The Effect of Anterior Transposition of the Inferior Oblique Muscle on Description. The inferior division of the oculomotor nerve also carries parasympathetic fiber along the optic nerve to the ciliary ganglion. It passes between the inferior rectus and the orbital floor then wraps round the inferolateral aspect of the eye, deep to the lateral rectus, before inserting in the posterior surface of the sclera between the superior rectus and lateral rectus muscles 1. The inferior oblique originates from a point in the middle and toward the front of the floor of the eye socket, near the tear duct. Gray's basic anatomy. Inferior oblique is a thin, narrow muscle of the eye. See: extraocular for illus. Nerve: oculomotor (CN III). What are the symptoms of an oblique strain? berprfen Sie es Note the normal inferior oblique muscle in the left eye (arrow) (B). Function. It provides visual stability when looking upward or downward by resisting the eye's tendency to rotate involuntarily. ZYGOMATIC ARCH. Internal oblique muscle: origin, insertion and function - GetBodySmart What is the function of the internal and external obliques? Because true hyperinnervation is not usually present, this phenomenon is better termed "elevation in adduction".[3]. [18] are lower than our values and those reported by Ozgen, Aydingz [15]. The . exercises for vastus medialis oblique The superior oblique muscle is reliable for abduction, internal rotation, and depression. Based on this case and a review of the literature, the anatomic organization of the oculomotor nerve fascicles and of the pupillary fibers in the ventral midbrain tegmentum is proposed. It is one of the 6 extraocular muscles , also referred to as the extrinsic muscles of the orbit . Imnew to the blog world but Im trying to get started and create my own. foot and ankle strengthening exercises Every eye muscle does multiple jobs, so the superior oblique does contribute to other motions. Im obliged for the article post.Much thanks again. Muscle Contraction. levator scapulae pinched nerve what are leg raises good for ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. El Paso Functional Medicine. As the inserting tendon of the inferior and superior oblique muscles give each further, they lie in the same oblique vertical plane. The inferior oblique is an extraocular muscle that arises in the front of the orbit near the nose. The inferior oblique muscles externally rotate, elevate, and abduct the eye. Passing lateralward, backward, and upward, between the inferior rectus and the floor of the orbit, and just underneath the lateral rectus muscle, the inferior oblique inserts onto the scleral surface between the inferior rectus and lateral rectus. [1] It originates near the nose. Surgical outcomes of three different weakening procedures of inferior Patients will demonstrate symptoms ranging from transient diplopia to permanent strabismus. The muscle makes an angle of approximately 51 degrees with the sagittal axis. Oblique Muscle Strengthening: EP Wellness Functional Clinic Patients with inferior oblique overaction are at improved risk for retinal holes and tears. In inferior oblique overaction, the muscles pull on the thin sclera, and is more reasonable to form a tear or hole in the retina. Retrospective review of medical records of all patients with unilateral SO palsy who . The main measures were the type of inferior oblique overaction Objective. This patient had no abnormal neurologic findings. CPT also considers the Inferior Oblique (IO) muscle -- but not the Superior Oblique (SO) muscle-- a vertical muscle. What is the function of inferior oblique muscle? triceps workout with dumbbells What Structure Separates The Middle Constrictor And Inferior Extraocular Muscles - Earth's Lab Right inferior oblique muscle palsy - American Academy of Ophthalmology Origin: (proximal attachments) a. Anterior iliac crest, lateral half of inguinal ligament, and thoracolumbar fascia. These videos were created through the David Geffen School of Medicine at UCLA (. Two of those muscles, the superior and inferior rectus, move the eye up and down when the eye is rotated away from the nose. The inferior oblique is a thin, narrow eye muscle and belongs to the group of six extraocular muscles or the orbit's extrinsic muscles. The abdominal external oblique muscle (also external oblique muscle, or exterior oblique) is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen. Inferior oblique muscle. Physiotherapy clinic in Amaraiwadi Two Obliques Muscles: Superior oblique; Inferior oblique; levator Palpebrae Superior: The levator palpebrae superioris is the only muscle which is involved in raising the superior eyelid. it extorts the eye and moves it upward and outwards). A, There is a limitation of elevation on maximum attempted upgaze. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. When the eye is adducted, or turned toward the . Horner's syndrome. Horner's syndrome. The primary movement is extorsion (external rotation), the second movement is elevation, and the tertiary movement is abduction (i.e. The inferior oblique is one of the extraocular muscles, and is attached to the maxillary bone (origin) and the posterior, inferior, lateral surface of the eye (insertion). The inferior oblique muscle is primarily reliable for external rotation. It can present in different ways causing somatic extraocular muscle dysfunction (superior, inferior, and medial recti; inferior oblique; and levator palpebrae superioris) and autonomic (pupillary sphincter and ciliary) muscles. Inferior oblique muscle of the eye - Human Anatomy | Kenhub Thus, when the physician testing eye movements first asks the patient to follow their finger medially then superiorly in the familiar H-shape, the inferior oblique muscle (and the inferior branch of the oculomotor nerve that supplies it) are being directly tested 2. The fascial sheath of the inferior oblique blend with the thickened sheath of the inferior rectus muscles. External surfaces of ribs 5-12. The anterior transposition procedure of the inferior oblique muscle is a chance for patients who have inferior oblique overaction with dissociated vertical deviation. 6 Extraocular Eye Muscles and Their Functions Obliquus capitis inferior: Origin, insertion and action | Kenhub A. in the abdomen B. in the eye socket C. in the anterior neck D. in the face. Summary innervation: inferior branch of the oculomotor nerve (CN III) origin : orbital surface of the maxilla insertion : globe (posterior, lateral surface) primary function : one of two ocular external rotators It also moves the eye inward towards the nose and rotates the top of the. Similar to the superior oblique muscles, but unlike the rectus muscles, the inferior oblique does not originate from the common tendinous ring (annulus of Zinn). Inferior Oblique. Primary action is extorsion (external rotation); secondary action is elevation; tertiary action is abduction (i.e. To evaluate and quantify the effect of inferior oblique muscle weakening on horizontal deviations. Expand your knowledge with our learning materials about the muscles of the back. Skeletal muscles are attached (with some exceptions, such as the muscles of the tongue and pharynx) to the skeleton by means of tendons, usually in pairs that pull in opposite directions, e.g., the biceps (flexor) and triceps (extensor) that move the forearm at the elbow. 25 The Inferior Oblique: Surgical Techniques | Ento Key Don't Know Your Lateral From Your Inferior Rectus Muscles - AAPC The inferior oblique muscles are described as having two surfaces; 1. superiorly, the ocular surface, and 2. inferiorly, the orbital surface. Inferior Oblique Myokymia (IOM) is a rare disorder, characterized by intermittent episodes of monocular, high-frequency, low-amplitude contractions of the inferior oblique muscle [1]. Muscles Of The Eyes | Muscles Used 1. The anterolateral abdominal wall (in the square) The secondary and tertiary movements are elevation and abduction, respectively. Whats up, after reading this awesome post i am also happy to share my knowledge here with colleagues. The inferior oblique is a thin, narrow eye muscle and belongs to the group of six extraocular muscles or the orbits extrinsic muscles. chiropractor Specifically, from the medial (orbital) surfaces of the maxilla just lateral to the nasolacrimal fossa. Check for errors and try again. The pair of Oblique muscles are responsible for controlling the adjustments involved in counteracting head movements, in other words being able to keep your focus on . Imaging of the Head and Neck. Obliquus Capitis Inferior - Physiopedia medial rectus muscle IV. The muscle responsible for eyelid elevation is the Levator . The external and internal oblique muscles rotate and side bend the trunk. physiotherapy treatment The inferior oblique originates at the periosteum of the maxillary bone near the lacrimal fossa and inserts into the posterior globe near the inferior border of the lateral rectus, passing under the inferior rectus. LAB #6 MUSCULAR SYSTEM 6-1 LIST ASSOCIATED TO VARIOUS MODELS EYE MUSCLE MODEL I. superior rectus muscle II. The oculomotor nerve supplies motor innervation to the levator palpebrae superioris, the superior, medial, and inferior rectus muscles, and the inferior oblique muscle. Patients experience excyclotorsion induced by looking up and out [1]. However, because the apex of the orbit is placed medially in the skull, the orbital axis does not correspond with the optical axis of the eye in its neutral position. The fractured posterior right orbital floor is also noted (C). Extraocular muscles are essential for ocular movement. The superior rectus muscle and inferior oblique muscle primarily move the eye upward. Nineteen. For example, to elevate the eye while looking straight ahead, the superior rectus and inferior oblique contract together as the inferior rectus and superior oblique relax. The inferior oblique is an extraocular muscle that originates in the front of the orbit near the nose. Hence, if there is paralysis of the superior oblique muscles, the inferior oblique movement is unopposed and results in excessive elevation. The oblique muscle group is located in the anterolateral abdominal wall. Myectomy can be graded from moderate to large. Eye movement of lateral rectus muscle, superior view, Eye movement of medial rectus muscle, superior view, Eye movement of inferior rectus muscle, superior view, Eye movement of superior rectus muscle, superior view, Eye movement of superior oblique muscle, superior view, Eye movement of inferior oblique muscle, superior view. How is Strabismus (Eye Muscle) Surgery Performed? While commonly affected by palsies of the inferior division of the oculomotor nerve, isolated palsies of the inferior oblique (without affecting other functions of the oculomotor nerve) are quite rare. It is also encountered and identified in lower lid blepharoplasty surgeries. Last medically reviewed on January 28, 2015. pelvic tilt exercise for low back pain The inferior oblique is reliable for extorsion, elevation, and abduction. The thin inferior oblique muscle lies around the anterior border of the floor of the orbit. Tennis Elbow Physiotherapy clinic in India colony road Superior oblique: The SO muscle wraps around the top of the eyeball. The muscles migrate anteriorly from their root to connect to the . Sciatica The inferior oblique muscle exhibits a thick and irregular appearance (arrow) (A). Inferior oblique: Attachments, innervation and function | Kenhub Inferior Oblique When the eye is turned toward the nose, the inferior oblique muscle raises the eye, turning the top of it away from the nose and moving it upward. The frequency of involvement of each muscle is not well established in the medical literature. It is also called the second cranial nerve or cranial nerve II. Obliquus capitis inferior muscle - Wikipedia For loss or significant injury of the inferior rectus, inferior oblique anterior transposition has demonstrated to be a very good procedure for improving the hypertropia in these cases. It is reported in 70% of patients with esotropia and 30% of patients with exotropia. The inferior oblique muscle can undergo weakening by various degrees, or transposition, depending on the procedure performed: Recession with reinsertion of the inferior oblique measured from the temporal pole of the inferior rectus insertion. Illustrated cases were consistent with the hypothesis that short inferior oblique muscles simply hold the globes in extorted positions, and the appearance of inferior oblique muscle "overaction" arises from the eyes' following their extorted movement paths on side gazes, not from hypertonicity of the inferior oblique muscle in the adducting eye The inferior division supplies the medial rectus, inferior oblique and inferior rectus and travels to the ciliary ganglion where it picks up parasympathetics What are the nerve branches which come from the ciliary ganglion carrying parasympathetics to the sphincter pupillae and ciliary muscles known as? Because true hyperinnervation is not usually present, this splendor is better termed elevation in adduction. The muscle fibers on one side of a tendon feed into it at a certain angle and muscle fibers on the other side of the tendon feed into it at the opposite angle. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. How do you test the inferior oblique muscle? - KnowledgeBurrow.com 2 Using the same algorithm, contracture of a superior rectus muscle, e.g., from thyroid ophthalmopathy, can produce a "pseudo-weakness" of the . Purpose: To further define the clinical features of patients with inferior oblique muscle overaction (IOOA) and evaluate the surgical results in a subgroup of these patients. inferior oblique muscle synonyms, inferior oblique muscle pronunciation, inferior oblique muscle translation, English dictionary definition of inferior oblique muscle. It abducts, depresses and internally rotates the eye. 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inferior oblique muscle

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The inferior oblique muscles are supplied by the inferior division of the oculomotor nerve (CN III), which delivers it with general somatic efferent fibers. The orbicularis. Diplopia resulting from an inferior oblique injury usually shows as a distorted visual image with an upward lateral gaze. The Oculomotor Nerve or Cranial Nerve III. In humans, the muscle is about 35mm long.[1]. 54%. Causes Methods. The Effect of Anterior Transposition of the Inferior Oblique Muscle on Description. The inferior division of the oculomotor nerve also carries parasympathetic fiber along the optic nerve to the ciliary ganglion. It passes between the inferior rectus and the orbital floor then wraps round the inferolateral aspect of the eye, deep to the lateral rectus, before inserting in the posterior surface of the sclera between the superior rectus and lateral rectus muscles 1. The inferior oblique originates from a point in the middle and toward the front of the floor of the eye socket, near the tear duct. Gray's basic anatomy. Inferior oblique is a thin, narrow muscle of the eye. See: extraocular for illus. Nerve: oculomotor (CN III). What are the symptoms of an oblique strain? berprfen Sie es Note the normal inferior oblique muscle in the left eye (arrow) (B). Function. It provides visual stability when looking upward or downward by resisting the eye's tendency to rotate involuntarily. ZYGOMATIC ARCH. Internal oblique muscle: origin, insertion and function - GetBodySmart What is the function of the internal and external obliques? Because true hyperinnervation is not usually present, this phenomenon is better termed "elevation in adduction".[3]. [18] are lower than our values and those reported by Ozgen, Aydingz [15]. The . exercises for vastus medialis oblique The superior oblique muscle is reliable for abduction, internal rotation, and depression. Based on this case and a review of the literature, the anatomic organization of the oculomotor nerve fascicles and of the pupillary fibers in the ventral midbrain tegmentum is proposed. It is one of the 6 extraocular muscles , also referred to as the extrinsic muscles of the orbit . Imnew to the blog world but Im trying to get started and create my own. foot and ankle strengthening exercises Every eye muscle does multiple jobs, so the superior oblique does contribute to other motions. Im obliged for the article post.Much thanks again. Muscle Contraction. levator scapulae pinched nerve what are leg raises good for ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. El Paso Functional Medicine. As the inserting tendon of the inferior and superior oblique muscles give each further, they lie in the same oblique vertical plane. The inferior oblique is an extraocular muscle that arises in the front of the orbit near the nose. The inferior oblique muscles externally rotate, elevate, and abduct the eye. Passing lateralward, backward, and upward, between the inferior rectus and the floor of the orbit, and just underneath the lateral rectus muscle, the inferior oblique inserts onto the scleral surface between the inferior rectus and lateral rectus. [1] It originates near the nose. Surgical outcomes of three different weakening procedures of inferior Patients will demonstrate symptoms ranging from transient diplopia to permanent strabismus. The muscle makes an angle of approximately 51 degrees with the sagittal axis. Oblique Muscle Strengthening: EP Wellness Functional Clinic Patients with inferior oblique overaction are at improved risk for retinal holes and tears. In inferior oblique overaction, the muscles pull on the thin sclera, and is more reasonable to form a tear or hole in the retina. Retrospective review of medical records of all patients with unilateral SO palsy who . The main measures were the type of inferior oblique overaction Objective. This patient had no abnormal neurologic findings. CPT also considers the Inferior Oblique (IO) muscle -- but not the Superior Oblique (SO) muscle-- a vertical muscle. What is the function of inferior oblique muscle? triceps workout with dumbbells What Structure Separates The Middle Constrictor And Inferior Extraocular Muscles - Earth's Lab Right inferior oblique muscle palsy - American Academy of Ophthalmology Origin: (proximal attachments) a. Anterior iliac crest, lateral half of inguinal ligament, and thoracolumbar fascia. These videos were created through the David Geffen School of Medicine at UCLA (. Two of those muscles, the superior and inferior rectus, move the eye up and down when the eye is rotated away from the nose. The inferior oblique is a thin, narrow eye muscle and belongs to the group of six extraocular muscles or the orbit's extrinsic muscles. The abdominal external oblique muscle (also external oblique muscle, or exterior oblique) is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen. Inferior oblique muscle. Physiotherapy clinic in Amaraiwadi Two Obliques Muscles: Superior oblique; Inferior oblique; levator Palpebrae Superior: The levator palpebrae superioris is the only muscle which is involved in raising the superior eyelid. it extorts the eye and moves it upward and outwards). A, There is a limitation of elevation on maximum attempted upgaze. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. When the eye is adducted, or turned toward the . Horner's syndrome. Horner's syndrome. The primary movement is extorsion (external rotation), the second movement is elevation, and the tertiary movement is abduction (i.e. The inferior oblique is one of the extraocular muscles, and is attached to the maxillary bone (origin) and the posterior, inferior, lateral surface of the eye (insertion). The inferior oblique muscle is primarily reliable for external rotation. It can present in different ways causing somatic extraocular muscle dysfunction (superior, inferior, and medial recti; inferior oblique; and levator palpebrae superioris) and autonomic (pupillary sphincter and ciliary) muscles. Inferior oblique muscle of the eye - Human Anatomy | Kenhub Thus, when the physician testing eye movements first asks the patient to follow their finger medially then superiorly in the familiar H-shape, the inferior oblique muscle (and the inferior branch of the oculomotor nerve that supplies it) are being directly tested 2. The fascial sheath of the inferior oblique blend with the thickened sheath of the inferior rectus muscles. External surfaces of ribs 5-12. The anterior transposition procedure of the inferior oblique muscle is a chance for patients who have inferior oblique overaction with dissociated vertical deviation. 6 Extraocular Eye Muscles and Their Functions Obliquus capitis inferior: Origin, insertion and action | Kenhub A. in the abdomen B. in the eye socket C. in the anterior neck D. in the face. Summary innervation: inferior branch of the oculomotor nerve (CN III) origin : orbital surface of the maxilla insertion : globe (posterior, lateral surface) primary function : one of two ocular external rotators It also moves the eye inward towards the nose and rotates the top of the. Similar to the superior oblique muscles, but unlike the rectus muscles, the inferior oblique does not originate from the common tendinous ring (annulus of Zinn). Inferior Oblique. Primary action is extorsion (external rotation); secondary action is elevation; tertiary action is abduction (i.e. To evaluate and quantify the effect of inferior oblique muscle weakening on horizontal deviations. Expand your knowledge with our learning materials about the muscles of the back. Skeletal muscles are attached (with some exceptions, such as the muscles of the tongue and pharynx) to the skeleton by means of tendons, usually in pairs that pull in opposite directions, e.g., the biceps (flexor) and triceps (extensor) that move the forearm at the elbow. 25 The Inferior Oblique: Surgical Techniques | Ento Key Don't Know Your Lateral From Your Inferior Rectus Muscles - AAPC The inferior oblique muscles are described as having two surfaces; 1. superiorly, the ocular surface, and 2. inferiorly, the orbital surface. Inferior Oblique Myokymia (IOM) is a rare disorder, characterized by intermittent episodes of monocular, high-frequency, low-amplitude contractions of the inferior oblique muscle [1]. Muscles Of The Eyes | Muscles Used 1. The anterolateral abdominal wall (in the square) The secondary and tertiary movements are elevation and abduction, respectively. Whats up, after reading this awesome post i am also happy to share my knowledge here with colleagues. The inferior oblique is a thin, narrow eye muscle and belongs to the group of six extraocular muscles or the orbits extrinsic muscles. chiropractor Specifically, from the medial (orbital) surfaces of the maxilla just lateral to the nasolacrimal fossa. Check for errors and try again. The pair of Oblique muscles are responsible for controlling the adjustments involved in counteracting head movements, in other words being able to keep your focus on . Imaging of the Head and Neck. Obliquus Capitis Inferior - Physiopedia medial rectus muscle IV. The muscle responsible for eyelid elevation is the Levator . The external and internal oblique muscles rotate and side bend the trunk. physiotherapy treatment The inferior oblique originates at the periosteum of the maxillary bone near the lacrimal fossa and inserts into the posterior globe near the inferior border of the lateral rectus, passing under the inferior rectus. LAB #6 MUSCULAR SYSTEM 6-1 LIST ASSOCIATED TO VARIOUS MODELS EYE MUSCLE MODEL I. superior rectus muscle II. The oculomotor nerve supplies motor innervation to the levator palpebrae superioris, the superior, medial, and inferior rectus muscles, and the inferior oblique muscle. Patients experience excyclotorsion induced by looking up and out [1]. However, because the apex of the orbit is placed medially in the skull, the orbital axis does not correspond with the optical axis of the eye in its neutral position. The fractured posterior right orbital floor is also noted (C). Extraocular muscles are essential for ocular movement. The superior rectus muscle and inferior oblique muscle primarily move the eye upward. Nineteen. For example, to elevate the eye while looking straight ahead, the superior rectus and inferior oblique contract together as the inferior rectus and superior oblique relax. The inferior oblique is an extraocular muscle that originates in the front of the orbit near the nose. Hence, if there is paralysis of the superior oblique muscles, the inferior oblique movement is unopposed and results in excessive elevation. The oblique muscle group is located in the anterolateral abdominal wall. Myectomy can be graded from moderate to large. Eye movement of lateral rectus muscle, superior view, Eye movement of medial rectus muscle, superior view, Eye movement of inferior rectus muscle, superior view, Eye movement of superior rectus muscle, superior view, Eye movement of superior oblique muscle, superior view, Eye movement of inferior oblique muscle, superior view. How is Strabismus (Eye Muscle) Surgery Performed? While commonly affected by palsies of the inferior division of the oculomotor nerve, isolated palsies of the inferior oblique (without affecting other functions of the oculomotor nerve) are quite rare. It is also encountered and identified in lower lid blepharoplasty surgeries. Last medically reviewed on January 28, 2015. pelvic tilt exercise for low back pain The inferior oblique is reliable for extorsion, elevation, and abduction. The thin inferior oblique muscle lies around the anterior border of the floor of the orbit. Tennis Elbow Physiotherapy clinic in India colony road Superior oblique: The SO muscle wraps around the top of the eyeball. The muscles migrate anteriorly from their root to connect to the . Sciatica The inferior oblique muscle exhibits a thick and irregular appearance (arrow) (A). Inferior oblique: Attachments, innervation and function | Kenhub Inferior Oblique When the eye is turned toward the nose, the inferior oblique muscle raises the eye, turning the top of it away from the nose and moving it upward. The frequency of involvement of each muscle is not well established in the medical literature. It is also called the second cranial nerve or cranial nerve II. Obliquus capitis inferior muscle - Wikipedia For loss or significant injury of the inferior rectus, inferior oblique anterior transposition has demonstrated to be a very good procedure for improving the hypertropia in these cases. It is reported in 70% of patients with esotropia and 30% of patients with exotropia. The inferior oblique muscle can undergo weakening by various degrees, or transposition, depending on the procedure performed: Recession with reinsertion of the inferior oblique measured from the temporal pole of the inferior rectus insertion. Illustrated cases were consistent with the hypothesis that short inferior oblique muscles simply hold the globes in extorted positions, and the appearance of inferior oblique muscle "overaction" arises from the eyes' following their extorted movement paths on side gazes, not from hypertonicity of the inferior oblique muscle in the adducting eye The inferior division supplies the medial rectus, inferior oblique and inferior rectus and travels to the ciliary ganglion where it picks up parasympathetics What are the nerve branches which come from the ciliary ganglion carrying parasympathetics to the sphincter pupillae and ciliary muscles known as? Because true hyperinnervation is not usually present, this splendor is better termed elevation in adduction. The muscle fibers on one side of a tendon feed into it at a certain angle and muscle fibers on the other side of the tendon feed into it at the opposite angle. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. How do you test the inferior oblique muscle? - KnowledgeBurrow.com 2 Using the same algorithm, contracture of a superior rectus muscle, e.g., from thyroid ophthalmopathy, can produce a "pseudo-weakness" of the . Purpose: To further define the clinical features of patients with inferior oblique muscle overaction (IOOA) and evaluate the surgical results in a subgroup of these patients. inferior oblique muscle synonyms, inferior oblique muscle pronunciation, inferior oblique muscle translation, English dictionary definition of inferior oblique muscle. It abducts, depresses and internally rotates the eye. 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