• Title/Summary/Keyword: Foramen ovale

Search Result 48, Processing Time 0.032 seconds

New insight into the mandibular nerve at the foramen ovale level for percutaneous radiofrequency thermocoagulation

  • Peng-Bo Zhu;Yeon-Dong Kim;Ha Yeong Jeong;Miyoung Yang;Hyung-Sun Won
    • The Korean Journal of Pain
    • /
    • v.36 no.4
    • /
    • pp.465-472
    • /
    • 2023
  • Background: Percutaneous radiofrequency thermocoagulation (RFTC) has been widely utilized in the management of trigeminal neuralgia. Despite using image guidance, accurate needle positioning into the target area still remains a critical element for achieving a successful outcome. This study was performed to precisely clarify the anatomical information required to ensure that the electrode tip is placed on the sensory component of the mandibular nerve (MN) at the foramen ovale (FO) level. Methods: The study used 50 hemi-half heads from 26 South Korean adult cadavers. Results: The cross-sectioned anterior and posterior divisions of the MN at the FO level could be distinguished based on an irregular boundary and color difference. The anterior division was clearly brighter than the posterior one. The anterior division of the MN at the FO level was located at the whole anterior (38.0%), anteromedial (6.0%), anterior center (8.0%), and anterolateral (22.0%) parts. The posterior division was often located at the whole posterior or posterolateral parts of the MN at the FO level. The anterior divisions covered the whole MN except for the medial half of the posterolateral part in the overwrapped images of the cross-sectional areas of the MN at the FO level. The cross-sectional areas of the anterior divisions were similar in males and females, whereas those of the posterior divisions were significantly larger in males (P = 0.004). Conclusions: The obtained anatomical information is expected to help physicians reduce unwanted side effects after percutaneous RFTC within the FO for the MN.

Congenitally Corrected Transposition of Great Arteries Two Case Report (선천성 교정형 대혈관 전위증치험 2례 보고)

  • 신제균
    • Journal of Chest Surgery
    • /
    • v.18 no.4
    • /
    • pp.589-597
    • /
    • 1985
  • Congenitally corrected transposition of great arteries is a rare congenital heart anomaly. We experienced two case of corrected transposition of great arteries, one [S,L,L] and one [I, D,D] associated with patent foramen ovale, ventricular septal defect and pulmonary stenosis. The patent foramen ovales were closed directly under right atriotomy, the ventricular septal defects were closed with Dacron patch under morphological left ventriculotomy and the pulmonary valvular and subvalvular stenosis were corrected under pulmonary arteriotomy. The postoperatively course was uneventful in case I, the permanent pacemaker was implanted in case ll.

  • PDF

Congenital Tricuspid Stenosis - Report a Case - (선천성 삼첨판막협착증의 외과적 치험 ( 1례 ))

  • 이재진
    • Journal of Chest Surgery
    • /
    • v.22 no.4
    • /
    • pp.672-676
    • /
    • 1989
  • We experienced a case of congenital tricuspid stenosis. The patient was 5 years old boy. The 2D-echo 4 cardiac catheterization with cineangiogram revealed as Tricuspid Stenosis, associated with functioning patent foramen ovale & mild R.V hypoplasia. The lesion was successfully corrected by TV commissurotomy & closure of PFO. Postoperatively, moderate degree of tricuspid regurgitation was remained.

  • PDF

Application of the foramina of the trigeminal nerve as landmarks for analysis of craniofacial morphology

  • Lim, Ba-Da;Choi, Dong-Soon;Jang, Insan;Cha, Bong-Kuen
    • The korean journal of orthodontics
    • /
    • v.49 no.5
    • /
    • pp.326-337
    • /
    • 2019
  • Objective: The objective of this study was to develop new parameters based on the foramina of the trigeminal nerve and to compare them with the conventional cephalometric parameters in different facial skeletal types. Methods: Cone-beam computed tomography (CBCT) scans and cephalograms from 147 adult patients (57 males and 90 females; mean age, 26.1 years) were categorized as Class I ($1^{\circ}$ < ANB < $3^{\circ}$), Class II (ANB > $5^{\circ}$), and Class III (ANB < $-1^{\circ}$). Seven foramina in the craniofacial area-foramen rotundum (Rot), foramen ovale (Ov), infraorbital foramen, greater palatine foramen, incisive foramen (IF), mandibular foramen (MDF), and mental foramen (MTF)-were identified in the CBCT images. Various linear, angular, and ratio parameters were compared between the groups by using the foramina, and the relationship between the new parameters and the conventional cephalometric parameters was assessed. Results: The distances between the foramina in the cranial base did not differ among the three groups. However, the Rot-IF length was shorter in female Class III patients, while the Ov-MTF length, MDF-MTF length, and Ov-MDF length were shorter in Class II patients than in Class III patients of both sexes. The MDF-MTF/FH plane angle was larger in Class II patients than in Class III patients of both sexes. Most parameters showed moderate to high correlations, but the Ov-MDF-MTF angle showed a relatively low correlation with the gonial angle. Conclusions: The foramina of the trigeminal nerve can be used to supplement assessments based on the conventional skeletal landmarks on CBCT images.

Surgical Correction Of Double Outlet Right Ventricle (S.D.L.) (대혈관전위를 동반한 양대혈관 우심실기시증 치험 1례 (S.D.L.))

  • 조범구
    • Journal of Chest Surgery
    • /
    • v.12 no.3
    • /
    • pp.225-232
    • /
    • 1979
  • A 15-year-old girl underwent successful surgical correction of double-outlet right ventricle [S.D.L.] subaortic ventricular septal defect, patent foramen ovale, and pulmonary hypoplasia with valvular stenosis. The operation consisted of an internal baffling connecting the left ventricle to the aorta through the ventricular septal defect. The pulmonary stenosis was corrected with the method of connection the right ventricle to the pulmonary artery bifurcation using the Hancock valve[18mm] contained conduit. This rare type of DORV seemed to be suitable for corrective surgery, and the patient`s condition is very good until present time (post operative 7 months).

  • PDF

Successful use of Gasserian ganglion block for maxillo-mandibular fixation in a patient with severe pulmonary dysfunction-a case report

  • Vadhanan, Prasanna
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.20 no.5
    • /
    • pp.331-335
    • /
    • 2020
  • Various anesthetic techniques have been utilized for maxillo-mandibular fixation. We report the case of a patient with bilateral condylar and zygomatic arch fractures who had severe pulmonary dysfunction. The patient was administered bilateral image-guided Gasserian ganglion block through the foramen ovale to achieve surgical anesthesia. The technical details, advantages, and disadvantages of this rather unusual technique are discussed. The procedure could be a feasible technique when performed meticulously in cases where other approaches are deemed difficult.

cor triatriatum dexter combined with pulmonary stenosis (폐동맥 협착증을 동반한 우측 삼중심방 -1예 치험-)

  • Kim, Hyuck;Lee, Joon-Young;Lee, Hong-Sub;Jun, Suk-Chul;Lee, Kyu-Whan;Kim, Chang-Ho
    • Journal of Chest Surgery
    • /
    • v.19 no.2
    • /
    • pp.313-318
    • /
    • 1986
  • A rare anomaly, Cor triatriatum dexter combined with pulmonary stenosis and patent foramen ovale in a 2-years- old female is presented. Abnormal embryologic development of the right sinus venosus valve caused partial membranous septation of the right atrium. Most cases have been recorded at necropsy either as an incidental finding or in association with severe congenital heart disease. In this case, Cor triatriatum dexter was diagnosed preoperatively by cineangiography and echocardiography.

  • PDF

Surgical Treatment of Atrioventricular Septal Defect (방실중격 결손증의 외과적 치료)

  • 오태윤
    • Journal of Chest Surgery
    • /
    • v.23 no.1
    • /
    • pp.41-48
    • /
    • 1990
  • Thirteen patients underwent repair of atrioventricular septal defect [AVSD] from January 1980 to July 1989 at Kyungpook National University Hospital. Two patients had complete AVSD [Rastelli type A] and eleven patients had partial AVSD [ostium primum atrial septal defect and cleft of anterior mitral leaflet]. In all the patients of partial AVSD, atrial septal defect was closed with Dacron patch and the mitral cleft was approximated with interrupted simple sutures. In one patient of complete AVSD, one patch technique was used to close the atrial and ventricular septal defect, and in the other patient of complete AVSD, two patch technique was used. In six patients, there were associated anomalies; four had isolated ostium secundum ASD, two had patent foramen ovale. Postoperative complete A-V block was noted in a patient of partial AVSD, but it was returned to 1st degree A-V block 30 months later and in another case of partial AVSD, severe congestive heart failure [NYHA functional class IV] due to residual mitral insufficiency was developed postoperatively, but this patient was recovered to the state of functional class I after receiving mitral valve replacement. There was one hospital death [8 %] resulting from low cardiac output.

  • PDF

A Report of Fallot's Tetralogy in Siblings (형제에서 발생한 활로4증)

  • Lee, Sang-Ho;Lee, Yung-Kyoon
    • Journal of Chest Surgery
    • /
    • v.13 no.2
    • /
    • pp.105-109
    • /
    • 1980
  • Tetralogy of Fallot has shown its familial aggregation in several familial studies. This reported case is another example which occurred in a family in two brothers. They revealed no cytogenetic abnormalities, but the anatomical cardiac malformation of them showed much similarity, total conal defect in ventricular septum and .one had patent foramen ovale, the other atrial septal defect. The familial recurrence tendency of Tetralogy of Fallot as well as other congenital heart diseases could be explained on multifactorial inheritance as shown in many reports. In spite that we couldn`t find out any environmental trigger or teratogens, our case may be accepted on the base of multifactorial mechanism.

  • PDF

A case of anomalous origin of right pulmonary artery from the ascending aorta (상행대동맥에서 기시한 우폐동맥 수술치험 1)

  • Choe, Se-Yeong;Park, Lee-Tae;Yu, Yeong-Seon
    • Journal of Chest Surgery
    • /
    • v.17 no.4
    • /
    • pp.698-702
    • /
    • 1984
  • Anomalous origin of right pulmonary artery from ascending aorta is a rare congenital heart disease. We experienced a case of anomalous origin of right pulmonary artery from ascending aorta with associated patent ductus arteriosus and patent foramen ovale, which was diagnosed by angiocardiography and cardiac catheterization. The ductus was ligated just before bypass, and a Dacron-graft with a diameter of 16 mm was interpolated posteriorly to the aorta between the right pulmonary artery and the pulmonary trunk. The postoperative course was uneventful. The right heart catheterization and right ventriculography performed on postoperative twelfth day revealed widely patent anastomotic site between the right pulmonary artery and the pulmonary trunk without residual stenosis. She was discharged on postoperative fourteenth day.

  • PDF