scholarly journals Component Approach to the Temporomandibular Joint and Coronoid Process

2014 ◽  
Vol 7 (4) ◽  
pp. 323-326 ◽  
Author(s):  
Miles J. Pfaff ◽  
James Clune ◽  
Derek Steinbacher
Keyword(s):  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Coronoid Process ◽  
Aesthetic Outcome ◽  
Limited Access ◽  
Superficial Musculoaponeurotic System ◽  
Ideal Approach ◽  
Component Approach ◽  
Neurovascular Structures ◽  
The Ideal

Reconstruction of the temporomandibular joint (TMJ) region is challenging. The conventional direct preauricular incision permits only limited access to the TMJ and surrounding structures, therefore risking injury to the facial nerve during retraction. The ideal approach allows sufficient exposure, preservation of underlying neurovascular structures, and achieves an optimal aesthetic outcome. We describe a preauricular posttragal incision with a superficial musculoaponeurotic system flap to allow wide exposure of the zygomatic arch, TMJ, condyle, and coronoid process. We postulate that this approach improves access, lessens the amount of retraction required, and creates a more inconspicuous scar.

Keyhole Endoscopic-Assisted Transcervical Approach to the Upper and Middle Retrostyloid Parapharyngeal Space: An Anatomic Feasibility Study

2021 ◽  
Author(s):  
Aldo Eguiluz-Melendez ◽  
Sergio Torres-Bayona ◽  
María Belen Vega ◽  
Vanessa Hernández-Hernández ◽  
Erik W. Wang ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Parapharyngeal Space ◽  
Jugular Bulb ◽  
Occipital Condyle ◽  
Digastric Muscle ◽  
The Novel ◽  
Main Trunk ◽  
Transcervical Approach ◽  
Semiquantitative Evaluation ◽  
Neurovascular Structures

Abstract Objectives The aim of this study was to describe the anatomical nuances, feasibility, limitations, and surgical exposure of the parapharyngeal space (PPS) through a novel minimally invasive keyhole endoscopic-assisted transcervical approach (MIKET). Design Descriptive cadaveric study. Setting Microscopic and endoscopic high-quality images were taken comparing the MIKET approach with a conventional combined transmastoid infralabyrinthine transcervical approach. Participants Five colored latex-injected specimens (10 sides). Main Outcome Measures Qualitative anatomical descriptions in four surgical stages; quantitative and semiquantitative evaluation of relevant landmarks. Results A 5 cm long inverted hockey stick incision was designed to access a corridor posterior to the parotid gland after independent mobilization of nuchal and cervical muscles to expose the retrostyloid PPS. The digastric branch of the facial nerve, which runs 16.5 mm over the anteromedial part of the posterior belly of the digastric muscle before piercing the parotid fascia, was used as a landmark to identify the main trunk of the facial nerve. MIKET corridor was superior to the crossing of the accessory nerve over the internal jugular vein within 17.3 mm from the jugular process. Further exposure of the occipital condyle, vertebral artery, and the jugular bulb was achieved. Conclusion The novel MIKET approach provides in the cadaver straightforward access to the upper and middle retrostyloid PPS through a natural corridor without injuring important neurovascular structures. Our work sets the anatomical nuances and limitations that should guide future clinical studies to prove its efficacy and safety either as a stand-alone procedure or as an adjunct to other approaches, such as the endonasal endoscopic approach.

Surgical Anatomy for Extended Facelift Techniques

2020 ◽  
Vol 36 (03) ◽  
pp. 309-316
Author(s):  
Ozcan Cakmak ◽  
Ismet Emrah Emre
Keyword(s):  
Facial Nerve ◽  
Soft Tissues ◽  
Extended Techniques ◽  
Surgical Anatomy ◽  
Superficial Musculoaponeurotic System ◽  
Increased Risk ◽  
The Face ◽  
Facial Soft Tissues ◽  
Relationship Of ◽  
The Relationship

AbstractPreservation of the facial nerve is crucial in any type of facial procedure. This is even more important when performing plastic surgery on the face. An intricate knowledge of the course of the facial nerve is a requisite prior to performing facelifts, regardless of the technique used. The complex relationship of the ligaments and the facial nerve may put the nerve at an increased risk of damage, especially if its anatomy is not fully understood. There are several danger zones during dissection where the nerve is more likely to be injured. These include the areas where the nerve branches become more superficial in the dissection plane, and where they traverse between the retaining ligaments of the face. Addressing these ligaments is crucial, as they prevent the transmission of traction during facelifts. Without sufficient release, a satisfying pull on the soft tissues may be limited. Traditional superficial musculoaponeurotic system techniques such as plication or imbrication do not include surgical release of these attachments. Extended facelift techniques include additional dissection to release the retaining ligaments to obtain a more balanced and healthier look. However, these techniques are often the subject of much debate due to the extended dissection that carries a higher risk of nerve complications. In this article we aim to present the relationship of both the nerve and ligaments with an emphasis on the exact location of these structures, both in regard to one another and to their locations within the facial soft tissues, to perform extended techniques safely.

The Ideal approach for casing leak repairs in Old wells

2017 ◽  
Author(s):  
Abdulla Faleh Al-Dossary ◽  
Abdulasalm Al-warthan ◽  
Mohammed Al-Badran ◽  
Ibrahim S. Al-Ghamdi ◽  
Wessam Mutawaa
Keyword(s):  
Ideal Approach ◽  
The Ideal

Facial nerve injury during surgery of the temporomandibular joint

1987 ◽  
Vol 80 (2) ◽  
pp. 326
Author(s):  
Ezatollah Hazrati ◽  
M. B. Hall ◽  
R. W. Brown ◽  
M. S. Lebowitz
Keyword(s):  
Facial Nerve ◽  
Temporomandibular Joint ◽  
Nerve Injury ◽  
Facial Nerve Injury

Restoration of Environment Through Phytoremediation

2015 ◽  
pp. 172-195 ◽  
Author(s):  
Arezoo Dadrasnia ◽  
Chijioke U Emenike ◽  
Salmah binti Ismail
Keyword(s):  
Soil Water ◽  
Biological Process ◽  
Time Constraints ◽  
Environmental Restoration ◽  
Future Directions ◽  
Environmental Media ◽  
Original State ◽  
Ideal Approach ◽  
The Future ◽  
The Ideal

Environmental restoration is a phenomenon required to keep the ecosystem intact, or enhance the rejuvenation of impaired environmental media; soil, water and air. Various methods of remediation exist, yet restoring the environment to the proximal or original state appear elusive to most methods. Interestingly, phytoremediation which is a biological process does not only restore environment in a greener way, but also can adopt diverse mechanisms such phytoextraction, phytodegradation, rhizodegrdation, phytostabilization and phytovolatization, to achieve the desired outcome. The chapter also unlined the merits and a few demerits of this principle, while the identification of sustainable plants and the mitigation of time constraints were the future directions mentioned for the projection of phytoremediation as the ideal approach for the restoration of the environment.

Modified Surgical Treatment of Intermittent Open-Mouth Mandibular Locking in a Cat

1992 ◽  
Vol 9 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Heidi B. Lobprise ◽  
Robert B. Wiggs
Keyword(s):  
Surgical Treatment ◽  
Temporomandibular Joint ◽  
Joint Laxity ◽  
Zygomatic Arch ◽  
Coronoid Process ◽  
Open Mouth

Intermittent open-mouth locking related to disorders of the temporomandibular joint are not uncommon. As a result of joint laxity, the mandible shifts to one side. The coronoid process then becomes locked lateral to the zygomatic arch. These patients present with the mouth opened and an inability to close the mouth. This article describes a case of intermittent open-mouth mandibular locking in a cat and a modified surgical treatment combining zygomatic arch and coronoid process reduction.

The Right to Privacy v National Security in Africa: Towards a Legislative Framework Which Guarantees Proportionality in Communications Surveillance

2020 ◽  
Vol 12 (3-4) ◽  
pp. 360-390
Author(s):  
Justice Alfred Mavedzenge
Keyword(s):  
National Security ◽  
International Law ◽  
Right To Privacy ◽  
African Countries ◽  
The Right To Privacy ◽  
Ideal Approach ◽  
Legislative Framework ◽  
The Right ◽  
Security Communication ◽  
The Ideal

Abstract Governments often resort to communications surveillance in order to combat threats against national security. Communication surveillance infringes upon the right to privacy. In order to protect privacy, international law requires communication surveillance to be proportionate. However, very little has been written to justify why this right deserves such protection in Africa, given counter-arguments suggesting that where national security is threatened, the state must be permitted to do everything possible to avert the threat, and the protection of privacy is an inconvenience. This article addresses these counter-arguments by demonstrating that the right to privacy deserves protection because it is as important as defending national security. It analyses approaches taken by selected African countries to regulate authorisation of communication surveillance. This article questions the assumption that prior judicial authorisation is the ideal approach to regulating communication surveillance in order to guarantee proportionality, and it suggests a need to consider other alternatives.

scholarly journals Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension

Hypertension ◽  
2020 ◽  
Vol 76 (5) ◽  
pp. 1368-1383 ◽  
Author(s):  
Stefano Omboni ◽  
Richard J. McManus ◽  
Hayden B. Bosworth ◽  
Lucy C. Chappell ◽  
Beverly B. Green ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Vital Signs ◽  
Healthcare Services ◽  
Hypertension Management ◽  
Team Physician ◽  
Video Consultation ◽  
Ideal Approach ◽  
Healthcare Model ◽  
Automated Feedback ◽  
The Ideal

Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients’ access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.

Methodological Challenges in Retrospective Evaluation of Mental Health Court Effectiveness

2020 ◽  
Vol 14 (1) ◽  
pp. 87-105
Author(s):  
Kort C. Prince ◽  
Jeremiah W. Jaggers ◽  
Allyn Walker ◽  
Jess Shade ◽  
Erin B. Worwood
Keyword(s):  
Mental Health ◽  
The United States ◽  
Control Group ◽  
Mental Health Courts ◽  
Retrospective Evaluation ◽  
Group Design ◽  
Alternative Approach ◽  
Problem Solving Courts ◽  
Ideal Approach ◽  
The Ideal

Mental Health Courts (MHCs) are problem-solving courts that have been implemented throughout the United States. One critical component of MHCs is determining their effectiveness and limitations. However, unique challenges are encountered when evaluating MHCs. One major challenge, and the focus of this paper, is identifying an adequate control group. The ideal approach to determining efficacy is using a controlled group design whereby participants are randomized to treatment or control conditions. However, this approach is not possible when conducting retrospective evaluation of court data. In addition, a specific set of ethical and logistical issues arise. Propensity score matching (PSM) provides an alternative approach for comparing groups when randomization is not possible. PSM works by first identifying the characteristics that make a person likely to be in treatment. We describe our attempts to use PSM in a MHC evaluation. Specific challenges with PSM are discussed and recommendations are made for use of PSM with MHCs.

Sign in / Sign up

Export Citation Format

Share Document