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"Facial Trauma"

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...
2018: 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...
September 13, 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
Seon Tae Kim, Joo Hyun Jung, Byeong Woo Lim, Ryun Ha, Joo Hyun Woo, Heung Eog Cha, Mijung Chi, Jin Soon Chang, Il Gyu Kang
This study describes a 68-year-old man who was presented to the emergency department with left orbital cavity penetration by his eyeglasses. The eyeglasses had entered the orbit and at presentation his eyesight could not be measured. The foreign body was extracted carefully and panfacial bone fractures were then reduced through lateral rhinotomy combined with a lip-splitting incision. When planning removal of an unusual foreign body from the orbital cavity, care should be taken not to injure the optic nerve, periorbital musculatures, or the eyeball...
October 2018: Journal of Craniofacial Surgery
Leyre Margallo, Estibaliz Ortiz de Zárate, Maria Franco, Maria Garcia-Iruretagoyena, Rosa Cherro, Luis Barbier, Josu Mendiola, Thomas Constantinescu
The mortality associated with high-energy trauma has several time peaks and variable prognosis. In the particular case of isolated head and neck trauma, management initially includes stabilizing the patient, especially the airway and circulation, and then proceeding to treat injured structures with debridement and often fracture fixation and coverage. We present a case of a male patient who suffered a severe facial trauma at his workplace. He underwent an initial uneventful emergency surgery for control of bleeding and mandibular osteosynthesis...
September 2018: Craniomaxillofacial Trauma & Reconstruction
Cheng Huang, Mingyuan He, Hongfu Zhao, Prof Guanghui Cheng
The aim of this study is to report an uncommon case of nasal keloid treated with adaptive image-guided high-dose-rate (HDR) intracavitary brachytherapy. A 34-year-old female presented with nasal keloid after facial trauma was treated with scar resection and HDR intracavitary brachytherapy with a customized eccentric applicator. The total dose was 21 Gy in 6 fractions. During 3 years of follow-up, there was no evidence of recurrence at the local site, and no complications. In conclusion, HDR intracavitary brachytherapy is an effective way to prevent the recurrence of nasal keloids post-surgery...
June 2018: Journal of Contemporary Brachytherapy
Marion E Frank, Thomas P Hettinger
Chemosensory disorders, primarily olfactory, have diagnostic significance for prevalent human illnesses, but the multitude of smells makes measuring function appear daunting. The olfactory system operates under dynamic natural sensing conditions in which many individual odor chemicals are waxing and waning. Yet, in experimentally controlled simulations, mixture-component selective adaptation shows individual or shared prominent characteristic odors are detected but molecular stimulus features are not. As in other biological chemical signaling systems, including taste, odors activate dedicated receptors (OR)...
March 2018: World Journal of Otorhinolaryngology—Head and Neck Surgery
Eduardo Morato de Oliveira, José Alcides Almeida de Arruda, Polianne Alves Mendes Nascimento, Isabela Moreira Neiva, Ricardo Alves Mesquita, Leandro Napier Souza
PURPOSE: The aims of the present study were to discuss the demographic distribution and clinical characteristics of patients with pycnodysostosis (PYCD) and the onset of osteomyelitis and its treatment using a literature review. The authors also report on an update of treatment of mandibular osteomyelitis in a patient with PYCD using a buccal fat pad (BFP) as a free graft. PATIENTS AND METHODS: The study was carried out in 2 steps. In the first step, an electronic search was undertaken in PubMed in March 2018, with 17 articles being included...
June 26, 2018: Journal of Oral and Maxillofacial Surgery
Anmol Chattha, Johnson C Lee, Philip K Johnson, Ashit Patel
Annual incidence of non-fatal ballistic civilian has been increasing for the last decade. The aim of the present study was to clarify the optimal reconstructive management of civilian ballistic facial injuries. A systematic review of PubMed was performed. Articles were evaluated for defect type and site, reconstructive modality, complications, and outcomes. A total of 30 articles were included. Most common region of injury was mandibular with a 46.6% incidence rate. All-cause complication rate after reconstruction was 31...
July 19, 2018: Journal of Craniofacial Surgery
Verna M Aykanat, Desmond P McGlade
This case demonstrates a novel preoxygenation technique in a patient with difficult access to the airway after a traumatic facial injury. To find a solution, a fusion of oxygenation equipment was trialed by altering and combining a tracheostomy mask and the tubing of an Optiflow circuit from which the nasal cannula component had been removed. This novel combination delivered high-flow humidified oxygen (60 L/min) orally, avoided further facial injury, and was well tolerated by the patient. Effective preoxygenation was confirmed by arterial gas measurements...
July 16, 2018: A&A practice
Leonardo Santos Antunes, Ariane Ferraz Corrêa Torres, Gustavo Ferreira, Roberto Prado, Neide Pena Coto, Lívia Azeredo Alves Antunes
Maxillofacial injuries are a regular consequence of sport activities that can force athletes to take a long time off from training and competitions. One way to decrease the time that the athlete needs to get back to his or her training exercises after surgery is to use a custom facemask as a coadjuvant in the postoperative recovery phase. This case report describes the case of a 16-year-old male athlete who suffered facial trauma (orbitozygomatic fractures) during a soccer game. After surgery, a facemask was used during the postoperative phase...
July 12, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Nicholas P Guys, Ahsan Mir, Peter F Svider, Anthony Sheyn
OBJECTIVES: Swimming has been reported as the most common recreational activity among American youths, while diving remains a popular youth activity as well. We characterize the most common facial injuries occurring during these activities and evaluate facial fracture mechanisms and demographic trends, as this information may be helpful in preventative counseling as well as diagnosis. METHODS: The National Electronic Injury Surveillance System was assessed for swimming- and diving-related facial injuries in children from 2007 to 2016...
August 2018: International Journal of Pediatric Otorhinolaryngology
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