The transconjunctival levator aponeurosis advancement without resection of Müller's muscle enables repair of aponeurotic ptosis without the need for surgical exposure through a skin incision. This technique may be preferred by many patients who are reluctant to undergo ptosis surgery because of the possible skin scar and who do not present with excessive upper eyelid laxity. A successful outcom...

Hypothesis / aims of study Levator ani (LA) muscles which consist of the iliococcygeus, puborectalis, and pubococcygeus muscles are believed to play a significant role in the urethral support system [1]. However the relative importance of the three LA muscle components in contributing to the urethral support function remains unclear. The aim of this study is to specify the contributions of the ...

Segmentation of the levator hiatus in ultrasound allows the extraction of biometrics, which are of importance for pelvic floor disorder assessment. We present a fully automatic method using a convolutional neural network (CNN) to outline the levator hiatus in a two-dimensional image extracted from a three-dimensional ultrasound volume. In particular, our method uses a recently developed scaled ...

Implantation of a gold weight in the pretarsal space was performed on 17 patients with poor eyelid closure secondary to facial nerve weakness. Successful results were obtained in 14 (82%) of 17 patients. Postmortem histopathology of such a case demonstrated firm fibrous encapsulation of the weight. Although some authors advocate fixation of lid weights to the orbital septum, fixation in the pre...

Segmentation of the levator hiatus in ultrasound allows the extraction of biometrics, which are of importance for pelvic floor disorder assessment. We present a fully automatic method using a convolutional neural network (CNN) to outline the levator hiatus in a two-dimensional image extracted from a three-dimensional ultrasound volume. In particular, our method uses a recently developed scaled ...

INTRODUCTION We describe a surgical technique for ptosis correction in moderate to good levator function involving advancement of the levator aponeurosis via a transconjunctival posterior approach without resection of Müller's muscle. We present our experience of and the results from this method, and review the evolution of posterior approach ptosis surgery. PURPOSE To assess the efficacy and...

OBJECTIVE Until recently, magnetic resonance was the only imaging method capable of assessing the levator ani in vivo. Three-dimensional (3D) ultrasound has recently been shown to be able to demonstrate the pubovisceral muscle. The aim of this study was to define the anatomy of the levator hiatus in young nulliparous women with the help of 3D ultrasound. METHODS In a prospective observational...

BACKGROUND AND PURPOSE Musculoskeletal dysfunction is a known cause of dyspareunia and a reason for referral for physical therapist management. The purpose of this case report is to describe the physical therapist management of a patient with dyspareunia and overactivity of the pelvic-floor muscles with a limited number of visits and a focus on self-management strategies. CASE DESCRIPTION Thi...

[Purpose] This study examined the measurement of the thickness of the transverse abdominal muscle in different tasks. [Subjects and Methods] The subjects were eleven healthy adult females. Thicknesses of transverse abdominal muscle were measured in seven tasks in the supine position. The tasks were: 1) Resting state, 2) Maximal contraction of transverse abdominal muscle, 3) Maximal contraction ...

OBJECTIVE Develop a method to quantify the cross-sectional area of the pubic portion of the levator ani muscle, validate the method in women with unilateral muscle defects, and report preliminary findings in those women. METHOD Multi-planar proton density magnetic resonance images of 12 women with a unilateral defect in the pubic portion of their levator ani were selected from a larger study ...