Objective: Occipital artery anatomy should be well known in order to minimize complications that may occur in the occipital artery, which is closely adjacent to this nerve, during greater occipital nerve blockade. In this study, it is aimed to evaluate the morphometric relationship of the occipital artery with neighboring anatomical structures in order to prevent damage during clinical applications. Materials and Methods: This study was carried out using CTA images of the head and neck region of patients who applied to Balikesir University Medical Faculty Training and Research Hospital for various reasons between 2015 and 2021. In the study, CTA images of 85 individuals aged 35-63 years were evaluated morphometrically using Radiant DICOM viewer 64-bit computer software. The obtained data were transferred to SPSS Version 25 software and analyzed quantitatively. Results: According to the results obtained from the study, no significant difference was found between the variables and genders. As the age of the individual increased, it was observed that the left occipital artery was located more inferolateral to the external occipital protuberance. As a result of the data obtained, a negative correlation was observed between the closest distance between the right OA-ML and the right EOP-ML and the spinous process of the seventh cervical vertebra. Conclusion: In line with the average values obtained as a result, it is thought that an injection to the central point of the triangular area, which is formed as a result of combining the reference points in the posterior occiput, may be safer in order to protect the occipital artery.
katılımcı dahil edilmiştir. Öğrencilere anatomi eğitimini değerlendirmeleri amacıyla 3'ü açık uçlu, 23'ü ise kapalı uçlu olmak üzere 26 sorudan oluşan anket formu yöneltilmiştir. Edinilen veriler, SPSS (Statistical Package for Social Sciences) 22.0 paket programına aktarılarak analiz edilmiştir. Bulgular: Çalışmaya katılan öğrencilerin %76.9'u ebelik bölümünü isteyerek seçtiğini belirtmiştir. Çalışmaya katılan öğrencilerden %64.3'ü anatomi eğitiminin 10:20-12:00 saatleri arasında verilmesini ve %75.5'i anatomi sınavının "çoktan seçmeli", %12.2'si "kısa cevaplı", %10.2'si "klasik yazılı", %2'si ise "sözlü" olması gerektiğini ifade etmiştir. Çalışmada, 11'i sağlık meslek lisesi, 56'sı ise Anadolu lisesi mezunu olan 67 öğrenci, anatomi öğrenimi konusunda güçlük çektiğini bildirmiştir. Sağlık meslek lisesinden mezun olan öğrencilerin anatomi eğitimi vize-final başarı ortalamalarının diğer liselere göre fazla olduğu tespit edilmiştir. Sonuç: Anatomi eğitiminin niteliğinin arttırılmasında öğrenci geri bildirimleri oldukça değerlidir. Öğrencilerden alınan bu geri bildirimler doğrultusunda anatomi eğitimi ders planı ve içeriklerinin yeniden düzenlenmesinin, anne ve bebek sağlığı açısından önemli görevler üstlenen ebelik öğrencilerinin insan anatomisini daha iyi öğrenmelerine katkı sağlayacağı düşünülmektedir.
Aim: Epiglottic cartilage (EC) is an important larynx cartilage with elastic cartilage structure. Functionally, this structure, which acts as a gate between the larynx and the pharynx, can be damaged due to difficult intubation during the advancement of the endotracheal tube. The aim of this study; EC’s morphometric relationship with the surrounding anatomical structures is to be examined and to minimize the complications that occur in clinical applications in line with the data obtained. Materials and Methods: In the study, cervical MRI series of 79 females and 53 males aged 20 years and older were obtained from Balikesir University PACS system archive and analyzed retrospectively. The morphometric analysis of the obtained images was carried out by transferring them to the Radiant DICOM Viewer software. In the study, the distance of EC to the surrounding anatomical structures, the angle of the visceral region between the stalk of epiglottis (SE) and the thyroid cartilage (ThC), and the lengths of the fixed and free part of EC were evaluated. The data evaluated in the study were statistically analyzed using SPSS software. Results: The length values analyzed statistically in the study tended to be higher in male individuals than in female individuals. However; It was observed that the visceral region angle between SE and (ThC) tended to be higher in female individuals than in male individuals. Age and larynx length (LL), the distance of apex part of epiglottic cartilage (AEC) to root of tongue (RT), and the length of the free part of epiglottic cartilage (FEC) showed a positive correlation. The mean length of larynx was 2.45 ± 0.53 cm according to the determined reference points. Conclusion: As a result of the values reached, clinicians will be able to have an idea about the distance of AEC to RT by measuring the LL with palpation just before endotracheal intubation. Based on this, it is thought that possible EC injuries can be prevented by predicting difficult intubation.
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