(3), an imaginary vertical line was drawn across the manubrium
mallei on the otoendoscopic images and three groups were determined:
Accordingly, the fixation of the ossicles was also a regular finding among our patients, particularly the fixation of the malleus head, and a reduced movement of the manubrium
, the incus, or the stapes superstructure, due to adhesions.
The diverse minimally or less invasive strategies reported in the literature include splitting the manubrium
(manubriotomy), closed mediastinal exploration with dedicated equipment followed by excision of the gland via transcervical approach, video-assisted mediastinoscopy, video-assisted thoracoscopic surgery (VATS), and robot-assisted exploration (1, 10).
(a) Before reduction, the clavicle (arrow) was located behind the manubrium
The bull's head sign is the pathognomonic of SAPHO syndrome which is characterized by manubrium
sterni which represents the upper skull and the inflamed sternoclavicular joint with the adjacent clavicle representing the horns .
The outer lamella was half the manubrium
length and the inner surface was with a triangular plate.
 Reach distance consists of the three factors involved in reaching forward from the saddle: the distance from the back of the saddle to the transverse bar of the handlebars; full arm length (acromion to metacarpal heads) and upper body length (from flat surface of plinth to incisura jugularis of the manubrium
sterni in supported sitting).
The malleus is fixed with its manubrium
to the ear drum and the stapes with its footplate to the oval window.
, clavicle heads, and first and second ventral ribs were resected to facilitate the approach to the anterior mediastinal space.
Immediately before sternotomy and with the patient under sedation, approximately 20 mL of bone marrow cells was collected by needle puncture of the sternal manubrium
The connection of clavicle and the manubrium
sterni has been taken into account, and the influence of the restraint of the sternum on the deformation of the chest has been also taken into account in the paper.
The specimen included the manubrium
and upper four ribs (Figure 2(a)), leaving a bony defect 8 x 13 cm in the chest wall (Figure 2(b)).