Juvenile idiopathic arthritis (JIA), the most common inflammatory autoimmune rheumatic disease in children, consists of a heterogeneous group of diseases with 7 distinct subtypes. Involvement of the temporomandibular joint (TMJ) in JIA varies from 17% to 87%, and can alter craniofacial growth due to damage to the condylar growth center. This study was a literature review and clinical report of bilateral ankylosis of the TMJ in a 13-year-old patient with polyarticular JIA. Temporomandibular joint reconstruction with a costochondral graft was carried out. The surgery was uneventful and the patient developed a mouth opening of 40 mm during the postoperative period of 24 months. The authors concluded that treatment of TMJ ankylosis should be surgical with removal of the ankylotic mass, and when necessary, joint reconstruction in patients undergoing a growth phase. Costochondral graft is still the gold standard due to its biological similarity and growth potential in patients with JIA. Research and early diagnosis of TMJ diseases should be carried out, because the earlier the identification of the disease, the better the chances of reducing its devastating effects, thus avoiding the worst possible outcome: TMJ ankylosis.

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Context: Anatomical and morphological variations of the aortic arch and its branches are important in relation to thoracic and neck surgery. However, developmental abnormalities of the vertebral arteries are generally considered to be very rare. They have mostly been described in single case reports or small series. Thus, there is a need for further knowledge as an aid in planning surgery on the aortic arch or endovascular interventions. Objective: To report on a case of anomalous origin in the left vertebral artery. Case report: In a male cadaver, a left vertebral artery with its origin in the aortic arch between the left common carotid and left subclavian arteries was observed. Its length was 120 mm, and its diameter was 5.5 mm. It entered the transverse foramen of the third cervical vertebra. Conclusion: Knowledge of the anatomical variation of the origin of the vertebral artery is important not only diagnostically but also in planning surgery on the aortic arch or endovascular interventions.

BackgroundThe axillary vein is an important blood vessel that participates in drainage of the upper limb. Some individuals present a second axillary vein (accessory axillary vein), which is an important collateral drainage path.ObjectivesThe goal of this study was to determine the incidence of the accessory axillary vein and to describe this vessel’s topography.MethodsIn this study, axillary dissections were carried out on twenty-four (24) human cadavers of both sexes that had been fixed with 10% formaldehyde. The upper limbs of the cadavers were still attached to the bodies and the axillary structures were preserved. Data collection was carried out and the axillary structures of the cadavers were compared.ResultsThe incidence of accessory axillary veins was 58.3%, with no significant preference for sex or for side of the body. The accessory axillary vein originated from the lateral brachial vein in 39.28% of cases, from the common brachial vein in 35.71% of cases, and from the deep brachial vein in 25% of cases.ConclusionsIts high incidence and clinical relevance make the accessory axillary vein important for provision of collateral circulation in the event of traumatic injury to the axillary vein.

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