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Plast Reconstr Surg Glob Open 2022 Jun 23;10(6):e4393. Epub 2022 Jun 23.

Section of Plastic and Reconstructive Surgery, The University of Chicago Medicine and Biological Sciences.

Venous thromboembolism (VTE), specifically deep vein thrombosis (DVT) and pulmonary embolism (PE), is a major complication in plastic surgery; however, there is a paucity of evidence about the incidence of VTE in the craniofacial subpopulation. We investigated the incidence and risk factors for VTE in the adult craniofacial trauma population.

Methods: This retrospective review identified patients from the 2016 and 2017 Healthcare Cost and Utilization Project's National Inpatient Sample with a diagnosis for an initial encounter of a facial fracture. Read More

Ann Med Surg (Lond) 2022 Jun 4;78:103914. Epub 2022 Jun 4.

Department of Traumatology and Orthopedics, Mohammed VI University Hospital, Oujda, Morocco.

Introduction: The terrible triad of the elbow (TTE) is a lesion associating a dislocation of the elbow, a fracture of the radial head, and a fracture of the coronoid process, with a high potential of complication. The treatment is based on the restoration of bone lesions and external capsular ligament repair. The systematic repair of the medial collateral ligament (MCL) is still debated in the literature. Read More

J Neurosurg Case Lessons 2022 Jun 6;3(23):CASE2263. Epub 2022 Jun 6.

Department of Neurosurgery, Kurume University School of Medicine, Fukuoka, Japan.

Background: Acute epidural hematomas (AEDHs) are formed by injury of the middle meningeal artery or venous sinus with a linear fracture just above these blood vessels. The incidence of AEDH without fracture is low, and the formation of an acute epidural hematoma due to contrecoup injury is even rarer. Here, the authors report a case of pediatric AEDH due to contrecoup injury. Read More

Pan Afr Med J 2022 16;41:219. Epub 2022 Mar 16.

Service de Neurochirurgie, Hôpital National de Niamey, Niger.

Subperiosteal haematoma of the orbit associated with frontal extradural hematoma is very rare. We here report a case treated in our Department with a literature review. The study involved a 15-year-old boy, victim of head injury from white weapon, a week before his admission to the emergency room. Read More

J Maxillofac Oral Surg 2022 Jun 6;21(2):442-446. Epub 2020 Oct 6.

Department of Plastic and Reconstructive Surgery, SDM Craniofacial Research Centre, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheswar University, Dharwad, Karnataka 580009 India.

This study highlights the management of a grossly depressed frontal bone fracture with obvious deformity in a paediatric patient as facial fracture management is frequently intricate and challenging, particularly within the paediatric population as compared to adult. Paediatric fractures have a greater capacity to remodel, but the paediatric brain and craniofacial skeleton are still developing which puts the children at risk for unique complications, such as growing skull fractures. Read More

Mol Syndromol 2022 May 4;13(3):246-253. Epub 2022 Feb 4.

Department of Medical Genetics, Medical Faculty, Adiyaman University, Adiyaman, Turkey.

Spinal muscular atrophy, X-linked 2 (SMAX2) is a rare type of spinal muscular atrophy characterized by muscle weakness, hypotonia, areflexia, myopathic face, tongue fibrillations, contractures, bone fractures, and cryptorchidism. Variants of the gene lead to SMAX2. The gene encodes a protein that activates the ubiquitin pathway which is responsible for protein degradation. Read More

Ann Ital Chir 2022 Feb 28;11. Epub 2022 Feb 28.

Introduction: Post-traumatic avulsion of the globe is a rare and uncommon pathology with serious morpho-physiological, cosmetic and aesthetic implications. The association with complex fractures of the skull increases the morbidity and complexity of the case.

Case Report: We present a rare case of FSNOE complex fracture associated with avulsion of the left globe, with complete sectioning of the optic nerve and loss of vision. Read More

Pan Afr Med J 2022 1;41:169. Epub 2022 Mar 1.

Department of Surgery, Brawijaya University, Malang, Indonesia.

Epidural hematoma (EDH) is defined as a traumatic accretion of blood separating the dural membrane and the internal table of the skull that caused from contact bending or skull fracture. The cases of contrecoup EDH are as not common, and there are just 10 recorded cases on this. As a result of its uncommonness, we disclose one subject of a 33-year-old man having countrecoup EDH who suffered from a head trauma caused by falling from 4 meters high. Read More

Nihon Ronen Igakkai Zasshi 2022 ;59(2):219-224

Iwate Prefectural Ninohe Hospital Department of Neurosurgery.

The patient was an 83-year-old woman with a history of breast cancer, distal right radial edge bone fracture, and cervical spine symptoms who had been diagnosed with an arachnoid cyst 9 years previously. She was examined by a nearby doctor, because of an approximately 1-year history of reduced verbal output; she also begun experiencing difficulties with walking. However, she was diagnosed with aging, a history of cervical spondylosis, and the effects of past fractures. Read More

Dent J (Basel) 2022 May 1;10(5). Epub 2022 May 1.

Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, 37134 Verona, Italy.

(1) Background: Traumatic dental injuries constitute a major global health problem. Primary deciduous teeth of the upper frontal group are frequently affected by trauma, especially at an early age. It is important to treat primary traumatic injuries because early tooth loss can lead to aesthetic and functional alterations. Read More

J Stomatol Oral Maxillofac Surg 2022 May 20. Epub 2022 May 20.

Department of Oral and Craniomaxillofacial Plastic Surgery, University Hospital of Giessen and Marburg, UKGM GmbH, Campus Marburg, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany.

Background: An approach to orbital roof fractures (ORFs) and/or lower anterior table frontal sinus fractures (LATFSFs) is a challenging task. The conventional coronal approach (CCA) appears to suit multiple/complex fractures of the upper face, while periorbital transcutaneous incisions (PTIs), e.g. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):587-591

Department of Stomatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233004, P. R. China.

Objective: To investigate the effectiveness of disc reduction and anchorage in treatment of diacapitular condylar fracture with disc displacement.

Methods: Between June 2019 and June 2021, 20 patients (27 sides) with diacapitular condylar fractures with disc displacement were treated with disc reduction and anchorage combined with internal fixation. There were 15 males and 5 females with a median age of 40 years (range, 8-65 years). Read More

Foot Ankle Surg 2022 Apr 22. Epub 2022 Apr 22.

Department of Surgery, division of Trauma surgery, Maastricht University Medical Center. P. Debyelaan 251. PO Box 5800, 6202 AZ Maastricht, The Netherlands; NUTRIM, School for Nutrition and Translational Research in Metabolism, PO Box 616, 6200 MD Maastricht, The Netherlands. Electronic address:

Background: In this study kinematic parameters, radiographic findings and PROM in pilon fractures after operative treatment were compared with healthy subjects.

Methods: 16 patients treated with osteosynthesis after pilon fracture underwent kinematic analysis with the OFM. Fractures were evaluated for post-operative step-off and gap on CT-scans and PROM were collected. Read More

Laryngorhinootologie 2022 05 2;101(5):444-446. Epub 2022 May 2.

Int J Legal Med 2022 Apr 29. Epub 2022 Apr 29.

Victorian Institute of Forensic Medicine, 65 Kavanagh St, Southbank, VIC, 3006, Australia.

The accurate interpretation of a blunt force head injury relies on an understanding of the case circumstances (extrinsic variables) and anatomical details of the individual (intrinsic variables). Whilst it is often possible to account for many of these variables, the intrinsic variable of neurocranial thickness is difficult to account for as data for what constitutes 'normal' thickness is limited. The aim of this study was to investigate the effects of age, sex and ancestry on neurocranial thickness, and develop reference ranges for average neurocranial thickness in the context of those biological variables. Read More

J Am Vet Med Assoc 2022 Apr 22:1-9. Epub 2022 Apr 22.

2Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL.

Objective: To report clinical experience using virtual surgical planning (VSP) and surgical application of 3D printed custom surgical guides to facilitate uni- and biapical correction of antebrachial deformities in dogs.

Animals: 11 dogs (13 antebrachial deformity corrections).

Procedures: Using CT-based bone models, VSP was performed, and surgical guides were designed and 3D printed. Read More

Plast Reconstr Surg Glob Open 2022 Apr 18;10(4):e4266. Epub 2022 Apr 18.

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY.

Background: Despite significant advances in the management of frontal sinus fractures, there is still a paucity of large-cohort data, and a comprehensive synthesis of the current literature is warranted. The purpose of this study was to present an evidence-based overview of frontal sinus fracture management and outcomes.

Methods: A comprehensive literature search of PubMed and MEDLINE was conducted for studies published between 1992 and 2020 investigating frontal sinus fractures. Read More

Ocul Immunol Inflamm 2022 Apr 20:1-3. Epub 2022 Apr 20.

Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.

Purpose: To report an unusual case of an ectopic lacrimal fistula in a setting of a naso-orbito-ethmoid fracture.

Case Report: The present case demonstrates a right-sided ectopic lacrimal fistula just below the glabella on the contralateral side on the outer edge of the midline. CT-Dacryocystography demonstrated a large dilated right lacrimal sac with a partly sequestered fundus traversing through the frontal process of the maxilla and frontal bone, close to the skull base and communicating with the fistula. Read More

Osteoporos Int 2022 Jul 18;33(7):1601-1611. Epub 2022 Apr 18.

Orthopaedic Department, University of Würzburg, Wurzburg, Germany.

We assessed lower-limb geometry in adults with X-linked hypophosphatemia (XLH) and controls. We found large differences in multiple measures including femoral and tibial torsion, bowing and cross-sectional area and acetabular version and coverage which may contribute to clinical problems such as osteoarthritis, fractures and altered gait common in XLH.

Purpose: Individuals with X-linked hypophosphatemia (XLH) are at risk of lower-limb deformities and early onset of osteoarthritis. Read More

Lancet Digit Health 2022 05 5;4(5):e351-e358. Epub 2022 Apr 5.

School of Public Health, University of Adelaide, Adelaide, SA, Australia; Australian Institute for Machine Learning, University of Adelaide, Adelaide, SA, Australia.

Background: Proximal femoral fractures are an important clinical and public health issue associated with substantial morbidity and early mortality. Artificial intelligence might offer improved diagnostic accuracy for these fractures, but typical approaches to testing of artificial intelligence models can underestimate the risks of artificial intelligence-based diagnostic systems.

Methods: We present a preclinical evaluation of a deep learning model intended to detect proximal femoral fractures in frontal x-ray films in emergency department patients, trained on films from the Royal Adelaide Hospital (Adelaide, SA, Australia). Read More

BMC Musculoskelet Disord 2022 Mar 31;23(1):310. Epub 2022 Mar 31.

Department of Neurosurgery, St. Marianna University, Kanagawa, Japan.

Background: A hairline crack on the cranium can occur even under a small external load or impact and are thus often observed in patients who have experienced an accidental fall or collision. Typical finite element analysis is useful to analyze the stress concentration or the propagation of stress waves. However, a stress propagation model does not accurately reproduce the features of hairline cracks on the cranium. Read More

Br J Oral Maxillofac Surg 2022 06 16;60(5):639-644. Epub 2021 Nov 16.

Department of Anaesthesia, St Marys Hospital NHS Trust, UK.

Craniofacial trauma involving the anterior skull base produces a heterogenous injury with variance in fracture pattern, complexity and outcome. Variance is influenced by the biomechanical properties of the craniofacial construct and by the magnitude and vector of the impacting energy. Fractal dimension and other metrics applied to individual fracture patterns allows quantification of fracture complexity and severity, which can be used to correlate with neurological outcome. Read More

Am Surg 2022 Jul 25;88(7):1534-1536. Epub 2022 Mar 25.

Division of Trauma and Acute Care Surgery, 3933Memorial Healthcare System, Hollywood, FL, USA.

Fat embolism syndrome (FES) is a multisystem process predominantly secondary to long bone/pelvic fractures and orthopedic procedures. A 19-year-old man presents after motor vehicle collision with trace right pneumothorax, right grade 3 kidney laceration, left pubic rami, and right femoral shaft fractures. Right femur closed reduction ensued and he underwent intramedullary nailing; his other injuries were managed nonoperatively. Read More

J Biomech 2022 04 16;135:111051. Epub 2022 Mar 16.

Department of Mechanical and Aerospace Engineering, University of Virginia, Charlottesville, VA, United States.

Vehicle safety systems have substantially decreased motor vehicle crash-related injuries and fatalities, but injuries to the lumbar spine still have been reported. Experimental and computational analyses of upright and, particularly, reclined occupants in frontal crashes have shown that the lumbar spine can be subjected to simultaneous and out-of-phase combined axial compression and flexion loading. Lumbar spine failure tolerance in combined compression-flexion has not been widely explored in the literature. Read More

Niger J Clin Pract 2022 Mar;25(3):342-348

Department of Radiology, Alaaddin Keykubat University, School of Medicine, Alanya, Antalya, Turkey.

Background: Maxillofacial fractures and craniocerebral injuries are common in patients with head trauma. These are injuries with high mortality and morbidity. Therefore, patients with head trauma should be evaluated early with a multidisciplinary approach. Read More

Vet Surg 2022 Mar 15. Epub 2022 Mar 15.

VetTeam, Groupe Vétérinaire, Liège, Belgium.

Objective: To describe the use of temporal fascia free grafts to treat dorsal open comminuted frontal sinus and nasal fractures.

Animal: One Belgian shepherd dog.

Study Design: Case report METHODS: A 5-year-old spayed female Belgian shepherd was admitted with severe facial deformation due to trauma. Read More

Arch Craniofac Surg 2022 Feb 20;23(1):29-33. Epub 2022 Feb 20.

Department of Plastic and Reconstructive Surgery, Daegu Catholic University School of Medicine, Daegu, Korea.

Background: There have been many reports of nasal bone fractures in adults, but there are few clinical reports of them in adolescents, although adolescence is the main growth period of the nasal bone. In addition, previous studies have tended to classify and describe child and adolescent nasal fractures in the same category. The aim of this study was to identify the clinical aspects of nasal fractures in adolescents, and to evaluate the characteristics of nasal fractures in the growth period. Read More

Clin Pract Cases Emerg Med 2022 Feb;6(1):81-82

Kern Medical, Department of Emergency Medicine, Bakersfield, California.

Case Presentation: We describe a delayed case of tension pneumocephalus in a newly altered patient 21 days status-post auto-vs-pedestrian accident. After her initial hospital course, the patient was discharged to an acute rehabilitation facility in stable condition with Glasgow Coma Scale 15. The patient returned to the emergency department for an acute change in mental status. Read More

J Stomatol Oral Maxillofac Surg 2022 Feb 19. Epub 2022 Feb 19.

Department of Oral and Maxillofacial Surgery, Hannover Medical School, Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Carl-Neuberg-Straße 1, Hannover 30625, Germany.

The aim of this study was to examine whether ultrasonography and three-dimensional radiological procedures produce significantly different measurement results with respect to fracture dislocation. This was a retrospective study of patients who were admitted to the department for oral and maxillofacial surgery of the Medical Highschool Hannover with facial skull fracture and underwent high-resolution computed tomography and ultrasonography imaging during a period from 1 January 2019 to 31 August 2019. A 10 mHz transducer was used for fracture imaging, and the largest dislocation of each fracture was measured. Read More

J Neurosci Rural Pract 2022 Jan 5;13(1):60-66. Epub 2022 Jan 5.

Department of Neurosurgery, MS Ramaiah Medical College and Hospital, Bangalore, Karnataka, India.

 We present our experience in the management of frontal bone fractures using the previously described radiologic classification of frontal bone fractures.  A retrospective study was conducted, which reviewed the medical records and computed tomographic (CT) scan images of patients with frontal bone fracture from January 2016 to February 2019. Patients with complete medical records and a follow-up of minimum 1 year were included in the study. Read More