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125 Sentences With "superiorly"

How to use superiorly in a sentence? Find typical usage patterns (collocations)/phrases/context for "superiorly" and check conjugation/comparative form for "superiorly". Mastering all the usages of "superiorly" from sentence examples published by news publications.

L'Occitane Hand Cream Set, $42 ($60 value)L'Occitane's Shea Butter Hand Cream keeps hands superiorly soft.
I spent all of 20 minutes getting in the way of this clearly superiorly skilled tent-building Canadian.
I truly have never put on a more comfortable T-shirt in my life— light as a feather and superiorly soft.
The lateral pterygoid or external pterygoid is a muscle of mastication with two heads. It lies superiorly to the medial pterygoid.
The hemiazygos vein (vena azygos minor inferior) is a vein running superiorly in the lower thoracic region, just to the left side of the vertebral column.
The hypoglossal canal is a foramen in the occipital bone of the skull. It is hidden medially and superiorly to each occipital condyle. The hypoglossal nerve traverses the canal.
The sticky loments that many people find attached to their shoes and pants are arranged in a row of 2-6 superiorly sinuate and inferiorly triangular segments and appear August–October.
Although initial evaluation is typically by physical exam and endoscopy, follow up with CT and MRI usually is needed if surgical intervention is planned. Bony anatomy around the space includes the skull base superiorly, and the greater cornu (or greater horns) of the hyoid bone the apex, inferiorly. The superior aspect is the base of skull, namely the sphenoid and temporal bones. This area includes the jugular and hypoglossal canal and the foramen lacerum (through which the internal carotid artery passes superiorly across).
A Superior costotransverse ligament is a strong fibrous band that arises from the neck of a rib to the transverse process of the vertebra above. It comprises two sets of fibers. The anterior set passes obliquely superiorly and laterally from the sharp crest on the superior border of the neck of each rib to the anterior surface of the transverse process of the vertebra immediately superior to it. The posterior set passes superiorly and medially from the crest on the superior border of the neck of the rib to the inferior border of the transverse process of the vertebra immediately superior to it.
Superiorly, the prostate base is contiguous with the bladder outlet. Inferiorly, the prostate's apex heads in the direction of the urogenital diaphragm, which is pointed anterio-inferiorly. The prostate can be divided into four anatomic spaces: peripheral, central, transitional, and anterior fibromuscular stroma.
The deep perineal pouch is bordered inferiorly by the perineal membrane, also known as the inferior fascia of the urogenital diaphragm. It is bordered superiorly by the superior fascia of the urogenital diaphragm.Netter, F., Atlas of Human Anatomy.4th Ed. Saunders, Philadelphia, 2006.
The frontal branch passes through the orbit superiorly, then reenters the frontal bone briefly before exiting above the orbit through the superior orbital fissure and the supraorbital notch to provide sensory innervation for the skin of the forehead and scalp. The lacrimal nerve passes through the orbit superiorly to innervate the lacrimal gland. The nasociliary branch gives off several sensory branches to the orbit and then continues out through the anterior ethmoidal foramen, where it enters the nasal cavity and provides innervation for much of the anterior nasal mucosa. It also gives off a branch which exits through the nasal bones to form the external nasal nerve.
Ectopic kidney describes a kidney that is not located in its usual position. It results from the kidney failing to ascend from its origin in the true pelvis or from a superiorly ascended kidney located in the thorax. It has an incidence of approximately 1/900.
In more specific terms, fibers carrying information from the contralateral superior visual field traverse Meyer's loop to terminate in the lingual gyrus below the calcarine fissure in the occipital lobe, and fibers carrying information from the contralateral inferior visual field terminate more superiorly, to the cuneus.
The external portal has rusticated stone blocks, giving the entrance solidity befitting a fortress gate. The tympanum is interrupted superiorly with a plaque holding the papal shield. During the 19th century, the building was detached from the adjacent city walls, and most of the external moat was filled in.
In the lower leg the anterior and posterior regions extend down to the malleoli. Behind the malleoli are the lateral and medial retromalleolar regions and behind these is the region of the heel. Finally, the foot is subdivided into a dorsal region superiorly and a plantar region inferiorly.
It can also be considered as the lowest of the external iliac lymph nodes. Cloquet's node is also considered as a potential sentinel lymph node. The deep inguinal lymph nodes drain superiorly to the external iliac lymph nodes, then to the pelvic lymph nodes and on to the paraaortic lymph nodes.
A palatal lift prosthesis consists of an oral component that stabilizes and secures the prosthesis and an oropharyngeal extension that superiorly and posteriorly displaces the impaired soft palate. Palatal lift prostheses are classified as interim or definitive prostheses.Markt JC. Palatal lifts. In: Hoffman HT, Funk GF, McCulloch TM, Graham SM (eds).
The tympanic membrane is oriented obliquely in the anteroposterior, mediolateral, and superoinferior planes. Consequently, its superoposterior end lies lateral to its anteroinferior end. Anatomically, it relates superiorly to the middle cranial fossa, posteriorly to the ossicles and facial nerve, inferiorly to the parotid gland, and anteriorly to the temporomandibular joint.
The head of the femur is attached to the shaft by a thin neck region that is often prone to fracture in the elderly, which is mainly due to the degenerative effects of osteoporosis. The acetabulum is oriented inferiorly, laterally and anteriorly, while the femoral neck is directed superiorly, medially, and slightly anteriorly.
The mental space is a fascial space of the head and neck (also termed fascial spaces or tissue spaces). It is a potential space, bilaterally located in the chin, between the mentalis muscle superiorly and the platysma muscle inferiorly. These spaces may be created by pathology, e.g., the spread of odontogenic infection.
The simple outer lip simple is inner reflected over the umbilicus. The umbilicus has superiorly a narrow spiral perforation, inferiorly a trough hollowed between the columella and the funicle. Charles Hedley, The Mollusca of Mast Head Reef, Capricorn Group, Queensland. Part II; Proceedings of the Linnean Society of New South Wales v.
This space is in the inferior to the posterior wall of the axilla. The triangular interval is bounded medially by long head of triceps brachii, laterally by medial border of humerus (some say the lateral head of the triceps), and superiorly by teres major. The radial nerve and profunda brachii artery and vein passes through this space.
The auriculotemporal nerve passes between the neck of the mandible and the sphenomandibular ligament, gives off parotid branches and then turns superiorly, posterior to its head and moving anteriorly, gives off anterior branches to the auricle. It then crosses over the root of the zygomatic process of the temporal bone, deep to the superficial temporal artery.
The uterine isthmus is the inferior-posterior part of uterus, on its cervical end — here the uterine muscle (myometrium) is narrower and thinner. It connects superiorly-anteriorly to the complementary parts of the uterus: the body and the fundus. The uterine isthmus can become more compressibile in pregnancy, which is a finding known as Hegar's sign.
A coccyx with four vertebrae below the sacrum. The coccyx is formed of either three, four or five rudimentary vertebrae. It articulates superiorly with the sacrum. In each of the first three segments may be traced a rudimentary body and articular and transverse processes; the last piece (sometimes the third) is a mere nodule of bone.
The deep vein of the thigh, (profunda femoris vein or deep femoral vein) is a large deep vein in the thigh. It receives blood from the inner thigh and proceeds superiorly and medially running alongside the profunda femoris artery to join with the femoral vein approximately at the level of the inferior-most portion of the ischial tuberosity.
Presents RNFL thickness in colour with thick regions in red and yellow and thin regions in blue and green. For healthy eye, the image will show yellow and red colour in superior and inferior at NFL regions. But, in glaucoma, the image is absence of red and yellow colours. Superiorly and inferiorly more uniform blue appearance.
It is this ability to move superiorly and inferiorly along the chain that results in the mass response to the sympathetic nervous system. A preganglionic fibre may synapse to 15-20 postganglionic fibres. The postganglionic neurons extend across most of the body. Upon exiting the sympathetic chain, the fibres enter a less-myelinated gray ramus communicans.
Source sub-concave, eyes touched. Head below eyes, short, broad and dry, right nasal bone and muzzle very short, black and superiorly bordered by a broad fringe of hair always white. Neck: Short, thick with hook, at least in the bulls, soon falls under his lower lip and comes up to the knees, including overhangs. Trunk: round side.
The bell-tower was built in the 12th and 13th centuries with pietra serena at the base, and brick superiorly. The windows have mullions and the top has ghibelline merlons. The church was built in the 18th century, but refurbished in the 19th century. The interior has a baptismal font (1481) and a holy water stoup by followers of Matteo Civitali.
Paravertebral ganglia are divided into cervical, thoracic, lumbar, and sacral ganglia. Each controls different glands and muscle groups since each muscle and gland receives input from postganglionic neurons that originated from different levels of paravertebral ganglia. The lumbar part of the sympathetic trunk contains four interconnected ganglia. Superiorly, it is continuous with thoracic sympathetic ganglion and inferiorly continuous with sacral sympathetic ganglion.
The zygomaticus major is a muscle of the human body. It is a muscle of facial expression which draws the angle of the mouth superiorly and posteriorly to allow one to smile. Like all muscles of facial expression, the zygomatic major is innervated by the facial nerve (the seventh cranial nerve), more specifically, the buccal and zygomatic branches of the facial nerve.
The central retinal artery is the first, and one of the smaller branches of the OA and runs in the dura mater inferior to the optic nerve. About 12.5mm (0.5 inch) posterior to the globe, the central retinal artery turns superiorly and penetrates the optic nerve, continuing along the center of the optic nerve, entering the eye to supply the inner retinal layers.
Another system divides the aorta with respect to its course and the direction of blood flow. In this system, the aorta starts as the ascending aorta, travels superiorly from the heart, and then makes a hairpin turn known as the aortic arch. Following the aortic arch, the aorta then travels inferiorly as the descending aorta. The descending aorta has two parts.
The submental space is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space located between the mylohyoid muscle superiorly, the platysma muscle inferiorly, under the chin in the midline. The space coincides with the anatomic region termed the submental triangle, part of the anterior triangle of the neck.
This led to the discover of 14th-century frescoes by Lorenzo and Jacopo Salimbeni. The church has a nave arranged from east to west, with an entrance through a pointed Romanesque portal at the base of the 14th-century belltower. The bell-tower has a stone base, and made of brick superiorly with mullioned windows.Marche Beni Culturali, entry on abbey.
The hypoglossal nucleus bulges into the floor, creating the hypoglossal trigone, located slightly superiorly to the inferior fovea, within the median eminance. The dorsal nucleus of vagus nerve, within the medulla oblongata, comprises cells that are spindle shaped, also creating a bulge—the vagal trigone—in the region of the floor which overlies them; this is the region inferior of the inferior fovea.
Inferiorly, the pyramidalis attaches to the pelvis in two places: the pubic symphysis and pubic crest, arising by tendinous fibers from the anterior part of the pubis and the anterior pubic ligament. Superiorly, the fleshy portion of the pyramidalis passes upward, diminishing in size as it ascends, and ends by a pointed extremity which is inserted into the linea alba, midway between the umbilicus and pubis.
The vertebral arteries are major arteries of the neck. Typically, the vertebral arteries originate from the subclavian arteries. Each vessel courses superiorly along each side of the neck, merging within the skull to form the single, midline basilar artery. As the supplying component of the vertebrobasilar vascular system, the vertebral arteries supply blood to the upper spinal cord, brainstem, cerebellum, and posterior part of brain.
Bacteria inside the implants are inaccessible to the body's defence system and to antibiotics. The management is to attempt to suppress the infection with drainage and antibiotics until the bone is healed. Then the implant should be removed, following which the infection may clear up. Implant failure may occur; the metal screws and plate can break, back out, or cut out superiorly and enter the joint.
The semilunar hiatus or hiatus semilunaris, is a crescent-shaped groove in the lateral wall of the nasal cavity just inferior to the ethmoid bulla. It is the location of the openings for maxillary sinus. It is bounded inferiorly and anteriorly by the sharp concave margin of the uncinate process of the ethmoid bone, superiorly by the ethmoid bulla, and posteriorly by the middle nasal concha.
The retrovisceral space is divided into the retropharyngeal space and the danger space by the alar fascia. It is of particular clinical importance because it is a main route by which oropharyngeal infections can spread into the mediastinum. Some sources say the retrovisceral space is the same as the retropharyngeal space. Other sources say that the retrovisceral space is "continuous superiorly" with the retropharyngeal space.
Pavithra Srinivasan of Rediff gave 2.5/5 and noted: "Vettai is no classic, but it is good fun." The Times of India wrote: "Though there is nothing new in terms of the story or screenplay, the movie is a fun ride as long as it lasts". Rohit Ramachandran of Nowrunning.com rated it 3/5 stating that "Vettai is regular Kollywood stuff superiorly packaged with insurmountable energy.".
4, 1908, pp. 87–129. JSTOR, www.jstor.org/stable/27699943. Other critics take this sentiment of penance as the real indicator as to which of the two works is the original as well as the superiorly honest. If this were true, then the original version of the prologue would most likely be the more brutally honest of the two, perhaps the longer less edited version.
Proptosis is the anterior displacement of the eye from the orbit. Since the orbit is closed off posteriorly, medially and laterally, any enlargement of structures located within will cause the anterior displacement of the eye. Swelling or enlargement of the lacrimal gland causes inferior medial and anterior dislocation of the eye. This is because the lacrimal glands are located superiorly and laterally in the orbit.
These are congenital cysts often arising from the fossa of Rosenmüller located in the lateral wall of the nasopharynx. They represent remnants of first branchial cleft. These may extend superiorly to reach the bony confines of eustachian tube even to the skull base. Initially patients are asymptomatic but may present with aural fullness, unilateral conductive hearing loss, and serous otitis media as the cyst mass grows.
Subglottal pressure builds and air flow forces the folds apart, inferiorly to superiorly. If the volume of airflow is constant, the velocity of the flow will increase at the area of constriction and cause a decrease in pressure below once distributed. This negative pressure will pull the initially blow open folds back together again. The cycle repeats until the vocal folds are abducted to inhibit phonation or to take a breath.
The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four components: the lateral orbital wall (at either the zygomaticofrontal suture superiorly along the wall or zygomaticosphenoid suture inferiorly), separation of the maxilla and zygoma along the anterior maxilla (near the zygomaticomaxillary suture), the zygomatic arch, and the orbital floor near the infraorbital canal.
This space is in the posterior wall of the axilla. It is a quadrangular space bounded laterally by surgical neck of the humerus, medially by long head of triceps brachii and inferiorly by teres major. It is bounded superiorly by subscapularis in front, capsule of the shoulder joint in the middle, and behind by teres minor. The axillary nerve and posterior humeral circumflex artery and vein pass through this space.
Playing in Europe was reflected in the championship and the Partizan lost the title. New coach Vladimir Vermezović taken the charge of a team and he superiorly won the championship in 2005. Also, he became the only coach who has taken the team to the knockout stage of a European competition since new format. That happened in the 2004–05 UEFA Cup, where Partizan reached the round-of-16.
Traube's (semilunar) space is an anatomic space of some clinical importance. It is a crescent-shaped space, encompassed by the lower edge of the left lung, the anterior border of the spleen, the left costal margin and the inferior margin of the left lobe of the liver. Thus, its surface markings are respectively the left sixth rib superiorly, the left mid axillary line laterally, and the left costal margin inferiorly.
The building was refitted to make a library by Francesco Maria Gatteschi. The portal with the superiorly concave tympanum consisting of two half-arches, nestles the coat of arms of Cardinal Fabroni.Le dimore di Pistoia e della Valdinievole, by Emilia Daniele, page 37. The staircase entrance is decorated with quadratura frescoes, and opens to a large reading room, dominated by a statue of the cardinal by Gaetano Masoni.
Medially, the anterior layer attaches to the vertical ridges on the anterior surface of the lumbar transverse processes, laterally it blends with the middle layer at the lateral border of the quadratus lumborum and superiorly, it forms the lateral arcuate ligament, extending from the tip of the first lumbar transverse process to the 12th rib and inferiorly, it attaches to the inner lip of the iliac crest and iliolumbar ligament.
The detectors measure the change and convert it into thickness units that are graphically displayed. The GDx measure modulation around an ellipse just outside the optics disc and ratios of the thickest points either superiorly or inferiorly to the temporal or nasal regions. The field of view is 15 degree and imaging should be performed through undilated pupil. The polarized laser scans the fundus and building a monochromatic image.
There are two coronary sulci in the heart including left and right coronary sulci. The left coronary sulcus originates posterior to the pulmonary trunk, and travels inferiorly separating the left atrium and left ventricle. The location of the left coronary sulcus is marked by the circumflex branch of left coronary artery and coronary sinus. Similarly, the right coronary sulcus begins anteriorly and superiorly on the sternocostal surface of the heart.
The dorsal nasal artery is a terminal branch of the ophthalmic artery in the superomedial orbit. It passes anteriorly to exit the orbit between the trochlea superiorly and the medial palpebral ligament inferiorly. First it gives a branch to the lacrimal sac. Then it bifurcates into a branch that anastomoses with the terminal part of the facial artery and a branch that travels along the dorsum of the nose.
When the mouth is closed the meniscus is bordered medially and superiorly by the glenoid fossa of the petrous portion of the temporal bone. When the mouth is opened maximally, the meniscus is distracted anteriorly and inferiorly along the slope of the inferior portion of the temporal bone towards the tubercle, or articular eminence, in order to remain interposed between the condyle and the temporal bone in all jaw positions.
The thyroid gland is a vascular, encapsulated structure made up of right and left lobes, which are connected at the midline by the isthmus. Each lobe is about 2 cm thick, 3 cm wide, and 5 cm long. The thyroid apex is located superiorly at the level of the mid-thyroid cartilage. The inferior margin of the gland is at the level of the fifth or sixth tracheal ring.
From 1886 until his death in 1906, he was a professor of surgery at the University of Würzburg. Schönborn is remembered for his surgical work involving velopharyngeal insufficiency (VPI), commonly referred to as cleft palate. In 1875, he described the first true pharyngeal flap surgery, an inferiorly based flap surgery for VPI. He would perform several of these operations in the following years, and in 1886 switched to a superiorly based flap operation.
The cap stage is the second stage of tooth development and occurs during the ninth or tenth week of prenatal development. Unequal proliferation of the tooth bud forms a three-dimensional cap shape. Overlying this cap structure is the ectomesenchyme, which is attached to the mesodermal tissue known as the dental papilla superiorly, and lies within the epithelial concavity. Various types of differentiation occur at this stage; such as cytodifferentiation, histodifferentiation and morphodifferentation.
The cartilages of the top five ribs join with the sternum at the sternocostal joints. The right and left clavicular notches articulate with the right and left clavicles, respectively. The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. The transversus thoracis muscle is innervated by one of the intercostal nerves and superiorly attaches at the posterior surface of the lower sternum.
Replacing an older construction, the palace we see today began in 1725 under the patronage of the Cardinal Pompeo Aldrovandi with plans commissioned from Franco Maria Angelini. After Angelini's death in 1731, the work, including the Rococo facade, ornamented with Istrian marble, continued by 1741 under Alfonso Torreggiani. He designed the palaces ornate and peculiar Rococo windows with almost undulating arches superiorly. The palace lacks the typical porticos seen in older Bolognes palaces.
The deltoid muscle has a dynamic activation of about 90–120 degrees of abduction. Afterwards it has an almost static function during the remainder of the lift. The rest of the movement is mainly due to contraction of trapezius muscle pars acendens, serratus anterior muscle and trapezius pars descendens. They work together to tilt the scapula to a position that makes the glenoid cavity point superiorly, enabling the last degrees of abduction of the shoulder.
The fauces, isthmus of fauces, or the oropharyngeal isthmus, is the opening at the back of the mouth into the throat. It is a narrow passage between the pharynx and the base of the tongue. The fauces is a part of the oropharynx directly behind the oral cavity as a subdivision, bounded superiorly by the soft palate, laterally by the palatoglossal and palatopharyngeal arches, and inferiorly by the tongue. The arches form the pillars of the fauces.
Little after the allied Disembarking in North Africa in 1942, Pierre's regiment sided this time with the Allies and engaged in the Tunisia Campaign against the Afrika Korps of Rommel. At Loukanda, he led his combat company facing a superiorly numbered and better-equipped enemy. In July 1943, Pierre participated to the creation and reforming of the Marching Regiment of the Foreign Legion (R.M.L.E) with whom, he disembarked at Provence, delivered the Franche-Comté and progressed till Danube.
The posterior semicircular canal is a part of the vestibular system that detects rotation of the head around the antero-posterior (sagittal) axis, or in other words rotation in the coronal plane. This occurs, for example, when you move your head to touch your shoulders, or when doing a cartwheel. It is directed superiorly, as per its nomenclature, and posteriorly, nearly parallel to the posterior surface of the petrous bone. The vestibular aqueduct is immediately medial to it.
The superficial temporal artery is the smaller of two end branches that split superiorly from the external carotid. Based on its direction, the superficial temporal artery appears to be a continuation of the external carotid. It begins within the parotid gland, behind the neck of the mandible, and passes superficially over the posterior root of the zygomatic process of the temporal bone; about 5 cm above this process it divides into two branches, a. frontal and a. parietal.
Mature human vocal folds are composed of layered structures which are quite different at the histological level. The topmost layer comprises stratified squamous epithelium which is bordered by ciliated pseudostratified epithelium. The inner lining surface of this squamous epithelium is covered by a layer of mucus (acting as a mucociliary clearance), which is composed of two layers: a mucinous layer and serous layer. Both mucus layers provide viscous and watery environment for cilia beating posteriorally and superiorly.
The sternum is a long, flat bone that forms the front of the rib cage. The cartilages of the top seven ribs (the true ribs) join with the sternum at the sternocostal joints. The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. The transversus thoracis muscle is innervated by one of the intercostal nerves and superiorly attaches at the posterior surface of the lower sternum.
During swallowing, the soft palate and the uvula move superiorly to close off the nasopharynx, preventing food from entering the nasal cavity. When this process fails, the result is called nasal regurgitation. It is common in people with VPI, the myositides, and neuromuscular disease. Regurgitation of fluids in this way may also occur if a particularly high volume of liquid is regurgitated, or during vigorous coughing, for example being caused by the accidental inhalation of water.
The obliquus capitis superior muscle () is a small muscle in the upper back part of the neck and is one of the suboccipital muscles and part of the suboccipital triangle. It arises from the lateral mass of the atlas bone. It passes superiorly and posteriorly to insert into the lateral half of the inferior nuchal line on the external surface of the occipital bone. The muscle is innervated by the suboccipital nerve, the dorsal ramus of the first spinal nerve.
The posterior cingulate cortex lies behind the anterior cingulate cortex, forming a part of the posteromedial cortex, along with the retrosplenial cortex (Brodmann areas 29 and 30) and precuneus (located posterior and superior to the PCC). The PCC, together with the retrosplenial cortex, forms the retrosplenial gyrus. The posterior cingulate cortex is bordered by the following brain regions: the marginal ramus of the cingulate sulcus (superiorly), the corpus callosum (inferiorly), the parieto-occipital sulcus (posteriorly), and Brodmann area 24 (anteriorly).
These muscles are grouped as the suprahyoid and infrahyoid muscles depending if they are located superiorly or inferiorly to the hyoid bone. The suprahyoid muscles (stylohyoid, digastric, mylohyoid, geniohyoid) elevate the hyoid bone, while the infrahyoid muscles (omohyoid, sternohyoid, thyrohyoid, sternothyroid) depress it. Acting synchronously, both groups facilitate speech and swallowing. Posterior triangle is bordered by the posterior border of the sternocleidomastoid muscle, anterior border of the trapezius muscle and the superior edge of the middle third of the clavicle.
The second stage is three to four weeks later, when the flap is well healed at the recipient site. At this stage the pedicle is divided, the inferior forehead is reopened and the proximal pedicle replaces the medial brow by an inverted V. The nose side of the pedicle is elevated superiorly with 2 mm of subcutaneous fat. If needed the recipient site can be altered to reach a better aesthetic result. The scar is eventually sculpted between the nasal subregions to create a satisfying aesthetic result.
The anterior ligament of the head of the fibula (anterior superior ligament) consists of two or three broad and flat bands, which pass obliquely upward from the front of the head of the fibula to the front of the lateral condyle of the tibia. This fibrous band crosses obliquely and superiorly from the anterior aspect of the head of the fibula to the lateral condyle of the tibia. It merges with the fibrous capsule of the proximal tibiofibular joint and restrains its movements further.
Exhalation (or expiration) is the flow of the breath out of an organism. In animals, it is the movement of air from the lungs out of the airways, to the external environment during breathing. This happens due to elastic properties of the lungs, as well as the internal intercostal muscles which lower the rib cage and decrease thoracic volume. As the thoracic diaphragm relaxes during exhalation it causes the tissue it has depressed to rise superiorly and put pressure on the lungs to expel the air.
The sphenomandibular ligament (internal lateral ligament) is a flat, thin band which is attached superiorly to the spina angularis (spine) of the sphenoid bone, and, becoming broader as it descends, is fixed to the lingula of the mandibular foramen. The function of the sphenomandibular ligament is to limit distension of the mandible in an inferior direction. It is slack when the temporomandibular joint (TMJ) is in closed position. It is taut as the condyle of the mandible is in front of the temporomandibular ligament.
The carotid canal is the passageway in the temporal bone through which the internal carotid artery enters the middle cranial fossa from the neck. The canal starts on the inferior surface of the temporal bone at the external opening of the carotid canal (also referred to as the carotid foramen). The canal ascends at first superiorly, and then, making a bend, runs anteromedially. The canal's internal opening is near the foramen lacerum, above which the internal carotid artery passes on its way anteriorly to the cavernous sinus.
The anterior meniscofemoral ligament (ligament of Humphry) is a small fibrous band of the knee joint. It arises from the posterior horn of the lateral meniscus and passes superiorly and medially in front of the posterior cruciate ligament to attach to the lateral surface of medial condyle of the femur. It may be confused for the posterior cruciate ligament during arthroscopy. In this situation, a tug on the ligament while observing for motion of the lateral meniscus can be used to tell the two apart.
Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach, Elsevier, 2011, page 135 The buccinator acts as a valve that prevents air forcing into the duct, which would cause pneumoparotitis. Running along with the duct superiorly is the transverse facial artery and upper buccal nerve; running along with the duct inferiorly is the lower buccal nerve. The exit of the parotid ducts can be felt as small bumps (Papillae) on both sides of the mouth, and are usually positioned next to the maxillary second molars.
The rectus abdominis has many sources of arterial blood supply. Classification of the vascular anatomy of muscles: First, the inferior epigastric artery and vein (or veins) run superiorly on the posterior surface of the rectus abdominis, enter the rectus fascia at the arcuate line, and serve the lower part of the muscle. Second, the superior epigastric artery, a terminal branch of the internal thoracic artery, supplies blood to the upper portion. Finally, numerous small segmental contributions come from the lower six intercostal arteries as well.
The temporal fascia covers the temporalis muscle. It is a strong, fibrous investment, covered, laterally, by the auricularis anterior and superior, by the galea aponeurotica, and by part of the orbicularis oculi. The superficial temporal vessels and the auriculotemporal nerve cross it from below upward. Superiorly, it is a single layer, attached to the entire extent of the superior temporal line; but inferiorly, where it is fixed to the zygomatic arch, it consists of two layers, one of which is inserted into the lateral, and the other into the medial border of the arch.
Small branches of the LAD (left anterior descending/anterior interventricular) branch of the left coronary join with branches of the posterior interventricular branch of the right coronary in the interventricular sulcus (groove). More superiorly, there is an anastomosis between the circumflex artery (a branch of the left coronary artery) and the right coronary artery in the atrioventricular groove. There is also an anastomosis between the septal branches of the two coronary arteries in the interventricular septum. The photograph shows area of heart supplied by the right and the left coronary arteries.
The church was erected from 1332 to 1334, adjacent to the fortress protecting the newly-founded town. The former town of Vivinaia had been razed by the Florentines, and when its former inhabitants moved to this locale, they erected this church dedicated to the same saint of their prior church in their prior neighborhood. It was immediately granted the permission to baptize, a function then withdrawn from the parish church of San Piero in Campo. The exterior facade is made of stone in the lower register, and brick superiorly.
Sinusitis is inflammation of the paranasal air sinuses. Odontogenic sinusitis is an inflammatory condition of the paranasal sinuses that is the result of dental pathology, most often resulting from prior dentoalveolar procedures, infections of maxillary dentition, or maxillary dental trauma. Infections associated with teeth may be responsible for approximately 20% of cases of maxillary sinusitis. The cause of this situation is usually a periapical or periodontal infection of a maxillary posterior tooth, where the inflammatory exudate has eroded through the bone superiorly to drain into the maxillary sinus.
The Palazzo Vecchietti is a Renaissance architecture palace located on Via degli Strozzi number 4, near Piazza della Repubblica in the quartieri of Santa Maria Novella, city of Florence, region of Tuscany, Italy. The palace was designed for the Vechietti family by Giambologna, a mannerist sculptor and architect whom the family had lodged and patronized. All the window pediments on the first two floors are interrupted superiorly. On the South corner with Via Vecchietti a coat of arms of the family, with 5 ermines on a blue background.
The achilles tendon, tendo calcaneus attaches distally to the calcaneual tuberosity, and arises superiorly from the triceps surae complex of the gastrocnemius and soleus muscles. Achilles tendon at foetus The Achilles tendon connects muscle to bone, like other tendons, and is located at the back of the lower leg. The Achilles tendon connects the gastrocnemius and soleus muscles to the calcaneal tuberosity on the calcaneus (heel bone). The tendon begins near the middle of the calf, and receives muscle fibers on its inner surface, particularly from the soleus muscle, almost to its lower end.
The canine space (also termed the infra-orbital space), is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a thin potential space on the face, and is paired on either side. It is located between the levator anguli oris muscle inferiorly and the levator labii superioris muscle superiorly. The term is derived from the fact that the space is in the region of the canine fossa, and that infections originating from the maxillary canine tooth may spread to involve the space.
The Infratemporal space (also termed the infra-temporal space or the infra- temporal portion of the deep temporal space) is a fascial space of the head and neck (sometimes also termed fascial spaces or tissue spaces). It is a potential space in the side of the head, and is paired on either side. It is located posterior to the maxilla, between the lateral pterygoid plate of the sphenoid bone medially and by the base of skull superiorly. The term is derived from infra- meaning below and temporal which refers to the temporalis muscle.
When the scapula is moved laterally it lies in a sagittal plane with the glenoid cavity facing anteriorly. At this position, the lateral end of the clavicle is rotated anteriorly so that the clavicle lies in a frontal plane. While this slightly closes the angle between the clavicle and the scapula, it also widens the shoulder. The scapula can be elevated and depressed from the neutral position to a total range of ; at its most elevated position the scapula is always tilted so that the glenoid cavity is facing superiorly.
The circumflex scapular artery (scapular circumflex artery, dorsalis scapulae artery) is a branch of the subscapular artery and part of the scapular anastomoses. It curves around the axillary border of the scapula, traveling through the anatomical "Triangular space" made up of the Teres minor superiorly, the Teres major inferiorly, and the long head of the Triceps laterally. It enters the infraspinatous fossa under cover of the Teres minor, and anastomoses with the transverse scapular artery (suprascapular) and the descending branch of the transverse cervical (a.k.a. dorsal scapular artery).
Another possibility is that the bacteria already exist in the mucus lining the bronchial tree, and are just kept in check by the body's first line of defenses. Ciliary action of the cells lining the trachea drive the mucus superiorly, leading to a build-up of fluids around the inflated cuff where there is little to no airway clearance. The bacteria can then colonize easily without disturbance and then rise in numbers enough to become infective. The droplets that are driven into the airstream and into the lung fields are lofted by way of Bernoulli's principle.
The talus bone or ankle bone is connected superiorly to the two bones of the lower leg, the tibia and fibula, to form the ankle joint or talocrural joint; inferiorly, at the subtalar joint, to the calcaneus or heel bone. Together, the talus and calcaneus form the hindfoot.Podiatry Channel, Anatomy of the foot and ankle The five irregular bones of the midfoot—the cuboid, navicular, and three cuneiform bones—form the arches of the foot which serves as a shock absorber. The midfoot is connected to the hind- and forefoot by muscles and the plantar fascia.
In the meantime, the other Castilian troops were fighting a fierce combat with their direct opponents. The Castilian centre charged the Portuguese centre while the Castilian left wing, superiorly commanded by Cardinal Mendoza and Duke of Alba, attacked the Portuguese right wing: "...those from the battle of the King [Castilian centre] as well as those...from the left wing, charged [respectively] against the battle of the King of Portugal...and against the other Portuguese of their right wing." Cardinal Mendoza among other cardinals. Both a brilliant military leader and a very respected voice by the Catholic Monarchs.
The lateral surface articulates with the lesser multangular by a small facet at its anterior inferior angle, behind which is a rough depression for the attachment of an interosseous ligament. Above this is a deep, rough groove, forming part of the neck, and serving for the attachment of ligaments; it is bounded superiorly by a smooth, convex surface, for articulation with the scaphoid bone. The medial surface articulates with the hamate bone by a smooth, concave, oblong facet, which occupies its posterior and superior parts; it is rough in front, for the attachment of an interosseous ligament.
Koerner's septum is an anatomic boundary in the temporal bone formed by the petrosquamous suture between the petrous and squamosal portions of the mastoid air cells, at the anatomic level of the antrum. Along with the middle ear ossicles, it is usually eroded in middle ear cholesteatomas. Superiorly, this continues as the petrosquamous suture, a normal anatomic structure that can be mistaken for fractures on temporal bone CT. It is surgically important as it may cause difficulty in locating the antrum and the deeper cells and thus may lead to incomplete removal of disease at mastoidectomy.
Daily shedding of mature cercariae opportunistically encyst on the skin of tadpoles and adult frogs, particularly the dark spots of the fore and hindlegs. Tadpoles then become infected by ingestion of such encysted metacercariae or inhalation of free cercariae and attach onto the large intestine and become gravid. During the process of metamorphosis, the process at which tadpoles structurally mature into adult frogs, flukes migrate superiorly into the small intestine, as far as possible as to elude being dispensed. As the intestine shortens after metamorphosis and adolescent frogs begin development of a protein diet, the remaining flukes return to the rectum.
In human anatomy, Prussak's Space is the small middle ear recess, bordered laterally by the flaccid part of Shrapnell's membrane, superiorly by the scutum (a sharp bony spur that is formed by the superior wall of the external auditory canal) and lateral malleal ligament, inferiorly by the lateral process of the malleus, and medially by the neck of the malleus. From the neck of the malleus, the anterior malleolar fold and the anterior ligament arise, demarcating Prussak's space anteriorly. Ventilation of Prussak's space is only possible posteriorly above the posterior malleus fold. It communicates with the posterior pouch of von Troltsch.
Washington D.C.:NEA. Although 2e can refer to any general disability, it is often used to refer to students with learning disabilities, although research is not limited to these areas, and a more holistic view of 2e can help move the field forward. The disabilities are varied: dyslexia, visual or auditory processing disorder, obsessive–compulsive disorder, sensory processing disorder, autism spectrum disorder, Tourette syndrome, or any other disability interfering with the student's ability to learn effectively in a traditional environment. For example, 19% of dyslexic students were found to be superiorly gifted in verbal reasoning.Berninger, V. W., & Abbott, R. D. (2013).
A web-based utstein style registry system of in-hospital cardiopulmonary resuscitation in Taiwan. Resuscitation. 2007;72:394-403. Once circulation is established, the patient is able to be transferred, for further investigation and intervention, to facilities such as a cardiac cath lab and an intensive care unit. Extracorporeal life support (ECLS) systems differ to traditional, theatre based, cardiac bypass machines in that they are portable and utilise percutaneous access as opposed to catheters which are surgically inserted into an open chest. The first access enters the femoral vein at the groin and is extended superiorly to the right atrium.
It usually begins in the left ascending lumbar vein or renal vein, and passes upward through the left crus of the diaphragm to enter the thorax. It continues ascending on the left side of the vertebral column, and around the level of the ninth thoracic vertebra, it passes rightward across the column, behind the aorta, esophagus, and thoracic duct, to end in the azygos vein. The hemiazygos may or may not be continuous superiorly with the accessory hemiazygos vein. It receives the 9th, 10th, and 11th posterior intercostal veins and the subcostal vein of the left side, and some esophageal and mediastinal veins.
The size of cochlea has been measured throughout its evolution based on the fossil record. In one study, the basal turn of the cochlea was measured, and it was hypothesized that cochlear size correlates with body mass. The size of the basal turn of the cochlea was not different in Neanderthals and Holocene humans, however it became larger in early modern humans and Upper Paleolithic humans. Furthermore, the position and orientation of the cochlea is similar between Neanderthals and Holocene humans, relative to plane of the lateral canal, whereas early modern and upper Paleolithic humans have a more superiorly placed cochlea than Holocene humans.
The cerebellar tonsil is analogous to a rounded lobule on the undersurface of each cerebellar hemisphere, continuous medially with the uvula of the cerebellar vermis and superiorly by the flocculonodular lobe. Synonyms include: tonsilla cerebelli, amygdala cerebelli, the latter of which is not to be confused with the cerebral tonsils or amygdala nuclei located deep within the medial temporal lobes of the cerebral cortex. The flocculonodular lobe of the cerebellum which can also be confused for the cerebellar tonsils, is one of three lobes that make up the overall composition of the cerebellum. The cerebellum consists of three anatomical and functional lobes: anterior lobe, posterior lobe, and flocculonodular lobe.
The cave of septum pellucidum is bounded anteriorly by the genu of the corpus callosum, superiorly by the body of the corpus callosum, posteriorly by the anterior limb and pillars of the fornix, inferiorly by the anterior commissure and the rostrum of the corpus callosum, and laterally by the leaflets of the septum pellucidum. In prenatal development of the fetus, the laminae of the septum pellucidum separate to form a small cavity – the cave of septum pellucidum. This is an important normal structure to identify in the sonographic assessment of the fetal brain. In post-natal life, the laminae of the septum pellucidum usually fuse, which obliterates the cavum.
It travels superiorly, laterally, and posteriorly. The clavicular head is composed of fleshy and aponeurotic fibers, arises from the upper, frontal surface of the medial third of the clavicle; it is directed almost vertically upward. The two heads are separated from one another at their origins by a triangular interval (supraclavicular fossa) but gradually blend, below the middle of the neck, into a thick, rounded muscle which is inserted, by a strong tendon, into the lateral surface of the mastoid process, from its apex to its superior border, and by a thin aponeurosis into the lateral half of the superior nuchal line of the occipital bone.
The OA emerges from the internal carotid artery usually just after the latter emerges from the cavernous sinus although in some cases, the OA branches just before the internal carotid exits the cavernous sinus. The OA arises from the internal carotid along the medial side of the anterior clinoid process and runs anteriorly passing through the optic canal with and inferolaterally to the optic nerve. The ophthalmic artery can also pass superiorly to the optic nerve in a minority of cases. In the posterior third of the cone of the orbit, the ophthalmic artery turns sharply and medially to run along the medial wall of the orbit.
Medially, the posterior layer attaches to the tips of the lumbar and sacral spines and the interspinous ligaments. To the sides it blends with the middle layer at the lateral border of the erector spinae muscle group that extends the vertebral column (bending the spine so the head moves back relative to the chest), also known as sacrospinalis in older texts and more recently as extensor spinae,[3] though this term is not in widespread use. Superiorly it continues on to the back of the thorax where it attaches to the vertebral spines and the ribs, inferiorly to the posterior quarter of the outer lip of the Iliac crest.
The superior transverse ligament of the eye (also known as Whitnall's ligament) is a transverse ligament surrounding the levator palpebrae superioris muscle close to its partial implantation into the skin of the upper eyelid. The muscle also attaches to the superior tarsal plate and into orbital bone. The ligament allows for a change of the functional origin of the levator palpebrae superioris muscle, enabling the superior tarsus (eyelid) to be elevated superiorly rather than directly toward the muscle's origin on the sphenoid bone. Attaches medially to the pulley of superior oblique muscle (Trochlea of superior oblique) and laterally to the lacrimal gland 10mm above Whitnall tubercle.
In the superior region of the pons is the locus coeruleus, which due to its concentration of noradrenaline has a sky blue appearance, visible (in a colour closer to teal) through the floor of the ventricle, superiorly to the superior fovea. The internal part of the facial nerve bulges into the ventricle, forming the facial colliculus, in the process of looping around the abducens nucleus within the inferior region of the Pons. The medulla oblongata is located behind the inferior portion of the floor (and continues caudally of the ventricle). Medullary striae emerge via the median sulcus and run transversely across the floor to become part of the inferior cerebellar peduncle.
Although his main aim in life was Nora, he also played his luck with the formidable owner of Sid's Café, Ivy (Jane Freeman). Although Ivy rejected his advances, her lumbering, coarse husband Sid (John Comer) doesn't try to stop him as he knows Compo doesn't mean anything by it. Whenever he tries to make advances to Ivy, the result is that he and his companions are thrown out of the café or hit on the head with Ivy's metal tray. Said Compo in one episode " I'm just goin' to get me 'ead bashed with a tray" Ivy sometimes appreciates Compo's advances and, when he is not in the room, smiling superiorly.
The deep lingual artery (or ranine artery) is the terminal portion of the lingual artery after the sublingual artery is given off. As seen in the picture, it travels superiorly in a tortuous course along the under (ventral) surface of the tongue, below the longitudinalis inferior, and above the mucous membrane. It lies on the lateral side of the genioglossus, the main large extrinsic tongue muscle, accompanied by the lingual nerve. However, as seen in the picture, the deep lingual artery passes inferior to the hyoglossus (the cut muscle on the bottom) while the lingual nerve (not pictured) passes superior to it (for a comparison, the hypoglossal nerve, pictured, passes superior to the hyoglossus).
The liver scratch test is a type of auscultatory percussion that uses the difference in sound transmission between solid and hollow organs in the abdominal cavity in order to locate the inferior edge of the liver. The test is most commonly performed by placing the stethoscope below the xiphoid process and lightly scratching the skin parallel to the expected liver edge. The examiner begins scratching in the right lower quadrant of the abdomen along the midclavicular line and moves superiorly until the sound abruptly increases in volume. This location of suddenly increased auscultation volume is marked as the inferior edge of the liver and can then be used to determine the overall liver size.
The intercrural fibers (intercolumnar fibers) are a series of curved tendinous fibers, which arch across the lower part of the aponeurosis of the Obliquus externus, describing curves with the convexities downward. They have received their name from stretching across between the two crura of the subcutaneous inguinal ring, and they are much thicker and stronger at the inferior crus, where they are connected to the inguinal ligament, than superiorly, where they are inserted into the linea alba. The intercrural fibers increase the strength of the lower part of the aponeurosis, and prevent the divergence of the crura from one another; they are more strongly developed in the male than in the female.
The superior pubic ligament connects together the two pubic bones superiorly, extending laterally as far as the pubic tubercles. The inferior ligament in the pubic arch is also known as the arcuate pubic ligament or subpubic ligament; it is a thick, triangular arch of ligamentous fibers, connecting together the two pubic bones below, and forming the upper boundary of the pubic arch. Above, it is blended with the interpubic fibrocartilaginous lamina; laterally, it is attached to the inferior rami of the pubic bones; below, it is free, and is separated from the fascia of the urogenital diaphragm by an opening through which the deep dorsal vein of the penis passes into the pelvis.
The annular ligament is attached by both its ends to the anterior and posterior margins of the radial notch of the ulna, together with which it forms the articular surface that surrounds the head and neck of the radius. The ligament is strong and well defined, yet its flexibility permits the slightly oval head of the radius to rotate freely during pronation and supination. The head of the radius is wider than the bone's neck, and, because the annular ligament embraces both, the radial head is "trapped" inside the ligament which thus acts to prevent distal displacement of the radius. Superiorly, the ligament is supported by attachments to the radial collateral ligament and the fibrous capsule of the elbow joint.
This surgical approach enables emplacing the breast implants without producing visible scars upon the breast; but it makes appropriate dissection and device-emplacement more technically difficult. A TUBA procedure is performed bluntlywithout the endoscope's visual assistanceand is not appropriate for emplacing (pre-filled) silicone-gel implants, because of the great potential for damaging the elastomer silicone shell of the breast-implant device during its manual insertion through the shorttwo-centimetre (~2.0 cm.)incision at the navel, and because pre-filled silicone-gel implants are incompressible, and cannot be inserted through so small an incision. # Transabdominalas in the TUBA procedure, in the transabdominoplasty breast augmentation (TABA), the breast implants are tunneled superiorly from the abdominal incision into bluntly dissected implant pockets, while the patient simultaneously undergoes an abdominoplasty.
Fonseca's biographer, Matilde Zimmermann, argues that the year 1958 to 1960 were crucial years in the development of Sandinismo as they marked a turning point in Fonseca's political thought, shifting from Stalin to Sandino as the banner of revolutionary struggle. In the 1961-1962 debates in Havana over the creation of a Nicaraguan revolutionary front, it was Fonseca who persuaded his Nicaraguan student counterparts that Sandino's name should be incorporated in their party. Fonseca's ideological tendency was entitled the "Prolonged Popular War" because of its mass support among the peasantry and its reliance on guerrilla tactics. The gradualist approach in the countryside involved isolating portions of the superiorly armed and trained National Guard into weaker portions, and eliminating these smaller segments one by one.
The strong flexion that is apparent in Daka strengthens the theory that midsagittal cranial base flexion was strong in Homo erectus in general. Due to the age and condition of the Daka skull, the fossil is not fully intact. The right side of the calvaria is slightly more damaged and there is a relatively large space in the posterior region of the mastoid area near the Asterion. Researchers found that the mastoid process of the artifact are both damaged extensively. “Neither side preserves the inferior portions, but pneumatization of the temporal bone superior to the mastoid tips extends superiorly nearly to Asterion on both sides.” The temporals on the skull are not as inflated as those of apes, with smaller individual cells.
The 2006 cup was won in Belgrade when Crvena zvezda won superiorly against Hemofarm Vršac by 80–65. The team was coached by Dragan Šakota and featured the likes of Goran Jeretin, Milan Gurović, Gerrod Henderson, Miroslav Raičević, Larry O'Bannon, Igor Milošević, Vujadin Subotić, Nenad Mišanović, Vladislav Dragojlović, Čedomir Vitkovac, Vuk Radivojević and Pero Antić. With the failure of the project "European Red Star" in 2008, Slobodan Vučićević became the president of Crvena zvezda and brought new life into the club. Svetislav Pešić became the head coach, and a new team was assembled, including some notable players such as Nemanja Bjelica, Marko Kešelj, Vladimir Štimac, Andre Owens, Lawrence Roberts but the club failed to win a trophy that year, and at the end of the season, both Slobodan Vučićević and Svetislav Pešić left the club.
The medial pterygoid plate (or medial pterygoid lamina) of the sphenoid bone is a horse-shoe shaped process that arises from its underside. It is narrower and longer than the lateral pterygoid plate and curves lateralward at its lower extremity into a hook-like process, the pterygoid hamulus, around which the tendon of the tensor veli palatini glides. The lateral surface of this plate forms part of the pterygoid fossa, the medial surface constitutes the lateral boundary of the choana or posterior aperture of the corresponding nasal cavity. Superiorly the medial plate is prolonged on to the under surface of the body as a thin lamina, named the vaginal process, which articulates in front with the sphenoidal process of the palatine and behind this with the ala (wing) of the vomer.
The surgeon then evaluates the tissue- thickness of the medial pedicle flap, and its physical capability for rotating in a superomedial direction (above and to the center) with no resultant torsion tension to the tissue of the inferior portion of the pedicle; afterwards, the surgeon reduces the tissue thickness of the skin pedicle. Once positioned superiorly, the pedicle tissue thickness is reviewed to ascertain that it fits into the new position, without undue pressure or constriction; thus are assured the tissue viability of the medial pedicle and of the nipple- areola complex. ;Symmetry The critical procedural step in forming the new breast is the collecting and the joining of the three folds of breast tissue (the medial pillar and the two lateral pillars) of the lower pole of the breast, where it meets the chest. The suturing is critical to supporting and shaping the flaccid breast tissues into a hemispheric breast-mound that well projects from the chest wall—a lifted breast.
A trans-umbilical breast augmentation is a breast prosthesis insertion technique wherein the incision is at the umbilicus (navel), which dissection then tunnels superiorly, to facilitate emplacing the breast prosthesis to the implant pocket without producing visible surgical scars upon the breast hemisphere; but it makes appropriate dissection and device-emplacement more technically difficult. A TUBA procedure is performed bluntly (without endoscopic assistance), and is inapplicable to emplacing (pre-filled) silicone-gel implants, because of the great potential for damaging the elastomer silicone shell of the breast- implant device during its manual insertion through the short, two-centimetre (~2.0 cm), incision at the navel, and because pre-filled silicone-gel implants are incompressible, and cannot be inserted through so small an incision. ;Advantages The scar is produced in a remote location (the navel). ;Disadvantages The TUBA (Trans-umbilical Breast Augmentation) approach is inapplicable for the emplacement of incompressible, pre-filled breast implants, usually of the silicone-gel-filled variety.
Villaret's syndrome combines ipsilateral paralysis of the last four cranial nerves (IX, X, XI, XII) and Horner syndrome (enophthalmos, ptosis, miosis). Sometimes cranial nerve VII is also involved. It may also involve the cervical ganglia of the sympathetic trunk. Paralysis is caused by a lesion in the retroparotid space, which is bounded posteriorly by the cervical vertebrae, superiorly by the skull near the jugular foramen, anteriorly by the parotid gland, laterally by the sternocleidomastoid muscle, and medially by the pharynx. The clinical features are dysphonia (paralysis of the vocal cords) and anesthesia of the larynx; dysphagia (difficulty in swallowing solids caused by paralysis of the superior constriction of the pharynx); paralysis of soft palate and fauces with anesthesia of these parts and of the pharynx; loss of taste in the posterior third of the tongue and tongue deviation to affected side; weakness of sternocleidomastoid (caused by paralysis of the sternocleidomastoid and trapezius), Horner’s syndrome (due to paralysis of the cervical sympathetic nerves), ipsilateral lower motor neurone facial weakness.
Normal activation of the left ventricle (LV) proceeds down the left bundle branch, which consist of three fascicles, the left anterior fascicle, the left posterior fascicle, and the septal fascicle. The posterior fascicle supplies the posterior and inferoposterior walls of the LV, the anterior fascicle supplies the upper and anterior parts of the LV and the septal fascicle supplies the septal wall with innervation. LAFB — which is also known as left anterior hemiblock (LAHB) — occurs when a cardiac impulse spreads first through the left posterior fascicle, causing a delay in activation of the anterior and upper parts of the LV. Although there is a delay or block in activation of the left anterior fascicle there is still preservation of initial left to right septal activation as well as preservation of the inferior activation of the LV (preservation, on the EKG, of septal Q waves in I and aVL and predominantly negative QRS complex in leads II, III, and aVF). The delayed and unopposed activation of the remainder of the LV now results in a shift in the QRS axis leftward and superiorly, causing marked left axis deviation.

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