Biomedical subjects

Z Alter

Publications and source records attributed to Z Alter.

2 recordsLinked to original sources

PubMed1998

Persistent vulvar vestibulitis: the continuing challenge.

A continuing challenge in the management of women with vulvar vestibulitis is the patient who has not responded to surgical treatment. The main reason for persistent dyspareunia is failure to excise the sensitive periurethral tissue in the primary operation. In other cases, the Bartholin's glands may be the source of the pain. A low oxalate diet, the administration of interferon, and biofeedback training of the lower pelvic muscles-treatments that are used as a first-choice approach for vulvar vestibulitis, may all work in the postoperative patient. The management of a patient with residual vestibulitis should be conservative, and only when medical measures fail, do we consider additional surgical methods such as Bartholin's gland resection or repeat perineoplasty.

Adult↗

PubMed1992

Anatomical relationships and superior reinforcement of the TMJ mandibular fossa.

Only a few cases of condylar penetration into the middle cranial fossa have been documented in the literature. This study attempts to provide an anatomical explanation for this rare phenomenon. Mandibular (glenoid) fossa position in relation to important endocranial and exocranial structures located in close proximity to the TMJ, and relative condyle-fossa size, were evaluated on a dry skull sample. Additional osseous relationships were observed on cadaver material using dissection and x-ray. The anatomic relationships of the mandibular fossa and superior structures that appear to buttress it are described. It is concluded that the temporal squama that lies superior to the mandibular fossa provides a powerful buffer, which prevents condylar endocranial penetration in cases of an appropriate traumatologic mechanism.

Humans↗