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Facial fracture

Essam Ahmed Al-Moraissi, Edward Ellis, Andreas Neff
PURPOSE: The purpose of this study was to identify whether the incidence of systematically identified or incidentally encountered facial nerve branches during dissection to approach condylar fractures increases risk of transient and/or permanent facial nerve weakness. METHODS: A systematic review and meta-analysis were performed that included several databases with specific keywords, a reference search, and a manual search for suitable articles. The inclusion criteria were all clinical trials, with the aim of assessing the rate of facial nerve injuries when open reduction and internal fixation (ORIF) of condylar process fractures was performed using different surgical approaches...
April 17, 2018: Journal of Cranio-maxillo-facial Surgery
Jungil Hwang, Yong Chun You, Jin Sik Burm
A sialocele is a subcutaneous cavity containing saliva, most often caused by facial trauma or iatrogenic complications. In subcondylar fractures, most surgeons are conscious of facial nerve injury; however, they usually pay little attention to the parotid duct injury. We report the case of a 41-year-old man with a sialocele, approximately 5×3 cm in size, which developed 1 week after subcondylar fracture reduction. The sialocele became progressively enlarged despite conservative management. Computed tomography showed a thin-walled cyst between the body and tail of the parotid gland...
June 22, 2018: Archives of Craniofacial Surgery
Koin Lon Shum, Yuyang Tan
Pneumocephalus, the presence of air within the cranium, commonly suggests a breach in the meningeal layer or an intracranial infection by a gas-producing organism. Trauma is the most common cause of pneumocephalus, followed by cranial surgery. Other causes include infection and intracranial neoplasm. An 87-year-old man was conveyed to the emergency department after being found to be drowsy by his helper. He was noted to have a new onset right-sided hemiparesis. Past medical history was significant for hypertension, stage 5 chronic kidney disease, cerebrovascular accident, pacemaker insertion for sick sinus syndrome, transurethral resection of the prostate for benign prostatic hyperplasia, and pulmonary tuberculosis...
April 14, 2018: Curēus
Tae Ho Kim, Seok Joo Kang, Hook Sun
Background: The ideal absorbable plating system should provide sufficient rigidity and then be absorbed within a timely manner. The Resorb-X has been recently developed as a plating system with a mixture ratio of 50:50 poly(D, L-lactide). Methods: : We present seven of 121 patients who experienced delayed degradation with this absorbable plate. One hundred twenty-one patients with facial bone fracture underwent surgical treatment from March 2011 to March 2015, and rigid fixation was achieved with the Resorb-X...
June 20, 2018: Archives of Craniofacial Surgery
Kevin Li, Sami P Moubayed, Emily Spataro, Sam P Most
Importance: Initial treatment of nasal fractures can result in long-standing cosmetic or functional defects, but the risk factors for subsequent septorhinoplasty have not been explored. Objective: To assess the risk factors for septorhinoplasty after the initial treatment of isolated nasal fracture. Design, Setting, and Participants: This retrospective population-based analysis of US patients diagnosed with nasal fracture between January 1, 2007, and December 31, 2015, used insurance claims data from the Commercial and Medicare Supplemental categories of the Truven Health MarketScan database...
June 14, 2018: JAMA Facial Plastic Surgery
Sirous Nekooei, Mahsa Sardabi, Mohammad Etezad Razavi, Amirhossein Nekooei, Mohammad Yaser Kiarudi
Orbital floor fractures alone or in conjunction with other facial skeletal fractures are the most commonly encountered midfacial fractures. The technological advances in 3-dimensional (3D) printing allow the physical prototyping of 3D models, so creates an accurate representation of the patient's specific anatomy. A 56-year-old Caucasian man with severe hypoglobus and enophthalmos with an extensive blowout fracture was scheduled for reconstruction. First, 3D physical models were created based on the computed tomography scan datasets from patient...
January 2018: Middle East African Journal of Ophthalmology
Luara Teixeira Colombo, Raquel Barroso Parra da Silva, Gabriel Mulinari-Santos, Leonardo Freitas da Silva, André Luis da Silva Fabris, Francisley Ávila Souza
The facial fractures in pediatric patients are rare, and they can need an immediate treatment to recover the function and aesthetic to the young patients. However, the open reduction internal fixation is controversial in pediatrics; it can be effectiveness to treat complex mandible fractures. Therefore, we present a case of a pediatric patient with a complex mandible fracture caused by an auto accident. The immediate treatment was successful with the use of open reduction internal fixation.
June 11, 2018: Journal of Craniofacial Surgery
Ashrafullah, Ramesh Kumar Pandey, Apurva Mishra
Objective: To determine the incidence and pattern of facial fracture in children of age 0-16 years of age. Material & methods: Patients with trauma reporting to department of paediatric and preventive dentistry and department of oral & maxillofacial surgery from January 2011 to December 2011 were selected for the present study. The records of patients treated for maxillofacial injuries were retrospectively retrieved and analyzed for prevalence, pattern, etiology, and management of maxillofacial trauma...
May 2018: Journal of Oral Biology and Craniofacial Research
David Carpenter, Ronnie Shammas, Adam Honeybrook, C Scott Brown, Nikita Chapurin, Charles R Woodard
Obtaining postoperative images of maxillofacial fractures does not affect the clinical management of asymptomatic patients; however, few studies have evaluated the role of postoperative imaging in the context of orbital floor fractures. In this study, we evaluate current practice techniques and the role of postoperative imaging in the management of orbital floor fractures in isolation and with concomitant facial fractures. Retrospective review of patients who underwent open reduction and internal fixation of orbital floor fractures between 2005 and 2015 at a single medical institution...
June 2018: Craniomaxillofacial Trauma & Reconstruction
Diya Su, Dezhi Li, Shiwei Wang, Hui Qiao, Ping Li, Binbin Wang, Hong Wan, Michael Schumacher, Song Liu
BACKGROUND: Closed temporal bone fractures due to cranial trauma often result in facial nerve injury, frequently inducing incomplete facial paralysis. Conventional hypoglossal-facial nerve end-to-end neurorrhaphy may not be suitable for these injuries because sacrifice of the lesioned facial nerve for neurorrhaphy destroys the remnant axons and/or potential spontaneous innervation. OBJECTIVE: we modified the classical method by hypoglossal-facial nerve "side"-to-side neurorrhaphy using an interpositional predegenerated nerve graft to treat these injuries...
June 6, 2018: Restorative Neurology and Neuroscience
Yu-Tzu Wang, Shao-Fu Huang, Yu-Ting Fang, Shou-Chieh Huang, Hwei-Fang Cheng, Chih-Hao Chen, Po-Fang Wang, Chun-Li Lin
This study performs a structural optimization of anatomical thin titanium mesh (ATTM) plate and optimal designed ATTM plate fabricated using additive manufacturing (AM) to verify its stabilization under fatigue testing. Finite element (FE) analysis was used to simulate the structural bending resistance of a regular ATTM plate. The Taguchi method was employed to identify the significance of each design factor in controlling the deflection and determine an optimal combination of designed factors. The optimal designed ATTM plate with patient-matched facial contour was fabricated using AM and applied to a ZMC comminuted fracture to evaluate the resting maxillary micromotion/strain under fatigue testing...
2018: BioMed Research International
Thomas Gander, Michael Blumer, Claudio Rostetter, Maximilian Wagner, Daniel Zweifel, Paul Schumann, Daniel B Wiedemeier, Martin Rücker, Harald Essig
OBJECTIVE: Fractures of the zygoma and orbit are common facial skeleton injuries. Inadequate reduction and internal fixation may result in functional and aesthetic impairment. The aim of this study was to assess the use of intraoperative 3-dimensional (3-D) cone beam computed tomography (CBCT) for determining the intraoperative revision rate and the need for additional reconstruction of the orbit. STUDY DESIGN: We conducted a retrospective analysis of 48 consecutive patients (15 females, 33 males) suffering from simple or complex zygomatic fractures, seen between June 2015 and October 2016...
May 7, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
David A Shaye, Travis Tollefson, Irfan Shah, Gopal Krishnan, Damir Matic, Marcelo Figari, Thiam Chye Lim, Sunil Aniruth, Warren Schubert
BACKGROUND: Trauma is a significant contributor to global disease, and low-income countries disproportionately shoulder this burden. Education and training are critical components in the effort to address the surgical workforce shortage. Educators can tailor training to a diverse background of health professionals in low-resource settings using competency-based curricula. We present a process for the development of a competency-based curriculum for low-resource settings in the context of craniomaxillofacial (CMF) trauma education...
June 6, 2018: World Journal of Surgery
Cláiton Heitz, Guilherme Pivatto Louzada, Ricardo Augusto Conci, Renato Luiz Rodrigues, Guilherme Genehr Fritscher
Facial fractures due to dog attacks have an unknown incidence rate. To date, only 41 cases of canine bite trauma in a pediatric patient, associated with facial fracture, have been reported in the literature. As major species of involving dogs are the American pitbull terrier and rottweiler. Due to the intense kinematics of this trauma, the treatment becomes complex. Thus, attention to the primary repair of such complex lesions ensures satisfactory results, which is the focus of this discussion. The purpose of this review was to analyze how different ways to approach this type of trauma in children for clarification or correct management...
April 2018: Plastic and Reconstructive Surgery. Global Open
A V J Rozeboom, L Dubois, R R M Bos, R Spijker, J de Lange
BACKGROUND: There is considerable controversy about whether condylar fractures should be treated open or closed. Even when there is a clear indication for open treatment, the appropriate approach opens another debate. PURPOSE: To provide a clear overview on the complications of extraoral approaches to condylar fractures. METHODS: Systematic literature search of all indexed years on PubMed, Medline, and Embase. For detailed analysis, we selected 70 studies...
May 18, 2018: Journal of Cranio-maxillo-facial Surgery
Ping-Hsun Lee, Chi-Cheng Liang, Shiang-Fu Huang, Han-Tsung Liao
PURPOSE: Although facial nerve palsy is uncommon after a blunt craniofacial injury, it will result in functional and aesthetic disability if full recovery is not achieved. Currently, the management is still controversial and mainly through systemic steroid therapy or surgical decompression. However, current studies mainly focus on the surgical intervention, and only a few of these studies discuss the details of the steroid treatments. Thus, the purpose of this study is to analyze possible prognosis factors of systemic steroid in managing traumatic facial nerve palsy after a blunt craniofacial injury retrospectively...
May 31, 2018: Journal of Craniofacial Surgery
Brett J King, Earl Peter Park, Brian J Christensen, Raman Danrad
PURPOSE: The purpose of this study was to compare the intraoperative time and operating room costs between patients with mandibular fractures treated with traditional adaptation and fixation and patients treated with preadapted plates created with on-site 3-dimensionally printed models. PATIENTS AND METHODS: We designed a prospective comparative cohort study for patients with mandibular fractures. The control group received traditional open reduction and internal fixation of their mandibular fractures...
May 15, 2018: Journal of Oral and Maxillofacial Surgery
Sathyadeepak Ramesh, Sasha Hubschman, Robert Goldberg
BACKGROUND: Orbital fractures are one of the most common sequelae of facial trauma. OBJECTIVE: The objective of this study was to summarize published data for resorbable implants in orbital reconstruction, including polymer composition, degradation characteristics, osteoconductivity, and complications such as enophthalmos, diplopia, and peri-implant inflammation. A literature search of the National Library of Medicine was performed via PubMed using the keyword resorbable orbital implant...
May 30, 2018: Annals of Plastic Surgery
Matthew Esposito, Michael Meyer, Jared Strote
BACKGROUND: Pressure cookers are common kitchen appliances with a good safety record and only rare associated explosions. CASE REPORT: Here we present a case of unintentional pressure cooker explosion leading to polytrauma with injuries including pneumothorax, intracranial hemorrhage, open skull fracture, and multiple facial fractures. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Extreme forces and temperatures are involved in pressure cooking. Given the infrequent but real risk of mechanical failure and the increasing use of such devices to create intentional explosions, emergency physicians should be aware of the potentially significant blast injuries that can be associated with them...
May 26, 2018: Journal of Emergency Medicine
Petra Urbanová, Tomáš Vojtíšek, Jan Frišhons, Ondřej Šandor, Mikoláš Jurda, Jan Krajsa
Postmortem facial identification is one of the most common techniques for establishing a deceased person's identity. In victims suffering from devastating cranial injuries, the feasibility of facial identification tasks can be compromised by damage to or disfigurement of the identifying cranial features. Although there are several reconstructive approaches, which help experts to restore the essence of person's physical appearance, thus enhancing the chances of recognition, only a few of them involve restoring the fractured cranial bones as the foundation for the reconstructed soft tissues...
May 22, 2018: Legal Medicine
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