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"Facial Trauma"

Joab Cabral Ramos, Mirla Lays Dantas de Almeida, Yan Carlos Gomes de Alencar, Luís Ferreira de Sousa Filho, Camila Helena Machado da Costa Figueiredo, Manuella Santos Carneiro Almeida
OBJECTIVE: to study the epidemiological data of patients suffering from buccomaxillofacial trauma treated at a referral hospital in the State of Paraíba. METHODS: we conducted a cross-sectional study of inductive approach, with a comparative statistical procedure and research technique by field direct documentation. The sample comprised hospital records obtained from January 2016 to December 2017 of patients attended by the Service of Buccomaxillofacial Surgery and Traumatology of this hospital, and consisted of 332 patients according to the study's eligibility criteria...
November 29, 2018: Revista do Colégio Brasileiro de Cirurgiões
Christopher David Jones, Weiguang Ho, Eilidh Gunn, Daniel Widdowson, Hilal Bahia
INTRODUCTION: Electronic cigarettes (EC) have been reported to be associated with burns secondary to explosions of the device or battery, or contact from overheating, resulting in flame, contact or chemical burns. In addition to this, there have also been reported cases of soft tissue and bony trauma with or without associated burns. Using collective evidence, this review aims to summarise all reported burns associated with ECs, and its implications on immediate management with a particular focus on surgical treatment...
November 12, 2018: Burns: Journal of the International Society for Burn Injuries
Guillaume Giran, Hélios Bertin, Carine Koudougou, Florent Sury, Benjamin Croisé, Boris Laure
Less-lethal weapon are more and more used in law enforcement to neutralize combative individuals and to disperse riot crowds. Even if this type of weapon has been created to be less damaging than classical firearms, it has been incriminated many times in cases of facial injuries with functional consequences, even death. In many countries, these guns can be possessed by average citizens. They could be extremely harmful when handled by inexperienced users and cannot be considered solely as defense weapons. Interestingly, little literature is available concerning facial injuries caused by the less-lethal weapons...
November 12, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Sang Min Lee, Jin-A Baek, Yongsoo Kim
PURPOSE: Extra-articular temporomandibular bony ankylosis between the zygomatic bone and coronoid process is a rare condition. Currently, there are fewer than 40 cases reported in the English-language literature. The aim of this study was to report a case of zygomatico-coronoid ankylosis with surgical intervention and a literature review. MATERIALS AND METHODS: Through a PubMed search from 1946 to February 2018, using the terms ("extra-capsular" OR "zygomatico-coronoid" OR "extra-articular") AND ("ankylosis"), 61 articles were initially identified...
October 18, 2018: Journal of Oral and Maxillofacial Surgery
Hyuk-Jin Oh, Dong-Gyu Yeo, Sun-Chul Hwang
Traumatic optic neuropathy (TON) is an important cause of severe visual loss after blunt or penetrating head and facial trauma. High-dose steroids and surgical interventions have been applied in the indirect TON. However, there is no convincing evidence that results of the treatment have any strong benefits in terms of improvement of visual acuity. Nevertheless, surgical decompression should be considered in the case of a direct bony compression to the optic nerve and a progressive visual loss in indirect TON...
October 2018: Korean Journal of Neurotrauma
Ajit Mishra, A R Prabhuraj, Dhananjay Bhat, B N Nandeesh, Radhika Mhatre
BACKGROUND: Intracranial actinomycosis is rare bacterial infection without any characteristic clinical or radiological diagnostic features. Usual presentation is like pyogenic brain abscess, osteomyelitis with or without pachymeningitis and rarely as a parenchymal mass lesion. High index of suspicion should be kept in a patient with immunosuppression or predisposing factors like dental procedure, sinusitis, cardiac septal defects, cranio-facial trauma, cranial surgery, lung or abdomino-pelvic infection...
October 31, 2018: World Neurosurgery
Michael V Nguyen
BACKGROUND: The treatment of orbital compartment syndrome has a rich history rooted in surgery and emergency medicine. It is a rare but acute and vision-threatening condition that most commonly occurs secondary to facial trauma or as a postoperative complication, and was first recognized in 1950. Surgical techniques and medical management were developed and refined soon afterwards to eventually become the modern-day treatment, lateral canthotomy, and inferior cantholysis. OBJECTIVE: This article details the history of orbital compartment syndrome and the evolution of its treatment to the present day...
October 30, 2018: Journal of Emergency Medicine
Ryo Yamamoto, Koichiro Homma, Yuya Masuzawa, Chikako Shimizu, Toshio Ogata, Shingo Hori, Junichi Sasaki
Objective: Facial lacerations, which are common in the emergency department, have usually been repaired by non-facial trauma specialists, such as emergency physicians. Given the ongoing discussion regarding quality assurance or the optimal training model on facial laceration repair for nonspecialists, we sought to determine the impact of a 1-year wound closure training provided to emergency physicians. We hypothesized a decrease in early complications following facial wound closure after the training...
October 2018: AEM education and training
Sanjiv Fitz-Morris Gray, Beatrice Esther Dieudonne
Clostridium sordelli infection is a rare but potentially lethal infection associated with abortions, injury, contaminated wounds, and illicit drug use. It causes a recognizable syndrome with marked leukocytosis. Rapid diagnosis and aggressive sepsis management is required for optimal outcome. We report a case in a trauma patient with delayed presentation after sustaining facial trauma with soil contamination. The critical care management is summarized and a review of the literature.
2018: Pan African Medical Journal
Sun Hwa Lee, Seong Jong Yun
PURPOSE: To evaluate and compare the optic nerve sheath diameters (ONSDs) of facial trauma patients as observed on facial CT and brain CT, and to evaluate the predictive performance of ONSD as seen on facial CT for traumatic brain injury (TBI). METHODS: We retrospectively enrolled 262 patients with facial trauma who underwent both facial CT and brain CT. Two reviewers independently measured ONSD at 3 mm (ONSD3) and 10 mm behind the globe (ONSD10) for each patient on both CT scans...
October 15, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Sherby Suet Ying Pang, Christian Fang, Jimmy Yu Wai Chan
Importance: Orbital floor fracture is common among patients suffering from facial trauma. Open reduction and reconstruction of the orbital floor with Medpor is the treatment of choice in our centre to correct diplopia and enophthalmos. Objective: Application of locally available 3D printing service in perioperative planning of orbital floor reconstruction with porous polyethylene. Design: We present two patients who suffered from orbital floor fracture complicated by diplopia...
October 2018: Trauma case reports
Jin Ho Han, Junekyu Kim, Kun Chul Yoon, Hyun Woo Shin
Patients complaining of swelling and hematoma caused by contusion of the face can be easily seen in the emergency room. Most of the treatments were conservative treatments such as ice bag application, mild compression dressing, and massage. During the follow-up, fibrosis progression due to hematoma was frequently observed in the contusion site. When hematoma or fibrosis is confirmed, hyaluronidase (H-lase) 1,500 IU and 2 mL of normal saline were mixed and subcutaneously injected in crisscross manner. To evaluate the improvement of hematoma before and after hyaluronidase injection, three plastic surgeons evaluated using the Vancouver scar scale and compared preoperative and postoperative images...
September 2018: Archives of Craniofacial Surgery
Jae-Hyuk Yang, Suk Choo Chang, Jin Yong Shin, Si-Gyun Roh, Nae-Ho Lee
BACKGROUND: The facial bone has a complex structure compared to other bones, and various types of fractures can occur due to its characteristics. Among them, in comminuted fractures of anterior maxillary wall, multiple depressed and impacted bony segments cannot be reduced easily when performing internal fixation using plates and screws or wires, and inadequate restoration leads to a range of complications. This paper introduces an alternative technique using a resorbable mesh with fibrin glue to restore comminuted fractures of anterior maxillary wall...
September 2018: Archives of Craniofacial Surgery
Anália Cirqueira Milhomem, Luciano Moreira Alves, Isabella Mendes de Souza Jorge, Eduardo Luis Costa, Marina Clare Vinaud, Ruy de Souza Lino Júnior
BACKGROUND: Polymethyl methacrylate (PMMA) is a dermatologic filler commonly used in esthetic procedures. However, it can also be used in more severe cases such as reconstruction of facial traumas. AIMS: The aim of this report was to describe the use of PMMA in a nasal reconstruction of a patient victim of an automobilist accident which presented previous rejection of autograft. PATIENT: A young female patient, 26 y, victim of automobilist accident, with no bone support due to trauma both in the mandibulum and maxilla, presented fracture of several facial bones...
September 23, 2018: Journal of Cosmetic Dermatology
Larissa Collier, Chiara Villa
This study presents and discusses the differential diagnosis of a unique case of facial trauma. The adult male skull was excavated in 1948 from Uglemose (Owl Bog) outside of Birket, on the island of Lolland (Denmark). Carbon-14 samples from an adult tibia excavated with the skull dates to the end of the Danish Bronze Age and transition period into the pre-Roman Iron Age. The skull shows a traumatic ante-mortem lesion to the left maxilla, directly below the orbit, that opens into the maxillary sinus. The left margin of the injury is slightly rounded and angled into the lesion while the right margin is pulled out from the lesion and has a much sharper border, suggesting a directional force from left to right...
September 18, 2018: Anthropologischer Anzeiger; Bericht über die Biologisch-anthropologische Literatur
Scott J Farber, Rami S Kantar, Eduardo D Rodriguez
As the United States continues to increase its use of Special Operations Forces worldwide, treatment of craniomaxillofacial (CMF) trauma must be adapted to meet the needs of the warfighter. The remoteness of Special Operations can result in potentially longer times until definitive treatment may be reached. A significant portion of Servicemembers incur injury to the CMF region (42%). Severe CMF trauma can result in substantial hemorrhage and airway compromise. These can be immediately life threatening and must be addressed expeditiously...
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
A Haapanen, H Thorén, S Apajalahti, A L Suominen, J Snäll
Our aims were to document the occurrence of neurosensory disturbances of the infraorbital nerve six months after operation for an orbital blow-out fracture, and to find out whether dexamethasone facilitates neurosensory regeneration. Patients were randomly assigned to one of two groups: the study group was given a total of dexamethasone 30mg, whereas the control group were given neither glucocorticoid nor placebo. Each patient's infraorbital neurosensory state was recorded preoperatively, immediately postoperatively, and six months later...
November 2018: British Journal of Oral & Maxillofacial Surgery
Thair A Lateef, Auday M Al-Anee, Muntasser T Fattah Agha
Surgical treatment in patients with facial bone surgeries governs a meaningful extent of tissue trauma prompting prevalent postoperative portents of pain, facial swelling, and inconvenience. Beneficial effects of local cold therapy following surgery, facial swelling, pain, and inflammation have been discussed. The aim of study is to evaluate the efficacy of hilotherm cooling system in reducing postoperative pain and edema in patients following maxillofacial trauma and orthognathic surgeries.A clinical prospective study was done in the postoperative period for patients with facial trauma or those subjected to orthognathic surgery, 34 patients divided randomly into 2 groups; study group treated with the hilotherm cooling system and control group without...
October 2018: Journal of Craniofacial Surgery
July Andrea Ospina-Cantillo, Ruth Helena Ramírez-Giraldo, Iris Yansa Castelblanco-Arango, Ricardo Cardona
BACKGROUND: Frey's syndrome is a group of symptoms that include unilateral sweating with malar region and external ear reddening after eating or drinking some food. It is a lesion of the auriculotemporal nerve that is secondary to surgery, parotid gland infection or facial trauma. CLINICAL CASES: Three children between 4 and two and a half years of age: two girls and one boy. They had self-limiting unilateral erythematous facial macules that reached the external ear, without rash, itching, angioedema and gastrointestinal or respiratory symptoms; its onset was associated with the consumption of acid and some sweet foods...
July 2018: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
João Paulo Mendes Tribst, Amanda Maria de Oliveira Dal Piva, Alexandre Luiz Souto Borges, Marco Antonio Bottino
BACKGROUND/AIMS: Mouthguards (MGs) are devices that can reduce the risks of facial trauma. However, the large variety of MG types and thicknesses raises the question of which type is the most effective and beneficial for the athletes. The aim of this study was to evaluate stress distribution in the skull, teeth, and jaws as a consequence of a direct impact. MATERIAL AND METHODS: Using modeling software, a human skull was modeled and a human jaw was created with all teeth inserted into the respective alveolus...
August 14, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
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