Fatos Belgin Yildirim

Method selection in craniofacial measurements: advantages and disadvantages of 3D digitization method.

AIM Treatment of the craniofacial malformations is a primary goal of cranio-maxillo-facial surgeons. Surgical treatment of these malformations requires accurate data. Accuracy of measurement should be a priority of scientists to prevent statistical errors and therefore to promote the comparison of the results obtained from various research groups. In the present study, we aimed to compare three different measurement techniques, which were used frequently in craniofacial measurements. METHODS A total number of 35 female and 35 male volunteer adults were included to the study. Two-dimensional (2D) photogrammetry, three-dimensional (3D) digitization and manual anthropometry methods were used for the present study. Measurements were obtained from the ear, eye, nose and face. RESULTS By comparing three methods, our findings revealed that 3D digitization method is an easy, robust, and sensitive method to obtain the data. CONCLUSIONS We think that 3D digitization method is accurate, and it can be applied to both clinical practice and research. Advantages and disadvantages of three methods are discussed with the relevant literature.

Anatomical evaluation of the groove for the vertebral artery in the axis vertebrae for atlanto-axial transarticular screw fixation technique

Anatomical measurements were studied on 40 dry axis vertebrae to determine the suitability of the groove for the vertebral artery for atlanto‐axial transarticular screw fixation technique. We measured 13 parameters including three angular and 10 linear dimensions related to the groove of the vertebral artery, pedicle, and pars interarticularis and evaluated 80 measurements for each parameter. All measurements were done after placing a Kischner guide wire through the pedicle. We found that differences between measurements on the left and right sides of each vertebra were nonsignificant. In spite of the variability in measurements such as height, width, and median angle of the pedicle, the decline angle for instrumentation, the depth of the groove for the vertebral artery, and the internal height of the pars interarticularis, all of these had good symmetry. However, there were statistically significant differences between the sides in measurements for both the width (P=0.05) and the angle (P<0.02) of the pedicle allowing instrumentation and they did not show good symmetry. The risk of vertebral artery injury was found to be 22.5% per specimen, or 16.25% per screw inserted because the internal height of the pars interarticularis at point of fixation was ≤ 2.1 mm. In addition, we found that the pedicle width allowing instrumentation was not suitable in 12.5% of screws inserted because their values were ≤ 6 mm. When the width of the pedicle for instrumentation and the internal height of the pars interarticularis were both evaluated together, we also found that this technique would be extremely dangerous in 7.5% of specimens. In conclusion, the internal height of the pars interarticularis and the width of the pedicle for instrumentation should be evaluated together in thin CT sections preoperatively, because of the risk of vertebral artery injury in patients upon which atlanto‐axial transarticular screw fixation is to be performed. Clin. Anat. 13:237–243, 2000.

Marie Jean Pierre Flourens (1794–1867): an extraordinary scientist of his time

Marie Jean Pierre Flourens was a French physician, famous for various significant discoveries relating to the nervous system, cerebral localisation and brain functions. He was known for his studies on brain physiology. He was one of the pioneers in the usage of experimental methods in neuroanatomy.1 He was born on 15 April 1794, in Maureilhan, France. He received his medical degree from the University of Montpellier in 1809. He then went to Paris and worked with botanist Agustin de Condelle (1779–1841) and palaeontologists Georges Cuvier (1769–1832), and later became attracted to the study of neurophysiology. In 1833, Flourens became a Professor of Anatomy at the College de France. In 1838, he was returned …

BILATERAL ABDUCTOR POLLICIS LONGUS MUSCLE VARIATION Case report and review of the literature

An abnormal abductor pollicis longus muscle was encountered bilaterally during the dissection of the upper limb of a 26-year-old male cadaver. In the left side, the abductor pollicis longus had seven tendon slips. The medial two inserted into the abductor pollicis brevis, the other five inserted into the base of the first metacarpal bone. In the right side of the case, the abductor pollicis longus was consisted of three bellies. The lateral bellys tendon was the main abductor pollicis longus tendon and inserted into the base of the first metacarpal bone. The medial belly inserted into the abductor pollicis brevis. Between these muscle bellies, there was an intermediate belly. Its tendon was split into two thin slips and inserted into both the abductor pollicis brevis and the opponens pollicis muscles. The number of such accessory tendons has a functional significance in the development of de Quervains stenosing tendovaginitis and possibly also has a practical significance. This paper is the first to describe seven tendons of the abductor pollicis longus and extensor pollicis brevis in the same compartment.

Four-headed biceps brachii, three-headed coracobrachialis muscles associated with arterial and nervous anomalies in the upper limb

A four-headed biceps brachii muscle and three-headed coracobrachialis muscle, high-originated radial artery and communication between the median and musculocutaneous nerves have been well documented in the available literature. However co-existence of these variations is rare. In this study we aimed to describe multiple variations in the upper limb and discuss their co-existence from clinical and embryological points of view.

Mechanism of the beneficial effect of melatonin in experimental Parkinson's disease

This study aimed to elucidate locomotor activity changes in 6-hydroxydopamine (6-OHDA) induced Parkinsons disease (PD) and investigate the possible beneficial effects of melatonin on altered levels of locomotor activity, cyclooxygenase (COX), prostaglandin E2 (PGE2), nuclear factor kappa-B (NF-κB), nitrate/nitrite and apoptosis. Male Wistar rats were divided into five groups: vehicle (V), melatonin-treated (M), 6-OHDA-injected (6-OHDA), 6-OHDA-injected + melatonin-treated (6-OHDA-Mel) and melatonin treated + 6-OHDA-injected (Mel-6-OHDA). Melatonin was administered intraperitoneally at a dose of 10 mg/kg/day for 30 days in M and Mel-6-OHDA groups, for 7 days in 6-OHDA-Mel group. Experimental PD was created stereotactically via unilateral infusion of 6-OHDA into the medial forebrain bundle (MFB). The 6-OHDA-Mel group started receiving melatonin when experimental PD was created and treatment was continued for 7 days (post-treatment). In the Mel-6-OHDA group, experimental PD was created on the 23rd day of melatonin treatment and continued for the remaining 7 days (pre- and post-treatment). Locomotor activity performance decreased in 6-OHDA group compared with vehicle; however melatonin treatment did not improve this impairment. Nuclear factor kappa Bp65 and Bcl-2 levels were significantly decreased while COX, PGE2 and caspase-3 activity were significantly increased in 6-OHDA group. Melatonin treatment significantly decreased COX, PGE2 and caspase-3 activity, increased Bcl-2 and had no effect on NF-κB levels in experimental PD. 6-Hydroxydopamine injection caused an obvious reduction in TH positive dopaminergic neuron viability as determined by immunohistochemistry. Melatonin supplementation decreased dopaminergic neuron death in 6-OHDA-Mel and Mel-6-OHDA groups compared with 6-OHDA group. Melatonin also protected against 6-OHDA-induced apoptosis, as identified by increment in Bcl-2 levels in dopaminergic neurons. The protective effect of melatonin was more prominent for most parameter following 30 days treatment (pre- and post-) than 7 days post-treatment. In summary, melatonin treatment decreased dopaminergic neuron death in experimental PD model by increasing Bcl-2 protein level and decreasing caspase-3 activity.

High origin of the radial artery accompanied by muscular and neural anomalies

A high origin of the radial artery accompanied by muscular and neural abnormalities (three-headed biceps brachii, absence of the palmaris longus muscle, and communication between median and musculocutaneous nerves) were encountered during the dissection of a 25-year-old male cadaver. Co-existence of these variations has not, to our knowledge, been reported in the available literature.

Melatonin is protective against 6-hydroxydopamine-induced oxidative stress in a hemiparkinsonian rat model

Abstract Melatonin is known to reduce detrimental effects of free radicals by stimulating antioxidant enzymes; however, its role has not been studied in 6-hydroxydopamine (6-OHDA)-induced rat model of Parkinsons disease (PD). Therefore, we aimed to elucidate the effects of melatonin on motor activity and oxidative stress parameters in 6-OHDA-induced rat model of PD. Three-month-old male Wistar rats were divided into 5 groups: vehicle (V), melatonin-treated (M), 6-OHDA-injected (6-OHDA), 6-OHDA-injected + melatonin-treated (6-OHDA-Mel), and melatonin-treated + 6-OHDA-injected (Mel-6-OHDA) group. Melatonin was administered intraperitoneally at a dose of 10 mg/kg/day for 30 days in M and Mel-6-OHDA groups, for 7 days in 6-OHDA-Mel group. Rats received a unilateral stereotaxic injection of 6-OHDA into the right medial forebrain bundle. The 6-OHDA-Mel group started receiving melatonin when experimental PD was created and the treatment was continued for 7 days. In the Mel-6-OHDA group, experimental PD was created on the 23rd day of melatonin treatment and continued for the remaning 7 days. Locomotor activity decreased in 6-OHDA group compared with that in vehicle group; however, melatonin treatment did not improve this impairment. 6-OHDA injection caused an obvious reduction in tyrosine-hydroxylase-positive dopaminergic neuron viability as determined by immunohistochemistry. Melatonin supplementation decreased dopaminergic neuron death in 6-OHDA-Mel and Mel-6-OHDA groups compared with that in 6-OHDA group. Biochemical analysis confirmed the beneficial effects of melatonin displaying higher superoxide dismutase, catalase, and glutathione peroxidase activities and lower lipid peroxidation in substantia nigra samples in comparison to non-treated 6-OHDA group. Starting melatonin treatment before creating experimental PD was more effective on observed changes.

The Co-existence of the Gastrocnemius Tertius and Accessory Soleus Muscles

A bilateral gastrocnemius tertius muscle and a unilateral accessory soleus muscle were encountered during the routine educational dissection studies. The right gastrocnemius tertius muscle consisted of one belly, but the left one of two bellies. On the left side, the superficial belly of the gastrocnemius tertius muscle had its origin from an area just above the tendon of the plantaris muscle, the deep belly from the tendon of the plantaris muscle. The accessory soleus muscle originated from the posteromedial aspect of the tibia and soleal line of the tibia and inserted to the medial surface of the calcaneus. On the right side, the gastrocnemius tertius muscle had its origin from the lateral condyle of the femur, and inserted to the medial head of the gastrocnemius muscle. The co-existence of both gastrocnemius tertius and accessory soleus muscle has not, to our knowledge, been previously reported.

Morphological and Ultrastructural Analysis of the Watershed Zones After Stripping of the Vasa Nervorum

Peripheral nerve trunks are well-vascularized structures where a well-developed collateral system may compensate for local vascular damage. Vasculitis in nerve has a predilection for epineurial vessels and causes to the peripheral neuropathy, which is a major clinical feature of primary and secondary systemic vasculitides. In the present study, the goal was to simulate the vasculitic neuropathy in rat sciatic nerve and to investigate the watershed zones after stripping of the epineural vessels of the sciatic nerve. Sciatic function index values, light and electron microscopic evaluations of the experimental sciatic nerve suggested that the sciatic nerve was normal except for some watershed zones located in the peripheral part of the nerve. Although there is abundant collateral circulation in the peripheral nerve, distribution of the vessels of the watershed zones as observed in the present study should be elucidated by further studies.