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https://www.readbyqxmd.com/read/28754171/stab-injury-to-the-preauricular-region-with-laceration-of-the-external-carotid-artery-without-involvement-of-the-facial-nerve-a-case-report
#1
Diogo Casal, Giovanni Pelliccia, Diogo Pais, Diogo Carrola-Gomes, Maria Angélica-Almeida, José Videira-Castro, João Goyri-O'Neill
BACKGROUND: Open injuries to the face involving the external carotid artery are uncommon. These injuries are normally associated with laceration of the facial nerve because this nerve is more superficial than the external carotid artery. Hence, external carotid artery lesions are usually associated with facial nerve dysfunction. We present an unusual case report in which the patient had an injury to this artery with no facial nerve compromise. CASE PRESENTATION: A 25-year-old Portuguese man sustained a stab wound injury to his right preauricular region with a broken glass...
July 29, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28751943/helmet-wear-and-craniofacial-trauma-burden-a-plea-for-regulations-mandating-protective-helmet-wear
#2
Jamison Anne Harvey, Waleed Gibreel, Ali Charafeddine, Basel Sharaf
Helmet wear offers protection in various ways against craniomaxillofacial and brain trauma. The specific pattern and overall burden of craniofacial trauma among helmeted and unhelmeted patients has not been well defined. This is a retrospective review of trauma patients involved in documented helmet-associated injuries that presented to the Mayo Clinic Emergency Department in Rochester, Minnesota, and completed initial trauma evaluation between 1999 and 2015. A total of 417 patients (50% unhelmeted, 82% male) were identified...
September 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28745851/maxillofacial-trauma-managing-potentially-dangerous-and-disfiguring-complex-injuries-digest
#3
Devjani Das, Lea Salazar, Milana Zaurova
Patients with maxillofacial trauma require a careful evaluation due to the anatomical proximity of the maxillofacial region to the head and neck. Facial injuries can range from soft-tissue lacerations and nondisplaced nasal fractures to severe, complex fractures, eye injuries, and possible brain injury. Though the Advanced Trauma Life Support (ATLS) guidelines provide a framework for the management of trauma patients, they do not provide a detailed reference for many subtle or complex facial injuries. This issue adds a more comprehensive and systematic approach to the secondary survey of the maxillofacial area and emergency department management of injuries to the face...
April 22, 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/28742608/epidemiology-of-injuries-in-women-s-lacrosse-implications-for-sport-level-and-sex-specific-injury-prevention-strategies
#4
Kim D Barber Foss, Ed Le Cara, Teri McCambridge, Richard Y Hinton, Adam Kushner, Gregory D Myer
OBJECTIVE: By the end of 2013, the United States had an estimated 278 000 female lacrosse players, with half of those participating at the youth level. The effects of the sport's rapid growth on injury rates have yet to be determined. The purpose of this clinical review is to synthesize the available published data on injuries that have occurred in the sport of women's lacrosse. Of particular interest was the risk of injury based on the level of play and position. DATA SOURCES: A comprehensive literature search was performed in PubMed, High Wire Press, SPORTDiscus, Google Scholar, and Ovid using the keywords "Lacrosse Injuries," "Epidemiology Lacrosse Injuries," "Lacrosse Injury," "Lacrosse," and "Injury...
July 21, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28662349/injury-surveillance-of-head-neck-and-facial-injuries-in-collegiate-ice-hockey-players-2009-2010-through-2013-2014-academic-years
#5
Molly MacMhathan Simmons, David I Swedler, Zachary Y Kerr
CONTEXT:   Ice hockey is a high-speed, full-contact sport with a high risk of head/face/neck (HFN) injuries. However, men's and women's ice hockey differ; checking is allowed only among men. OBJECTIVES:   To describe the epidemiology of HFN injuries in collegiate men's and women's ice hockey during the 2009-2010 through 2013-2014 academic years. DESIGN:   Descriptive epidemiology study. SETTING:   Ice hockey data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program during the 2009-2010 through 2013-2014 academic years...
August 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28658179/ablative-fractional-laser-resurfacing-with-laser-assisted-delivery-of-5-fluorouracil-for-the-treatment-of-cicatricial-ectropion-and-periocular-scarring
#6
Bradford W Lee, Alexandra E Levitt, Benjamin P Erickson, Audrey C Ko, Neda Nikpoor, Nisreen Ezuddin, Wendy W Lee
PURPOSE: Cicatricial ectropion and periocular scarring can cause significant functional and cosmetic deficits. Surgical treatments can be associated with recicatrization, donor site morbidity, and textural and pigmentary abnormalities. This case series reports on efficacy and safety of a novel nonsurgical approach to treating cicatricial ectropion using ablative fractional laser resurfacing and laser-assisted delivery of 5-fluorouracil. METHODS: A retrospective review was conducted of all patients at a single institution who received ≥3 rounds of ablative fractional laser resurfacing with laser-assisted delivery of 5-fluorouracil...
June 27, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28649703/a-retrospective-analysis-of-the-relationship-between-facial-injury-and-mild-traumatic-brain-injury
#7
Nurliza Abdul Razak, Rifqah Nordin, Normastura Abd Rahman, Roszalina Ramli
BACKGROUND/AIMS: The association between facial injury characteristics and mild traumatic brain injury (mTBI) is unclear. The aim of this study was to determine the association between facial injury characteristics and mTBI. METHODS: A retrospective review utilizing patients' medical records at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia, was performed. Records of subjects with a history of facial trauma from 1 April 2012 to 31 December 2012 were selected...
June 26, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28646098/head-injuries-in-professional-male-football-soccer-over-13-years-29-lower-incidence-rates-after-a-rule-change-red-card
#8
Florian Beaudouin, Karen Aus der Fünten, Tobias Tröß, Claus Reinsberger, Tim Meyer
BACKGROUND: Absolute numbers of head injuries in football (soccer) are considerable because of its high popularity and the large number of players. In 2006 a rule was changed to reduce head injuries. Players were given a red card (sent off) for intentional elbow-head contact. AIMS: To describe the head injury mechanism and examine the effect of the rule change. METHODS: Based on continuously recorded data from the German football magazine "kicker", a database of all head injuries in the 1(st) German Male Bundesliga was generated comprising seasons 2000/01-2012/13...
June 23, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28644156/clinical-case-of-the-month-a-57-year-old-man-with-an-axillary-mass
#9
Palak Desai, Andrew Myers, Brian Boulmay, Fred A Lopez
A 57-year-old man presented to the surgical oncology clinic with a mildly tender mass under his right arm. Four years prior, the patient had a melanoma removed from his right shoulder along with an ipsilateral right axillary sentinel lymph sampling. Computed tomography (CT) scan was negative for metastatic disease at that time. The patient did not undergo completion axillary node dissection and was lost to follow-up. The patient was originally from Australia, did not tan but reported multiple sunburns before age 18...
May 2017: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28597975/domestic-predation-of-an-elder-a-fatal-dog-attack-case
#10
Erwan Le Garff, Vadim Mesli, Yann Delannoy, Jocelyn Pollard, Anne Becart, Valéry Hedouin
We present the case of a 91-year-old woman lived alone at her home with two domestic dogs, that is,, a Labrador Retriever and a Staffordshire Bull Terrier and found dead. The investigation of the scene revealed that the Bull Terrier's jawbone and chest were covered with blood. The autopsy revealed multiple, histologically confirmed, life-threatening skin and bone lacerations without scavenging marks. The punctures and tearing of each of the wounds on the skin were compatible with bites. A left humeral fracture and multiple fractures of the right facial bones were observed...
June 9, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28587949/usefulness-of-direct-w-plasty-application-to-wound-debridement-for-minimizing-scar-formation-in-the-emergency-department
#11
Jin Hong Min, Kyung Hye Park, Hong Lak Choi, Jung Soo Park, Ji Han Lee, Hoon Kim, Byung Kook Lee, Dong Hun Lee, Taek Gu Lee
PURPOSE: A suture line placed with the same direction as the relaxed skin tension line leads to good healing, but a suture line with over 30 degrees of angle from the relaxed skin tension line leads to longer healing time and more prominent scarring. W-plasty is widely used to change the direction of the scar or to divide it into several split scars. In this study, we applied W-plasty to patients with facial lacerations in the emergency room. METHODS: From June 2012 to December 2014, 35 patients underwent simple repair or W-plasty for facial lacerations...
May 29, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28362252/maxillofacial-trauma-managing-potentially-dangerous-and-disfiguring-complex-injuries
#12
REVIEW
Devjanl Das, Lea Salazar
Patients with maxillofacial trauma require a careful evaluation due to the anatomical proximity of the maxillofacial region to the head and neck. Facial injuries can range from soft-tissue lacerations and nondisplaced nasal fractures to severe, complex fractures, eye injuries, and possible brain injury. Though the Advanced Trauma Life Support (ATLS) guidelines provide a framework for the management of trauma patients, they do not provide a detailed reference for many subtle or complex facial injuries. This issue adds a more comprehensive and systematic approach to the secondary survey of the maxillofacial area and emergency department management of injuries to the face...
April 2017: Emergency Medicine Practice
https://www.readbyqxmd.com/read/28314421/nasal-injuries-in-sports
#13
REVIEW
Alexander P Marston, Erin K O'Brien, Grant S Hamilton
Nasal trauma is a common consequence of athletic competition. The nasal bones are the most commonly fractured facial bone and are particularly at risk during sports participation. Acute management of trauma to the nose includes thorough evaluation of all injuries and may require immediate management for repair of facial lacerations, epistaxis control, or septal hematoma drainage. Nasal fractures can often be addressed with closed reduction techniques; however, in the setting of complex nasal trauma, an open approach may be indicated...
April 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28314420/sport-injuries-of-the-ear-and-temporal-bone
#14
REVIEW
L Mariel Osetinsky, Grant S Hamilton, Matthew L Carlson
In cases of head trauma, the ear should be evaluated in all of its components. A good understanding of otologic and skull base anatomy enables a thorough trauma assessment of this complex anatomic region. Auricular laceration, abrasion, avulsion, hematoma, frostbite, otitis externa, exostosis, tympanic membrane perforation, ossicular discontinuity, perilymphatic fistula, labyrinthine concussion, temporal bone fracture, facial nerve paresis, and sensorineural hearing loss are a few of the more common otologic injuries seen in active patients...
April 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28314418/facial-injuries-in-sports-soft-tissue-injuries-abrasions-contusions-lacerations
#15
REVIEW
Guy L Lanzi
This article reviews the diagnosis and treatment of facial soft tissue injuries in athletics. General diagnostic algorithms are presented, including initial assessment aligned with Advanced Trauma Life Support guidelines. Specific injury types are discussed along with possible collateral damage and adverse sequelae to limit morbidity. Treatment modalities are described using generally accepted principles refined to fit athlete patients. Return-to-play issues are outlined relative to level of participation, with the emphasis on safe return...
April 2017: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/28301646/traumatic-facial-injuries-among-elderly-nursing-home-residents-never-event-or-frequent-occurrence
#16
Michael Bobian, Nour El-Kashlan, Curtis J Hanba, Peter F Svider, Adam J Folbe, Jean Anderson Eloy, Giancarlo F Zuliani, Michael Carron
Importance: As the nursing home population continues to increase, an understanding of preventable injuries becomes exceedingly important. Although other fall-related injuries have been characterized, little attention has been dedicated to facial trauma. Objectives: To estimate the incidence of facial trauma among nursing home residents and detail mechanisms of injury, injury characteristics, and patient demographic data. Design, Setting, and Participants: The National Electronic Injury Surveillance System was used to calculate a weighted national incidence of facial trauma among individuals older than 60 years from a nationally representative collection of emergency departments from January 1, 2011, through December 31, 2015...
June 1, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28291498/emergency-department-wounds-managed-by-combat-medics-a-case-series
#17
Steven G Schauer, James A Pfaff
BACKGROUND: Combat medics are an integral part of their unit helping to conserve the fighting strength. Minor wounds are a common problem in the deployed settings that affect a soldier's ability to partake in operations. While the medics often manage wound care, there is very little data on the outcomes. METHODS: Cases were acquired as part of a quality assurance project providing training feedback to medics on wound management. Laceration management is delegated to the medic at the direction of the provider...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28272583/-degloving-injury-of-the-mandible
#18
M H J Hollander, J Schortinghuis
A 13-year-old girl presented at an emergency department after she had fallen on her face when she fell from her horse. During physical examination no apparent extraoral injury was visible, such as lacerations, bruises or oedema. However, intraoral examination revealed extensive laceration of soft tissue. The diagnosis was a degloving injury of the mandible, which is very rare. The treatment consisted of debridement, suturing of the mentalis muscle, the approximate closing of the mucosa, accompanied by treatment with broad-spectrum antibiotics...
March 2017: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/28160512/prevalence-of-dental-trauma-and-use-of-mouthguards-in-professional-handball-players
#19
Lana Bergman, Slađana Milardović Ortolan, Davor Žarković, Joško Viskić, Dražen Jokić, Ketij Mehulić
BACKGROUND/AIM: Published data about orofacial injuries and mouthguard use by professional handball players are scarce. The aim of this study was to investigate the prevalence of orofacial trauma and mouthguard use in professional handball players. MATERIALS AND METHODS: Data were collected from 100 professional handball players through a questionnaire, which contained 17 questions about age, experience in playing handball, playing position, orofacial trauma experience during the past 12 months, type of injury and mouthguard use...
February 4, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28116877/prevalence-of-dental-injuries-and-awareness-regarding-mouthguards-among-basketball-players-and-coaches
#20
Murat Tiryaki, Gunce Saygi, Sevda Ozel Yildiz, Zuhal Yildirim, Ugur Erdemir, Taner Yucel
BACKGROUND: Dental injuries are frequently occurred by an impact to facial area among basketball players. In fact, mouthguards are able to absorb the power of impacts and protect teeth from excessive forces, it is crucial for players even at training to wear mouthguards. To determine the prevalence of dental injuries and investigate the awareness about the use of mouthguards among basketball players and coaches. METHODS: A 14-item questionnaire was designed and tested among licensed basketball players and coaches, all of whom were continuously exposed to the risk of dental injuries...
January 23, 2017: Journal of Sports Medicine and Physical Fitness
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