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Nasal Fractures

L L Shi, H T Zhen
Objective: To explore the application and to evaluate the advantage of image navigation assisted nasal endoscopic surgery in optic nerve decompression. Method: Sixty patients accepted the image navigation assisted nasal endoscopic surgery therapy in optic nerve decompression were included in this retrospective study and followed up for about six months to four years. Result: The visual acuity was improved in 16 cases with visual acuity above light. One case is 10 cm index, two cases are 40 cm index, one case is 70 cm index, the visual acuity of rest 12 cases was between 0...
December 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Leonardo Marchini, Veerasathpurush Allareddy
BACKGROUND/AIMS: The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital-based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA-wide data of hospital-based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits. MATERIAL AND METHODS: The Nationwide Emergency Department Sample (NEDS) for the years 2008 to 2014 was used for the present study...
December 8, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Michael T Spooner, John E Alex, Joy A Greer, Donald R Delorey, Rebecca A Kiser, Carl Petersen, Travis Polk, Kim Gunzelman
Introduction: A standardized training curriculum designed for general medical officers (GMO) titled Simulation Training for Operational Medicine Providers (STOMP) was recently developed to educate and improve GMOs' procedural skills through directed feedback prior to assuming duties in an operational environment. This study aimed to determine the impact this novel curriculum had on GMOs'confidence levels in 21 core privileges covering eight different subspecialties while stationed at Naval Medical Center Portsmouth (NMCP)...
December 4, 2018: Military Medicine
T Ajay Das, A Sachin Aslam, Ummar Mangalath, Roshni Abida, Rakesh B Nair, Sooraj Soman
INTRODUCTION: The closed reduction of a displaced nasal fracture is a preferred method in oral and maxillofacial surgery. This prospective study was conducted to evaluate the treatment outcome following closed reduction of nasal bone fractures. MATERIALS AND METHODS: A total of 20 patients with nasal bone fracture who underwent closed reduction were included in the study. The cases were operated under local or general anesthesia. The outcome of treatment was evaluated pre- and postoperatively through systematic follow-ups...
October 1, 2018: Journal of Contemporary Dental Practice
Vikram Shetty, Akshaya Kulkarni, Suman Banerjee
Rhinosporidiosis is a rare, chronic, granulomatous infection of the mucous membranes that mainly involves the nose and nasopharynx; it occasionally involves the pharynx, conjunctiva, larynx, trachea and, rarely, the skin. The characteristic clinical features of this disease include the formation of painless polyps in the nasal mucosa or the nasopharynx that bleed easily on touch. At our center, excision of the lesion with a Le Fort I osteotomy is carried out in patients (1) in whom two or more previous attempts at excision of biopsy-proven rhinosporidiosis arising from the nasal mucosa was carried out or (2) in whom the rhinosporidiosis arises from the nasophayrngeal mucosa and/or extranasal sites...
October 2018: Ear, Nose, & Throat Journal
Steve Chukwulebe, Christopher Hogrefe
Appropriate medical care for a patient with a facial fracture can not only optimize aesthetic outcomes but also prevent the potential morbidity and mortality of delayed treatment. In this article, we focus on the clinical presentations, physical examination findings, diagnostic imaging, consultations, and follow-up that patients with facial fractures need related to their emergency department management. Specifically, we address the nuances of evaluating frontal, orbital, nasal, maxillofacial, and mandibular fractures...
February 2019: Emergency Medicine Clinics of North America
Kun Hwang, Joon Soo Jung, Hun Kim
Purpose: The aim of this study was to compare the diagnostic performance (accuracy, sensitivity, specificity, positive predictive value, and negative predictive value) of plain film (PF), ultrasonography (USG), and computed tomography (CT) in diagnosing nasal bone fractures (NBFs). Methods: In a search of PubMed and Scopus, "nasal bone fracture" AND "X-ray OR CT OR USG OR MRI" were searched. Among the 369 titles from PubMed and 379 titles from Scopus, 257 duplicate titles were excluded and 491 titles were reviewed...
November 2018: Plastic Surgery
Urs Borner, Lukas Anschuetz, Nadine Kaiser, Alexander Rieke, Patrick Dubach, Marco Caversaccio
OBJECTIVE: The clinical challenge in blunt nasal trauma in children, is to identify cases requiring specialized care among frequently encountered banalities, whilst trying to minimize the exposure to diagnostic procedures. We aim to evaluate the related diagnostic and therapeutic pathways and its outcome during follow-up. METHODS: This retrospective cohort study includes children up to 16 years presenting at the emergency department with blunt nasal trauma of our tertiary reference center...
October 31, 2018: European Archives of Oto-rhino-laryngology
Mehmet Ozgur Erdogan, Engin Ozturk, Baris Erdogan, Mustafa Ahmet Afacan, Ismail Tayfur, Kaan Yusufoglu, Sahin Colak, Abdullah Algin
Endonasal or transnasal procedures are sometimes necessary in patients with head trauma. Before these procedures, the integrity of the skull base must be considered to avoid penetration of the cranial vault. A 54-year-old man was taken to a district hospital following a car accident. After the initial assessment and emergency treatment, he was transferred to our emergency clinic for further examination. The patient had massive nasal bleeding, though a Foley catheter had been inserted to control posterior bleeding...
2018: Northern Clinics of Istanbul
Ki-Su Jin, Ho Lee, Jun-Bae Sohn, Yoon-Sic Han, Da-Un Jung, Hye-Young Sim, Hee-Sun Kim
Background: For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures. Methods: This retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Several parameters, including time of injury, region and cause of fracture, alcohol intoxication, time from injury to surgery, hospitalization period, and postoperative complications, were evaluated...
December 2018: Maxillofacial Plastic and Reconstructive Surgery
Praveen Satish Kumar, Francis Akkara, Vikas Dhupar
No abstract text is available yet for this article.
December 2018: Journal of Maxillofacial and Oral Surgery
Tae Gon Kim, Bong Gyu Choi, Jin Ho Lee, Kyu-Jin Chung, Jun Ho Lee, Yong-Ha Kim
PURPOSE: Nasal and blowout fractures are the most common injuries from craniomaxillofacial trauma. Nasal fractures are easily diagnosed by clinical signs, such as pain and crepitus. However, blowout fractures are frequently asymptomatic and are easy to miss without computed tomographic (CT) scanning. This study analyzed the relation between the 2 fracture types to determine whether nasal fracture could be used as a predictor of blowout fracture. MATERIALS AND METHODS: CT scans of 1,368 patients who underwent reduction surgery for nasal fracture were retrospectively reviewed...
September 13, 2018: Journal of Oral and Maxillofacial 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
Sevgi Kurt Yazar, Merdan Serin, Ibrahim Taskin Rakici, Selami Serhat Sirvan, Fatih Irmak, Memet Yazar
BACKGROUND: Osteotomy is a crucial step in rhinoplasty, which can have a significant impact on the outcome. In addition to previous percutaneous (external perforating) and endonasal (internal) approaches, piezosurgery has been used in rhinoplasty practice since 2007. This experimental model was planned to compare the three osteotomy techniques. MATERIALS AND METHODS: This study was performed on a caprine skull osteotomy model. Three groups were created from 12 animals, namely, endonasal continuous, external perforating, and piezosurgery groups...
September 4, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Minseok Jeon, Youngjun Kim
Since the nose is at the center of the face, small changes to it can cause a big overall change. Therefore, a nasal fracture needs to be operated on when deformity is expected. Although many taxonomies have been developed for nasal bone fractures, no study has aimed to predict individual patient satisfaction. Herein, the authors tried to determine any correlation between the existing classifications of nasal bone fractures and subjective patient satisfaction. A retrospective study and telephone survey were conducted in 149 patients who underwent closed reduction for a pure nasal bone fracture...
October 2018: Journal of Craniofacial Surgery
Cibele Andres Solai, Cristiane de Alencar Domingues, Lilia de Souza Nogueira, Regina Marcia Cardoso de Sousa
Although clinical signs for the diagnosis of basilar skull fracture (BSF) are ambiguous, they are widely used to make decisions on initial interventions involving trauma patients. We aimed to assess the performance of early and late (within 48 hr posttrauma) signs for BSF diagnosis and to verify the correlation between the presence of these signs and head injury severity. We conducted a prospectively designed follow-up study at a referral hospital for trauma care in Sao Paulo, Brazil, and performed structured observations for 48 hr post-blunt head injury in patients aged 12 years or older...
September 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Pavly Youssef, Roman Povolotskiy, Thayer J Mukherjee, Aron Kandinov, Boris Paskhover
PURPOSE: The aims of this study were as follows: To determine the national incidence of facial fractures among infants, toddlers, and children; to evaluate the types of facial fractures; and to analyze common products/activities associated with the fractures. MATERIALS AND METHODS: A retrospective review was conducted to explore patterns of facial fractures among infants (<1 year), toddlers (1-3 years), and children (3-5 years), using the National Electronic Injury Surveillance System (NEISS) from the Consumer Product Safety Commission (CPSC)...
September 2018: Journal of Cranio-maxillo-facial Surgery
Pallavi Malaviya, Sandeep Choudhary
Zygomatic fractures are the second most common fractures of the facial skeleton, after nasal bone fractures. Due to its uniqueness, the malar bone plays a very important role in maintaining appropriate facial contours. Zygomatic fractures can cause ocular and mandibular functional impairment, along with cosmetic defects. With the help of advanced imaging techniques and various treatment options, the management of zygomatic fractures has become more sophisticated and less invasive. This article discusses zygomatic fractures in detail: their clinical and radiographic features, and the various treatment options available...
August 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
Naoya Oshima, Tomohiro Shiraishi, Tsukasa Kawauchi, Jun Oba, Daisuke Sato, Masahide Fujiki, Mine Ozaki, Akihiko Takushima, Kiyonori Harii
In 1986, Altemir first reported the use of submental intubation to avoid tracheotomy in patients with panfacial and midfacial fractures for whom intermaxillary fixation is necessary, but orotracheal and nasotracheal intubations are not recommended. This novel technique allowed intraoperative access to perform dental occlusion and reconstruction of the nasal pyramid in patients with skull base fractures. Herein, we describe a refined technique based on Altemir's original procedure. Seven male patients with panfacial fractures underwent submental intubation using our refined technique...
October 2018: Journal of Craniofacial Surgery
Monika Morawska-Kochman, Kamil Nelke, Jan Nienartowicz, Wojciech Pawlak, Marek Bochnia
BACKGROUND: The downfracture access to septoand turbinoplasty during maxillary osteotomy may be recommended in many cases. One or both of these laryngological interventions may be necessary when, after the patient's clinical evaluation, either an impaired function of nasal breathing or a deviated septum are present. The main postsurgical risk of the procedure is the destabilization of the cartilaginous septum position and its relation to adjacent anatomical structures, a change in the shape of the nose and the presence of a supratip break...
August 7, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
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