Oliver Vij, Chee Yen Soon, Christopher Smith, Malcolm Neil, Sarah Fawcett, Cecilia Brassett
{"title":"What is the optimum incision for superficial temporal artery biopsy? An anatomical study using body donors.","authors":"Oliver Vij, Chee Yen Soon, Christopher Smith, Malcolm Neil, Sarah Fawcett, Cecilia Brassett","doi":"10.1007/s00276-026-03895-x","DOIUrl":"10.1007/s00276-026-03895-x","url":null,"abstract":"<p><strong>Purpose: </strong>Superficial temporal artery (STA) biopsy remains an important diagnostic investigation for giant cell (temporal) arteritis. Incisions should optimise STA exposure while avoiding the temporal branch of the facial nerve. However, the widely used Gillies incision, a 2 cm temporal incision 2.5 cm anterior and superior to the auricular helix within the hairline, has been shown to be inconsistent for STA access.</p><p><strong>Methods: </strong>In this study of 20 hemifaces from 10 body donors (mean age 87.1; range 75-93; n = 3 females), STA branches were mapped using a Cartesian grid referenced to the anterior crus-lateral canthus axis. Four 2 cm incisions were modelled: Gillies, pre-auricular, and two novel algorithmically optimised incisions targeting frontal and parietal branches. Access was defined as incision-to-vessel distance of ≤ 0.5 cm or ≤ 1.0 cm. All donors had provided written consent for anatomical research under the Human Tissue Act 2004.</p><p><strong>Results: </strong>The Gillies incision accessed the frontal branch in ≤ 1.0 cm in 11/20 (55%) and ≤ 0.5 cm in 3/20 (15%); parietal access was ≤ 1.0 cm in 8/19 (42%) and ≤ 0.5 cm in 4/19 (21%). Pre-auricular incision improved access: ≤ 1.0 cm for frontal 13/20 (65%) and parietal 18/19 (94.7%) branches. Optimised frontal and parietal incisions achieved ≤ 1.0 cm access in 19/20 (95%) and 18/19 (94.7%) respectively.</p><p><strong>Conclusion: </strong>Our findings suggest that the Gillies incision may not be a reliable approach for accessing the frontal or parietal branches of the STA. Pre-auricular and algorithmically optimised frontal and parietal incisions achieved high, branch-specific access but require clinical validation.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13152922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seren Kaya, Yusuf Secgin, Deniz Senol, Oguzhan Harmandaoglu, Oguzhan Ozturk, Ömer Önbaş
{"title":"Morphometric and topographic analysis of the flexor carpi radialis tendon, its tunnel, and the median nerve: an MRI-based anatomical guide for wrist interventions.","authors":"Seren Kaya, Yusuf Secgin, Deniz Senol, Oguzhan Harmandaoglu, Oguzhan Ozturk, Ömer Önbaş","doi":"10.1007/s00276-026-03887-x","DOIUrl":"https://doi.org/10.1007/s00276-026-03887-x","url":null,"abstract":"","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787273","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}
{"title":"Right non-bifurcating cervical carotid artery with a long-segment incomplete carotid bifurcation, a right accessory middle cerebral artery arising from a common trunk with a cortical branch at the distal A1 segment.","authors":"Bang Liu, Wentao Yao, Yazhao Zhang, Kaimeng Wang, Qishuo Yang, Guodong Xu","doi":"10.1007/s00276-026-03885-z","DOIUrl":"https://doi.org/10.1007/s00276-026-03885-z","url":null,"abstract":"","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787349","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}
{"title":"Occipital spur: a common but underreported finding on lateral cephalograms-an observational study.","authors":"Binigha M, Sridhar M, Lokesh Kumar S","doi":"10.1007/s00276-026-03884-0","DOIUrl":"https://doi.org/10.1007/s00276-026-03884-0","url":null,"abstract":"","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787255","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}
Viviana Dincă, Rodica Narcisa Calotă, Sorin Hostiuc, Răzvan Costin Tudose, Ivan Varga, Mugurel Constantin Rusu
{"title":"Anatomical variability of the lingual artery: a comprehensive narrative review with clinical and surgical applications.","authors":"Viviana Dincă, Rodica Narcisa Calotă, Sorin Hostiuc, Răzvan Costin Tudose, Ivan Varga, Mugurel Constantin Rusu","doi":"10.1007/s00276-026-03846-6","DOIUrl":"10.1007/s00276-026-03846-6","url":null,"abstract":"","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oluwabusayo A Oni, Wren Adams, Preethi Prem, Ramya M Ramakrishnan, Antara Sira, Emily A Vachon, Mark T Shima, Wessam Ibrahim
{"title":"Bilateral extensor pollicis et indicis accessorius: clinical and anatomical perspectives.","authors":"Oluwabusayo A Oni, Wren Adams, Preethi Prem, Ramya M Ramakrishnan, Antara Sira, Emily A Vachon, Mark T Shima, Wessam Ibrahim","doi":"10.1007/s00276-026-03858-2","DOIUrl":"10.1007/s00276-026-03858-2","url":null,"abstract":"<p><strong>Purpose: </strong>The extensor muscles of the hand play a crucial role in thumb and finger movement. Thumb extension is primarily mediated by the extensor pollicis longus muscle and extensor pollicis brevis muscle, and extension of the index finger is facilitated by the extensor indicis muscle and extensor digitorum muscle. This report describes a rare anatomical variation, the extensor pollicis et indicis accessorius, in which a single tendon bifurcated to insert on both the index finger and thumb.</p><p><strong>Methods: </strong>This variation was identified bilaterally during routine dissection of a 92-year-old female donor. The donor had been embalmed with a formaldehyde-based fixation method.</p><p><strong>Results: </strong>On each side, an accessory extensor pollicis et indicis accessorius muscle was present in the deep posterior compartment of the forearm, giving rise to a single tendon that bifurcated distally to insert on both the dorsal aspect of the thumb and the dorsal expansion of the index finger. Measurements of the extensor pollicis et indicis accessorius muscle were not significantly different. Several case studies have documented the existence of such anomalies, but bilateral descriptions are rare.</p><p><strong>Conclusion: </strong>Historical and contemporary sources differ in defining extensor pollicis et indicis accessorius. Based on a comprehensive literature review and the present bilateral anatomical finding, this report recommends using the term extensor pollicis et indicis accessorius muscle for this configuration and proposes revising existing classification systems to include accessory extensor muscles originating from the extensor pollicis longus muscle, the extensor indicis muscle, or the ulna, rather than limiting them to extensor pollicis longus muscle anomalies.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13056787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zeyad Kamar, Duygu Kalaycı, Emre Koyuncu, Mustafa Berk Yakabağı, Berin Tuğtağ Demir, Davut Akduman, Burak Bilecenoğlu
{"title":"The Körner septum as a reliable reference point in temporal bone surgery: clinical-morphometric relationship with the facial nerve and surrounding structures.","authors":"Zeyad Kamar, Duygu Kalaycı, Emre Koyuncu, Mustafa Berk Yakabağı, Berin Tuğtağ Demir, Davut Akduman, Burak Bilecenoğlu","doi":"10.1007/s00276-026-03878-y","DOIUrl":"https://doi.org/10.1007/s00276-026-03878-y","url":null,"abstract":"","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"48 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624312","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}