Indian Journal of Plastic Surgery Dr
Total Page：16
File Type：pdf, Size：1020Kb
Load more
Recommended publications
-
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 -
Computed Tomography of the Buccomasseteric Region: 1
605 Computed Tomography of the Buccomasseteric Region: 1. Anatomy Ira F. Braun 1 The differential diagnosis to consider in a patient presenting with a buccomasseteric James C. Hoffman, Jr. 1 region mass is rather lengthy. Precise preoperative localization of the mass and a determination of its extent and, it is hoped, histology will provide a most useful guide to the head and neck surgeon operating in this anatomically complex region. Part 1 of this article describes the computed tomographic anatomy of this region, while part 2 discusses pathologic changes. The clinical value of computed tomography as an imaging method for this region is emphasized. The differential diagnosis to consider in a patient with a mass in the buccomas seteric region, which may either be developmental, inflammatory, or neoplastic, comprises a rather lengthy list. The anatomic complexity of this region, defined arbitrarily by the soft tissue and bony structures including and surrounding the masseter muscle, excluding the parotid gland, makes the accurate anatomic diagnosis of masses in this region imperative if severe functional and cosmetic defects or even death are to be avoided during treatment. An initial crucial clinical pathoanatomic distinction is to classify the mass as extra- or intraparotid. Batsakis [1] recommends that every mass localized to the cheek region be considered a parotid tumor until proven otherwise. Precise clinical localization, however, is often exceedingly difficult. Obviously, further diagnosis and subsequent therapy is greatly facilitated once this differentiation is made. Computed tomography (CT), with its superior spatial and contrast resolution, has been shown to be an effective imaging method for the evaluation of disorders of the head and neck. -
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. -
The Relationship of the Fronto-Temporal Branches of The
Neurosurg Rev DOI 10.1007/s10143-006-0053-5 REVIEW The relationship of the fronto-temporal branches of the facial nerve to the fascias of the temporal region: a literature review applied to practical anatomical dissection Niklaus Krayenbühl & Gustavo Rassier Isolan & Ahmad Hafez & M. Gazi Yaşargil Received: 26 June 2006 /Revised: 13 September 2006 /Accepted: 14 September 2006 # Springer-Verlag 2006 Abstract The understanding of the course of the facial anterior cranial fossa lesions with wider exposures, includ- nerve and its relationship to the different connective tissue ing partial removal or mobilization of the orbit or the layers in the temporal area is paramount to preserving this zygomatic arch made protection of the fronto-temporal nerve during surgery. But the use of different nomencla- branches of the facial nerve a bigger issue [3–5, 12, 29, 47, tures for anatomical structures such as for the different 55]. Moreover, the advances in plastic, reconstructive and fascial layers or fat pads in the temporal region as well as maxillofacial surgery have improved the understanding of the difference in description of the course of the fronto- the relationship between the different fascial layers and the temporal branches of the facial nerve in relationship to the nerves in the temporal region [2, 9, 20, 21, 45, 53, 56]. fascial layers can lead to confusion. Therefore we have A clear understanding of the course of the facial nerve reviewed the literature about this topic and tried to apply and its relationship to the different galeal-fascial layers is the information to practical anatomical dissection. paramount to preserve this nerve during surgery. -
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 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. -
The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1
Open Access Review Article DOI: 10.7759/cureus.7794 The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1 Bruno Bordoni 1 1. Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA Corresponding author: Bruno Bordoni, [email protected] Abstract Working on the diaphragm muscle and the connected diaphragms is part of the respiratory-circulatory osteopathic model. The breath allows the free movement of body fluids and according to the concept of this model, the patient's health is preserved thanks to the cleaning of the tissues by means of the movement of the fluids (blood, lymph). The respiratory muscle has several systemic connections and multiple functions. The founder of osteopathic medicine emphasized the importance of the thoracic diaphragm and body health. The five diaphragms (tentorium cerebelli, tongue, thoracic outlet, thoracic diaphragm and pelvic floor) represent an important tool for the osteopath to evaluate and find a treatment strategy with the ultimate goal of patient well-being. The two articles highlight the most up-to-date scientific information on the myofascial continuum for the first time. Knowledge of myofascial connections is the basis for understanding the importance of the five diaphragms in osteopathic medicine. In this first part, the article reviews the systemic myofascial posterolateral relationships of the respiratory diaphragm; in the second I will deal with the myofascial anterolateral myofascial connections. Categories: Medical Education, Anatomy, Osteopathic Medicine Keywords: diaphragm, osteopathic, fascia, myofascial, fascintegrity, physiotherapy Introduction And Background Osteopathic manual medicine (OMM) was founded by Dr AT Still in the late nineteenth century in America [1]. OMM provides five models for the clinical approach to the patient, which act as an anatomy physiological framework and, at the same time, can be a starting point for the best healing strategy [1]. -
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. -
Functional Anatomy of the Muscles of the Head and Neck
State University of Medicine and Pharmacy “Nicolae Testemitanu“ Republic of Moldova Functional Anatomy of the muscles of the head and neck Human Anatomy Department Dr. Angela Babuci Copyright© Babuci Angela, updated 2018 Plan of the lecture 1. Classification of the muscles of the head. 2. Muscles of mastication. 3. Mimicry and physiognomy. 4. Muscles of facial expression. 5. Fascia of the head. 6. Osteo-fascial and intermuscular spaces of the head. 7. Muscles of the neck. 8. Topography of the neck. 9. The fasciae and interfacial spaces of the neck. Copyright© Babuci Angela, updated 2018 Classification of the muscles of the head Muscles of mastication Muscles of facial expression Muscles of the organs of sense NB: The mentioned above groups of muscles are distinguished by: a) Anatomical features b) Action c) Development d) Innervation Copyright© Babuci Angela, updated 2018 Muscles of mastication Muscles of mastication have common anatomical features with other skeletal muscles. They have two bony points of insertion, one located on the mandible. They assure process of mastication, participate in deglutition and in articulated speech. The muscles of mastication develop from the mandibular arch (first visceral arch). Copyright© Babuci Angela, updated 2018 Muscles of mastication The temporal muscle is the strongest one, among the muscles of mastication and it is located in the temporal fossa. Externally it is covered by the temporal fascia. Copyright© Babuci Angela, updated 2018 Muscles of mastication Masseter muscle consists of two parts: superficial and deep one, and their fibers form a muscular crossing. The muscle is of quadrangular shape and it is located on the lateral surface of the mandible.