7,370 results match your criteria Imaging in Skull Fractures

Bunk-Bed-Related Fractures in Children: Are We Aware of the Risks?

Medicina (Kaunas) 2022 May 31;58(6). Epub 2022 May 31.

Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany.

: Falls from heights are a common mechanism of trauma in children. However, data on bunk-bed-related (BBR) fractures are scarce. We aimed to assess types of fractures and age groups most at risk for BBR fractures. Read More

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Predicting Difficult Airway Intubation Based on Maxillofacial Trauma: A Retrospective Study.

Cureus 2022 May 9;14(5):e24844. Epub 2022 May 9.

Surgery, St. Joseph's University Medical Center, Paterson, USA.

Purpose The purpose of this study was to determine which types of facial injuries in traumatic patients' wounds cause difficult intubation for anesthesiology team. By anticipating potential complications with airway management, the surgeons can be better prepared for emergent cricothyrotomy if needed. This could include prior to the planned procedure in the operating room (OR) as well as in emergent conditions in trauma bay. Read More

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A novel ultrasound-guided minimally invasive technique for the treatment of extracapsular condylar fractures.

J Craniomaxillofac Surg 2022 Jun 1;50(6):473-477. Epub 2022 Jun 1.

Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe Cleft and Craniofacial Center, Ankara, Turkey. Electronic address:

The aim of this study was to present a novel ultrasound-guided minimally invasive technique for the treatment of extracapsular condylar fractures and evaluate its long-term outcomes. Seven patients with isolated extracapsular condylar fractures with a noncomminuted proximal segment were included in this study. Ultrasound was used for identification of the position of the bone segments and intraoperative confirmation of appropriate reduction. Read More

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Radiographic volumetric risk factors for late enophthalmos prediction in orbital blow-out fractures: A retrospective study.

J Craniomaxillofac Surg 2022 Jun 2;50(6):478-484. Epub 2022 Jun 2.

Univ. Lille, CHU Lille, INSERM, Service de Chirurgie Maxillo-Faciale et Stomatologie, U1008; Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France. Electronic address:

The aim of this study was to assess the correlation between volumetric risk factors, orbital volume (OV), orbital volume ratio (OVR), herniated volume (HV), and the newly described herniated volume ratio (HVR), with the occurrence of late enophthalmos. Patients presenting a unilateral unoperated blow-out fracture were retrospectively included. OV and HV were measured using planimetry on the initial CT scan images. Read More

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Imaging of Paget's Disease of Bone.

Radiol Clin North Am 2022 Jul;60(4):561-573

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL 33136, USA.

Paget's disease is a metabolic bone disorder affecting the elderly and characterized by bone resorption followed by compensatory bone formation. Radiography is the imaging modality of choice for the diagnosis whereas bone scintigraphy helps stage the extent of the disease and assess response to treatment. MRI and CT are important imaging methods in the assessment of complications and surgical planning. Read More

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Non-ionizing Imaging for the Emergency Department Assessment of Pediatric Minor Head Trauma.

Front Pediatr 2022 11;10:881461. Epub 2022 May 11.

Division of Pediatric Emergency Medicine, Department of Women's and Children's Health, University of Padova, Padua, Italy.

Minor blunt head trauma (MHT) represents a common reason for presentation to the pediatric emergency department (ED). Despite the low incidence of clinically important traumatic brain injuries (ciTBIs) following MHT, many children undergo computed tomography (CT), exposing them to the risk associated with ionizing radiation. The clinical predictions rules developed by the Pediatric Emergency Care Applied Research Network (PECARN) for MHT are validated accurate tools to support decision-making about neuroimaging for these children to safely reduce CT scans. Read More

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[Clinical application of disc reduction and anchorage for diacapitular condylar fracture with disc displacement].

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

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Preliminary outcomes of the surgical navigation system combined with intraoperative three-dimensional C-arm computed tomography for zygomatico-orbital fracture reconstruction.

Sci Rep 2022 May 12;12(1):7893. Epub 2022 May 12.

Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5 Fuxing Street, Taoyuan, 333, Taiwan.

This study analyzed the outcomes of zygomatico-orbital fracture reconstruction using the real-time navigation system with intraoperative three-dimensional (3D) C-arm computed tomography (CT). Fifteen patients with zygomatico-orbital or isolated orbital/zygoma fractures were enrolled in this prospective cohort. For zygoma reduction, the displacement at five key sutures and the differences between preoperative and intraoperative CT images were compared. Read More

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Clinical risk factors associated with cerebrospinal fluid leak in facial trauma: A retrospective analysis.

Clin Neurol Neurosurg 2022 06 2;217:107276. Epub 2022 May 2.

University of Florida College of Medicine, Gainesville, FL, USA; Department of Neurosurgery, University of Florida College of Medicine, Gainesville, FL, USA.

Objective: Cerebrospinal fluid (CSF) leak occurs most commonly following skull fracture, with a CSF leakage complicating up to 2% of all head traumas. This study aims to identify demographic and injury characteristics correlated with the highest risk of CSF leak in patients with known facial fractures.

Methods: Retrospective data was collected from a previously described trauma registry from 2010 to 2019. Read More

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South Texas orbital fracture protocol for emergency department evaluation of orbital fractures.

Am J Emerg Med 2022 Jul 27;57:42-46. Epub 2022 Apr 27.

Brooke Army Medical Center, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234, USA.

Purpose: Facial trauma and orbital fractures are common reasons for ophthalmology consultation in the emergency department (ED). The purpose of this study is to assess intervention rates and evaluate the acuity of ophthalmology consultation for orbital fractures in the ED.

Basic Procedures: A retrospective chart review of orbital fractures was conducted over a 23-month period. Read More

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Imaging in paediatric blast injuries: musculoskeletal injuries in the Syrian Civil War.

Clin Radiol 2022 Jul 22;77(7):522-528. Epub 2022 Apr 22.

Department of Biostatistics, Faculty of Medicine, Hatay Mustafa Kemal University, Antakya, Hatay Province, Turkey.

Aim: To examine the radiological images of children with musculoskeletal injuries and accompanying organ injuries caused by explosions to determine the differences and frequency of injury types and to emphasise the importance of radiology in war injuries.

Materials And Methods: Seventy-four children with injuries caused by bomb explosions were included in the study. The paediatric trauma scores evaluated in the emergency department on the first admission were recorded. Read More

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Cranial vault imaging for pediatric head trauma using a radial VIBE MRI sequence.

J Neurosurg Pediatr 2022 Apr 22:1-6. Epub 2022 Apr 22.

2Mallinckrodt Institute of Radiology, Washington University in St. Louis, Missouri; and.

Objective: Head trauma is the most common indication for a CT scan. In this pilot study, the authors assess the feasibility of a 5-minute high-resolution 3D golden-angle (GA) stack-of-stars radial volumetric interpolated breath-hold examination (VIBE) MRI sequence (GA-VIBE) to obtain clinically acceptable cranial bone images and identify cranial vault fractures compared to CT.

Methods: Patients younger than 18 years of age presenting after head trauma were eligible for the study. Read More

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Cranial and vertebral osteosarcoma commonly has T2 signal heterogeneity, contrast enhancement, and osteolysis on MRI: A case series of 35 dogs.

Vet Radiol Ultrasound 2022 Apr 22. Epub 2022 Apr 22.

Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.

Magnetic resonance imaging (MRI) is commonly used to evaluate the central nervous system (CNS) in dogs; however, published studies describing the MRI appearance of cranial and vertebral osteosarcoma are scarce. In this multicenter, retrospective, case series study, MRI studies of 35 dogs with cranial or vertebral osteosarcoma were prospectively scored by consensus of two veterinary radiologists. Recorded characteristics were location, signal intensity (compared to gray matter), homogeneity, contrast enhancement, margin delineation, local invasion, osteolysis, osteosclerosis, zone of transition, periosteal proliferation, pathological fracture, meningeal/CNS involvement, and presence of metastatic disease. Read More

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Septic cavernous sinus thrombosis after minor head trauma: A case report.

Medicine (Baltimore) 2022 Mar 11;101(10):e29057. Epub 2022 Mar 11.

Department of Neurology, Chonnam National University Medical School & Hospital, Gwangju, South Korea.

Rationale: Septic cavernous sinus thrombosis (SCST) is a rare but life-threatening condition that commonly arises from infections, including paranasal sinusitis, otitis media, and skin infection. Meanwhile, head trauma as a predisposing factor of SCST has been scarcely reported. We report a case of SCST complicated by meningitis after minor head trauma, even in the absence of identifiable fractures. Read More

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Evidence-Based Screening to Optimize the Yield of Positive Ophthalmologic Examinations in Children Evaluated for Suspected Child Abuse.

J Pediatr Ophthalmol Strabismus 2022 Apr 21:1-10. Epub 2022 Apr 21.

Purpose: To determine nonocular findings associated with significant retinal hemorrhage on dilated fundus examination in cases of suspected child abuse.

Methods: This was a retrospective chart review from May 2014 to August 2021 at a level-1 trauma center. Two hundred seventy-four patients met the following inclusion criteria: (1) children 36 months and younger; (2) concern for child abuse; and (3) had an ophthalmology consultation. Read More

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[Skull and skull base injuries in children and adolescents : Results of a monocentric analysis].

HNO 2022 May 14;70(5):352-360. Epub 2022 Apr 14.

Klinik für Hals‑, Nasen‑, Ohrenheilkunde, KRH Klinikum Nordstadt, Haltenhoffstraße 41, 30167, Hannover, Deutschland.

Background: The present study comprises a retrospective analysis of skull, skull base, and midface fractures in children, to provide clinical orientation for their management. To date, only few data are available on these injuries in this patient group.

Methods: Data from inpatient cases diagnosed with a midface, skull, or skull base fracture in the Children's Hospital Auf der Bult from 2015 to 2020 were evaluated. Read More

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Understanding Bilateral Skull Fractures in Infancy: A Retrospective Multicenter Case Review.

Pediatr Emerg Care 2022 Apr 13. Epub 2022 Apr 13.

Department of Pediatrics, Children's Hospital at Dartmouth, Lebanon, NH.

Background: Bilateral skull fractures in infancy often raise suspicion for abuse. Nevertheless, literature suggests that they may occur accidentally. However, empiric data are lacking. Read More

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Comparative evaluation of ultrasonography and lateral radiography in nasal fractures diagnosis.

Am J Otolaryngol 2022 May-Jun;43(3):103439. Epub 2022 Apr 5.

Department of Radiology, Orthopedic Research Center, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Nasal fractures are the most common type of trauma fracture. Conventional radiography is the primary method of choice. Ultrasonography is used as a new and non-invasive method for this purpose. Read More

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Do all Isolated Traumatic Subarachnoid Hemorrhages Need to Be Transferred to a Level 1 Trauma Center?

Am Surg 2022 Apr 11:31348221084954. Epub 2022 Apr 11.

Department of Trauma Surgery, 5223Mercer University School of Medicine, Macon, GA, USA.

Background: The management of isolated traumatic subarachnoid hemorrhage (itSAH) in non-trauma centers usually results in transfer to a Level 1 trauma center with neurosurgical capabilities. Due to lack of trauma center resources, we sought to evaluate if patients with itSAH need transfer to a Level I trauma center.

Methods: A retrospective review of the trauma registry was conducted from Jan 2015-Dec 2020. Read More

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Concurrent cranial and cervical spine injuries by associated injury mechanisms in traumatic brain injury patients.

SA J Radiol 2022 24;26(1):2321. Epub 2022 Mar 24.

Trauma Service and Trauma ICU, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

Background: The incidence of concurrent traumatic brain injury (TBI) and cervical spine injury (c-spine) is relatively high, with a variety of risk factors.

Objectives: The purpose of this study was to determine the incidence and related factors associated with combined cranial and c-spine injury in TBI patients by assessing their demographics and clinical profiles.

Method: A retrospective study of patients attending the Trauma Centre at the Inkosi Albert Luthuli Hospital as post head trauma emergencies and their CT brain and c-spine imaging performed between January 2018 and December 2018. Read More

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Pitfalls in the interpretation of pediatric head CTs: what the emergency radiologist needs to know.

Emerg Radiol 2022 Apr 8. Epub 2022 Apr 8.

Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM, 87131, USA.

Pediatric radiology studies can be some of the most anxiety-inducing imaging examinations encountered in practice. This can be in part due to the wide range of normal anatomic appearances inherent to the pediatric population that create potential interpretive pitfalls for radiologists. The pediatric head is no exception; for instance, the inherent greater water content within the neonatal brain compared to older patients could easily be mistaken for cerebral edema, and anatomic variant calvarial sutures can be mistaken for skull fractures. Read More

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A Modified Minimally Invasive Approach for the Treatment of Mandibular Condylar Fracture.

J Craniofac Surg 2022 Mar-Apr 01;33(2):e217-e218

Department of Oral and Maxillofacial Surgery, Capital Medical University School of Stomatology, Beijing, China.

Abstract: In this study, we introduced a small "V" shaped incision around the ear lobe modified from fact-lift approach to treat the mandibular condylar neck and subcondylar fractures to further minimize and hide the postsurgical scars. A total of 15 cases with mandibular condylar fractures from low levels of condylar neck to high levels of subcondylar region were treated by this approach. An incision was designed from the posterior rim of the tragus down to the anterior skin wrinkle to the ear lobe, surrounding it, continually up and backward for a little distance, forming a "V"-like shape. Read More

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Orbital fractures.

Tidsskr Nor Laegeforen 2022 04 4;142(6). Epub 2022 Apr 4.

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[Role of helical computed tomography in petrous bone trauma: about 12 cases at the University Hospital Ibn Rochd of Casablanca].

Pan Afr Med J 2022 25;41:72. Epub 2022 Jan 25.

Service de Radiologie, Centre Hospitalier Universitaire, Hôpital du Point G, Bamako, Mali.

Temporal bone injuries occur in 14-22% of skull fractures occurring due to head trauma. The purpose of this study is to understand the role of helical computed tomography in petrous bone trauma and to show the different types of fractures and the associated lesions. We conducted a retrospective study of 12 patients with petrous bone trauma (including 10 men and 2 women) over a period of 14 months. Read More

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Lump on the scalp of a child arising over a previous parietal fracture: growing skull fracture or post-traumatic lipoma?

BMJ Case Rep 2022 Apr 4;15(4). Epub 2022 Apr 4.

Pediatric Maxillofacial Unit, ASST Spedali Civili di Brescia, Brescia, Italy.

A young girl was referred to our Institution for the appearance of a painless soft swelling in the right parietal region of the scalp. In the same site, the patient had a parietal bone fracture 1 year ago. In the suspicion of a growing skull fracture, the patient underwent radiological investigations. Read More

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Computational Approaches for Acute Traumatic Brain Injury Image Recognition.

Front Neurol 2022 9;13:791816. Epub 2022 Mar 9.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.

In recent years, there have been major advances in deep learning algorithms for image recognition in traumatic brain injury (TBI). Interest in this area has increased due to the potential for greater objectivity, reduced interpretation times and, ultimately, higher accuracy. Triage algorithms that can re-order radiological reading queues have been developed, using classification to prioritize exams with suspected critical findings. Read More

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Role of environmental and occupational factors in fall-related maxillofacial fractures.

Clin Exp Dent Res 2022 Jun 1;8(3):737-741. Epub 2022 Apr 1.

Bahria University Medical and Dental College, Karachi, Pakistan.

Objectives: The objective of this study was to determine the frequency and patterns of maxillofacial fractures in falls due to environmental and occupational reasons.

Material And Methods: One hundred and nineteen patients were included in this study who presented to the department of Oral and maxillofacial surgery at Khyber College of Dentistry, Peshawar. The duration of study was 3 years from January 1, 2017 to December 31, 2019. Read More

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Analysis of relationship between loading condition and cranial cracking pattern using a three-dimensional finite element model.

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

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Application of customized integration titanium mesh in the treatment of complicated zygomatic complex fractures: A prospective randomized clinical study.

J Craniomaxillofac Surg 2022 Apr 23;50(4):304-309. Epub 2022 Mar 23.

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, PR China. Electronic address:

The present study aimed to quantitatively evaluate the outcomes of the application of customized integration titanium mesh (CITM) in treating unilateral complicated zygomatic complex fractures. A prospective, randomized, controlled clinical study was conducted. Patients were randomly divided into the experimental group who underwent treatment with CITM, and the control group who underwent treatment just with traditional titanium plates. Read More

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[Spontaneous intrauterine depressed skull fracture: report of two cases].

Arch Argent Pediatr 2022 Apr 4;120(2):e85-e88. Epub 2022 Feb 4.

Servicio de Neonatología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Spontaneous intrauterine depressed skull fractures are a rare entity. They can appear secondarily to head trauma (before or during birth) or due to unknown etiology. They usually require a complete evaluation from pediatric neurosurgery specialists. Read More

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