Morphological study of the anatomical variations of anterior belly of digastric muscle in Brazilian cadavers.

BACKGROUND: Cases of variations in anterior belly of the digastric muscle must be carefully identified to avoid misinterpretations and assist in the correct surgical or aesthetic procedure and help in the teaching of anatomy. The aim of this study was to describe the anatomical variations of anterior belly of digastric muscle in Brazilian cadavers. MATERIALS AND METHODS: Thirty-one human heads were selected, from adult cadavers (18-80 years, 29 males and 2 females). The morphology of the anterior belly of the digastric muscle was observed, identifying the possible anatomical variations that were characterised and classified according to the amount of muscle bellies, fibre direction and place of origin and insertion. The morphometric measurements were performed using a digital calliper. To analyse the data obtained, photographic documentation, anatomical description and individual morphometric description of each muscle belly were performed. The incidence of anatomical variation was obtained in percentage (%). RESULTS: The anatomical variation of the anterior belly of the digastric muscle was present in 6 cadavers (19.31%; 1 female and 5 male). All anatomical variations presented an accessory belly to the anterior belly. However, these accessory bellies were configured differently in the location, direction of muscle fibres and in their dimensions (length and width). CONCLUSIONS: The gross anatomy of the anterior belly of the digastric muscle and their variations is important to assist in surgical procedures, pathological or diagnostic function. In addition, asymmetrical variations in the submental region must be carefully identified to avoid misinterpretations.

Foramen tympanicum prevalence in the population of Southeast Brazil: a morphological study in computed tomography scans.

BACKGROUND: The foramen tympanicum is located on the anteroinferior region of the external acoustic meatus and posteromedial to the temporomandibular joint in children between the 1st and the 5th year of life. It is considered an anatomical variation when it persists in adults. The aim of this study was to verify the prevalence as well as to characterise the foramen tympanicum in computed tomography (CT) scans of the population from southeastern part of Brazil. MATERIALS AND METHODS: A total of 78 CT scans of dry human skulls (20 female and 58 male) were used, which were selected randomly regarding the ages, ranged from 15 to 100 years. The foramen tympanicum was identified in the images of the axial plane and confirmed in the images of the coronal and sagittal planes. The largest diameter (in mm) was obtained. The descriptive statistics (in %), Fisher's test and χ2 test were performed to compare the prevalence of foramen tympanicum between sexes and sides. The probability value ≤ 0.05 was defined as a level of significance. Descriptive statistics were performed to verify the mean diameter of the foramen on the right and left sides of the skulls. RESULTS: The prevalence of foramen tympanicum was higher in females (p = 0.0070), bilaterally, as the absolute values of females were lower in relation to males. Fisher's exact test showed that the prevalence of foramen tympanicum was significantly higher in females (45%) than in males (15.52%). On the right side, the mean axial diameter was 2.23 mm (range 0.93-3.75 mm). On the left side, the mean axial diameter was 2.22 mm (range 0.9-3.61 mm). CONCLUSIONS: The knowledge of anatomical variations is extremely valuable for an accurate diagnosis, treatment plan and prognosis and a thorough preoperative assessment.

Presence of complete or incomplete septa in human jugular foramens / Presencia de septos completos o incompletos en forámenes yugulares humanos

SUMMARY: The objective of this study was to determine the occurrence of anatomical variants in the exocranial surface of the jugular foramen, specifically, the presence of single or double and complete or incomplete septation. A cross-sectional anatomical study was performed using 96 Brazilian dry human skulls (53 male and 43 female). One examiner determined the number (single or double) and type (i.e. complete or incomplete) of osseous septation at the outer surface of jugular foramens. Data went through statistical analysis on GraphPad Prism 6.01. Our results shown that Male individuals where more likely to present normal jugular foramens (male = 71.69%, female = 34.88%; p = 0.003). However, one incomplete septation occurred more often on the right side of female individuals (1 incomplete septation, male = 16.98%; 1 incomplete septation, female = 34.88%; p = 0.044). Similarly, one complete septation (i.e. the presence of two fully divided jugular compartments) also occurred more often on the right side of female individuals (1 complete septation, male = 9.43%; 1 complete septation, female = 25.58%; p = 0.038). Anatomical variants of the jugular foramen regarding single or double complete or incomplete septations were more likely to be found on the right side of female individuals, whose also presented a higher rate of jugular foramens with any type of septation than regular non-altered jugular foramens.

RESUMEN: El objetivo de la presente investigación fue determinar la presencia de variaciones anatómicas en la superficie exocraneal del foramen yugular, especificamente, la presencia de septos únicos o dobles, completos o incompletos. El estudio fue realizado en 96 cráneos secos (53 masculinos y 43 femeninos) de indivíduos Brasileños. Se determinaron septos óseos completos o incompletos y número de ellos. Los resultados obtenidos fueron tratados estadísticamente con el programa GraphPad Prism 6.01. Los sujetos de sexo masculino fueron más propensos a presentar forámenes yugulares normales (sexo masculino: 71,69%; sexo femenino: 34,88%, p= 0,003). Sin embargo, se observaron septos incompletos con mayor frecuencia en el lado derecho y en el sexo femenino (sexo masculino: 16,98%; sexo femenino: 34,88%, p=0,044). Adicionalmente, una septación completa (presencia de dos compartimientos yugulares, divididos completamente), se presentaron más frecuentemente en el lado derecho de indivíduos femeninos (sexo masculino: 9,43%; sexo femenino: 25,58%, p= 0,038). Las variantes anatómicas del foramen yugular, en relación a septos simples o dobles, completos o incompletos, se encontraron con mayor frecuencia en el lado derecho de las mujeres, las que presentaron un alto rango de forámenes yugulares con algún tipo de septos respecto a los forámenes yugulares regulares no alterados.

Human identification by the analysis of palatal rugae printed in complete dentures.

The study of palatal rugae is shown to be scientifically valid to human identification due to the unique number and style of the palatal ridges. Dentures provide an array of data and specifics that allow for the individualization of their wearers. This article describes the identification of edentulous, skeletonized remains through the analysis of the palatal rugae printed on the complete upper denture and subsequent comparison with the palatal rugae of an old complete denture of an unknown missing person. The analyses focus on the form, classification, location, and size of the palatal rugae which, in conjunction with the information obtained from the anthropological examination, resulted in a positive identification of the cadaver. This method has a significant impact on the identification process, particularly when other identification methodologies and techniques cannot be implemented. This case report highlights the importance of palatal rugae in human identification in cases of edentulous cadavers.

Effect of diazepam on temporomandibular joints in rats with increased occlusal vertical dimension.

Anxiolytic agents, mainly benzodiazepines, have been used to treat symptomatic disorders of the temporomandibular joint (TMJ). Our aim was to evaluate the effect of diazepam on the TMJ of rats with increased occlusal vertical dimension (iOVD). Forty male rats were randomly assigned to 4 groups: control rats were given sham iOVD plus saline solution daily for 7 days. The first experimental group was given sham iOVD plus diazepam 2.5mg/kg/intramuscularly daily for 7 days (diazepam alone group); the second had iOVD induced in molars for 7 days plus saline daily for 7 days (iOVD alone group); and the third had iOVD induced in molars for 7 days plus diazepam 2.5mg/kg/intramuscularly daily for 7 days (iOVD plus diazepam group). At the end of each experiment the animals were killed and their bilateral TMJs were removed, randomly stained with haematoxylin and eosin and sirius-red, and immunoassayed. The thickness of condylar cartilage and of fibrous, proliferating, mature, and hypertrophic layers, number of collagen fibres, and the articular area were measured. Proinflammatory cytokines (interleukin (IL)-1α, IL-1ß, IL-6, and tumour necrosis factor (TNF)-α) were also measured. ANOVA and Tukey's tests or the Kruskal-Wallis test were used to compare data among groups (α=5%). Condylar cartilage was thicker in the control group than in the other groups, the diazepam alone group being thicker than the other 2 experimental groups. There were fewer collagen fibres in the 2 groups given diazepam than in the other 2 groups, and there were no significant differences in the area of cartilage among groups. The controls had lower concentrations of all cytokines (p<0.05) than the 3 experimental groups, except for IL-6. Both iOVD groups had higher concentrations of IL-1α, IL-1ß, and IL-6 than the diazepam alone group. Diazepam alone was associated with increased concentrations of all cytokines except IL-6. We conclude that both iOVD and diazepam induced significant changes in rats' articular cartilage.

Trigeminal neuralgia: literature review

The trigeminal nerve, fifth equal of cranial nerves, a mixed nerve is considered by possessing motor and sensitive components. The sensitive portion takes to the Nervous System Central somesthesics information from the skin and mucous membrane of great area of the face, being responsible also for a neural disease, known as the Trigeminal Neuralgia. The aim of this study was to review the literature on the main characteristics of Trigeminal Neuralgia, the relevant aspects for the diagnosis and treatment options for this pathology. This neuralgia is characterized by hard pains and sudden, similar to electric discharges, with duration between a few seconds to two minutes, in the trigeminal nerve sensorial distribution. The pain is unchained by light touches in specific points in the skin of the face or for movements of the facial muscles, it can be caused by traumatic sequels or physiologic processes degenerative associate the vascular compression. Prevails in the senior population, frequently in the woman. In a unilateral way it attacks more the maxillary and mandibular divisions, rarely happens in a simultaneous way in the three branches of trigeminal nerve three branches.

Pharyngeal airway space and frontal and sphenoid sinus changes after maxillomandibular advancement with counterclockwise rotation for Class II anterior open bite malocclusions.

OBJECTIVES: The purpose of this study was to cephalometrically evaluate the pharyngeal airway space and frontal and sphenoid sinus changes after maxillomandibular advancement counterclockwise rotation for class II anterior open bite malocclusion. METHODS: The study included 49 patients (98 lateral teleradiographs; 36 females and 13 males) who were analysed in the pre-operative (1 week before surgery) and post-operative (6 months after surgery) periods. In each lateral teleradiography, the dimensions of the inferior and superior pharyngeal airway space, TB-PhW1 [the point between the posterior aspect of the tongue to the dorsal pharyngeal wall (oropharynx) (TB) and the point on the dorsal pharyngeal wall closest to TB (PhW1)] and UP-PhW2 [and the point between the posterior aspect of the soft palate to the dorsal pharyngeal wall (nasopharynx) (UP) (PhW2)] measurements were evaluated, as well as the dimensions of the frontal and sphenoid sinuses. The differences between the two operative times were evaluated by Student's t-test. RESULTS: All measurements showed excellent reproducibility for the intraclass correlation coefficient (ICC > 0.9; p < 0.0001). There was an increase in the measurements TB-PhW1 and UP-PhW2 and a decrease in the dimensions of the frontal and sphenoid sinuses after orthognathic surgery. CONCLUSIONS: The morphology of the superior and inferior pharyngeal airway space and frontal and sphenoid sinuses changes after 6 months of maxillomandibular advancement counterclockwise rotation for class II anterior open bite malocclusion.

Morphological characteristics of foramen of Vesaliusand its relationship with clinical implications

The aim of this study was to evaluate the incidence as well morphometry of the foramen of Vesalius in humanskulls and analyzing their clinical importance. Dry human skulls (n = 80) and with gender distinction wereused (40 male and 40 female). The results demonstrates an total incidence of 40%, 13.75% skulls with thebilateral presence of the foramen, 26.25% skulls with the unilateral presence of the foramen, 31.25% skullswith foramen only of the right side, 22.50% skulls with foramen only of the left side, 25% masculine skulls withat least 1 foramen and 52.25% skulls with at least 1 foramen. The morphometry showed an average diameterof 1.457 ± 1.043 mm on the right and 1592 ± 0938 mm to the left. The average distance to the foramenovale was 1.853 ± 0.303 mm on the right side and 2.464 ± 0.311 mm on the left. It can be concluded that adeepened anatomical study of the foramen of Vesalius collaborates not only for anatomical knowledge of thisstructure, but also in clinical situations involving this foramen.

Incidence of the ossified pterygoalar ligamentin Brazilian human skulls and its clinical implications

The ossified pterygoalar ligament is formed between the lateral lamina of the pterygoid process and theinfratemporal surface of the sphenoid bone or its greater wing and was not connected to the sphenoid spine.The aim of this study was to evaluate the incidence of the ossified pterygoalar ligament in Brazilian humanskulls and analyzing its clinical importance. 183 Brazilian adult (between 30 to 60 years old) dry human skullswere evaluated. Was evaluated the incidence of skulls with complete or partial ossification of the pterygoalarligament, bilaterally and unilaterally and in the presence on the right and left sides. Were found 5 skulls had theossified pterygoalar ligament, resulting in an overall incidence of 2.73%. There was 1 skull in the presence ofthe incomplete ossification of the pterygoalar ligament, unilaterally and on the left side resulting in incidence of0.54%. There were 4 skulls in the presence of the complete ossification of the pterygoalar ligament, unilaterallyand on the right side resulting in incidence of 2.18%. The ossified pterygoalar ligament is a major cause of theentrapment of the lingual nerve or a branch of the mandibular nerve and may cause mandibular neuralgia. Theincidence of the ossified pterygoalar ligament and the pterygoalar foramen is low in the Brazilian population.However, these structures have clinical significance as this ligament establish relationships with the ovaleforamen and difficulty in accessing in this foramen in a therapeutic approach.

Efeitos da administração sistemica de corticosteroide sobre propriedades mecanicas musculares / Effects of systemic corticosteroid administration on mechanical muscle properties

Costicosteroides sistemicos em altas doses podem causar miopatia metabolica. O Objetivo deste estudo foi valiar, por meio de ensaios de tracao, os efeitos da miopatia induzida por corticosteroides nas propriedades mecanicas do musculo gastrocnemio medial de coelhos. Foram estudados dois grupos de 15 coelhas da raca Nova Zelandia: grupo experimental (GE), que recebeu injecoes subcutaneas de metil-prednisolona (2mg/kg/dia), e grupo-controle (GC), que recebeu solucao fisiologica por via subcutanea. Os grupos foram tratados por 21 dias. Foram feitos ensaios de tracao nos musculos gastrocnemios mediais esquerdos. Resultados: o peso final dos animais do GE foi 3,6+-0,1kg e do GC, 40+-0,1kg. O peso final do gastrocnemio do GE foi 5,6+-1,0g e do GC, 7,0+-1,3g. Os valores de area, largura e espessura do gastrocnemio...

Effect of insecticides and fungicides on the interaction between members of the mite families Phytoseiidae and Stigmaeidae on citrus.

The study was carried out to evaluate the effect of some insecticides and fungicides on the interaction between predacious mites of the families Phytoseiidae and Stigmaeidae on citrus. Euseius citrifolius Denmark and Muma, Euseius concordis (Chant) (Phytoseiidae), and Agistemus aff. bakeri (Stigmaeidae) were the most abundant species of predacious mites. No significant reduction of the population of stigmaeids was detected following the pesticide treatment. On the contrary, the population of those mites increased after the application of methidathion, petroleum oil, deltamethrin, cupric oxychloride and cuprous oxide, as compared to the population of those mites in the control plots. The chemicals promoting increased stigmaeid populations are some of those that promoted reduction of phytoseiid populations. A significant negative correlation was found between the numbers of phytoseiids and stigmaeids on citrus leaves immediately before treatments, and 33, 50, 83 and 105 days after treatment. A clear negative linear correlation between the number of predacious mites from both families was detected for benomyl, cupric oxychloride, cuprous oxide, thiophanate methyl, and control. Phytoseiid-stigmaeid interaction on citrus orchard is discussed.

Efeito da utilização de acaricidas em citros, sobre a população de Brevipalpus phoenicis (Geijskes, 1939) e ácaros predadores (Phytoseiidae)

The experiment was carried out in order to study the effects of some acaricides on Brevipalpus phoenicis (Geijskes,1939) (Acari,Tenuipalpidae) and predatory mites (Phytoseiidae) hi citrus. The products tested and dosages in g AI/ 100 / of water were: fenpyroximate (5.0), acrinathrin (0.5), hexythiazox (1.5), amitraz (40.0) and sulphur (225.0). The acaricides fenpyroximate, acrinathrin and hexythiazox were efficient against B. phoenicis up to 127 days from the application date, whereas sulphur and amitraz presented good control up to 92 days and 58 days after treatment, respectively. Hexythiazox was fairly innocuous to predatory mites but, the remaining acaricides caused significant mortality to these mites. The pesticides sulphur, fenpyroximate and acrinathrin induced reductions of the population of phytoseid mites up to 58 days, but amitraz showed reductions up to 92 days after application.

Foi conduzido experimento com o objetivo de estudar o efeito de alguns acaricidas sobre Brevipalpus phoenicis (Geijskes,1939) (AcarirTenuipalpidae) e ácaros predadores (Phytoseiidae), em citros. Os produtos testados e as dosagens em g i.a./100 / de água foram: fenpyroximate (5,0), acrinathrin (0,5); hexythiazox (1,5); amitraz (40,0) e enxofre (225,0). Os acaricidas fenpyroximate, acrinathrin e hexythiazox foram eficientes contra B. phoenicis até 127 dias após a aplicação, enquanto que, o enxofre e o amitraz apresentaram bom controle até 92 e 58 dias após o tratamento, respectivamente. O hexythiazox foi praticamente inócuo aos ácaros predadores mas os demais acaricidas foram significativamente prejudiciais a estes ácaros. Os produtos enxofre, fenpyroximate e acrinathrin induziram reduções na população de fitoseíídeos até 58 dias, porém o amitraz apresentou reduções até 92 dias após a pulverização.

Efeito da utilização de acaricidas em citros, sobre a população de Brevipalpus phoenicis (Geijskes, 1939) e ácaros predadores (Phytoseiidae)

The experiment was carried out in order to study the effects of some acaricides on Brevipalpus phoenicis (Geijskes,1939) (Acari,Tenuipalpidae) and predatory mites (Phytoseiidae) hi citrus. The products tested and dosages in g AI/ 100 / of water were: fenpyroximate (5.0), acrinathrin (0.5), hexythiazox (1.5), amitraz (40.0) and sulphur (225.0). The acaricides fenpyroximate, acrinathrin and hexythiazox were efficient against B. phoenicis up to 127 days from the application date, whereas sulphur and amitraz presented good control up to 92 days and 58 days after treatment, respectively. Hexythiazox was fairly innocuous to predatory mites but, the remaining acaricides caused significant mortality to these mites. The pesticides sulphur, fenpyroximate and acrinathrin induced reductions of the population of phytoseid mites up to 58 days, but amitraz showed reductions up to 92 days after application.

Foi conduzido experimento com o objetivo de estudar o efeito de alguns acaricidas sobre Brevipalpus phoenicis (Geijskes,1939) (AcarirTenuipalpidae) e ácaros predadores (Phytoseiidae), em citros. Os produtos testados e as dosagens em g i.a./100 / de água foram: fenpyroximate (5,0), acrinathrin (0,5); hexythiazox (1,5); amitraz (40,0) e enxofre (225,0). Os acaricidas fenpyroximate, acrinathrin e hexythiazox foram eficientes contra B. phoenicis até 127 dias após a aplicação, enquanto que, o enxofre e o amitraz apresentaram bom controle até 92 e 58 dias após o tratamento, respectivamente. O hexythiazox foi praticamente inócuo aos ácaros predadores mas os demais acaricidas foram significativamente prejudiciais a estes ácaros. Os produtos enxofre, fenpyroximate e acrinathrin induziram reduções na população de fitoseíídeos até 58 dias, porém o amitraz apresentou reduções até 92 dias após a pulverização.