Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FASCIA”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 919 records · Page 51Linked to original sources
PubMedDate not supplied

[Myringoplasty using formaldehyde formed fascia (Perkins' foot) in 188 cases: anatomical and functional results at 5 years].

Herein we explain the experiences we have had, in the ORL department of the HCU of Valencia, al along a period of seven years, by using the formaldehyde formed fascia graft, exposing the anatomical and functional results obtained after a minimum pursuit of five years on a sequence of 188 myringoplasties. With such method we got to close the tympanic membrane, and that they remain entire after five years, on the 72.87% of the cases, getting improvement of audition determined by a reduction of the air-bone gap greater than 15 dB, in the 62.77% of the cases. Such results are obtained with a very slight number of complications. This all makes us to consider this technique as the proper one in cases where perforation is greater than 50% of tympanic membrane.

Adolescent↗
PubMed1994

Freeze-dried fascia lata allografts in the reconstruction of anterior cruciate ligament defects. A two- to seven-year follow-up study.

A study of 70 arthroscopic anterior cruciate ligament reconstructions with nonaugmented human freeze-dried fascia lata grafts is reported. The overall results are based on subjective, objective, and radiologic examinations as well as second-look arthroscopies at the one-year, four-year, and five-year follow-up evaluations. The average follow-up time was 4.5 years (range, two to seven years). Mention is made of pertinent points from patient histories, and an account is given of associated lesions that had been previously operated on or which were treated concomitantly. The subjective results show 82% excellent and good results, and the objective results show 95% excellent and good results. This difference may be explained by the subjective residual pain reported by every patient who suffered a work compensation injury; residual pain was not reported very often by those whose injuries were sports related. Forty-seven patients underwent second-look arthroscopies at one year, and seven underwent arthroscopy at four and five years after operation. These examinations provided very interesting clues as to the graft's future status. It was possible to identify zones of neovascularization, tissue invasion, and unraveling of the graft as well as to test for stability with a probe. Biopsies and histologic studies confirmed superficial and deep ligament revascularization as early as four months after operation. Results of arthroscopy at one year confirmed the results of physical examination and the prognosis for the graft.

Adolescent↗
PubMed1993

[CT and MR imaging anatomy of the fascia in the pelvic extraperitoneal space].

CT and MRI anatomy of the fascia in the pelvic extraperitoneal space has not been established. CT and some MR imagings of nine patients who received irradiation to the pelvis and of eleven patients who received transarterial infusion for urinary bladder carcinoma were studied about the anterior and posterior attachment sites of the coccygeus muscle, the sacrouterine ligament and the lateral ligament. Observing the course of the inferior gluteal artery, the author set up three axial levels; (a), (b) and (c) levels, where the artery passes in front of the piriformis muscle, just gets over the coccygeus muscle and over the sacrospinous ligament, respectively. At (b) and (c) levels, the posterior attachment site of the sacrouterine ligament was the coccygeus muscle and the posterior attachment site of the lateral ligament was the sacrouterine ligament. By these ligaments, the pelvic extraperitoneal space was divided into three compartments; the prevesical, the perivesical and the perirectal spaces. The prevesical space was limited by the coccygeus muscle and the sacrouterine ligament posteriorly, the perivesical space was limited by the sacrouterine ligament and the lateral ligament posteriorly, and the perirectal space was surrounded by the sacrouterine ligament and the coccygeus muscle. On the coronal image through the level slightly posterior to the anus, the sacrouterine ligament attached to the levator ani muscle at a lateral third like a screen. On the basis of these results, new axial and coronal models of the pelvis extraperitoneal space are presented, which are useful for understanding the location and spread of the lesion.

Adult↗
PubMed1993

Effect of intraoperative manipulation and preservation on fascia temporalis used in tympanoplasty.

Fascia temporalis (FT) is generally used as grafting material for primary or revision surgery for chronic ear disease. In the latter case, homologous FT, stored in various solutions after the intraoperative preparation, that aims to dehydrate, is often used. In this study, an ultrastructural analysis of FT has been carried out in order to determine whether its structure is affected by the different steps that take place before its application as a homograft. As well as light, transmission and scanning electron microscopy, immunoperoxidase technique for testing monoclonal antibodies against different collagen types was performed. The surface appearance of FT proved to be increasingly affected by the intraoperative manoeuvres. Moreover, 10% formalin proved to give a better preservation of the surface appearance of FT than did 70% alcohol which, also after a short period of preservation (15 days), caused severe surface alterations. No particular changes in the ultrastructural appearance of FT were noticed that could have been attributed to the length of preservation. Type IV collagen was detected in the 30-day samples of both alcohol- and formalin-preserved specimens. From these results, one can speculate that, despite the major ultrastructural changes induced in FT by the intraoperative preparation and by its preservation, this tissue is still able to maintain a proper connective network. This finding could explain the reliability of homologous FT for the repair of tympanic membrane perforations.

Ethanol↗
PubMed1995

[Immunohistochemical localization of estrogen receptors in vesicovaginal fascia among female patients with stress incontinence--preliminary report].

Using monoclonal antibody assay technique 29 kD domain of estrogen receptor was found and partially quantitated by means of histological score in fibroblasts from vesico-vaginal fascia obtained during surgical procedure in incontinent women. This is an important proof that estrogen supplementation therapy is a reasonable approach in women affected by urinary stress incontinence.

Adult↗
PubMed1995

[The tensor fascia lata myocutaneous flap in reconstruction of inguinal skin defects after radical lymphadenectomy].

The tensor fascia lata (TFL) myocutaneous transposition flap was used for reconstruction of large groin defects in 11 consecutive patients who had had radical inguinal or ilio-inguinal block dissection as palliation for advanced secondary nodal cancer. Good groin coverage was achieved in all cases with lower than expected operative morbidity. Excellent palliation was also achieved in 72% of patients.

Adult↗
PubMed1997

Fascia lata autograft for treatment of congenital cranial cruciate ligament deficiency in a llama.

An 11.4-kg female llama that had been born without assistance while its dam was under observation at the veterinary teaching hospital was observed to ambulate abnormally on its right hind limb. A cranial drawer sign could be elicited in the right stifle. Cranial displacement of the tibia relative to the femur and dysplasia of the proximal end of the tibia were seen on radiographs. When the cria was 10 days old, the joint was stabilized with a fascia lata autograft. At the time of surgery, a segment of thin, loose tissue was found where the cranial cruciate ligament would have been. Three years after surgery, the llama gave birth to a normal cria and was 60 days pregnant with a second cria. To our knowledge, congenital cranial cruciate ligament deficiency with tibial dysplasia has not been reported in llamas. The heritability of these defects is unknown.

Animals↗
PubMed1997

[Value of fasciocutaneous tensor fasciae latae island flap in the treatment of large abdominal hernias. Apropos of a case].

One case of repeated incisional hernia is reported. This hernia was initially repaired but repeated infection occurred. This hernia was then successfully treated with a fasciocutaneous tensor fasciae latae island flap. The patient was reexamined two years after surgery and presented a functional abdominal wall. Other different reconstructive possibilities of regional myocutaneous flaps are described.

Abdominal Muscles↗
PubMed1997

Scleral reinforcement in progressive myopia and intraoperative ultrasound control of the cadaver fascia lata strip.

Scleral reinforcement (sustentaculum sclerae) is one of the operations against myopia. During the progression of myopia the eye grows. The chorioretinal layer can only moderately follow the expansion of the sclera, and mostly this is the cause of the complications that can cause permanent visual acuity decrease. The aim of the operation is to strengthen the posterior part of the sclera by implantation of a cadaver fascia lata strip, that slows down or stops the expansion of the eyeball, and this way prevents the development of complications. At our Department we perform the Snyder-Thompson technique. Between 1984 and 1994 343 operations were performed at our Department. We followed up the changes of the axial lengths by ultrasound (A-mode) examinations. The axial length decreased in 43.7% remained unchanged in 22.2% and increased in 34.1% of the cases. We controlled the location of the strip intra- and postoperatively with B-mode ultrasound. Nowadays scleral reinforcement is still the only possibility to stop or slow down the expansion of the eyeball in cases of progressive high myopia.

Cadaver↗
PubMed1998

Accessory insertions of pectoralis major muscle to the brachial fascia: a case report.

Two accessory fibrous bands arising from the posterior aspect near the lateral border of the pectoralis major muscle were found to attach to the brachial fascia at the posterior arm region. Those bands were in intimate contact with the median nerve, brachial veins and its branches. They were thought to be remnants of the distal origin of the pectoralis major muscle. The impact of those fascial bands in the compression syndromes of the upper extremity and in the surgical operations directed to the fossa axillaris were discussed.

Arm↗
PubMed1989

A modified fascia needle.

A new fascia needle has been designed. It is considerably easier to handle and does not have any of the problems surgeons typically encounter with the Wright needle.

Humans↗
PubMed1985

Glottic reconstruction with thyroid perichondrium and investing cervical fascia.

Various surgical procedures have been designed for glottic reconstruction following vertical partial laryngectomy. Many of these techniques require flaps or even a second stage to adequately compensate for the loss of lining or bulk that accompanies extended laryngeal resection. Thyroid perichondrium and investing cervical fascia were used in 20 cases of glottic reconstruction. Laryngeal reconstruction following vertical partial laryngectomy using readily available local tissue allows for the wide resection of tumor as well as for the preservation of laryngeal structure and function.

Aged↗
PubMed1978

Wound excision to fascia in burn patients.

All charts of burn patients admitted to the US Army Institute of Surgical Research over a four-year period were reviewed to determine the efficacy of excision of the burn wound to fascia as a therapeutic modality. Of 1,013 burn patients, 72 underwent this procedure. The patients who had excisions had a mean total burn size of 52% of body surface area (BSA) and a mean third-degree burn of 33%. We correlated survival with burn size, associated injuries, day of excision, wound coverage, and sepsis. Survival in the group who had excisions (57%) did not differ substantially from that of the other patients (38%) when broken down by burn size. Careful selection of patients for this procedure and criteria for selection are stressed.

Adult↗
PubMed1992

A randomized clinical trial comparing two methods of fascia closure following midline laparotomy.

Three hundred forty women undergoing midline laparotomy were randomized into an interrupted suture (polyglactin 910, size 1) or a continuous suture (polyglyconate, size 0) closure group. The two groups were well balanced with respect to various risk factors for postoperative wound complications. Early evaluation revealed no differences between the continuous and interrupted suture groups with respect to wound infection (3% vs 1%), superficial wound dehiscence (2% vs 4%), and deep wound dehiscence (0.6% vs 0%). Late evaluation showed no differences between the two groups either. Continuous polyglyconate and interrupted polyglactin 910 sutures had a similar incidence of suture fistula (0% vs 2%), wound pain (1% vs 2%), and incisional hernia (3% vs 4%). Continuous closure was done faster and resulted in less foreign-body suture material. Despite its smaller diameter, the polyglyconate suture also retains a higher tensile strength after surgery than does the quicker-degrading polyglactin 910 suture. Results of this study lead to the conclusion that a running polyglyconate suture is the better choice for closure of the abdominal-wall fascia following midline laparotomy.

Abdominal Muscles↗
PubMed1999

Platysma muscle-cervical fascia-sternocleidomastoid muscle (PCS) flap for parotidectomy.

BACKGROUND: Parotidectomy is useful in the treatment of benign and malignant neoplasms of the parotid gland, but often leads to sequelae of facial deformity and Frey's syndrome. This paper presents a retrospective review of parotidectomy results in 21 consecutive patients treated with either traditional techniques or with the rotation and advancement of combined platysma muscle-cervical fascia-sternocleidomastoid flap (PCS). METHODS: The surgical procedures utilized for removal and reconstruction are described. Information on appearance and function was obtained by analysis of hospital and office records and telephone questionnaire for patients with and without the flap. RESULTS: Of the 21 patients eligible for this study, only 9 of 10 patients with the PCS flap and 10 of 11 patients without the flap provided sufficient data for analysis. In the flap group all 9 patients either noted a mild fullness on the operated side or no difference between sides. In the nonflap group, 4 patients felt they had a moderate depression, 2 patients noted a mild depression, and 4 patients noted no difference between sides. Frey's syndrome was classified as mild in 2 patients in the PCS group, whereas in the nonflap group, 4 patients thought it was mild and 1, severe. Complications were rare in either group. CONCLUSION: The PCS flap prevents deformity and contributes to patient satisfaction following parotidectomy. The flap helps to prevent Frey's syndrome and is not associated with an increase in postoperative complications. The flap is recommended following removal of nonrecurrent or low-grade malignant parotid tumors.

Adenoma, Pleomorphic↗
PubMed1998

Hippocampal AMPA and NMDA mRNA levels correlate with aberrant fascia dentata mossy fiber sprouting in the pilocarpine model of spontaneous limbic epilepsy.

There is considerable controversy whether aberrant fascia dentata (FD) mossy fiber sprouting is an epiphenomena related to neuronal loss or a pathologic abnormality responsible for spontaneous limbic seizures. If mossy fiber sprouting contributes to seizures, then reorganized axon circuits should alter postsynaptic glutamate receptor properties. In the pilocarpine-status rat model, this study determined if changes in alpha amino-3-hydroxy-5-methyl-4-isoxazole-propionate (AMPA) and n-methyl-D-aspartic acid (NMDA) receptor subunit mRNA levels correlated with mossy fiber sprouting. Sprague-Dawley rats were injected with pilocarpine (320 mg/kg; i.p.) and maintained in status epilepticus for 6 to 8 hours (pilocarpine-status). Rats were killed during the: (1) latent phase after neuronal loss but before spontaneous limbic seizures (day 11 poststatus; n = 7); (2) early seizure phase after their first seizures (day 25; n = 7); and (3) chronic seizure phase after many seizures (day 85; n = 9). Hippocampi were studied for neuron counts, inner molecular layer (IML) neo-Timm's staining, and GluR1-3 and NMDAR1-2b mRNA levels. Compared with controls, pilocarpine-status rats in the: (1) latent phase showed increased FD GluR3, NMDAR1, and NMDAR2b; greater CA4 and CA1 NMDAR1; and decreased subiculum GluR1 hybridization densities; (2) early seizure phase showed increased FD GluR3, increased CA1 NMDAR1, and decreased subiculum NMDAR2b densities; and (3) chronic seizure phase showed increased FD GluR2; increased FD and CA4 GluR3; decreased CA1 GluR2; and decreased subiculum GluR1, GluR2, NMDAR1, and NMDAR2b levels. In multivariate analyses, greater IML neo-Timm's staining: (1) positively correlated with FD GluR3 and NMDAR1 and (2) negatively correlated with CA1 and subiculum GluR1 and GluR2 mRNA levels. These results indicate that: (1) hippocampal AMPA and NMDA receptor subunit mRNA levels changed as rats progressed from the latent to chronic seizure phase and (2) certain subunit alterations correlated with mossy fiber sprouting. Our findings support the hypothesis that aberrant axon circuitry alters postsynaptic hippocampal glutamate receptor subunit stoichiometry; this may contribute to limbic epileptogenesis.

Animals↗
PubMed1998

Lateralized fascia dentata lesion and blockade of one hippocampus: effect on spatial memory in rats.

Unilateral blockade of the dorsal hippocampus by tetrodotoxin makes it possible to form lateralized spatial memories, which rapidly transfer to the naive hippocampus when training continues with intact brain. Unilateral X-ray irradiation of newborn rats causes irreversible destruction of granule cells in the ipsilateral fascia dentata (FD). Possible compensation of poor learning in the lesioned hemisphere by commissural transfer of memories from the intact hippocampus was examined in seven rats with unilateral FD lesion, which were first trained in the Morris water maze to asymptotic performance (mean escape latency 6+/-1 s). Subsequent testing during functional ablation either of the intact or of the lesioned hippocampus by tetrodotoxin revealed escape latencies 35+/-8 s or 8+/-1 s, respectively. Probe trial tests during inactivation of the intact and lesioned hippocampus showed target quadrant preference of 32+/-2% or 54+/-3%, respectively. The results indicate: (a) that one intact hippocampus alone can support the water maze task, (b) that no, or only a very weak, memory trace is available in the lesioned hippocampus. It is concluded that the above results are due to the inability of the FD lesioned hippocampus to process the information received from the ipsilateral entorhinal cortex.

Animals↗
PubMed1999

Cholinergic innervation of mossy cells in the rat fascia dentata.

Hilar mossy cells are the main cells of origin of the commissural/associational projection to the inner molecular layer of the rat fascia dentata. In order to analyze the cholinergic innervation of hilar mossy cells, a light and electron microscopic double-labeling technique was used. Immunolabeling for calcitonin gene-related peptide (CGRP) was employed to identify mossy cells and immunocytochemistry for choline acetyltransferase (ChAT) was used to label cholinergic septohippocampal fibers. Cholinergic boutons were abundant around mossy cell somata and on their proximal dendrites. Electron microscopy confirmed that many of these boutons formed synapses with the CGRP-positive mossy cells. These data demonstrate a direct innervation of hilar mossy cells by cholinergic septohippocampal afferents. This connectivity could contribute to the electrophysiological behavior of mossy cells during theta oscillations.

Animals↗