Medicine and Health Sciences Commons^™

A Study On Mandibular Vascular Canals: The Risk Of Hemorrhage During Implant Surgery, Prabhsimrat Gill

Masters of Clinical Anatomy Projects

Dental implants are commonly used to replace missing teeth in the anterior mandible. This area is vascularized by the sublingual artery, which can be damaged during the implant procedure. This investigation aims to determine the variation in the sublingual artery and its relevant lingual foramina, such that it can be avoided by dental surgeons in the future. Dry mandibles (n=43) were acquired and the distance from the internal superior border of the mandible to the lingual foramen was measured and compared to the total height of the anterior mandible. 67% of foramina were found at a distance greater than 50% …

Assessing The Effect Of Sinus Surgery On Orbital Fractures: Implications For Patients With Rhinosinusitis, Rootu Joshi

Masters of Clinical Anatomy Projects

Functional endoscopic sinus surgery (FESS), commonly performed to alleviate symptoms of chronic rhinosinusitis, may weaken the thin orbital walls which are susceptible to fracture in facial trauma. This study aims to assess how FESS affects orbital fracture risk. Ten fresh-frozen cadaveric heads underwent FESS on one side. The contralateral side served as intra-specimen control. Orbital trauma was induced using a guided weight-drop technique. Both orbits were tested using sequentially higher drops until orbital fractures were detected on computed tomography scans. Bone mineral density (BMD) was analyzed. All heads presented with a preferential medial wall fracture on the surgical side and …

The Relationship Between The Anterolateral Ligament And The Lateral Meniscus, Gillian Corbo

Masters of Clinical Anatomy Projects

The anterolateral ligament (ALL) has recently been of interest due to the belief that it plays a role in controlling anterolateral rotational laxity. However, the relationship of the ALL andits attachment to the lateral meniscus has yet to be addressed. Firstly this investigation determined the effect that sectioning the ALL and lateral meniscus posterior root (LMPR) in an ACL deficient knee has on internal rotation. Secondly this research determined if differences exist in the mechanical properties of the supra- and infra- meniscal fibers of the ALL. The ALL was found to control internal rotation at higher degrees of knee flexion, …

Variations Of The Subclavian Arterial Branching Pattern And Maximization Of Its, Juwan Ryu

Masters of Clinical Anatomy Projects

The subclavian artery (SCA) is an important vessel with several branches. However, significant pattern variations exist. Characterizing SCA branches and its relationships to landmark structures like the anterior scalene muscle (ASM) is important in surgery. Computed Tomography Angiograms from 55 patients were retrospectively analyzed using Aquarius iNtuition. Measurements were taken of: distance of origin of SCA branches from the aorta and the ASM-VA origin distance. Only 13 SCAs (12.9%) exhibited the highest prevalence in typical branching pattern. VA originated 1st in 80.2% of SCAs, with ITA arising 2nd (41.3%), TCT 3rd (47.3%), CCT 4th (43.6%) and DSA 5th branch (56.9%). …

A Histological Examination Of The Lumbar Sympathetic Trunk, Noah Mintz

Masters of Clinical Anatomy Projects

Current anatomical and histological descriptions of the lumbar sympathetic trunk suggest that its neuronal cell bodies are located in discrete ganglia linked to each other by nerve fibres. Despite well-documented variations in the morphology of the lumbar sympathetic trunk (e.g., number and placement of ganglia), a detailed histological examination of the arrangement of neuronal cell bodies within the trunk is lacking. Thus, the present study aims to examine the microscopic organization of the lumbar sympathetic trunk using standard histological techniques (n=1). A 95mm length of the sympathetic trunk (from L3-L5) was serially-sectioned (5μm thick) in the longitudinal plane and stained …

Leg Bone Geometry In Type 2 Diabetes Mellitus, Helen Honig

Masters of Clinical Anatomy Projects

The objective was to investigage the effects of type 2 diabetes mellitus (T2DM) on tibial cortical and medullary cross-sectional areas (CSA) using magnetic resonance imaging. Sequential 1mm-thick slice images were acquired of the right leg from the tibial plateau to the talus in 8 individuals with T2DM and 9 age- and sex-matched (32 to 79 y) controls. The CSA (cm 2) was measured at 3 sites, 20%, 50%, and 80% of tibial length, by a blinded analyzer. At the 20% site, medullary CSA in T2DM was significanltly greater than controls (mean ± SD: 5.9 ± 1.2 vs. 4.8 ± 0.7). …

Phenotypic Analysis Of Long Bones In Pannexin 3 Knockout Mice, Deidre Caskenette

Masters of Clinical Anatomy Projects

Pannexin 3 (Panx3) is a channel forming glycoprotein that is highly expressed in skeletal tissues. Panx3 is induced at the growth plate of long bones where it regulates cell proliferation and differentiation, a key role in bone formation.

This study analyzes the phenotype of long bones in a novel Panx3 knockout (KO) mouse to assess the role of Panx3 in bone formation.

Ten KO and 10 wild-type (WT) adult mice were scanned using in vivo micro-CT. Right femora / humeri were digitized using homologous landmarks. Geometric morphometric analysis (multivariate statistical methods) allowed for quantitative comparison of shape, size and variation …

The Left Atrial Appendage (Laa): Proximity Of The Circumflex Artery And Evaluation Of A Novel Method Of Closure, Bayan Malakouti-Nejad

Masters of Clinical Anatomy Projects

The left atrial appendage (LAA) is an area of interest because of its thrombogenic potential in patients with atrial fibrillation. The current standard for LAA removal is epicardial excision, which may leave residual volume thereby undermining its effectiveness. Also, LAA surgery may injure the nearby circumflex artery. This investigation aims to measure the proximity of the circumflex artery to the LAA at various points, and evaluate pericardial patch exclusion as a novel method of LAA closure in a cadaveric model. After performing both procedures in all (n=27) hearts, epicardial excision left 24% of the original volume while pericardial patch exclusion …

3d Visualization Of The Glomerulus Within Kidney Tissue Made Transparent Through Passive Optical Clearing, Tristan Conciatori

Masters of Clinical Anatomy Projects

No abstract provided.

Development Of An Online Tool For Periodontal Disease Education, Sari Johnston

Masters of Clinical Anatomy Projects

Worldwide research has indicated that 50-90% of the population suffers from gingivitis, a mild form of periodontal disease (Armitage, 2000). Recently it has become hypothesized that not only is gum disease, or periodontal disease, detrimental to one’s oral health but may also have systemic consequences (Watt & Petersen, 2012). According to Bedgley (1994), when patients see, hear and participate in patient learning the retention of knowledge increases up to 80%. Computer based learning is now commonplace and has the potential to reach the masses. Thus, computer-based patient education could be highly effective in decreasing periodontal disease rates. Therefore, creation of …

The Effect Of Noise Exposure On Inhibitory Neurotransmission In The Auditory, Visual And Multisensory Cortices In Rats, Sarah Fitzpatrick

Masters of Clinical Anatomy Projects

It is well established that high-intensity noise exposure can induce structural and physiological changes in the primary auditory cortex, such as impaired GABA neurotransmission, which leads to a reduced level of GABA-synthesizing enzymes (i.e., GAD65/67). At present, however, it remains unknown how partial hearing loss affects GABA neurotransmission in areas of the cortex that process sound as well as other sensory modalities (e.g., visual stimuli). In the present study, we are using a rat model to investigate our working hypothesis that noise-induced hearing loss causes a differential effect on GAD67 levels in the various cortical areas capable of sound processing, …

Mapping Cortical Plasticity Induced By Noise Exposure Using C-Fos Immunoreactivity, Paul Sirek

Masters of Clinical Anatomy Projects

Using in vivo electrophysiological recordings in rats, our lab has recently observed that high-intensity noise exposure causes an increase in the number of neurons in the auditory and multisensory cortices that are responsive to visual stimuli (i.e., cortical crossmodal plasticity). To extend this work, the present study evaluated our hypothesis that this noise-induced crossmodal plasticity can also be assessed by mapping the expression of the activity marker, c-Fos, across multiple cortical areas in response to visual stimuli. Adult male rats were exposed to a 120dB noise (0.8-20kHz) for two hours, and the level of hearing loss was assessed with an …

Comparative Assessment Of Hard Palate Thickness Using Micro - Ct And Gross Cadaveric Measurements: Implications For The Safe Placement Of Orthodontic Miniscrews, Jillian Phillips

Masters of Clinical Anatomy Projects

The hard palate is a preferred area for orthodontic miniscrew (OMS) insertion due to easy surgical access and favorable anatomical configuration. However, accurate measurement of palatal bone thickness (BT) is crucial for choosing appropriate OMS lengths and insertion sites. The aim of this study is to determine the accuracy of micro-computed tomography (micro-CT) for assessing palatal BT, such that we can determine if it is an objective standard for use in research, to which clinical measurements of BT can be compared. Ten cadaveric maxillae (54 -98 yrs.) were cleaned of soft tissue and imaged using micro-CT imaging. Bone thickness was …

Establishing Anatomical Proximity Between The Coronary Circumflex Artery And Mitral Valve Annulus: Implications For Mitral Valve Surgery, Eliot Winkler

Masters of Clinical Anatomy Projects

The circumflex artery (CX) lies in the left atrioventricular groove, running intimately parallel to the mitral annulus. Thus, unintentional damage to the CX can occur during mitral valve surgery, typically reported in hearts with a left dominant circulation. This study aims to elucidate the anatomical CX-annulus relationship with respect to dominance, and evaluate unintentional CX damage following three surgical repairs. Using cadaveric hearts (n=27), coronary circulation was dissected and dominance assigned. Following a left atriotomy, a clock face was overlaid on the mitral valve (12:00 positioned at A2 leaflet midline) and the CX-annulus distance was measured at each hour. The …

Evaluation Of User Performance In Simulation-Based Diagnostic Cerebral Angiography Training, Oleksiy Zaika

Masters of Clinical Anatomy Projects

Simulation of anatomically complex procedures, such as angiography, is becoming more practical, however, computer-based modules require extensive research to assess their effectiveness. We organized two training schemas – alternating cases and consistent cases – and hypothesized that the alternating practice cases would be beneficial to test performance. Eight residents (4 radiology/4 neurosurgery) and 8 anatomy graduate students were trained on the Simbionix™ simulator in order to assess skill acquisition in diagnostic cerebral angiography over 8 sessions. We found that participants improve on total procedure time and total fluoroscopy time (p<0.05), but not on contrast injected or roadmaps created. There were no significant differences between alternating and consistent training types. Additional work needs to be done with higher sample numbers and visuospatial scores as criteria.