jasmin delić - Academia.edu (original) (raw)
Papers by jasmin delić
Acta Medica Saliniana, 2009
Introduction: clinical examination and surgical procedures require the knowledge of anatomical pe... more Introduction: clinical examination and surgical procedures require the knowledge of anatomical peculiarities of a complex area such as neck, especially if the anomalies in develoment of vascular system may occur. Aim: to investigate the mutual relation of the initial parts of the internal carotid artery and the external carotid artery, as well as the height of crossing of these blood vessels. Patients and methods: we evaluated 50 patients referred to diagnostic center of the PZU "Medicom" Zenica, by using of magnetic resonance imaging (MRI) of the neck. Results: External carotid artery is placed medially and goes to the frontal side of the internal carotid artery in 90% cases. In 7% of cases the right internal carotid artery is placed laterally from the internal carotid artery. Divergent position, where the internal carotid artery (medially) and the external carotid artery go away from each other, was found in 1% of cases. We also found that the internal carotid artery and external carotid artery cross approximately 3.04 cm above the bifurcation (at right 3.05 cm and at left 3.12 cm) and the height of the crossing varies from 1.3 cm to 4.2 cm (at right 1.3 cm to 4.2 cm, and at left 1.5 cm to 4.1 cm). The height of crossing is symmetric in 18% of cases. Reversal of the position of the external and internal carotid arteries was found in 7% cases. Conclusion: The possibility of an inversed disposition of the internal and external carotid arteries must be held in mind when performing arterial ligatures in the carotid triangle, to avoid damage to the internal carotid artery or haemorrhagic accidents.
Acta Medica Saliniana, Apr 3, 2009
An outstanding development of procedures and techniques of vascular, plastic and reconstructive s... more An outstanding development of procedures and techniques of vascular, plastic and reconstructive surgery demands the competence on variable anatomy of carotid blood vessels. This paper researched the anatomy of a. thyroideae superior by MR – angiography. It was established that it originates in 87.9% of cases as a separate branch of a.carotis externae, and in 5.47% it originates from a. carotis communis, or from its bifurcation.
Medicinski arhiv, 2004
The ductus cysticus is variable in the length, position and the site where it enters the ductus h... more The ductus cysticus is variable in the length, position and the site where it enters the ductus hepaticus communis--the cystohepatic junction. The investigations were carried out on 100 livers (50 anatomical preparations and 50 patients) adults of both sexes, randomized trial. Main methods of the research were: anatomical macrodissection and analysis of the clinical radiograms. The ductus cysticus were present as: flat--down course in 70%, flat--horizontal course in 2%, flat--ascendant course in 4%, curved in the shape "J" in 10%, curved in the shape "S" in 12% and curved in the shape "U" in 2%. The cystohepatic junction shows variations in topographic zones.
Medicinski arhiv, 2009
This paper describes variations of the appendix vermiformis, found in the course of open appendec... more This paper describes variations of the appendix vermiformis, found in the course of open appendectomy. Investigations involved surgeries performed in 2008 year in the Regional Hospital TeSanj. Variations in the site of formation and position of appendix vermiformis were established. Dominantly, appendix vermiformis is placed in the pelvic position in 57.71% of cases. In the smallest number of cases (2), or 3.07% lateral (paracecal) position was found. Variations of position of ostium appendicis vermiformis were registered as well. Two types of ostium appendicis vermiformis were found: dorso-medial wall of intestinum caecum below ostium ileocaecale (35.39%), dorso-lateral medial wall of intestinum caecum (30.7%) and lower pole of intestinum caecum (64.61%). Results of this research indicate very large variability of appendix vermiformis anatomy, which together with other factors (age, sex, phase in which is patient at the moment of examination) form a clinical picture of the acute ap...
Medicinski arhiv, 2008
Variations of extrahepatic bile ducts are the basis of hepatobilliar surgery, and they may be a p... more Variations of extrahepatic bile ducts are the basis of hepatobilliar surgery, and they may be a problem during the surgical procedures. In this paper we present the results of our research, wich is conducted on 100 human livers. Common hepatic duct wich is formed by connecting of right hepatic duct and left hepatic duct is noticed in 92% of cases, and in 5% of cases was formed by tree bile ducts. Aberant bile ducts was found in 3% of total number of examined.
Medicinski arhiv, 2002
There were investigated variations of appendix vermiformis in the place of origin and position. T... more There were investigated variations of appendix vermiformis in the place of origin and position. The investigations were carried out on 50 human preparations of adults of both sexes, unintentional choice. The position and relation between intestinum caecum and appendix vermiformis were determined by forensic medical and pathoanatomical autopsy. Place of origin of appendix vermiformis, from wall of intestinum caecum is determined by anatomical dissection. Intestinum caecum has a variable shape and it occurs in two forms: conical, which dominates (56%) and square (44%). It has constant position in fossa iliaca dextra in 100% of 50 investigated cases. Appendix vermiformis is fully variable organ as for position and the place of origin from the wall of intestinum caecum. Dominantly (52%) it has rising position, and two subtypes are present: retrocecal (more expressed-38%) related to the retrocolic subtype (14%). Very frequent position of appendix vermiformis is a falling one (32%), in wh...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2011
AIM To investigate a potential difference in postoperative morphological changes of two-level lum... more AIM To investigate a potential difference in postoperative morphological changes of two-level lumbar disc surgery as compared to one level surgery. METHODS The standard lateral radiographs of lumbar spine obtained preoperatively and postoperatively were used in the study . The morphological study included 60 adult patients of both sexes who had undergone the surgery in the period 2002-2006. The first group comprised patients operated on one level (L4/L5 and L5/ S1), and the second included patients operated on two levels (L3/ L4/L5; L4/L5/S1 and L5/S1/S2). Using lateral radiographs, after digitalization, the height of intervertebral disc space (HD), angle between vertebral bodies (A) and translation (T) were measured. RESULTS Comparing preoperative and postoperative values, statistically significant difference has been found for HD in the first group and HD and A in the second group. In neither groups there was statistically significant difference for T, which is one of radiological...
Crankshaft Phenomenon refers to the loss of three-dimensional correction of the scoliotic curve w... more Crankshaft Phenomenon refers to the loss of three-dimensional correction of the scoliotic curve which occurs after the back spine fusion is done to children who have not completely reached the skeletal maturity. Patients with infantile and juvenile idiopathic scoliosis are at the highest risk; however, this phenomenon also occurs in adolescents who are immature at the time of surgery. The aim of this study was to determine the relationship between the age of operated patients and the possible postoperative progression of scoliotic incurvation (The Crankshaft’s Phenomenon) after surgical correction of adolescent idiopathic scoliosis. The retrospective-prospective study was performed among 48 patients with adolescent idiopathic scoliosis, randomised selected, with both sexes included. All analyzed patients underwent a surgical correction of scoliosis through rear access, using the Isola's or the SSE (Spine System Evolution) implants. Correlation between presurgical and postsurgica...
In this work the frequency of aberrant and accessory bile ducts on anatomical preparations and cl... more In this work the frequency of aberrant and accessory bile ducts on anatomical preparations and clinical radiograms was researched. Aberrant bile ducts were detected in 2.5%.
UNLABELLED Research has been done at a 150 pairs of the human adult kidneys (50 anatomical prepar... more UNLABELLED Research has been done at a 150 pairs of the human adult kidneys (50 anatomical preparedness plus 100 patients) both sex, randomly chosen. Variations of the kidneys have been analyzed and their respect at a live ones, by clinical tree-dimensional "image"methods and lifeless one by anatomical macro dissection plus corrosive method. CONCLUSION At the most presence of noticed variation had into a size of the kidney, and the lowest one in the number of the kidneys. Technique of magnetic resonance (MR), in relation with computerized tomography (CT) had shown more types of the kidneys variations and more number of the kidney's variations in the form. Percentage of variations of the kidneys at an anatomical preparedness in relation with variations noticed by MR and CT, into a size had relation 44: 4: 0, in the form of 36: 6: 2, in the number 0: 2: 0 and into a location ( rotation) 0: 0: 4. The number and the type of noticed variations of the kidneys show the larges...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2016
Aim To establish presence of segmental instability in patients operated with standard discectomy ... more Aim To establish presence of segmental instability in patients operated with standard discectomy comparing measurement of translation and rotation on postoperative functional radiographs of lumbosacral spine with reference values,and to explore difference between patients operated on one or two levels. Methods The study included 71 patients, who were operated due to herniated lumbar disc. They were divided into two groups operated on one level (group A) or two adjacent levels (group B). All patients had been imaged in a standing position with functional lateral radiography. Radiographic images were digitized and then computerized measurement of translation and rotation was made. Measurement data were compared between the groups and with reference values obtained in healthy adults. Results Standard lumbar discectomy leads to an increase in translation, however, it reached statistical significance only for L4/L5 level and a decrease of rotation, which showed statistical significance f...
Collegium antropologicum, 2004
Having knowledge on models of the bronchial tree branching, is of a special interest for clinical... more Having knowledge on models of the bronchial tree branching, is of a special interest for clinical and surgical pulmology, because the hemilobectomy, segmentectomy and subsegmentectomy are always determined by intralobar, intrasegmental and intrasubsegmental bronchial ramification. Investigations were performed on 100 lungs of children and adults of both sexes, one day to 85 years old, randomly chosen. There are two main types of branching of the left upper lobe bronchus: the bifurcation pattern as dominant model in 74% and the trifurcation model found in 26%. Out of 100 lungs studied, 21 lungs had the ventilatory variations of the bronchopulmonary segments. The classification and categorization of the ventilatory of bronchopulmonary segments of the left upper lobe of lung were made. This classification contains 5 categories and 8 subcategories.
AIM To examine a possible relationship between the variable vascular geometry of vertebrobasilar ... more AIM To examine a possible relationship between the variable vascular geometry of vertebrobasilar joint angle and basilar bifurcation angle as well as the diameters of these blood vessels. METHODS The study included 60 adult patients, of both sexes, who were divided into two groups. One group (30) consisted of patients without aneurysm of vertebrobasilar tree, and another group (30) of patients with aneurysm. The patients were examined using Magnetic Resonance Imaging (MRI) and Computed Tomography Angiography (CTA) of head and neck. RESULTS In the group without aneurysm of vertebrobasilar tree, in 14 (46.6%) patients diameters of the right and the left vertebral artery were approximately the same. The average value of the angle of junctions of vertebral arteries was 65.43°, and the average angle of basilar bifurcation was around 94.53°. In the group with aneurysm of vertebrobasilar tree, in 12 (40%) patients diameters of the right and the left vertebral artery were also approximately...
The ductus cysticus is variable in the length, position and the site where it enters the ductus h... more The ductus cysticus is variable in the length, position and the site where it enters the ductus hepaticus communis--the cystohepatic junction. The investigations were carried out on 100 livers (50 anatomical preparations and 50 patients) adults of both sexes, randomized trial. Main methods of the research were: anatomical macrodissection and analysis of the clinical radiograms. The ductus cysticus were present as: flat--down course in 70%, flat--horizontal course in 2%, flat--ascendant course in 4%, curved in the shape "J" in 10%, curved in the shape "S" in 12% and curved in the shape "U" in 2%. The cystohepatic junction shows variations in topographic zones.
Medical Archives
In this report is described anomally of arteria ulnaris topography. By anatomical dissection of c... more In this report is described anomally of arteria ulnaris topography. By anatomical dissection of cadaver of a male new-born, we noticed the ulnar artery, on the right arm, layed superficially, under of fascia antebrachi. The ulnar artery was the branch of brachial artery, and it run directly from the brachial artery, in the level of interepicondilar line, to the madial part of the distal end of antebrachium, and it attached by ulnar nerve before they entered Guyon's canal.
Periodicum Biologorum
This research involved 50 patients processed in PZU, »Medicom« Zenica, by the method of MRI-angio... more This research involved 50 patients processed in PZU, »Medicom« Zenica, by the method of MRI-angiography when performing MR of the neck. The way of ramification of the a. carotis externae, that is described in classical anatomy textbooks, where its branches separate as individual branches, is found in 76,6% to 81%, according to the data from the literature available. These data are confirmed by our researches, where presence of this ramification type was found in 84% of the total number of technically accurate MRI angiograms (91 angiogram). In 16% of cases, the branches of a. carotis externae originate as common trunks, or have unusual place of origin (a. carotis communis). A. thyroidea superior in 1,09% originates as common trunk with a. lingualis, but in three cases (3,33%) it originates as common trunk with a. lingualis.
Variations of skeletopic position of artery carotis communis bifurcations were described in the s... more Variations of skeletopic position of artery carotis communis bifurcations were described in the study, which were diagnosed by the method of magnetic angiography during magnetic resonancy examination of the neck. Importance of recognition of variable anatomy of carotide blood vessels, caused by frequent surgery operations in the region, was emphasized. Examinations were done in 50 patients. Skeletopic position of bifurcation varied from the second to fifth cervical vertebra. The dominant position of bifurcation was at the level of the third cervical vertebra (72.72%) and the lowest percentage was at the level of the fifth cervical vertebra in 5.05 % cases. The difference in bifurcation level between the right and left arteria carotis communis ranged from 2-7 cm.
Anatomic variations of extrahepatic bile ducts may be problematic during surgical procedures. The... more Anatomic variations of extrahepatic bile ducts may be problematic during surgical procedures. The aim of this study was to evaluate frequency of anatomic variations of the biliary tree. Morphometric characteristics of the biliary tree segments and angles between them are described in this paper. The investigation was carried out on 120 cadaveric human livers. The main methods were anatomic macro-disection and morphometry. Very high variability of length of the biliary tree segments was noticed: ductus hepaticus communis (0-39,75 mm), ductus cysticus (6,25-46,25 mm) and ductus choledochus (66,75-120,50 mm).
Background and Purpose: Investigations of the larynxes in thyrty infants during the first year of... more Background and Purpose: Investigations of the larynxes in thyrty infants during the first year of life of both sexes, randomized trial, were performed by morphological and histologic analysis. Morphometric parameters of the larynx as: length (anterolateral parameter), width (transverse parameter) and thickness (anteroposterior parameter) were determined. These parameters determine the size and shape of the larynx. The repciprocal relation parameters which determinate size of the larynx in infants and the body length are in high correlation. Therefore, the equation for calculating the size of the larynx out of the body heght was founded. Histologic characteristics of the laryngeal cartilage are constant. They indicate evident changes, that are the basis for approximate determination of a child’s age. Materials and Methods: The organs of the infants were taken from pathoanatomical autopsies. None had changes in the respiratory system. The major methods of the investigatio were anatomi...
Acta Medica Saliniana, 2009
Introduction: clinical examination and surgical procedures require the knowledge of anatomical pe... more Introduction: clinical examination and surgical procedures require the knowledge of anatomical peculiarities of a complex area such as neck, especially if the anomalies in develoment of vascular system may occur. Aim: to investigate the mutual relation of the initial parts of the internal carotid artery and the external carotid artery, as well as the height of crossing of these blood vessels. Patients and methods: we evaluated 50 patients referred to diagnostic center of the PZU "Medicom" Zenica, by using of magnetic resonance imaging (MRI) of the neck. Results: External carotid artery is placed medially and goes to the frontal side of the internal carotid artery in 90% cases. In 7% of cases the right internal carotid artery is placed laterally from the internal carotid artery. Divergent position, where the internal carotid artery (medially) and the external carotid artery go away from each other, was found in 1% of cases. We also found that the internal carotid artery and external carotid artery cross approximately 3.04 cm above the bifurcation (at right 3.05 cm and at left 3.12 cm) and the height of the crossing varies from 1.3 cm to 4.2 cm (at right 1.3 cm to 4.2 cm, and at left 1.5 cm to 4.1 cm). The height of crossing is symmetric in 18% of cases. Reversal of the position of the external and internal carotid arteries was found in 7% cases. Conclusion: The possibility of an inversed disposition of the internal and external carotid arteries must be held in mind when performing arterial ligatures in the carotid triangle, to avoid damage to the internal carotid artery or haemorrhagic accidents.
Acta Medica Saliniana, Apr 3, 2009
An outstanding development of procedures and techniques of vascular, plastic and reconstructive s... more An outstanding development of procedures and techniques of vascular, plastic and reconstructive surgery demands the competence on variable anatomy of carotid blood vessels. This paper researched the anatomy of a. thyroideae superior by MR – angiography. It was established that it originates in 87.9% of cases as a separate branch of a.carotis externae, and in 5.47% it originates from a. carotis communis, or from its bifurcation.
Medicinski arhiv, 2004
The ductus cysticus is variable in the length, position and the site where it enters the ductus h... more The ductus cysticus is variable in the length, position and the site where it enters the ductus hepaticus communis--the cystohepatic junction. The investigations were carried out on 100 livers (50 anatomical preparations and 50 patients) adults of both sexes, randomized trial. Main methods of the research were: anatomical macrodissection and analysis of the clinical radiograms. The ductus cysticus were present as: flat--down course in 70%, flat--horizontal course in 2%, flat--ascendant course in 4%, curved in the shape "J" in 10%, curved in the shape "S" in 12% and curved in the shape "U" in 2%. The cystohepatic junction shows variations in topographic zones.
Medicinski arhiv, 2009
This paper describes variations of the appendix vermiformis, found in the course of open appendec... more This paper describes variations of the appendix vermiformis, found in the course of open appendectomy. Investigations involved surgeries performed in 2008 year in the Regional Hospital TeSanj. Variations in the site of formation and position of appendix vermiformis were established. Dominantly, appendix vermiformis is placed in the pelvic position in 57.71% of cases. In the smallest number of cases (2), or 3.07% lateral (paracecal) position was found. Variations of position of ostium appendicis vermiformis were registered as well. Two types of ostium appendicis vermiformis were found: dorso-medial wall of intestinum caecum below ostium ileocaecale (35.39%), dorso-lateral medial wall of intestinum caecum (30.7%) and lower pole of intestinum caecum (64.61%). Results of this research indicate very large variability of appendix vermiformis anatomy, which together with other factors (age, sex, phase in which is patient at the moment of examination) form a clinical picture of the acute ap...
Medicinski arhiv, 2008
Variations of extrahepatic bile ducts are the basis of hepatobilliar surgery, and they may be a p... more Variations of extrahepatic bile ducts are the basis of hepatobilliar surgery, and they may be a problem during the surgical procedures. In this paper we present the results of our research, wich is conducted on 100 human livers. Common hepatic duct wich is formed by connecting of right hepatic duct and left hepatic duct is noticed in 92% of cases, and in 5% of cases was formed by tree bile ducts. Aberant bile ducts was found in 3% of total number of examined.
Medicinski arhiv, 2002
There were investigated variations of appendix vermiformis in the place of origin and position. T... more There were investigated variations of appendix vermiformis in the place of origin and position. The investigations were carried out on 50 human preparations of adults of both sexes, unintentional choice. The position and relation between intestinum caecum and appendix vermiformis were determined by forensic medical and pathoanatomical autopsy. Place of origin of appendix vermiformis, from wall of intestinum caecum is determined by anatomical dissection. Intestinum caecum has a variable shape and it occurs in two forms: conical, which dominates (56%) and square (44%). It has constant position in fossa iliaca dextra in 100% of 50 investigated cases. Appendix vermiformis is fully variable organ as for position and the place of origin from the wall of intestinum caecum. Dominantly (52%) it has rising position, and two subtypes are present: retrocecal (more expressed-38%) related to the retrocolic subtype (14%). Very frequent position of appendix vermiformis is a falling one (32%), in wh...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2011
AIM To investigate a potential difference in postoperative morphological changes of two-level lum... more AIM To investigate a potential difference in postoperative morphological changes of two-level lumbar disc surgery as compared to one level surgery. METHODS The standard lateral radiographs of lumbar spine obtained preoperatively and postoperatively were used in the study . The morphological study included 60 adult patients of both sexes who had undergone the surgery in the period 2002-2006. The first group comprised patients operated on one level (L4/L5 and L5/ S1), and the second included patients operated on two levels (L3/ L4/L5; L4/L5/S1 and L5/S1/S2). Using lateral radiographs, after digitalization, the height of intervertebral disc space (HD), angle between vertebral bodies (A) and translation (T) were measured. RESULTS Comparing preoperative and postoperative values, statistically significant difference has been found for HD in the first group and HD and A in the second group. In neither groups there was statistically significant difference for T, which is one of radiological...
Crankshaft Phenomenon refers to the loss of three-dimensional correction of the scoliotic curve w... more Crankshaft Phenomenon refers to the loss of three-dimensional correction of the scoliotic curve which occurs after the back spine fusion is done to children who have not completely reached the skeletal maturity. Patients with infantile and juvenile idiopathic scoliosis are at the highest risk; however, this phenomenon also occurs in adolescents who are immature at the time of surgery. The aim of this study was to determine the relationship between the age of operated patients and the possible postoperative progression of scoliotic incurvation (The Crankshaft’s Phenomenon) after surgical correction of adolescent idiopathic scoliosis. The retrospective-prospective study was performed among 48 patients with adolescent idiopathic scoliosis, randomised selected, with both sexes included. All analyzed patients underwent a surgical correction of scoliosis through rear access, using the Isola's or the SSE (Spine System Evolution) implants. Correlation between presurgical and postsurgica...
In this work the frequency of aberrant and accessory bile ducts on anatomical preparations and cl... more In this work the frequency of aberrant and accessory bile ducts on anatomical preparations and clinical radiograms was researched. Aberrant bile ducts were detected in 2.5%.
UNLABELLED Research has been done at a 150 pairs of the human adult kidneys (50 anatomical prepar... more UNLABELLED Research has been done at a 150 pairs of the human adult kidneys (50 anatomical preparedness plus 100 patients) both sex, randomly chosen. Variations of the kidneys have been analyzed and their respect at a live ones, by clinical tree-dimensional "image"methods and lifeless one by anatomical macro dissection plus corrosive method. CONCLUSION At the most presence of noticed variation had into a size of the kidney, and the lowest one in the number of the kidneys. Technique of magnetic resonance (MR), in relation with computerized tomography (CT) had shown more types of the kidneys variations and more number of the kidney's variations in the form. Percentage of variations of the kidneys at an anatomical preparedness in relation with variations noticed by MR and CT, into a size had relation 44: 4: 0, in the form of 36: 6: 2, in the number 0: 2: 0 and into a location ( rotation) 0: 0: 4. The number and the type of noticed variations of the kidneys show the larges...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2016
Aim To establish presence of segmental instability in patients operated with standard discectomy ... more Aim To establish presence of segmental instability in patients operated with standard discectomy comparing measurement of translation and rotation on postoperative functional radiographs of lumbosacral spine with reference values,and to explore difference between patients operated on one or two levels. Methods The study included 71 patients, who were operated due to herniated lumbar disc. They were divided into two groups operated on one level (group A) or two adjacent levels (group B). All patients had been imaged in a standing position with functional lateral radiography. Radiographic images were digitized and then computerized measurement of translation and rotation was made. Measurement data were compared between the groups and with reference values obtained in healthy adults. Results Standard lumbar discectomy leads to an increase in translation, however, it reached statistical significance only for L4/L5 level and a decrease of rotation, which showed statistical significance f...
Collegium antropologicum, 2004
Having knowledge on models of the bronchial tree branching, is of a special interest for clinical... more Having knowledge on models of the bronchial tree branching, is of a special interest for clinical and surgical pulmology, because the hemilobectomy, segmentectomy and subsegmentectomy are always determined by intralobar, intrasegmental and intrasubsegmental bronchial ramification. Investigations were performed on 100 lungs of children and adults of both sexes, one day to 85 years old, randomly chosen. There are two main types of branching of the left upper lobe bronchus: the bifurcation pattern as dominant model in 74% and the trifurcation model found in 26%. Out of 100 lungs studied, 21 lungs had the ventilatory variations of the bronchopulmonary segments. The classification and categorization of the ventilatory of bronchopulmonary segments of the left upper lobe of lung were made. This classification contains 5 categories and 8 subcategories.
AIM To examine a possible relationship between the variable vascular geometry of vertebrobasilar ... more AIM To examine a possible relationship between the variable vascular geometry of vertebrobasilar joint angle and basilar bifurcation angle as well as the diameters of these blood vessels. METHODS The study included 60 adult patients, of both sexes, who were divided into two groups. One group (30) consisted of patients without aneurysm of vertebrobasilar tree, and another group (30) of patients with aneurysm. The patients were examined using Magnetic Resonance Imaging (MRI) and Computed Tomography Angiography (CTA) of head and neck. RESULTS In the group without aneurysm of vertebrobasilar tree, in 14 (46.6%) patients diameters of the right and the left vertebral artery were approximately the same. The average value of the angle of junctions of vertebral arteries was 65.43°, and the average angle of basilar bifurcation was around 94.53°. In the group with aneurysm of vertebrobasilar tree, in 12 (40%) patients diameters of the right and the left vertebral artery were also approximately...
The ductus cysticus is variable in the length, position and the site where it enters the ductus h... more The ductus cysticus is variable in the length, position and the site where it enters the ductus hepaticus communis--the cystohepatic junction. The investigations were carried out on 100 livers (50 anatomical preparations and 50 patients) adults of both sexes, randomized trial. Main methods of the research were: anatomical macrodissection and analysis of the clinical radiograms. The ductus cysticus were present as: flat--down course in 70%, flat--horizontal course in 2%, flat--ascendant course in 4%, curved in the shape "J" in 10%, curved in the shape "S" in 12% and curved in the shape "U" in 2%. The cystohepatic junction shows variations in topographic zones.
Medical Archives
In this report is described anomally of arteria ulnaris topography. By anatomical dissection of c... more In this report is described anomally of arteria ulnaris topography. By anatomical dissection of cadaver of a male new-born, we noticed the ulnar artery, on the right arm, layed superficially, under of fascia antebrachi. The ulnar artery was the branch of brachial artery, and it run directly from the brachial artery, in the level of interepicondilar line, to the madial part of the distal end of antebrachium, and it attached by ulnar nerve before they entered Guyon's canal.
Periodicum Biologorum
This research involved 50 patients processed in PZU, »Medicom« Zenica, by the method of MRI-angio... more This research involved 50 patients processed in PZU, »Medicom« Zenica, by the method of MRI-angiography when performing MR of the neck. The way of ramification of the a. carotis externae, that is described in classical anatomy textbooks, where its branches separate as individual branches, is found in 76,6% to 81%, according to the data from the literature available. These data are confirmed by our researches, where presence of this ramification type was found in 84% of the total number of technically accurate MRI angiograms (91 angiogram). In 16% of cases, the branches of a. carotis externae originate as common trunks, or have unusual place of origin (a. carotis communis). A. thyroidea superior in 1,09% originates as common trunk with a. lingualis, but in three cases (3,33%) it originates as common trunk with a. lingualis.
Variations of skeletopic position of artery carotis communis bifurcations were described in the s... more Variations of skeletopic position of artery carotis communis bifurcations were described in the study, which were diagnosed by the method of magnetic angiography during magnetic resonancy examination of the neck. Importance of recognition of variable anatomy of carotide blood vessels, caused by frequent surgery operations in the region, was emphasized. Examinations were done in 50 patients. Skeletopic position of bifurcation varied from the second to fifth cervical vertebra. The dominant position of bifurcation was at the level of the third cervical vertebra (72.72%) and the lowest percentage was at the level of the fifth cervical vertebra in 5.05 % cases. The difference in bifurcation level between the right and left arteria carotis communis ranged from 2-7 cm.
Anatomic variations of extrahepatic bile ducts may be problematic during surgical procedures. The... more Anatomic variations of extrahepatic bile ducts may be problematic during surgical procedures. The aim of this study was to evaluate frequency of anatomic variations of the biliary tree. Morphometric characteristics of the biliary tree segments and angles between them are described in this paper. The investigation was carried out on 120 cadaveric human livers. The main methods were anatomic macro-disection and morphometry. Very high variability of length of the biliary tree segments was noticed: ductus hepaticus communis (0-39,75 mm), ductus cysticus (6,25-46,25 mm) and ductus choledochus (66,75-120,50 mm).
Background and Purpose: Investigations of the larynxes in thyrty infants during the first year of... more Background and Purpose: Investigations of the larynxes in thyrty infants during the first year of life of both sexes, randomized trial, were performed by morphological and histologic analysis. Morphometric parameters of the larynx as: length (anterolateral parameter), width (transverse parameter) and thickness (anteroposterior parameter) were determined. These parameters determine the size and shape of the larynx. The repciprocal relation parameters which determinate size of the larynx in infants and the body length are in high correlation. Therefore, the equation for calculating the size of the larynx out of the body heght was founded. Histologic characteristics of the laryngeal cartilage are constant. They indicate evident changes, that are the basis for approximate determination of a child’s age. Materials and Methods: The organs of the infants were taken from pathoanatomical autopsies. None had changes in the respiratory system. The major methods of the investigatio were anatomi...