scholarly journals A rare anatomical variation in foramen of Vesalius: A useful guide for maxillofacial surgeons

2022 ◽  
Vol 9 (1) ◽  
pp. 001-004
Author(s):  
G. Priya

Background: Foramen of vesalius is an inconstant foramen that gives passage to an emissary vein that connects pterygoid venous plexus with cavernous sinus. It lies in the anteromedial side of the foramen ovale. Foramen ovale allows the passage for the mandibular branch of trigeminal nerve, the main site for the trigeminal rhizotomy. The presence and description of anatomical variations about the foramen of Vesalius is important during the surgical procedure on the trigeminal nerve which may injure the emissary vein in the foramen leading to intracranial bleeding. Objectives: The aim of the present study is to report the presence and to enlighten the anatomical variations of foramen vesalius which may serve as a guideline for surgeons. Methods: The study was conducted on 100 dry adult human skulls collected from the department of anatomy at Panimalar medical college hospital & research institute Chennai. The skulls were viewed both extracranially and intracranially to identify the presence of foramen of vesalius. The presence and variation of the foramen was noted and discussed. Result: A total of about 200 sides of 100 skulls were studied. Among them 20% of the skull showed presence of foramen of Vesalius bilaterally, 25% unilaterally and one particular skull showed doubled opening on the left side with the presence of a bony septum. This is a rare variation which was less documented in the literature. Conclusion: The knowledge of variations in foramen of Vesalius may help the surgeons for safer planning and execution of the trigeminal rhizotomy technique.

2021 ◽  
pp. 11-13
Author(s):  
Sutia Indra Nath ◽  
Baruah Anuradha ◽  
Borah Ankita

Background: Anatomical variations and congenital anomalies of the pancreatic ducts are often detected as incidental ndings in asymptomatic patients and are commonly encountered in radiological investigations. Anatomical knowledge of the pancreatic ducts and its variations are important to avoid pancreatic injury during surgical and investigative procedure. The Objectives: aim of the present study is to study anatomical variation of the pancreatic ducts. Methods: The study was done in the department of Anatomy, Assam Medical College, Dibrugarh, Assam. 50 specimens were collected, (35 nos perinatal and 15 nos adult). A thorough morphological study of the pancreatic duct system was carried out and the results were recorded. Variations of the pancreatic ducts & their diffe Results: rent types correlate with the previous studies to some extent. Conclusion: Knowledge of the pattern and anomaly of the pancreatic ducts will add in the long list of variations of the pancreas. It will be helpful for safe and effective diagnostic and therapeutic interventions and prevention of inadvertent organ damage or ductal injury.


2021 ◽  
pp. 29-31
Author(s):  
Gyan Prakash Mishra ◽  
Ajay Singh Rajput ◽  
Stuti Tandon

INTRODUCTION: The foramen ovale is present in sphenoid bone which transmits the mandibular nerve, accessory meningeal artery, emissary vein and the lesser petrosal nerve. This study was conducted on a total 100 si MATERIALS & METHODS: des in 50 dry adult skulls. The shape of foramen will be determined by a visual examination. Margins of foramen were carefully observed for the abnormal bony outgrowths such as sharp bony projections (spine), small blunt bony projection (tubercle), bony plate and bony bar. We obs RESULTS: erved the variations in shape of foramen ovale. We found oval, almond, round, triangular, slit like and irregular shaped in 62%, 20%, 9%, 4%, 3% and 2% foramina ovale respectively. We also observed abnormal bony outgrowths in the foramen ovale like spines, tubercles, bony plate and bony bar. Abnormal bony bar was dividing the foramen ovale in 2 compartments (Anterior and Posterior). The preci CONCLUSIONS: se knowledge of variations of foramen ovale is of valuable contribution for neurosurgeons to development of new and different techniques to approach the middle cranial fossa. In our study we found , 100% tubercles and 80% spines were arising from anterior margin of foramen ovale. These ndings are important for neurosurgeons to approach middle cranial fossa via foramen ovale for neurosurgical and diagnostic procedures like percutaneous biopsy of cavernous sinus tumours, electroencephalographic analysis, microvascular decompression , percutaneous trigeminal rhizotomy and administration of anaesthesia to the mandibular nerve. Surgeons should avoid to go , close to the anterior margin of foramen ovale as spines and tubercles could interrupt the procedures.


2020 ◽  
Vol 2 (2) ◽  
pp. 20-25
Author(s):  
Sona Pokhrel ◽  
Bhuwan Raj Pandey

Introduction: Computed tomography (CT) has nowadays become the investigation of choice for diagnosis and evaluation of anatomical variations of the nose and paranasal sinuses. Methods: A cross sectional study was conducted in the Department of Radiology of Lumbini Medical College Hospital from June 2019 to May 2020. Total of 130 patients were enrolled for the study. All patients were subjected to Siemens Somatom scope 16 slice CT scan. Each scan was studied for the presence of agger nasi cell, concha bullosa, deviated nasal septum, haller cell, onodi cell, uncinate process variation and type of olfactory fossa. Results: The mean age of patients was 36. 86 ±12.06 years. There were 76 males (58.5%) and 54 females (41.5%) with male: female ratio of 1.4:1 with highest range in age group of 31 to 45 years (46.9%). Anatomical variation between male and female was statistically not significant (p>0.05). The most common anatomical variation noted was nasal septal deviation (73.1%), then agger nasi cell (59.3%), concha bullosa (24.6%), paradoxical medial turbinate (7.7%), onodi cell (6.9%), uncinate process variation (5.4%) and least was haller cell (4.6%). Most of the scans had more than one anatomical variation, which was statistically significant (p<0.05). The most common type of olfactory fossa depth was Keros type II (61.5%). Conclusion: Computed tomography of the paranasal sinus has improved the visualization of anatomical variation hence radiologist must pay close attention to variants.  


2020 ◽  
pp. 59-62
Author(s):  
Vemireddy Sreechand Reddy ◽  
Apoorva. C ◽  
Ankamma Rao. D

Introduction Knowledge of variations in the cerebral dural venous sinus anatomy seen on magnetic resonance (MR) venography is essential to avoid over-diagnosis of cerebral venous sinus thrombosis (CVST). Very limited data is available on gender difference of the cerebral dural venous sinus anatomy variations Materials and Methods A retrospective study was conducted in NRI medical college in the Department of Radiodiagnosis for a duration of 3 years to study the normal anatomy of the intracranial venous system and its normal variation, as depicted by 3D MR venography, in normal adults and any gender-related differences. Results A total of (46 men, 54 women, age range 12 to 81 years), were included in the study. Most common indication for MR venography was headache (80%). Hypoplastic left transverse sinus was the most common anatomical variation in (25%) patients. Left transverse sinus was hypoplastic in more commonly in male in comparison to females (13 versus 12). Most common variation of superior sagittal sinus (SSS) was hypoplastic anterior one third SSS ,. Conclusion Hypoplastic left transverse sinus is the most common anatomical variation and more common in male compared to female in the present study. Other anatomical variations of dural venous sinuses are not significantly differ among both genders.


2014 ◽  
Vol 6 (2) ◽  
pp. 91-94
Author(s):  
Kosuri Kalyan Chakravarthi ◽  
Nelluri Venumadhav ◽  
KS Siddaraju

Background: The thinnest portion of the medial wall of the orbit is Lamina orbitalis ossis ethmoidalis which separates the ethmoidal sinuses from the orbit. Congenital bony malformation of orbit and anatomical variation of ethmoidal sinuses are important in terms of the risk of complication development during endoscopic sinus surgery and to understanding the pathophysiology and spread of sinus disease.Materials and Methods: Accordingly the present study was designed to fi nd out the congenital malformation of medial wall of the orbit in relation to lamina orbitalis ossis ethmoidalis. The study was carried out using 100 dried adult human skulls and twenty six human cadavers irrespective of sex were obtained from the Department of Anatomy - Mayo Institute of Medical Sciences-Barabanki, Department of Anatomy - Melaka Manipal Medical College - Manipal and Department of Anatomy - KMCT Medical College, Manassery - Calicut.Results: In three skulls (2.380%) we noted unilateral unusual hole at the junction of medial wall and roof of orbit with dimensions of 2.3 cm long and 1 cm height in two skulls and another unusual vertical hole at the anterior part of medial wall and roof of orbit with dimensions of 2 cm height and 1 cm width. We also noted few ethmoidal cells extended in to the orbital plate and fovea ethmoidalis of the frontal bone.Conclusion: Congenital defective formation of bony orbit and variable anatomy of paranasal sinuses noted in this study is may be due to the defective formation of Lamina orbitalis ossis ethmoidalis from the lateral part of the nasal capsule near the fronto ethmoidal suture such comprehensive knowledge is necessary to understand the various disorders of this region and to avoid complications during surgical procedures involving this area.DOI: http://dx.doi.org/10.3126/ajms.v6i2.10534Asian Journal of Medical Sciences Vol.6(2) 2015 91-94


2020 ◽  
Vol 23 (2) ◽  
pp. 164-170
Author(s):  
Dipankar Lodh ◽  
Islam Nazmul ◽  
Talukder Debesh ◽  
Majumder Rita ◽  
Arafat Shahriar ◽  
...  

Background: CT imaging of nose and paranasal sinuses is to confirm the diagnosis, localize the disease, characterize the extent of pathology and describe any anatomical variations. A careful histopathological examination (HPE) is nesessary to decide the nature of a specific lesion. Objective: To observe performance of CT scan as a sensitive modality in the diagnosis of sinonasal mass by comparing with the findings of histopathological examination. Methods: This cross sectional study in Dhaka Medical College Hospital (DMCH). From 01/ 07/2013 to 30/06/2014 (One year), 42 patients were selected. Resuls: Here male and female ratio was found 1.4:1 So, the incidence of sinonasal growth slightly higher in male (59.3%) compared to the female (40.6%).Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 164-170


2019 ◽  
Vol 72 (11-12) ◽  
pp. 357-361
Author(s):  
Milos Maletin ◽  
Milos Vukovic ◽  
Milan Sekulic ◽  
Vanja Drljevic-Todic

Introduction. The foramen Vesalius is a variable foramen located at the skull base, anteromedial to the foramen ovale behind and lateral to the foramen rotundum. This foramen is also known as emissary sphenoidal foramen. The aim of the research was to determine the anatomical characteristics of the foramen Vesalius in adult human skulls and foramina classification according to their type, shape, and sex distribution. Material and Methods. The study included 26 dry adult human skulls of both sexes from the collection of the Depart?ment of Anatomy, Faculty of Medicine of the University of Novi Sad. The skulls were macroscopically analyzed according to the presence or absence of the foramen Vesalius. Results. The foramen Vesalius was found in 16 skulls (61.54%) and it was absent in 10 skulls (38.46%). The incidence of bilateral and unilateral foramen Vesalius was 87.5% (14 skulls) and 12.5% (2 skulls), respectively. The foramen Vesalius was found in 10 male skulls (62.5%) and in 6 female skulls (37.5%). Conclusion. Based on the morphological analysis of the skulls, the study showed that the foramen of Vesalius can be unilateral or bilateral. The bilateral foramen was more common and it was usually round and symmetrical. In regard to the sex prevalence, the foramen was more prevalent in male than in female skulls. The results of the study showed that foramen Vesalius is not an uncommon anatomical variation, and its presence and morphological appearance are important information for physicians in various fields.


VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 404-407
Author(s):  
Maras ◽  
Tzormpatzoglou ◽  
Papas ◽  
Papanas ◽  
Kotsikoris ◽  
...  

Foetal-type posterior circle of Willis is a common anatomical variation with a variable degree of vessel asymmetry. In patients with this abnormality, carotid endarterectomy (CEA) may create cerebral hypo-perfusion intraoperatively, and this may be underestimated under general anaesthesia. There is currently no evidence that anatomical variations in the circle of Willis represent an independent risk factor for stroke. Moreover, there is a paucity of data on treating patients with such anatomical variations and co-existing ICA stenosis. We present a case of CEA under local anaesthesia (LA) in a 52-year-old female patient with symptomatic stenosis of the right ICA and coexistent foetal-type posterior circle of Willis. There were no post-operative complications and she was discharged free from symptoms. She was seen again 3 months later and was free from complications. This case higlights that LA should be strongly considered to enable better intra-operative neurological monitoring in the event of foetal-type posterior circle of Willis.


Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.


2012 ◽  
Vol 6 (2) ◽  
pp. 7-10
Author(s):  
Mohammad Murshed ◽  
Sabeena Shahnaz ◽  
Md. Abdul Malek

Isolation and identification of post operative hospital acquired infection was carried out from July 2008 to December 2008 in Holy Family Red Crescent Medical College Hospital (private hospital). The major pathogen of wound infection was E. coli. A total; of 120 samples were collected from the surrounding environment of post operative room like floor, bed sheets, instruments, dressing materials, catheter, nasogastric and endotracheal tube. E. coli (40%) was the predominant organism followed by S. aureus (24%). DNA fingerprinting analysis using pulsed field gel electreopheresis of XbaI restriction digested genomic DNA showed that clonal relatedness between the two clinical nd environmental isolates were 100%.DOI: http://dx.doi.org/10.3329/bjmm.v6i2.19369 Bangladesh J Med Microbiol 2012; 06(02): 7-10


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