9,991 results match your criteria Facial Fractures


Management of Zygomatic Arch Fractures by Intraoral Open Reduction and Transbuccal Fixation: A Technical Note.

Craniomaxillofac Trauma Reconstr 2020 Jun 17;13(2):130-132. Epub 2020 Mar 17.

Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram Campus, Ramapuram, Chennai, Tamil Nadu, India.

Fractures of the zygomatic arch are common due to its anatomical prominence. The post-traumatic restoration of the arch form is important to maintain the midfacial symmetry and anteroposterior projection of the face. Open reduction and internal fixation (ORIF) of fractured arch is indicated in specific clinical presentations. Read More

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http://dx.doi.org/10.1177/1943387520911866DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311841PMC

Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study.

Craniomaxillofac Trauma Reconstr 2020 Jun 25;13(2):115-121. Epub 2020 Mar 25.

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA, USA.

Introduction: Assault appears to be the most frequent cause of facial fractures in certain urban trauma centers, possibly due to the ease of acquiring weapons and increasingly aggressive behavior. The objectives of this study were to identify specific demographic, socioeconomic, maxillofacial fracture, and assault patterns in urban versus suburban communities.

Methods: A retrospective chart review of patients who sustained maxillofacial fractures from August 2014 through August 2016 at one urban campus, Einstein Medical Center, Philadelphia, and two suburban campuses, Einstein Medical Center Montgomery and Elkins Park. Read More

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http://dx.doi.org/10.1177/1943387520910338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311833PMC

Open Treatment of Mandibular Condyle by Direct Transparotid Approach: Our Experience.

Craniomaxillofac Trauma Reconstr 2020 Jun 20;13(2):109-114. Epub 2020 Mar 20.

Oral and Maxillofacial Surgery, East Riyadh Specialized Center, Riyadh, Saudi Arabia.

The fractures of the mandibular condyle are commonly encountered in maxillofacial surgical practice. The controversies to open or not to open are still ongoing. We have used both techniques, to successfully manage our patients. Read More

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http://dx.doi.org/10.1177/1943387520903543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311840PMC

Intact Periorbita Can Prevent Post-Traumatic Enophthalmos Following a Large Orbital Blow-Out Fracture.

Craniomaxillofac Trauma Reconstr 2020 Mar 23;13(1):49-52. Epub 2020 Mar 23.

Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA.

Treatment of orbital floor fractures is predicated on the restoration of orbital volume to prevent enophthalmos or hypoglobus. Globe position is the result of a complex interplay between the bony orbital anatomy and the soft tissue envelope. Studies on orbital fractures have frequently suggested criteria for repair on the basis of bony defect size or volume change. Read More

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http://dx.doi.org/10.1177/1943387520903545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311853PMC

Surgical Approach to Orbital Floor Fractures: Comparing Complication Rates Between Subciliary and Subconjunctival Approaches.

Craniomaxillofac Trauma Reconstr 2020 Mar 16;13(1):45-48. Epub 2020 Mar 16.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL, USA.

Background: There are multiple approaches to repairing orbital floor fractures. This study compares the postoperative complications of the subciliary and transconjunctival approaches.

Methods: The electronic medical records from 2 hospitals were screened for CPT codes associated with orbital floor reconstruction. Read More

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http://dx.doi.org/10.1177/1943387520904893DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311850PMC

Management of Isolated Zygomatic Arch Fractures and a Review of External Fixation Techniques.

Craniomaxillofac Trauma Reconstr 2020 Mar 17;13(1):38-44. Epub 2020 Mar 17.

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA, USA.

Introduction: Fractures of the zygomatic bone can present with complicated aesthetic and neurological pathology. Specifically, management of isolated zygomatic fracture has been sparsely discussed in the literature, and most studies are based upon older techniques. Here, we compare the results of 2 critical operative techniques as well as review the available literature in the setting of isolated zygomatic fractures. Read More

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http://dx.doi.org/10.1177/1943387520905164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311848PMC

Nasolacrimal Obstruction Following the Placement of Maxillofacial Hardware.

Craniomaxillofac Trauma Reconstr 2020 Mar 20;13(1):32-37. Epub 2020 Feb 20.

Department of Ophthalmology, University of California, San Francisco, CA, USA.

Purpose: This article reviews cases of nasolacrimal obstruction (NLO) secondary to maxillofacial hardware placement.

Methods: A retrospective review was performed at a single institution from 2012 to 2017 of patients with NLO following maxillofacial reconstruction. The study was approved by the Institutional Review Board of the University of California, San Francisco, adhered to the tenets of the Declaration of Helsinki, and was Health Insurance Portability and Accountability Act compliant. Read More

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http://dx.doi.org/10.1177/1943387520906004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311843PMC

Condylar Fractures: An Argument for Conservative Treatment.

Craniomaxillofac Trauma Reconstr 2020 Mar 11;13(1):23-31. Epub 2020 Mar 11.

OMFS IMPATH research group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium.

Introduction: The treatment of mandibular condyle fractures remains a controversial topic in maxillofacial surgery. No uniform treatment protocol is currently available.

Purpose: We performed a retrospective monocentric cohort study of patients with condylar fractures and their treatment, including long-term follow-up by telephone, followed by a short review of the literature. Read More

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http://dx.doi.org/10.1177/1943387520902881DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311847PMC

Patient Race and Insurance Status Do Not Impact the Treatment of Simple Mandibular Fractures.

Craniomaxillofac Trauma Reconstr 2020 Mar 4;13(1):15-22. Epub 2020 Mar 4.

Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL, USA.

Introduction: Health-care disparities have been reported throughout medical literature for decades. While blatant explicit bias is not prevalent, a substantial body of research has been published suggesting that systemic biases related to sex, race, income, and insurance status likely exist. To our knowledge, no study has assessed the impact of patient race and insurance status on clinical decision-making in facial fracture repair in the United States. Read More

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http://dx.doi.org/10.1177/1943387520905399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311844PMC

Validation of the "Wisconsin Criteria" for Obtaining Dedicated Facial Imaging and Its Financial Impact at a Level 1 Trauma Center.

Craniomaxillofac Trauma Reconstr 2020 Mar 15;13(1):4-8. Epub 2020 Mar 15.

Regions Hospital, HealthPartners, Saint Paul, MN, USA.

Introduction: According to national trauma databases, 25% of all people injured have some type of facial injury. The gold standard for diagnosing bony trauma of the facial skeleton has been computed tomography (CT) scan. In 2011, the "Wisconsin criteria" were established and subsequently validated as a method to predict which patients truly have a facial fracture and warrant further imaging. Read More

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http://dx.doi.org/10.1177/1943387520910020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311845PMC

The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures.

J Clin Med 2020 Jul 2;9(7). Epub 2020 Jul 2.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, 81675 München, Germany.

Background: Fractures of the proximal femur constitute daily work in orthopedic trauma surgery. With the continuous increase of obesity in the general population, surgeons face several known technical challenges. The aim of this study was to investigate the association of high body mass index (BMI) in patients with proximal femur fractures with intra- and postoperative adverse events, as well as with functional outcomes after successful surgery. Read More

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http://dx.doi.org/10.3390/jcm9072076DOI Listing

Natural History and Progression of Craniofacial Fibrous Dysplasia: A Retrospective Evaluation of 114 Patients From Massachusetts General Hospital.

J Oral Maxillofac Surg 2020 May 30. Epub 2020 May 30.

Walter C. Guralnick Distinguished Professor and Chief, Emeritus, Department of Oral & Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA. Electronic address:

Purpose: The natural history of fibrous dysplasia (FD) is poorly understood. The purpose of this study was to identify differences in demographic, clinical, and radiographic characteristics among patients with craniofacial FD, including McCune-Albright syndrome (MAS), polyostotic fibrous dysplasia (PFD), and monostotic fibrous dysplasia (MFD). We hypothesized that patients with MAS would show higher disease severity, have more complications, and undergo more operations than those with PFD or MFD. Read More

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http://dx.doi.org/10.1016/j.joms.2020.05.036DOI Listing

Doing Our Part to Conserve Resources: Determining Whether All Personal Protective Equipment Is Mandatory for Closed Reduction and Percutaneous Pinning of Supracondylar Humeral Fractures.

J Bone Joint Surg Am 2020 Jul;102(13):e66

Emory University School of Medicine, Atlanta, Georgia.

Background: Closed reduction and percutaneous pinning (CRPP) of supracondylar humeral fractures is one of the most common procedures performed in pediatric orthopaedics. The use of full, standard preparation and draping with standard personal protective equipment (PPE) may not be necessary during this procedure. This is of particular interest in the current climate as we face unprecedented PPE shortages due to the current COVID-19 pandemic. Read More

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http://dx.doi.org/10.2106/JBJS.20.00567DOI Listing

A new approach to recording nasal fracture in skeletonized individuals.

Int J Paleopathol 2020 Jun 29;30:105-109. Epub 2020 Jun 29.

Department of Life Sciences, University of Coimbra, Coimbra, Portugal; CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.

Objective: This work describes a new method for recording nasal fracture in skeletonized individuals, suitable for use in biocultural studies of violence and fracture in past societies.

Methods: The method consists in recording the 'side of fracture', 'side of deviation', 'type of fracture', 'other facial fractures', and stage of 'bone remodeling'.

Results: A lateral impact force to the facial area is typical of interpersonal violence. Read More

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http://dx.doi.org/10.1016/j.ijpp.2020.04.003DOI Listing

Assessment of Craniomaxillofacial Injuries After Electric Scooter Accidents in Turku, Finland, in 2019.

J Oral Maxillofac Surg 2020 May 30. Epub 2020 May 30.

Professor, Department of Oral and Maxillofacial Surgery, Institute of Dentistry, Faculty of Medicine, University of Turku, Turku, Finland.

Purpose: Since the introduction of rental electric scooters (ESs), clinicians have increasingly encountered facial trauma patients whose injuries were caused by ES use. Despite this fact, few studies have analyzed these patients, particularly in Nordic countries, where the climate may cause additional challenges. We hypothesized that ESs have caused several facial trauma cases in Turku, Finland, that might be related to the timing of ES use, that is, month, day, and hour. Read More

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http://dx.doi.org/10.1016/j.joms.2020.05.038DOI Listing

[Injuries among Sapienza University students].

G Ital Med Lav Ergon 2020 Mar;42(1):11-15

Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma.

Summary: Background. The phenomenon of accidents during the university course is a public health problem. Students spend a lot of time at university and in structure for training. Read More

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Clinical results of two different three-dimensional titanium plates in the treatment of condylar neck and base fractures: A retrospective study.

J Craniomaxillofac Surg 2020 Jun 16. Epub 2020 Jun 16.

Department of Cranio-Maxillofacial Surgery, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland. Electronic address:

Purpose: The aim of this study was to examine two different types of three-dimensional plate for their suitability for the treatment of condylar neck and base fractures, and to evaluate the most frequent complications, while considering three different surgical approaches.

Materials And Methods: This retrospective study was conducted in patients who received two different types of three-dimensional plate for the treatment of condylar neck and base fractures, using three different surgical approaches, from January 2016 to December 2018. Medical records were obtained during an average follow-up period of 9 months after the traumatic event, with data collected on factors affecting success and failure of miniplates, clinical outcome parameters, and complications. Read More

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http://dx.doi.org/10.1016/j.jcms.2020.06.001DOI Listing

[The optimal approach to severe facial trauma following a horse's kick].

Ned Tijdschr Tandheelkd 2020 May;127(5):287-291

A 15-year-old girl was brought to the emergency department of a hospital by ambulance with extensive facial trauma following a horse's kick. The considerable impact resulted in a combination of injuries to the bone, teeth and soft tissue. Following the transfer from the ambulance, the AE physician immediately consulted an oral and maxillofacial surgeon. Read More

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http://dx.doi.org/10.5177/ntvt.2020.05.20010DOI Listing

Oral and maxillofacial injuries in children: a retrospective study.

J Korean Assoc Oral Maxillofac Surg 2020 Jun;46(3):183-190

Department of Pediatric and Preventive Dentistry, Dr. R. Ahmed Dental College and Hospital, Kolkata, India.

Objectives: The purpose of this retrospective epidemiological study was to determine the etiology and pattern of maxillofacial injuries in a pediatric population.

Materials And Methods: Data for pediatric maxillofacial trauma patients aged 12 years and younger who were registered at the Department of Pediatric and Preventive Dentistry, Dr. R. Read More

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http://dx.doi.org/10.5125/jkaoms.2020.46.3.183DOI Listing

How useful is intraoperative cone beam computed tomography in maxillofacial surgery? An overview of the current literature.

Int J Oral Maxillofac Surg 2020 Jun 27. Epub 2020 Jun 27.

Department of Oral and Maxillofacial Surgery, University Hospital of Besançon, Besançon, France; University of Bourgogne Franche- Comté, UFR SMP, Besançon, France; University of Bourgogne Franche- Comté, INSERM, EFS BFC, UMR1098, Interactions Hôte-Greffon- Tumeur/Ingénierie Cellulaire et Génique, Besançon, France.

Intraoperative imaging is increasingly used by surgeons and has become an integral part of many surgical procedures. This study was performed to provide an overview of the current literature on the intraoperative use of cone beam computed tomography (CBCT) imaging in maxillofacial surgery. A bibliographic search of PubMed was conducted in March 2020, without time limitation, using "intraoperative imaging" AND "maxillofacial surgery" AND "cone beam computed tomography" as key words. Read More

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http://dx.doi.org/10.1016/j.ijom.2020.05.006DOI Listing

Effects of Water-Circulating Cooling Mask on Postoperative Outcomes in Orthognathic Surgery and Facial Trauma.

J Craniofac Surg 2020 Jun 19. Epub 2020 Jun 19.

Investigative Pathology Laboratory, Federal University of Sergipe, Sergipe, Brazil.

The purpose of this study was to perform a systematic review and meta-analysis of randomized clinical trials (RCTs) investigating the efficacy of hilotherapy on postoperative pain, swelling, neurosensory impairment and patient satisfaction. The authors analyzed RCTs comparing the use of hilotherapy versus conventional cryotherapy or no cold treatment for orthognathic surgery and repair of facial trauma. The authors assessed the risk of bias and strength of evidence according to the Cochrane guidelines and GRADE rating system, respectively. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006624DOI Listing

Craniofacial Injuries Seen Among Electric-Motorized Bicycle Riders.

J Craniofac Surg 2020 Jun 24. Epub 2020 Jun 24.

The Ruth and Bruce Rappaport Faculty of Medicine, Technion-Institution of Technology.

The popularity of electric- motorized bicycles (E-bikes) has increased dramatically over the past few years. As a result, E-bike--associated injuries are quickly becoming a substantial issue. The aim of the present study was to evaluate the epidemiology and general nature of these injuries, with special attention to craniofacial trauma. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006712DOI Listing

Analysis of Frontal Sinus Fracture Management and Resource Utilization.

J Craniofac Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Otolaryngology, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX.

Frontal sinus fractures require a large amount of force and often occur in the context of a major trauma. Many patients with these fractures are assessed in an emergent setting where stabilization takes precedence. Delayed diagnosis and treatment of a sinus fracture can result in life-threatening conditions, such as a cerebrospinal fluid (CSF) leak. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006706DOI Listing

Surgical Treatment of Bilateral Atrophic Mandible Fracture.

J Craniofac Surg 2020 Jun 24. Epub 2020 Jun 24.

Dr. José Frota Institute.

Poor proprioception, weakness, and impaired reflexes increase the incidence of facial fracture in the elderly. Mandibular fractures in these people range from 10.1% to 56%. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006630DOI Listing

Facial fractures and associated injuries in high- versus low-energy trauma: all are not created equal.

Maxillofac Plast Reconstr Surg 2020 Dec 24;42(1):22. Epub 2020 Jun 24.

Santa Barbara Cottage Hospital, Santa Barbara, California USA.

Introduction: Facial fractures (FFs) occur after high- and low-energy trauma; differences in associated injuries and outcomes have not been well articulated.

Objective: To compare the epidemiology, management, and outcomes of patients suffering FFs from high-energy and low-energy mechanisms.

Methods: We conducted a 6-year retrospective local trauma registry analysis of adults aged 18-55 years old that suffered a FF treated at the Santa Barbara Cottage Hospital. Read More

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http://dx.doi.org/10.1186/s40902-020-00264-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312115PMC
December 2020

Cervical Spine Injury is Rare in Self-Inflicted Craniofacial Gunshot Wounds: An Institutional Review and Comparison to the US National Trauma Data Bank (NTDB).

Prehosp Disaster Med 2020 Jun 30:1-4. Epub 2020 Jun 30.

Department of Surgery, UNLV School of Medicine, Las Vegas, NevadaUSA.

Background: Cadaveric and older radiographic studies suggest that concurrent cervical spine fractures are rare in gunshot wounds (GSWs) to the head. Despite this knowledge, patients with craniofacial GSWs often arrive with spinal motion restriction (SMR) in place. This study quantifies the incidence of cervical spine injuries in GSWs to the head, identified using computerized tomography (CT). Read More

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http://dx.doi.org/10.1017/S1049023X20000771DOI Listing

Surgical Infection Society Guidelines for Antibiotic Use in Patients with Traumatic Facial Fractures.

Surg Infect (Larchmt) 2020 Jun 26. Epub 2020 Jun 26.

Departments of Surgery and Science Education, Zucker School of Medicine, Northwell Health, Hempstead, New York, USA.

Facial fractures are common in traumatic injury. Antibiotic administration practices for traumatic facial fractures differ widely. The Surgical Infection Society's (SIS's) Therapeutics and Guidelines Committee convened to develop guidelines for antibiotic administration in the management of traumatic facial fractures. Read More

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http://dx.doi.org/10.1089/sur.2020.107DOI Listing

Intimate Partner Violence-Related Fractures in the United States: An 8 Year Review.

J Fam Violence 2019 Oct 3;34(7):601-609. Epub 2018 Oct 3.

University of Arkansas for Medical Sciences, College of Medicine.

Background: Fractures associated with intimate partner violence (IPV) are devastating injuries that can have lifelong implications. With exception to the facial region, there are very limited epidemiological reports describing the types and location of IPV-related fractures. The objective of this study is to review a national database and describe trends associated with IPV-related fractures. Read More

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http://dx.doi.org/10.1007/s10896-018-0007-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318917PMC
October 2019

Bear attack pattern and behavior in the Himalayan region: A study from a tertiary care center.

Injury 2020 Jun 20. Epub 2020 Jun 20.

Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India.

Background: Reports of injuries caused by bear attacks are scarce in the Himalayan region of India, such as Uttarakhand, which is surrounded by hills and thick forests. We retrospectively studied 18 patients attacked by Himalayan black and sloth bears to understand the pattern of the attacks and their management.

Materials And Methods: Patients attacked by bears between January 2018 to December 2019 were retrospectively studied. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.032DOI Listing
June 2020
2.137 Impact Factor

Imaging in trauma of the facial skeleton and soft tissues of the neck.

Br J Hosp Med (Lond) 2020 Jun 12;81(6):1-15. Epub 2020 Jun 12.

Department of Radiology, Guy's Hospital, Guy's and St. Thomas' Hospitals NHS Foundation Trust, London, UK.

Trauma to the face and neck is a frequent reason for emergency department attendance. Imaging is invaluable in the characterisation of such injuries, enabling delineation of fracture patterns as well as identification of vascular and other soft tissue injuries. It may also be used to prevent long-term mortality and morbidity and provide a roadmap for surgical intervention so that form and function may be restored. Read More

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http://dx.doi.org/10.12968/hmed.2020.0008DOI Listing

Comparison of post-operative outcomes of graft materials used in reconstruction of blow-out fractures.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):538-544

Department of Ear Nose Throat and Head and Neck Surgery, Yüksek İhtisas University Faculty of Medicine, Liv Hospital Ankara, Ankara-Turkey.

Background: Trauma to the face caused by assault or impact may cause internal orbital fracture. Increased intraorbital pressure without disruption of soft tissue integrity or causing a fracture line in orbital rims or orbital floor fractures described as 'orbital blow-out fracture'. Such fractures have been categorized as 'pure blow-out fractures' in which only the orbital floor is affected, and 'impure blow-out fractures' in which other maxillofacial bones such as zygoma, maxilla and nasoethmoid are also affected. Read More

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http://dx.doi.org/10.14744/tjtes.2020.80552DOI Listing

Does endoscopic sinus surgery alter the biomechanics of the orbit?

J Otolaryngol Head Neck Surg 2020 Jun 26;49(1):44. Epub 2020 Jun 26.

Department of Otolaryngology - Head & Neck Surgery, Division of Facial Plastic & Reconstructive Surgery, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.

Objective: The purpose of this study is to determine if removal of ethmoid cell septations as commonly performed in endoscopic sinus surgery leads to a change in orbital wall fracture patterns and the force required to create them.

Methods: Six fresh-frozen cadaveric heads were acquired and underwent endoscopic uncinectomy, maxillary antrostomy, and anterior and posterior ethmoidectomy on one, randomized, side. The contralateral sinuses were used as intra-specimen control. Read More

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http://dx.doi.org/10.1186/s40463-020-00442-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318533PMC

Health Hazards and Complications Associated with Electronic Cigarettes: A Review.

Turk Thorac J 2020 May;21(3):201-208

Department of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, İstanbul, Turkey.

Electronic cigarettes (ECs) are devices that vaporize and release a sweetened liquid containing nicotine as a substitute for burning tobacco. EC manufacturers have suggested that "vaping" is a safer alternative to conventional smoking because of the potential reduction of exposure to toxic substances. In 2019, National Youth Tobacco Survey reported that 10. Read More

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http://dx.doi.org/10.5152/TurkThoracJ.2019.180203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311157PMC

Epidemiology and Pattern of Oral and Maxillofacial Trauma.

J Craniofac Surg 2020 Jul-Aug;31(5):e517-e520

Stomatological Institute of Fujian Guoyao Oriental Hospital, Putian, China.

Purpose: Maxillofacial trauma represents a serious public health problem and their epidemiology is extremely variable.The objective of the present study was to analyze and discuss the epidemiological characteristics of 2492 patients with oral and maxillofacial trauma over a 5-year period.

Patients And Methods: This retrospective study was conducted at different hospitals of Xinjiang from 2012 to 2016. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006719DOI Listing

Prognosis of Patient With Resorbable Plates and Screws Under the Incision Site.

J Craniofac Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Plastic and Reconstructive Surgery, Medical School of Jeonbuk National University.

Various resorbable plates and screws were used for facial bone fractures because of several strengths. However, there are few studies on their clinical course and long-term follow-up concerning their degradation and resorption time. The authors present rare case of long term follow-up of resorbable plates and screws under the incision site. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006609DOI Listing

Standardized Schematics for Facial Trauma Planning: A Clinical Education Tool.

J Craniofac Surg 2020 Jul-Aug;31(5):1297-1300

Department of Plastic Surgery, Case Western Reserve University, Cleveland, OH.

Introduction: Learning facial fracture management principles can be challenging for surgical trainees. Residents must assimilate nuances of fixation techniques, skeletal biomechanics, and hardware use while managing acute work-flow limitations. This study aims to design a standardized-schematic for teaching facial fracture management and evaluate its performance improving resident operative planning. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006575DOI Listing

Head and Neck Injuries from Rock Climbing: A Query of the National Electronic Injury Surveillance System.

Ann Otol Rhinol Laryngol 2020 Jun 21:3489420936710. Epub 2020 Jun 21.

Department of Head and Neck Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Objective: We describe the incidence and characteristics of patients with head and neck injuries from rock climbing who present to United States emergency departments and evaluate predictors of hospitalization.

Methods: The National Electronic Injury Surveillance System (NEISS) database was queried for rock climbing injuries to the head, face, mouth, neck, and ear under product code "mountain climbing" from the years 2009 to 2018. Demographics, injury characteristics, and disposition data were reviewed. Read More

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http://dx.doi.org/10.1177/0003489420936710DOI Listing

Head, Face, and Neck Fractures Secondary to Ladder-Related Injuries Treated in United States Emergency Departments in 2009-2018.

J Emerg Med 2020 Jun 16. Epub 2020 Jun 16.

Division of Otolaryngology Head and Neck Surgery, Rhinology and Endoscopic Skull Base Surgery, William Beaumont Hospital, Royal Oak, Michigan.

Background: Ladders are a commonly used piece of equipment; however, their use is accompanied by a significant potential for injury. Fractures of the head, face, and neck are potential consequences of ladder use and can be devastating due to potential for severe sequalae.

Objectives: To describe the frequency and pattern of ladder-related head, face, and neck fractures from 2009-2018. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.04.022DOI Listing

Finite element models for fracture prevention in patients with metastatic bone disease. A literature review.

Bone Rep 2020 Jun 26;12:100286. Epub 2020 May 26.

Biomechanics Section, KU Leuven, Leuven, Belgium.

Patients with bone metastases have an increased risk to sustain a pathological fracture as lytic metastatic lesions damage and weaken the bone. In order to prevent fractures, prophylactic treatment is advised for patients with a high fracture risk. Mechanical stabilization of the femur can be provided through femoroplasty, a minimally invasive procedure where bone cement is injected into the lesion, or through internal fixation with intra- or extramedullary implants. Read More

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http://dx.doi.org/10.1016/j.bonr.2020.100286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292864PMC

Establishing a Protocol for Closed Treatment of Mandibular Condyle Fractures with Dynamic Elastic Therapy.

Plast Reconstr Surg Glob Open 2019 Dec 20;7(12):e2506. Epub 2019 Dec 20.

Department of Plastic and Reconstructive Surgery, Case Western Reserve University, Cleveland, Ohio.

Treatment of mandibular condyle fractures is controversial. Open treatment achieves anatomic reduction with occlusal stability and faster functional recovery but risks facial nerve injury and jeopardizes joint capsule circulation which can lead to bone resorption. Traditional closed treatment avoids these issues but requires prolonged fixation and risks subsequent facial asymmetry, occlusal disturbance, and ankylosis. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288876PMC
December 2019

Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic.

J Orthop 2020 Sep-Oct;21:287-290. Epub 2020 Jun 2.

Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, 110076, New Delhi, India.

Background: COVID-19 has resulted in restriction of face to face consultations and mechanisms to access health care. Osteoporosis and fragility fractures forms a significant proportion of adult trauma and orthopaedic workload even during the pandemic.

Aims: We assess the challenges and strategies used in the management of osteoporosis and fragility fracture care during the COVID-19 pandemic. Read More

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http://dx.doi.org/10.1016/j.jor.2020.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265833PMC

BLUNT CEREBROVASCULAR INJURY - THE CASE FOR UNIVERSAL SCREENING.

J Trauma Acute Care Surg 2020 Jun 8. Epub 2020 Jun 8.

Division of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University, Richmond, VA.

Current evidence-based screening algorithms for blunt cerebrovascular injury (BCVI) may miss more than 30% of carotid or vertebral artery injuries. We implemented universal screening for BCVI with CT angiography (CTA) of the neck at our level 1 trauma center, hypothesizing that only universal screening would identify all clinically relevant BCVIs.

Methods: Adult blunt trauma activations from 7/2017 through 8/2019 underwent full-body CT scan including CTA neck with a 128-slice CT scanner. Read More

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http://dx.doi.org/10.1097/TA.0000000000002824DOI Listing

Concealment of trauma and occupational accidents among Fukushima nuclear disaster decontamination workers: A case report.

J Occup Health 2020 Jan;62(1):e12123

Department of Public Health, Fukushima Medical University School of Medicine, Fukushima, Japan.

Objectives: Limited information exists concerning occupational risks in decontamination work after the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident. Workers involved tend to be migrant workers, face various health risks, and are usually from a low socioeconomic background and generally have difficulty in finding employment. We report a specific case to illustrate the way these workers tend to get injured during working hours and draw attention to the problems arising. Read More

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http://dx.doi.org/10.1002/1348-9585.12123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199476PMC
January 2020

Nasal Bone Fractures: Differences Amongst Sub-Specialty Consultants.

Ann Otol Rhinol Laryngol 2020 Jun 6:3489420931562. Epub 2020 Jun 6.

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA, USA.

Background: Nasal fractures constitute the largest proportion of facial trauma each year, however, there is no consensus management. In this study, we investingated the role of the consultant and the functional and aesthetic outcomes of procedures performed to address nasal bone fractures.

Methods: A retrospective chart review of patients who sustained nasal bone fractures was conducted from 8/1/14 through 1/23/18. Read More

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http://dx.doi.org/10.1177/0003489420931562DOI Listing

Mentorship Through Research: A Novel Approach to Increasing Resident and Medical Student Research Competency Through an Institutional Database.

J Surg Educ 2020 Jun 3. Epub 2020 Jun 3.

Rutgers - New Jersey Medical School, Division of Plastic and Reconstructive Surgery, Newark, New Jersey. Electronic address:

Background: We describe a novel research database development project to increase resident and medical student scholarly ability and mentorship skills. We collected data on 3147 facial fractures treated at our institution over a 12-year period. This data was used to publish novel research on multiple types of facial fractures and outcomes. Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.04.010DOI Listing

Non-surgical management of paediatric and adolescent mandibular condyles: A retrospective review of 49 consecutive cases treated at a tertiary referral centre.

J Craniomaxillofac Surg 2020 Jul 31;48(7):666-671. Epub 2020 May 31.

Department of Paediatric Oral and Maxillofacial Surgery, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, L12 2AP, UK.

Introduction: Mandibular fractures account for over 50% of all facial fractures in children, with the majority of these occurring at the condyle. There is currently no consensus on the management of mandibular condyle fractures in the paediatric population. Treatment options range from conservative management, with or without maxillomandibular fixation (MMF) and physiotherapy, to open reduction and internal fixation (ORIF). Read More

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http://dx.doi.org/10.1016/j.jcms.2020.05.006DOI Listing

Injuries to the Head and Face From Skateboarding: A 10-Year Analysis From National Electronic Injury Surveillance System Hospitals.

J Oral Maxillofac Surg 2020 May 6. Epub 2020 May 6.

Academic-Vice Chair, Division of Otolaryngology Head and Neck Surgery, Department of Otolaryngology, William Beaumont Hospital, Royal Oak, MI.

Purpose: To estimate the incidence of patients presenting to emergency departments (EDs) as a result of facial trauma sustained from skateboarding.

Patients And Methods: The National Electronic Injury Surveillance System (NEISS) database was queried for skateboard-related head and face fractures, contusions, abrasions, and lacerations from 2009 through 2018. We identified 2,519 reported injuries, extrapolating to a national incidence of 100,201 injuries. Read More

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http://dx.doi.org/10.1016/j.joms.2020.04.039DOI Listing

Potential forensic implications of therapy - a traditional Indonesian therapy associated with neck bruising.

Med Sci Law 2020 Jun 5:25802420926867. Epub 2020 Jun 5.

Faculty of Medicine, The University of Adelaide, Australia.

is a traditional Indonesian treatment involving abrading the skin over various parts of the body with a blunt object such as a coin or a piece of ginger which may create suspicious injuries. Here, the case of a 30-year-old woman who had undergone therapy is reported. She was complaining of retro-sternal pain and epigastric discomfort and subsequently became markedly short of breath and died. Read More

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http://dx.doi.org/10.1177/0025802420926867DOI Listing