Background. Classically, each kidney is supplied by a single renal artery originating from abdominal aorta. The present study aimed at its variations and their embryological and clinical correlation. Material and Methods. The formalin-fixed thirty-seven cadavers from north India constituted the material for the study. During routine abdominal dissection conducted for medical undergraduates at the department of anatomy, the kidneys along with their arteries were explored and the morphological variations of renal arteries were noted. Results. We observed supernumerary renal arteries in 23/37 (62.2%) cases (48.6% of aortic origin and 13.5% of renal origin) on the right side and 21/37 (56.8%) cases (45.9% of aortic origin and 10.8% of renal origin) on the left side. Supernumerary renal arteries entered the kidney through hilum, superior pole, and inferior pole. Conclusion. Awareness of variations of renal artery is necessary for surgical management during renal transplantation, repair of abdominal aorta aneurysm, and urological procedures and for angiographic interventions.
Background:For establishing identity, stature is an important parameter in medico-legal and forensic examination.Aims:To estimate stature from facial parameters.Setting and Design:Prospective study conducted from December 2007 to September 2008 in the Department of Anatomy, Government Medical College, Nagpur.Materials and Methods:A total of 470 healthy medical students were taken, comprising 260 males and 210 females in the age group of 18 to 24 years.Statistical Analysis:The data were analyzed using regression analysis and correlation coefficient.Results:The average height of males and females was 170.97 (± 6.80) cm and 156.89 (± 5.89) cm respectively. It was observed that in males the total facial height had greater correlation with stature (r = 0.19) and had standard error of ±6.68 cm. In females, nasal height had greater correlation with stature (r = 0.19) and had standard error of ±5.78 cmConclusion:It can be stated that percutaneous facial dimensions are not good predictors of accurate stature estimation and can be used when other parameters are not available
To anaesthetize posterior part of soft palate for various surgical procedures, knowledge of the position of the greater palatine foramen (GPF) is very important. Blocking of maxillary division of trigeminal nerve or its branches for local anaesthesia is common practice for maxillofacial surgeries. Objective: this study was aimed to determine the morphology of greater palatine foramen in relation to certain fixed points. Methodology: this study was conducted on 86 dry adult Indian skulls. All the measurements were done with vernier caliper accurate to 0.1 mm. Using flexible stainless steel wire direction of opening of GPF into oral cavity was noted. Results: In 73.26% cases, GPF is located opposite third maxillary molar tooth. Mean distance from GPF to the incisive fossa (IF) was found to be 35.9 mm. The mean distance between posterior margins of GPF to posterior border of hard palate was 3.4 mm. The distance between the GPF to the midline maxillary suture was 15.3 mm. In 74.42% cases, direction of opening of GPF was located antero-laterally. Arched palatal vault was found in 66.28% skulls. Conclusion: The location of greater palatine foramen is variable still in most of the cases it is located opposite third molar tooth and is directed antero-later.
Background: Patients with intra-oral malignancies warrants use of awake Fiberoptic assisted naso-thracheal intubation to secure an airway due to multiple risk factors leading to anticipated difficult airway. Different techniques such as airway blocks, local anesthesia (LA) gargles, spray, nebulization and mild sedation are in practice to improve the success rate of fiberoptic assisted intubation. Methods: Sixty patients of ASA I and II with Mallampatti score 3 and above, posted for Commando operations were enrolled in this study and were divided into 2 groups. Group AB (Airway Block, n=30) were given Superior laryngeal nerve block bilaterally and recurrent laryngeal nerve block transtracheally with Inj 2% Lignocaine. Second Group AN (Airway Nebulization, n=30) patients airway was nebulized with 4% Lignocaine with ultrasonic nebulizer. After confirmation of satisfactory anesthesia clinically Fiber-optic assisted naso-tracheal intubation was attempted. Hemodynamic monitoring, total time taken for intubation, patients comfort and any complications occurred were noted. Statistical Analysis– All the observed values were tabulated and analyzed using software SPSS version 17.0. Results: Demography and Hemodynamic observations were comparable in the groups. The time taken for intubation, patient comfort score, intubation conditions were excellent in AB group than in group AN. Airway complications like laryngospasm and cough were noted in AN Group. Conclusions: Judicial use of combined Airway blocks such as Bilateral Superior and trans-tracheal recurrent laryngeal nerve blocks could facilitate a successful fiber-optic assisted awake naso-tracheal intubation in anticipated difficult intubation with negligible complications.
Background: Stature is an important parameter in medico-legal examination. It happens many a times when highly decomposed or mutilated bodies or sometime only facial remains of skull are brought for medico-legal examination and this is most common in our region where victims are attacked by wild animals in deep forests which makes difficult to identify deceased. In such medico legal examination stature estimation is important including age, sex, race, etc. Each race requires its own formula for stature estimation because racial and ethnic variations exist in population of different geographical regions. The climate and dietary habits of the people of different regions of India are variable. Hence opinions based on the result of studies done in one population cannot be entirely applicable to other population. Considering this scenario the aim of the present study is to estimate the stature from skull anthropometry in this region. Aims: Present study was undertaken to determine stature from maxillo-facial anthropometry in central Indian region using head length and head breadth. Methods: The study was conducted on 470 young and healthy subjects, 260 males and 210 females of 18 to 24 years. Two skull measurements namely head length and head breadth were taken by following standards anthropometric methods and technique. Results: Regression equation for stature of males using head length is 122.32 + 2.63 × HL and using head breadth is 162.63 + 0.57 × HB. The regression equation for stature in females using head length and breadth are 133.76 + 1.49 × HL and 123.9 + 2.33 × HB respectively. Conclusion: Regression equations are population specific and will not yield exact stature if applied to other population. Stature estimation can be possible with the help of these two parameters when only skull or remains of the skull are available for medico legal examination.
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