The Experts below are selected from a list of 102 Experts worldwide ranked by ideXlab platform

Paul J Donald - One of the best experts on this subject based on the ideXlab platform.

  • use of the Levator Scapulae Muscle flap in head and neck reconstruction
    Archives of Otolaryngology-head & Neck Surgery, 1990
    Co-Authors: Arnold L Goodma, Paul J Donald
    Abstract:

    • There are numerous techniques available for reconstruction of defects following composite resection of oral cavity and oropharyngeal tumors. No single technique is applicable in all situations. The Levator Scapulae Muscle flap is well known for its application in carotid protection. Little attention is paid to its usefulness in other aspects of head and neck reconstruction. We have been using the Levator Scapulae Muscle flap for a variety of reconstructive problems. The flap is useful for buttressing intraoral suture lines, closing intraoral defects, and providing soft tissue to fill in dead spaces and bulk out lateral and anterior oral defects. The Levator flap was found to be easy to elevate, safe, and reliable with a minimum of wound complications. A review of 18 patients, representative case studies, and a discussion of surgical technique and relevant anatomy and blood supply is presented. (Arch Otolaryngol Head Neck Surg. 1990;116:1440-1444)

Frederick Lenz - One of the best experts on this subject based on the ideXlab platform.

  • selective denervation of the Levator Scapulae Muscle an amendment to the bertrand procedure for the treatment of spasmodic torticollis
    Journal of Neurosurgery, 2008
    Co-Authors: William S Anderso, H C Lawso, Alla J Elzberg, Frederick Lenz
    Abstract:

    Object The purpose of this cadaveric study was to explore a modification to the Bertrand procedure for the treatment of spasmodic torticollis, namely the denervation of the Levator Scapulae (LS) Muscle for laterocollis. Methods The authors performed a series of 9 cadaveric dissections. Five were done to identify the anterior innervation of the LS, and the remaining 4 were to identify the tendinous insertions of the LS onto the lateral masses of the cervical spine via a posterior approach. The nerve supply to the LS from the anterior divisions of the C-3 and C-4 nerve roots and the contribution from the dorsal scapular nerve were identified over the anterior surface of the Muscle. Results The C-3 and C-4 nerve root branches were situated within 2 cm of each other and inferior to the punctum nervosum. The dorsal scapular contribution was clearly identified in 2 cadavers. Selective denervation of this Muscle is possible through the same posterior triangle incision used for denervating the sternocleidomastoid...

Tomas Gallegoizquierdo - One of the best experts on this subject based on the ideXlab platform.

  • short term effects of pens versus dry needling in subjects with unilateral mechanical neck pain and active myofascial trigger points in Levator Scapulae Muscle a randomized controlled trial
    Journal of Clinical Medicine, 2020
    Co-Authors: Santiago Garciademiguel, Daniel Pecosmarti, Tamara Larrocasanz, Eatriz Sanzdevicente, Laura Garciamontes, Rube Fernandezmatias, Tomas Gallegoizquierdo
    Abstract:

    Procedures such as dry needling (DN) or percutaneous electrical nerve stimulation (PENS) are commonly proposed for the treatment of myofascial trigger points (MTrP). The aim of the present study is to investigate if PENS is more effective than DN in the short term in subjects with mechanical neck pain. This was an evaluator-blinded randomized controlled trial. Subjects were recruited through announcements and randomly allocated into DN or PENS groups. Pain intensity, disability, pressure pain threshold (PPT), range of motion (ROM), and side-bending strength were measured. The analyses included mixed-model analyses of variance and pairwise comparisons with Bonferroni correction. The final sample was composed of 44 subjects (22 per group). Both groups showed improvements in pain intensity (ηp2 = 0.62; p < 0.01), disability (ηp2 = 0.74; p < 0.01), PPT (ηp2 = 0.79; p < 0.01), and strength (ηp2 = 0.37; p < 0.01). The PENS group showed greater improvements in disability (mean difference, 3.27; 95% CI, 0.27–6.27) and PPT (mean difference, 0.88–1.35; p < 0.01). Mixed results were obtained for ROM. PENS seems to produce greater improvements in PPT and disability in the short term.

Telma Sumie Masuko - One of the best experts on this subject based on the ideXlab platform.

  • An Unusual Anatomical Variation of the Levator Scapulae Muscle Una Variacin Anatmica Inusual del Msculo Elevador de la Escpula
    2016
    Co-Authors: Telma Sumie Masuko
    Abstract:

    anatomical variation of the Levator Scapulae Muscle. Int. J. Morphol., 30(3):866-869, 2012. SUMMARY: Clinical and surgical importance of the Levator Scapulae Muscle (LSM) requires a better knowledge of its anatomic variation mainly because of the possibility of new findings related to the embryologic development. This article reports a case of a left-sided LSM with atypical attachments in a 58-year-old preserved Caucasian female body. The Muscle presented a bifurcation at its midpoint downward path. Its medial band attached to the anterior aspect of the left rhomboideus major Muscle while its left band was fixed in the superior angle of the scapula after releasing a Muscle expansion to the serratus anterior Muscle. The morphometric analysis revealed LSM maximal width of 3.6 cm, bifurcation point located 6.6 cm apart from the C1 vertebral attachment; medial band legth of 5.7 cm and lateral band width of 2.1cm. Regarding anatomic variations of the LSM, they may remain unnoticed or perhaps contribute for pathologic conditions of the neck and the back

  • an unusual anatomical variation of the Levator Scapulae Muscle
    International Journal of Morphology, 2012
    Co-Authors: Gabriel Varjao Lima, Danilo Leite Andrade, Vital Fernandes Araujo, Richard Halti Cabral, Nayara Soares De Oliveira Lacerda, Telma Sumie Masuko
    Abstract:

    Debido a la importancia clinica y quirurgica del musculo elevador de la escapula, se hace necesario conocer mejor sus variaciones, principalmente la posibilidad de encontrar hallazgos relacionados con su desarrollo embriologico. Se presenta el caso de un musculo elevador de la escapula del lado izquierdo encontrado en un cadaver de sexo femenino de 58 anos. El musculo elevador de la escaula presentaba una bifurcacion en el punto medio en su trayectoria mas baja. La banda medial se fijaba en la parte anterior del musculo romboides mayor izquierdo; mientras que su banda lateral se fijaba en el angulo superior de la escapula despues de enviar una expansion hasta el musculo serrato anterior. El analisis morfometrico revelo un ancho maximo de 3,6 cm, punto de bifurcacion situado 6,6 cm bajo la insercion vertebral C1; longitudes de la banda medial 5,7 cm y lateral de 2,1cm. Las variaciones anatomicas del musculo elevador de la escapula pueden pasar inadvertidas, pero tambien pueden contribuir con algunas condiciones patologicas del cuello y espalda.

  • an unusual anatomical variation of the Levator Scapulae Muscle una variacion anatomica inusual del musculo elevador de la escapula
    2012
    Co-Authors: Gabriel Varjao Lima, Danilo Leite Andrade, Oliveira Lacerda, Vital Fernandes Araujo, Telma Sumie Masuko
    Abstract:

    SUMMARY: Clinical and surgical importance of the Levator Scapulae Muscle (LSM) requires a better knowledge of its anatomicvariation mainly because of the possibility of new findings related to the embryologic development. This article reports a case of a left-sided LSM with atypical attachments in a 58-year-old preserved Caucasian female body. The Muscle presented a bifurcation at itsmidpoint downward path. Its medial band attached to the anterior aspect of the left rhomboideus major Muscle while its left band wasfixed in the superior angle of the scapula after releasing a Muscle expansion to the serratus anterior Muscle. The morphometric analysisrevealed LSM maximal width of 3.6 cm, bifurcation point located 6.6 cm apart from the C1 vertebral attachment; medial band legt h of5.7 cm and lateral band width of 2.1cm. Regarding anatomic variations of the LSM, they may remain unnoticed or perhaps contribu te forpathologic conditions of the neck and the back.˚ KEY WORDS: Levator Scapulae Muscle; Anatomical variation; Macroscopic anatomy; Clinical anatomy; Muscularsystem.

Arnold L Goodma - One of the best experts on this subject based on the ideXlab platform.

  • use of the Levator Scapulae Muscle flap in head and neck reconstruction
    Archives of Otolaryngology-head & Neck Surgery, 1990
    Co-Authors: Arnold L Goodma, Paul J Donald
    Abstract:

    • There are numerous techniques available for reconstruction of defects following composite resection of oral cavity and oropharyngeal tumors. No single technique is applicable in all situations. The Levator Scapulae Muscle flap is well known for its application in carotid protection. Little attention is paid to its usefulness in other aspects of head and neck reconstruction. We have been using the Levator Scapulae Muscle flap for a variety of reconstructive problems. The flap is useful for buttressing intraoral suture lines, closing intraoral defects, and providing soft tissue to fill in dead spaces and bulk out lateral and anterior oral defects. The Levator flap was found to be easy to elevate, safe, and reliable with a minimum of wound complications. A review of 18 patients, representative case studies, and a discussion of surgical technique and relevant anatomy and blood supply is presented. (Arch Otolaryngol Head Neck Surg. 1990;116:1440-1444)