10,453 results match your criteria Facial Fractures


APPLIANCE OF CAD / CAM MODELING IN PROSTHETICS OF BONE DEFECTS OF FACIAL BONES.

Wiad Lek 2021 ;74(6):1469-1474

KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE.

Objective: The aim: Improving the ability to restore the shape and function of the bones of the maxillofacial area through the use of their own techniques.

Patients And Methods: Materials and methods: Materials and methods: This research was carry out on the basis of the Department of Surgical Dentistry and Maxillofacial Surgery of Kharkov National Medical University in the Department of Head and Neck Surgery, Kharkov "Regional Clinical Hospital" (2018-2020 years). Examination and treatment of 26 patients, aged from 19 to 55 years, who needed reconstructive surgery to restore the anatomical shape, integrity and function of the maxilla or mandibular jaw. Read More

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January 2021

Head Computed Tomography Scans in Elderly Patients with Low Velocity Head trauma after a Fall.

Isr Med Assoc J 2021 Jun;23(6):359-363

Department of Clinical Utility, Laniado Hospital, Netanya, Israel.

Background: Recommendations for a head computed tomography (CT) scan in elderly patients without a loss of consciousness after a traumatic brain injury and without neurological findings on admission and who are not taking oral anticoagulant therapy, are discordant.

Objectives: To determine variables associated with intracranial hemorrhage (ICH) and the need for neurosurgery in elderly patients after low velocity head trauma.

Methods: In a regional hospital, we retrospectively selected 206 consecutive patients aged ≥ 65 years with head CT scans ordered in the emergency department because of low velocity head trauma. Read More

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Maxillofacial Trauma in the Ultimate Fighting Championship.

J Oral Maxillofac Surg 2021 May 18. Epub 2021 May 18.

Professor and Program Director, Oral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, San Juan, Puerto Rico.

Purpose: The Ultimate Fighting Championship (UFC) is an American mixed martial art (MMA) company. This study aims to characterize patterns and trends of maxillofacial injuries in MMA.

Materials And Methods: The study design is a retrospective cohort study. Read More

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The Incidence of Common Complications, Including Ectropion and Entropion, in Transconjunctival and Subciliary Approaches for Treatment of ZMC Fractures.

J Dent (Shiraz) 2021 Jun;22(2):76-81

Resident Dept. of Oral and Maxillofacial Surgery, Sina hospital, Craniomaxillofacial Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Statement Of The Problem: Treating zygomaticomaxillary complex fractures (ZMC Fx) can result in postoperative complications that should be minimized by choosing the best surgical approach.

Purpose: This study compared incidence rates of some common postoperative complications with emphasis on ectropion (an outward curling of the lower eyelid) and entropion (an inward curling of the lower eyelid) occurring with transconjunctival or subciliary approaches for the treatment of ZMC fractures.

Materials And Method: This prospective study enrolled 80 patients with ZMC Fx who had been surgically treated. Read More

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Multiple Metatarsal Fractures: The First Manifestation of Cushing's Disease-A Case Report.

J Am Podiatr Med Assoc 2021 May;111(3)

Cushing's syndrome is an uncommon clinical condition most frequently presenting with central obesity, facial rounding, proximal muscle weakness, and skin thinning. The objective of this case report is to highlight an unusual presentation of Cushing's syndrome. A 35-year-old woman presented to the orthopedic clinic with a 1-year history of foot pain without any history of trauma. Read More

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Head and Neck Injury Patterns among American Football Players.

Ann Otol Rhinol Laryngol 2021 Jun 18:34894211026478. Epub 2021 Jun 18.

Wayne State University, Department of Otolaryngology, Division of Facial Plastic Surgery, Detroit, MI, USA.

Importance: American football is a popular high-impact sport, leading to 2.7 million injuries in the United States annually. Recent evidence in football-related neurological damage has spurred national interest in player-safety. Read More

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Bilateral Periprosthetic Knee Fracture with the Right Floating Total Knee and Left Periprosthetic Patella Fracture Management Strategy: A Case Report.

J Orthop Case Rep 2021 Feb;11(2):1-5

Department of Orthopaedics, Max Super Speciality Hospital, 108 A, I.P. Extension, Patparganj, New Delhi, India.

Introduction: Periprosthetic fractures (PPFs) in total knee replacement are an uncommon condition. The floating knee injury around total knee arthroplasty (TKA) is even rare and poses challenges in management. Incidence is increasing due to growing primary joint arthroplasties and revision procedures. Read More

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February 2021

What Can We Learn From COVID-19 Protocols With Regard to Management of Nonoperative Pediatric Orthopaedic Injuries?

J Pediatr Orthop 2021 Jun 17. Epub 2021 Jun 17.

Department of Trauma and Orthopaedics, Sheffield Children's NHS Foundation Trust, Sheffield Children's Hospital, Sheffield, UK.

Introduction: The COVID-19 pandemic has resulted in significant changes to normal practice in pediatric outpatient orthopaedics, with the instigation of telephone fracture clinic appointments, and the use of self-removable casting. We aim to determine any beneficial or detrimental short-term effects of these changes.

Methods: All patients referred to fracture clinic from the emergency department during the period March 24, 2020 to May 10, 2020 (national lockdown) were assessed for number of face to face and telephone appointments, number of radiographs performed, time to discharge, use of a removable cast, any cast complications, other complications, reattendance or re-referral after discharge. Read More

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Orbital floor fractures: epidemiology and outcomes of 1594 reconstructions.

Eur J Trauma Emerg Surg 2021 Jun 14. Epub 2021 Jun 14.

Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

Objective: The aim of this study was to retrospectively review the midface and orbital floor fractures treated at our institution with regard to epidemiological aspects, surgical treatment options and postoperative complications and discuss this data with the current literature.

Study Design: One thousand five hundred and ninety-four patients with midface and orbital fractures treated at the Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery of the Goethe University Hospital in Frankfurt (Germany) between 2007 and 2017 were retrospectively reviewed. The patients were evaluated by age, gender, etiology, fracture pattern, defect size, surgical treatment and complications. Read More

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Giant parathyroid adenoma diagnosed by brown tumour, a clinical manifestation of primary hyperparathyroidism: A case report.

J Pak Med Assoc 2021 Apr;71(4):1266-1269

Department of General Surgery, Sisli Hamidiye Etfal Medical Practice and Research Center, University of Health Sciences, Istanbul, Turkey.

Brown tumour (BT) is the pathological expression of osteitis fibrosa cystica which is caused due to primary and secondary hyperparathyroidism (HPT). It is a rare benign lesion of skeletal system that usually affects the facial bones, clavicles, ribs, pelvis and extremities. The purpose of this case report is to present the clinical, pathological and radiological findings of BT - rarely seen in adults - originating from the giant parathyroid adenoma and emerging as the first clinical sign of HPT. Read More

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A rare case of large left internal maxillary artery pseudoaneurysm secondary to mandibular fracture: A case report and review of the literature.

Int J Surg Case Rep 2021 Jun 9;84:106072. Epub 2021 Jun 9.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Introduction And Importance: Pseudoaneurysms secondary to traumatic vessel wall disruption are a rare but potentially fatal complication after traumatic injury. The majority of the cases are found incidentally.

Case Presentation: An 80-year-old woman was brought into our Level 1 Trauma Center after sustaining a ground-level fall with significant facial swelling. Read More

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Assessment of complications of the open treatment of mandibular condylar fractures

J Pak Med Assoc 2021 06;71(6):1689-1692

Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan.

The objective of our study was to analyze the complications of open treatment of mandibular condylar fractures operated via various surgical approaches. Thirtyeight patients with 42 fracture sides having moderate to severely displaced condylar fractures were studied. Open treatment was performed, and patients were assessed for complications of open treatment in terms of facial nerve paresis, unaesthetic scar, salivary fistula/sialocele. Read More

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Geriatric clinical screening tool for cervical spine injury after ground-level falls.

Emerg Med J 2021 Jun 9. Epub 2021 Jun 9.

Department of Surgery, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.

Background: A consistent approach to cervical spine injury (CSI) clearance for patients 65 and older remains a challenge. Clinical clearance algorithms like the National Emergency X-Radiography Utilisation Study (NEXUS) criteria have variable accuracy and the Canadian C-spine rule excludes older patients. Routine CT of the cervical spine is performed to rule out CSI but at an increased cost and low yield. Read More

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Healing of a large avulsed mandibular bony segment: report of a unique case.

Int J Oral Maxillofac Surg 2021 Jun 5. Epub 2021 Jun 5.

Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital, Lahore, Pakistan.

This case report puts an emphasis on retaining and re-fixing any avulsed bony segments in the maxillofacial region and maintaining the periosteal layer whenever possible, especially in young patients. Adequate bony fixation and watertight soft tissue closure are vital components for bone healing. The healing potential of facial bones is much higher as compared to the long bones, due to the superior blood supply. Read More

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Titanium mesh osteosynthesis for the treatment of severely comminuted maxillofacial fractures in four dogs.

J Small Anim Pract 2021 Jun 7. Epub 2021 Jun 7.

Small Animal Diagnostic Imaging Department, Pride Veterinary Centre, Derby, DE24 8HX, UK.

Introduction: Major goals in maxillofacial fracture treatment include to restore the dental occlusion, stabilise the major skeletal supports, restore the contour of the face and achieve proper function and appearance of the face. Titanium is considered an optimal material for maxillofacial reconstruction due to its biocompatibility, high strength, minimal inflammatory reaction and minimal imaging artefact.

Objectives: To describe the clinical details, surgical technique, pre- and postoperative imaging and short- and long-term follow-up of severely comminuted maxillofacial fractures treated with titanium mesh and titanium screws in dogs. Read More

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Pediatric Orbital Entrapment: Radiographic Findings and Their Predictive Values.

Ann Plast Surg 2021 Jun;86(6S Suppl 5):S606-S609

From the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.

Introduction: Although orbital fractures are less common in children than adults, the literature suggests that orbital entrapment occurs more frequently in the pediatric population. Orbital entrapment is an emergency, and early diagnosis and prompt management are critical. Specific radiographic manifestations such as herniation of extraocular muscles (EOMs) through orbital fractures have led to increased suspicion and overdiagnosis of orbital entrapment. Read More

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Evaluation of Patients with Post-Traumatic Hearing Loss: A Retrospective Review of 506 Cases.

J Int Adv Otol 2021 May;17(3):239-244

Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul University, Istanbul, Turkey.

Objectives: The purpose of the study is to evaluate the audiological, radiological, and examination findings of patients who have been treated for hearing loss (HL) due to head trauma and evaluated in terms of causality to reveal current data, and to highlight the steps to be taken.

Methods: We retrospectively reviewed the reports of cases that had applied for disability with HL due to head injury and had been evaluated by the Forensic Medicine Institute between January 01, 2009 and January 01, 2019.

Results: Of the total cases of head trauma, 52. Read More

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Prediction of mortality in severely injured patients with facial bone fractures.

Oral Maxillofac Surg 2021 Jun 8. Epub 2021 Jun 8.

Department of Dentistry, Institute of Postgraduate Education, O. Bogomolets National Medical University, 34, Peremohy Avenue, the 2nd floor of the "physical-chemical" building, Kyiv, Ukraine.

Purpose: Identify the most common concomitant injuries associated with facial trauma, and compare the efficacy of various scoring systems in estimation of mortality risks in this category of patients.

Methods: The study evaluated patients with facial and concomitant injuries, who received the multidisciplinary treatment in a specialized trauma hospital. Values of New Injury Severity Score, Glasgow Coma Scale, Facial Injury Severity Scale, age, and length of hospital stay were statistically analysed to determine presence of relationships between these indicators and define factors that significantly associated with lethal outcome. Read More

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Fracture heat map of the facial skull demonstrates a danger zone of concomitant cervical spine injuries.

Sci Rep 2021 Jun 7;11(1):11989. Epub 2021 Jun 7.

Department of Oral- and Maxillofacial Surgery, Facial Plastic Surgery, Dortmund General Hospital, Muensterstrasse 240, 44145, Dortmund, Germany.

Concomitant maxillofacial and cervical spine injuries occur in 0.8-12% of the cases. We examined the relation of injury localization and the probability of cervical spine fracture. Read More

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Management of Laryngeal Trauma.

Oral Maxillofac Surg Clin North Am 2021 Jun 4. Epub 2021 Jun 4.

Oral/Head and Neck Oncology, Legacy Good Samaritan Cancer Center, Portland, OR, USA. Electronic address:

The larynx is a complex anatomic structure and a properly functioning larynx is essential for breathing, voice, and swallowing. Laryngeal trauma is often associated with other injuries, including intracranial injuries, penetrating neck injuries, cervical spine fractures, and facial fractures. Although uncommon, laryngotracheal injuries may lead to life-threatening airway emergencies. Read More

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Retrospective study of older patient characteristics that increase the likelihood that a fracture was associated with abuse.

J Elder Abuse Negl 2021 Jun 6;33(3):221-229. Epub 2021 Jun 6.

The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel Hillel Yaffe Medical Center, Hadera, Israel.

Searching for clinical manifestations of elder abuse may help healthcare professionals identify cases of elder abuse. The aim of the present study was to explore characteristics of older patients with fractures that increase the likelihood that the fracture was associated with abuse. This is a retrospective chart review study of 1,000 patients aged 65 and older who presented to an emergency department in northern-central Israel with a fracture during 2019. Read More

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Development of Inappropriate Vasopressin Secretion in Association With Lumbar Cerebrospinal Fluid Drainage in an Adult With Traumatic Basilar Skull Fracture.

Authors:
Jane Rhyu Run Yu

AACE Clin Case Rep 2021 Mar-Apr;7(2):124-126. Epub 2020 Dec 28.

University of California Los Angeles (UCLA), Department of Internal Medicine, Division of Endocrinology, Diabetes, and Metabolism, Los Angeles, California.

Objective: Hyponatremia associated with cerebrospinal fluid (CSF) drainage is primarily limited to pediatric patients. Only 1 case in an adult, after pituitary surgery, has been described. We present the first adult case, to our knowledge, of lumbar CSF drainage associated with the syndrome of inappropriate antidiuretic hormone (SIADH) in a patient with a traumatic basilar skull fracture. Read More

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December 2020

Haemorrhage control beyond Advanced Trauma Life Support (ATLS) protocol in life threatening maxillofacial trauma - experience from a level Ⅰ trauma centre.

Br J Oral Maxillofac Surg 2020 Sep 11. Epub 2020 Sep 11.

Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India. Electronic address:

Maxillofacial injuries are usually not life-threatening and do not get priority over other associated injuries. However, some maxillofacial injuries with active oral or nasal bleeding need immediate management due to threatened airway and blood loss. In the case of major active vascular bleeding, measures such as local pressure, anterior nasal packing, posterior nasal packing, and balloon tamponade are ineffective. Read More

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September 2020

Treatment of femur pseudoarthrosis using wave plate: Evaluation of consolidation and its relationship with graft type.

Injury 2021 Feb 15. Epub 2021 Feb 15.

Senior Counselor of the Pedriatic Trauma Group of Santa Casa de São Paulo.

Introduction: In the pathogenesis of femoral pseudoarthrosis, the arched shape of the bone is important when determining traction force on the anterolateral face and posteromedial compression. In plate osteosynthesis, flexion forces affect the implant and can determine its breakdown and osteosynthesis failure. The wave plate seeks to solve the problem by transferring the support to the cortical under the plate or creating the resistance of a leaf spring. Read More

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February 2021

Rubber Bullet Induced Traumatic Brain Injury.

J Craniofac Surg 2021 Jun 2. Epub 2021 Jun 2.

Department of Neurosurgery Division of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, Providence, RI.

Abstract: Rubber bullets have long been known to cause, on rare occasions, traumatic brain injury (TBI). However, neurosurgical literature on this occurrence is limited, and no focused review of this injury pattern has been conducted. The authors present the case of a 28-year-old male struck by a rubber bullet in the left periorbital region, causing TBI in addition to complete left visual loss and complex facial fractures. Read More

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Recurrent mandibular fractures: a retrospective study over 17 years on aetiology, demographics, fracture patterns, and management.

Int J Oral Maxillofac Surg 2021 May 29. Epub 2021 May 29.

Department of Oral and Maxillofacial Surgery, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.

Recurrent fractures of the mandible are rare, however in Darwin, Australia, their occurrence is relatively frequent. This retrospective study identified 127 patients with 148 recurrent mandibular fractures treated at Royal Darwin Hospital between 2000 and 2017. Age, sex, ethnicity, marital status, aetiology, risk factors, anatomical location of the fractures, fracture patterns, and management of the fractures were analysed. Read More

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Automatic Detection of Mandibular Fractures in Panoramic Radiographs Using Deep Learning.

Diagnostics (Basel) 2021 May 22;11(6). Epub 2021 May 22.

School of Electronic and Electrical Engineering, Kyungpook National University, 80 Daehakro, Bukgu, Daegu 41566, Korea.

Mandibular fracture is one of the most frequent injuries in oral and maxillo-facial surgery. Radiologists diagnose mandibular fractures using panoramic radiography and cone-beam computed tomography (CBCT). Panoramic radiography is a conventional imaging modality, which is less complicated than CBCT. Read More

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Variants and Modifications of the Retroauricular Approach Using in Temporomandibular Joint Surgery: A Systematic Review.

J Clin Med 2021 May 11;10(10). Epub 2021 May 11.

Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.

Introduction: The retroauricular approach (RA) has been developed in order to expose the temporomandibular joint in a way that minimizes the risk of injury to the facial nerve and masks the postoperative scar. One of its characteristics is an excellent posterolateral view of the mandibular head, which allows for the preservation of the lateral temporomandibular joint ligaments in the course of open intracapsular surgery.

Aim: The aim of this study is to systematically review the currently used variants and modifications of RA. Read More

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Spinal Care in the Aging Athlete.

Clin Sports Med 2021 Jul;40(3):571-584

Department of Orthopaedics, University of Virginia, 400 Ray Hunt C. Drive, Charlottesville, VA 22903, USA. Electronic address:

Aging athletes face unique, increased adversities related to increased mobility and age-related spine issues, such as spinal stenosis, osteoporosis complicated by fragility fractures, and degenerative disk disease. This article covers various spine pathologies that aging athletes experience and ideal treatment of this population to allow safe return to activity. Read More

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Pediatric injuries related to electric scooter use: a national database review.

J Pediatr Orthop B 2021 May 27. Epub 2021 May 27.

University of Miami Miller School of Medicine, Miami, Florida Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York Department of Orthopaedic Surgery, University of Miami Hospital Department of Orthopedic Surgery, Jackson Memorial Hospital, Miami, Florida, USA.

Objectives: Electric scooter (e-scooter) use and resulting injuries have grown exponentially since expansion into ridesharing in 2017. No study has described pediatric e-scooter injuries and focused on their impact in an adolescent cohort. Our primary purpose was to describe the epidemiology of admitted pediatric e-scooter injuries and compare them with existing literature on adults. Read More

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