1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/AAP.0000000000000818" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/AAP.0000000000000818</a>
Pages
869–874
Issue
8
Volume
43
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Anatomical Look Into OnabotulinumtoxinA Injection for Chronic Migraine Headache.
Publisher
An entity responsible for making the resource available
Regional anesthesia and pain medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-11
Subject
The topic of the resource
80 and over; 80 and Over; Adolescence; Adolescent; Adult; Aged; Anatomic Landmarks/anatomy & histology/*diagnostic imaging; Body Regions; Body Regions – Anatomy and Histology; Botulinum Toxins; Botulinum Toxins – Administration and Dosage; Chronic Disease; Female; Human; Humans; Male; Middle Age; Middle Aged; Migraine; Migraine – Drug Therapy; Migraine Disorders/*diagnostic imaging/*drug therapy; Neck Muscles; Neck Muscles – Anatomy and Histology; Neck Muscles – Drug Effects; Neck Muscles/anatomy & histology/*diagnostic imaging/drug effects; Pilot Projects; Pilot Studies; Random Allocation; Random Assignment; Tomography; Type A/*administration & dosage; X-Ray Computed – Methods; X-Ray Computed/methods; Young Adult
Creator
An entity primarily responsible for making the resource
Wu-Fienberg Yuewei; Ansari Hossein; Zardouz Shawn; Narouze Samer; Blaha Taryn; Swanson Marco; Totonchi Ali
Description
An account of the resource
BACKGROUND AND OBJECTIVES: While existing studies about onabotulinumtoxinA for chronic migraines have focused on injection location and appropriate dosing, little consideration has been given to patient body habitus and its potential impact on efficacy. We hypothesized that with increasing patient body mass index (BMI) there would be more subcutaneous fat separating targeted muscle groups from the skin surface, such that standard 0.5-inch needles used in existing protocols may not allow intramuscular injection. This may have implications for treatment planning. METHODS: Anatomically normal computed tomography scans of the head, neck, and face were randomly selected. Subjects were stratified into 4 groups based on BMI, with 30 patients in each group. Four standardized locations were chosen to obtain measurements from the skin surface to the underlying muscle fascia, including (1) frontalis, (2) temporalis, (3) semispinalis capitis, and (4) trapezius. RESULTS: Median depth for the temporalis was 12.65 mm (Q1 = 9.32 mm, Q3 = 15.08 mm) for the BMI greater than 35 kg/m group. Median depth for the semispinalis capitis was 13.77 mm (Q1 = 10.3 mm, Q3 = 15.7 mm) for the BMI 30 to 35 kg/m group, and 14.75 mm (Q1 = 11.00, Q3 = 17.00 mm) for the BMI greater than 35 kg/m group. Median depth for the trapezius was 13.95 mm (Q1 = 10.18 mm, Q3 = 19.00 mm) for the BMI greater than 35 kg/m group. These medians exceeded the length of the standard 0.5-inch (12.-mm) needle used in existing protocols. CONCLUSIONS: Our study demonstrates that with increasing BMI there is a greater distance between the skin surface and the muscle fascia of muscles that are targeted for injection in standard chronic migraine botulinum toxin injection protocols. Because of this, patient body habitus may be an important factor in injection technique.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/AAP.0000000000000818" target="_blank" rel="noreferrer noopener">10.1097/AAP.0000000000000818</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
80 and over
Adolescence
Adolescent
Adult
Aged
Anatomic Landmarks/anatomy & histology/*diagnostic imaging
Ansari Hossein
Blaha Taryn
Body Regions
Body Regions – Anatomy and Histology
Botulinum Toxins
Botulinum Toxins – Administration and Dosage
Chronic Disease
Female
Human
Humans
Male
Middle Age
Middle Aged
Migraine
Migraine – Drug Therapy
Migraine Disorders/*diagnostic imaging/*drug therapy
Narouze Samer
Neck Muscles
Neck Muscles – Anatomy and Histology
Neck Muscles – Drug Effects
Neck Muscles/anatomy & histology/*diagnostic imaging/drug effects
Pilot Projects
Pilot Studies
Random Allocation
Random Assignment
Regional anesthesia and pain medicine
Swanson Marco
Tomography
Totonchi Ali
Type A/*administration & dosage
Wu-Fienberg Yuewei
X-Ray Computed – Methods
X-Ray Computed/methods
Young Adult
Zardouz Shawn
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jaapos.2015.05.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jaapos.2015.05.005</a>
Pages
311–315
Issue
4
Volume
19
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Plication augmentation of the modified Hummelsheim procedure for treatment of large-angle esotropia due to abducens nerve palsy and type 1 Duane syndrome.
Publisher
An entity responsible for making the resource available
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-08
Subject
The topic of the resource
*Ophthalmologic Surgical Procedures; 80 and over; Abducens Nerve Diseases/complications/physiopathology/*surgery; Adolescent; Adult; Aged; Binocular/physiology; Botulinum Toxins; Child; Duane Retraction Syndrome/complications/physiopathology/*surgery; Esotropia/etiology/physiopathology/*surgery; Eye Movements/physiology; Female; Humans; Injections; Intramuscular; Male; Middle Aged; Neuromuscular Agents/administration & dosage; Oculomotor Muscles/drug effects/physiopathology/*surgery; Preschool; Retrospective Studies; Suture Techniques; Tendon Transfer; Type A/administration & dosage; Vision; Young Adult
Creator
An entity primarily responsible for making the resource
Kinori Michael; Miller Kyle E; Cochran Megan; Patil Preeti A; El Sahn Mahmoud; Khayali Salma; Robbins Shira L; Hertle Richard W; Granet David B
Description
An account of the resource
BACKGROUND: Multiple procedures have been described to treat a large-angle esodeviation with an associated abduction deficit. We report a plication augmentation of the Hummelsheim procedure for the management of esotropia and severe abduction deficit due to abducens nerve palsy or type 1 Duane syndrome. METHODS: The medical records of patients operated on using the plication augmentation Hummelsheim procedure at two tertiary centers were retrospectively reviewed. The surgery involved ipsilateral lateral rectus plication, half muscle transposition of the vertical rectus muscles to the paralytic plicated lateral rectus, Foster augmentation sutures, and ipsilateral medial rectus recession or botulinum toxin injection if it was found to be tight on intraoperative forced duction testing. Pre- and postoperative deviations, ocular motility findings, and complications were noted. RESULTS: A total of 13 patients were included, all of whom had an esotropia with profound abduction deficit (-4 or more). Postoperative deviations ranged from 14(Delta) of esotropia to 14(Delta) of exotropia, with significant improvement of the abductive motion. No patient developed anterior segment ischemia. CONCLUSIONS: The plication augmentation Hummelsheim procedure resulted in correction of even very large esodeviations and improvement of the abduction force. This procedure may also better preserve the blood supply to the anterior segment compared to other surgical approaches.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jaapos.2015.05.005" target="_blank" rel="noreferrer noopener">10.1016/j.jaapos.2015.05.005</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Ophthalmologic Surgical Procedures
2015
80 and over
Abducens Nerve Diseases/complications/physiopathology/*surgery
Adolescent
Adult
Aged
Binocular/physiology
Botulinum Toxins
Child
Cochran Megan
Duane Retraction Syndrome/complications/physiopathology/*surgery
El Sahn Mahmoud
Esotropia/etiology/physiopathology/*surgery
Eye Movements/physiology
Female
Granet David B
Hertle Richard W
Humans
Injections
Intramuscular
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
Khayali Salma
Kinori Michael
Male
Middle Aged
Miller Kyle E
Neuromuscular Agents/administration & dosage
Oculomotor Muscles/drug effects/physiopathology/*surgery
Patil Preeti A
Preschool
Retrospective Studies
Robbins Shira L
Suture Techniques
Tendon Transfer
Type A/administration & dosage
Vision
Young Adult