Academic literature on the topic 'Superficial fasciae'
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Journal articles on the topic "Superficial fasciae":
1
F Sutter Latorre, Gustavo. "Liberacao miofascial pelvica profunda (Manobra do Ligamento Largo) associada ou nao ao LPF." Revista Brasileira de Fisioterapia Pelvica 2, no. 1 (March 15, 2022): 4–15. http://dx.doi.org/10.62115/rbfp.2022.2(1)4-15.
Abstract:
Background: Among genitopelvic pain is the pain deep into the vagina and deeper than the uterine cervix, different from pain related to penetration or superficial connective pain. Aims: To test the view of abdominal and pelvic fascia, muscles and viscera by ultrasound (USG), as well as the view of two myofascial techniques, one intravaginal and the other external, and diaphragmatic aspiration of LPF, comparing the effectiveness of each technique alone or in combination, regarding the mobilization of visceral and parietal fasciae. Method: Exploratory experimental study guided by USG. Results: Muscles, fasciae and organs were well seeing by USG, as well as the fascial movements caused by each technique. LPF mobilized visceral fascia better, but manual techniques mobilized parietal fascia better. The Broad Ligament Maneuver mobilized both fasciae. The combination of manual techniques with LPF was superior in releasing parietal and visceral fasciae. Conclusion: Fascial mobilization can be effectively visualized by USG. The combination of manual myofascial release techniques with LPF is more effective in mobilizing all fasciae and should be the first choice.
2
Pirri, Carmelo, Nina Pirri, Andrea Porzionato, Rafael Boscolo-Berto, Raffaele De Caro, and Carla Stecco. "Inter- and Intra-Rater Reliability of Ultrasound Measurements of Superficial and Deep Fasciae Thickness in Upper Limb." Diagnostics 12, no. 9 (September 9, 2022): 2195. http://dx.doi.org/10.3390/diagnostics12092195.
Abstract:
Ultrasound (US) imaging is increasingly the most used tool to measure the thickness of superficial and deep fasciae, but there are still some doubts about its reliability in this type of measurement. The current study sets out to assess the inter-rater and intra-rater reliability of US measurements of superficial and deep fasciae thicknesses in the arm and forearm. The study involved two raters: the first (R1) is an expert in skeletal–muscle US imaging and, in particular, the US assessment of fasciae; the second (R2) is a radiologist resident with 1 year’s experience in skeletal–muscle US imaging. R2, not having specific competence in the US imaging of fasciae, was trained by R1. R1 took US images following the protocol by Pirri et al. 2021, and the US-recorded images were analyzed separately by the two raters in different sessions. Each rater measured both types of fasciae at different regions and levels of the arm and forearm. Intra- and inter-rater reliability was excellent for the deep fascia and good and excellent for the superficial fascia according to the different regions/levels (for example for the anterior region of the arm: deep fascia: Ant 1: ICC2,2 = 0.95; 95% CI = 0.81–0.98; superficial fascia: Ant 1: ICC2,2 = 0.85, 95% CI = 0.79–0.88). These findings confirm that US imaging is a reliable and cost-effective tool for evaluating both fasciae, superficial and deep.
3
Constantinescu, Gheorghe M., and Robert C. McClure. "Anatomy of the orbital fasciae and the third eyelid in dogs." American Journal of Veterinary Research 51, no. 2 (February 1, 1990): 260–63. http://dx.doi.org/10.2460/ajvr.1990.51.02.260.
Abstract:
SUMMARY The connective tissue structures commonly referred to as the periorbita, orbital septum, muscular fasciae, and vagina bulbi or collectively, as the orbital fasciae were dissected then illustrated and described. Two sheets (layers) of the periorbita (endorbita) were found in our dogs. The periorbita should be renamed endorbita because of its anatomic relations. The periorbita did not always fuse with the periosteum of frontal and sphenoid bones. Rather, the periorbita and the periosteum were often distinct and separate; only medioventrally did several fibrous bands unite the superficial sheet of the endorbita with the periosteum. Two layers of the endorbita fused with the periosteum of the margin of the bony orbit and with the orbital ligament. The muscular fasciae were divided into 3 layers. The superficial layer extended caudally from the orbital septum, was thick, and was pierced by arteries, veins, and nerves. The middle layer was attached to the sclerocorneal junction and, at the temporal canthus of the eye, was divided into superficial and deep sheets. The deep portion was attached to the lateral angle of the third eyelid, similar to a strong ligament. The deep layer of the muscular fasciae extended caudally from the sclerocorneal junction in intimate contact with recti and oblique muscles of the eyeball. The deep portion of the deep muscular fascia covered the deep surface of all recti muscles and separated them from the retractor bulbi muscle. Intermuscular septa were observed between middle and deep muscular fascia layers. The body of the third eyelid was located between superficial and middle muscular fascia layers and was fixed ventrally to the lateral angle of the eye by the deep sheet of the middle muscular fascia.
4
Skandalakis, Panagiotis N., Odyseas Zoras, John E. Skandalakis, and Petros Mirilas. "Transversalis, Endoabdominal, Endothoracic Fascia: Who's Who?" American Surgeon 72, no. 1 (January 2006): 16–18. http://dx.doi.org/10.1177/000313480607200104.
Abstract:
In Terminologia Anatomica of 1998, the fasciae of the trunk are listed as parietal, extraserosal, and visceral. Parietal fascia is defined as the fascia located outside the parietal layer of a serosa (e.g., pleura, peritoneum) lining a body wall cavity. The parietal fascia of the thorax is endothoracic fascia, and that of the abdomen is endoabdominal fascia. According to Terminologia Anatomica, endoabdominal fascia comprises: 1) transversalis fascia and 2) investing abdominal fascia: deep, intermediate and superficial. Thus, transversalis fascia is the innermost layer of endoabdominal fascia and, consequently, not synonymous with it. We assert that transversalis fascia is the inner epimysium of transversus abdominis muscle; no separate deep investing fascia exists. Embryologically, deep, intermediate and superficial layers of investing fascia are produced as muscular primordia–originating from somites invading somatopleura–penetrate somatic wall connective tissue, and thus obtain epimysium on either side, which give layers of investing fascia. In the thoracic wall, muscle layers are not separated and no distinct investing fasciae are found on them. Furthermore, in the thorax extraserosal fascia does not exist. Therefore, only endothoracic fascia is found on the inner side of the innermost intercostal muscle, which is deprived of investing fascia, to separate this muscle from pleura.
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Nash, Lance, Helen D. Nicholson, and Ming Zhang. "Does the Investing Layer of the Deep Cervical Fascia Exist?" Anesthesiology 103, no. 5 (November 1, 2005): 962–68. http://dx.doi.org/10.1097/00000542-200511000-00010.
Abstract:
Background The placement of the superficial cervical plexus block has been the subject of controversy. Although the investing cervical fascia has been considered as an impenetrable barrier, clinically, the placement of the block deep or superficial to the fascia provides the same effective anesthesia. The underlying mechanism is unclear. The aim of this study was to investigate the three-dimensional organization of connective tissues in the anterior region of the neck. Methods Using a combination of dissection, E12 sheet plastination, and confocal microscopy, fascial structures in the anterior cervical triangle were examined in 10 adult human cadavers. Results In the upper cervical region, the fascia of strap muscles in the middle and the fasciae of the submandibular glands on both sides formed a dumbbell-like fascia sheet that had free lateral margins and did not continue with the sternocleidomastoid fascia. In the lower cervical region, no single connective tissue sheet extended directly between the sternocleidomastoid muscles. The fascial structure deep to platysma in the anterior cervical triangle comprised the strap fascia. Conclusions This study provides anatomical evidence to indicate that the so-called investing cervical fascia does not exist in the anterior triangle of the neck. Taking the previous reports together, the authors' findings strongly suggest that deep potential spaces in the neck are directly continuous with the subcutaneous tissue.
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Chen, David Z., Aravinda Ganapathy, Yash Nayak, Christopher Mejias, Grace L. Bishop, Vincent M. Mellnick, and David H. Ballard. "Analysis of Superficial Subcutaneous Fat Camper’s and Scarpa’s Fascia in a United States Cohort." Journal of Cardiovascular Development and Disease 10, no. 8 (August 14, 2023): 347. http://dx.doi.org/10.3390/jcdd10080347.
Abstract:
Together, the Camper’s and Scarpa’s fasciae form the superficial fat layer of the abdominal wall. Though they have clinical and surgical relevance, little is known about their role in body composition across diverse patient populations. This study aimed to determine the relationship between patient characteristics, including sex and body mass index, and the distribution of Camper’s and Scarpa’s fascial layers in the abdominal wall. A total of 458 patients’ abdominal CT examinations were segmented via CoreSlicer 1.0 to determine the surface area of each patient’s Camper’s, Scarpa’s, and visceral fascia layers. The reproducibility of segmentation was corroborated by an inter-rater analysis of segmented data for 20 randomly chosen patients divided between three study investigators. Pearson correlation and Student’s t-test analyses were performed to characterize the relationship between fascia distribution and demographic factors. The ratios of Camper’s fascia, both as a proportion of superficial fat (r = −0.44 and p < 0.0001) and as a proportion of total body fat (r = −0.34 and p < 0.0001), showed statistically significant negative correlations with BMI. In contrast, the ratios of Scarpa’s fascia, both as a proportion of superficial fat (r = 0.44 and p < 0.0001) and as a proportion of total body fat (r = 0.41 and p < 0.0001), exhibited statistically significant positive correlations with BMI. Between sexes, the females had a higher ratio of Scarpa’s facia to total body fat compared to the males (36.9% vs. 31% and p < 0.0001). The ICC values for the visceral fat, Scarpa fascia, and Camper fascia were 0.995, 0.991, and 0.995, respectively, which were all within the ‘almost perfect’ range (ICC = 0.81–1.00). These findings contribute novel insights by revealing that as BMI increases the proportion of Camper’s fascia decreases, while the ratio of Scarpa’s fascia increases. Such insights expand the scope of body composition studies, which typically focus solely on superficial and visceral fat ratios.
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Opperer, Mathias, Reinhard Kaufmann, Matthias Meissnitzer, Florian K. Enzmann, Christian Dinges, Wolfgang Hitzl, Jürgen Nawratil, and Andreas Koköfer. "Depth of cervical plexus block and phrenic nerve blockade: a randomized trial." Regional Anesthesia & Pain Medicine 47, no. 4 (January 10, 2022): 205–11. http://dx.doi.org/10.1136/rapm-2021-102851.
Abstract:
Background and objectivesCervical plexus blocks are commonly used to facilitate carotid endarterectomy (CEA) in the awake patient. These blocks can be divided into superficial, intermediate, and deep blocks by their relation to the fasciae of the neck. We hypothesized that the depth of block would have a significant impact on phrenic nerve blockade and consequently hemi-diaphragmatic motion.MethodsWe enrolled 45 patients in an observer blinded randomized controlled trial, scheduled for elective, awake CEA. Patients received either deep, intermediate, or superficial cervical plexus blocks, using 20 mL of 0.5% ropivacaine mixed with an MRI contrast agent. Before and after placement of the block, transabdominal ultrasound measurements of diaphragmatic movement were performed. Patients underwent MRI of the neck to evaluate spread of the injectate, as well as lung function measurements. The primary outcome was ipsilateral difference of hemi-diaphragmatic motion during forced inspiration between study groups.ResultsPostoperatively, forced inspiration movement of the ipsilateral diaphragm (4.34±1.06, 3.86±1.24, 2.04±1.20 (mean in cm±SD for superficial, intermediate and deep, respectively)) was statistically different between block groups (p<0.001). Differences were also seen during normal inspiration. Lung function, oxygen saturation, complication rates, and patient satisfaction did not differ. MRI studies indicated pronounced permeation across the superficial fascia, but nevertheless easily distinguishable spread of injectate within the targeted compartments.ConclusionsWe studied the characteristics and side effects of cervical plexus blocks by depth of injection. Diaphragmatic dysfunction was most pronounced in the deep cervical plexus block group.Trial registration numberEudraCT 2017-001300-30.
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Magerl, Walter, Emanuela Thalacker, Simon Vogel, Robert Schleip, Thomas Klein, Rolf-Detlef Treede, and Andreas Schilder. "Tenderness of the Skin after Chemical Stimulation of Underlying Temporal and Thoracolumbar Fasciae Reveals Somatosensory Crosstalk between Superficial and Deep Tissues." Life 11, no. 5 (April 21, 2021): 370. http://dx.doi.org/10.3390/life11050370.
Abstract:
Musculoskeletal pain is often associated with pain referred to adjacent areas or skin. So far, no study has analyzed the somatosensory changes of the skin after the stimulation of different underlying fasciae. The current study aimed to investigate heterotopic somatosensory crosstalk between deep tissue (muscle or fascia) and superficial tissue (skin) using two established models of deep tissue pain (namely focal high frequency electrical stimulation (HFS) (100 pulses of constant current electrical stimulation at 10× detection threshold) or the injection of hypertonic saline in stimulus locations as verified using ultrasound). In a methodological pilot experiment in the TLF, different injection volumes of hypertonic saline (50–800 µL) revealed that small injection volumes were most suitable, as they elicited sufficient pain but avoided the complication of the numbing pinprick sensitivity encountered after the injection of a very large volume (800 µL), particularly following muscle injections. The testing of fascia at different body sites revealed that 100 µL of hypertonic saline in the temporal fascia and TLF elicited significant pinprick hyperalgesia in the overlying skin (–26.2% and –23.5% adjusted threshold reduction, p < 0.001 and p < 0.05, respectively), but not the trapezius fascia or iliotibial band. Notably, both estimates of hyperalgesia were significantly correlated (r = 0.61, p < 0.005). Comprehensive somatosensory testing (DFNS standard) revealed that no test parameter was changed significantly following electrical HFS. The experiments demonstrated that fascia stimulation at a sufficient stimulus intensity elicited significant across-tissue facilitation to pinprick stimulation (referred hyperalgesia), a hallmark sign of nociceptive central sensitization.
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Zhang, Ming, and Antonio S. J. Lee. "The Investing Layer of the Deep Cervical Fascia does not Exist between the Sternocleidomastoid and Trapezius Muscles." Otolaryngology–Head and Neck Surgery 127, no. 5 (November 2002): 452–57. http://dx.doi.org/10.1067/mhn.2002.129823.
Abstract:
OBJECTIVE: We sought to describe the 3-dimensional organization of connective tissues in the suboccipital region. STUDY DESIGN AND SETTING: We conducted a sectional anatomic investigation with the use of E12 sheet plastination. SUBJECTS: Six human adult cadavers (2 male and 4 female; age range, 54 to 86 years) were used in this study. Five of them were sectioned as 2.5-mm-thick coronal (1 cadaver), transverse (2 cadavers), or sagittal (2 cadavers) sections. RESULTS: No aggregation of fibrous connective tissue was seen between the sternocleidomastoid and trapezius muscles. The intervening space was fully occupied by fatty tissue that was indistinguishable from the subcutaneous tissue. CONCLUSIONS: The investing layer of the deep cervical fascia is incomplete so that the carotid sheath is directly exposed to the subcutaneous tissue via a gap between the sternocleidomastoid and trapezius muscle. SIGNIFICANCE: This anatomic feature should be considered when designing a minimally invasive endoscopic approach to the carotid sheath and the surrounding deep cervical structures. The eminent success of laparoscopic cholecystectomy has motivated surgeons to expend this minimally invasive surgical approach to the neck–-for example, the carotid sheath and parathyroid area. 1,2 To successfully apply this technique, the knowledge of the detailed configuration of the deep cervical fascia is essential as dissection should be kept in the correct fascial plane to avoid unnecessary damage. On the other hand, deep neck infections are still common despite the wide use of antibiotics, 3 and these infections spread along the fascial planes. 4 Understanding the fascial planes and deep neck spaces is also essential to managing these infections. Although the anatomy of the deep cervical fasciae is quite complex, its outermost or investing layer is believed to be simple and “everyone is agreed on the existence and disposition of this layer.” 5 In brief, the investing layer of the deep cervical fascia is described as a definite continuous sheet of fibrous tissue that completely encircles the neck. 6 It attaches posteriorly to the cervical spinal processes 7 via the nuchal ligament. 5 It envelops 2 muscles, the sternoclaidomastoid and trapezius, and 2 glands, the submandibular and parotid. 6,8 However, several recent reports are not consistent with this general description. For instance, a study conducted on serial sections of ten human fetuses has indicated that the superficial surface of the parotid gland is only covered by the subcutaneous tissue. 9 It has also been stated that the portion of the investing layer between the sternomastoid and trapezius is areolar connective tissue rather than dense connective tissue. 10,11 Using the E12 sheet plastination technique, Johnson et al 12 demonstrated that there is no defined nuchal ligament in the upper cervical region, indicating the lack of the direct connection between the investing layer and upper cervical vertebrae. The study of the coniguration of connective tissue in the cadaver is difficult because great difficulties exist in dissecting out the fasciae. 6 Under a dissecting microscope, one may be able to trace the aponeurotic or tendon fibres of a muscle, but it is almost impossible to distinguish between the membranous (or fibrous) part of the subcutanous tissue, deep fascia, epimysium, and epitendinium. Although histologic examination may be able to overcome the problem, the application of such method is greatly limited by the size of sample areas. The recently developed E12 sheet plastination technique provides a new approach to illustrate the detailed structural arrangement of the connective tissue at the macroscopic and microscopic levels. Therefore, the aim of this study was to use this technique to describe the 3-dimensional organization of connective tissues in the suboccipital region.
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Polselli, Roberto, Dario Bertossi, Charles East, Olivier Gerbault, and Yves Saban. "Facial Layers and Facial Fat Compartments: Focus on Midcheek Area." Facial Plastic Surgery 33, no. 05 (September 29, 2017): 470–82. http://dx.doi.org/10.1055/s-0037-1606855.
Abstract:
AbstractFacial cosmetic procedures are doubtless in constant augmentation directly related to fillers and botulinum toxin injections. Many articles are published in the literature to warn about the complications of these aesthetic procedures. The need for a clear anatomic classification and review of deeper ultrastructural studies on adipose tissues in the midface area are obvious. This study aims: (1) To present midface anatomy of clinical relevance in a practical way for surgeons and cosmetologists. (2) To analyze the facial fasciae related to the fat compartments. (3) To show pictures of anatomic dissections of these anatomic structures. (4) To suggest an anatomic classification. The authors analyzed the facial anatomic layers and the facial fat compartments through facial anatomical dissections and experience in the field of facial surgical and cosmetic procedures. The authors propose a dynamic three-dimensional concept of facial layers related to muscle actions and facial fat compartmentalization in the midcheek area. A “lip–lid” superficial system associated with the malar fat pad represents the first layer; two deeper lip levator systems stratification explains the deep fat compartments as an anatomic division related to fasciae extensions. Facial grooves and segments correspond to these systems action. Moreover, the importance of ultrastructural studies has been underlined.
Dissertations / Theses on the topic "Superficial fasciae":
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Vallet, Yves. "Contribution à la caractérisation et à la modélisation de l'accouchement instrumenté par ventouse." Electronic Thesis or Diss., Université de Lorraine, 2023. http://www.theses.fr/2023LORR0134.
Abstract:
Lors d'un accouchement par voie basse, la phase d'expulsion est une période où les risques de complications maternelles et fœtales sont élevées. Les praticiens peuvent être amenés à réaliser une extraction instrumentale par ventouse (EIV) obstétricale. Comme tout instrument d'extraction, son utilisation comporte des risques en cas de pratique inadaptée, pour la mère comme pour le bébé. En ce qui concerne le bébé, les différentes couches du scalp sont, en effet, hautement sollicitées, ce qui peut engendrer quelques rares complications, telles que : des bosses sero-sanguines, des céphalohématomes ou des hémorragies sous-galéales. Afin de limiter ces risques, les praticiens doivent être formés à l'utilisation de la ventouse et doivent respecter les recommandations en vigueur. Cependant, les paramètres liés à son utilisation comme l'amplitude de la force de traction, le placement de la ventouse ou encore le geste d'extraction, restent opérateur-dépendant. Une meilleure compréhension des paramètres physiques et mécaniques mis en jeux lors d'une EIV est alors nécessaire afin de faire évoluer cette pratique. Pour répondre à cet objectif, ce travail de thèse est construit en deux axes qui correspondent à deux échelles distinctes, et qui présentent des aspects expérimentaux et numériques. Le premier, à l'échelle macroscopique, il prend en compte le fœtus dans son environnement. Le deuxième, à une échelle plus mésoscopique des tissus fœtaux, il considère la tête du bébé isolée dans son environnement. Les travaux du premier axe ont permis de faire l'acquisition du geste des praticiens sur un mannequin d'entraînement et de mettre en place un jumeau numérique de cet outil didactique, afin d'investiguer les différents paramètres de l'EIV. Pour le deuxième axe, les travaux de thèse ont permis de mettre au point une modélisation de l'interaction peau/os du scalp. Un modèle numérique qui utilise une modélisation "fine" de la tête fœtale a ensuite été implémenté et mis en œuvre pour l'investigation des paramètres de l'EIV. Des perspectives d'améliorations des travaux des deux axes sont finalement proposées en fin de manuscrit. De manière connexe, une revue de littérature sur les ventouses présentes dans la nature permet d'ouvrir des perspectives prometteuses en vue de l'évolution du design des ventouses obstétricales actuellement utiliséesDuring vaginal delivery, the expulsion phase is associated with risks of maternal and fetal complication. Practitioners may need to perform a vacuum assisted delivery (VAD). As with any operational instrument, there are risks associated with its use, for the baby and the mother, if it is not carried out correctly. For the fetus, the various layers of the scalp are solicited with great strain, which can lead to rare complications such as caput succedaneum, cephalohaematomas and subgaleal haemorrhage. To limit these risks, practitioners must be trained to use suction cups, and must comply with current recommendations. However, the parameters associated with its use, such as the amplitude of the traction force, the placement of the suction cup and the extraction procedure, remain operator-dependent. A better understanding of the physical and mechanical parameters involved in VAD is therefore needed to improve this practice. In order to achieve this objective, this thesis is structured around two axes, corresponding to two different scales and including experimental and numerical work. The first, at the macroscopic scale, considers the fetus in its environment. The second, at the mesoscopic scale, considers the isolated fetal head within its environment. The work of the first part has allowed to capture gesture of the the practitioners on a training dummy and to create a digital twin of this didactic tool in order to study the various parameters of VAD. In the second part, the work has led to the development of a model of the interaction between the scalp's skin and skull. A numerical model was then designed and implemented using a refined" modelling of the fetal head to study the parameters of the VAD. In parallel, a review of the literature on suction cups found in nature open up promising prospects for the evolution of the obstetric suction cup design used nowadays
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Gras, Régis. "Le lambeau pédiculé de fascia temporal superficiel : nosologie, anatomie, applications en chirurgie cervico-faciale : à propos de 15 cas." Aix-Marseille 2, 1988. http://www.theses.fr/1988AIX20510.
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Wiikmann, Christian. "Avaliação da viscosidade dinâmica de materiais implantáveis em pregas vocais: comparação entre camada superficial de fáscia temporal, camada profunda de fáscia temporal e gordura abdominal." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5143/tde-05042010-170322/.
Abstract:
OBJETIVO: Comparar a viscosidade dinâmica da camada superficial da fáscia temporal com a de outros tecidos biológicos tradicionalmente utilizados em implantes de pregas vocais para o tratamento de rigidez de pregas vocais. DESENHO DO ESTUDO: Experimental. MÉTODO: Amostras de camada superficial da fáscia temporal, camada profunda da fáscia temporal e gordura abdominal de 12 cadáveres são submetidas a medição de viscosidade dinâmica. RESUTADOS: A viscosidade dinâmica das diferentes amostras apresenta-se na seguinte ordem crescente: camada superficial da fáscia temporal, camada profunda da fáscia temporal e gordura abdominal. Observa-se diferença estatística na comparação entre todas as amostras. DISCUSSÃO: Quanto maior for a viscosidade da mucosa da prega vocal, maior é a pressão subglótica necessária para se iniciar a fonação. Dessa maneira, um bom material implantável em lâmina própria de prega vocal deve ter baixa viscosidade. Por esse parâmetro, a camada superficial da fáscia temporal é um material promissor para implantação em pregas vocais. CONCLUSÃO: A viscosidade dinâmica da camada superficial da fáscia temporal é menor que a da camada profunda da fáscia temporal e que a da gordura abdominal.OBJECTIVE: To compare the dynamic viscosity of superficial layer of temporalis fascia with that of other biological tissues traditionally used for vocal fold implants to treat vocal fold rigidity. STUDY DESIGN: Experimental. METHOD: Measurement of dynamic viscosity of samples of superficial layer of temporalis fascia, deep layer of temporalis fascia and abdominal fat of 12 cadavers are performed. RESULTS: Dynamic viscosity values of the different samples are presented in the following increasing order: superficial layer of temporalis fascia, deep layer of temporalis fascia and abdominal fat. There is statistical difference among all the samples. CONCLUSION: Dynamic viscosity of superficial layer of temporalis fascia is lower than the ones of deep layer of temporalis fascia and abdominal fat.
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Bezuidenhout, Jacques. "A comparison between manipulative therapy and fascial treatment in treating fascial line dysfunction of the superficial back line." Thesis, 2011. http://hdl.handle.net/10210/3734.
Abstract:
M.Tech.Purpose: To determine the effect of Chiropractic spinal manipulative therapy (SMT) compared to that of fascial treatment on Superficial back line (SBL) fascial line restrictions. It has been suggested that a fascial line restriction can cause a decrease in performance and lead to over – use injuries. Methods: A randomised study design with thirty asymptomatic male participants, which were moderate to highly active as indicated by the International Physical Activity Questionnaire (IPAQ). Participants were divided into two equal groups, group A (n=15) received Chiropractic SMT of the lumbar spine and Sacroiliac joints, group B (n=15) were treated with Direct Release Myofascial Technique to the restricted SBL. The study design consisted of seven consultations, with intervention being applied at each consultation. Objective data was obtained by the Bunkie test and Range of Motion testing which determined the participant‟s level of endurance and fascial line restriction. Objective data was obtained before and after the first intervention, after intervention on the fourth consultation and on the seventh consultation, which did not include intervention. The short term effect was represented by comparing the before values of consultation one (baseline) to consultation seven. The immediate effect of intervention was represented by the before versus the after measurements of consultations. Results: The objective results showed that there was a short term and immediate improvement in Lumbar range of motion for both groups and a short term and immediate improvement in Bunkie test times of both groups, except for the immediate effect of group B, which decreased the Bunkie test time. With the Bunkie test group A showed an immediate mean improvement of 2.4 seconds (11.3%) on the right and 2.3 seconds (4.9%) on the left. With the Bunkie test group A showed a short term mean improvement of 9 seconds (41.8%) on the right and 10.1 seconds (44.1%) on the left. Group B showed no immediate mean improvement for the Bunkie test and a short term mean improvement of 3.3 seconds (19%) on the right and 2 seconds (10.9%) on the left.
Books on the topic "Superficial fasciae":
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Gupta, Pawan, and Anurag Vats. Regional anaesthesia of the lower limb. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0055.
Abstract:
Lower limb nerve blocks gained popularity with the introduction of better nerve localization techniques such as peripheral nerve stimulation and ultrasound. A combination of lower limb peripheral nerve blocks can provide anaesthesia and analgesia of the entire lower limb. Lower limb blocks, as compared to central neuraxial blocks, do not affect blood pressure, can be used in sick patients, provide longer-lasting analgesia, avoid the risk of epidural haematoma or urinary retention, provide better patient satisfaction, and have acceptable success rates in experienced hands. Detailed knowledge of the relevant anatomy is essential before performing any nerve blocks in the lower limb as the nerve plexuses and the peripheral nerves are deep and obscured by bony structures and large muscles. The lumbosacral plexus provides sensory and motor innervation to the superficial tissues, muscles, and bones of the lower limb. This chapter covers different approaches and techniques for lower limb blocks, that is, the lumbar plexus, femoral nerve, fascia iliaca, saphenous nerve, sciatic nerve, popliteal nerve, ankle block, forefoot block, and the intra-articular infusion of local anaesthetics. Both peripheral nerve stimulator- and ultrasound-guided approaches are discussed. The use of ultrasound guidance is suggested as it helps in reducing the dose of local anaesthetic required and can ensure circumferential spread of local anaesthetic around peripheral nerves, which hastens the onset of block and improves success rate.
Book chapters on the topic "Superficial fasciae":
1
Guyot, Laurent, Pierre Seguin, and Hervé Benateau. "Lambeau de fascia temporal superficiel (fascia temporalis)." In Techniques en chirurgie maxillo-faciale et plastique de la face, 229–31. Paris: Springer Paris, 2010. http://dx.doi.org/10.1007/978-2-8178-0073-8_51.
2
Avelar, Juarez Moraes. "Importance and Behavior of Fascia Superficialis for Body-Couturing Surgery." In Body Contouring, 49–69. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-42802-9_3.
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Echlin, Kezia. "Functional anatomy of the abdominal wall." In Oxford Textbook of Plastic and Reconstructive Surgery, edited by Andrew Fleming, 1175–78. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780199682874.003.0101.
Abstract:
This chapter describes the functional anatomy of the abdominal wall. The layers of the abdominal wall consist of skin, superficial fascia, deep investing fascia, muscles, and inner fascial layers: transversalis fascia, extraperitoneal fascia, and peritoneum. The layers are variable in different areas of the abdomen. Skeletal support for the abdomen is derived from the lumbar vertebrae, the superior parts of the pelvic bones, and the bony parts of the inferior thoracic skeleton: the lower ribs and their costal cartilages and the xiphoid process.
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Abu-Hijleh, Marwan, Amol Sharad Dharap, and Philip F. Harris. "Fascia superficialis." In Fascia: The Tensional Network of the Human Body, 19–23. Elsevier, 2012. http://dx.doi.org/10.1016/b978-0-7020-3425-1.00037-4.
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Yvon, A., S. W. Volk, and A. Bayat. "Superficial Dermal and Fascial Fibromatoses." In Pathobiology of Human Disease, 1967–81. Elsevier, 2014. http://dx.doi.org/10.1016/b978-0-12-386456-7.04403-8.
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Stecco, Carla, Warren Hammer, Andry Vleeming, and Raffaele De Caro. "Subcutaneous Tissue and Superficial Fascia." In Functional Atlas of the Human Fascial System, 21–49. Elsevier, 2015. http://dx.doi.org/10.1016/b978-0-7020-4430-4.00002-6.
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"Superficial anterolateral neck, muscles, fascia." In Core Anatomy - Illustrated, 68–69. CRC Press, 2007. http://dx.doi.org/10.1201/b13362-32.
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Atkinson, Martin E. "Skin and fascia." In Anatomy for Dental Students. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199234462.003.0013.
Abstract:
Skin is a specialized boundary tissue which forms the entire external surface of the body and is continuous with mucosa lining the respiratory, gastrointestinal, and urinogenital tracts at their respective openings. Skin is the largest organ in the body but is often overlooked in this respect. Skin has many functions, some of which are not immediately obvious. • It minimizes damage from mechanical, thermal, osmotic, chemical, and sunlight insults. • It forms a barrier against microorganisms. • It has a major function in thermoregulation. • It is a sensory surface equipped with touch, pressure, temperature, and pain receptors. • It has good frictional properties useful in locomotion and handling objects. • It is waterproof. • It is the site of vitamin D synthesis. • It also plays a role in non-verbal communication when we blush, alter our facial expression, or use tactile communication such as touching or kissing. Skin has two distinct parts when seen under a microscope, the superficial epidermis and the deeper dermis. The epidermis is a surface epithelium in which the outer cells are keratinized. Keratinization is the deposition of tough mats of keratin which are intracellular fibrous proteins that make the cells tough; keratinization also kills the superficial cells so the outer layers of your skin are dead. The epidermis varies in thickness. The thickest and most heavily keratinized areas are on the soles of the feet and palms of the hands whereas the epidermis on the face and back of the hand is much thinner and less heavily keratinized. Habitual activity, such as holding a pen, digging with a shovel or using scissors, may produce localized thickenings of thick skin by increasing the thickness of keratin to produce calluses. Cells below the keratin layer have a special coating that forms a permeability barrier, preventing water moving between cells, thus preventing water loss from the body and water-logging when exposed to water. Epithelium does not contain blood vessels, which is why you do not bleed when you lightly knock your skin. To bleed, you need to expose the blood vessels that lie in the dermis and supply the overlying epidermis by diffusion of nutrients through fenestrated capillaries.
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Mather, S. J. "Great auricular nerve block." In Regional Anaesthesia in Babies and Children, 90–91. Oxford University PressNew York, NY, 1996. http://dx.doi.org/10.1093/oso/9780192624253.003.0006.
Abstract:
Abstract Apart from local infiltration and the dental blocks, the great auricular block is the only frequently performed block of the head and neck in children.AnatomyThe nerve pierces the fascia to become superficial over the sternomastoid muscle. Branches run up toward the mastoid process.
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"HIGH-LATERAL-TENSION ABDOMINOPLASTY WITH SUPERFICIAL FASCIAL SYSTEM SUSPENSION." In 50 Studies Every Plastic Surgeon Should Know, 231–36. CRC Press, 2014. http://dx.doi.org/10.1201/b17524-37.
Conference papers on the topic "Superficial fasciae":
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Honorato, Pedro Fechine, Anna Vitória Paz Moreira, Anaylle Vieira Lacerda de Oliveira, Dhiego Alves de Lacerda, Isabelle Lima Lustosa, Renata Silva Cezar, and Jalles Dantas de Lucena. "Anatomy and clinical implications of the sternalis muscle: A literature review." In IV SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2024. http://dx.doi.org/10.56238/sevenivmulti2023-143.
Abstract:
The sternalis muscle (SM) is an inconsistent and highly uncommon structure among the muscles of the anterior chest wall (POVEDA et al., 2013). It lies between the superficial fascia and the pectoral fascia, found in about 8% of the population (SNOSEK et al., 2014). The frequency of its occurrence varies significantly among different ethnic groups, being more prevalent in the Chinese population at 23.5% and less prevalent in the Taiwanese population at 1% (RAIKOS et al., 2011; VISHAL et al., 2013), while its incidence is 4.4% in the European population and 8.4% in the African population (LOUKAS et al., 2004).
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Santos Macias, A., J. Nieto Muñoz, L. Valdes Vilches, M. Caballero Dominguez, and JA Reinaldo Lapuerta. "B89 Clavipectoralis fascia block (CPB) combined with superficial cervical plexus block. Case series for clavicle fracture surgery." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.164.
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Thorpe, Chavaunne T., Helen L. Birch, Peter D. Clegg, and Hazel R. C. Screen. "Effect of Fatigue Loading on Tendon Fascicle Extension Mechanisms." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14009.
Abstract:
Tendon injury is common, probably occurring due to accumulation of microdamage within the tendon matrix as a result of repetitive loading rather than as a sudden onset condition 1. The human Achilles tendon is highly susceptible to injury; this tendon functions as an energy store and experiences high stresses and strains during normal use 2. The equine superficial digital flexor (SDFT) is also an energy storing tendon and is highly injury prone, therefore it is often used as a model to study structure function relationships within this type of tendon 3. Our previous work has characterized the microstructural response of SDFT fascicles to applied strain, with results indicating the presence of a helical component to the fascicle which may facilitate extension by unwinding of the coil 4. The aim of this study was to assess the effect of cyclic fatigue loading (creep) on the microstructural strain response of the equine SDFT to test the hypothesis that fatigue loading would result in altered fascicle extension mechanisms.
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Santos, Adrian, Javier Nieto Muñoz, Maria Paz Fernandez Lara, and Inmaculada Luque Mateos. "#36477 Clavipectoralis fascia block (CPB) combined with superficial cervical plexus block. 10 case series for clavicle fracture surgery." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.512.
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Pacheco Pereira, Cândida Sofia, Catarina Ferros, Diogo Miguel, and Manuel Vico. "#34642 Case report: ultrasound-guided combined superficial cervical plexus block, clavipectoral fascial plane block and dexmedetomidine perfusion for surgery after clavicular fracture." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.514.
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Summers, Michael P., Jonathan A. Holst, and John P. Parmigiani. "The Complex Shear Modulus of Humpback Whale Blubber." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14848.
Abstract:
Further investigations of the mechanical properties of whale blubber will benefit its morphology and those who use it. Located below the dermas, blubber is an insular tissue constructed of a lipid matrix cross-weaved with strong, structural collagen and elastic fiber bundles. The blubber transitions into the superficial fascia layer, a loose connective tissue, which sheaths the muscle surrounding the whale. [1] Blubber should behave viscoelastically because it is a soft tissue. [2] The complex shear modulus G* = G′+iG″ is a viscoelastic property commonly used in defining soft tissues. It is comprised of both an elastic energy storage term (G′) and a viscous energy dissipation term (G″). Apart from adding to the morphology of whale blubber, these properties can currently be used for the improvement of certain whale tracking tag designs. The tags that would gain from these measurements deploy remotely and anchor subdermally in the body of the whale, near the dorsal fin. Once attached, they transmit a radio signal to a monitoring satellite. Knowing the migratory and behavioral patterns of whales allows for the adjustment of human activities to help in the recovery of endangered species.
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Yan Liu, Haoyu Liu, Zhuang Wei, Xianyu Zhang, Zemin Xu, Zhiyong Luan, Decong Zhang, and Biao Liu. "Biomechanical evaluation of FDS (flexor digitorum superficialis), 1/2FDS, and palmar fascia in the correction of claw fingers and the clinical exploration of 5 cases with 1/2FDS as tendon stiffness." In 2011 International Conference on Remote Sensing, Environment and Transportation Engineering (RSETE). IEEE, 2011. http://dx.doi.org/10.1109/rsete.2011.5965883.
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de la Torre, Roger A., and Jaya Ghosh. "Device for Safely Closing Trocar Sites in Minimally Invasive Abdominal Surgery." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3399.
Abstract:
Laparoscopic and robotic surgeries of the abdomen require a trocar to facilitate entry and removal of instrumentation. Some of these trocars are 5mm or less, but some trocars for these surgeries are larger, with 8mm to 15mm trocars commonly used. One of the well-known problems seen in minimally invasive surgery to the abdomen is the resulting defect left in the abdominal wall following removal of the trocars. Occasionally, especially after removal of larger trocars, a defect is left that is large enough to allow omentum or segments of small intestine to become entrapped within the resulting space in the abdominal wall. These trocar site hernias can cause pain, but they also may lead to small bowel obstruction and bowel ischemia or even infarction, perforation and death. The likelihood of a trocar site hernia is increased when the minimally invasive procedure requires removal of an organ or a mass. This often requires dilatation of the trocar site opening.1,2,3 Re-operation to reduce and repair trocar site hernias adds significant cost to the healthcare system. Two separate studies report that incidence of trocar site hernias are in the ranges of 0.65%–2.8%4 and 1.5%–1.8%5,6. Based on a 2016 report published by the American Society for Metabolic and Bariatric Surgery (ASMBS), 196,0007 bariatric procedures were performed in 2015. Assuming an average incidence rate of 1.7%, and based on the cost analysis provided by a 2008 case study8, in bariatric surgery alone, it is estimated that the treatment and hospitalization of such hernias adds an additional $86.2M to healthcare costs. Several methods and devices exist to prevent the occurrence of trocar site hernias. However, closing superficial fascia externally is difficult, especially in obese patients, and often requires extending the skin incision significantly. Most instruments to close the potential hernia site involve introducing a hollow needle with a built-in, grasping device through tissue on one side of the defect and into the abdominal cavity. This puts internal structures at risk for potential injury. One end of suture is introduced with this needle and then using a separate instrument through a different trocar this suture is held while the needle is removed. The needle device is then re-introduced through tissue on the opposite side of the defect, and the suture is handed back to the needle device and pulled out completing a U-stitch to close the potential hernia site. If a surgeon inserts a finger into the abdomen along the trocar site to guide the needle, there is the potential for injury to the surgeon’s finger. Therefore, we set about to design a device to close trocar site defects that would work efficiently, while being safe from injury to the patient or the surgeon, and preferably without the need for a separate instrument through a different trocar to assist.