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1

Complex anatomic variation in the brachial region

100%

Troupis T., Michalinos A., Protogerou V., Mazarakis, A., Skandalakis P.

Folia Morphologica

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2015

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tom 74

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nr 1

Authors describe a case of a complex anatomic variation discovered during dissection of the humeral region. On the right side, brachial artery followed a superficial course. Musculocutaneous nerve did not pierce coracobrachialis muscle but instead passed below the muscle before continuing in the forearm. On the left side, a communication between musculocutaneous and median nerve was dissected. Those variations are analytically presented with a brief review on their anatomic and clinical implications. Considerations on their embryological origin are attempted. (Folia Morphol 2015; 74, 1: 118–121)

2

Anatomical variation of a trifid (trifurcation) lateral root origin of the median nerve

100%

Chrysikos D., Papapostolou S., Samolis A., Antonopoulos I., Troupis T.

Folia Morphologica

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2020

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tom 79

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nr 4

3

Accessory muscles of the anterior thoracic wall and axilla. Cadaveric, surgical and radiological incidence and clinical significance during breast and axillary surgery

86%

Douvetzemis S., Natsis K., Piagkou M., Kostares M., Demesticha T., Troupis T.

Folia Morphologica

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2019

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tom 78

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nr 3

Background: The present study aims to summarise the accessory muscles of the anterior thoracic wall and axilla that can be encountered during breast and axillary surgery and record their incidence and clinical significance. Moreover, the laterality of the atypical muscles is highlighted and possible gender dimorphism is referred. Accessory anterior thoracic wall muscles include: Langer’s axillary arch, sternalis muscle, chondrocoracoideus, chondroepitrochlearis, chondrofascialis, pectoralis minimus, pectoralis quartus and pectoralis intermedius. Materials and methods: The anatomical, surgical and radiological literature has been reviewed and an anatomical study on 48 Greek adult cadavers was performed. Results: Literature review revealed the existence of accessory muscles of the anterior thoracic wall and axilla that have a significant incidence that can be considered high and may, therefore, have clinical significance. For the most common of these muscles, which are axillary arch (Langer’s) and sternalis muscle, the cadaveric incidence is 10.30% and 7.67%, respectively. In the current cadaveric study, accessory thoracic wall muscles were identified in two cadavers; namely a bilateral sternalis muscle (incidence 2.08%) extending both to the anterior and posterior surface of the sternum and a left-sided chondrocoracoideus muscle (of Wood) (incidence 2.08%). Conclusions: Despite the fact that accessory anterior thoracic wall and axillary muscles are considered to be rare, it is evident that the incidence of at least some of them is high enough to encounter them in clinical practice. Thus, clinicians’ awareness of these anatomical structures is advisable. (Folia Morphol 2019; 78, 3: 606–616)

4

Tetrafurcation of the subscapular artery. Anatomical and clinical implications

86%

Dimovelis I., Michalinos A., Spartalis E., Athanasidalis G., Skandalakis P., Troupis T.

Folia Morphologica

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2017

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tom 76

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nr 2

Anatomic variations of axillary artery branches are commonly encountered during radiological investigation and surgical operations. Their existence can confuse interpretation of radiological results and lead to undesired complications during surgery. In this report authors describe a rare case of a subscapular arterial trunk that gave origin to thoracodorsal, circumflex scapular, posterior humeral circumflex, and lateral thoracic artery. Such a variation might cause undesired sequelae during trauma management and a variety of common flap harvesting operations including latissimus dorsi, scapular and parascapular flaps. Furthermore it presents embryological interest as it gives insight to embryologic development of axillary area. (Folia Morphol 2017; 76, 2: 312–315)

5

A study concerning morphometry of abdominal aorta branches and abdominal viscera: relations and correlations

86%

Michalinos A., Goutas N., Spiliopoulou C., Nikiteas N., Skandalakis P., Gorgoulis V., Troupis T.

Folia Morphologica

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2016

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tom 75

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nr 1

Research interest on abdominal aorta branches and abdominal viscera morphometry is renewed by technological evolution and development of new radiologic and clinical applications including stent grafts and chemoembolisation materials. Despite that, data on morphometry of abdominal aorta branches and abdominal viscera are lacking. To investigate this subject authors performed a morphometric study on 50 adult fresh and embalmed Caucasian cadavers and examined abdominal aorta branches’, kidney and spleen morphometry. Our results on arteries’ morphometry did not differ significantly from those of the literature; yet, we discovered significant differences between fresh and embalmed cadavers on viscera morphometry, spleen and kidneys. We also found previously unreported correlations between abdominal aorta branches’ morphometric characteristics. Even more, we identified correlations between regional arteries and viscera morphometric characteristics, proposing a new factor determining viscera development. Finally, we performed an extensive literature review so to place our results in an anatomic, embryologic and, even more, a clinical context. We believe that our results add knowledge on abdominal aorta branches and viscera morphometry and are valuable for clinical, radiological and surgical applications including visceral arteries’ aneurysms investigation and treatment, chemoembolisation procedures, stent grafts design and transplantation. (Folia Morphol 2016; 75; 1: 60–75)

6

Bilateral lingual–facial trunk: anatomic and clinical implications

86%

Troupis T., Michalinos A., Kakisis J., Natsis K., Sofidis G., Skandalakis P.

Folia Morphologica

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2015

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tom 74

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nr 4

Common origin of lingual and facial artery is a relatively frequent anatomic variation. Instead, bilateral lingual–facial trunk has been described only sparsely in the literature. In this report authors describe and analyse a case of bilateral common lingual–facial trunk in the context of its anatomical, clinical and embryological implications. We also describe possible consequences in performance of elective and emergent surgical operations and modification in surgical techniques that should be considered. We believe that surgeons should be suspicious for this variation’s existence and keep alternative solutions in their armentarium. (Folia Morphol 2015; 74, 4: 548–551)

7

Body donation for research and teaching purposes: the contribution of blood donation units in the progress of anatomical science

72%

Kostorrizos A., Koukakis A., Samolis A., Protogerou V., Mariolis-Sapsakos T., Piagkou M., Natsis K., Skandalakis G. P., Troupis T.

Folia Morphologica

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2019

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tom 78

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nr 3

Background: Cadaver’s dissection has a fundamental role in teaching and understanding the anatomy. Postmortem body donation (PMBD) is an important source of cadavers and provides an opportunity to carry out research or educational activities in medicine and surgery. The objective of the current study is to determine the perspectives and attitudes toward PMBD among blood donors (BLD) and elderly people. These data are fundamental to highlight the PMBD extent and individual factors that might influence PMBD. Materials and methods: Six hundred and fifty questionnaires were distributed to 500 (327 male and 173 female, mean age 39.9 ± 9.6 years) blood donors (BLD) and 150 elderly people (62 males and 88 females, mean age 74 ± 9.4 years). A specially designed self-administered questionnaire covering demographic data, knowledge and attitude of the participants concerning body donation (BD) was used. Results: Concerning the perception of BD among BLD and elderly people, the most common reason for BD in both study groups was the contribution in research, while the commonest reason for hesitating about BD was the lack of information, following by personal reasons. The BLD were more likely to be interested in BD for contribution in research and personal reasons. Additionally, BLD were less likely than the elderly to hesitate about BD for religious and personal reasons and more likely to hesitate about BD for not being informed. BLD who were interested in BD for contribution in research were significantly older. Elderly people who hesitated about BD for personal reasons were significantly older. In the BLD group, those who responded that blood and body donation are the same were significantly younger, while in the elderly group — significantly older. The proportion of BLD who declared that blood and body donation is the same was significantly higher in more educated people. Conclusions: A need for well-organised and informative BD programmes is evident. Orientating the public towards this practice is of high moral and medical value, since with this important promotion the altruistic act of BD will expand globally. (Folia Morphol 2019; 78, 3: 575–581)

8

The position of the mental foramen in dentate and edentulous mandibles: clinical and surgical relevance

72%

Charalampakis A., Kourkoumelis G., Psari C., Antoniou V., Piagkou M., Demesticha T., Kostiomitis E., Troupis T.

Folia Morphologica

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2017

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tom 76

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nr 4

Background: The knowledge of the exact location of the mental foramen (MF) in dentate and edentulous mandibles is clinically important when constructing complete dentures, performing anaesthetic block of the lower-anterior teeth area and intervening in the MF nearby area. In edentulous mandibles, the bone resorption after teeth loss makes the mental nerve (MN) prone to damage due to the extreme location of the MF very close to the alveolar crest (AC). Chronic compression on the MN may result in pain in the area of MN distribution (ipsilateral face and cheek area) and numbness at the lower lip. The purpose of the current study is to evaluate the exact position of the MF, calculating the distances MF-superior border of the AC and MF-inferior border of the mandible (IBM) in dentate and edentulous mandibles. Materials and methods: One hundred and two (36 edentulous and 66 dentate) adult dry Greek mandibles were studied. Results: In 9 out of 36 edentulous mandibles (25%), the MF was found nearby the AC, while in 27 edentulous mandibles (75%), the MF was located at an average distance 6.4 mm from the AC and 12.6 mm from the IBM. In 38 out of 66 dentate mandibles (57.6%), the MF was located at an average distance 13.6 mm from the AC and 15.2 mm from the IBM. The dental status significantly affected (p = 0.001) the distances MF-AC and MF-IBM. Side symmetry was observed for both dentate and edentulous mandibles (p = 0.39 and p = 0.45). Conclusions: The MF is an important landmark and its location needs to be considered prior to dental implants placement in order to avoid the MN injury and related complications. The position of MF is altered in edentulous mandibles compared with the dentate ones. The MF is a symmetric structure in Greeks. (Folia Morphol 2017; 76, 4: 709–714)

Ograniczanie wyników

Complex anatomic variation in the brachial region

Anatomical variation of a trifid (trifurcation) lateral root origin of the median nerve

Accessory muscles of the anterior thoracic wall and axilla. Cadaveric, surgical and radiological incidence and clinical significance during breast and axillary surgery

Tetrafurcation of the subscapular artery. Anatomical and clinical implications

A study concerning morphometry of abdominal aorta branches and abdominal viscera: relations and correlations

Bilateral lingual–facial trunk: anatomic and clinical implications

Body donation for research and teaching purposes: the contribution of blood donation units in the progress of anatomical science

The position of the mental foramen in dentate and edentulous mandibles: clinical and surgical relevance