ABSTRACT
Background: The Palmaris Longus Muscle is the first option in tendon graft procedures, for it fulfills the necessarycriteria of length, breadth and easy surgical accessibility. Therefore, the present study was performed with thepurpose to determine the morphometry of PL in North Indian population.Materials and methods: Material for the present study consisted of 40 limbs of different age group andsex(28Males&12Females). The limbs were made available in the Anatomy department for dissection purpose atSGRDIMSAR, Amritsar, Punjab. The length and width of the PL-Muscle Belly(PL-MB) and PL-Tendon(PL-T) weremeasured with the help of digital Vernier caliper. The unpaired t test was used to study the significance of thedifferences in male and females and right and left PLM.Results: The mean MBL and MBW of the PL was more (6.195+1.788cm & 2.095+0.723cm) on right side than(5.895+1.748cm & 1.920+0.740cm) on the left side. The mean TL on left side (15.690+1.336cm) was slightly morethan the right side (15.625+1.489cm) whereas TW on right side (0.435+0.099cm) was found to be slightly morethan the left side (0.426+0.108cm). It was also observed that the mean MBL, MBW, TL and TW was more in malecadavers as compared to female cadavers.Conclusion: PLM has importance in medical clinic, surgery, radiological analysis and has great significancewhen used as a donor tendon in reconstructive surgeries. Thus there are advantages to know the length and widthof the PL tendon for being the ideal choice for tendon graft procedures.
ABSTRACT
Gingival and periodontal diseases have afflicted humans since the dawn of history. One of the most common esthetic and functional concerns associated with periodontal tissues is marginal tissue recession. About 75% of 30- and 31-year-old individuals exhibit gingival recession, mainly at facial surfaces. Various techniques have been introduced to the field of cosmetic periodontology since Grupe and Warren first described the “lateral positioned flap” to improve the appearance of one’s smile and boost confidence. Here, we present a case of sub epithelial connective tissue graft, one of the most versatile microsurgical procedures with a 65-98 mean percentage of root coverage, where limitation factors include amount of avascular root surface and interdental periodontal attachment levels.