Apurba Patra, Rajiv Kumar, Vandana Tiwari, Priti Chaudhary, Adil Asghar, Jerzy Walocha, Marcin Kuniewicz, Barbara Gach-Kuniewicz, Marcin Jakiel, Daniel Rams
{"title":"Beyond the classical triangle: morphological variations of the Triangle of Koch in human hearts and their clinical implications.","authors":"Apurba Patra, Rajiv Kumar, Vandana Tiwari, Priti Chaudhary, Adil Asghar, Jerzy Walocha, Marcin Kuniewicz, Barbara Gach-Kuniewicz, Marcin Jakiel, Daniel Rams","doi":"10.5603/fm.113968","DOIUrl":"https://doi.org/10.5603/fm.113968","url":null,"abstract":"<p><strong>Background: </strong>The Triangle of Koch (TOK) is an important anatomical region located in the right atrium of the heart. It contains the atrioventricular (AV) node and forms a crucial landmark during electrophysiological and cardiac surgical procedures. Variations in its boundaries and morphology may increase the risk of inadvertent injury to the cardiac conduction system. The present study aimed to evaluate the morphology (shape, boundaries, and anatomical variations) of the TOK in thirty donated human hearts and its clinical implications.</p><p><strong>Materials and methods: </strong>Thirty formalin-fixed adult human hearts were studied in the Department of Anatomy. The right atrium was opened carefully to expose the TOK. The boundaries formed by the tendon of Todaro (TT), the septal leaflet of the tricuspid valve, and the ostium of the coronary sinus (CS) were identified. Morphological features, location of the apex, and anatomical variations were documented and photographed.</p><p><strong>Results: </strong>The TOK was identified in all specimens. Considerable variations were observed in shape, prominence of the TT, and position of the CS ostium. In most cases, it was broad and triangular, while in some hearts, the triangle appeared narrow and elongated. The apex corresponding to the AV nodal region showed positional variation relative to the membranous septum. Variability in the septal leaflet attachment and CS morphology was also noted.</p><p><strong>Conclusions: </strong>The TOK demonstrates significant anatomical variation in its shape and boundaries. Knowledge of these variations is essential for cardiologists, electrophysiologists, and cardiac surgeons during catheter ablation, pacemaker implantation, and valve surgeries to prevent injury to the AV node and associated conduction pathways.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":"85 ","pages":"e01726182"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149037322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia morphologicaPub Date : 2026-01-01Epub Date: 2025-10-13DOI: 10.5603/fm.108336
Tuocheng Qin, Peng Liang, Xianglan Jin
{"title":"Pentafurcation of celiac trunk: a case report and review of the literature.","authors":"Tuocheng Qin, Peng Liang, Xianglan Jin","doi":"10.5603/fm.108336","DOIUrl":"10.5603/fm.108336","url":null,"abstract":"<p><strong>Background: </strong>This study reports a rare case of celiac trunk pentafurcation variation and reviewed the relevant literature to summarize the classification of celiac trunk variations and their potential clinical significance.</p><p><strong>Materials and methods: </strong>This study provides a detailed anatomical description of a celiac trunk pentafurcation variation found in the cadaver of an elderly Chinese woman. The diameters and positional relationships of each branch were measured and recorded. Through a literature review, we summarized the classification, frequency, and clinical significance of celiac trunk variations.</p><p><strong>Results: </strong>Anatomical findings revealed that the celiac trunk in this case gave rise to five branches: the left inferior phrenic artery, left gastric artery, splenic artery, right inferior phrenic artery, and common hepatic artery. A literature review indicated that the typical celiac trunk three-branch pattern occurs with a frequency of 89.42%. Atypical branch patterns include two branches (7.66%), four branches (1.74%), and five or more branches (0.18%). Among the cases of pentafurcation variation, those involving bilateral inferior phrenic arteries are extremely rare, with only sporadic reports in the literature. This variation may impact surgical planning and patient treatment strategies, making it essential to recognize in clinical practice.</p><p><strong>Conclusions: </strong>Understanding the normal anatomical structure of the celiac trunk and the variations in its branching pattern has important clinical value in surgery, oncology and interventional radiology procedures. Clinicians should remain vigilant in clinical practice and be prepared to address potential anatomical variations they may encounter. Furthermore, rare anatomical variations should be thoroughly documented and reported to enrich medical literature and provide valuable resources for anatomical teaching.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":" ","pages":"e01726162"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zuzanna Szostak, Piotr Piech, Anna Bronikowska, Robert Węgłowski, Jacek Gągała, Grzegorz Staśkiewicz
{"title":"Levator scapulae muscle variability: pathology or anatomical variant? A narrative review with pragmatic classification and imaging relevance.","authors":"Zuzanna Szostak, Piotr Piech, Anna Bronikowska, Robert Węgłowski, Jacek Gągała, Grzegorz Staśkiewicz","doi":"10.5603/fm.110979","DOIUrl":"https://doi.org/10.5603/fm.110979","url":null,"abstract":"<p><p>The levator scapulae muscle (LSM) is traditionally described as an anatomically stereotyped structure; however, anatomical and imaging studies have reported notable variability, with potential relevance in the neurovascularly complex cervicoscapular region. This narrative review aimed to (1) map reported LSM variants and (2) introduce a pragmatic, author-proposed classification capturing cranial and caudal attachment patterns, architectural configurations (including accessory bands), and neurovascular relationships, with consideration of imaging and clinical context. A structured literature search of PubMed and Google Scholar (1867-January 2025) was performed to identify human cadaveric, MRI/CT/ultrasound, and clinical or case-based reports providing primary anatomical data on LSM variability. Records were screened for relevance, and the extracted data were synthesized qualitatively. The synthesis was supplemented with anonymized original CT and MRI material for illustrative purposes. Reported variants clustered into: (I) cranial extensions or alternative origins (e.g., mastoid/occipital region), (II) caudal or additional insertions or slips (most commonly involving serratus anterior, serratus posterior superior, and ribs I-II), (III) multi-slip or multi-belly architectures, and (IV) less frequently documented neurovascular variants, predominantly associated with accessory structures. The reported prevalence of LSM variability differed between cadaveric and imaging-based studies, with additional slips identified in 13.1% of cases in a large anatomical series (n = 300), and variants reported in 43% (16/37) of individuals in an MRI cohort. The proposed classification provides a conceptual framework for organizing heterogeneous anatomical reports and may facilitate structured description and interpretation of LSM variants in anatomical and imaging contexts. However, given the heterogeneity and predominantly case-based nature of the available evidence, these findings should be interpreted with caution and considered hypothesis-generating.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":"85 ","pages":"e01726118"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamil Możdżeń, Grzegorz Fibiger, Agnieszka Murawska, Wiktoria Błachut, Jerzy A Walocha, Tomasz Kozioł, Wojciech Fibiger, Janusz Moryś, Ilona Klejbor, Przemysław Pękala
{"title":"Complex accessory tendon anatomy of the pes anserinus: a unique combination of accessory tendons in a right knee.","authors":"Kamil Możdżeń, Grzegorz Fibiger, Agnieszka Murawska, Wiktoria Błachut, Jerzy A Walocha, Tomasz Kozioł, Wojciech Fibiger, Janusz Moryś, Ilona Klejbor, Przemysław Pękala","doi":"10.5603/fm.109707","DOIUrl":"10.5603/fm.109707","url":null,"abstract":"<p><strong>Background: </strong>The pes anserinus (PA) is a tendinous complex located on the anteromedial surface of the proximal tibia, formed by the conjoined insertions of the sartorius, gracilis, and semitendinosus muscles. It contributes to internal rotation and flexion of the tibia, providing stability to the medial knee compartment.</p><p><strong>Case report: </strong>During the routine dissection of a 75-year-old female cadaver, an unusual PA variant was found. On the right limb, four accessory tendons were identified: one accessory sartorius tendon (aSART), one accessory gracilis tendon (aGRT), and two accessory semitendinosus tendons (aSTT1 and aSTT2). Distally, the aSTT1 fused with the aGRT and subsequently joined the aSART, forming a single fascial band that inserted slightly inferior to the typical PA footprint. No corresponding variations were present on the contralateral side. The coexistence of accessory slips from all three PA muscles appears exceedingly rare.</p><p><strong>Conclusions: </strong>This case report presents a unique variant of PA, emphasizing the extent of its anatomic variability. Awareness and recognizing such variants of PA is crucial for surgeons, as this knowledge may help prevent the misidentification of tendons during medial knee procedures and tendon graft harvesting.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":"85 ","pages":"e01726002"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miljana N Pavlovic, Vesna R Stojanović, Milena M Trandafilović, Jovana R Čukuranović Kokoris, Vladimir S Živković, Milorad M Antić, Vladimir M Antić
{"title":"Integrative analysis of corticotrophs and folliculostellate cells: aging and paracrine regulation.","authors":"Miljana N Pavlovic, Vesna R Stojanović, Milena M Trandafilović, Jovana R Čukuranović Kokoris, Vladimir S Živković, Milorad M Antić, Vladimir M Antić","doi":"10.5603/fm.111468","DOIUrl":"10.5603/fm.111468","url":null,"abstract":"<p><strong>Background: </strong>Aging of the human anterior pituitary is accompanied by structural remodeling of hormone-producing and non-endocrine cellular components. The coordinated morphometric relationship between adrenocorticotropic hormone (ACTH)-producing corticotrophs and folliculostellate (FS) cells during aging remains insufficiently characterized.</p><p><strong>Materials and methods: </strong>Twenty-nine human anterior pituitaries (33-95 years, both sexes) obtained at autopsy were examined using immunohistochemistry for ACTH and S-100 protein. Volume densities (VVACTH, VVFS) were quantified using calibrated digital morphometry. Correlation and regression analyses were performed to assess intercellular associations and age-related trends.</p><p><strong>Results: </strong>Both ACTH and FS cell volume densities demonstrated significant age-related increases (p < 0.05). A strong positive correlation was observed between VVACTH and VVFS (R = 0.61, p < 0.001). Regression analysis confirmed that increased FS cell density was significantly associated with increased corticotroph volume fraction.</p><p><strong>Conclusions: </strong>Aging of the human anterior pituitary is characterized by coordinated expansion of corticotroph and FS cell compartments. These findings support structural coupling between endocrine and non-endocrine cellular networks and reinforce the concept of paracrine integration within the aging adenohypophysis.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":"85 ","pages":"e01726065"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia morphologicaPub Date : 2026-01-01Epub Date: 2025-06-17DOI: 10.5603/fm.104234
Seda Sertel Meyvaci, Turgut Meyvaci, Handan Ankarali
{"title":"Modeling body height estimation from head circumference according to age in infants from birth to 12 months.","authors":"Seda Sertel Meyvaci, Turgut Meyvaci, Handan Ankarali","doi":"10.5603/fm.104234","DOIUrl":"10.5603/fm.104234","url":null,"abstract":"<p><strong>Background: </strong>Body height is an important measurement in the forensic identification of an individual. This study aimed to estimate height from head circumference measurements representative of the population according to age and to create a model for age estimation in infants from birth to 12 months.</p><p><strong>Materials and methods: </strong>In the present study, head circumference measurements of 500 healthy infants, 250 girls and 250 boys, with known ages and heights were evaluated. To estimate height from head circumference separately for both sexes and across 8 different measurement periods, linear regression, quadratic and cubic models, and the nonparametric, nonlinear MARS model were used.</p><p><strong>Results: </strong>It was found that the relationship between head circumference and height was linear, particularly from the 6th month onward, according to sex and measurement periods. When the relationships between head circumference measurements and age in girls and boys were examined using the exponential growth curve, a significant relationship was observed. Exponential growth curve model parameters were developed for use in age estimation.</p><p><strong>Conclusions: </strong>The results of the present study showed that height can be estimated from head circumference measurements representative of the population according to age and that age can be estimated using the developed model.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":" ","pages":"e01726091"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia morphologicaPub Date : 2026-01-01Epub Date: 2025-06-12DOI: 10.5603/fm.105743
Wojciech Przybycień, Patryk Ostrowski, Martyna Dziedzic, Ewa Mizia, Michał Korman, Magdalena Martyka-Łaś, Filip Staszewski, Andrzej Żytkowski, Mateusz Koziej, Jerzy A Walocha
{"title":"A cadaveric morphometric analysis of the deep brachial artery.","authors":"Wojciech Przybycień, Patryk Ostrowski, Martyna Dziedzic, Ewa Mizia, Michał Korman, Magdalena Martyka-Łaś, Filip Staszewski, Andrzej Żytkowski, Mateusz Koziej, Jerzy A Walocha","doi":"10.5603/fm.105743","DOIUrl":"10.5603/fm.105743","url":null,"abstract":"<p><strong>Background: </strong>The primary aim of this study was to conduct precise measurements of the deep brachial artery (DBA) on cadaveric upper-limb specimens. A comprehensive understanding of DBA anatomy and its variations is essential for reconstructive procedures involving musculocutaneous flaps in the posterior arm, as well as for angiographic diagnostics and trauma surgery.</p><p><strong>Materials and methods: </strong>The examined upper limbs were obtained from 25 cadavers. Both right and left upper limbs were subjected to dissection. The parameters assessed included the DBA diameter at its origin, DBA diameter at the point of bifurcation, and its total length. Additionally, anatomical landmarks, including the greater tubercle of the humerus and the olecranon, were identified as reference points for the conducted measurements.</p><p><strong>Results: </strong>The DBA length ranged from 1.41 mm to 135.16 mm, with a median value of 57.64 mm. The initial DBA diameter was between 1.74 mm and 4.22 mm, with an average of 2.86 mm. The median DBA diameter at the point of its division into the middle collateral and radial collateral arteries was 1.90 mm. The median DBA length was 72.31 mm in females and 57.30 mm in males. The mean initial DBA diameter was 2.75 mm in females and 2.90 mm in males.</p><p><strong>Discussion: </strong>This study provides a comprehensive anatomical analysis of the deep brachial artery (DBA), confirming its variable origin and morphometric parameters. The measurements presented in this study, including DBA diameters, total length, and variations by laterality and sex, contribute valuable data to the existing literature. The anatomical landmarks used in the study, such as the greater tubercle of the humerus and the olecranon process, enhance the ability to locate the DBA for diagnostic and therapeutic purposes.</p><p><strong>Conclusions: </strong>The study's findings have practical implications for surgical and clinical applications, particularly in reconstructive procedures involving musculocutaneous flaps in the posterior arm.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":" ","pages":"e01726093"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia morphologicaPub Date : 2026-01-01Epub Date: 2025-06-12DOI: 10.5603/fm.105902
Ahmad Hassan Jabali
{"title":"Assessing root canal anatomy of canine teeth and prevalence of impacted canines in a Saudi Arabian subpopulation through cone-beam computed tomography imaging.","authors":"Ahmad Hassan Jabali","doi":"10.5603/fm.105902","DOIUrl":"10.5603/fm.105902","url":null,"abstract":"<p><strong>Background: </strong>Canines play a crucial role in arch development, dental aesthetics, and occlusal function. Variations in root canal morphology can considerably impact upon root canal treatment outcomes. Therefore, the aim of this study was to assess the root and root canal anatomy of canine teeth by using Vertucci's classification along with the prevalence of impacted canines in a Saudi subpopulation.</p><p><strong>Materials and methods: </strong>We used a retrospective cross-sectional study design. A total of 416 cone-beam computed tomography (CBCT) scans were analysed using Vertucci's classification, and information was recorded related to sample characteristics, canal configurations. and impaction of the mandibular and maxillary permanent canine teeth. In addition, data was collected such as gender, arch, side of the CBCT, classification type of canal anatomy, and the presence of impacted canines. Statistical Package for the Social Sciences was used for data analysis, and the chi-square and Fisher exact tests were used. A p value of < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 1,664 maxillary and mandibular canine teeth (51.9% from females) were screened in this study. Nearly 94.7% of the canines had a single canal, and 98.6% had a single root. Maxillary and mandibular canines with type I configuration were the most prevalent (98.6% and 90.9%, respectively), and those with type V configuration was the least prevalent (0.2% and 3.1%, respectively). The prevalence of type I root canal configuration was higher in the maxillary canines (98.6%) than in the mandibular canines (90.9%), and significantly higher in males (95.8%) than in females (93.8%; p = 0.002). The prevalence of single-rooted canines in the mandibular arch was significantly higher in males (99.0%) than in females (95.8%; p = 0.005). Similarly, the overall prevalence of single-rooted canines was significantly higher in males (99.5%) than in females (97.7%; p = 0.002). In the mandibular arch, the prevalence of the single-canal configuration was significantly higher in males (93.5%) than in females (88.4%; p = 0.011). The prevalence of impacted canines was 7.9% and higher in the maxillary arch (7.0%) and in males (8.5%).</p><p><strong>Conclusions: </strong>Canines with type I canal configuration was the most prevalent in both arches and higher in the maxillary arch. Type I configuration and single-rootedcanines in the mandibular arch and both arches were more prevalent in males. The prevalence of impacted canines was found to be 7.9%, with a higher occurrence in males and maxillary arches.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":" ","pages":"e01726080"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia morphologicaPub Date : 2026-01-01Epub Date: 2025-07-29DOI: 10.5603/fm.106716
Magdalena Grzonkowska, Michał Szpinda, Michał Kułakowski, Karol Elster, Agnieszka Rogalska, Jakub Błaszczyk, Mariusz Baumgart
{"title":"Prevalence and morphometric characteristics of the psoas minor muscle in human fetuses: an anatomical study.","authors":"Magdalena Grzonkowska, Michał Szpinda, Michał Kułakowski, Karol Elster, Agnieszka Rogalska, Jakub Błaszczyk, Mariusz Baumgart","doi":"10.5603/fm.106716","DOIUrl":"10.5603/fm.106716","url":null,"abstract":"<p><strong>Background: </strong>In the present study, we aimed to determine the prevalence and morphometric characteristics of the psoas minor (PM) muscle in human fetuses.</p><p><strong>Materials and methods: </strong>A total of 67 formalin-fixed fetuses of both sexes (31 male and 36 female), aged 16-28 weeks of gestation, were examined using anatomical dissection and digital image analysis (NIS Elements AR 3.0).</p><p><strong>Results: </strong>The presence of the PM muscle was confirmed in 29.9% of cases, with a comparable frequency in male (32.3%) and female (27.8%) fetuses. Bilateral occurrence was noted in 60% of cases in which the muscle was present. Five morphometric parameters of the PM (total length, muscle belly length and width, and tendon length and width) were measured. In the subgroup of fetuses with bilateral presentation, no significant differences were found between the right and left sides. Due to the limited number of cases with PM muscle present, no growth modeling or correlation with fetal age or sex was performed.</p><p><strong>Conclusions: </strong>The findings highlight considerable anatomical variability of the PM muscle during the prenatal period and provide preliminary reference data that may support the interpretation of advanced fetal imaging and retroperitoneal surgical planning.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":" ","pages":"e01726107"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Folia morphologicaPub Date : 2026-01-01Epub Date: 2025-03-21DOI: 10.5603/fm.104490
Agata Mazurek, Urszula Durlak, Viktoriia Popadynets, Julia Dyrcz, Jerzy A Walocha, Tomasz Iskra
{"title":"Meyer's loop and its anatomical importance in surgical planning - a systematic review.","authors":"Agata Mazurek, Urszula Durlak, Viktoriia Popadynets, Julia Dyrcz, Jerzy A Walocha, Tomasz Iskra","doi":"10.5603/fm.104490","DOIUrl":"10.5603/fm.104490","url":null,"abstract":"<p><strong>Background: </strong>Meyer's loop (ML), the anterior extension of the optic radiation, is critical in neurosurgical planning for temporal lobe procedures. Establishment of accurate localization of ML relative to key anatomical landmarks is crucial to minimize post-surgical visual field deficits.</p><p><strong>Materials and methods: </strong>A systematic review was conducted using PubMed, Scopus, and Embase databases from September to December 2024, following PRISMA 2020 guidelines. Anatomical and radiological studies focused on distances from Meyer's loop to surgical landmarks were included.</p><p><strong>Results: </strong>Out of 1,466 identified studies, 27 met the inclusion criteria (21 radiological and 6 anatomical). 26 of included articles presented measurements of ML-TP distance which ranged from 14.0 to 54.4 mm. Asymmetry of the ML was observed in approximately half of the cases.</p><p><strong>Conclusions: </strong>This review highlights the variability in ML positioning. Thorough individualized surgical planning with properly selected imaging protocol might reduce the risk of postoperative visual field deficits.</p>","PeriodicalId":12251,"journal":{"name":"Folia morphologica","volume":" ","pages":"e01726054"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}