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https://www.readbyqxmd.com/read/27703562/justification-for-rhinoseptoplasty-in-children-our-10-years-overview
#1
Gabriela Kopacheva-Barsova, Nikola Nikolovski
BACKGROUND: Nasal septal surgery and rhinoplasty are controversial in children. Traditionally, an attitude of restraint has been employed by most surgeons till an empirical age of 16 to 18 years. This is to avoid the possible adverse effects that the growth spurts may have on the nose and midface region. AIM: The aim of this paper was to present the results of rhinoplasty in children in order to restore the anatomy and function or to promote normal development and outgrowth of the nose...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27571583/the-maxillary-artery-as-a-recipient-vessel-option-for-complex-midface-and-anterior-skull-base-microsurgical-repair-a-cadaveric-study
#2
Jed H Assam, Thomas H Quinn, Oleg N Militsakh
INTRODUCTION: Variations in the operative situation for complex head and neck defect reconstructions resulting from mechanisms such as trauma, oncologic resection, and prior radiation exposure can result in situations of a vessel-depleted neck. This requires an awareness of alternate, innovative options for use in reconstructive repairs. The purpose of this study was to provide characterization of the third segment of the maxillary artery necessary to consider its use as a recipient vessel in free flap repair of complex midface defects...
August 29, 2016: Microsurgery
https://www.readbyqxmd.com/read/27545011/facial-fractures-in-football-incidence-site-and-mechanism-of-injury
#3
S Y Kim, C L Chan, D M Hyam
Football injuries are responsible for many of the maxillofacial injuries sustained during sporting activities. In the Australian Capital Territory (ACT), the four major types of Australian football are played in large numbers and up to a high standard. Our objective was to analyse maxillofacial fractures that were sustained during rugby league, rugby union, Australian rules, and soccer matches. We retrospectively studied 134 patients with maxillofacial fractures during the five-year period 2010-14. All patients were assessed and treated at Canberra Hospital, the major trauma centre in the ACT...
October 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27441732/patterns-of-facial-fractures-and-protective-device-use-in-motor-vehicle-collisions-from-2007-to-2012
#4
David A Hyman, Sandeep Saha, Harry S Nayar, John F Doyle, Suresh K Agarwal, Scott R Chaiet
Importance: Facial fractures after motor vehicle collisions are a significant source of facial trauma in patients seen at trauma centers. With recent changes in use of seat belts and advances in airbag technology, new patterns in the incidence of facial fractures after motor vehicle collisions have yet to be quantified. Objectives: To evaluate the incidence of facial fractures and assess the influence of protective device use in motor vehicle collisions in patients treated at trauma centers in the United States...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27438439/the-importance-of-early-diagnosis-of-retrobulbar-hemorrhage
#5
Guilherme Dos Santos Trento, Lucas Borin Moura, Luis Fernando de Oliveira Gorla, Valfrido Antônio Pereira Filho
Midface fractures usually affect the orbital cavity. This trauma may result in severe and rare consequences such as retrobulbar hemorrhage. This condition requires immediate diagnosis and early intervention to avoid blindness. The treatment usually requires evaluation of an oral and maxillofacial surgeon. This patient report aims to describe a facial trauma resulting in blindness after 4 days. An 83-year-old woman fell and hit her face on the floor. The initial evaluation only found a contusion on her left orbit, and an ophthalmologic examination was not made...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27390027/measurement-of-change-in-lower-eyelid-position-in-patients-undergoing-transcutaneous-skin-muscle-flap-lower-eyelid-blepharoplasty
#6
Babar Sultan, Dane J Genther, Stephen W Perkins
Importance: Transcutaneous lower eyelid blepharoplasty is a commonly performed procedure with a postoperative risk of eyelid malposition. Objective: To quantify the change in lower eyelid position after transcutaneous lower eyelid blepharoplasty. Design, Setting, and Participants: This retrospective medical record review describes patients who underwent transcutaneous blepharoplasty at a private facial plastic surgery practice. Patients with less than 3 months of follow-up, a history of periocular trauma, and concurrent midface lift were excluded...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27348349/current-concepts-in-midface-fracture-management
#7
Alf L Nastri, Ben Gurney
PURPOSE OF REVIEW: Management of midface trauma is complex and challenging and requires a clear understanding of the facial buttress system, subunit anatomy and inter-relationships. Too often clinicians attempt surgical repair without adequate knowledge of the common complications associated with poor reduction and improper sequencing of fracture repair. This review outlines a working approach to the identification and management of such injuries, and the definitive management of common injury patterns...
August 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/27328893/an-analysis-of-711-victims-of-interpersonal-violence-to-the-face-turin-italy
#8
Fabio Roccia, Matteo Savoini, Guglielmo Ramieri, Emanuele Zavattero
AIM: The aim of this work is to analyze the risk factors in interpersonal violence and to describe the epidemiology, patterns and management of maxillofacial fractures in high volume trauma center of the northern Italy. MATERIAL: This retrospective study recorded patients hospitalized with maxillofacial fractures, at the division of maxillofacial surgery, Città della Scienza e della Salute University Hospital, Torino, Italy, since January 2001. METHODS: Only patients who presented with "violence" in the database field for "cause of injury" and with "interpersonal violence" as a subtype of etiology were considered...
August 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27256799/guerin-sign-in-midfacial-fractures
#9
Irfan Ul Hassan Haji, Surinder Pal Singh Sodhi, Badr Bin Abdulrahman Al-Jandan, Mohamed Jaber
We report a patient with multiple fractures of the midface and Guerin sign bilaterally after maxillofacial trauma. To the best of our knowledge, this is the first time that this rare presentation of Guerin sign has been published.
May 30, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27244205/the-complication-of-middle-facelift-surgery-resulting-in-migration-of-temporal-augmentation-implant
#10
Hwan Jun Choi, Jun Beom Lee
A 66-year-old woman admitted with induration, peri-wound marceration, swelling, and tenderness on temporal area. She had repeated painful tenderness on temporal area for 10 days. In the peri-wound, discharge volume increased when she ate spicy food or drank lemon juice. She had no trauma history and special medical history. But 3 weeks ago, she had midface lift surgery at another local clinic. Initially, the authors had aspiration to swelling spot, checked 50 cc serotic discharge. The authors checked contrast enhance facial computed tomography and found homogenous fluid collection and peripheral enhancing low attenuated lesion in the anterior portion of tragus and inferior aspect of left ear lobe...
June 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27162569/review-of-maxillofacial-hardware-complications-and-indications-for-salvage
#11
Jonatan Hernandez Rosa, Nathaniel L Villanueva, Paymon Sanati-Mehrizy, Stephanie H Factor, Peter J Taub
From 2002 to 2006, more than 117,000 facial fractures were recorded in the U.S. National Trauma Database. These fractures are commonly treated with open reduction and internal fixation. While in place, the hardware facilitates successful bony union. However, when postoperative complications occur, the plates may require removal before bony union. Indications for salvage versus removal of the maxillofacial hardware are not well defined. A literature review was performed to identify instances when hardware may be salvaged...
June 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27138007/minimally-traumatic-submental-intubation-a-novel-dilational-technique
#12
A Ujam, M Perry
PURPOSE: Submental intubation is widely accepted as a safe and effective alternative to nasal intubation or tracheostomy in head and neck surgery patients. Forceful or careless technique can cause significant bleeding and trauma to the soft tissues at this point, increasing the likelihood of troublesome sublingual haematoma. METHODS: We describe the use of a percutaneous tracheostomy horn (Cook Medical Blue Rhino(®)) to allow minimally traumatic submental intubation without the need for serial dilations...
April 30, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27094065/-clinical-outcomes-of-early-repair-for-open-orbital-fracture
#13
H Sun, P S Wu, L Y Song, J Y Hu, S Dong, W Lu
OBJECTIVE: To investigate the clinical outcomes following early repair for orbital fracture and soft tissue simultaneously for open orbital fractures. METHODS: Retrospective clinical study. This study comprised of 19 patients(20 eyes) with open orbital fracture who underwent surgery within 48 hours in the Second Hospital of Dalian Medical University between August 2011 and August 2014. The wounds were evaluated at the same time and the surgical debridement was done...
April 11, 2016: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/26890462/anteriorly-based-galeo-pericranial-frontalis-flap-a-novel-application-in-secondary-rhinoplasty-with-atrophic-skin
#14
Carmen Gloria Morovic, Carolina A Soto, Claudia Vidal
BACKGROUND: Nasomaxillary dysplasia (Binder syndrome) and cleft are congenital malformations of the midface. Ideally, the nasal deformity is treated from childhood. This approach leads to the need for several surgeries and revisions until full growth is reached. As a result of multiples procedures, the skin over the nasal dorsum sometimes becomes thin, atrophic and could be strongly attached to underlying grafts. For this setting of patients when another rhinoplasty is required, it becomes a technical challenge...
March 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26889352/opportunity-cost-of-surgical-management-of-craniomaxillofacial-trauma
#15
Helen Moses, David Powers, Jarrod Keeler, Detlev Erdmann, Jeff Marcus, Liana Puscas, Charles Woodard
The provision of trauma care is a financial burden, continually associated with low reimbursement, and shifts the economic burden to major trauma centers and providers. Meanwhile, the volume of craniomaxillofacial (CMF) trauma and the number of surgically managed facial fractures are unchanged. Past financial analyses of cost and reimbursement for facial trauma are limited to mandibular and midface injuries, consistently revealing low reimbursement. The incurred financial burden also coincides with the changing landscape of health insurance...
March 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/26818329/defining-population-specific-craniofacial-fracture-patterns-and-resource-use-in-geriatric-patients-a-comparative-study-of-blunt-craniofacial-fractures-in-geriatric-versus-nongeriatric-adult-patients
#16
COMPARATIVE STUDY
Gerhard S Mundinger, Justin L Bellamy, Devin T Miller, Michael R Christy, Branko Bojovic, Amir H Dorafshar
BACKGROUND: This study investigates the hypothesis that mechanisms of injury, fracture patterns, and burden to the health care system differ between geriatric and nongeriatric populations sustaining blunt-force craniofacial trauma. METHODS: A 5-year retrospective chart review of patient records and computed tomographic imaging was performed. Demographic and outcome data were extracted for equally numbered samples of blunt-mechanism facial fracture patients aged 60 years or older (geriatric), and adult patients aged 18 to 59 years (adult nongeriatric)...
February 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26604465/ocular-injuries-associated-with-midface-fractures-a-5%C3%A2-year-survey
#17
G C Rajkumar, D P Ashwin, Rohit Singh, R Prashanth, K B Rudresh
AIM: The aim of this study is retrospective analysis of ocular injuries after maxillofacial trauma reporting to the Department of Oral and Maxillofacial Surgery at V.S. Dental College and Kempegowda Institute of Medical Sciences and Hospital, Bangalore. STUDY DESIGN: A retrospective analysis of ocular injuries following facial trauma from 2008 to 2013. RESULTS: Road traffic incident was the most common etiology (55.46 %). Zygomaticomaxillary complex fracture was the most common fracture associated with ocular injuries (67...
December 2015: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/26595005/deep-venous-thrombosis-in-teen-with-crouzon-syndrome-post-le-fort-iii-osteotomy-with-rigid-external-distraction
#18
Lauren O Roussel, Rene P Myers, John A Girotto
Venous thromboembolic events are rare in pediatric patients. Risk factors associated with the development of venous thromboembolic events in pediatric patients include the use of central venous catheters, hospitalization, cancer, sepsis, trauma, surgery, and congenital prothrombotic disorders.The authors present the case of a 14-year-old man with Crouzon syndrome who required Le Fort III osteotomy with rigid external distraction for significant midface hypoplasia who presented postoperatively with an extensive deep venous thrombosis...
November 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26491680/are-biodegradable-osteosyntheses-still-an-option-for-midface-trauma-longitudinal-evaluation-of-three-different-pla-based-materials
#19
Andreas Kolk, Robert Köhnke, Christoph H Saely, Oliver Ploder
The aim was to evaluate three different biodegradable polylactic acid- (PLA-) based osteosynthesis materials (OM). These OM (BioSorb, LactoSorb, and Delta) were used in 64 patients of whom 55 (85.9%) had fractures of the zygoma, five (7.8%) in the LeFort II level, two of the frontal bone (3.1%), and two of the maxillary sinus wall (3.1%). In addition to routine follow-up (FU) at 3, 6, and 12 months (m) (T1, T2, and T3) all patients were finally evaluated at a mean FU after 14.1 m for minor (e.g., nerve disturbances, swelling, and pain) and major (e...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26372709/maxillofacial-fractures-midface-and-internal-orbit-part-i-classification-and-assessment
#20
Gerson Mast, Michael Ehrenfeld, Carl-Peter Cornelius, Ralph Litschel, Abel-Jan Tasman
Fractures of the midface and internal orbit occur isolated or in combination with other injuries. Frequently, the patients are first seen in emergency rooms responsible for the coordination of initial diagnostic procedures, followed by the transfer to specialties for further treatment. It is, therefore, important for all physicians treating facial trauma patients to understand the basic principles of injuries to the midface. Thus, this article aims to describe the anatomy and the current classification systems in use, the related clinical symptoms, and the essential diagnostic measures to obtain precise information about the injury pattern...
August 2015: Facial Plastic Surgery: FPS
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