The anatomical basis for auricular flaps used in multiple aesthetic and reconstructive procedures is currently based on a random distribution of the underlying arterial network. However, recent findings reveal a systematic pattern as opposed to the present concepts. Therefore, we designed this study to assess the arterial vascular pattern of the auricle in order to provide reliable data about the vascular map required for surgical interventions. Sixteen human auricles from eight body donors (five females/three males, 84.33 ± 9.0 years) were investigated using the unique 'Spalteholz' method. After arterial injection of silicone, a complete transparency of the tissue was achieved and the auricular arteries and branches were visible. Qualitative and quantitative evaluation of the arterial vascular pattern was performed. The superior and the inferior anterior auricular artery provided the vascular supply to the helical rim, forming an arcade, i.e. helical rim arcade. On the superior third of the helical rim another arcade was confirmed between the superior anterior auricular artery and the posterior auricular artery (PAA), i.e. the helical arcade. The perforators of the PAA were identified lying in a vertical line 1 cm posterior to the tragus, supplying the concha, inferior crus, triangular fossa, antihelix and the earlobe. The results of this study confirmed the constant presence of the helical rim arcade (Zilinsky-Cotofana), consistent perforating branches of the PAA, and the helical arcade (Erdman), and will help and guide physicians performing auricular surgeries toward fast and simple procedures with optimal patient satisfaction.
The utilization of plastinates for generating tissue sections is useful for 3D computerized modeling. The 3D model of the female pelvis presented in this paper provides a stereoscopic view to study the adjacent relationship and arrangement of respective pelvis sections. A better understanding of the pelvic floor anatomy is relevant to gynaecologists, radiologists, surgeons, urologists, physical therapists and all professionals who take care of women with pelvic floor dysfunction.
Plastination is an excellent tool for studying different anatomical and clinical questions. This technique is unique because it offers the possibility to produce transparent slices series that can be easily processed morphometrically. It is very difficult to recognize the subtle widening of the tibiofibular syndesmosis in less severe injuries of this articulation. Proper anatomic knowledge of the syndesmosis might be helpful. The ankle syndesmosis was investigated on 20 cadaver feet by using the E12 plastination technique. Each foot was cut into 1.6-mm transverse slices and then plastinated. The following parameters (reflecting the position of the fibula in the distal tibiofibular syndesmosis) were measured: the length (LFI) and the depth of the fibular incisure (DFI); the width of the clear space (TCS) and the tibiofibular overlap (TFO); the position of the fibula regarding the anterior aspect of the tibia (A); and the width of the fibula (W). Due to the unique approach of this method, values for the position of the fibular incisure with respect to the frontal (F) and sagittal (S) plane were described for the entire syndesmosis. The prevalence of syndesmotic injury in association with sprains of the ankle is up to 11%. The data presented in the study are useful for the appreciation of the correct position of the fibula in the fibular incisure and can be correlated with standard anterior-posterior radiographies and CT examinations of the ankle joint.
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