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Fulton co-developed tretinoin, known by the brand name as Retin-A, with Dr. Albert Kligman. [1] [2] Fulton was also pioneer for his use of new procedures and treatments in dermatology. He is believed to be the first dermatologist to include an aesthetician on the staff of his medical team. [1]
Use during pregnancy is contraindicated due to the risk of birth defects. [8] [1] It is in the retinoid family of medications. [9] Tretinoin was patented in 1957 and approved for medical use in 1962. [13] It is on the World Health Organization's List of Essential Medicines. [14] Tretinoin is available as a generic medication. [15]
Injury to Erb's point is commonly sustained at birth or from a fall onto the shoulder.The nerve roots normally involved are C5 and partly C6. Symptoms include paralysis of the biceps, brachialis, and coracobrachialis (through the musculocutaneous nerve); the brachioradialis (through the radial nerve); and the deltoid (through the axillary nerve).
The infrahyoid muscles, or strap muscles, are a group of four pairs of muscles in the anterior (frontal) part of the neck. [1] The four infrahyoid muscles are the sternohyoid, sternothyroid, thyrohyoid and omohyoid muscles. [1] Excluding the sternothyroid, the infrahyoid muscles either originate from or insert on to the hyoid bone. [2]
The facial muscles are just under the skin (subcutaneous) muscles that control facial expression. They generally originate from the surface of the skull bone (rarely the fascia), and insert on the skin of the face. When they contract, the skin moves. These muscles also cause wrinkles at right angles to the muscles’ action line. [2]
The basic structure of the hydrophobic retinoid molecule consists of a cyclic end group, a polyene side chain and a polar end group. The conjugated system formed by alternating C=C double bonds in the polyene side chain are responsible for the color of retinoids (typically yellow, orange, or red).
The triangles of the neck describe the divisions created by the major muscles in the region.. The side of the neck presents a somewhat quadrilateral outline, limited, above, by the lower border of the body of the mandible, and an imaginary line extending from the angle of the mandible to the mastoid process; below, by the upper border of the clavicle; in front, by the middle line of the neck ...
The deep cervical fascia (or fascia colli in older texts) lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap. [1]