Frontalis suspension is a commonly used surgery that is indicated in patients with blepharoptosis and poor levator muscle function. The surgery is based on connecting the tarsal plate to the eyebrow with various sling materials. Although fascia lata is most commonly used due to its long-lasting effect and low rate of complications, it has several limitations such as difficulty of harvesting, in...

Putterman clamp, a muscle clamp, is commonly used in conjunctival müllerectomies. We report 3 cases of senile ptosis repaired with levator muscle resection using the Putterman clamp. The redundant levator aponeurosis was removed with electrocautery after clamping with the Putterman clamp. The levator muscle was refixed to the tarsus with three 4-0 Vicryl stitches after adjusting the height of t...

Spinal accessory nerve palsy leads to painful disability of the shoulder, carrying an uncertain prognosis. We reviewed the long-term outcome in 16 patients who were treated for pain, weakness of active elevation and asymmetry of the shoulder and the neck due to chronic paralysis of the trapezius muscle, as a result of nerve palsy. Of four patients who were treated conservatively, none regained ...

Purpose Tumors at the level of the anorectal junction had required total levator-ani muscle excision to achieve an adequate resection margin. However, in the cases of tumor invading ipsilateral levator-ani muscle and intact external sphincter, en bloc resection of rectum with levator-ani muscle including tumor would be possible. This hemilevator excision (HLE) technique enables preserving the a...

Fig. 1A. Complete ptosis of the right eye at presentation. Dear Editor, Cysticercosis cellulosae, the larval form of the pork tapeworm Taenia solium, causes cysticercosis, in which humans serve as the intermediate hosts in the parasite life cycle. Cysticercosis is endemic in developing regions such as South America, India and China.1,2 However, a rise in a cysticercosis has been observed in ind...

Background: The pathophysiological mechanism behind chronic proctalgia is not fully understood. The study investigated whether treatment of lower limb length discrepancy (anisomelia) with an insole could relieve levator ani syndrome and chronic proctalgia. Patients and Methods: Nine patients with proctalgia were identified as also having anisomelia. The patients underwent clinical evaluation, i...

Objective: To compare the frequency of good functional outcome frontalis suspension surgery using silicone rod versus prolene 4/0 suture in simple congenital ptosis. Study Design: Hospital Based Comparative Study. Setting: Department Ophthalmology, Khyber Teaching Hospital, Peshawar. Period: June to August 2018. Material & Methods: This study was performed on 70 randomly selected patients d...

The levator scapulae muscle frequently contributes to neck and shoulder pain, yet is often overlooked by acupuncture practitioners. To achieve best results in treating neck and shoulder pain, one should be well‐trained in the diagnosis, assessment and treatment of levator scapulae dysfunction. A jingluo (channel) approach to pain often leads to treatment of the para‐spinal muscles of the Bladde...

AIM To evaluate female runners' pelvic floor muscles using three-dimensional ultrasonography (3DUS) and surface electromyography (SEMG). MATERIAL AND METHODS A cross-sectional study was conducted on 24 female runners. SEMG was performed using surface electrodes inserted in the vagina. 3DUS was performed using perineal convex transducer. SEMG was evaluated at rest and with maximum voluntary co...

OBJECTIVE A Valsalva maneuver is used clinically and on imaging in order to determine female pelvic organ prolapse. We have examined the potential confounding effect of levator co-activation at the time of a Valsalva maneuver and the impact of repetition with biofeedback instruction. METHODS Fifty nulliparous women at 36-38 weeks' gestation received 3D/4D translabial ultrasound investigation ...