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https://www.readbyqxmd.com/read/27906097/a-10-year-old-child-presenting-with-syndromic-paucity-of-bile-ducts-alagille-syndrome-a-case-report
#1
Girish Kumar Pati, Ayaskanta Singh, Preetam Nath, Jimmy Narayan, Pradeep Kumar Padhi, Prasanta Kumar Parida, Kaumudee Pattnaik, Chittaranjan Panda, Shivaram Prasad Singh
BACKGROUND: Alagille syndrome, a rare genetic disorder with autosomal dominant transmission, manifests with five major features: paucity of interlobular bile ducts, characteristic facies, posterior embryotoxon, vertebral defects, and peripheral pulmonary stenosis. Globally, only 500 cases have so far been reported, with only five cases reported in the Indian subcontinent. Rarely, Alagille syndrome also presents with skin manifestations and early-onset chronic liver disease, which was found in our case...
November 30, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27890105/use-of-postmortem-computed-tomography-angiography-to-detect-vascular-injuries-accompanying-skull-base-fracture
#2
Hikaru Kuninaka, Yoichiro Takahashi, Rie Sano, Keiko Takahashi, Rieko Kubo, Yoshihiko Kominato, Hiroyuki Takei, Susumu Kobayashi, Takehiro Shimada, Hiroyuki Tokue, Sachiko Awata, Satoshi Hirasawa
A 58-year-old woman who had presented for upper gastrointestinal barium examination accidently slipped from the movable bed, and her head became compressed between the end of the bed and the side wall. She suffered massive bleeding from her nose and ear followed by cardiac arrest, and subsequent attempts at cardiopulmonary resuscitation failed. A medicolegal autopsy was performed to reveal the cause of death, as part of the investigation of the accident. During the autopsy, postmortem cerebral CT angiography was carried out by injection of 5% gelatin-barium emulsion as a radiopaque contrast medium into the bilateral common carotid arteries, demonstrating transudation of the contrast medium into the right acoustic meatus and the sphenoidal sinus cavity...
November 2016: Legal Medicine
https://www.readbyqxmd.com/read/27833286/diagnostic-tools-in-maxillofacial-fractures-is-there-really-a-need-of-three-dimensional-computed-tomography
#3
Sheerin Shah, Sanjeev K Uppal, Rajinder K Mittal, Ramneesh Garg, Kavita Saggar, Rishi Dhawan
INTRODUCTION: Because of its functional and cosmetic importance, facial injuries, especially bony fractures are clinically very significant. Missed and maltreated fractures might result in malocclusion and disfigurement of the face, thus making accurate diagnosis of the fracture very essential. In earlier times, conventional radiography along with clinical examination played a major role in diagnosis of maxillofacial fractures. However, it was noted that the overlapping nature of bones and the inability to visualise soft tissue swelling and fracture displacement, especially in face, makes radiography less reliable and useful...
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27703936/short-stature-revealing-a-pycnodysostosis-a-case-report
#4
Hayat Aynaou, Imane Skiker, Hanane Latrech
INTRODUCTION: Pycnodysostosis is a rare genetic disease characterized by osteosclerosis and bone fragility. The clinical aspects are varied including short stature, acro-osteolysis of distal phalanges, and dysplasia of the clavicles. Oral and maxillofacial manifestations of this disease are very clear. The head is usually large, a beaked nose, obtuse mandibular angle, and both maxilla and mandible are hypoplastic. Dental abnormalities are common. We report a case with the typical clinical and radiological characteristics of the Pycnodysostosis associated with a conductive hearing loss, an association rarely reported...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27703565/the-impact-of-the-nasal-trauma-in-childhood-on-the-development-of-the-nose-in-future
#5
Gabriela Kopacheva-Barsova, Slavica Arsova
AIM: To prevent and to treat nasal trauma in children properly, because it can lead to displacement or depression of the nasal bones or septum. Second, our aim was, for the patient to recognise and create a mature decision for eventual nose changes which will be made with the operative intervention or they are not mature enough and the decisions were made by their parents. MATERIAL AND METHODS: Our retrospective study was made at University Clinic for Ear, Nose and Throat, Faculty of Medicine, Ss Cyril and Methodius University of Skopje in the period of 6 years (2005-2016)...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27620669/soccer-related-facial-trauma-a-nationwide-perspective
#6
Michael R Bobian, Curtis J Hanba, Peter F Svider, Houmehr Hojjat, Adam J Folbe, Jean Anderson Eloy, Mahdi A Shkoukani
PURPOSE: Soccer participation continues to increase among all ages in the US. Our objective was to analyze trends in soccer-related facial injury epidemiology, demographics, and mechanisms of injury. MATERIALS AND METHODS: The National Electronic Injury Surveillance System was evaluated for soccer-related facial injuries from 2010 through 2014. Results for product code "soccer" were filtered for injures to the face. Number of injuries was extrapolated, and data were analyzed for age, sex, specific injury diagnoses, locations, and mechanisms...
September 12, 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27438456/analysis-of-traffic-accident-related-facial-trauma
#7
Su Hyun Choi, Ja Hea Gu, Dong Hee Kang
The consequences of facial trauma remain of great significance both functionally and esthetically. Traffic accident-related facial trauma is a frequent and significant cause of maxillofacial injury. The purpose of this study was to determine the natural history of traffic accident-related facial injuries in 846 patients over a 10-year period at a regional emergency center. The authors report a retrospective study of 846 patients with facial trauma from traffic accidents. The medical records of these patients were reviewed and analyzed to determine clinical characteristics, treatments, and outcomes of traffic accident-related facial trauma...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27411519/forgetful-but-not-forgotten-bathroom-related-craniofacial-trauma-among-the-elderly
#8
Curtis Hanba, Amar Gupta, Peter F Svider, Adam J Folbe, Jean Anderson Eloy, Giancarlo F Zuliani, Michael A Carron
OBJECTIVES/HYPOTHESIS: As our population ages, injuries attributable to falls continue to increase, impacting healthcare delivery. Evaluation of craniofacial trauma with focus on elderly patients remains an underappreciated concern. Our objectives were to evaluate injury trends associated with elderly bathroom falls, as this information may be useful for counseling and preventive purposes. STUDY DESIGN: Database review. METHODS: The National Electronic Injury Surveillance System was evaluated for craniofacial trauma among patients 60 years and older presenting to the emergency department (ED) (2010-2014)...
July 14, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27391510/treatment-options-in-maxillofacial-fractures
#9
Jorge Orlando Guerrissi
From 2000 to 2010, 720 patients with facial trauma were admitted in Plastic Surgery Service of Argerich Hospital, Buenos Aires, Argentina; 58 of them with panfacial fractures were included in this study. Height velocity impact is the principal etiology, and most concomitant extrafacial injuries are neurocranium and cervical spine. Common affected areas were orbits, nose, and malar-zygoma. The timing of the treatment was airway evaluation, control of bleeding and consciousness, treatment of associated injuries, and finally facial reconstruction...
July 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27368447/a-chilling-reminder-pediatric-facial-trauma-from-recreational-winter-activities
#10
Peter F Svider, Michael Bobian, Houmehr Hojjat, Anthony Sheyn, Giancarlo Zuliani, Jean Anderson Eloy, Adam J Folbe
BACKGROUND: Winter activities offer children and adolescents an outdoor recreational opportunity during the coldest months. Our objectives were to estimate the national incidence of facial injury associated with recreational winter activities. Furthermore, we analyze demographic trends and clinical characteristics of patients presenting to emergency departments (EDs). METHODS: The National Electronic Injury Surveillance System (NEISS), a population-based resource, was evaluated for ED visits from 2010 to 2014 for children injured from "active" winter -undertakings (snowboarding, skiing, ice skating) and sledding/tubing...
August 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27338674/the-role-of-septoplasty-in-the-management-of-nasal-septum-fracture-a-randomized-quality-of-life-study
#11
A Younes, S Elzayat
Fracture of the nasal septum is a common injury. Fracture reduction using Ash forceps is the standard treatment for non-severely comminuted cases. In this study, septoplasty was compared to Ash forceps reduction of nasal septum fractures with regard to the quality of life outcome of patient breathing. Thirty consecutive patients with non-comminuted septal fractures were divided randomly into two groups. In group I, fractures were managed by closed reduction (using Ash forceps), while in group II, fractures were managed by septoplasty surgery...
June 20, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27213735/two-different-concentrations-of-ketofol-for-procedural-sedation-and-analgesia-in-closed-reduction-of-nasal-fracture
#12
Vida Ayatollahi, Maryam Vafaiyan, Maryam Hatami, Shekoufeh Behdad
OBJECTIVES: Ketofol is a mixture of propofol and ketamine in various concentrations. It is accepted as a suitable combination in procedural sedation and analgesia. The mixture of propofol and ketamine with different respiratory and hemodynamic effects may result in fewer dose-related side effects and a probable synergistic effect. This study was designed to compare the adverse effects and quality of analgesia of 2 different intravenous concentrations of ketofol in patients undergoing closed reduction of the nose...
June 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27162912/epidemiological-and-clinical-characteristics-of-fall-injuries-in-east-azerbaijan-iran-a-cross-sectional-study
#13
Saber Ghaffari-Fam, Ehsan Sarbazi, Amin Daemi, Mohamadreza Sarbazi, Lachin Riyazi, Homayoun Sadeghi-Bazargani, Ali Allahyari
OBJECTIVE: To describe the epidemiological and clinical characteristics of fall injuries in East Azerbaijan, Iran. METHODS: This cross-sectional study was based on Hospital Information System (HIS) data for patients referred to the Imam Reza Hospital between 2008 and 2013. We recorded the demographic characteristics and epidemiological patterns of patients who were admitted to our center due to fall injuries. To standardize the reports the International Classification of Diseases (ICD), the International Classification of Diseases 9 Clinical Modification (ICD-9-CM) was used...
July 2015: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27001780/intra-arterial-infusions-and-doplerograpic-control-for-complex-treatment-of-upper-and-middle-facial-zones-concomitant-with-traumatic-craniocerebral-injuries
#14
G Lagvilava, Z Gvenetadze, E Gibradze, T Danelia, G Gvenetadze
Maxillofacial traumatic injuries concomitant with craniocerebral trauma are still considered as an actual problem in emergency medicine. For this category of patients one of the dangerous and severe complications is development of inflammatory process in the injured areas. Fracture lines of upper and middle facial zones pass through the accessory sinuses of the nose, maxillary/upper dental arch area and are considered to be open and infected fractures. Combination of these fractures with craniocerebral injuries and especially, with open traumas creates predisposition for development of inflammatory processes in CNS that can result in heavy outcome...
February 2016: Georgian Medical News
https://www.readbyqxmd.com/read/26987636/neurosurgical-management-of-nonmissile-penetrating-cranial-lesions
#15
Luciano Ferreira de Holanda, Benedito Jamilson A Pereira, Rafael Rodrigues Holanda, José Targino Neto, Carlos Vanderlei M de Holanda, Miguel Giudicissi Filho, Nathalia Ribeiro Cunha de Oliveira, Jean G de Oliveira
OBJECTIVE: The objective of this study is to present a case series of nonmissile penetrating (NMP) injuries and to establish a workflow for an uncommon mechanism of traumatic head injury through the analysis of each case, classification of the type of lesion, management, and outcome score at follow-up. METHODS: From January 1991 to December 2008, 36,000 patients presenting with traumatic brain injury (TBI) were admitted in the Department of Neurosurgery, Hospital Antônio Targino, Campina Grande-PB, Brazil...
June 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26973725/nontraumatic-orbital-floor-fracture-after-nose-blowing
#16
Ranjit S Sandhu, Akash D Shah
A 40-year-old woman with no history of trauma or prior surgery presented to the emergency department with headache and left eye pain after nose blowing. Noncontrast maxillofacial computed tomography examination revealed an orbital floor fracture that ultimately required surgical repair. There are nontraumatic causes of orbital blowout fractures, and imaging should be obtained irrespective of trauma history.
March 2016: Radiology case reports
https://www.readbyqxmd.com/read/26957411/-nasal-fractures-in-adults
#17
Sannia Sjöstedt, Christian Grønhøj Larsen, Anders Bilde, Christian von Buchwald
The risk of complications warrants treatment of most dislocated nasal fractures. Other injuries including other facial fractures and septal haematoma must be treated if present at the initial presentation. The usual treatment for a simple nasal fracture is closed reduction in local anaesthesia after five to seven days. Complicated cases require open reduction in general anaesthesia. Later revision of the deviated nose may become necessary in patients suffering from complications such as persistent nasal stenosis and/or deformity...
March 7, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/26935313/a-combined-approach-to-crooked-nose-deformity
#18
Selcuk Inanli, Adem Binnetoglu
BACKGROUND: Crooked nose deformity is a complex anatomical deformity; therefore, repair remains a challenge. Here, we introduce a new technique for crooked nose deformity repair. MATERIALS AND METHODS: Twenty-two patients underwent intraoperative evaluations and measurements, followed by surgery using the open rhinoplasty technique. Our method involves three major steps. First is the creation of an asymmetric medial oblique osteotomy using piezoelectric ultrasonic surgery and double lateral osteotomies, wherein the asymmetric bony ascending part of the maxillary bone at the base of the nasal vault is fractured, pushed in, and delivered to the face...
June 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/26771019/bilateral-sequential-pneumolabyrinth-resulting-from-nose-blowing
#19
Joong Seob Lee, Sae Young Kwon, Ji Heui Kim, Hyung-Jong Kim
Pneumolabyrinth describes a condition with entrapped air in the labyrinth and usually occurs in temporal bone fractures that involve the otic capsule. While sporadic cases of bilateral pneumolabyrinth have been reported, cases lacking head trauma are very rare. We report the case of a 43-year-old man who had sudden hearing loss bilaterally after blowing his nose at an interval of 1 year. Although conservative management for the right ear and exploratory tympanotomy with sealing of the possible site of perilymphatic leakage in the left ear were performed, hearing outcome was poor in both ears...
December 2015: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/26634142/oncogenic-osteomalacia-caused-by-occult-nasal-mesenchymal-tumor-a-monster-in-the-cave
#20
Sayantan Ray, Partha Pratim Chakraborty, Kaushik Biswas, Anne M Beatrice, Sujoy Ghosh, Satinath Mukhopadhyay, Subhankar Chowdhury
Authors describe a case of oncogenic osteomalacia in a 35-year-old man, who presented with a 2-year history of generalized pain and progressive weakness of lower limbs, eventually became bedbound. At admission, he had severe hip pain resulting from bilateral femoral neck fractures. Laboratory investigations revealed hypophosphatemia, hyperphosphaturia, normocalcemia, elevated alkaline phosphatase and normal serum levels of parathormone and 25-hydroxyvitamin D. Serum fibroblast growth factor 23 (FGF23) level was elevated...
April 2015: Oxford Medical Case Reports
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