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https://www.readbyqxmd.com/read/27681215/head-injury-and-anisocoria-on-a-cruise-ship
#1
Eilif Dahl
A previously healthy 65-year-old female passenger presented on the 3rd day of her voyage with a small facial laceration after she fell and hit her forehead, following sudden blurred vision and dizziness. When the ship's doctor noticed that one pupil was much bigger than the other, he feared intracranial bleeding and considered helicopter evacuation. Her symptoms had started shortly after she had removed a transdermal scopolamine patch from behind her ear. Getting scopolamine from her hands in direct contact with the eye surface caused mydriasis...
2016: International Maritime Health
https://www.readbyqxmd.com/read/27148702/child-abuse-and-fabricated-or-induced-illness-in-the-ent-setting-a-systematic-review
#2
P Rees, A Al-Hussaini, S Maguire
BACKGROUND: Child maltreatment is persistently under-recognised. Given that a third of maltreated children may return with serious or fatal injuries, it is imperative that otolaryngologists who are in frequent contact with children are able to detect maltreatment at first presentation. OBJECTIVE OF REVIEW: This review aims to identify ENT injuries, signs or symptoms that are indicative of physical abuse or fabricated or induced illness (child maltreatment). TYPE OF REVIEW: Systematic review...
May 5, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/26589558/ultrasound-guided-greater-auricular-nerve-block-for-emergency-department-ear-laceration-and-ear-abscess-drainage
#3
Stefan Flores, Andrew A Herring
BACKGROUND: Adequate emergency department (ED) anesthesia for painful ear conditions, such as ear lacerations or ear abscesses, can be challenging. Much of the sensory innervation of the ear is supplied from the anterior and posterior branches of the greater auricular nerve (GAN). The GAN is a branch of the superficial cervical plexus, which arises from the C2/C3 spinal roots. The GAN innervation includes most of the helix, antihelix, the lobule, and the skin over the mastoid process and parotid gland...
April 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26388978/assessing-the-ignored-associated-injuries-of-the-ear-nose-and-throat-in-patients-with-multiple-trauma-in-shahid-rahnamun-hospital-of-yazd-in-2012-and-2013
#4
Zahra Sarafraz, Mohammad Hossein Mirshamsi, Seyyed Ali Musavi, Mohammad Hossein Azaraein
BACKGROUND: Many trauma patients in the Emergency Department are unconscious, and this causes many other problems to go undiagnosed, resulting in the loss of valuable time in initiating the appropriate treatments. The purpose of this study was to determine the prevalence and types of injuries to the ears, nose, and throat that are ignored in patients with multiple traumas in an Emergency Department. METHODS: This study was conducted by assessing patients with multiple traumas who were admitted to the Emergency Department at Shahid Rahnamun Hospital in Yazd, Iran, in 2012 and 2013, and who were advised to acquire diagnostic workups and treatment in the Ear, Nose, and Throat Department...
July 2015: Electronic Physician
https://www.readbyqxmd.com/read/26372713/trauma-management-of-the-auricle
#5
Armin Steffen, Henning Frenzel
Smaller injuries of the auricle, such as lacerations without tissue loss, have more or less standardized treatment protocols that require thorough wound closure of each affected layer. Even extended lacerations of larger parts of the ear quite often heal with only minor irregularities. New in vivo diagnostic tools have aided the understanding of this outstanding "skin flap behavior." At the other end of the trauma severity spectrum are partial or complete amputations of the ear. Here, the debate has become more intense over the last decade...
August 2015: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/25949044/accidental-oropharyngeal-impalement-injury-in-children-a-report-of-two-cases
#6
Hayaki Uchino, Akira Kuriyama, Kenji Kimura, Tetsunori Ikegami, Toshio Fukuoka
UNLABELLED: Impalement injuries in children may be deeper and more complicated than anticipated. We experienced two cases of accidental impalement injuries, one was through the oral cavity and the other was to the neck. We review these cases and the management of these types of injuries. CASE SERIES: In case 1, a 20-month-old girl fell from the table with a toothbrush in her mouth. She was conscious, without any apparent neurologic or vascular injuries. Examination revealed a 2 mm laceration with a small hematoma in the right posterior pharyngeal wall...
April 2015: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/25861529/actualities-of-management-of-aural-nasal-and-throat-foreign-bodies
#7
A C Oreh, D Folorunsho, T S Ibekwe
BACKGROUND: Foreign bodies (Fbs) in the ear, nose, and throat (ENT) are common presentations in healthcare settings worldwide. AIM: This study was carried out to review the modes of presentation, management, and outcome of inserted Fbs in our setting. SUBJECTS AND METHODS: A 5-year retrospective study of cases of ENT Fbs managed at two referral hospitals in Abuja Nigeria. The analysis was done with Chi-square and Pearson correlation. RESULTS: Five hundred and ninety-four patients aged 0-75 years, M:F = 1...
March 2015: Annals of Medical and Health Sciences Research
https://www.readbyqxmd.com/read/25547580/-preliminary-study-on-ct-retrograde-intubation-dacryosystography-ct-ridc-and-its-impact-factors
#8
RANDOMIZED CONTROLLED TRIAL
Tingting Wang, Hai Tao, Cui Han, Peng Wang, Fang Bai, Jian Zhang
OBJECTIVE: To observe practicality and safety of CT-RIDC for the patients with presaccular lacrimal obstruction and study the related factors. To provide guidance for the diagnosis and treatment of the patients with presaccular lacrimal obstruction. METHODS: Fifty-four patients (75 eyes) with presaccular lacrimal obstruction, including 3 cases (5 eyes) of upper and lower lacrimal punctum atresia, 15 cases (24 eyes) of superior and inferior canalicular obstruction, 18 cases (28 eyes) of common canaliculus obstruction, 18 cases (18 eyes) of old laceration of superior and inferior canalicular, were recruited...
October 2014: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/25493145/estimation-of-laceration-length-by-emergency-department-personnel
#9
COMPARATIVE STUDY
Christina L Bourne, M Adams Jenkins, Kori L Brewer
INTRODUCTION: Documentation and billing for laceration repair involves a description of wound length. We designed this study to test the hypothesis that emergency department (ED) personnel can accurately estimate wound lengths without the aid of a measuring device. METHODS: This was a single-center prospective observational study performed in an academic ED. Seven wounds of varying lengths were simulated by creating lacerations on purchased pigs' ears and feet. We asked healthcare providers, defined as nurses and physicians working in the ED, to estimate the length of each wound by visual inspection...
November 2014: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25435882/delayed-facial-paralysis-following-uneventful-ktp-laser-stapedotomy-two-case-reports-and-a-review-of-the-literature
#10
P Révész, Z Piski, A Burián, K Harmat, I Gerlinger
Facial palsy that occurs immediately after middle ear surgery (stapedectomy, stapedotomy, and tympanoplasty) can be a consequence of the local anesthetics and it regresses completely within a few hours. In the case of delayed facial palsy, the alarming symptom occurs several days or even weeks after uneventful surgery. The mechanism of the neural dysfunction is not readily defined. Surgical stress, intraoperative trauma, or laceration of the chorda tympani nerve with a resultant retrograde facial nerve edema can all be provoking etiological factors...
2014: Case Reports in Medicine
https://www.readbyqxmd.com/read/25294326/-treatment-of-traumatic-facial-injuries
#11
Marie Anneberg, Jens Martin Heje, Javed Akram
Correct treatment of traumatic facial lacerations is essential to achieve the best cosmetic and functional outcome. This article discusses wound management, anatomy and techniques to repair lacerations of scalp, eyelid, nose, lip and ear. Scalp lacerations should be sutured in layers. Injury to the eyelid mandates a careful examination of the eye. Accurate adaptation of the lid margin is required. Nasal septum haematoma must be drained and the nares and alar margins aligned. The key to proper repair of lip laceration is alignment of the vermillion border...
September 22, 2014: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/25161412/naso-orbito-ethmoid-fractures-perspective-and-practices-of-nigerian-surgeons
#12
O A Akadiri
OBJECTIVE: The study was to appraise the level of expertise in the management of Naso-Orbito-Ethmoid (NOE) fractures and to provide recommendation for necessary improvement in an African population. MATERIALS AND METHODS: A questionnaire was designed and electronically mailed to Nigerian Oral & Maxillofacial surgeons, Plastic and Reconstructive surgeons, and Ear, Nose and Throat surgeons to assess their perspectives and practices in the diagnosis and management of NOE fractures...
December 2012: Annals of Ibadan Postgraduate Medicine
https://www.readbyqxmd.com/read/24699099/traumatic-cleft-earlobe-repair-using-double-triangular-flap-from-epithelialized-skin-of-cleft-margin
#13
Hyunsuk Suh
UNLABELLED: Traumatic cleft earlobe is the most common secondary deformity of the ear. Numerous techniques have been introduced to repair traumatic cleft earlobe and break the linear scar. However, most of the techniques require elevation of additional flaps from normal surrounding tissue and sacrifice healthy tissue from small earlobes. The authors used epithelialized scar tissue from the cleft margin to elevate 2 triangular flaps. The flaps were turned 90 degrees to fit into the fish-mouth incision at the margin of the cleft earlobe...
May 2014: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/24659384/assault-by-battery-battery-related-injury-in-the-head-and-neck
#14
MULTICENTER STUDY
Peter F Svider, Andrew P Johnson, Adam J Folbe, Michael A Carron, Jean Anderson Eloy, Giancarlo Zuliani
OBJECTIVES/HYPOTHESIS: To estimate nationwide incidence of emergency department (ED) visits for battery-related injury (BRI) occurring in the head and neck, and analyze demographic and anatomic-specific trends. METHODS: The National Electronic Injury Surveillance System (NEISS) was searched for BRI in the head and neck, with analysis for incidence, anatomic site, age and gender, and specific diagnoses. RESULTS: There were an estimated 18,803 head and neck BRI ED visits from 2003 to 2012...
October 2014: Laryngoscope
https://www.readbyqxmd.com/read/24656226/pediatric-otolaryngology-in-a-field-hospital-in-the-philippines
#15
Tal Marom, David Dagan, Giora Weiser, Joseph Mendlovic, Gad Levy, Manor Shpriz, Dov Albukrek
BACKGROUND: Major natural disasters adversely affect local medical services and resources. We sought to characterize pediatric patients presenting with otolaryngology-head and neck surgery (OTO-HNS)-related diseases/injuries to a field hospital over 11 days of operation, which was deployed to assist the healthcare facilities in Bogo, the Philippines, in the aftermath of typhoon Haiyan (Yolanda). METHODS: We reviewed charts of pediatric patients aged 0-18 years visiting our field hospital, who presented with OTO-HNS-related diseases/injuries...
May 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24526482/nonmicroscopic-reconstruction-of-subtotally-amputated-torn-auricles-report-of-3-cases
#16
REVIEW
Shuaib K Aremu
Otolaryngologists are increasingly expected to perform a variety of minor surgical procedures in both elective and emergency situations. Surgical repair of the subtotally amputated/torn auricle, hitherto the realm of plastic surgeons, is a procedure that can be performed both at the clinic and in the emergency room, thereby sparing patients the inconvenience and cost of referral to another subspecialist. Presented in this article are 3 cases of traumatic tearing/amputation of the external ear: 1 caused by a motorbike accident, 1 caused by a human bite, and 1 by a machete...
February 2014: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/24261960/variety-of-complications-after-auricle-piercing
#17
Marta Fijałkowska, Anna Kasielska, Bogusław Antoszewski
BACKGROUND: Body piercing is a known and popular method of body ornamentation. Modern body piercing includes wearing jewelry in such body areas as the helix (ear), eyebrows, nose, lips, tongue, chin, nipples, navel, and genitals. The current piercing definition does not comprise piercing of the earlobe; however, this body area is still the most common on which jewelry is worn. The aim of this research is to present a spectrum of complications after auricle piercing and to consider including earlobe piercing in the modern definition of body piercing...
August 2014: International Journal of Dermatology
https://www.readbyqxmd.com/read/24136398/treatment-strategies-for-auricular-avulsions-best-practice
#18
REVIEW
Helen Bai, Travis T Tollefson
No abstract text is available yet for this article.
January 2014: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/23988991/incus-necrosis-after-irradiation
#19
Liselotte J C Rotteveel, Ulrich Siekman, Thomas E Linder
OBJECTIVES: Osteoradionecrosis (ORN) of the temporal bone is a rare, late complication of radiotherapy to the temporal bone region for head and neck or skull base tumours. ORN can occur as a localized or a diffuse type, according to the extension of the affected temporal bone. It can lead to otitis externa, otitis media, aseptic labyrinthitis and may lead to serious intracranial complications. Hearing loss may be conductive, sensorineural, or mixed. A few case studies report of previously irradiated patients presenting with conductive hearing loss presumably caused by ORN of the ossicular chain...
December 2013: Otology & Neurotology
https://www.readbyqxmd.com/read/23821700/traumatic-eye-injuries-from-collapsible-wire-laundry-hampers
#20
Adam L Prickett, Senem Salar, Clement C Chow, Aisha S Traish, Yannek I Leiderman, Felix Y Chau, Iris S Kassem
Two patients presented to the University of Illinois at Chicago Eye and Ear Infirmary within 1 year with penetrating eye injuries caused by similar collapsible cloth and wire laundry hampers. Penetrating eye injuries in children are relatively rare but can result in poor visual outcomes and multiple vision-threatening complications. Both injuries at the University of Illinois resulted in an eye laceration as well as retinal complications similar to those reported with a high velocity injury. This now represents a significant pattern of eye injury and suggests that there exists a nontrivial risk for all children in households with this type of collapsible laundry hamper...
August 2013: Pediatrics
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