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https://www.readbyqxmd.com/read/29673800/blindness-after-facial-trauma-epidemiology-incidence-and-risk-factors-a-27-year-cohort-study-of-5708-patients
#1
Panagiotis Stathopoulos, Dimosthenis Igoumenakis, Michalis Mezitis, George Rallis
OBJECTIVES: This was a 27-year study of a cohort of 5708 patients who had sustained maxillofacial fractures. Our purpose was to present the etiology, mechanism of trauma, site, and concomitant injuries that led to visual loss. We hypothesize that fractures caused by high-energy impact of the midface may be associated with blindness. A discussion of the treatment approaches is also included. STUDY DESIGN: The study included 5708 patients who had sustained a maxillofacial fracture during the years 1985-2012...
March 23, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/29672904/growth-hormone-gh-insulin-like-growth-factor-1-igf-1-axis-hyperactivity-on-bone-fibrous-dysplasia-in-mccune-albright-syndrome
#2
Daniele Tessaris, Alison M Boyce, Margaret Zacharin, Patrizia Matarazzo, Roberto Lala, Luisa de Sanctis, Michael T Collins
CONTEXT: In fibrous dysplasia (BFD) normal bone and bone marrow are replaced by fibro-osseous tissue, leading to fracture, deformity and pain. BFD may be isolated, or in association with cutaneous hyperpigmentation and/or hyperfunctioning endocrinopathies, termed McCune-Albright syndrome (MAS). GH hypersecretion has been described in 10-20% of MAS-BFD patients. Aim of the study is to determine the impact of GH-insulin like growth factor 1 (IGF1) axis hyperactivity on MAS-BFD morbidities and the efficacy of GH excess therapy...
April 19, 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29644316/managing-a-grossly-comminuted-and-infected-mandibular-fracture-using-a-maxillary-extra-oral-distractor-as-stabilizing-agent-a-clinical-case-report
#3
Ding Ming Chao, Shi Jin, Kalu Singh Khatri, Zhao Jin Long, Tian Lei, He Lisheng
Facial fracture management dates as early as Hippocratic era. Comminuted mandibular fractures are one of the challenging clinical condition requiring high surgical expertise to achieve a good functional and esthetic outcome. In presence of infection and other facial fractures managing comminuted mandibular fracture becomes more challenging. Here we present a case of grossly comminuted and infected mandibular fracture with delayed presentation managed by using maxillary distractor as stabilizing agent. Using a maxillary distractor for managing a fractured mandible has been seldom reported in literature...
June 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29629334/surgical-management-of-double-triple-mandibular-fractures-involving-the-condylar-segment-our-perspective
#4
Sunil S Nayak, Abhay Taranath Kamath
A series of surgical cases operated in our unit are considered to analyze and evaluate the different techniques and sequencing employed in the surgical management of double/triple mandibular fractures involving a condylar fracture. Deviating from the normal sequence of reducing and fixing the dentate segment first, we addressed the condylar segment first. A combination of different approaches for different cases such as a periangular with a vestibular, a preauricular and a retromandibular with a vestibular were used according to the type of fractures...
January 2018: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/29628302/separation-patterns-of-orbital-wall-and-risk-of-optic-canal-injury-in-le-fort-3-osteotomy
#5
Niyazi Aizezi, Tomohisa Nagasao, Tadaaki Morotomi, Motoki Tamai, Koji Imajo
PURPOSE: The authors hypothesized that the risks of optic canal injury in down-fracturing after Le Fort 3 osteotomy vary depending on the separation patterns of the orbital walls. This study verifies this hypothesis using biomechanical simulation. METHODS: Ten finite-element skull models were produced using computer tomography data from ten persons. These models were modified to simulate Le Fort 3 osteotomy models by removing junctions between the neurocranium and facial cranium...
March 21, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29628012/blunt-pharyngoesophageal-injuries-current-management-strategies
#6
G Barmparas, P H Navsaria, D Serna-Gallegos, A J Nicol, S Edu, A A Sayari, D R Margulies, E J Ley
BACKGROUND: Blunt pharyngoesophageal injuries pose a management challenge to the trauma surgeon. The purpose of this study was to explore whether these injuries can be managed expectantly without neck exploration. METHODS: The National Trauma Databank datasets 2007-2011 were reviewed for blunt trauma patients who sustained a pharyngeal injury, including an injury to the cervical esophagus. Patients who survived over 24 h and were not transferred from other institutions were divided into two groups based on whether a neck exploration was performed...
April 1, 2018: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/29622478/bicycle-helmets-are-protective-against-facial-injuries-including-facial-fractures-a-meta-analysis
#7
D G Fitzpatrick, M Goh, D C Howlett, M Williams
Cycling is a popular activity. However there are risks associated with cycling, including facial injury. Helmets are often worn to prevent head injury. Evidence for their protection against facial injury is limited. This meta-analysis investigated the effect of bicycle helmets on the incidence of facial injury. The PubMed/MEDLINE, Google Scholar, and Cochrane Library databases were searched. Studies included were observational and involved adult participants. Paediatric studies, studies on helmet legislation, and those combining facial injuries with other injury types were excluded...
April 2, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29621083/factors-associated-with-the-complexity-of-facial-trauma
#8
Ivo Cavalcante Pita Neto, Jéferson Martins Pereira Lucena Franco, Júlio Leite de Araujo Junior, Milana Drumond Ramos Santana, Luiz Carlos de Abreu, Ítalla Maria Pinheiro Bezerra, Eduardo Costa Studart Soares, David Gomes de Alencar Gondim, Luciano Miller Reis Rodrigues
INTRODUCTION: Facial fractures have their incidence, etiology, clinical presentation, and features influenced by variables such as economic, cultural, and demographic factors. A large number of these fractures require simple or more complex approaches, and it becomes important to understand their clinical and epidemiological profile and factors associated with the fracture event and surgical indication. OBJECTIVE: The objective of this research is to analyze the clinical and epidemiological profile of surgical fractures and their associations with causal factors such as alcohol consumption, day of the incident, and nonuse of helmet for motorcycle accidents...
April 4, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29619110/comparison-of-bite-force-with-locking-plates-versus-non-locking-plates-in-the-treatment-of-mandibular-fractures-a-meta-analysis
#9
REVIEW
José Cristiano Ramos Glória, Ighor Andrade Fernandes, Esmeralda Maria da Silveira, Glaciele Maria de Souza, Ricardo Lopes Rocha, Endi Lanza Galvão, Saulo Gabriel Moreira Falci
Introduction  Mandibular fractures represent a high percentage of all facial fractures, and the bite force is a fundamental parameter to measure the actual mandibular function and, subsequently, the masticatory efficiency and quality of life. Objectives  The purpose of the present systematic review was to verify if there is any difference in the bite forces of patients with mandibular fractures fixed by locking or non-locking plates, testing the null hypothesis of no difference in this parameter. Data Synthesis  A systematic review of the literature was conducted using four databases (PubMed, Virtual Health Library, Web of Science and Science Direct) without restrictions as to publication date or language...
April 2018: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29618889/comparison-of-efficacy-of-transalveolar-screws-and-conventional-dental-wiring-using-erich-arch-bar-for-maxillomandibular-fixation-in-mandibular-fractures
#10
Yashmeet Kaur Sandhu, Sarfaraz Padda, Tejinder Kaur, Amit Dhawan, Sarika Kapila, Jasmine Kaur
Introduction: Maxillomandibular fixation is required in nearly all cases of facial fractures which can be achieved by conventional dental wiring techniques or newer methods using transalveolar screws. Material and Methods: A prospective randomized clinical study divided into two groups with thirty adult patients each with mandibular fractures was undertaken comparing the Maxillomandibular fixation technique using transalveolar screws and Erichs arch bar. Total time taken, rate of glove perforation, intraoperative and postoperative complications were noted in both the groups...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29618879/pediatric-facial-fractures-a-10-year-study
#11
Rajarshi Ghosh, K Gopalkrishnan, Jawahar Anand
Aims and Objectives: The aim of the study is to retrospectively analyse the incidence of facial fractures along with age, gender predilection, etiology, commonest site, associated dental injuries and any complications of paediatric patients operated in Craniofacial unit of SDM college of dental sciences and hospital. Materials and Methods: This retrospective study was conducted at the department of OMFS, SDM College of Dental Sciences, Dharwad from January 2003-December 2013...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29610626/knowledge-and-awareness-of-medical-practitioners-of-jazan-city-towards-oral-and-maxillofacial-surgery-as-a-specialty
#12
Fareedi Mukram Ali, Ghassan M Al-Iryani, Sultan Mohammed Namis, Asma Ali Hezam, Salma Abdu Swaid, Anas Esam Alomar
BACKGROUND: In many health services communities the scope of oral and maxillofacial surgery (OMFS) as a discipline is frequently not probably understood. Good awareness towards OMFS among different branches of health services providers is essential for better referral strategies and will be for the benefit of the patient. MATERIALS AND METHODS: The cross-sectional study was done using a specially prepared questionnaire distributed randomly to 125 general medical practitioners working in Jazan province...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29609426/panfacial-bone-fracture-cephalic-to-caudal
#13
REVIEW
Seonsik Yun, Youngcheon Na
Theoretically, panfacial bone fractures involve all three areas of the face: frontal bone, midface, and mandible. In practice, when two out of these three areas are involved, the term "panfacial bone fracture" has been applied. We can use physical examination, simple radiologic examination, and computed tomography study for diagnosis. Linear fracture are treated by conservative treatment. But, most of panfacial bone fracture patients need to be treated by open reduction and internal fixation. Facial width is most important thing that we need to care during operation...
March 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29608481/bilateral-post-traumatic-facial-paralysis-that-contains-longitudinal-and-transverse-temporal-fracture
#14
Caner Şahin, Özkan Özen
Acute bilateral post-traumatic facial paralysis is rare in the literature. Post-traumatic facial paralysis is frequently accompanied transverse fractures of temporal more. The incidence of acute bilateral post-traumatic facial paralysis has been reported as 1 to 5 per million in the literature. Trauma and concurrent facial paralysis are usually in the same subsite (right temporal bone fracture and right facial paralysis). There is one pathophysiological pattern for a single temporal bone fracture in a subsite...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29605375/nasal-erosion-as-an-uncommon-sign-of-child-abuse
#15
Paige A Culotta, Reena Isaac, Kwabena Sarpong, Binoy Chandy, Andrea Cruz, Marcella Donaruma-Kwoh
While various forms of facial trauma, bruising, burns, and fractures are frequently seen in cases of child abuse, purposeful nasal erosion has rarely been identified as a form of abusive injury. Progressive destruction of nasal tissue in children provokes a wide differential diagnosis crossing multiple subspecialties: infectious, primary immunodeficiencies, inflammatory conditions, malignancy, and genetic disorders. Progressive nasal erosion also can be a manifestation of child abuse. The proposed mechanism is repetitive mechanical denudation of the soft tissue and cartilage resulting in chronic inflammation, bleeding, and ultimately destruction of the insulted tissue...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29599748/polyostotic-fibrous-dysplasia-with-and-without-mccune-albright-syndrome-clinical-features-in-a-nordic-pediatric-cohort
#16
Pauliina Utriainen, Helena Valta, Sigridur Björnsdottir, Outi Mäkitie, Eva Horemuzova
Objective: Fibrous dysplasia (FD) presents as skeletal lesions in which normal bone is replaced by abnormal fibrous tissue due to mosaic GNAS mutation. McCune-Albright syndrome (MAS) refers to FD combined with skin (café-au-lait) and endocrine manifestations. This study describes the clinical childhood manifestations of polyostotic FD and MAS in a Nordic cohort. Patients and design: We retrospectively reviewed a cohort of pediatric patients ( n  = 16) with polyostotic FD with or without MAS diagnosed and followed in two Nordic Pediatric tertiary clinics between 1996 and 2017...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29594463/traumatic-brain-injury-in-indian-children
#17
REVIEW
Krishna Chaitanya, Archana Addanki, Rajendra Karambelkar, Rakesh Ranjan
INTRODUCTION: Traumatic brain injury (TBI) in children and adolescents is a community-based medical and educational challenge world-over due to increasing urbanization and motorization. In India, children between 1 to 15 years constitute significant proportion of the total population, who are vulnerable for TBI. In developed countries, pediatric trauma mortality still represents more than half of all childhood fatalities, which is 18 times more common than brain tumors. In this study, we attempted to analyze epidemiological factors, management, and outcome of TBI in children at a tertiary care center in Pune, Maharashtra...
March 29, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29574816/current-and-evolving-trends-in-the-management-of-facial-fractures
#18
N Vujcich, D Gebauer
The oral and maxillofacial region has a complex regional anatomy including hard and soft tissues. Trauma in this region may affect the airway, cause potentially life threatening bleeding and head injuries. The senses of olfaction, sight and hearing can also be disrupted as well as a profound psychological impact following disfigurement. This oral and maxillofacial trauma update provides information on demographics, incidence, pathophysiology, diagnosis, fracture patterns and management of facial trauma. It also discusses the role of new advancements in the management of facial trauma...
March 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/29571670/maxillary-tumour-induced-osteomalacia
#19
O Emodi, A Rachmiel, D Tiosano, R M Nagler
Tumour-induced osteomalacia (TIO) is a rare paraneoplastic form of renal phosphate wasting that results in severe hypophosphatemia, defective vitamin D metabolism, and osteomalacia. In the case reported here, maxillary TIO was not diagnosed for 6years, although initial complaints were reported when the patient was 12years old. Meanwhile she suffered from profound growth limitation, pain, weakness, and spontaneous multiple bone fractures, culminating in complete loss of ambulatory ability and severe limitation in daily activities...
March 20, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29561488/submental-intubation-an-underutilized-technique-for-airway-management-in-patients-with-panfacial-trauma
#20
Adam Kaiser, Adam Semanoff, Louis Christensen, Rory Sadoff, Jody C DiGiacomo
PURPOSE: To evaluate submental intubation compared with secure airways of patients who have sustained significant maxillofacial trauma. PATIENTS AND METHODS: Patient series of 3 patients who underwent submental intubation prior to open reduction internal fixation of fractures associated with the mid and lower face. All of these patients were initially orally intubated, and then converted to submental intubation prior to the reparative procedure. Detailed description of the procedure is discussed in each patient...
March 20, 2018: Journal of Craniofacial Surgery
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