There are a number of puzzling circumstances related to the occurrence of the accessory obturator nerve and the innervation of the pectineus muscle. What is the frequency of occurrence of the nerve? What is its pattern of innervation? Does the pectineus muscle belong to the ventral or the dorsal division of the thigh musculature? Is its position in the ventral or the dorsal division reflected i...

Botulinum toxin (BoNT) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex - with variation in operative technique and needle placement confounding the ability to assess outcomes. We describe a simplified technique for BoNT injection to obturator internu...

We encountered some multiple vessel variations in the retropubic region of a 55-year-old male cadaver. The obturator artery had its origin from the external iliac artery, and inferior epigastric artery from the femoral artery. Additionally, an anastomosis between obturator and inferior epigastric veins (venous Crown of death) was observed.

This report describes two cases of severe adductor muscle spasm during transurethral resection of bladder tumours and subsequent successful management with the help of obturator nerve block. Obturator nerve blocks are useful during surgery to remove large, advanced tumours in the distal lateral wall of the bladder.

The purpose of this study was to evaluate the use of an oblique obturator radiograph in bone marrow aspiration. The authors retrospectively reviewed 22 patients who underwent bone marrow aspiration guided by the real-time oblique obturator radiograph while in a supine position at their institution between November 2009 and August 2010. The mean duration of bone marrow aspiration was 35±9 second...

Maxillary defects are created by surgical treatment of benign or malignant neoplasms, congenital malformation and by trauma. The size and location of the defects in ̄uence the degree of impairment and dif®culty in prosthetic rehabilitation. Lack of support, retention, and stability are common prosthodontic treatment problems for patients who have had a maxillectomy. A prosthesis used to close a ...

•Intraoperative injury of the obturator nerve is not an infrequent complication of gynecological surgeries.•This injury can occur in association with pelvic lymphadenectomy for uterine or cervical cancer.•This manuscript demonstrates an alternative technique for the obturator nerve repair, when primary end to end anastomosis is not possible.

PURPOSE The aim of this study was to assess quality of life (QoL) and obturator functioning in patients having undergone a maxillectomy as a tumor ablative resection and rehabilitation with a prosthetic obturator. MATERIALS AND METHODS The University of Washington Quality of Life scale version 4 (UW-QoLv4) and the Obturator Functioning Scale (OFS) were used to evaluate the self-reported QoL a...

Surgical resection in oral and facial area caused by malign tumor results in loss of morphological and functional integrity of the upper jaw and the adjacent anatomic structures [1]. In these anatomo-morphological conditions, phonetics, mastication and swallowing functions are impaired, the symmetry of the face is lost, communication between nasal and oral cavity is present and patient’s qualit...