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Biomedical subjects

M D Graham

Publications and source records attributed to M D Graham.

At least 127 records · Page 7Linked to original sources

Human stapes crura: surface bone architecture: scanning electron microscopic findings.

Human stapes crura obtained at the time of stapedectomy for clinical otosclerosis have been studied after removal of the mucosal and periosteal layers by treatment with hydrogen peroxide and ultrasonification. With the scanning electron microscope, four basic architectural patterns are evident: honeycomb, fibrillar, compact and pitted. The significance of these patterns is as yet unclear, but they do appear to be in intimate relationship one to another and perhaps are varying stages in a single process.

Ear Ossicles↗

Human stapes crura. Normal ultrastructure, scanning electron microscopical findings.

The crura of normal human stapes were studied with the scanning electron microscope. Three definite layers were seen: mucosal, periosteal, and bone. The appearance of each layer, as well as of the transition zones, has been presented. Familiarization with the scanning electron microscopic features of the normal human stapes crura should make identification and interpretation of abnormal features of diseased states apparent.

Cilia↗

The jugular bulb. Its anatomic and clinical considerations in contemporary otology.

The purpose of this paper is to bring together in a comprehensive, up-to-date, and relevant manner knowledge of the jugular bulb and sigmoid sinus. The gross and microscopic anatomy of the jugular bulb is discussed, and selected illustrations of temporal bone sections show the varying locations of the jugular bulb. Considerations in differential diagnosis are presented, and examples of surgical procedures are delineated wherein the jugular bulb was encountered, and the methods of management in these instances are detailed.

Adult↗

Surgical exposure of the facial nerve indications and techniques.

Lesions producing facial nerve palsy may occur within the temporal bone anywhere between the internal auditory canal and the stylomastoid foramen. Surgical exposure of this nerve may be necessary for decompression, grafting, rerouting, or removal of such lesions as acoustic tumour, meningioma, facial nerve neuroma, and cholesteatoma. Contemporary surgical exposure of the facial nerve has as its aim adequate exposure of the facial nerve at any point in its course, with preservation of hearing and vestibular function, without further injury to the facial nerve and the necessity for producing a mastoid cavity. When hearing and balance function are present, the transcanal-transtympanic approach to the horizontal segment of the facial nerve offers limited access to the facial nerve in its tympanic course. Wider exposure is obtained by postauricular transmastoid exposure of the tympanic and mastoid portions of the facial nerve. The middle fossa approach to the facial nerve offers access to the internal auditory canal and labyrinthine portions of the nerve, whereas the retrolabyrinthine approach offers access to the facial nerve in the posterior fossa. Total facial nerve exposure with preservation of hearing and balance function is obtained by the combined transmastoid and middle cranial fossa approach. In individuals who have lost all function of hearing and balance, the postauricular translabyrinthine approach offers total exposure of the facial nerve within the temporal bone and posterior fossa. The aim of this discussion was to present in succinct fashion a systematized approach to surgical exposure of the facial nerve within the temporal bone and posterior fossa.

Cochlea↗