scholarly journals Conventional and variant origin of the transverse cervical artery in a select kenyan population

2020 ◽  
Vol 9 (1) ◽  
pp. 1727-1731
Author(s):  
Jeremiah Munguti ◽  
Fiona Nyaanga ◽  
Vincent Kipkorir ◽  
Shane Bhupendra ◽  
Onyango Marita ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Human Anatomy ◽  
Type I ◽  
Musculocutaneous Flaps ◽  
Cervical Artery ◽  
Posterior Neck ◽  
Key Words Anatomy ◽  
The Right ◽  
Type V ◽  
Transverse Cervical Artery

Data from previous studies have highlighted on the use of transverse cervical artery (TCA) flaps as posterior neck musculocutaneous flaps in  reconstructive surgeries. General preference of flap selection relies heavily on the neurovascular supply of the flap in question and even though known, the transverse cervical artery has been shown to vary among populations, therefore affecting its use as a potential flap. Additionally, variant points of origin of the trans-cervical artery have been shown to predispose to brachial plexus compression. Our data on the same, however, remains partly elucidated and therefore a study aimed at describing the conventional and variant origin of the TCA in a Kenyan population would aid in deciding on its use as musculocutaneous flaps and determining the possible prevalence of brachial plexus compression because of its variant origin. The origin of the transverse cervical artery was studied bilaterally in 26 adult Kenyan cadavers in the Department of Human Anatomy, University of Nairobi. As regards their origin, the different types were photographed and grouped into five: Types I to V relative to its origin. The data collected was then analysed using SPSS version 21 and findings presented as percentages. The findings were presented in a bar graph and pie chart. The TCA was present in all the 26 cadavers studied. Type I origin of the TCA was the most common (71.15%) while type V was the least (1.92%). While type I origin occurred mostly on the left limbs, the other types were more prevalent on the right side. The significant variant origin of the TCA and its resultant aberrant course should be important considerations during the planning of posterior neck musculocutaneous flaps as well as in understanding brachial plexus compression associated with its variant origin. Key Words: Anatomy, Transverse cervical artery.

Lymph Node Flap Based on the Right Transverse Cervical Artery as a Donor Site for Lymph Node Transfer

2015 ◽  
Vol 74 (6) ◽  
pp. 744-745 ◽  
Author(s):  
Stamatis Sapountzis ◽  
Dhruv Singhal ◽  
Pedro Ciudad ◽  
Domenico Meo ◽  
Hung Chi Chen
Keyword(s):  
Lymph Node ◽  
Donor Site ◽  
Cervical Artery ◽  
Lymph Node Transfer ◽  
The Right ◽  
Transverse Cervical Artery

scholarly journals Evaluation of root morphology and root canal configuration of premolars in the Turkish individuals using cone beam computed tomography

2015 ◽  
Vol 09 (04) ◽  
pp. 551-557 ◽  
Author(s):  
Duygu Goller Bulut ◽  
Emre Kose ◽  
Gozde Ozcan ◽  
Ahmet Ercan Sekerci ◽  
Emin Murat Canger ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Turkish Population ◽  
Cone Beam ◽  
Type I ◽  
Single Root ◽  
The One ◽  
The Right ◽  
Type V

ABSTRACT Objective: The aim of the present study is to assess the root and root canal morphology of maxillary and mandibular premolars in a Turkish population by using cone beam computed tomography (CBCT). Materials and Methods: In this study, CBCT images of 2134 premolars (987 maxillary, 1147 mandibular) were obtained from 404 patients. Details of gender, age, number of roots and canals, and canal configuration in each root were recorded. The canal configuration was classified and evaluated according to Vertucci's criteria. Results: The majority of maxillary premolars had two separate roots; although, three roots were identified in 1% of maxillary first premolars. However, most of the mandibular premolars had a single root. The two canals (69.9%) and type I (62.6%) and type II (34.1%) configuration for upper first premolar, one canal (82.1%) and type I (77.6%) canal configuration for second premolar was the most prevalent root canal frequency. The most prevalent root canal frequency was the one canal (96.2%) and type I (94.2%) and type V (3.2%) configuration for mandibular first premolar, one canal (98.9%) and type I (98.9%) canal configuration for second premolar. There was no difference in the root canal configurations and the numbers of canals between the left and the right side of both females and males (P > 0.05). Conclusions: Recognition of morphology and anatomy of the root canal system is one of the most important factors for successful endodontic treatment. Preoperative CBCT examination allows determination of root canal configuration of premolar teeth and helps clinicians in root canal treatment.

scholarly journals Hypoplastic Left Heart Syndrome: Prognostic Significance of Morphological Variants of the Heart in the Choice of Treatment Approach

2021 ◽  
pp. 53-59
Author(s):  
V. Zakharova ◽  
T. Savchuk ◽  
Ya. Truba ◽  
V. Lazoryshynets ◽  
O. Rudenko
Keyword(s):  
Right Ventricle ◽  
Prognostic Significance ◽  
Type I ◽  
Type Ii ◽  
Hypoplastic Left Heart ◽  
Type Iii ◽  
Type Iv ◽  
The Right ◽  
Type V ◽  
Left Heart Syndrome

Hypoplastic left heart syndrome (HLHS) is one of the most complicated congenital heart defects which leads to the inevitable fatal outcome in the natural course of the disease. Currently, Norwood procedure and fetal aortic valvuloplasty are considered the major approaches for surgical treatment of HLHS. However, the prognosis of such surgeries is often unpredictable. The aim. To study morphological variations of the left ventricle (LV) in HLHS and evaluate the prognostic significance of each of them in the choice of surgical approach. Materials. The main group included 63 hearts of newborns with HLHS, the comparison group included 53 hearts of newborns without cardiac pathology. Methods. The methods used were survey microscopy, as well as macro- and micromorphometry of various parameters of the heart, calculation of the ratio of their absolute values (indices) with subsequent statistical data processing. Results. Five types of LV were identified in HLHS patients based on the size and shape of the cavity, wall thickness, presence or absence of fibroelastosis: slit-like hypoplastic (Type I) (n = 10; 15.9%); slit-like hypertrophic (Type II) (n = 19; 30.2%); cylindrical (Type III) (n = 22; 34.9%); lacunar (Type IV) (n = 6; 9.5% ); lacunar-cylindrical (Type V) (n = 6; 9.5%). In Type I left ventricles, the interventricular index (IVI) (the ratio of the areas of the free walls of the left and right ventricles on the cross sections of the heart) was the smallest: 0.13 ± 0.03 units versus normal 1.96 ± 0.31 units. In Type II left ventricles, the value was equal to 1.69 ± 0.23 units; in Type III it was 1.59 ± 0.64 units; in Type IV it was 1.31 ± 0.03 units; in Type V it was 1.05 ± 0.52 units. The index of the working area of the right ventricular myocardium (RVI) (the ratio of the area of the free wall of the right ventricle to the sum of the areas of the free wall and interventricular septum) in Type I LV was the highest: 81.3 ± 5.7% versus normal 57.1 ± 2.02%; in Type II it was 49.7 ± 6.4%; in Type III it was 39.8 ± 2.9%; in Type IV it was 69.7 ± 16.1%; in Type V it was 41.3 ± 24.4%.Type III–V LVs have always been associated with fibroelastosis, in contrast to Type I and II LVs. Conclusions. In HLHS, Type I hearts are the most eligible for the Norwood procedure, since the LV, due to its minimal size, is not an excess ballast for the working right ventricle. Type II LV is optimal for the fetal aortic valvuloplasty, since during the II-III trimesters of gestation they can join the circulatory system due to remodeling. HLHS with LV fibroelastosis (Types III, IV, V) seem to be the least favorable for both pre- and postnatal surgery, especially in the presence of fibroelastosis of the right ventricle.

Lymph Node Flap Based on the Right Transverse Cervical Artery as a Donor Site for Lymph Node Transfer

2014 ◽  
Vol 73 (4) ◽  
pp. 398-401 ◽  
Author(s):  
Stamatis Sapountzis ◽  
Dhruv Singhal ◽  
Abid Rashid ◽  
Pedro Ciudad ◽  
Domenico Meo ◽  
...  
Keyword(s):  
Lymph Node ◽  
Donor Site ◽  
Cervical Artery ◽  
Lymph Node Transfer ◽  
The Right ◽  
Transverse Cervical Artery

scholarly journals Root Canal Configuration Of Permanent Mandibular First Molars Using Radiographic Tube Shift Technique On Dentistry Student Of University Of Sumatera Utara

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Trelia Boel ◽  
Dewi Kartika ◽  
Liliana Liliana
Keyword(s):  
Root Canal ◽  
Dental Student ◽  
Type I ◽  
Type Ii ◽  
Type Iii ◽  
Type Iv ◽  
The Right ◽  
Type V ◽  
Mandibular First Molar ◽  
Left Region

Introduction: Permanent mandibular first molars are the most commonly experienced treatment failure. Knowledge of root canal configuration needs to be known to establish the right diagnostics and successful root canal treatment. The aim of this study is to find out the root canal configuration of permanent mandibular first molar based on Vertucci classification using tube shift radiography technique among dental student of University of Sumatera Utara. Materials and Methods: This is an experimental with cross sectional approach. 36 students were selected by purposive sampling and data were collected from questionnaire and x-ray radiograph. Results: The result showed that 97.2% of permanent mandibular first molar have two roots and 2.8% have three roots. Variation of root canal configuration according to Vertucci on mesial root right region, type I 8.3%, type II 27.8%, type III 11.1%, type IV 50%, type II classification Gulabivala 2.8%, on left region type I 5.6%, type II 44.4%, type III 2.8%, type IV 44.4%, type II classification Gulabivala 2.8%. On distal root of first molar right region, type I 86.1%, type II 2.8%, type III 8.3%, type V 2.8%, on left region, type I 100%. Conclusion(s): Root canal configuration of mandibular first molar based on Vertucci classification at mesial roots of the right region, type I, II, III, IV, and type II classification Gulabivala , on left region we found type I, II, III, IV, and type II classification Gulabivala . On distal root of the right region, type I, II, III, and type V, on left region only type I.

scholarly journals Unusual Splitting of Medial Cord of the Right Brachial Plexus and Its Relation to the Axillary Artery and Subscapular Artery: A Case Report

2019 ◽  
Vol 7 (12) ◽  
pp. 2006-2009
Author(s):  
Adegbenro Omotuyi John Fakoya ◽  
Emilio Aguinaldo ◽  
Natalia M. Velasco-Nieves ◽  
Zachary T. Vandeveer ◽  
Nannette Morales-Marrietti ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Axillary Artery ◽  
Anatomical Variations ◽  
Motor Dysfunction ◽  
Human Anatomy ◽  
Case Presentation ◽  
Clinical Correlations ◽  
The Right ◽  
Unique Variation ◽  
Affect Patient Care

BACKGROUND: Variations in human anatomy have been associated with numerous clinical correlations that may affect patient care. In this article, we present a unique variation of the medial cord of the brachial plexus about the axillary artery and subscapular artery. The precise assessment of this unique morphology was performed during a cadaveric dissection. CASE PRESENTATION: Contrary to the general course of the medial cord of the brachial plexus, this report demonstrates a rare splitting of the medial cord around the axillary artery and a second abnormal communication between the posterior and medial cords that show a “nutcracker-like” syndrome involving the subscapular artery. CONCLUSION: Such variations could make surgeries challenging. We also infer that these anatomical variations could make gliding therapy inefficient in any motor dysfunction initiating from the brachial plexus.

The diagnosis of metabolic storage disease in skin biopsies (a light-, electronmicroscopic, and analytical study)

1978 ◽  
Vol 36 (2) ◽  
pp. 648-649
Author(s):  
W. Jurecka ◽  
W. Gebhart ◽  
H. Lassmann
Keyword(s):  
Storage Disease ◽  
Hunter Syndrome ◽  
Histochemical Demonstration ◽  
Sweat Glands ◽  
Type I ◽  
Storage Material ◽  
Scheie Syndrome ◽  
Storage Products ◽  
Skin Biopsies ◽  
Type V

Diagnosis of metabolic storage disease can be established by the determination of enzymes or storage material in blood, urine, or several tissues or by clinical parameters. Identification of the accumulated storage products is possible by biochemical analysis of isolated material, by histochemical demonstration in sections, or by ultrastructural demonstration of typical inclusion bodies. In order to determine the significance of such inclusions in human skin biopsies several types of metabolic storage disease were investigated. The following results were obtained.In MPS type I (Pfaundler-Hurler-Syndrome), type II (Hunter-Syndrome), and type V (Ullrich-Scheie-Syndrome) mainly “empty” vacuoles were found in skin fibroblasts, in Schwann cells, keratinocytes and macrophages (Dorfmann and Matalon 1972). In addition, prominent vacuolisation was found in eccrine sweat glands. The storage material could be preserved in part by fixation with cetylpyridiniumchloride and was also present within fibroblasts grown in tissue culture.

Collagen fibrillogenesis in vitro: interaction of types I and V collagen

1986 ◽  
Vol 44 ◽  
pp. 210-211
Author(s):  
Arthur J. Wasserman ◽  
Kathy C. Kloos ◽  
David E. Birk
Keyword(s):  
Type I Collagen ◽  
Corneal Stroma ◽  
Minor Component ◽  
Homogeneous Distribution ◽  
Type I ◽  
Type V Collagen ◽  
Fibril Morphology ◽  
Type V ◽  
In Vitro Interaction

Type I collagen is the predominant collagen in the cornea with type V collagen being a quantitatively minor component. However, the content of type V collagen (10-20%) in the cornea is high when compared to other tissues containing predominantly type I collagen. The corneal stroma has a homogeneous distribution of these two collagens, however, immunochemical localization of type V collagen requires the disruption of type I collagen structure. This indicates that these collagens may be arranged as heterpolymeric fibrils. This arrangement may be responsible for the control of fibril diameter necessary for corneal transparency. The purpose of this work is to study the in vitro assembly of collagen type V and to determine whether the interactions of these collagens influence fibril morphology.

Peripheral Nerve and Brachial Plexus Impairment, AMA Guides, Sixth Edition

2017 ◽  
Vol 22 (2) ◽  
pp. 3-5
Author(s):  
James B. Talmage ◽  
Jay Blaisdell
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Complex Regional Pain Syndrome ◽  
Lower Extremities ◽  
Pain Syndrome ◽  
Upper Extremities ◽  
Motor Deficits ◽  
Type I ◽  
Sixth Edition ◽  
Nerve Entrapments

Abstract Physicians use a variety of methodologies within the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, to rate nerve injuries depending on the type of injury and location of the nerve. Traumatic injuries that cause impairment to the peripheral or brachial plexus nerves are rated using Section 15.4e, Peripheral Nerve and Brachial Plexus Impairment, for upper extremities and Section 16.4c, Peripheral Nerve Rating Process, for lower extremities. Verifiable nerve lesions that incite the symptoms of complex regional pain syndrome, type II (similar to the former concept of causalgia), also are rated in these sections. Nerve entrapments, which are not isolated traumatic events, are rated using the methodology in Section 15.4f, Entrapment Neuropathy. Type I complex regional pain syndrome is rated using Section 15.5, Complex Regional Pain Syndrome for upper extremities or Section 16.5, Complex Regional Pain Syndrome for lower extremities. The method for grading the sensory and motor deficits is analogous to the method described in previous editions of AMA Guides. Rating the permanent impairment of the peripheral nerves or brachial plexus is similar to the methodology used in the diagnosis-based impairment scheme with the exceptions that the physical examination grade modifier is never used to adjust the default rating and the names of individual nerves or plexus trunks, as opposed to the names of diagnoses, appear in the far left column of the rating grids.

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