The Quantified Human Gracilis-A Guide to Improve Aesthetic and Functional Outcomes.
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Date
2015-07
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Abstract
Background: A functioning gracilis muscle is considered the ideal flap to
improve the functional/aesthetic outcome with minimal donor site morbidity.
This graceful and slender muscle with special attributes is increasingly being
used for covering soft tissue defects, repair of urogenital fistulas and
restoration of anal function. Only some studies describing the quantification
of this muscle are available and population attributes of the muscle have not
been taken into consideration. The present study quantifies the human
gracilis muscle in a North Indian population. Methods: The morphometry
of gracilis was studied in 50 inferior extremities obtained from 25 phenol
embalmed adult North Indian cadavers with known age and sex. The
length and width of the aponeurotic origin, the length of the muscle
belly, length of the distal tendon of insertion were measured. The
muscle, tendon ratios were derived. Results: The mean estimates for
various morphological features of gracilius muscle were standardized for
North Indians. All the origins and insertions for the muscle correlated with
the standard textbook descriptions. No variation was found from a
standard textbook pattern in the present sample. The reconstructive
procedures should take the local population profile into consideration.
Conclusion: The results will aid the clinician in choosing an appropriate
muscle and tendon lengths in surgeries. This definitely will lead to better
functional and aesthetic outcomes in restorative procedures.
Description
Keywords
Aesthetic, Gracilis, Morphometry
Citation
Kaur Navneet, Agnihotri Gaurav, Sharma Ravikant. The Quantified Human Gracilis-A Guide to Improve Aesthetic and Functional Outcomes. Academia Anatomica International. 2015 Jul-Dec; 1(1): 34-38.