Muscle Bundles Research Articles

TOPOGRAPHIC AND ANATOMICAL PECULIARITIES OF THE LATERAL REGION OF THE HEAD IN HUMAN FETUSES

HEAD IN HUMAN FETUSESAbstract. In order to clarify the topographical and anatomical peculiarities and variant anatomy of the structures of the lateral region of the head in the fetal period of human ontogenesis, 24 specimens of human fetuses aged from 4 to 10 months of intrauterine development were studied using a complex of morphological research methods (anthropometry, macroscopy, computer tomography, morphometry, reconstruction). We found anatomical variants of the masseter and temporal muscles in human fetuses. Thus, in a 5-month-old fetus, separate muscle bundles were found, which went from the right masseter to the right temporal muscle. In a 6-month-old fetus, the deep part of the left masseter muscle was fused to the left temporal muscle. In human fetuses, the temporal fascia in the direction of the zygomatic arch splits into two layers, between which there are accumulations of adipose tissue. In late fetuses, a formed sub-aponeurotic fi brous space was found. At the end of the fetal period, a deep fi brous space is observed between the periosteum and the inner edge of the temporal muscle. The cellular spaces of the temporal area in front are connected with the buccal fat pad, which creates the prerequisites for the spread of infl ammatory processes. The topographic and anatomical features of the temporal region of human fetuses are: weak development of the temporal muscle and small depth of the temporal fossa – in the middle part from 3.0 to 6.0 mm (depending on the age of the fetus); weakly developed tendinous part of the temporal muscle, which does not reach the temporal line of the parietal bone. The bony base of the temporal area is represented by the squamous part of the temporal bone, the greater wing of the sphenoid bone, part of the parietal and frontal bones, on the inner surface of which arterial grooves and impressions of cerebral gyri are hardly visible, and sometimes not at all clear or absent. Anatomical variants of the structure of the temporal and masticatory muscles, as well as the temporal fascia, can cause complications and errors during the diagnosis and surgical treatment of infl ammatory processes in the postnatal period of human ontogenesis.

Immunological and molecular evaluation of zoonotic metacercarial infection in freshwater fish: A cross-sectional analysis

Improperly cooked fish, carrying active metacercariae (MCs), can pose a significant risk for transmitting fish-borne zoonotic trematodes (FBZTs) to human consumers. This study aimed to enhance our understanding of FBZTs by conducting a comprehensive cross-sectional analysis involving various fish species, such as Nile tilapia (Oreochromis niloticus), African catfish (Clarias gariepinus), and red-belly tilapia (Tilapia zillii). These fish specimens were collected from distinct Egyptian governorates, specifically Giza, Kafr al-Shaykh, and Fayoum. The recovered flukes from experimentally infected domestic pigeons were identified as Prohemistomum vivax, Haplorchis pumilio, and Pygidiopsis genata based on morphological features. Furthermore, the identity of the retrieved adult flukes was confirmed using three species-specific primers for PCR amplification and sequencing analysis of the ITS rDNA region and have been deposited in GenBank with the following accession numbers: P. vivax (OR291421.1 and OR291422.1), P. genata (OP099561.1), and H. pumilio (OM439581.1-OP090510.1).Quantitative real-time PCR targeting the immunological genes Tumor Necrosis Factor-alpha (TNF-alpha) and Interleukin-1 (IL-1Β) was employed to compare the cellular immune response between infected with EMCs and uninfected O. niloticus. The results indicated a significant increase in TNF- and IL-1Β levels in FBZTs-infected vs un-infected fishes. Importantly, the presence of adult flukes and EMCs led to substantial histological alterations in both experimentally infected pigeons and naturally infected fish tissues. These changes included the necrosis of fish muscle bundles and a pronounced inflammatory reaction with muscular necrosis in the digestive tracts of experimentally infected pigeons.

Mechanisms of Vein of Marshall-Related Tachyarrhythmias and the Impact of Ethanol Infusion.

The Ligament of Marshall (LOM) is a remnant of the embryonic sinus venosus and the left cardinal vein, containing a combination of fat, fibrous tissue, blood vessels, muscle bundles, nerve fibers, and ganglia. Various muscular connections exist between the LOM and the left atrium (LA) and the coronary sinus (CS). The LOM is richly innervated by autonomic nerves, with ganglion cells distributed around it. The unique characteristics of the LOM are responsible for generating focal electrical activities and enable it to serve as a substrate for micro- and macro-reentrant circuits. This, in turn, leads to the initiation and perpetuation of atrial fibrillation (AF) and atrial tachycardia (AT). Endocardial ablation in this region does not consistently succeed due to anatomical constraints within the left lateral LA, including the presence of a thicker and longer mitral isthmus (MI), anatomical variations between the MI and epicardial structures such as the CS and vein of Marshall (VOM) and circumflex artery, and the presence of fibrofatty tissue insulating the LOM. Furthermore, epicardial ablation is challenging for inexperienced institutions because of its invasive nature. Ethanol infusion into the VOM (EI-VOM) represents an effective and safe approach that can be employed in conjunction with radiofrequency ablation to eliminate this arrhythmogenic structure.

Verrucous gastritis-like lesion in intramucosal Helicobacter pylori-uninfected signet ring cell carcinoma with poorly differentiated adenocarcinoma

In Japan, accessible Helicobacter pylori (Hp) eradication therapy is associated with an increase in the prevalence of gastric cancers (GCs) in Hp uninfected stomachs. Signet ring cell carcinoma (SRCC) is the most common of these GCs. Intramucosal SRCC with poorly differentiated adenocarcinoma (PDA) occurring in Hp uninfected gastric mucosa is rare; furthermore, many Hp uninfected pure SRCCs exhibit discoloration and flat or slightly depressed lesions, and morphological elevation is relatively rare. We report a case of intramucosal SRCC with PDA with an elevated, verrucous gastritis-like lesion in a 57-year-old male patient. In the present case, the PDA area showed dense tumor cell growth and coexisting desmoplastic and fibrotic reactions. Histopathology and immunohistochemical staining identified extensive fibromuscular obliteration with smooth muscle bundles extending from the muscularis mucosa into the lamina propria. The patient underwent curative endoscopic submucosal dissection. The reporting and analysis of such rare cases may lead to a better understanding of the characteristics of advanced Hp uninfected GCs.

Physiology and biomechanics researches of the special preparedness and contention activity of highly skilled kayakers

Purpose — development of methodology for individual evaluating special fitness and competitive activity of highly skilled kayakers.
 The rationality of the rower’s movement structure is largely determined by the character of work and interaction of the posterior and anterior bundles of the deltoid muscle, which perform the rower’s arm movements during applying both “pulling” and “pushing” efforts. The following causes of individual rowing technique errors significantly affecting sports result were identified: general muscle rigidity, lack of sufficiently complete and timely muscle relaxation; untimely involvement of muscles in work (appearance of mutual activity zones of antagonist muscles); late start of muscle activity (inertial moments of movement of rower's body biolinks are not provided before water entrapment); protracted, too long muscle activity (movement is performed entirely at the expense of muscular activity, without the use of inertial and propelling forces); low speed of muscle engagement in work leading, as a rule, to the “drop” of efforts on the oar. Two groups of athletes with diametrically opposite levels of physical capacity development and one group, which was characterized by their uniform development, were distinguished. The first group was distinguished by the high indices of power and efficiency of the work performed while covering the competitive distance. Such athletes showed higher sports results on short distances. The second group was distinguished by high indices of the efficiency of applying efforts, symmetry of movements, and successful performances on long competitive distances. Such rowers were classified as athletes with predominant development of special endurance quality. The rowers of the third group differed in the average values of the above mentioned indices and demonstrated equal success on both short and long competitive distances. Athletes with preferential development of speed-strength qualities and rowers with an advantageous development of special endurance have no significant difference in speed of covering 500 m distance and heart rate. However, there are significant differences in other indices of special fitness. Rowers with even development of physical qualities have differences in all recorded indices compared to those of the first two groups.
 The individual peculiarities of rowers’ movement coordination during covering a competitive distance of 500 m were determined. All rowers are divided into two groups. The first group is characterized by rational coordination of movements at the beginning of the distance covering and pronounced disturbances in the work dynamics of the muscles of the body turn and the nature of effort applied to the oar at the end of the distance. In the second group, we encounter the opposite phenomenon: with an irrational movement structure at the beginning of the distance, there is a transition of work to a more correct character at the end of its covering. The most preferable option for increasing the efficiency of athletes’ technical preparation is the use of the methodology for designing generalized and individual models of motor action structure. Preparation of rowers with account for their predisposition to the formation of the most important components of sportsmanship is the most preferable option. When drawing up individual plans for the preparation of athletes, the coaches should take into account these practical recommendations and adhere to the recommended directions of training. Repeated examinations (four months later) revealed the effectiveness of managing the process of technical preparation of kayakers based on the correction of intermuscular coordination.

Pathological Study of Rare Case of Duodenal Leiomyosarcoma in a Labrador Dog

The leiomyosarcoma is a tumor of mesenchymal origin of smooth, malignant, slow-growing muscles. The present study reports a case of duodenal leiomyosarcoma in Labrador dog. A 6 year old black female Labrador dog with history off feed, vomition and melena brought for necropsy examination. Gross lesions revealed tennis ball size tumorus mass at the initial portion of duodenum resulting into the obstruction of intestinal lumen. Microscopically, duodenum with tumours mass revealed smooth muscle bundles arranged in all the directions having elongated blunt ended nuclei along with numerous blood vessels and mitotic figure which is indicative of leiomyosarcoma.

Gastric hamartomatous inverted polyps: a clinicopathological analysis of five cases

Objective: To investigate the endoscopic and histopathological features, diagnosis and differential diagnosis of gastric hamartomatous inverted polyp (GHIP). Methods: Five cases of GHIP were collected at the University Town Hospital of Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China, from May 2021 to May 2023. The endoscopic, pathological and immunohistochemical features of the 5 GHIP cases were analyzed. The relevant literature was reviewed. Results: There were 3 males and 2 females, aged from 49 to 60 years, with a mean age of 56 years. The lesions were located in the fundus and body of the stomach, and presented as polyps or masses under endoscopy. Microscopically, the lesions were mainly in the submucosa and consisted of lobulated or clustered gastric glandular epithelium surrounded by hyperplastic smooth muscle. In some areas, there were differentiated glandular elements mimicking the normal gastric mucosa. The irregularly dilated glandular elements in the center were lined by hyperplastic foveolar epithelium, while the glands in the periphery were fundic or pyloric glands. In addition, in some areas, the glands showed cystic expansion, disordered arrangement and lack of differentiation. The hyperplastic glandular epithelium included foveolar epithelium, fundic gland and pyloric gland. There were scattered neuroendocrine cells and smooth muscle bundles in the stroma. Immunohistochemically, the tumor cells were positive for MUC5AC, MUC6, Pepsinogen Ⅰ and H+/K+ ATPase β, but negative for MUC2. The scattered neuroendocrine cells were positive for synaptophysin, and the desmin stain highlighted hyperplastic smooth muscle bundles. One case was classified as type 2 gastric inverted polyp, and 4 cases were classified as type 3. Conclusions: GHIP is a rare gastric polyp with unique histological features. It should be distinguished from inverted hyperplastic polyp, gastritis cystica profunda, adenomyoma, hyperplastic polyps and well-differentiated gastric tubular adenocarcinoma, etc. Improving the understanding of its pathogenesis and diagnostic features can help avoid misdiagnoses.

PM2.5 exposure-induced senescence-associated secretory phenotype in airway smooth muscle cells contributes to airway remodeling

Fine particulate matter (PM2.5) has been linked to increased severity and incidence of airway diseases, especially chronic obstructive pulmonary disease (COPD) and asthma. Airway remodeling is an important event in both COPD and asthma, and airway smooth muscle cells (ASMCs) are key cells which directly involved in airway remodeling. However, it was unclear how PM2.5 affected ASMCs. This study investigates the effects of PM2.5 on airway smooth muscle and its mechanism. We first showed that inhaled particulate matter was distributed in the airway smooth muscle bundle, combined with increased airway smooth muscle bundle and collagen deposition in vivo. Then, we demonstrated that PM2.5 induced up-regulation of collagen-I and alpha-smooth muscle actin (α-SMA) expression in rat and human ASMCs in vitro. Next, we found PM2.5 led to rat and human ASMCs senescence and exhibited senescence-associated secretory phenotype (SASP) by autophagy-induced GATA4/TRAF6/NF-κB signaling, which contributed to collagen-I and α-SMA synthesis as well as airway smooth muscle remodeling. Together, our results provided evidence that SASP induced by PM2.5 in airway smooth muscle cells prompted airway remodeling.

Fiber‐Format Dielectric Elastomer Actuators by the Meter

AbstractDielectric elastomers in the shape of thin films are heavily investigated, but they do not produce beneficial strains and forces comparable to that of skeletal muscles without entailing extremely complicated fabrication processes, rendering their practical use limited. Here, a silicone elastomer fiber is reported that can be produced by the meter and turned into an actuator by a simple process entailing the injection of an ionic liquid as the inner electrode and dipping in an ionogel to form the outer electrode. The fibers range from 174 to 439 µm in outer diameter with wall thicknesses from 62 to 108 µm and can be produced by the meter with regular diameter and thickness. The mechanical properties of the fibers are unaffected by the electrodes and actuation strains of 10% can be achieved, in both dry and wet environments. The fiber actuator can be bundled to mimic human skeletal muscle bundles or used in folded configurations, rendering it ideal as a building block for macroscopic actuators that can be used for many products such as body‐compliant actuators and wearables.

Beef tenderization without exacerbating the cooking loss: The way of enzymatic deamidation

Tenderization of beef using proteolytic enzymes often leads to high water loss due to harsh structural disruption. This study first verified the enzymatic deamidation (protein-glutaminase, PG) in softening grass-fed steak texture without exacerbating the cooking loss. PG deamidation at the deamidation degree (DD) of 5% (d5) or 7% (d7) significantly increased the tenderness and softened the texture whereas they negligibly affected the cooking loss. The muscle bundles were loosed while fibers were thickened probably as the result of charge induced myofibril dissociation (increased myofibril fraction index) and intermolecular repulsion. Compared to papain, the effect of PG deamidation on the water mobility was minor, though it was still seen a slight conversion of bound water into immobilized water in high DD steaks (d5 and d7). PG deamidation hardly hydrolyze individual proteins but partially altered the tertiary structure of muscle proteins, resulting in a slight decrease in denaturation enthalpies of muscle proteins including myosin, collagen and sarcoplasmic protein. These results demonstrated that PG deamidation appeared to be a novel and promising strategy in meat tenderization.

The Controversy of Using Insufficient Great Saphenous Veins in Coronary Artery Bypass Grafting: A Comparative Morphological Analysis of Healthy and Insufficient Veins Related to the Possibility of Using Them as a Graft.

Despite advancements in coronary artery bypass grafting (CABG), the optimal choice of graft material remains a subject of investigation. This study aimed to comprehensively analyze the morphological characteristics of varicose veins, exploring their potential utilization in CABG compared to healthy veins. The study included 178 patients, categorized into two groups based on healthy and varicose veins. Morphological parameters, including maximum venous diameter, wall thickness, and specific changes in tunica intima (TI), tunica media (TM), and tunica adventitia (TA), were analyzed through microscopic evaluation. Varicose veins exhibited a significantly larger maximum venous diameter (p = 0.0001) and increased wall thickness (p = 0.0001) compared to healthy veins. Although varicose veins showed thickening in TI and TM, the differences were not statistically significant. Notably, disorganized smooth muscle bundles were more prevalent in varicose veins (p = 0.001), suggesting potential wall weakness. The absence of vasa vasorum in TA was significantly higher in varicose veins (p = 0.050), influencing vascularization considerations. The comparative morphological microscopic analysis of the specimens of healthy and varicose veins reveals significant differences between the groups, which make the conclusion of this study to plead for avoiding the use of varicose veins as a graft.

Olf413 an octopamine biogenesis pathway gene is required for axon growth and pathfinding during embryonic nervous system development in Drosophila melanogaster

ObjectiveNeurotransmitters have been extensively studied as neural communication molecules. Genetic associations discovered, and indirect intervention studies in Humans and mammals have led to a general proposition that neurotransmitters have a role in structuring of neuronal network during development. olf413 is a Drosophila gene annotated as coding for dopamine beta-monooxygenase enzyme with a predicted function in octopaminergic pathway. The biological function of this gene is very little worked out. In this study we investigate the requirement of olf413 gene function for octopamine biogenesis and developmental patterning of embryonic nervous system.ResultIn our study we have used the newly characterized neuronal specific allele olf413SG1.1, and the gene disruption strain olf413MI02014 to dissect out the function of olf413. olf413 has an enhancer activity as depicted by reporter GFP expression, in the embryonic ventral nerve cord, peripheral nervous system and the somatic muscle bundles. Homozygous loss of function mutants show reduced levels of octopamine, and this finding supports the proposed function of the gene in octopamine biogenesis. Further, loss of function of olf413 causes embryonic lethality. FasII staining of these embryos reveal a range of phenotypes in the central and peripheral motor nerves, featuring axonal growth, pathfinding, branching and misrouting defects. Our findings are important as they implicate a key functional requirement of this gene in precise axonal patterning events, a novel developmental role imparted for an octopamine biosynthesis pathway gene in structuring of embryonic nervous system.

An Innovative Histochemical Analysis of Aksaray Malaklý Dog Esophagus by Scanning Electron Microscopy (SEM)

Background: The esophagus of the Aksaray Malaklý Dog, a local breed, was examined using macroanatomical, histological, histochemical and SEM methods. Methods: The study examined 8 adult Aksaray Malaklý dogs (4 males, 4 females) that died of various reasons and were brought to Aksaray University Veterinary Faculty Animal Hospital for necropsy. Macroanatomical examination of the esophagus revealed that the esophagus started from the pharynx and was divided into three parts: pars cervicalis, pars thoracalis and pars abdominalis and ended in the cardia of the gaster. It was observed that the esophageal glands seen in the submucosa were located along the entire length of the organ and consisted of many mucous-character corpus glandulae and very few serous-character-secreting corpus glandulae. Result: The glands’ secretion characteristics in the Aksaray Malaklý dog’s esophagus were determined using three different staining methods (AB pH: 2.5; AB pH: 1.0 and PAS). Gordon Sweeth’s (GS) staining method showed good staining of reticular fibers. A positive reaction was observed throughout the entire organ, except for the lamina epithelialis, the wall of blood vessels and muscle tissue. The 4 layers (mucosa, submucosa, muscularis and adventitia) histologically distinguished in the cross-section of Aksaray Malaklý dog esophagus were also distinguished in the scanning electron microscopy findings. Esophageal glands in the submucosa, muscle bundles in the muscularis layer and abundant blood vessels in the adventitia were also observed. The esophagus examined shows significant histological similarities with those of other mammals, making this species reliable as an experimental model for digestive testing and research.

The tongue of the red-eared slider (Trachemys scripta elegans): morphological characterization through gross, light, scanning electron, and immunofluorescence microscopic examination

The red-eared slider (Trachemys scripta elegans) is renowned for its remarkable adaptations, yet much of its complex biology remains unknown. In this pioneering study, we utilized a combination of gross anatomy, scanning electron microscopy (SEM), light microscopy, and immunofluorescence techniques to examine the tongue’s omnivorous adaptation in this species. This research bridges a critical knowledge gap, enhancing our understanding of this intriguing reptile. Gross examination revealed a unique arrowhead-shaped tongue with a median lingual fissure and puzzle-piece-shaped tongue papillae. SEM unveiled rectangular filiform, conical, and fungiform papillae, with taste pores predominantly on the dorsal surface and mucous cells on the lateral surface of the papillae. Histologically, the tongue’s apex featured short rectangular filiform and fungiform papillae, while the body exhibited varying filiform shapes and multiple taste buds on fungiform papillae. The tongue’s root contained lymphatic tissue with numerous lymphocytes surrounding the central crypt, alongside lingual skeletal musculature, blood and lymph vessels, and Raffin corpuscles in the submucosa. The lingual striated muscle bundles had different orientations, and the lingual hyaline cartilage displayed a bluish coloration of the ground substance, along with a characteristic isogenous group of chondrocytes. Our research represents the first comprehensive application of immunofluorescence techniques to investigate the cellular intricacies of the red-eared slider’s tongue by employing seven distinct antibodies, revealing a wide array of compelling and significant findings. Vimentin revealed the presence of taste bud cells, while synaptophysin provided insights into taste bud and nerve bundle characteristics. CD34 and PDGFRα illuminated lingual stromal cells, and SOX9 and PDGFRα shed light on chondrocytes within the tongue’s cartilage. CD20 mapped B-cell lymphocyte distribution in the lingual tonsil, while alpha smooth actin (α-SMA) exposed the intricate myofibroblast and smooth muscle network surrounding the lingual blood vessels and salivary glands. In conclusion, our comprehensive study advances our knowledge of the red-eared slider’s tongue anatomy and physiology, addressing a significant research gap. These findings not only contribute to the field of turtle biology but also deepen our appreciation for the species’ remarkable adaptations in their specific ecological niches.

Knockout of Hsp70 Genes Modulates Age-Related Transcriptomic Changes in Leg Muscles and Reduces the Locomotion Speed and Lifespan of Drosophila melanogaster

This study investigated the effect of knockout of six Hsp70 genes (orthologues of the mammalian genes Hspa1a, Hspa1b, Hspa2, and Hspa8) on age-related changes in gene expression in the legs of Drosophila melanogaster, which contain predominantly skeletal muscle bundles. For this, the leg transcriptomic profile was examined in males of the w^(1118) control strain and the Hsp70^(-) strain on the 7th, 23rd and 47th days of life. In w^(1118) flies, an age-related decrease in the locomotion (climbing) speed (a marker of functional state and endurance) was accompanied by a pronounced change in the transcriptomic profile of the leg skeletal muscles, which is conservative in nature. In Hsp70^(-) flies, the median lifespan was shorter and the locomotion speed was significantly lower compared to the control; at the same time, complex changes in the age-related dynamics of the skeletal muscle transcriptome were observed. Mass spectrometry-based quantitative proteomics showed that 47-day-old Hsp70^(-) flies, compared with w^(1118) flies, demonstrated multidirectional changes in the contents of key enzymes of glucose metabolism and fat oxidation (glycolysis, pentose phosphate pathway, Krebs cycle, beta-oxidation, and oxidative phosphorylation). Such dysregulation may be associated with a compensatory increase in the expression of other genes encoding chaperones (small Hsp, Hsp40, 60, and 70), which regulate specific sets of target proteins. Taken together, our data show that knockout of six Hsp70 genes slightly reduced the median lifespan of flies, but significantly reduced the locomotion speed, which may be associated with complex changes in the transcriptome of the leg skeletal muscles and with multidirectional changes in the contents of key enzymes of energy metabolism.

Optical Coherence Tomography (OCT) Alterations Choice for Aquatic Organism Anatomy and Morphology Analysis: A Case Study of A Giant River Prawn (Macrobrachium Rosenbergii)

In this study, a Frequency Domain Optical Coherence Tomography (FD-OCT) system was utilized for non-invasive imaging of the giant river prawn (Macrobrachium rosenbergii) to analyze its anatomy and physiology. Seven tissue parts were examined: both stalked eyes (compound eyes), both sides of the carapace, the middle and lower ventral abdominal segments, and the uropod. The results indicated that FD-OCT was effective in detecting all the tissues studied. The deepest area detected was the eyestalks, with a range of approximately 930-1000 μm, while the shallowest detected areas were the ventral and dorsal segments, ranging from approximately 0-100 μm to 300-500 μm. This variance in detection range may be attributed to the dense exoskeleton and muscle bundles, which result in lower penetration in the ventral and dorsal segments compared to the eyestalks. Overall, this study demonstrated that FD-OCT can provide valuable insights into the tissue structure of giant river prawns and other crustaceans, offering significant benefits for further anatomical and physiological research.

Diagnostic value of high-frequency ultrasound in omohyoid muscle syndrome.

To investigate the diagnostic value of high-frequency ultrasound in omohyoid muscle syndrome. A retrospective analysis of 11 patients diagnosed with omohyoid muscle syndrome was carried out, and the characteristics of high-frequency ultrasound images were summarized. Ultrasonography of the omohyoid muscle showed a narrow band of hypoechoic muscle bundle. The ultrasonographic manifestation of omohyoid muscle syndrome showed a thickening of the omohyoid muscle on the affected side. The omohyoid muscle on the affected side bulged forward during swallowing and lifted the overlying sternocleidomastoid muscle. The difference between the thickness of the omohyoid muscle intermediate tendon on the affected side and the healthy side at rest was statistically significant (t = 58.23, P < 0.001). The difference between the thickness of the affected omohyoid muscle intermediate tendon at rest and during swallowing was statistically significant (t = 14.57, P < 0.001). There was no statistically significant difference between the thickness of the omohyoid muscle intermediate tendon on the healthy side at rest and during swallowing (t = 0.56, P > 0.05). High-frequency ultrasound is the preferred imaging method in the diagnosis of omohyoid muscle syndrome.

Exploring Scrotal Leiomyomas, Unraveling the Mysteries of a Rare Tumor: A Case Report

Leiomyomas, originating from smooth muscle cells, are common in the uterus but rare in the scrotum, presenting a clinical challenge. Scrotal leiomyomas, first described in the 19th century, are characterized by benign pathology from the subcutaneous dartos muscle. We present two cases of middle-aged males with scrotal leiomyomas, detailing clinical presentations, histopathological findings, and immunohistochemistry results. The first involved a 48-year-old with a painless scrotal lump, excised to reveal well-circumscribed smooth muscle bundles. Immunohistochemistry confirmed vimentin, desmin, and smooth muscle actin (SMA) positivity, consistent with scrotal leiomyoma. The second case featured a 25-year-old with a painless scrotal swelling, histologically matching the features of scrotal leiomyoma. Accurate diagnosis is crucial for guiding appropriate management strategies. Clinicians often employ a combination of clinical evaluation, imaging studies, and histopathological examination to confirm the presence of scrotal leiomyomas. Ultrasound remains a valuable tool for assessing the size, location, and vascularity of the tumor, aiding in the formulation of a differential diagnosis. Definitive diagnosis, however, relies on histological examination, which typically reveals spindle-shaped smooth muscle cells arranged in interlacing bundles.

Role of mechanoregulation in mast cell-mediated immune inflammation of the smooth muscle in the pathophysiology of esophageal motility disorders.

Major esophageal disorders involve obstructive transport of bolus to the stomach, causing symptoms of dysphagia and impaired clearing of the refluxed gastric contents. These may occur due to mechanical constriction of the esophageal lumen or loss of relaxation associated with deglutitive inhibition, as in achalasia-like disorders. Recently, immune inflammation has been identified as an important cause of esophageal strictures and the loss of inhibitory neurotransmission. These disorders are also associated with smooth muscle hypertrophy and hypercontractility, whose cause is unknown. This review investigated immune inflammation in the causation of smooth muscle changes in obstructive esophageal bolus transport. Findings suggest that smooth muscle hypertrophy occurs above the obstruction and is due to mechanical stress on the smooth muscles. The mechanostressed smooth muscles release cytokines and other molecules that may recruit and microlocalize mast cells to smooth muscle bundles, so that their products may have a close bidirectional effect on each other. Acting in a paracrine fashion, the inflammatory cytokines induce genetic and epigenetic changes in the smooth muscles, leading to smooth muscle hypercontractility, hypertrophy, and impaired relaxation. These changes may worsen difficulty in the esophageal transport. Immune processes differ in the first phase of obstructive bolus transport, and the second phase of muscle hypertrophy and hypercontractility. Moreover, changes in the type of mechanical stress may change immune response and effect on smooth muscles. Understanding immune signaling in causes of obstructive bolus transport, type of mechanical stress, and associated smooth muscle changes may help pathophysiology-based prevention and targeted treatment of esophageal motility disorders.NEW & NOTEWORTHY Esophageal disorders such as esophageal stricture or achalasia, and diffuse esophageal spasm are associated with smooth muscle hypertrophy and hypercontractility, above the obstruction, yet the cause of such changes is unknown. This review suggests that smooth muscle obstructive disorders may cause mechanical stress on smooth muscle, which then secretes chemicals that recruit, microlocalize, and activate mast cells to initiate immune inflammation, producing functional and structural changes in smooth muscles. Understanding the immune signaling in these changes may help pathophysiology-based prevention and targeted treatment of esophageal motility disorders.

The Maxillary Artery Loops Dangerously Approaching the Mandible's Lingula and Inferior Orbital Fissure.

The maxillary artery (MA) leaves from the external carotid artery and further courses through the infratemporal fossa to reach the pterygopalatine fossa. It typically has an ascending course either on the lateral or on the medial side of the inferior bundle of the lateral pterygoid muscle. While studying retrospectively, the computed tomography angiogram of an adult male case with peculiar tortuosities of the MA was documented. The left MA described a large inferior sagittal loop applied on the mandible's ramus's inner cortical in the pterygomandibular space's upper part. That loop reached 1.66 cm inferior to the mandible's notch and 0.5 cm superior to the mandibular foramen and was applied on the mandible's lingula (spine of Spix). That MA continued to the pterygomaxillary suture, and a second superior coronal loop was found applied on the posterior wall of the maxillary sinus, reaching the inferior orbital fissure. It is therefore mandatory to take good care in the decortication of the mandibular ramus or during osteotomies of the ramus. When an inferior loop of the MA approaches the spine of Spix, bleeding when an inferior alveolar nerve block is performed seems hardly avoidable.