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Muscle fascia

Alper Sen, Kadir Özdamar
OBJECTIVES: To compare the functional and anatomical success rates of the fascial versus perichondrial grafts in pediatric endoscopic type 1 tympanoplasties. METHODS: This retrospective clinical study was conducted on 40 pediatric patients (23 females and 17 males; mean age: 10.0 ± 1.7 years; the age range: 6-13) who were operated with a transcanal endoscopic type 1 tympanoplasty. The study participants were assigned to two groups by graft types. The patients were assigned to either the tragal cartilage perichondrium group (Group A) or the fascia of the temporal muscle (Group B)...
March 1, 2019: International Journal of Pediatric Otorhinolaryngology
Auréline Boitet, Stanislas Grassin-Delyle, Liliane Louedec, Sebastien Dupont, Elodie Lamy, Marc Coggia, Jean-Baptiste Michel, Raphaël Coscas
OBJECTIVE: Drug coated balloons (DCB) improve the patency of femoropopliteal angioplasty but their use in infrapopliteal lesions is debateable as paclitaxel (PTX) particle embolisation has been suspected in some trials. The aim of this study was to compare experimentally five DCBs in terms of distal embolism of PTX. METHODS: Twenty-five New Zealand rabbits were divided into five groups according to the DCB used: Lutonix (Bard), In.Pact (Medtronic), Passeo-18 Lux (Biotronik), Ranger (Boston Scientific), and Stellarex (Spectranetics) (n = 5 in each group)...
March 11, 2019: European Journal of Vascular and Endovascular Surgery
Fábio Xerfan Nahas, Leandro Dario Faustino, Lydia Masako Ferreira
The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of specific techniques to treat different types of abdominal wall deformity is also considered. This is important, because the outcome when correcting these deformities depends not only on suture materials but also on employing the optimum technique...
March 14, 2019: Aesthetic Surgery Journal
Waqas Ahmed, Aqeel Safdar, Iftikhar Ahmed, Naveed Ahmed
We present a case of 7 years old boy with a very rare debilitating autosomal dominant disorder characterized by heterotopic ossification. Fibro dysplasia ossificans progressiva affects 1 in 2 million individuals with only 2 previous cases reported from this region. The disease manifests as multiple foci of bone formation in muscles, fasciae, tendons and ligaments often triggered by trauma. The child was born with bilateral short hallux valgus and aplasia of distal phalanges of both thumbs. In the last 3 years he had developed hard bony swellings in the scalp, followed by limitation of neck mobility...
January 2019: Journal of Ayub Medical College, Abbottabad: JAMC
Dan Li, Zongqi Yin, Yi Liu, Shaoqing Feng, Yu Liu, Fangjia Lu, Yong Xu, Peiru Min, Mengjie Hou, Ke Li, Aijuan He, Wenjie Zhang, Wei Liu, Yixin Zhang, Guangdong Zhou, Yilin Cao
The repair and functional reconstruction of long-segment tracheal defects is always a great challenge in the clinic. Finding an ideal substitute for tracheal transplantation is the only way to solve this problem. The current study proposed a series of novel strategies for constructing a bionic living trachea substitute. For the issue of tubular cartilage support, cartilage sheet technique based on high-density culture of chondrocytes was adopted to avoid the inflammatory reaction triggered by the materials and thus formed mature cartilage-like tissue in autologous goat model...
March 10, 2019: Acta Biomaterialia
Pedro A Maldonado, Kelley S Carrick, T Ignacio Montoya, Marlene M Corton
OBJECTIVES: To examine the gross and histologic anatomy of the proximal, mid, and distal posterior vaginal compartment and discuss implications for surgical repair. STUDY DESIGN: In this cadaver study, pelvic organs were resected en bloc, immersed in formalin solution, and transected in the mid sagittal plane. Measured distances included: posterior vaginal wall length, cervicovaginal junction or vaginal cuff to posterior peritoneal reflection, peritoneal reflection to proximal edge (apex) of perineal body, and perineal body apex to hymenal remnant (height)...
March 6, 2019: Female Pelvic Medicine & Reconstructive Surgery
Rami Dibbs, Luke Grome, William C Pederson
With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Today, microsurgery offers an alternative when options lower on the reconstructive ladder have been exhausted or will not produce a desirable result. In this article, the authors review the use of free tissue transfer for upper extremity reconstruction...
February 2019: Seminars in Plastic Surgery
Robbert C Maatman, Oliver B Boelens, Marc R M Scheltinga, Rudi M H Roumen
Introduction and aim: Chronic back pain (CBP) may be caused by a variety of conditions including dysfunctional muscles, ligaments or intervertebral discs, improper movement of vertebral column joints, or nerve root compression. Recently, CBP was treated successfully in a patient having an entrapment of cutaneous branches of the posterior rami of the thoracic nerves, termed posterior cutaneous nerve entrapment syndrome (POCNES). Our aim is to describe clinical presentation, differential diagnosis, and management of patients with such a neuropathic pain syndrome...
2019: Journal of Pain Research
Vahhab Zarei, Sharon C Yson, Joan E Bechtold, Jonathan N Sembrano
Study Design. Mathematical Model. Objectives. To investigate the relationship between pelvic osteotomy opening angle (OA) and its effect on spinopelvic sagittal parameters as well as the resting length of surrounding muscles. Methods. Predictive equations correlating OA with spinopelvic parameters were derived using geometric relationships. A geometric model calculated spinopelvic parameters (SVA, pelvic incidence [PI], PT, and T1 pelvic angle [TPA]) produced by progressively increasing the OA. These values were compared to optimal balance criteria in the literature...
2019: Advances in Orthopedics
Filippo Giovannetti, Giorgio Barbera, Paolo Priore, Resi Pucci, Marco Della Monaca, Valentino Valentini
OBJECTIVE: Fascia lata (FL) is a worldwide adopted source of autologous grafts. In our Department, the endoscopic endonasal transphenoidal surgery (EETS) has been performed regularly for anterior and middle cranial fossa lesions, and FL graft has commonly been a practical resource in repairing tissue defects after EETS.Enough, we used routinely harvesting FL to restore symmetry in facial palsy. To our known, this is the biggest case series about FL harvesting to repare tissue defects after EET...
February 9, 2019: Journal of Craniofacial Surgery
Bellakhdhar Mouna, Mouna Khalifa, Monia Ghammem, Manel Limam, Abir Meherzi, Wassim Kermani, Mohamed Abdelkefi
Tympanoplasty is a surgical procedure aiming to reconstruct the tympanic membrane and hearing. The aim of this study was to compare anatomic and audiological results of cartilage graft with temporal fascia graft in type 1 tympanoplasty patients. We conducted a descriptive, retrospective study of medical records of patients who underwent tympanoplasty between January 2010 and December 2015 at the Department of Otolaryngology Head and Neck Surgery of Farhat Hached University Hospital. In total, we obtained 46 patients...
March 1, 2019: Journal of Craniofacial Surgery
Hideki Tokumoto, Shinsuke Akita, Minami Arai, Yoshitaka Kubota, Motone Kuriyama, Nobuyuki Mitsukawa
BACKGROUND: Breast reconstruction by deep inferior epigastric perforator flap (DIEP) involves only little rectus abdominis muscle sacrifice. However, the operative procedure may get complicated. We propose here a novel method involving two adjacent perforators and requiring the addition of only the superficial muscle to the flap. This novel technique, termed "deep muscle sparing transverse rectus abdominis musculocutaneous flap (DMS-TRAM)," was compared to DIEP and MS-TRAM groups...
February 25, 2019: Microsurgery
Simone Moroni, Alejandro Fernández Gibello, Marit Zwierzina, Gabriel Camunas Nieves, Rubén Montes, José Sañudo, Teresa Vazquez, Marko Konschake
BACKGROUND: The aim of this study was to provide a safe ultrasound-guided minimally invasive surgical approach for a distal tarsal tunnel release concerning nerve entrapments. METHODS AND RESULTS: The study was carried out on ten fresh-frozen feet. All of them have been examined by high-resolution ultrasound at the distal tarsal tunnel. The surgical approach has been marked throughout the course of the medial intermuscular septum (MIS, the lateral fascia of the abductor hallucis muscle)...
February 23, 2019: Surgical and Radiologic Anatomy: SRA
Kris Vermeylen, Matthias Desmet, Ine Leunen, Filiep Soetens, Arne Neyrinck, Dirk Carens, Ben Caerts, Patrick Seynaeve, Admir Hadzic, Marc Van de Velde
BACKGROUND AND OBJECTIVES: Lumbar plexus block has been used to provide postoperative analgesia after lower limb surgery. The fascia iliaca compartment block (FICB) has been proposed as an anterior approach of the lumbar plexus targeting the femoral, obturator and lateral femoral cutaneous nerve. However, both radiological and clinical evidence demonstrated that an infra-inguinal approach to the fascia iliaca compartment does not reliably block the three target nerves.We hypothesized that a supra-inguinal approach of the fascia iliaca compartment results in a more consistent block of the three target nerves than an infra-inguinal approach...
February 22, 2019: Regional Anesthesia and Pain Medicine
Shun Otsuka, Xiyao Shan, Yasuo Kawakami
In the present study we investigated muscle contraction-driven changes in deep fascia mechanical property, to reveal mechanical interactions between them. Fourteen males (22-37 yr) performed isometric knee extension at 20, 40, 60% of the maximal voluntary contraction (MVC). During each contraction and at rest, shear wave velocities (SWV) of the rectus femoris (RF) and vastus lateralis (VL) and fascia lata were measured in both longitudinal and transverse ultrasound transducer directions relative to the thigh...
February 10, 2019: Journal of Electromyography and Kinesiology
A-M Itkonen Freitas, P Rahkola-Soisalo, T S Mikkola, M Mentula
Stress urinary incontinence (SUI) affects millions of women worldwide. Pelvic floor muscle training is the first-line treatment for SUI, and if this fails, midurethral sling surgery has become the gold-standard treatment. More recently, complications from midurethral mesh slings, particularly chronic pain and dyspareunia, have become a major concern. Although traditional SUI treatments, such as colposuspension and fascia slings, are used, the future of SUI treatment likely will rely on less invasive alternatives...
February 18, 2019: Climacteric: the Journal of the International Menopause Society
Anson Jose, Shakil Ahmed Nagori, Saurabh Arya, Indranil Deb Roy
Reconstruction of midface defects are extremely challenging owing to the lack of suitable vascularized local flaps. The temporoparietal fascia and temporalis muscle flaps make excellent choices for midface and orbito-maxillary reconstruction. The muscle provides adequate thickness while the fascia yields pliable soft tissues for lining the midface. The temporalis muscle can be divided antero-posteriorly in three parts and medio-laterally in two parts without losing its vascularity due to its segmental vascular supply...
February 11, 2019: Journal of Stomatology, Oral and Maxillofacial Surgery
Chatnarong Tubtim, Pat Laupattarakasem, Wiroon Laupattarakasem, Kowit Chaisiwamongkol
BACKGROUND: Periarticular multimodal drug injection (PMDI) has gained popularity as common postoperative pain protocols in knee arthroplasty. PMDI sites can vary, but posterior capsule (PC) is a common injection site because of its abundance of pain nociceptors. PURPOSE: To prove the hypothesis whether posteromedial drug injection alone is sufficient to provide enough effect covering the PC in order to reduce risks of neurovascular injury. Secondary outcomes are to find proper volume of injection and safe zone for PMDI injection...
February 12, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Meir Marmor, Jonathan Charlu, Riley Knox, William Curtis, Paul Hoogervorst, Safa Herfat
INTRODUCTION: Acute compartment syndrome (ACS) is a limb-threatening condition often associated with leg injury. The only treatment of ACS is fasciotomy with the purpose of reducing muscle compartment pressures (MCP). Patient discomfort and low reliability of invasive MCP measurements, has led to the search for alternative methods. Our goal was to test the feasibility of using ultrasound to diagnose elevated MCP. METHODS: A cadaver model of elevated MCPs was used in 6 cadaver legs...
January 14, 2019: Injury
Allison M Brown, Rebecca A Zifchock, Mark Lenhoff, Jinsup Song, Howard J Hillstrom
Impaired hip muscle function has often been cited as a contributing factor to the development of iliotibial band syndrome (ITBS), yet our full understanding of this relationship is not well established. The objective of this study was to examine the effect of fatigue on hip abductor muscle function in females with ITBS. Female runners, 20 healthy and 12 with a current diagnosis of ITBS, performed a treadmill run to fatigue. Prior-to and following the run to fatigue, gluteus medius strength and median frequency values (an indicator of fatigue resistance) were measured...
February 8, 2019: Human Movement Science
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