• Title/Summary/Keyword: Surgical anatomy

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THE CORONAL APPROACH;ANATOMY, TECHNICAL CONSIDERATIONS AND MORBIDITIES (관상피판술;해부학, 수술시 고려사항, 병적인 상태)

  • Lee, Gi-Hyug;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan;Park, No-Seung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.615-620
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    • 1996
  • The coronal approach is a versatile surgical technique. This method becomes particulary useful for exposure and internal fixation of midfacial fractures and the harvest of calvarial bone graft to manage the complex facial bone fractures. The rectrospective clinical study on the use of this technique in 10 patients was performed. The result shows that this technique provides the excellent exposure of fractures site, the ability to reduce the fragment accurately and good cosmetic results in incision area. We discussed with literatures review that anatomy, technique, indications, and potential complications of the coronal approach.

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Correction of Posttraumatic Enophthalmos

  • Hazani, Ron;Yaremchuk, Michael J.
    • Archives of Plastic Surgery
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    • v.39 no.1
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    • pp.11-17
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    • 2012
  • Management of posttraumatic enophthalmos can present as a challenge to the reconstructive surgeon, particularly in cases of late presentation. This article reviews the pertinent anatomy of the orbit, diagnostic modalities, indications for surgery, and surgical approaches as they relate to the treatment of posttraumatic enophthalmos. Internal orbital reconstruction has evolved to an elegant procedure incorporating various biologic or alloplastic implants, including anatomical pre-bent implants. Successful repair of late enophthalmos has been demonstrated in multiple recent studies and is likely related to the precision with which orbital anatomy can be restored.

Bilateral sternocleidomastoid variant with six distinct insertions along the superior nuchal line

  • Dupont, Graham;Iwanaga, Joe;Altafulla, Juan J.;Lachkar, Stefan;Oskouian, Rod J.;Tubbs, R. Shane
    • Anatomy and Cell Biology
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    • v.51 no.4
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    • pp.305-308
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    • 2018
  • Anatomical variations of the sternocleidomastoid muscle (SCM) have been observed to occupy multiple origins and insertion points and have supernumerary heads, sometimes varying in thickness. During routine dissection, a SCM was observed to have six distinct insertions that interface with the course of the superior nuchal line, ending at the midline, bilaterally. This variation was also seen to receive innervation from the accessory nerve as well as the great auricular nerve. To our knowledge, this variant of supernumerary insertions and nerve innervations has not yet been reported. These variants may pose as problematic during surgical approaches to the upper neck and occiput, and should thus be appreciated by the clinician. Herein we discuss the case report, possible embryological origins, and the clinical significance of the observed variant SCM.

Uncommon configuration of intercostobrachial nerves, lateral roots, and absent medial cutaneous nerve of arm in a cadaveric study

  • Rosemol Xaviour
    • Anatomy and Cell Biology
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    • v.56 no.4
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    • pp.570-574
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    • 2023
  • The intercostobrachial nerve (ICBN) originates from the second intercostal nerve's lateral cutaneous branch, while the median nerve (MN) typically arises from the brachial plexus's lateral and medial roots. The medial cutaneous nerve of the arm, a branch of the medial cord of the brachial plexus, often connects with the ICBN. Variations were observed during the dissection of a 50-year-old male cadaver, including MN having two lateral roots (LR), LR1 and LR2, joining at different levels. Three ICBNs innervated the arm in this case, with the absence of the medial cutaneous nerve of the arm compensated by branches from the medial cutaneous nerve of the forearm. Understanding these anatomical variations is crucial for surgical procedures like brachioplasty, breast augmentation, axillary lymph node dissection, and orthopedic surgery. Surgeons and medical professionals must be aware of these variations to enhance preoperative planning, minimize complications, and improve patient outcomes in these procedures.

Microsurgical Anatomy in Transoral Odontoidectomy (경구강 치상돌기제거술의 수술해부학)

  • Park, Kwan;Lee, Sang Koo;Cho, Tae Goo;Nam, Do-Hyun;Lee, Jung-Il;Kim, Jong-Soo;Hong, Seung-Chyul;Shin, Hyung-Jin;Eoh, Whan;Kim, Jong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.309-316
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    • 2000
  • Objective :The transoral approach allows direct view of the ventral craniovertebral junction and provides useful management of the various lesions of this area. We present a step by step guide to the performance of the transoral excision of the odontoid process in the cadaveric model. Methods : Ten cadaver heads were used in fixed or unfixed state. We describe the relevant surgical anatomy in the cadaveric dissection and surgical technique of transoral transpharyngeal odontoidectomy. Results : The surgical procedure of transoral odontoidectomy was categorized by six steps;soft palate, posterior pharyngeal wall, muscular structures, osseous structures, odontoid process and ligaments, cruciate ligament and dura. Conclusion : With anatomical knowledge of these regions neurosurgeons can deal with wide variety of lesions in the ventral craniovertebral junction.

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Collagenous Fibroma in an African Lion

  • Yun, Sung-Ho;Ku, Sae-Kwang;Jeong, Won-Seok;Park, Jai-Soon;Oh, Tae-Ho;Lee, Keun-Woo;Jang, Kwang-Ho
    • Proceedings of the Korean Society of Veterinary Clinics Conference
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    • 2009.04a
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    • pp.284-284
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    • 2009
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Cervical Radiculopathy due to Cervical Degenerative Diseases : Anatomy, Diagnosis and Treatment

  • Kim, Kyoung-Tae;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.473-479
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    • 2010
  • A cervical radiculopathy is the most common symptom of cervical degenerative disease and its natural course is generally favorable. With a precise diagnosis using appropriate tools, the majority of patients will respond well to conservative treatment. Cervical radiculopathy with persistent radicular pain after conservative treatment and progressive or profound motor weakness may require surgery. Options for surgical management are extensive. Each technique has strengths and weaknesses, so the choice will depend on the patient's clinical profile and the surgeon's judgment.

Surgical treatment and pathological anatomy of mid-thoracic esophageal diverticula-report of 6 cases- (식도중간부게실의 병리해부와 외과적 치례)

  • 이병우
    • Journal of Chest Surgery
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    • v.16 no.3
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    • pp.391-398
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    • 1983
  • This is a report of 6 cases of esophageal diverticulum at the mid-thoracic esophagus treated surgically at the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital during the 10 years. Five patients were female and one was male and the age distribution was between 31 and 61 years, Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The type of esophageal diverticulum were pulsion type in five cases and traction type in one case. After diverticulectomy, subjective symptoms disappeared and there were no operative complications and mortality. Recurrence of symptoms was not noticed during follow-up.

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Management of Complications During Video-Assisted Thoracic Surgery Lung Resection and Lymph Node Dissection

  • Choi, Yong Soo
    • Journal of Chest Surgery
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    • v.54 no.4
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    • pp.263-265
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    • 2021
  • Intraoperative events can occur during video-assisted thoracoscopic surgery (VATS) lobectomy due to unfavorable surgical anatomy, such as dense adhesions or calcifications around the pulmonary arteries. Troubleshooting intraoperative complications is essential for performing safe and successful VATS pulmonary resection and lymph node dissection. If continuous bleeding occurs or VATS does not proceed despite all measures, conversion to open thoracotomy should not be delayed.

Lumbar foraminal neuropathy: an update on non-surgical management

  • Choi, Young Kook
    • The Korean Journal of Pain
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    • v.32 no.3
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    • pp.147-159
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    • 2019
  • Lumbar foraminal pathology causing entrapment of neurovascular contents and radicular symptoms are commonly associated with foraminal stenosis. Foraminal neuropathy can also be derived from inflammation of the neighboring lateral recess or extraforaminal spaces. Conservative and interventional therapies have been used for the treatment of foraminal inflammation, fibrotic adhesion, and pain. This update reviews the anatomy, pathophysiology, clinical presentation, diagnosis, and current treatment options of foraminal neuropathy.