6,544 results match your criteria Imaging in Skull Fractures


Spontaneous bone regeneration following a large craniectomy in a pediatric patient: a case report.

World Neurosurg 2019 Apr 16. Epub 2019 Apr 16.

Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, Tecnologico de Monterrey, San Pedro Garza Garcia, Nuevo Leon, Mexico.

Background: In children, decompressive craniectomy is commonly performed in cases of increased intracranial pressure that is not medically managed. Currently, it is standard practice to perform cranioplasty after decompressive craniectomy, although optimal timing for the procedure remains controversial. To date, few studies have reported spontaneous cranial bone regeneration in children without intervention. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193107
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http://dx.doi.org/10.1016/j.wneu.2019.04.085DOI Listing
April 2019
1 Read

Impact of e-scooter injuries on Emergency Department imaging.

J Med Imaging Radiat Oncol 2019 Apr 11. Epub 2019 Apr 11.

FMHS University of Auckland, Auckland, New Zealand.

Introduction: Since the introduction of a shared e-scooter service to Auckland in October there have been multiple media reports of associated injuries, but no quantitation of the number or severity of these injuries, or the impact on hospital emergency department services in Auckland.

Methods: We performed a retrospective chart review on all patients referred to Auckland hospital ED radiology with the indication containing 'e-scooter' between 15 August 2018 and 15 December 2018. All requests were screened to ensure that the injury was caused by an e-scooter. Read More

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http://dx.doi.org/10.1111/1754-9485.12889DOI Listing
April 2019
2 Reads

Traumatic dural venous sinus gas predicts a higher likelihood of dural venous sinus thrombosis following blunt head trauma.

J Med Imaging Radiat Oncol 2019 Mar 15. Epub 2019 Mar 15.

Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia.

Introduction: The aim of this study was to assess the association between intrasinus gas and dural venous sinus thrombosis (DVST) in patients with blunt head trauma.

Methods: One hundred and two consecutive patients with blunt head trauma imaged with non-enhanced CT and CT head venography at our institution between 1 July 2011 and 30 June 2016 were included. Image review was performed by two independent reviewers to assess for the presence of intrasinus or perisinus gas and DVST. Read More

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http://dx.doi.org/10.1111/1754-9485.12865DOI Listing
March 2019
4 Reads

Management of Isolated Skull Fractures in Pediatric Patients: A Systematic Review.

Pediatr Emerg Care 2019 Apr;35(4):301-308

Neurosurgery, University of Vermont College of Medicine, Burlington, VT.

Objectives: Isolated skull fractures (ISFs) in children are one of the most common emergency department injuries. Recent studies suggest these children may be safely discharged following ED evaluation with little risk of delayed neurological compromise. The aim of this study was to propose an evidence-based protocol for the management of ISF in children in an effort to reduce medically unnecessary hospital admissions. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001814DOI Listing
April 2019
6 Reads

Implications of Facial Fracture in Airway Management of the Adult Population: What Is the Most Effective Management Strategy?

Ann Plast Surg 2019 Apr;82(4S Suppl 3):S179-S184

Division of Craniofacial and Reconstructive Surgery, Department of Surgery, University of Mississippi Medical Center, Jackson, MS.

Purpose: Facial fractures are a harbinger when it comes to airway management. Facial fractures can cause airway obstruction or preclude the use of intubation. We aim to examine the etiologies, types of facial fractures, and the risk factors that may lead to requirement of an advance airway. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001883DOI Listing
April 2019
1 Read

More advantages in detecting bone and soft tissue metastases from prostate cancer using F-PSMA PET/CT.

Hell J Nucl Med 2019 Jan-Apr;22(1):6-9. Epub 2019 Mar 7.

Department of Nuclear Medicine and PET/CT, Evangelismos General Hospital, Ypsilantou 45-47, PC 106 76, Athens, Greece.

Prostate cancer (PCa) is the most common solid cancer affecting men worldwide. Serum prostate-specific antigen (PSA) is at present the most commonly used biomarker for PCa screening, as well as a reliable marker of disease recurrence after initial treatment. Bone metastases (BM) are present in advanced stages of the disease. Read More

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http://dx.doi.org/10.1967/s002449910952DOI Listing
March 2019
9 Reads

Pediatric Diffuse Large B-Cell Lymphoma of the Frontal Sinus: A Case Report.

Cleft Palate Craniofac J 2019 Mar 5:1055665619831165. Epub 2019 Mar 5.

2 Department of Craniofacial and Pediatric Plastic Surgery, Dell Children's Medical Center of Central Texas, The University of Texas at Austin Dell Medical School, Austin, TX, USA.

An 11-year-old male presented with right proptosis, bulbar conjunctivitis, and diplopia. Computerized tomography (CT) and magnetic resonance imaging revealed an enhancing mass involving the superio-medial orbit, ethmoids, frontal sinus, and anterior cranial fossa with skull base destruction. Diffuse large B-cell lymphoma was diagnosed via CT-guided biopsy. Read More

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http://dx.doi.org/10.1177/1055665619831165DOI Listing
March 2019
2 Reads

Traumatic Injury of the Petrous Part of the Temporal Bone: Keys for Reporting a Complex Diagnosis.

Radiologia 2019 Feb 15. Epub 2019 Feb 15.

Departamento de Radiología, Hospital Universitario La Paz, Madrid, España.

Fractures of the petrous part of the temporal bone are a common lesion of the base of the skull; most of these fractures result from high-energy trauma. In patients with multiple trauma, these injuries can be detected on CT scans of the head and neck, where the direct and indirect signs are usually sufficient to establish the diagnosis. It is important to these fractures because the temporal bone has critical structures and the complexity of this region increases the risk of error unless special care is taken. Read More

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http://dx.doi.org/10.1016/j.rx.2018.12.005DOI Listing
February 2019

Traumatic Falls in the Pediatric Population: Facial Fracture Patterns Observed in a Leading Cause of Childhood Injury.

Ann Plast Surg 2019 Apr;82(4S Suppl 3):S195-S198

University of Mississippi Medical Center, Jackson, MS.

Purpose: Falls are a leading cause of nonfatal injury in the pediatric population, resulting in numerous hospitalizations. Children may not have fully developed reflexive and balancing abilities, rendering them more susceptible to traumatic falls. Here the authors present their findings regarding patterns of facial fracture and concomitant injury seen in the pediatric population secondary to falls. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001861DOI Listing
April 2019
2 Reads

Radiologic Findings in Intimate Partner Violence.

Radiology 2019 Apr 5;291(1):62-69. Epub 2019 Feb 5.

From the Departments of Radiology (E.G., C.H.P., N.S., B.K.) and Emergency Medicine (A.L., H.M.S.), Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115; and Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Mass (B.R.).

Purpose To assess the radiologic findings associated with intimate partner violence (IPV). Materials and Methods Electronic medical records of 185 patients referred to the IPV support program from the emergency department (ED) between January 2015 and October 2016 were retrospectively reviewed and compared with an age- and sex-matched control group of 555 subjects (1:3 ratio of IPV victims to control subjects) who presented to the ED. Reports of all imaging studies performed within 5 years prior to the index ED visit were reviewed. Read More

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http://pubs.rsna.org/doi/10.1148/radiol.2019180801
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http://dx.doi.org/10.1148/radiol.2019180801DOI Listing
April 2019
15 Reads
6.867 Impact Factor

Sex estimation from skull base radiographs in a contemporary Colombian population.

J Forensic Leg Med 2019 Feb 20;62:77-81. Epub 2019 Jan 20.

University Antonio Nariño, Career 3 E, No. 47A-15, Block 5, Bogotá, Colombia.

The aim is to study the sexual dimorphism of the base of the skull in radiographs of a bone collection of contemporary Colombian adults, with the intention of formulating discriminant functions capable of classifying sex in this population. The sample consisted of 115 skull base radiographs, (44 females and 71 males), which originated from the Colombian Human Skeletals Collection. Radiographs with good contrast were selected. Read More

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http://dx.doi.org/10.1016/j.jflm.2019.01.006DOI Listing
February 2019
2 Reads

Evaluating the Role of a Neurosurgery Consultation in Management of Pediatric Isolated Linear Skull Fractures.

Pediatr Neurosurg 2019 23;54(1):21-27. Epub 2019 Jan 23.

Department of Neurosurgery, Virginia Commonwealth University Health System, Richmond, Virginia, USA.

Background: The purpose of this study was to determine if a pediatric neurosurgical consultation for isolated linear skull fractures (ILSF) in pediatric patients with Glasgow Coma Scale (GCS) scores of ≥14 changed their management.

Methods: A 10-year retrospective chart review at a Level 1 Pediatric Trauma Center was performed. Exclusion criteria were age > 18 years, open, depressed, or skull base fractures, pneumocephalus, poly-trauma, any hemorrhage (intraparenchymal, epidural, subdural, subarachnoid), cervical spine fractures, penetrating head trauma, and initial GCS scores ≤13. Read More

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https://www.karger.com/Article/FullText/495792
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http://dx.doi.org/10.1159/000495792DOI Listing
January 2019
12 Reads

Occipitocervical Dislocation in Low-Energy Trauma.

Case Rep Orthop 2018 29;2018:3931525. Epub 2018 Nov 29.

Department of Orthopaedics & Sport Medicine, Harborview Medical Center, 325 Ninth Avenue Seattle, WA 98104, USA.

Traumatic occipitocervical dislocation (OCD) is described in the literature as a potentially fatal injury secondary to high-energy trauma. We describe a case of OCD occurring in a patient who sustained a ground-level fall whose only clinical symptom was posterior neck pain without neurologic compromise. Computed tomography (CT) and magnetic resonance imaging (MRI) were used to diagnose severe injury to the structurally important ligamentous complex that stabilizes the base of the skull to the spine, along with unstable fractures of the occipital condyle and C1. Read More

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https://www.hindawi.com/journals/crior/2018/3931525/
Publisher Site
http://dx.doi.org/10.1155/2018/3931525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304856PMC
November 2018
6 Reads

Multiple fractures and luxations of palatofacial bones in a hawk-headed parrot (Deroptyus accipitrinus).

J Am Vet Med Assoc 2019 Jan;254(2):251-256

CASE DESCRIPTION A 16-year-old female hawk-headed parrot (Deroptyus accipitrinus) was evaluated because of beak trauma and difficulty eating. CLINICAL FINDINGS Physical examination revealed a lateral tissue protrusion in the left half of the oropharyngeal cavity ventral to the proximal aspect of the maxillary tomium as well as a small bony prominence on the left jugal arch. Range of motion of the beak appeared normal. Read More

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http://dx.doi.org/10.2460/javma.254.2.251DOI Listing
January 2019
1 Read

Reconstruction of Secondary Calvarial Defects with Ex Situ Split Calvarial Bone Grafts: Long-Term Evaluation of Outcomes.

Plast Reconstr Surg 2019 01;143(1):223-233

Cleveland, Ohio From the Departments of Plastic Surgery and Neurosurgery, Cleveland Clinic.

Background: Autologous bone continues to represent the first choice for reconstruction of calvarial defects. However, unanswered questions remain on the natural history of the graft and the influence of patient-related risk factors. This study investigated the outcomes of skull reconstruction with split calvarial bone graft, examining the natural history and stratifying the risk of unfavorable results. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005129DOI Listing
January 2019
17 Reads

Pediatric Nasoorbitoethmoid Fractures: Cause, Classification, and Management.

Plast Reconstr Surg 2019 01;143(1):211-222

Baltimore, Md.; Chicago, Ill.; Seattle, Wash.; Boston, Mass.; and Cleveland, Ohio From the Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital; Rush Medical College of Rush University; the Division of Plastic Surgery, University of Washington Medical Center; the R Adams Cowley Shock Trauma Center, University of Maryland Medical Center; the Department of Biostatistics, Boston University School of Public Health; and the Division of Pediatric Plastic Surgery, University Hospital Rainbow Babies and Children's Hospital.

Background: Currently, there is a paucity of information on the presentation and proper management of pediatric nasoorbitoethmoid fractures. The purpose of this study was to examine the incidence, cause, associated injuries, and management of these fractures. Furthermore, the authors sought to assess outcomes after transnasal wiring or suture canthopexy for type III nasoorbitoethmoid fractures. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005106DOI Listing
January 2019
2 Reads

Nasal blowing induces subcutaneous emphysema post penetrating mastoid tip trauma.

Int J Pediatr Otorhinolaryngol 2019 Feb 13;117:48-50. Epub 2018 Nov 13.

Department of Otolaryngology, Head and Neck Surgery, Shaare Zedek Medical Center, Israel.

We describe the case of a child with an isolated penetrating trauma to the mastoid tip. Nasal blowing consequently induced air bubbles coming through the mastoid cutaneous fistula and causing extensive subcutaneous neck emphysema. A computed tomography (CT) demonstrated a right mastoid tip bone fracture with extensive cervical subcutaneous emphysema. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.11.014DOI Listing
February 2019
5 Reads

Barotraumatic blowout fracture of the orbit after sneezing: Cone beam CT demonstration.

Clin Ter 2018 Nov-Dec;169(6):e265-e268

Section of Diagnostic Imaging - DIBIMED, University of Palermo, Palermo, Italy.

A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. Read More

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http://dx.doi.org/10.7417/CT.2018.2089DOI Listing
January 2019

Clinical Feasibility of Zero TE Skull MRI in Patients with Head Trauma in Comparison with CT: A Single-Center Study.

AJNR Am J Neuroradiol 2019 Jan 13;40(1):109-115. Epub 2018 Dec 13.

MR Applications and Workflow (M.J.H.), GE Healthcare Korea, Seoul, Republic of Korea.

Background And Purpose: Conventional MR imaging techniques cannot produce optimal images of bone structures because bone has little water and a very short T2 life span. The aim of this study was to investigate the clinical feasibility of skull MR imaging using the zero TE sequence in patients with head trauma by assessing its diagnostic image quality and quantitative measurement compared with CT images.

Materials And Methods: Thirteen enrolled patients with head trauma were assessed using brain CT and skull MR imaging. Read More

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http://dx.doi.org/10.3174/ajnr.A5916DOI Listing
January 2019
1 Read

Infant skull fractures: Accident or abuse?: Evidences from biomechanical analysis using finite element head models.

Forensic Sci Int 2019 Jan 17;294:173-182. Epub 2018 Nov 17.

Division of Neuronic Engineering, School of Technology and Health, Royal Institute of Technology - KTH, Huddinge 141 52, Sweden.

Abusive Head Trauma (AHT) is considered by some authors to be a leading cause of traumatic death in children less than two years of age and skull fractures are commonly seen in cases of suspected AHT. Today, diagnosing whether the observed fractures are caused by abuse or accidental fall is still a challenge within both the medical and the legal communities and the central question is a biomechanical question: can the described history explain the observed fractures? Finite element (FE) analysis has been shown a valuable tool for biomechanical analysis accounting for detailed head geometry, advanced material modelling, and case-specific factors (e.g. Read More

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http://dx.doi.org/10.1016/j.forsciint.2018.11.008DOI Listing
January 2019
2 Reads

Temporal bone trauma effects on auditory anatomical structures in mastoid obliteration.

Eur Arch Otorhinolaryngol 2019 Feb 3;276(2):513-520. Epub 2018 Dec 3.

Department of Cervicofacial and ENT Surgery, Faculty of Dentistry, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Str. Gheorghe Bilascu Nr. 16-20, Cluj-Napoca, Romania.

Purpose: The risk of temporal bone fractures in head trauma is not negligible, as injuries also depend on the resistance and integrity of head structures. The capacity of mastoid cells to absorb part of the impact kinetic energy of the temporal bone is diminished after open cavity mastoidectomy, even if the surgical procedure is followed by mastoid obliteration. The aim of our study was to evaluate the severity of lesions in auditory anatomical structures after a lateral impact on cadaveric temporal bones in which open cavity mastoidectomy followed by mastoid obliteration was performed, compared to cadaveric temporal bones with preserved mastoids. Read More

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http://dx.doi.org/10.1007/s00405-018-5227-6DOI Listing
February 2019

Citrate-based materials fuel human stem cells by metabonegenic regulation.

Proc Natl Acad Sci U S A 2018 12 26;115(50):E11741-E11750. Epub 2018 Nov 26.

Department of Biomedical Engineering, The Pennsylvania State University, University Park, PA 16801;

A comprehensive understanding of the key microenvironmental signals regulating bone regeneration is pivotal for the effective design of bioinspired orthopedic materials. Here, we identified citrate as an osteopromotive factor and revealed its metabonegenic role in mediating citrate metabolism and its downstream effects on the osteogenic differentiation of human mesenchymal stem cells (hMSCs). Our studies show that extracellular citrate uptake through solute carrier family 13, member 5 (SLC13a5) supports osteogenic differentiation via regulation of energy-producing metabolic pathways, leading to elevated cell energy status that fuels the high metabolic demands of hMSC osteodifferentiation. Read More

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http://dx.doi.org/10.1073/pnas.1813000115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294936PMC
December 2018

The prevalence of temporal bone fractures is high in horses with severe temporohyoid osteoarthropathy.

Vet Radiol Ultrasound 2019 Mar 21;60(2):159-166. Epub 2018 Nov 21.

School of Veterinary Medicine, University of California-Davis, Davis, California.

Temporohyoid osteoarthropathy is a well-recognized cause of equine neurologic disease. Temporal bone fractures associated with temporohyoid osteoarthropathy have been recognized with CT, however, little information is available regarding these fractures. The aims of this retrospective analytical study were to assess the prevalence of these fractures and to describe the specific configurations and associated imaging and clinical features. Read More

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http://dx.doi.org/10.1111/vru.12702DOI Listing
March 2019
15 Reads

The Diagnosis and Management of Facial Bone Fractures.

Emerg Med Clin North Am 2019 Feb;37(1):137-151

Department of Emergency Medicine, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie, Suite 1300, Chicago, IL 60611, USA; Department of Medicine, Northwestern Medicine, Northwestern University Feinber School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA. Electronic address:

Appropriate medical care for a patient with a facial fracture can not only optimize aesthetic outcomes but also prevent the potential morbidity and mortality of delayed treatment. In this article, we focus on the clinical presentations, physical examination findings, diagnostic imaging, consultations, and follow-up that patients with facial fractures need related to their emergency department management. Specifically, we address the nuances of evaluating frontal, orbital, nasal, maxillofacial, and mandibular fractures. Read More

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http://dx.doi.org/10.1016/j.emc.2018.09.012DOI Listing
February 2019
19 Reads

Reliability of Ultrasound-Guided One-Point Fixation for Zygomaticomaxillary Complex Fractures.

J Craniofac Surg 2019 Jan;30(1):218-222

Department of Plastic and Reconstructive Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

This study aimed to analyze the precision and postoperative stability of ultrasound guided 1-point fixation on the zygomaticomaxillary buttress for the treatment of zygomaticomaxillary complex (ZMC) fractures. The authors analyzed 24 consecutive patients who underwent ultrasound-guided 1-point fixation for ZMC fractures without separation of the fracture at the frontal process of the zygomatic bone. The authors used titanium plates in the first 6 cases, and biodegradable plates in the remaining 18 cases. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005133DOI Listing
January 2019
30 Reads

Risk Factors in Pediatric Blunt Cervical Vascular Injury and Significance of Seatbelt Sign.

West J Emerg Med 2018 Nov 18;19(6):961-969. Epub 2018 Oct 18.

McGovern Medical School at The University of Texas Health Sciences Center, Department of Diagnostic and Interventional Radiology, Houston, Texas.

Introduction: Computed tomography angiography (CTA) is used to screen patients for cerebrovascular injury after blunt trauma, but risk factors are not clearly defined in children. This modality has inherent radiation exposure. We set out to better delineate the risk factors associated with blunt cervical vascular injury (BCVI) in children with attention to the predictive value of seatbelt sign of the neck. Read More

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https://escholarship.org/uc/item/0vp885t4
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http://dx.doi.org/10.5811/westjem.2018.9.39429DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225950PMC
November 2018
15 Reads

Black bone MRI with 3D reconstruction for the detection of skull fractures in children with suspected abusive head trauma.

Neuroradiology 2019 Jan 7;61(1):81-87. Epub 2018 Nov 7.

Department of Radiology, Addenbrooke's Hospital, University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK.

Purpose: The purpose of this study was to determine the accuracy of "black bone" (BB) MRI for the detection of skull fractures in children with potential abusive head trauma.

Methods: A total of 34 pediatric patients were evaluated for potential abusive head trauma. All patients had both a non-contrast head CT (HCT) with multiplanar reformatted images and 3D volumetric reformatted images where available (gold standard) for fracture diagnosis and BB of the head with multiplanar reformatted images and 3D volumetric images. Read More

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http://link.springer.com/10.1007/s00234-018-2127-9
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http://dx.doi.org/10.1007/s00234-018-2127-9DOI Listing
January 2019
6 Reads

Surviving a transfixing gunshot wound to the head 70 years ago.

Forensic Sci Med Pathol 2019 03 20;15(1):159-163. Epub 2018 Oct 20.

Laboratory of Forensic Anthropology, Centre for Functional Ecology, Department of Life Sciences, University of Coimbra, 3000456, Coimbra, Portugal.

Surviving a gunshot wound to the head is a rare event, particularly in the past when medical treatment was much less advanced than it is today. Moreover, the finding of such a case as an identified specimen within a museum collection is even more uncommon. This led us to report on this unique case in this paper as it poses a challenge to forensic anthropology and provides a unique educational oppourtunity. Read More

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http://link.springer.com/10.1007/s12024-018-0025-4
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http://dx.doi.org/10.1007/s12024-018-0025-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373328PMC
March 2019
16 Reads

Application of computer-assisted surgery techniques in the management of zygomatic complex fractures.

Chin J Traumatol 2018 Oct 20;21(5):281-286. Epub 2018 Sep 20.

Department of Oral & Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China. Electronic address:

Patients suffering from zygomatic complex fractures always present facial deformity and dysfunctions, and thereafter develop psychological and physiological problems. It is really hard to get an ideal prognosis for the zygomatic complex fractures because of the complicated anatomical structures. Computer-assisted surgery techniques, as the new emerging auxiliary methods, can optimize the surgical protocol, predict operation outcomes, and improve the accuracy and quality of the operation. Read More

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http://dx.doi.org/10.1016/j.cjtee.2018.01.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235788PMC
October 2018
1 Read

Genial Tubercle Fracture.

J Craniofac Surg 2019 Jan;30(1):161-162

Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine, Shinjuku-ku.

Genial tubercle fracture is a rare mandibular fracture. It is classified into 2 different types based on the mechanism of injury, including type I, associated with an atrophied edentulous mandible or denture, and type II, associated with mandibular fracture. Although type I usually can be treated by only observation, type II may cause obstruction of the pharyngeal airway due to hematoma and edema of the floor of the mouth. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004804DOI Listing
January 2019
1 Read

Wormian Bone of the Orbit: A Case Report.

Cureus 2018 Aug 7;10(8):e3117. Epub 2018 Aug 7.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

Wormian bones are formed due to abnormal ossification centers in various locations in the skull. Genetic and/or environmental factors have been proposed to explain their formation. These bones can be normal anatomical variants or associated with a number of pathological conditions. Read More

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https://www.cureus.com/articles/14044-wormian-bone-of-the-or
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http://dx.doi.org/10.7759/cureus.3117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175252PMC
August 2018
21 Reads

A 23-year follow-up of a male with Hajdu-Cheney syndrome due to NOTCH2 mutation.

Am J Med Genet A 2018 Nov 17;176(11):2382-2388. Epub 2018 Oct 17.

Department of Medical Genetics, Medical University, Warsaw, Poland.

We present a natural history of a 32-year-old man with Hajdu-Cheney syndrome (HJCYS), because of the de novo truncating mutation in the exon 34 of NOTCH2 (c.6424-6427delTCTG, p.Ser2142ArgfsX4), who has been followed up for a period of 23 years (between 9 and 32 years). Read More

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http://doi.wiley.com/10.1002/ajmg.a.40431
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http://dx.doi.org/10.1002/ajmg.a.40431DOI Listing
November 2018
17 Reads

Deep learning algorithms for detection of critical findings in head CT scans: a retrospective study.

Lancet 2018 12 11;392(10162):2388-2396. Epub 2018 Oct 11.

Qure.ai, Goregaon East, Mumbai, India.

Background: Non-contrast head CT scan is the current standard for initial imaging of patients with head trauma or stroke symptoms. We aimed to develop and validate a set of deep learning algorithms for automated detection of the following key findings from these scans: intracranial haemorrhage and its types (ie, intraparenchymal, intraventricular, subdural, extradural, and subarachnoid); calvarial fractures; midline shift; and mass effect.

Methods: We retrospectively collected a dataset containing 313 318 head CT scans together with their clinical reports from around 20 centres in India between Jan 1, 2011, and June 1, 2017. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)31645-3DOI Listing
December 2018
1 Read

Resorption behaviour of the articular surface dome and functional outcome after open reduction and internal fixation of mandibular condylar head fractures using small-fragment positional screws.

J Craniomaxillofac Surg 2018 Nov 20;46(11):1953-1959. Epub 2018 Sep 20.

Department of Oral & Maxillofacial Surgery, University of Munich, LMU, Germany.

Purpose: The aim of the study was to evaluate the resorption of the mandibular condylar head after open reduction and internal fixation of fractures with small-fragment screws and to evaluate the functional outcome.

Patients And Method: Forty-eight patients (55 condylar head fractures) underwent surgical treatment. All kinds of complications were recorded. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182183076
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http://dx.doi.org/10.1016/j.jcms.2018.09.008DOI Listing
November 2018
5 Reads

Planes of Reference for Orbital Fractures: A Technique for Reproducible Measurements of the Orbit on Computed Tomography Scans.

J Craniofac Surg 2018 Oct;29(7):1817-1820

Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System.

Purpose: Planes of reference for orbital fractures (PROF) was developed to standardize measurements made on orbital computed tomography scans. This study describes the use of PROF in determining the location along the orbital floor where the posterior ledge (PL) most commonly occurs. The transverse inclination and anterior-posterior inclination of the orbital floor will also be measured. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005021DOI Listing
October 2018
11 Reads

Predictors of enophthalmos among adult patients with pure orbital blowout fractures.

PLoS One 2018 5;13(10):e0204946. Epub 2018 Oct 5.

Centre for Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.

The aim of this study was to determine the predictors of post-traumatic enophthalmos (PE) in relation to the internal orbital changes following pure orbital blowout fractures. The design was a 10-year retrospective cross-sectional study analysing 629 medical records and computed tomography (CT) data of patients with orbital fractures from January 2008 to January 2017. Demographic, etiology, co-morbidity and clinical characteristics were obtained from the medical records. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0204946PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173413PMC

Brain Death: Diagnosis and Imaging Techniques.

Semin Ultrasound CT MR 2018 Oct 2;39(5):515-529. Epub 2018 Mar 2.

Division of Neuroradiology, University of Virginia Health System, Charlottesville, VA. Electronic address:

Brain death (BD) is an irreversible cessation of functions of the entire brain, including the brainstem. The diagnosis of BD is made on clinical grounds and neurologic examination. In the United States, clinical criteria set by the American Academy of Neurology (AAN) emphasize 3 specific clinical findings to confirm BD, which include coma, absence of brainstem reflexes and apnea. Read More

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http://dx.doi.org/10.1053/j.sult.2018.01.006DOI Listing
October 2018
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1.082 Impact Factor

Essentials of Head Trauma Imaging.

Semin Ultrasound CT MR 2018 Oct 8;39(5):469-480. Epub 2018 Feb 8.

Division of Neuroradiology, University of Cincinnati Medical Center, Cincinnati, OH.

Head trauma is a common indication for neuroimaging in the emergency room. CT is the modality of first choice, as it is quick, safe, and effective in evaluating for life-threatening intracranial hemorrhage and mass effect. CT is also best for evaluating for skull fractures, which may alter management and lead to further imaging studies. Read More

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http://dx.doi.org/10.1053/j.sult.2018.01.004DOI Listing
October 2018
14 Reads

Correlation Between the Existing Classifications of Nasal Bone Fractures and Subjective Patient Satisfaction.

J Craniofac Surg 2018 Oct;29(7):1825-1828

Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University, College of Medicine, Seoul, South Korea.

Since the nose is at the center of the face, small changes to it can cause a big overall change. Therefore, a nasal fracture needs to be operated on when deformity is expected. Although many taxonomies have been developed for nasal bone fractures, no study has aimed to predict individual patient satisfaction. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005043DOI Listing
October 2018
8 Reads

Complex Orbital Fractures: Three-Dimensional Planning and Combined Surgical Approach.

J Craniofac Surg 2018 Oct;29(7):1965-1968

Unit of Maxillofacial Surgery, Faculty of Medicine and Psychology, Sapienza University, Ospedale Sant'Andrea, Rome.

Nowadays the development of diagnostic imaging, surgical techniques, alloplastic materials, and surgical instruments has made possible a more accurate management of orbital fractures. The aim of the present study was the management of orbital fractures and the solution of particular cases. The use of high-resolution computed tomography makes possible to gain a better understanding of the complex orbit anatomical structure. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005022DOI Listing
October 2018
8 Reads

Projectile, blunt, or sharp force trauma? A facial lesion on a Bronze Age skull from Uglemose, Denmark.

Anthropol Anz 2018 Dec;75(4):291-296

Section of Forensic Pathology, Department of Forensic Medicine, University of Copenhagen, Denmark.

This study presents and discusses the differential diagnosis of a unique case of facial trauma. The adult male skull was excavated in 1948 from Uglemose (Owl Bog) outside of Birket, on the island of Lolland (Denmark). Carbon-14 samples from an adult tibia excavated with the skull dates to the end of the Danish Bronze Age and transition period into the pre-Roman Iron Age. Read More

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http://dx.doi.org/10.1127/anthranz/2018/0812DOI Listing
December 2018
5 Reads

Clinical Signs of Basilar Skull Fracture and Their Predictive Value in Diagnosis of This Injury.

J Trauma Nurs 2018 Sep/Oct;25(5):301-306

School of Nursing, University of São Paulo, Sao Paulo, SP, Brazil (Mss Solai and Drs Nogueira and de Sousa); and All Trauma, Sao Paulo, SP, Brazil (Dr Domingues).

Although clinical signs for the diagnosis of basilar skull fracture (BSF) are ambiguous, they are widely used to make decisions on initial interventions involving trauma patients. We aimed to assess the performance of early and late (within 48 hr posttrauma) signs for BSF diagnosis and to verify the correlation between the presence of these signs and head injury severity. We conducted a prospectively designed follow-up study at a referral hospital for trauma care in Sao Paulo, Brazil, and performed structured observations for 48 hr post-blunt head injury in patients aged 12 years or older. Read More

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http://dx.doi.org/10.1097/JTN.0000000000000392DOI Listing
January 2019
23 Reads

Preventing hypoesthesia after a buccal plate fracture in a sagittal split procedure: A technical note.

J Craniomaxillofac Surg 2018 Oct 29;46(10):1818-1820. Epub 2018 Jul 29.

UMC Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. Electronic address:

If during a sagittal split osteotomy a buccal plate fracture occurs, it inevitably results in a time-consuming procedure with, in many cases, hypoesthesia of the mental region as a consequence of manipulation of the inferior alveolar nerve. We would like to present a novel technique to solve a (threatening) buccal plate fracture that is quick and easy to perform, and has thus far not resulted in hypoesthesia. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.07.018DOI Listing
October 2018
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The detection of significant fractures in suspected infant abuse.

J Forensic Leg Med 2018 Nov 5;60:9-14. Epub 2018 Sep 5.

Manchester Molecular Pathology Innovation Centre, 3rd floor Citylabs, Nelson Street, Manchester, M13 9NQ, United Kingdom. Electronic address:

Objective: Skeletal survey is a commonly used means of detecting fractures in infants, and is used as a screen in suspected cases of physical abuse. It is recognised that in live infants, a repeat survey some days after a suspected episode of injury will detect more fractures than one taken shortly after the suspected injury, indicating that the latter lacks sensitivity. In infants who die soon after a suspected episode of physical abuse, the managing clinicians do not have the option of a second survey; however there is the opportunity for the microscopic examination of bones removed at autopsy. Read More

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http://dx.doi.org/10.1016/j.jflm.2018.09.002DOI Listing
November 2018
9 Reads

Oculocardiac Reflex as a Late Presentation of Orbital Floor Fracture.

J Craniofac Surg 2018 Oct;29(7):e720-e722

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine.

Delayed repair of orbital trapdoor fractures can jeopardize the viability of entrapped contents and prolong recovery. Variation in presentations, both clinically and radiographically, complicate prompt diagnosis. The oculocardiac reflex may be the only indication of fracture with entrapped orbital contents, but, unfortunately, the reflex has variable onset patterns and can mimic common diagnoses. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004966DOI Listing
October 2018
9 Reads

Usefulness of 3-D computed tomography for diagnosis of abusive head trauma.

Pediatr Int 2018 Sep 5;60(9):889-891. Epub 2018 Sep 5.

Department of Emergency and Critical Care Medicine, Okayama University Hospital, Okayama, Japan.

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http://dx.doi.org/10.1111/ped.13633DOI Listing
September 2018
18 Reads

Reconstruction of medial orbital wall using a retrocaruncular approach.

J Craniomaxillofac Surg 2018 Oct 11;46(10):1726-1730. Epub 2018 Aug 11.

Department of Oral and Maxillofacial Surgery of the Hospital Clínico Mutual de Seguridad, Chile.

The purpose of the study was to analyze and describe the retrocaruncular approach to access medial orbital wall. A retrospective analysis was performed in patients referred for the treatment of orbital fractures between January 1st 2011 and July 31st 2017. The study included patients over 18 years old with isolated fractures of the medial orbital wall or combined with the orbital floor who underwent a transconjunctival approach with retrocaruncular extension and lateral canthotomy, and with a minimum follow-up of 6 months. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182183064
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http://dx.doi.org/10.1016/j.jcms.2018.08.004DOI Listing
October 2018
20 Reads

Healing pattern of intentional pterygoid plate fracture after posterior movement of maxilla through Le Fort I osteotomy.

J Craniomaxillofac Surg 2018 Oct 11;46(10):1828-1833. Epub 2018 Aug 11.

Dept. of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Beomeori, Mulgeum, Yangsan, Kyoungsangnamdo, 50612, South Korea; Institute of Translational Dental Sciences and Dental Research Institute, Pusan National University, Beomeori, Mulgeum, Yangsan, Kyoungsangnamdo, 50612, South Korea. Electronic address:

Background: To evaluate maxillary stability following Le Fort I osteotomy using postero-superior movement after pterygoid plate fracture. Additionally the authors sought to analyze the postoperative changes at the intentional pterygoid plate fracture site.

Materials And Methods: Thirty-six patients with class III deformities treated with total maxillary setback at the Lefort I level were enrolled in a retrospective cohort study. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.08.003DOI Listing
October 2018
12 Reads

Frontal Bone Fracture Patterns Suggesting Involvement of Optic Canal Damage.

J Craniofac Surg 2018 Oct;29(7):1799-1803

Department of Dentistry and Oral Surgery.

Purpose: Fracture of the frontal bone can be accompanied by damage to the optic canal. The present study uses finite element analysis to identify fracture patterns, suggesting the involvement of the optic canal.

Methods: Ten finite-element skull models were generated from computer tomography data of 10 persons. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004926DOI Listing
October 2018
18 Reads

The Supratarsal Approach for Correction of Anterior Frontal Bone Fractures.

J Craniofac Surg 2018 Oct;29(7):1906-1909

Department of Otorhinolaryngology, Karolinska University Hospital.

Background: To approach isolated anterior frontal bone fracture, coronal incision is the common surgical access of choice. This approach has complications such as aesthetically undesirable scarring and alopecia along the incision line. An alternative approach to these fractures is through a supratarsal incision. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004984DOI Listing
October 2018
9 Reads