtough bandband ofof connectiveconnective tisstissueue thatthat connectsconnects variousvarious structuresstructures suchsuch asas twotwo bones.bones. "Ligament""Ligament" isis aa fittingfitting term;term; itit comescomes fromfrom thethe LatinLatin "ligare""ligare" meaningmeaning "to"to bindbind oror tie.tie. •Tendon: The tissue by which a muscle attaches to bone. A tendon is somewhat flexible, but fibrous and tough. MusclesMuscles ofof thethe headhead •• EEpicranius.:picranius.: OccipitofrontalisOccipitofrontalis TheThe epicraniusepicranius