Biomedical subjects

Hasan Ozan

Publications and source records attributed to Hasan Ozan.

14 recordsLinked to original sources

PubMed2007

Variations of the nutrient artery of the fibula.

In this study the authors aimed to show variations of the nutrient artery of the fibula, which is important for more effective vascularized fibular grafts. Thirty intact legs were examined to determine the number, location, and diameter of the nutrient arteries in the shaft. In 27 of these specimens (90%) there was single nutrient artery; two legs (6.6%) had double nutrient artery. In one leg (3.3%) no nutrient artery was observed. The number of nutrient arteries found on each of the surfaces was summarized as follows. Most of the nutrient arteries pierced the fibula at its medial crest, while only one entered from the posterior surface. Most nutrient arteries were near the middle third of the fibula. The most frequent diameter of the nutrient artery was 0.9-1.5 mm. The authors think that their results about the variations of the nutrient artery supplying the fibula will contribute to the clinical and vascular anatomy knowledge.

Arteries↗

PubMed2006

Laryngeal branching pattern of the inferior laryngeal nerve, before entering the larynx.

The objective of the present work was to investigate the laryngeal branching pattern of the inferior laryngeal nerve (ILN) in detail before the branches entered the larynx. In 49 specimens 96 sides were examined for this project, including 27 males and 22 female cadavers. In 7 sides (7.3%, 5 on the left and 2 on the right) the ILN passed as a single trunk into the larynx below the inferior constrictor muscle. In 82 sides (85.4%, 40 on the left and 42 on the right) two laryngeal branches originated from the nerve. The nerve divided either just before entering the larynx (58.3%, 24 on the left and 32 on the right) or 15-32 mm below the inferior constrictor muscle (27.1%, 16 on the left and 10 on the right). In 69 sides (71.8%), the anterior and/or posterior laryngeal branches subdivided into one or two sub-branches. The anterior (observed in 49 sides, 51%) and posterior laryngeal branches supplied all intrinsic laryngeal muscles except the cricothyroid muscle and the mucosa below the vocal cords, respectively, while their sub-branches reached the cricopharyngeal part of the inferior constrictor muscle, esophagus and/or the thyroid gland. In 7 sides (7.3%, 4 on the left and 3 on the right) the nerve divided into three laryngeal branches. In conclusion, the branching pattern of the nerve may be important pitfalls of the thyroidal and laryngeal surgery. Owing to this the surgeon should keep in mind the risk of extra laryngeal division of the nerve and not confuse laryngeal and extra laryngeal branches.

Adult↗

PubMed2006

The extensor indicis et medii communis.

The aim of this study was to examine the existence of the extensor indicis et medii communis in detail. Thirty-one randomly selected adult cadavers (62 upper extremities) were examined for this project (22 males and 9 females between the ages 38 and 87). The muscle was observed in 3 of 62 hands, an incidence of 4.8%. One was in the right and the other two were in the left hands. Mean length and width of the muscle belly were 4.5 +/- 0.8 and 0.8 +/- 0.3 mm, respectively. Although the muscle did not have a junctura tendinum attachment between its two tendons, in one hand, the tendon to the index finger gave a thin slip to the tendon of the extensor digitorum communis for the same finger. Knowledge of variant muscle may be important when one is assessing the traumatized or diseased hand.

Adult↗

PubMed2006

Critical course of the anterior laryngeal branch of the inferior laryngeal nerve.

BACKGROUND: Although in the past few authors stated that the nerve penetrated the ligament of Berry, many new authors have not confirmed this assertion. Because of the clinical importance and indefiniteness of this subject, we aimed to present an anatomical study concerning the course of the inferior laryngeal nerve. METHOD: In 60 specimens, 102 sides were examined for this project, including 41 male and 19 female cadavers between the ages of 40 and 89 years at death. RESULTS: In two sides (one on the right and the other on the left), we found that the anterior (motor) laryngeal branch of the inferior laryngeal nerve penetrated the ligament unilaterally. The branch entered the ligament 5.6, 7.2 mm above its lower border and 3.3, 1.9 mm below its upper border. Distances from the entrance point of the branch to the trachea and thyroid were 9.5, 8.2 mm and 3.1, 2.2 mm, respectively. CONCLUSION: We found two anterior laryngeal branches penetrating the ligament of Berry. This subject is very important during the thyroid surgery, particularly during the division of the ligament for total lobectomy.

Adult↗

PubMed2006

Arterial variations of the upper extremities.

During the dissection of the right and left upper limbs of a 70-year-old female cadaver, we encountered combined vascular anomalies. On the left side, we observed the presence of a lateral inferior superficial brachial artery, large anterior interosseous artery and an absence of a radial artery, which is quite a rare anomaly. The lateral inferior superficial brachial artery that arose 39 mm distal to the brachial artery descended to the wrist. The anterior interosseous artery originated from the brachial artery at the level of 12 mm distal to the head of the radius and descended on the anterior aspect of the interosseous membrane with the anterior interosseous branch of the median nerve. On the right side, a trifurcation of the brachial artery was observed. It gave off three terminal branches: the radial, ulnar and a muscular artery at the proximal one-third of the humerus. It is obvious that accurate information concerning unusual patterns of the arteries in the upper limbs is relevant clinically, especially in order to avoid accidental injury or intra-arterial injection.

Aged↗

PubMed2005

Detailed investigation of the relationship between the inferior laryngeal nerve including laryngeal branches and ligament of Berry.

BACKGROUND: Studies about the anatomic relationship between the inferior laryngeal nerve (ILN) and the ligament of Berry are insufficient, despite controversy in the literature. In addition, the relationship between the laryngeal branches of the ILN and the ligament of Berry has not been investigated. STUDY DESIGN: Sixty specimens (120 sides) were examined for this study, including 41 male and 19 female cadavers between the ages of 40 and 89 years at death. RESULTS: The nerve trunk or its anterior and posterior laryngeal branches run posterolateral to the ligament in 51 and 39 sides, respectively. The nerve trunk or both its laryngeal branches passed posteromedial to the ligament in 12 and 7 sides, respectively. In seven sides, the anterior branch of the ILN was located posterolateral and the posterior branch was posteromedial to the ligament. In three sides, the anterior (motor) branch of the ILN penetrated the ligament of Berry. In one right side, a nonrecurrent laryngeal nerve arose from the vagal nerve at the level of ligament of Berry. The nerve divided into the anterior and posterior laryngeal branches just above posterior surface of the ligament; both branches extended parallel to it. CONCLUSIONS: We have shown that the nerve was located not only posterolateral to the ligament but also posteromedial to it. Additionally, unlike other authors, we have shown that the anterior (motor) branch of the recurrent laryngeal nerve penetrated the ligament of Berry in 2.5% of 60 specimens.

Adult↗

PubMed2005

Vortex veins: anatomic investigations on human eyes.

The aim of this study was to determine number of ocular vortex veins, their scleral coordinates, and their relationship with nearby extraocular muscles. Sixty intact cadaver orbits having no history of eye or orbital disorders during life were carefully dissected under stereomicroscopic magnification to expose vortex veins and their exit sites from the eyeball. The number of vortex veins per eye varied from four to eight. Eyes having four (35%) or five (30%) vortex veins were observed most frequently. Three eyes (5%) had eight vortex veins. Although the incidence of the vortex veins was variable, there was at least one vein in each quadrant of the sclera. Knowledge of the approximate location of the vortex vein exit sites is very important for surgeons because damage to these veins during eye surgery could produce potential complications, especially choroidal detachment.

Adult↗

PubMed2005

Insertional pattern of the inferior oblique muscle.

PURPOSE: We aimed to define the anatomy and anatomic variations of the inferior oblique muscle (IO) and classify its insertional pattern with photographs and drawings. DESIGN: Cohort study. METHODS: This study included 60 intact orbits of 30 (17 male and 13 female) embalmed adult cadavers. The inferior oblique muscle was dissected microanatomically from the origin to the insertion by using a dissection microscope. For each specimen, we photographed the insertional pattern of the muscle. A Vernier caliper was used to measure the width and length of the muscle at the insertion and from the division to the insertion, respectively. RESULTS: We classified the inferior oblique muscle into four groups according to the insertional pattern. In the first group, the muscle was formed of only one belly ("single," five eyes, 8.3%). In the second group, the muscle had a main and a secondary belly ("double," 30 eyes, 50%). In the third group, the muscle had three bellies ("triple," 16 eyes, 26.6%). In the fourth group, the muscle had more than three bellies ("multiple," 9 eyes, 15%). CONCLUSIONS: We found double, triple, and multiple muscle bellies in 91.7% of 60 cadaveric eyes. Ocular surgeons who do not frequently perform inferior oblique surgery should carefully examine the inferior temporal quadrant of the sclera to avoid missing portions of the inferior oblique muscle at the time of surgery.

Adult↗

PubMed2005

Vascular anatomy of normal and undescended testes: surgical assessment of anastomotic channels between testicular and deferential arteries.

OBJECTIVES: To demonstrate the vascular anatomy of the normal and undescended testes, emphasizing the surgical importance of the anastomotic channels between the testicular and deferential arteries in the undescended testis. METHODS: This study was performed on four normal testes obtained from adult cadavers and the undescended testes taken from men undergoing unilateral orchiectomy. To show the arteries and their connections, we used the injection-corrosion casting technique. RESULTS: The normal and undescended testes measured 36.3 +/- 9.2 mm x 21.2 +/- 4.3 mm x 14.3 +/- 5.4 mm and 19 x 16 x 9 mm, respectively. The testis and epididymis had an unusual shape in the undescended testes. The undescended testes were round, with a semilunar epididymis that was over the testis. All the testes, including the undescended testes, had testicular, deferential, and cremasteric arteries. The testicular, deferential, and cremasteric arterial diameter was 1.7 +/- 0.4, 1.1 +/- 0.3, and 0.5 +/- 0.3 mm in the normal testes and 1.5, 0.7, and 0.6 mm in the undescended testes, respectively. Communication among the three arteries was illustrated consistently by retrograde filling of the two noninjected arteries. Clearly visible anastomotic channels were present between the testicular and deferential arteries in the normal and undescended testes. CONCLUSIONS: We suggest that the original Fowler and Stephans concept (high ligation of the testicular artery) is valid to preserve vascularity to the testis when vascular transection orchiopexy is performed, although the number of our specimens was not enough to prove this definitively.

Adult↗

PubMed2005

Some variations of the musculus flexor digitorum brevis.

The aim of the present study was to investigate variations of the musculus flexor digitorum brevis. We examined 33 feet in total from 15 embalmed adult cadavers and three lower extremities. Of the 33 feet examined, 18 differed from the classical description given in anatomical textbooks. The muscle belly for the fifth toe was much smaller than the others in 12 feet and was missing in six feet. Two cases had extreme variations. In the left foot of one female cadaver, the flexor digitorum brevis was formed by a superficial and deep head, which had three muscle bellies and four tendons. In the right foot, a separated muscle belly for the fifth toe was very thin and originated from the intermuscular septum as a flat fascia under the flexor digitorum brevis. In another case (male), three heads (lateral, intermediate and medial) formed the quadratus plantae and the lateral and intermediate heads fused with the flexor digitorum brevis. Variation of the flexor digitorum brevis may be important clinically because of reconstruction of the heel pad by flexor digitorum brevis musculocutanous flap transfer.

Cadaver↗

PubMed2005

The morphometric analysis of the central retinal artery.

In this study, we aimed to investigate some features of the central retinal artery (CRA), which supplies the internal aspect of the retina. The CRA is the main vessel supplying blood to the retina. The origin, course and penetration point of the optic nerve by the CRA were studied in 30 human orbits. We compared the right sides to the left sides on the basis of gender in order to statistically analyse the relation between them. The CRA arose directly from the ophthalmic artery in 28 specimens. In two specimens, however, it arose in common with the medial posterior ciliary artery. When we observed the penetration point (site) of the CRA into the optic nerve, in 28 of 30 (93.3%) cases, the artery entered the nerve from the lower medial aspect and in two (6.7%) cases from the upper lateral aspect. The CRA penetrated the optic nerve between 6.4 and 15.2 mm behind the eyeball and reached the eyeball through the centre of the optic nerve. Because of the small diameter of the artery, it has a high risk of getting damaged during a surgical approach to the orbit. Therefore the anatomical relationships of this artery must be well known.

Adult↗

PubMed2004

Muscular bridge between the inferior oblique and inferior rectus muscles.

PURPOSE: In this study, we aimed to investigate the muscular bridge between the inferior oblique (IO) and inferior rectus (IR) muscles of the eye. DESIGN: Cohort study. METHODS: The orbits of sixty intact cadavers with no history of eye muscle or orbital disorders during life were carefully dissected to expose the muscular bridge between the IO and IR muscles. Numbers of the bridges, their length and width were recorded. RESULTS: We observed muscular bridge between IO and IR muscles in 6.6% of 60 orbits. They originated from the lateral side of the IR muscle, and joined to posteromedial side of the IO muscle. Mean length and width were 14.2 +/- 6.3 and 1.3 +/- 0.2 mm, respectively. CONCLUSIONS: Muscular bridges were found in 6.6% of orbits dissected. We conclude that muscular bridges are important due to potential cause of failed IO or IR muscles surgery. In this respect, before surgery of the extraocular muscles, the muscular bridges should be kept in mind and demonstrated by computed tomography or magnetic resonance imaging in transverse, sagittal, and coronal planes.

Adult↗

PubMed2004

Transcanal anterior approach for cystic lesions of the petrous apex.

OBJECTIVE: To investigate the utility of a newly described approach, the transcanal anterior approach that is a modification of the subcochlear approach for the drainage of cystic lesions of the petrous apex. STUDY DESIGN: Prospective temporal bone study. SETTING: Tertiary referral center. MATERIALS: A total of six cadaveric temporal bone specimens (four males) were included. Right ear in four specimens and left ear in two specimens were used. INTERVENTIONS: The approach commenced with postauricular skin incision. After the transsection of the meatal skin, antero-inferior tympanotomy was performed. Anteroinferior canaloplasty localized the carotid canal. As much as 0.5 cm of the vertical segment of the internal carotid artery was skeletonized. After the identification of the artery, petrous apex cells were reached by drilling the cortical bone between the cochlea and the internal carotid artery. An air cell tract was established. Position and length of the tract in two specimens were demonstrated on the 1 mm-cut computerized tomography scans. MAIN OUTCOME MEASURES: Utility of the approach was investigated based on the established criteria: anteroposterior diameter and height of the fenestra of the tract, length of the tract from the cochlea to the deepest point of the tract (depth of the tract), and the injury risk of the internal carotid artery and the cochlea. RESULTS: The mean anteroposterior diameter, the height, and the length were 4.7 +/- 1.05 mm, 3.2 +/- 0.68 mm, and 14.7 +/- 1.1 mm, respectively. Injury did not occur in the cochlea or internal carotid artery in any of the specimens. CONCLUSION: With the subcochlear approach, there is always potential risk of injury to the cochlea, the internal carotid artery, and the jugular bulb. Although this new approach includes a technically challenging stage (exposing the vertical portion of the internal carotid artery), partly exposing the vertical portion of the artery provides a safer approach, which decreases the injury risk for the round window and the jugular bulb. Additionally, measurements show that it is possible to reach a considerable part of the petrous apex cells.

Cholesterol↗

PubMed2002

Drainage patterns of middle lobe vein of right lung: an anatomical study.

OBJECTIVE: The purpose of the present study was to determine the variations in the drainage patterns of middle lobe vein of the right lung. METHODS: Right lungs of 30 formalin fixed cadavers, were dissected carefully to expose the variations in the venous drainage of their middle lobes. After identifying the pulmonary veins for each lobe, middle lobe vein (MLV) drainage patterns were followed to their openings. The diameters of the MLV and its lateral and medial parts were measured with a caliper. The length of the MLV trunk was also evaluated. RESULTS: Five different types of venous drainage patterns were observed. Type-I: Union of medial and lateral parts to form MLV as a trunk and opening of this vein to the right superior pulmonary vein (RSPV) (53.3%). Type-II: Opening of medial and lateral parts to the RSPV separately (16.6%). Type-III: Union of medial and lateral parts to form the MLV trunk and opening of this vein into the left atrium (16.6%). Type-IV: Opening of medial and lateral parts into the left atrium separately (10%). Type-V: Union of medial and lateral parts to form MLV trunk and opening of this vein to the right inferior pulmonary vein (3.3%). CONCLUSION: The venous drainage patterns of right middle lobe reveals great number of variations. Knowing the frequency of different types of drainage patterns classified in this study is extremely important for the surgeons performing pulmonary surgery, atrial fibrillation and imaging techniques.

Adult↗