The assessment of accessory mental foramen in a selected polish population: a CBCT study

BACKGROUND: Accessory mental foramen (AMF) is a rare anatomical variation. When accessory mental foramen is present, the nerves and vessels that go through the mental foramen (MF) must follow alternative courses and special care must be taken during dental treatment planning. The purpose of this study was to evaluate the occurrence and the location of AMF in a selected Polish population using cone-beam computed tomography (CBCT). METHODS: Two hundred CBCT (105 males and 95 females) examinations were evaluated for the presence of AMFs. The location and side of AMFs were reported. The mean distance between MF and AMF was also calculated. The vertical size of MF on the side with and without AMF was measured. The obtained variables were statistically analyzed. RESULTS: AMFs were observed in 7% of the patients. There was no statistically significant difference between the appearance of AMF and sex (p > 0.05). We found no significant difference in the vertical size of MF between individuals with and without AMFs (p < 0.05). CONCLUSION: Twenty-eight AMFs (7%) were observed from 400 sides of 200 patients. AMFs occurred more often in males (18 AMFs) than in females (10 AMFs). Twenty AMFs (71.4%) were located anteriorly, and eight (28.6%) - posteriorly. Fifteen AMFs (53.6%) were on the right side and thirteen (46.4%) - on the left

The Epidemiological, Morphological, and Clinical Aspects of the Aberrant Right Subclavian Artery (Arteria Lusoria)

The most common embryologic abnormality of the aortic arch is aberrant right subclavian artery (ARSA), known clinically as arteria lusoria (AL). This vessel travels to the right arm, crossing the middle line of the body and usually passing behind the esophagus. If the artery compresses the esophagus, it may produce a condition called dysphagia lusoria. Another commonly reported symptoms related to compression of adjacent structures by arteria lusoria were dyspnea, retrosternal pain, cough, and weight loss greater than 10 kg over a 6-month period. The chapter includes information describing demographic, clinical, and morphological characteristics of presence of arteria lusoria such as gender distribution, frequency in population, frequency of the most commonly reported symptoms related to compression of adjacent structures, coexistence with the most common vascular anomalies and diagnostic procedures. The presence of arteria lusoria together with the right nonrecurrent inferior laryngeal nerve (NRILN) is especially clinically important; during thyroid surgery, the right laryngeal nerve cannot be found at the lower pole of the thyroid, and it may be injured by the surgeon if it is not identified in the aberrant area or found lateral to the thyroid

Anatomical study on branching pattern and variations of orbital segment of the oculomotor nerve

Background: This study aims to revisit the anatomy of orbital segment of the third cranial nerve (CN III). The study also involved morphometric measurements of CN III muscular branches. Detailed description of observed anatomical variations and their incidence was also included. The study supplements earlier findings with detailed observations of the neuromuscular relations. Materials and methods: The study was conducted on 52 orbits taken from 26 cadaveric heads (10 males and 16 females; Central European population). Results: Anatomical variations of the orbital segment of the CN III observed on the examined material involved both the superior and inferior branch of this nerve. The muscular branch innervating the levator palpebrae superioris muscle occasionally pierces the superior rectus muscle. The nerve to the inferior oblique muscle may pierce and innervate the inferior rectus muscle. In rare instances, duplication of the parasympathetic root of the ciliary ganglion may also occur. Among the muscular branches, the smallest diameter reached the branch to the levator palpebrae superioris muscle. Among the three muscular branches derived from the inferior branch of the CN III, the nerve to the inferior oblique was the longest one. Its length varied from 28.9 mm to 37.4 mm. The shortest was the muscular branch to the inferior rectus muscle. Its length varied from 0 mm (when muscular sub-branches arose directly from the nerve to the inferior oblique muscle) to 7.58 mm. Conclusions: This study presented the characteristic of orbital segment of the CN III, including anatomical variations and morphometric measurements relevant to intraorbital procedures

Comparison of the blood vessel complexes of the human and bovine male gonads

The aim of the study was to compare the blood vessel network of the human and bovine male gonads, paying special attention to differences resulting from mediastinum testis localisation. Two groups of specimens were compared. Each group consisted of 50 corrosive die casts of the testicular and spermatic cord vessels of bovine and human gonads respectively. In each group 20 gonads had only the arterial vessels injected, another 20 only the veins, while in 10 gonads both arteries and veins were injected. The die casts were examined with a stereoscopic binocular as well as an optic microscope. The different testicular vascular patterns in humans and bulls were observed. In humans the intratesticular arteries branch off the arterial network of the tunica albuginea and mediastinum testis. The former runs centripetally, the latter centrifugally. Analogically, the intratesticular veins emptying into the tunica albuginea venous network run centrifugally and those emptying into the mediastinum testis plexus run centripetally. In bulls the arterial vessels run centripetally, later forming a helical, screw-like layer to give off centrifugal branches. Venous vessels run centrifugally and empty into the venous plexus of the tunica albuginea

The bifid anterior coracoscapular ligament: a new morphological variation and its potential clinical implications

The suprascapular notch (SSN) is the typical site of compression and injury of the suprascapular nerve (SN), which results in a neuropathy known as suprascapular nerve entrapment. The SSN is enclosed from the top by the superior traverse scapular ligament (STSL), creating a tunnel for the SN. On the both sides of the suprascapular notch, below the STSL, the anterior coracoscapular ligament (ACSL) is found. This fibrous band can potentially narrow the opening and contribute to the occurrence of suprascapular entrapment syndrome. This study presents a first case of a bifid anterior coracoscapular ligament coexisting with atypical suprascapular nerve course that has never been described in the literature. Knowledge of such anatomical variations can be helpful in arthroscopic and open procedures of the suprascapular region and confirms the safety of operative decompression for entrapment of the suprascapular nerve

Persistent jugulocephalic vein: case report including commentaries on distribution of valves, blood flow direction and embryology

This paper is a detailed case study of the persistent anastomotic channel between the cephalic vein and the external jugular vein, running anterior to the clavicle, corresponding to the jugulocephalic vein present at early stages of the ontogenesis in humans. This connection is not only a relic of early foetal development seldom occurring in adults, but it may also be of clinical significance, increasing the risk of complications during the cephalic vein catheterisation, clavicular fractures or head and neck surgery. The novelty in this paper was to determine the presence and distribution of valves within the persistent jugulocephalic vein. Three bicuspid venous valves were found that allowed the blood to flow only in one direction — from the cephalic vein to the external jugular vein. The anastomosis between the persistent jugulocephalic vein and the thoracoacromial veins was additionally present. Due to lack of similar data in the literature, further research should be performed on the presence and distribution of the venous valves in various types of the persistent jugulocephalic vein in humans

Arterial supply of human and bovine testes: a topographic and morphometric comparison study

The aim of the study was to compare the arteries supplying human and bovine masculine gonads. The study was made on two extremely different types of location of the mediastinum testis. The study was made on 100 (50 human and 50 bovine) corrosive casts of the testicular, cremasteric, and deference duct arteries. The differences between the species included different courses of the testicular artery inside the spermatic duct, the relative size of the three arterial diameters, and the morphology of the anastomoses of the arteries. In human testicular arteries, the course inside the spermatic course was more variable than in that of bulls. The artery was straighter and in 80% of the cases did not form the loops which were present in 100% of the bovine specimens. The bovine testicular artery was significantly wider in relation to the cremasteric and deferens duct arteries than the human one. This finding suggests that collateral blood flow to the testis was less effective in bulls than in men. The human testicular artery directly connected the other two with its terminal branches. The bovine testicular artery connected with the cremasteric and deferens duct arteries indirectly by means of its deferens duct branch. (Folia Morphol 2010; 69, 4: 225-231

An unusual insertion of an accessory band of the semitendinosus tendon: case report and review of the literature

The Pes Anserinus is characterised by high morphological variability. It consists of three tendons: the sartorius, gracilis and semitendinosus. The semitendinosus and gracilis tendons are routinely harvested for reconstruction anterior cruciate ligament, and the presence of accessory bands within them can handicap the harvesting process. This report presents a case of a rare insertion of accessory band of the semitendinosus tendon (to the fascia of the soleus muscle and tibia). The current classification should be extended to accommodate such “rare cases” to facilitate more successful hamstring grafts

Coexistence of the Aortic Aneurysm with the Main Vein Anomalies: Its Potential Clinical Implications and Vascular Complication

Four major variations of the venous system in the retroperitoneal space are the retroaortic left renal vein, left renal vein collar, left-sided inferior vena cava, and caval duplication. During surgery, especially, injury in veins is responsible for the most unexpected intraoperative bleeding. Therefore, above-mentioned anomalies pose potential hazards to surgeons during treatment of abdominal aortic aneurysm. Preoperative diagnosis is highly desirable but is not always available so, during abdominal surgery, familiarity with the anatomy of the most common types of venous variations is the first step toward preventing vascular injury. The chapter includes information describing the demographic, clinical, and morphological characteristics of the presence of the aforementioned main vein anomalies including: gender distribution, frequency in population, the most commonly reported symptoms, and associate complications. Massive intraoperative bleeding may be dangerous during aortic dissection; however, venous bleeding is more complicated than arterial hemorrhage. Significant venous bleeding, in particular, can occur if major retroperitoneal venous anomalies are present. The anomalous veins are typically thin-walled, dilated, and tortuous. As a result, manipulation of these veins during abdominal aortic surgery places the patient at high risk of long-term massive hemorrhage