The aim of this prospective study was to determine the reliability of temporomandibular joint (TMJ) mobility measurements for predicting difficult intubation. To evaluate the accuracy in predicting difficult intubation by TMJ mobility measurement, 762 patients requiring general anesthesia with tracheal intubation for elective surgery were enrolled in this prospective, observational, single-blind study. Maximum mouth opening, right-left jaw excursion, and degrees of protraction were determined with a digital inclinometer. Incisor gap was measured using a vernier caliper during full mouth opening. After induction of anesthesia using a standard protocol, the patient's grade of laryngeal view by Cormack-Lehane classification was documented by an anesthesiologist. We found that the degrees of protraction and incisor gap in the easy intubation group were significantly higher than those in the difficult intubation group. The incisor gap was found to be more sensitive (88.37%) and more specific (95.71%) than protraction degrees (58.14% and 59.76%, respectively). The results revealed that measurements of the incisor gap and degrees of protraction may be useful routine screening tests for preoperative prediction of difficult intubation.
During the routine dissection of an 86-year-old Caucasian male cadaver, an accessory inferior thyroid artery originating from the left suprascapular artery was detected. In addition to the existence of inferior and superior thyroid arteries, a third thyroid artery arising from the left suprascapular artery was present at the left of these arteries; this artery was determined as the accessory inferior thyroid artery. Again, the left internal thoracic artery arose from the thyrocervical trunk. The internal thoracic artery originated near the thyrocervical trunk's origin point and descended vertically. The thyrocervical trunk ended near the medial border of the anterior scalene muscle after giving rise to the inferior thyroid, transverse cervical and suprascapular arteries.
ULUCAM, E.; ALICIOGLU, B.; CIKMAZ, S.; YILMAZ, A. & SUT, N. The morphometric analysis of crista phallica in identification of sexes. Int. J. Morphol., 27(4):977-980, 2009.SUMMARY: Crista phallica (CP) is used to determine sex in anthropology and criminal forensic medicine; however, it does not exist in anatomic and radiological terminology. The purpose of this retrospective study is morphometric analysis of the CP. We studied radiographs displaying several different clinical indications from patients whose bone maturation were fully complete. The crista phallica located on both sides of the medial portion of ischiopubic ramus (IPR) were localized and their peak points were determined. The distance from these peak points to the inner cortex of IPRs were measured, as well as the angles between the tangents passing the peak points from both sides. We determined the distance of the IPR (DIPR) for males and females sequentially as 21.3±3.5 mm, and 17±2.8 mm, angle of CP (ACP) as 149.1º±15.7, and 163.5º±13.4. It was identified that ACP for females is less than ACP for males (p<0.001). ACP and DIPR alone are not sufficient criteria to determine sex. Therefore, the results of our findings show that it would be more useful to study other specifications and their metric analysis in order to determine sex. ULUCAM, E.; ALICIOGLU, B.; CIKMAZ, S.; YILMAZ, A. & SUT, N. El análisis morfométrico de cresta fálica en la identificación de los sexos. Int. J. Morphol., 27(4):977-980, 2009. RESUMEN:La cresta fálica (Crista phallica, CP) se utiliza para determinación de sexo en antropología y la medicina forense, sin embargo, no existe en la terminología anatómica y radiológica. El objetivo de este estudio retrospectivo es el análisis morfométrico de la CP. Estudiamos radiografías que muestran varias indicaciones clínicas diferentes de pacientes cuya maduración ósea fue totalmente completa. La cresta fálica se situó a ambos lados de la porción medial de la rama isquio-pubiana (RIP), donde su localización y sus puntos más altos fueron determinados. La distancia desde estos puntos más altos a la corteza interna de la RIP fueron medidos, así como los ángulos entre las tangentes que pasaron por los puntos más altos de ambos lados. Se determinó la distancia de la RIP (DRIP) para hombres y mujeres de forma secuencial como 21,3 ± 3,5 mm, y 17 ± 2,8 mm, ángulo de la CP (ACP) como 149,1º ± 15,7 y 163,5 ± 13,4º. Se identificó que los ACP para mujeres fueron menores que las ACP para los hombres (p <0,001). ACP y DRIP por sí solas no son criterios suficientes para determinar el sexo. Por lo tanto, los resultados de nuestros hallazgos muestran que sería más útil para estudiar otras especificaciones y sus análisis métricos a fin de determinar el sexo. PALABRAS CLAVE: Cresta fálica; Antropología; Hueso de la cadera; Morfometría; Pelvis humana. ULUCAM, E.; ALICIOGLU, B.; CIKMAZ, S.; YILMAZ, A. & SUT, N. The morphometric analysis of crista phallica in identification of sexes. Int. J. Morphol., 27(4):977-980, 2009. ULUCAM, E.; ALICIOGLU, B.; CIKMAZ, S.; ...
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