Superiorly based flaps were planned for the eyelids, nose and the hard palate; inferiorly
based flaps for the oral cavity except the hard palate.
After opening the retroperitoneal space by transecting the round ligament and cutting the anterior leaf of broad ligament infero-medially, the place lateral to the median umbilical ligament (medial to round ligament), adjacent to the bladder, is the paravesical space and it develops inferiorly
to the level of levator ani muscle.
(9) In our case, we observed that the tumor inferiorly
displaced the optic nerve in orbital imaging and thus believed neuropathy was a result of compression.
Caption: FIGURE 2: Following Hyper-CVAD chemotherapy, (a) multiple preretinal, intraretinal, and subretinal hemorrhages; (b) preretinal, intraretinal, and subretinal hemorrhages in the left eye; (c) after YAG laser treatment in the left eye, blood settling inferiorly
in the vitreous cavity; (d) the retinal hemorrhages resolved after several months.
The mass measures 19.0 x 19.7 x 13.8 cm in its maximal and displaces the right kidney (K) inferiorly
and liver (L) anteromedially.
Caption: FIGURE 1: CECT nose and PNS (coronal and axial cut) showing heterogeneously enhancing mass in the right nasal cavity, likely centered in the middle turbinate with extension into the right ethmoid sinus superiorly, floor of nasal cavity inferiorly
, choana and sphenoid sinus posteriorly with the erosion of the adjacent bone, and destruction of the nasal septum with extension of the mass to the contralateral side.
(2, 3, 9, 13) Its sheath extends superiorly to the jugular foramen and inferiorly
to the aortic arch and is bordered anteriorly by the styloid process and PPS, laterally by the anterior belly of the digastric muscle and the PS and medially by the lateral margin of the RPS.
Further Doppler ultrasound imaging demonstrated an umbilical vein, which coursed inferiorly
into the left iliac vein (Figure 3).
QL also holds the 12th rib inferiorly
in inspiration, thereby allowing the thoracic cage to expand fully.
The tendon insertion of the subscapularis is preserved; however, the inferior muscular portion (approximately 5 mm to 10 mm) is released from the humeral neck and retracted inferiorly
and medially using a Hohmann or substitute curved retractor, placing the axillary nerve in a safe extra-capsular position (Fig.
Superiorly, it is attached to the apex and adjoining margins of the patella and the rough depression on its posterior surface, and inferiorly
to the tuberosity of the tibia.
Table: Electrocardiographic abnormalities in pulmonary embolism Rhythm Sinus tachycardia Atrial premature complexes Atrial flutter Atrial fibrillation Right ventricular premature complexes Ventricular fibrillation Sinus bradycardia or asystole (rarely) P waves Rightward axis ([greater than or equal to] 75[degrees]) Tall (>2.5 mm) in leads II, III, or aVF QRS complex Right axis deviation or rightward axis shift Clockwise rotation Right ventricular conduction delay Right ventricular hypertrophy Pseudoinfarction Inferior Anterior Both Left axis deviation (rarely) ST segment Elevation inferiorly
and/or anteriorly Depression T wave Inversion inferiorly
Inversion anteriorly QT prolongation Modified from references 2 and 7