Displaying publications 1 - 20 of 56 in total

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  1. Khan AA, Asari MA, Hassan A
    Folia Morphol (Warsz), 2011 Nov;70(4):291-4.
    PMID: 22117248
    Wormian bones are a subset of the small intrasutural bones that lie between the cranial sutures formed by the bones of the skull vault. They are formed due to additional ossification centres in or near sutures. They are usually considered as normal variants and seem to be determined genetically in certain populations. They have been linked with rapid cranial expansion as they appear in great number in hydrocephalic skulls. They are commonly found in the lambdoid suture and fontanelles but are occasionally seen in other sutures especially the coronal, squamosal, and sagittal sutures. We examined 25 dried human skulls with the aim to find out the occurrence and variations of Wormian bones, and surprisingly we found Wormian bones in the coronal, squamosal, and sagittal sutures in 6 skulls. These are uncommon sites of occurrence of sutural bones as reported in the literature. These findings prompted us to report these cases as their presence can lead to confusion in diagnosis in cases of skull fractures.
    Matched MeSH terms: Cranial Sutures/anatomy & histology*
  2. Anuar Ramdhan I, Zulmi W, Hidayah A, Kamel M, Fadhil M, Anwar Hau M
    Malays Orthop J, 2013 Mar;7(1):52-5.
    PMID: 25722808 MyJurnal DOI: 10.5704/MOJ.1303.017
    Coaptive film (i.e., Steri-Strips™) is an adhesive tape used to replace sutures in wound closure. The use of coaptive film for wound closure after long bone fracture fixation has not been well documented in the literature.
    Matched MeSH terms: Sutures
  3. Teo SH, Ng WM, Abd Rahim MR, Al-Fayyadh MZM, Ali MRM
    Indian J Orthop, 2020 Apr;54(2):168-173.
    PMID: 32257034 DOI: 10.1007/s43465-019-00024-2
    Introduction: This study aims to compare the biomechanical properties and ease of learning and tying of our novel knot (UM Knot) with other commonly used arthroscopic sliding knots.

    Materials and methods: The Duncan, HU, SMC, Pretzel, Nicky's and square knots were selected for comparisons with UM knot. All knots were prepared with size 2 HiFi® suture by a single experienced surgeon and tested with cyclic loading and load to failure tests. The ease of learning was assessed objectively by recording the time to learn the first correct knot and the total number of knots completed in 5 min by surgeons and trainees.

    Results: The UM knot average failure load is significantly superior to the HU knot (p 

    Matched MeSH terms: Sutures
  4. Loo JT, Md Razif MA
    JUMMEC, 2005;8:56-60.
    Skin closure using simple interrupted nylon sutures was compared with closure using subcuticular nylon sutures in 80 consecutive patients undergoing semiemergency surgery, involving open reduction and internal fixation of either the forearm bones or femur. The simple interrupted technique was shown to be slower than the subcuticular technique with higher early postoperative wound complication rate. It may use an extra packet of sutures particularly if the average wound length is 19.8 cm. There is, however, no statistical difference demonstrated for the late scar complaints or subjective and objective scoring of cosmetic outcomes six months after the surgery. KEYWORDS: Simple interrupted, subcuticular, skin closure, nylon, cosmetic outcome
    Matched MeSH terms: Sutures
  5. Mohd Shafeea Leman, Khor Wei Chung, Muhammad Ashahadi Dzulkafli
    Sains Malaysiana, 2017;46:2349-2357.
    Fosil radiolaria yang terawet dengan agak baik telah ditemui di dalam lapisan rijang yang tersingkap di km 38, lebuhraya Gua Musang-Cameron Highland, berdekatan dengan Pos Blau, baratdaya Kelantan, Semenanjung Malaysia. Sebanyak 20 spesies fosil radiolaria telah dikenal pasti. Spesies ini mewakili zon himpunanPseudoalbaillella globosa yang menunjukkan usia (Roadian) Awal Perm Tengah. Zon himpunan radiolaria ini merupakan rekod biostratigrafi yang baru untuk jujukan batuan bersilika di Pos Blau dan di dalam Zon Sutura Bentong-Raub.
    Matched MeSH terms: Sutures
  6. Ping WW, Kee TS
    Med J Malaysia, 1975 Dec;30(2):135-8.
    PMID: 1228379
    Matched MeSH terms: Sutures*
  7. Sinthubua A, Theera-Umpon N, Auephanwiriyakul S, Ruengdit S, Das S, Mahakkanukrauh P
    Clin Ter, 2016 Mar-Apr;167(2):33-7.
    PMID: 27212570 DOI: 10.7417/CT.2016.1918
    Age estimation is one of the major components of forensic identification. Cranial suture closure has long been used as indicator for age estimation. Maxillary sutures have been less studied for estimation of age at death because they vary in their timing of closure with age. The purpose of this study was to estimate age by examining 190 Thai skulls with age ranging between 15-93 years from Forensic Osteology Research Center, Faculty of Medicine, and Chiang Mai University. Four parts of maxillary suture (incisive, anterior, transverse, and posterior sutures) were investigated the suture obliteration of each suture by computerizing from photograph. The suture were measured by pixel counting.The prediction model which based on the support vector machine (SVM) for regression or support vector regression (SVR) was utilized for data analysis. The results showed high correlation (R2 = 0.9086) between the predicted age and actual age. Plot between actual age group and predicted age in seven groups also revealed high correlation (R2 = 0.9434). These can be implied that we are able to use this SVR model to predict age at death using maxillary suture information.The interesting issue is to further apply this model in more cases to ensure the generalization of the finding. This study is the first attempt to estimate age at death using a new method based on novel analysis which considers a characteristic of relationship between maxillary suture closures with age that are not in linear form. The present study may contribute as a basis knowledge and method for further study of age estimation in archaeological and forensic anthropological contexts, especially when only skull or base of skull are found.
    Matched MeSH terms: Cranial Sutures; Sutures
  8. Leong YC, Muhammad-Suhairi J
    Malays Orthop J, 2019 Jul;13(2):45-48.
    PMID: 31467652 DOI: 10.5704/MOJ.1907.009
    Treatment of chronic Rockwood's type V Acromioclavicular (AC) joint dislocation remains controversial. We describe a surgical technique to reduce and maintain AC joint using a combination of gracilis autograft with GraftMax™ button (Conmed Inc, Utica, NY). Graft was prepared using running whip stitch technique with No. 5 Hi-Fi high strength suture (ConMed Linvatec, Largo, FL). Our technique reduces intraoperative clavicular and coracoid tunnel fracture and restores anatomical coracoclavicular ligament. At sixth week and third month postoperatively, the patient demonstrated good clinical and radiographic outcome.
    Matched MeSH terms: Sutures
  9. Or SY, Khaw YC, Hwang PX, Ong TK
    Malays Orthop J, 2017 Jul;11(2):60-63.
    PMID: 29021881 MyJurnal DOI: 10.5704/MOJ.1707.007
    Chronic sagittal band injury with tendon dislocation of the extensor digitorum communis in the hand often requires operative stabilization. Various surgical techniques have been reported to repair and reconstruct the sagittal band. Nonetheless, most of the techniques are technically demanding and require donor graft. In this case report, we report a novel surgical technique to centralize and stabilize the tendon by reattaching the radial sagittal band with anchor sutures. The advantages of this new technique are simple, no donor morbidity and stable repair to restore the normal biomechanics of the tendon. The patient was able to return to work in three months and no recurrent dislocation was noted at review two years after surgery.
    Matched MeSH terms: Sutures
  10. Jayaprakash PT
    Forensic Sci Int, 2013 Sep 10;231(1-3):403.e1-16.
    PMID: 23849815 DOI: 10.1016/j.forsciint.2013.05.028
    Uniqueness being unprovable, it has recently been argued that individualization in forensic science is irrelevant and, probability, as applied for DNA profiles, should be applied for all identifications. Critiques against uniqueness have omitted physical matching, a realistic and tangible individualization that supports uniqueness. Describing case examples illustrating pattern matches including physical matching, it is indicated that individualizations are practically relevant for forensic science as they establish facts on a definitive basis providing firm leads benefitting criminal investigation. As a tenet of forensic identification, uniqueness forms a fundamental paradigm relevant for individualization. Evidence on the indeterministic and stochastic causal pathways of characteristics in patterns available in the related fields of science sufficiently supports the proposition of uniqueness. Characteristics involved in physical matching and matching achieved in patterned evidence existing in the state of nature are not events amenable for counting; instead these are ensemble of visible units occupying the entire pattern area stretching the probability of re-occurrence of a verisimilitude pattern into infinity offering epistemic support to uniqueness. Observational methods are as respectable as instrumental or statistical methods since they are capable of generating results that are tangible and obviously valid as in physical matching. Applying the probabilistic interpretation used for DNA profiles to the other patterns would be unbefitting since these two are disparate, the causal pathways of the events, the loci, in the manipulated DNA profiles being determinable. While uniqueness enables individualizations, it does not vouch for eliminating errors. Instead of dismissing uniqueness and individualization, accepting errors as human or system failures and seeking remedial measures would benefit forensic science practice and criminal investigation.
    Matched MeSH terms: Cranial Sutures/radiography
  11. Kumaresan R, Pendayala S, Srinivasan B, Kondreddy K
    Indian J Dent Res, 2014 Jul-Aug;25(4):541-3.
    PMID: 25307925 DOI: 10.4103/0970-9290.142577
    OBJECTIVES: The purpose of this paper is to develop a simple and cost-effective suturing training model.
    MATERIALS AND METHODS: A simplified suturing model is developed for preclinical training purpose. The training model requires only three easily available materials, which include synthetic foam sponge, elastomeric impression material and putty impression material. Construction of this model requires only 15 min.
    RESULTS: The training model thus developed resembles a realistic human tissue with a skin analog, deeper connective tissues and a bony base. This enables the students to practice various suturing technique at different tissue planes. Such practice helps the students to perform a live procedure in a more skilled and less traumatic way.
    CONCLUSION: The easy availability and cost-effective nature of the materials, in concert with fast construction time, makes this suturing model appropriate when an affordable alternative is desired.
    Matched MeSH terms: Sutures
  12. Gunasagaran J, Rasid RJ, Mappiare S, Devarajooh C, Ahmad TS
    Malays Orthop J, 2018 Jul;12(2):37-41.
    PMID: 30112127 MyJurnal DOI: 10.5704/MOJ.1807.007
    Introduction: Microsurgery is a subspecialised field which requires high technical skill. Laboratory training offers good opportunity for novice surgeons to learn and repetitively practise their skills prior to hands-on clinical practice. Commonly, the training programme consists of models in a stepwise increase in fidelity: from latex sheet to anaesthetised rat. We introduce microgrids model as a daily warm up procedure in a 5-day basic microsurgery course. The purpose of this study is to evaluate the correlation between microgrids colouring under magnification with microsuturing proficiency among novice surgeons. Materials and Methods: Participants were required to fill in microgrids under magnification everyday during their 5-day training as a starter test. The number of completely filled in microgrids in 20 seconds was recorded. A simulated cut on latex sheet was sutured and the time taken to apply five sutures was recorded. The sutures were evaluated with modified Global Rating Scale (GRS). Data was analysed with SPSS. Results: There was a statistically significant correlation between the number of microgrids coloured and the time taken to apply five sutures (p<0.01). An increase in number of microgrids coloured was significantly associated with the increase in quality of the suturing technique (p< 0.01). During the 5-day basic microsurgery skills training for novice surgeons, microsuturing skill improvement correlated with microgrid colouring. Conclusion: Microgrids colouring reflected microsuturing proficiency. It is an inexpensive, readily available, and simple model of 'warm up' for hand dexterity. The microgrids model can function as a starter test for initial training and a quick screening measure to assess microsurgical skill.
    Matched MeSH terms: Sutures
  13. Lai JH, Loo GH, Shuhaili MAB, Ritza Kosai N
    Int J Surg Case Rep, 2019;60:276-280.
    PMID: 31261047 DOI: 10.1016/j.ijscr.2019.06.045
    INTRODUCTION: Primary fascial closure can be a challenging step during a laparoscopic intraperitoneal onlay mesh (IPOM) repair for a ventral hernia.

    CASE PRESENTATION: We present here a novel technique of using intravenous (IV) cannula as an alternative to suture passer for fascial closure during laparoscopic IPOM repair for a 59-year-old patient with an incisional ventral hernia. The placement of non-absorbable sutures for fascial closure was done with the help of a 14 gauge IV cannula instead of a transfascial suture passer. The rest of the procedural steps were the same as a standard laparoscopic IPOM repair. The patient's post-operative recovery was uneventful.

    DISCUSSION: Primary fascial closure during a laparoscopic IPOM hernia repair can be done either by intracorporeal or extracorporeal techniques, using interrupted or continuous sutures. We propose a novel alternative to suture passer in primary fascial closure. IV cannulas are widely available in hospital settings. The advantage of using an IV cannula instead of a suture passer is that they are widely available. Its single-use also eliminates the risk of transmissible diseases, and as it has a smaller diameter than suture passer, it requires a lower insertion force for successful placement.

    CONCLUSION: An IV cannula may be used as a more economical alternative to a transfascial suture passer. This technique is easily reproducible and does not violate the principles of primary fascial defect closure in laparoscopic ventral hernia repair.

    Matched MeSH terms: Sutures
  14. Jayaprakash PT, Srinivasan GJ
    Forensic Sci Int, 2013 Jun 10;229(1-3):166.e1-13.
    PMID: 23582744 DOI: 10.1016/j.forsciint.2013.03.038
    Forensic identification of juvenile skulls is a problem area. Although the skull suture patterns have been suggested for use in individualizing human remains by comparing antemortem and postmortem radiographs, the age at which such patterns stabilize and can be useful for identification had been indicated as 7 years. Subsequent researchers have also concurred that antemortem and postmortem radiographs taken after the 7th year would be sufficient to meet the Daubert standard criteria for identifying skulls using radiographs. The suggestions regarding the lower age limit for stabilization of suture patterns have not been verified so far. In this research, the patterns of the sutures in the ectocranial and endocranial surfaces of the lambdoid region in 22 juvenile skulls (age range 1-10 years) and 100 adult skulls (age range 17-70 years) were studied for the relative incidence of different types of suture patterns. The radiographic recordings of the suture patterns in the juvenile skulls were also compared with the patterns seen in the ectocranial and endocranial surfaces. The findings of this study support the proposition that the suture patterns are plastic during the juvenile stage and that they undergo significant remodeling during growth into adulthood. Indicating the possibility of growth related alterations in the sutural morphology, the onset of adulthood is suggested as the age for stabilization of suture patterns in the context of prescribing standards for such criteria as those relating to Daubert.
    Matched MeSH terms: Cranial Sutures/growth & development*; Cranial Sutures/radiography*
  15. Lim KO, Cheong KC
    Med Eng Phys, 1994 Nov;16(6):526-30.
    PMID: 7858787
    In the fabrication of a bioprosthetic heart valve from bovine pericardial tissues, the tissues are subjected to suturing. The stress-strain response of sutured as well as unsutured strips of this tissue were examined. The stress-strain response was determined using a tensile-testing machine. It was found that suturing weakens the tissue in that sutured strips are more extensible, exhibit a lower stress at rupture and a lower final elastic modulus. In addition, it was also found that the bigger the suture/needle size used the greater the decrease in tissue strength. In all, tissue strength was observed to decrease by 22 to 59% in this study. The weakening of the tissue is attributed to the puncture holes created by the surgeon's needle which create regions of weakness. This response of bovine pericardial tissue to suturing should be given due consideration in the fabrication of a bioprosthetic heart valve using this tissue.
    Matched MeSH terms: Sutures/classification; Sutures/standards
  16. Foissner W
    Soil organisms, 2008 Jan;80(1):81-99.
    PMID: 21151764
    Few data are available on soil ciliates from Asia. Thus, seven samples were collected in Singapore in February 1987 and investigated between December 1987 and May 1989, using the non-flooded Petri dish method, live observation, and silver impregnation. One hundred and three ciliate taxa, all new for the fauna of Singapore and Malaysia, were found. This applies also to Hemimastix amphikineta, a highly characteristic, euglenid flagellate with Gondwanan distribution. At least three undescribed ciliate species were discovered, viz., Ottowphrya magna, which has been published by Foissner (1993), Dileptus microstoma Vd'ačný & Foissner (2008), and Suturothrix monoarmata, which is described in the present paper. The new genus Suturothrix belongs to the order Haptorida and is unique in having a heteromorphic dorsal brush consisting of three staggered rows, thus forming a suture with the last right side ciliary row. Suturothrix monoarmata is a slender, middle-sized (~ 100 × 15 μm) ciliate easily recognisable by the single or two thick extrusomes in the centre of the minute oral bulge. The species is not restricted to Asia but has been found also in soil from the Amazon floodplain, Brazil.
    Matched MeSH terms: Sutures
  17. Lim JHC, Azman BAR, Othman BHR
    Zookeys, 2019;859:17-29.
    PMID: 31327920 DOI: 10.3897/zookeys.859.33284
    A new species of caprellid, Aciconulatinggiensis (Amphipoda, Senticaudata, Caprellidae) was discovered from Pulau Tinggi, Sultan Iskandar Marine Park (SIMP), South China Sea, Malaysia. The new Malaysian species can be distinguished from the other Aciconula species by the combination of the following characters: 1. the presence of a very small suture between head and pereonite 1; 2. antenna 1 flagellum with 4 articles; 3. inner lobe of lower lip unilobed; 4. gnathopod 2 palm of propodus with a large proximal projection (stretching from the proximal margin of the palm to nearly mid-way of palm); 5. pereopods 3-4 with 2 articles (article 1 subrectangular, article 2 conical or tapering at the tip with 1 plumose seta and 2 normal setae) and; 6. pereopod 5 covered with relatively dense and long setae. An updated identification key for the five known species in the genus, including information on the respective geographical distribution and habitat, is presented.
    Matched MeSH terms: Sutures
  18. Bahadun, J., Nik Hussien, N.N., Yunus, N.N.N.
    Ann Dent, 2007;14(1):26-30.
    MyJurnal
    Pyknodysostosis is a rare sclerosing bone disorder with autosomal recessive mode of inheritance. The condition is characterized by continuous bone deposition without physiological resorption, occurring mainly in the trabecular and not the cortical bone. The skeletal features include short stature, brachycephaly, open cranial sutures and fontanelles, diffuse osteosclerosis and obtuse mandibular angles. Among the oral features observed were grooved or furrowed palate and disturbances in eruption and exfoliation of teeth. Multiple fractures of long bones and osteomyelitis of the jaw are frequent complications. These are attributed to the increased brittleness and reduced vascularity of the bone as a result of continuous endosteal bone deposition. Treatment is usually successful with surgical management and sustained bactericidal antibiotic therapy, although hyperbaric oxygen has been recommended as adjunct treatment in the more refractory form.
    Matched MeSH terms: Cranial Sutures
  19. Ong, A.H.M.
    Ann Dent, 1996;3(1):-.
    MyJurnal
    The current standard of managing facial bone fractures is the use of rigid internal fixation. This method provides good stabilization and repair for mid-face fractures such as the zygomatico-orbitalfracture. Nowadays, for the young and old, patients want not only rapid bone healing, but also good facial aesthetics after surgical treatment following maxillofacial trauma. Therefore, osteosynthesis of fractures and inconspicuous post-operative scars are considered essential. The lower eyelid approach or modified blepharoplasty provides rapid access to the infraorbital rim as well as the orbital floor, while the lateral eyebrow incision gives direct access for fixation at the fronto-zygomatic suture. Combining the Gillies' approach and a single form of rigid internal fixation, good cosmetic results and function can be achieved. Cases using the micro-plate-system for thin infraorbital bones and the miniplate- system for thicker facial bones involving zygomatico-orbital fractures are described.
    Matched MeSH terms: Sutures
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