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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). -
A 1810 Skull of Napoleon Army's Soldier: a Clinical–Anatomical
Surgical and Radiologic Anatomy (2019) 41:1065–1069 https://doi.org/10.1007/s00276-019-02275-y ORIGINAL ARTICLE A 1810 skull of Napoleon army’s soldier: a clinical–anatomical correlation of steam gun trauma N. Benmoussa1,2 · F. Crampon3,4 · A. Fanous5 · P. Charlier1,6 Received: 5 March 2019 / Accepted: 22 June 2019 / Published online: 28 June 2019 © Springer-Verlag France SAS, part of Springer Nature 2019 Abstract Introduction In the following article, we are presenting a clinical observation of Baron Larrey. In 1804, Larrey was the inspector general of health, as well as the chief surgeon of the imperial Napoleonic Guard. He participated in all of Napoleon’s campaigns. A paleopathological study was performed on a skull from Dupuytren’s Museum (Paris) with a long metal stick in the head. We report here a clinical case as well as the autopsy description of this soldier’s skull following his death. We propose a diferent anatomical analysis of the skull, which allowed us to rectify what we believe to be an anatomical error and to propose varying hypotheses regarding the death of soldier Cros. Materials and methods The skull was examined, observed and described by standard paleopathology methods. Measure- ments of the lesion were performed with metric tools and expressed in centimeters. Historical research was made possible through the collaboration with the Museum of Medicine History-Paris Descartes University. Results Following the above detailed anatomical analysis of the path of the metal rod, we propose various possible lesions in soldier Cros due to the accident. At the inlet, the frontal sinuses could have been damaged. -
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. -
Gross and Micro-Anatomical Study of the Cavernous Segment of the Abducens Nerve and Its Relationships to Internal Carotid Plexus: Application to Skull Base Surgery
brain sciences Article Gross and Micro-Anatomical Study of the Cavernous Segment of the Abducens Nerve and Its Relationships to Internal Carotid Plexus: Application to Skull Base Surgery Grzegorz Wysiadecki 1,* , Maciej Radek 2 , R. Shane Tubbs 3,4,5,6,7 , Joe Iwanaga 3,5,8 , Jerzy Walocha 9 , Piotr Brzezi ´nski 10 and Michał Polguj 1 1 Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, ul. Zeligowskiego˙ 7/9, 90-752 Łód´z,Poland; [email protected] 2 Department of Neurosurgery, Spine and Peripheral Nerve Surgery, Medical University of Lodz, University Hospital WAM-CSW, 90-549 Łód´z,Poland; [email protected] 3 Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA 70112, USA; [email protected] (R.S.T.); [email protected] (J.I.) 4 Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA 70433, USA 5 Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA 70112, USA 6 Department of Anatomical Sciences, St. George’s University, Grenada FZ 818, West Indies 7 Department of Surgery, Tulane University School of Medicine, New Orleans, LA 70112, USA 8 Department of Anatomy, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan Citation: Wysiadecki, G.; Radek, M.; 9 Department of Anatomy, Jagiellonian University Medical College, 33-332 Kraków, Poland; Tubbs, R.S.; Iwanaga, J.; Walocha, J.; [email protected] Brzezi´nski,P.; Polguj, M. -
Anatomical and Morphometric Study of Optic Foramen in North Indian Population
Published online: 26.06.2019 THIEME Original Article 53 Anatomical and Morphometric Study of Optic Foramen in North Indian Population Ajay Kumar1 Alok Tripathi1 Shilpi Jain1 Satyam Khare1 Ram Kumar Kaushik1 Hina Kausar1 Saurabh Arora1 1Department of Anatomy, Subharti Medical College, Swami Address for correspondence Alok Tripathi, MS, Department of Vivekanand Subharti, University, Meerut, Uttar Pradesh, India Anatomy, Subharti Medical College, Swami Vivekanand Subharti University, Meerut 250005, Uttar Pradesh, India (e-mail: [email protected]). Natl J Clin Anat 2019;8:53–56 Abstract Introduction Optic canal connects orbit to middle cranial fossa. Optic nerve and ophthalmic artery pass through this canal. The aim of the present study is to make morphometric and anatomical observations of endocranial opening of optic canal. Materials and Methods The observations were conducted on 30 dry adult human skulls. The observations were made on shape, margins, confluence, septations, dimensions, and distance of optic foramen from apex of petrous temporal bone. Result and Statistical Analysis On morphometric observation, transverse diameter (TD) was 6.00 mm and 6.15 mm on the left and the right side, respectively. The vertical diameter (VD) was 5.14 mm on the left side and 4.82 mm on the right side. The distance of optic foramen to apex of petrous temporal bone was 21.84 mm on the Keywords left side and 21.90 mm on the right side. The mean, standard deviation, range, and ► optic foramen p value were measured by using SPSS software version 19.00. ► dry skull Conclusion In the present study we attempt to provide a comprehensive anatomical ► morphometry and morphometric data of optic foramen that may help ophthalmologists and ► dimensions neurosurgeons during surgery. -
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. -
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. -
Morphology and Fracture Effects of the Hamulus Pterygoid: a Literature Review of the Last 49 Years
Latin American Journal of Development, Curitiba, v. 3, n. 1, p. 475-487, jan./feb. 2021. ISSN 2674-9297 Morphology and fracture effects of the hamulus pterygoid: a literature review of the last 49 years Morfología y efectos de fractura del hamulus pterygoid: una revisión de la literatura de los últimos 49 años DOI: 10.46814/lajdv3n1-041 Recebimento dos originais: 30/10/2020 Aceitação para publicação: 23/12/2020 Polyanne Junqueira Silva Andresen Strini PhD, Federal University of Uberlândia - UFU, Uberlândia, MG, Brazil Address: Rio Preto Street, 178, Lídice, Uberlândia - MG Paulinne Junqueira Silva Andresen Strini PhD, Federal University of Uberlândia - UFU, Uberlândia, MG, Brazil Address: Rio Preto Street, 178, Lídice, Uberlândia - MG ABSTRACT The hamulus pterygoid consists in a relevant anatomical structure, important for fixation of several tendons and muscles, keeping the integrity of soft palate and pharynx. A literature review was conducted in order to investigate the morphology and effect of hamulus pterygoid fracture in clinical manifestation and its relationships with other orofacial components. A literature search was conducted, using Pubmed and Bireme data bases, and covering the time period 1970 to 2019. The Key words for the research were hamulus pterygoid, pterygoid fracture and hamulus pterygoid fracture, resulting in 440 articles, being 41 initials selected. Among them, just 31 were included in the analysis and 08 of the articles were not available through our library system or were in volumes before our holdings began. The remaining were excluded when they weren’t in English idiom, or when didn’t talk about morphological, functional or damages in the hamulus pterygoid. -
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. -
Surgical Anatomy of the Juxtadural Ring Area
Surgical anatomy of the juxtadural ring area Susumu Oikawa, M.D., Kazuhiko Kyoshima, M.D., and Shigeaki Kobayashi, M.D. Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan Object. The authors report on the surgical anatomy of the juxtadural ring area of the internal carotid artery to add to the information available about this important structure. Methods. Twenty sides of cadaver specimens were used in this study. The plane of the dural ring was found to incline in the posteromedial direction. Medial inclination was measured at 21.8š on average against the horizontal line in the anteroposterior view on radiographic studies. Posterior inclination was measured at 20.3š against the planum sphenoidale in the lateral projection, and the medial edge of the dural ring was located 0.4 mm above the tuberculum sellae in the same projection. The lateral edge of the tuberculum sellae was located 1.4 mm below the superior border of the anterior clinoid process. The carotid cave was situated at the medial or posteromedial aspect of the dural ring; however, two of the 20 specimens showed no cave formation. The carotid cave contained the subarachnoid space in 13 sides, the arachnoid membrane only in three sides, and the extraarachnoid space in two sides. The authors propose that the marker of the medial side of the dural ring, which is more proximal than the lateral, is the tuberculum sellae in the lateral view on radiographic studies. In the medial aspect of the dural ring the intradural space can be situated below the level of the tuberculum sellae because of the existence of the carotid cave. -
An Osteologic Study of Cranial Opening of Optic Canal in Gujarat Region
Original Article DOI: 10.7860/JCDR/2016/22110.8929 An Osteologic Study of Cranial Opening of Optic Canal in Section Gujarat Region Anatomy BINITA JIGNESHKUMAR PUROHIT1, PRAVEEN R SINGH2 ABSTRACT Similarly, morphologic features related with the canal were studied Introduction: Optic canal is a bony canal situated in between the by calculating frequency and proportions of various parameters. roots of lesser wings of sphenoid, lateral to body of sphenoid. Results: Optic canal was present in all 150 skulls studied bilaterally. It transmits optic nerve and ophthalmic artery, surrounded by The mean maximum dimension of the canal at cranial opening was meninges. Various authors have studied variations in skull foramina Keywords: ??????????????????????????????????5.03±0.72 mm on right side and 5.02±0.76 mm on left side. The and correlated clinically, as variants in the body structures have shape of the canal was ovoid at cranial opening in all the skulls been found to be associated with many inherited or acquired studied. Duplication of optic canal was present in one skull on left diseases. side. Recess was found in 105(35%) sides of total skulls observed. Aim: The present study aimed to examine morphologic and Fissure was found in 20(6.67%) sides and notch was observed in morphometric variations in cranial openings of optic canals. 30(10%) sides of total skulls. Materials and Methods: The study was undertaken in total 150 Conclusion: The optic canal showed variability in various dry adult human skulls. The variations in size, shape, presence or parameters. Knowledge regarding variations in size, shape and absence and duplication or multiplication if any, in optic canal were unusual features on cranial opening of optic canal can be helpful observed bilaterally. -
MIDFACE FRACTURES – an OVERVIEW Correspondance To: Dr
European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 7, Issue 4, 2020 MIDFACE FRACTURES – AN OVERVIEW Correspondance to: Dr. Visalakshi kaleeswaran1, Post graduate in the department of oral and maxillofacial surgery, Sree balaji dental college and hospital, pallikaranai, chennai-100. Author Details: Dr. Visalakshi kaleeswaran1, Dr. Balakrishnan Ramalingam2, Post graduate in the department of oral and maxillofacial surgery, Sree balaji dental college and hospital, pallikaranai, chennai-100. professor in the department of oral and maxillofacial surgery, Sree balaji dental college and hospital, pallikaranai, chennai-100. 1. INTRODUCTION Fractures of the midface pose a significant medical problem as for his or her complexity, frequency and their socio-economic impact. Inter disciplinary approaches and up-to-date diagnostic and surgical techniques provide favorable results in the majority of cases though. Traffic accidents are the leading cause and male adults in their thirties are affected most often. Treatment algorithms for nasal fractures, maxillary and zygoma fractures are widely prescribed whereas trauma to the sinus and therefore the orbital apex are matter of current debate. As for the fractures of the sinus a robust tendency towards minimized approaches are often seen. Obliteration and cranialization seem to decrease in numbers. Some critical remarks in terms of high dose methyl prednisolone therapy for traumatic optic nerve injury seem to be appropriate. Intraoperative cone beam radiographs and pre shaped titanium mesh implants for orbital reconstruction are new techniques and essential aspects in midface traumatology. Fractures of the anterior skull base with cerebrospinal fluid leaks show very promising results in endonasal endoscopic repair. The main focus is placed on bony injuries.