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Mid-face fracture

Ritesh Kumar, Syed Saeed Ahmed, Gulam Sarwar Hashmi, Md Kalim Ansari, Sajjad Abdur Rahman
AIM: The present study was planned to investigate the etiology of injuries and to analyze correlation between clinical and radiological findings in cases of craniomaxillofacial trauma. STUDY DESIGN: An 18 months cross-sectional study was done and 325 patients with maxillofacial fractures were analyzed from January 2013 to June 2014 who reported to the department of oral and maxillofacial surgery, Aligarh, Uttar Pradesh. Data was recorded in a preformed case sheet which included: patient's demographic data, cause of injury, type of injury, treatment plan...
September 2016: Journal of Maxillofacial and Oral Surgery
Satishkumar G Patil, Imtiaz A Kotwal, Udupikrishna Joshi, Soumya Allurkar, Nitin Thakur, Aafreen Aftab
BACKGROUND AND PURPOSE: Midfacial fractures may often be associated with injuries to the orbit which may lead to notable dysfunction of the visual apparatus, if not detected early after injury. The purpose of this study is to evaluate the associated ophthalmic injuries in mid-face trauma and to emphasize the need for understanding the ophthalmic signs and symptoms by an attending maxillofacial surgeon. PATIENTS AND METHODS: A total number of 60 clinically and radiographically proven subjects with midfacial fractures were considered in the study that underwent complete ophthalmological evaluation at initial presentation...
September 2016: Journal of Maxillofacial and Oral Surgery
Matthew Wordsworth, Rachael Thomas, John Breeze, Demetrius Evriviades, James Baden, Shehan Hettiaratchy
INTRODUCTION: The recent Afghanistan conflict caused a higher proportion of casualties with facial injuries due to both the increasing effectiveness of combat body armour and the insurgent use of the improvised explosive device (IED). The aim of this study was to describe all injuries to the face sustained by UK service personnel from blast or gunshot wounds during the highest intensity period of combat operations in Afghanistan. METHODS: Hospital records and Joint Theatre Trauma Registry data were collected for all UK service personnel killed or wounded by blast and gunshot wounds in Afghanistan between 01 April 2006 and 01 March 2013...
August 20, 2016: Injury
Peter F Svider, Michael Bobian, Houmehr Hojjat, Anthony Sheyn, Giancarlo Zuliani, Jean Anderson Eloy, Adam J Folbe
BACKGROUND: Winter activities offer children and adolescents an outdoor recreational opportunity during the coldest months. Our objectives were to estimate the national incidence of facial injury associated with recreational winter activities. Furthermore, we analyze demographic trends and clinical characteristics of patients presenting to emergency departments (EDs). METHODS: The National Electronic Injury Surveillance System (NEISS), a population-based resource, was evaluated for ED visits from 2010 to 2014 for children injured from "active" winter -undertakings (snowboarding, skiing, ice skating) and sledding/tubing...
August 2016: International Journal of Pediatric Otorhinolaryngology
Z Pan, P M Patil
INTRODUCTION: A 5-year retrospective study evaluated the incidence and causes for removal of titanium miniplates. MATERIAL AND METHODS: The surgical records of 156 patients treated with rigid internal fixation after maxillofacial traumas were reviewed. Study variables included age, sex, site of fracture, site and number of plates, time of plate removal and reasons for plate removal. RESULTS: Of 384 plates used for fixation, 35 plates (9 %) in 21 patients (13...
October 2014: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Ophir Ilan, Mohammed Iqbal Syed, Eitan Aziza, David D Pothier, John A Rutka
OBJECTIVE: To determine the incidence of olfactory dysfunction in workers following head injury in the work place, to define its relationship to the site, severity of injury and direction of force. The demographics of head injured workers were also assessed to determine if those with olfactory loss were more likely to have sustained a cochleovestibular injury. METHODS: 3438 consecutive patients referred from the Workplace Safety and Insurance Board (WSIB) in the province of Ontario who sustained a work related head injury were assessed between 1987-2014 for olfactory and cochleovestibular dysfunction at a tertiary referral university hospital...
October 27, 2015: Clinical Otolaryngology
Sourav Sharma, Vandana Dhanasekaran
Patients with multiple fractures involving upper third of the face, the mid-face and the lower third are generally referred to as Pan-facial fractures and managing these cases is extremely complicated. Proximity of the maxillofacial region to the important features or senses such as visual function (diplopia), olfaction, respiration (airway management), chewing or mastication (occlusion), deglutition and aesthetics; makes the scenario a little more complex for the surgeon operating in this particular region than the surgeon operating any other part of the body...
August 2015: Journal of Clinical and Diagnostic Research: JCDR
Manpreet Singh, Amiya Agrawal, Manoj Chaudhary, Gagandeep Kaur, Bhupendra Harjani, Arvind Yadav
AIM: The aim of our study was to evaluate the advantages and disadvantages of three-dimensional (3D) plating system in the treatment of mid-face fractures. PATIENTS AND METHODS: Thirty mid-face fractures in 18 patients at various anatomic locations were treated by open reduction and internal fixation using 3D plates. All patients were followed at regular intervals of 4th, 8th and 12th weeks respectively. Patients were assessed postoperatively for postoperative complication and occlusal stability...
July 2015: Journal of Contemporary Dental Practice
Tejraj P Kale, Vipin Aggarwal, S M Kotrashetti, J B Lingaraj, Arjun Singh
BACKGROUND: To study the rarity of mandibular coronoid process fractures and treatment strategies based on the displacement of these fractures. MATERIALS AND METHODS: A retrospective study of 11 cases of coronoid process fractures among 307 treated cases from 2008 to 2013 was conducted. Six patients were treated conservatively and 5 underwent ORIF with associated fractures. A statistical analysis of the data obtained after subjective and objective evaluation was done...
March 2015: Journal of Contemporary Dental Practice
Pierpaolo Petrone, Massimo Niola, Pierpaolo Di Lorenzo, Mariano Paternoster, Vincenzo Graziano, Giuseppe Quaremba, Claudio Buccelli
Here we describe the findings of a unique example of the early techniques adopted in neurosurgery around 5000 years ago, consisting in a double well healed skull trephination associated with a post-cranial traumatic event occurring intra vitam to a young male from the Early Chalcolithic cemetery of Pontecagnano (South Italy, ca. 4,900 - 4,500 cal BP). Morphological, X-ray and 3D-CT scan skull-cap evaluation revealed that the main orifice was produced by scraping, obtained by clockwise rotary motion of a right-handed surgeon facing the patient, while the partial trephination was carried out by using a stone point as a drilling tool...
2015: PloS One
K Balakrishnan, Vijay Ebenezer, Abu Dakir, Saravana Kumar, D Prakash
The zygomaticomaxillary complex (ZMC) plays a key role in the structure, function, and esthetic appearance of the facial skeleton. They can account for approximately 40% of mid-face fractures. They are the second most common facial bone fracture after nasal bone injuries. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. In addition, the fracture components may result in impingement of the temporalis muscle, trismus (difficulty with mastication) and may compromise the infraorbital foramen/nerve resulting in hypesthesia within its sensory distribution...
April 2015: Journal of Pharmacy & Bioallied Sciences
Dirk Maier, Kaywan Izadpanah, Peter Ogon, Maximilian Mützel, Jörg Bayer, Norbert Paul Südkamp, Martin Jaeger
INTRODUCTION: The purpose of this study was a detailed analysis of clinical and radiological results following open fixation of acute-traumatic, displaced anterior glenoid rim fractures with bioresorbable pins. MATERIALS AND METHODS: This retrospective study included 17 patients with glenoid defect sizes ≥20 %, as directly measured in preoperative sagittal en face CT. The mean glenoid defect size was 25.3 % (20-35, SD 4.7). Two or three polylactid pins were used for fixation...
July 2015: Archives of Orthopaedic and Trauma Surgery
Sharadindu Mahadevappa Kotrashetti, Tejraj Pundalik Kale, Supriya Bhandage, Anuj Kumar
OBJECTIVES: Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory disturbance of the area innervated by it. Ten patients with infraorbital nerve entrapment were treated in similar way at our maxillofacial surgery centre...
April 2015: Journal of the Korean Association of Oral and Maxillofacial Surgeons
Regis Pailhé, Virginie Mesquida, Brice Rubens-Duval, Dominique Saragaglia
BACKGROUND: Surgical management of humeral fractures associated with radial nerve palsy remains controversial. Some advocate surgical treatment in emergency while others recommend nonoperative treatment. PURPOSE: The aim of the study was to assess nerve recovery in a series of patients treated with open reduction and internal fixation (ORIF) with plate for humeral fracture associated with radial nerve palsy. We hypothesised that surgical treatment with ORIF in emergency allows good nerve recovery...
August 2015: International Orthopaedics
Hai-Hua Zhou, Qi Liu, Rong-Tao Yang, Zhi Li, Zu-Bing Li
OBJECTIVES: To analyse and evaluate the correlation between traumatic head injuries (THIs) and maxillofacial fractures (MF). Age, gender and trauma mechanism correlated with THI were also investigated. PATIENTS AND METHODS: We conducted a hospital-based retrospective case-control study at Stomatology College and Hospital, Wuhan University. From January 2000 to December 2009, a total of 1131 patients with MF were enrolled in the statistical study to evaluate the association of THI and other risk factors with MF...
June 2015: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Rashmi S Patil, Tejraj P Kale, S M Kotrashetti, Shridhar D Baliga, Namdeo Prabhu, Rakhi Issrani
OBJECTIVES: To assess the changing mid-face fracture patterns using a computed tomography scan. METHODOLOGY: Fifty patients with mid-face trauma requiring open reduction and fixation were studied using 1.6 mm axial, sagittal, coronal and 3D images. Images were evaluated clinically, intra-operatively and finally were compared with standard Le Fort lines. Results. The male population dominated the female at a ratio of 11.5:1. The majority of the mid-face fractures were seen in the age group of 21-30 years...
November 2014: Acta Odontologica Scandinavica
Anh Q Truong, Daniel C O'Brien, E Bradley Strong, Arthur Dublin
IMPORTANCE: Classically, pterygoid plate fractures have been associated with fractures of the mid-face and skull base. When isolated pterygoid plate fractures are identified on imaging that only extends to the level of the skull base, other related facial fractures may be missed. We sought to evaluate isolated lateral pterygoid plate fractures on computed tomography (CT) scans in conjunction with mandible fractures and to propose a mechanism of fracture unrelated to the classic dissociating mid-face Le Fort fractures...
November 2014: JAMA Facial Plastic Surgery
Iu A Medvedev, L S Shamanaeva, P S Petruk, Yan Xin, A A Solov'eva
The treatment plan for patients with mid-face fractures was presented in this article. In maxillofacial department of the I.M. Sechenov First Moscow State Medical University we used nickelid titanium mesh for reconstruction of the orbital floor. The clinical case with good result of treatment was presented here.
2014: Stomatologii︠a︡
W K Dunham, J C Calhoun
The surgical removal of malignant bone tumors of the knee requires the generous removal of large segments of femur and tibia with large cuffs of surrounding musculature. This type of resection does not leave the necessary muscles and soft tissue for a functioning knee joint, either through the use of a large custom-made total knee replacement or a large cadaver homograft. Arthrodesis of the knee with an intramedullary rod and segmental bone grafting is a method to reconstruct the large defects remaining after this type of resective surgery...
December 1, 1984: Orthopedics
Dilip Septa, Vilas P Newaskar, Deepak Agrawal, Shailendra Tibra
A prospective study on mid-face fractures was carried out in the Department of Oral and Maxillofacial Surgery at College of Dentistry, Indore, from August 2007 to September 2009 to analyze etiology, incidence and patterns of midface fractures and associated ocular injuries. Two hundred patients were included in this study, amongst those who reported to the Department of OMFS, College of Dentistry, Indore. After confirmed diagnosis of mid face fracture all the patients were stratified according to age, sex, cause of the accident, influence of alcohol, location, type of fractures and associated ocular injuries...
June 2014: Journal of Maxillofacial and Oral Surgery
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