6,793 results match your criteria Imaging in Skull Fractures


Transphyseal Humeral Separations: What Can We Learn? A Retrospective, Multicenter Review of Surgically Treated Patients Over a 25-Year Period.

J Pediatr Orthop 2020 Jul;40(6):e424-e429

Department of Orthopaedics, University of Maryland Medical Center.

Purpose: Transphyseal humeral separations (TPHS) are rare injuries with only case reports and small series reported in the literature. This multicenter study aimed to assess the various patient characteristics, injury patterns, treatments, outcomes, and complications in a large series of these injuries.

Methods: A retrospective review was conducted at 5 pediatric institutions to identify TPHS that were treated surgically in patients 0 to 3 years of age over a 25-year period. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001455DOI Listing

Linear skull fracture in infants after mild traumatic brain injury: influence of computed tomography in management.

Radiologia 2020 May 31. Epub 2020 May 31.

Hospital Universitario y Politécnico La Fe, Valencia, España.

Introduction: Traumatic brain injury (TBI) is a common reason for pediatric emergency room visits. Surgical intervention for mild TBI is rarely necessary in children aged <2 years, but the intracranial findings can influence the management of the patient. This paper aims to evaluate the impact of computed tomography (CT) in the management of children aged <2 years with mild TBI and linear skull fractures on plain-film X-rays. Read More

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http://dx.doi.org/10.1016/j.rx.2020.04.005DOI Listing

[Skull and cervical spine fractures].

Radiologe 2020 May 25. Epub 2020 May 25.

Klinik für Neurochirurgie, Universitätsmedizin Rostock, Rostock, Deutschland.

Background: Injuries of the skull and the cervical spine are common trauma sequelae and prompt diagnosis is of utmost importance to prevent neurologic complications.

Objectives: The different imaging modalities for the diagnosis of skull and cervical spine fractures are presented and discussed in the context of the current literature.

Materials And Methods: Common fractures of the skull and cervical spine and their classification systems are described. Read More

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http://dx.doi.org/10.1007/s00117-020-00702-5DOI Listing

Does every newborn need an imaging study after a fall? Case series and literature review.

J Matern Fetal Neonatal Med 2020 May 19:1-5. Epub 2020 May 19.

Cohen Children's Medical Center and Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA.

This study examines the clinical and radiographic information from neonates who sustained a newborn fall (NF) to identify risk factors for the NF and the presence of skull fracture and intracranial bleed. In addition, published articles will be reviewed to provide data to assist in the evidence-based management of mothers after delivery and neonates after NF. This is a retrospective chart review of neonates who sustained a NF in a level 4 NICU between 2016 and 2019. Read More

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http://dx.doi.org/10.1080/14767058.2020.1767576DOI Listing

A Rare Case of Spontaneous Intrauterine Skull Fracture.

Acta Med Port 2020 May 4;33(5):344-346. Epub 2020 May 4.

Serviço de Ginecologia/Obstetrícia. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos. Portugal.

Skull fractures are rare in newborns and normally caused by maternal abdominal trauma or complicated deliveries. However, in rare cases, these fractures are found in neonates born after an uneventful pregnancy and delivery. We report a case of a primigravida who underwent cesarean delivery due to failure of descent and malpositioning of the fetal head. Read More

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http://dx.doi.org/10.20344/amp.11565DOI Listing

Pediatric Skull Fracture Characteristics Associated with the Development of Leptomeningeal Cysts in Young Children after Trauma: A Single Institution's Experience.

Plast Reconstr Surg 2020 May;145(5):953e-962e

Baltimore, Md.; and Chicago, Ill. From the Department of Plastic and Reconstructive Surgery and the Department of Neurological Surgery, Division of Pediatric Neurosurgery, The Johns Hopkins Hospital; and the Division of Plastic and Reconstructive Surgery, Rush University Medical Center.

Background: Currently, the pathogenesis of leptomeningeal cysts, also known as growing skull fractures, is still debated. The purpose of this study was to examine the specific skull fracture characteristics that are associated with the development of growing skull fractures and describe the authors' institutional experience managing this rare entity.

Methods: A retrospective cohort study was performed that included all patients younger than 5 years presenting to a single institution with skull fractures from 2003 to 2017. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006745DOI Listing

Pediatric abusive head trauma.

Authors:
Kun-Long Hung

Biomed J 2020 Apr 21. Epub 2020 Apr 21.

Department of Pediatrics, Fu Jen Catholic University Hospital, New Taipei City, Taiwan; School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan; Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan. Electronic address:

Abusive head trauma (AHT), used to be named shaken baby syndrome, is an injury to the skull and intracranial components of a baby or child younger than 5 years due to violent shaking and/or abrupt impact. It is a worldwide leading cause of fatal head injuries in children under 2 years. The mechanism of AHT includes shaking as well as impact, crushing or their various combinations through acceleration, deceleration and rotational force. Read More

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http://dx.doi.org/10.1016/j.bj.2020.03.008DOI Listing

Assessment of Panfacial Fractures in the Pediatric Population.

J Oral Maxillofac Surg 2020 Mar 8. Epub 2020 Mar 8.

Professor of Plastic Surgery, Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Purpose: Management of panfacial fractures is critical and often difficult in adults; however, there is little to no literature regarding these fractures in the pediatric population. In this study, we present our experience to provide insight and further investigation regarding prevention and management strategies within the pediatric population.

Patients And Methods: We performed a retrospective chart review of all panfacial fractures in the pediatric population between 2002 and 2014 treated at an urban, level 1 trauma center (University Hospital, Newark, NJ). Read More

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http://dx.doi.org/10.1016/j.joms.2020.03.001DOI Listing

Expert Consensus on Navigation-guided Unilateral Orbital Fracture and Orbital Floor Reconstruction Techniques.

Chin J Dent Res 2020 ;23(1):51-55

Orbital fracture and orbital floor reconstruction surgery is characterised by limited surgical exposure and high risks. Before the advent of digital technology, the design and implementation of the surgical scheme for orbital floor reconstruction surgery mainly depended on the intuitive understanding of imaging and the clinical experience of surgeons, with strong unpredictability and experience dependence. Surgical navigation systems with real-time positioning and imaging functions, when used in orbital reconstruction surgery, can detect the real-time intraoperative position, avoid risks, and assist in locating the reconstruction position to ensure the accuracy of orbital reconstruction, with the help of a preoperative surgical plan. Read More

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http://dx.doi.org/10.3290/j.cjdr.a44336DOI Listing

Growing Skull Fracture of Temporal Bone in Adults: A Case Report and Literature Review.

Ear Nose Throat J 2020 Mar 24:145561320914774. Epub 2020 Mar 24.

Department of Oto-Rhino-Laryngology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, China.

Growing skull fracture (GSF) is an uncommon post-traumatic complication, which accounts for approximately 0.05% to 1% of all skull fractures. Delayed diagnosis of GSF in adulthood is rare and often involved with a variety of neurological symptoms. Read More

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http://dx.doi.org/10.1177/0145561320914774DOI Listing

Fracture-Associated Bruising and Soft Tissue Swelling in Young Children With Skull Fractures: How Sensitive Are They to Fracture Presence?

Pediatr Emerg Care 2020 Mar 19. Epub 2020 Mar 19.

Children's Protection Program, University of Washington, Seattle Children's Hospital.

Objectives: The aim of this study was to determine how reliable scalp bruising and soft tissue swelling/cephalohematomas (STS) are for underlying young child skull fractures.

Methods: This was a retrospective clinical and imaging review from 2011 to 2012 of children younger than 4 years with skull fractures from 2 tertiary care hospitals. Imaging was reread by 3 pediatric radiologists. Read More

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http://dx.doi.org/10.1097/PEC.0000000000002058DOI Listing

A large case series of temporal bone fractures at a UK major trauma centre with an evidence-based management protocol.

J Laryngol Otol 2020 Mar 3;134(3):205-212. Epub 2020 Mar 3.

Department of ENT, Royal London Hospital, Barts Health NHS Trust, UK.

Objective: To review the management of temporal bone fractures at a major trauma centre and introduce an evidence-based protocol.

Methods: A review of reports of head computed tomography performed for trauma from January 2012 to July 2018 was conducted. Recorded data fields included: mode of trauma, patient age, associated intracranial injury, mortality, temporal bone fracture pattern, symptoms and intervention. Read More

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http://dx.doi.org/10.1017/S0022215120000419DOI Listing

Feline skull injuries: Treatment goals and recommended approaches.

J Feline Med Surg 2020 Mar;22(3):229-240

Department of Animal Medicine and Surgery, Universidad CEU Cardenal Herrera, C/Ramón y Cajal s/n, Alfara del Patriarca, 46115 Valencia, Spain.

Practical Relevance: Skull trauma in cats, which includes fractures of the mandible and maxilla, as well as temporomandibular joint (TMJ) conditions, is frequently encountered in general practice.

Clinical Approach: Head trauma requires immediate attention and the initial approach should be focused on stabilisation of the patient and evaluation of the major body systems, including respiratory and cardiovascular assessment, and neurological and ophthalmic examination. The head, oral occlusion and the patient's ability to open and close the mouth should be carefully evaluated. Read More

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http://dx.doi.org/10.1177/1098612X20903602DOI Listing

Osteomyelitis following an undisplaced basal skull fracture.

N Z Med J 2020 02 7;133(1509):73-76. Epub 2020 Feb 7.

ENT Consultant, Tauranga Hospital, Tauranga.

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February 2020

Intracranial Hypertension Following Gunshot Wound to the Torcula: Case Report and Literature Review.

World Neurosurg 2020 May 29;137:94-97. Epub 2020 Jan 29.

Department of Neurosurgery, Boston Medical Center, Boston, Massachusetts, USA.

Background: Elevation of bone for the treatment of depressed skull fractures overlying venous sinuses is rarely required or performed. The neurosurgical literature only describes a handful of cases of surgical intervention in which the posterior two-thirds of the superior sagittal sinus was involved. Clinical course is variable, signs and symptoms suggest increased intracranial pressure, and all conservative measures should be exhausted before proceeding with the surgical route. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.170DOI Listing

Acute hydrocephalus secondary to traumatic perimesencephalic pneumocephalus: A case report.

Medicine (Baltimore) 2020 Jan;99(5):e18654

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, China.

Introduction: Acute hydrocephalus is a common complication of spontaneous or traumatic intracranial bleeding with extensive subarachnoid hemorrhage (SAH) or ventricular extension. However, it has never been reported to be secondary to pneumocephalus.

Patient Concerns: A 32-year-old man was admitted following a motorcycle accident. Read More

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http://dx.doi.org/10.1097/MD.0000000000018654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004728PMC
January 2020

[The application of three-dimensional printing technique combined with three-dimensional reconstruction in mandibular fracture].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Nov;33(11):1057-1059;1064

Department of Oral and Maxillofacial Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou,450007,China.

To explore the value and significance of the combination of 3D printing and spiral CT three-dimensional reconstruction in the diagnosis and treatment of common mandibular fractures. Forty patients with mandibular fracture were collected. They were randomly divided into traditional operation group and 3D printing combined with three-dimensional reconstruction operation group. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.11.012DOI Listing
November 2019

In Shackles.

Authors:
Jenny C Dohlman

Ann Intern Med 2020 01;172(1):69

Massachusetts Eye and Ear Infirmary, Boston, Massachusetts (J.C.D.).

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http://dx.doi.org/10.7326/M19-2173DOI Listing
January 2020

Why you should wear your seatbelt on an airplane: Burst fracture of the atlas (jefferson fracture) due to in-flight turbulence.

J Orthop 2020 Jan-Feb;17:78-82. Epub 2019 Jun 15.

University of Miami / Jackson Memorial Hospital, Department of Orthopedics, 1400 NW 12th Ave 4th floor Room 4036, Miami, FL, 33136, USA.

The Jefferson fracture is a burst-type fracture to the atlas first described in 1919, characterized by anterior and posterior fractures of the weak C1 ring caused by a sudden axial load to the vertex of the skull. Here we report a Jefferson fracture caused by head trauma due to mid-flight turbulence in an unrestrained 56-year-old male airline passenger. Imaging revealed a comminuted burst fracture of the atlas with an avulsion fracture of the transverse atlantal ligament. Read More

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http://dx.doi.org/10.1016/j.jor.2019.06.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919349PMC

Elderly Man With Facial Injury.

Ann Emerg Med 2020 01;75(1):113-115

Department of Otolaryngology, Saitama Citizens Medical Center, Saitama, Japan.

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http://dx.doi.org/10.1016/j.annemergmed.2019.07.046DOI Listing
January 2020

Printing 3D models of canine jaw fractures for teaching undergraduate veterinary medicine.

Acta Cir Bras 2019 5;34(9):e201900906. Epub 2019 Dec 5.

D.Sc., Biological and Natural Sciences Center, UFAC, Rio Branco-AC, Brazil. Manuscript writing, critical revision, final approval.

Purpose: To develop 3D anatomical models, and corresponding radiographs, of canine jaw fractures.

Methods: A base model was generated from a mandibular bone scan. With this model it was possible to perform fracture planning according to the anatomical location. Read More

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http://dx.doi.org/10.1590/s0102-865020190090000006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907882PMC
January 2020

Pediatric Pedestrian Facial Fracture Patterns and Management Following Motor Vehicle Collisions.

J Craniofac Surg 2020 Jan/Feb;31(1):265-268

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Purpose: Pedestrian trauma due to motor vehicle crashes can be especially destructive to the pediatric population as the facial skeleton is immature and developing. Almost half of crashes resulting in pedestrian death involved alcohol consumption, and children are often victims of irresponsible driving. The objective of this study was to examine the prevalence of facial fractures in this patient population in order to analyze management strategies that optimize functional recovery. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006034DOI Listing

Endoscopically assisted computer-guided repair of internal orbital floor fractures: an updated protocol for minimally invasive management.

J Craniomaxillofac Surg 2019 Dec 27;47(12):1943-1951. Epub 2019 Nov 27.

Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Italy. Electronic address:

Background: Performing accurate anatomical reconstruction is a challenging task in the treatment of internal orbital floor fractures. Compared with traditional transcutaneous incisions, endoscopic transmaxillary approaches have the advantage of avoiding complications related to external scars, and provide direct access to the orbital floor. Autogenous bone provides the ideal material for defect reconstruction, but determination of the correct size and shape of the graft is crucial for a stable support. Read More

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http://dx.doi.org/10.1016/j.jcms.2019.11.005DOI Listing
December 2019

Avoiding skull radiographs in infants with suspected inflicted injury who also undergo head CT: "a no-brainer?"

Eur Radiol 2020 Mar 3;30(3):1480-1487. Epub 2019 Dec 3.

Academic Unit of Child Health, University of Sheffield, Damer Street Building, Sheffield Children's NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK.

Objectives: To assess whether head CT with 3D reconstruction can replace skull radiographs (SXR) in the imaging investigation of suspected physical abuse (SPA)/abusive head trauma (AHT).

Methods: PACS was interrogated for antemortem skeletal surveys performed for SPA, patients younger than 2 years, SXR and CT performed within 4 days of each other. Paired SXR and CT were independently reviewed. Read More

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http://dx.doi.org/10.1007/s00330-019-06579-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033062PMC
March 2020
4.014 Impact Factor

Delayed hypoglossal nerve palsy following occipital condyle fracture.

BMJ Case Rep 2019 Dec 2;12(12). Epub 2019 Dec 2.

Orthopedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

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http://dx.doi.org/10.1136/bcr-2019-232645DOI Listing
December 2019

Reproducibility and construct validity of the utrecht mixing ability Test to obtain masticatory performance outcome in patients with condylar mandibular fractures.

J Oral Rehabil 2020 Apr 11;47(4):460-466. Epub 2019 Dec 11.

Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Objective: This study assessed the test-retest reproducibility of the Utrecht mixing ability test (MAT) and the construct validity of the MAT in relation to the Mandibular Function Impairment Questionnaire (MFIQ) in patients with mandibular condylar fractures.

Material And Methods: Twenty-six patients treated for a mandibular condylar fracture participated in this clinimetric study; all patients performed the MAT twice. Simultaneously the MFIQ was conducted. Read More

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http://dx.doi.org/10.1111/joor.12917DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079003PMC

Surgical Management of Panfacial Fractures.

Facial Plast Surg 2019 Dec 29;35(6):565-577. Epub 2019 Nov 29.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

The evaluation and management of a patient with panfacial fractures are multifaceted. Herein, we describe basic facial skeletal anatomy, considerations for airway securing, and common concurrent injuries. Finally, we discuss primary and secondary reconstructions of facial trauma including sequencing of repair, available landmarks, and the utility of intraoperative computed tomography imaging and virtual surgical planning with custom implants. Read More

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http://dx.doi.org/10.1055/s-0039-1700800DOI Listing
December 2019
5 Reads

Edema Surrounding Benign Tumors and Tumor-Like Lesions.

Biomed Res Int 2019 29;2019:8206913. Epub 2019 Oct 29.

Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Objective: To explore the incidence and significance of intra- and extra-osseous edema associated with benign tumors and tumor-like diseases.

Methods: Magnetic resonance imaging (MRI) data from 300 benign osseous tumors and tumor-like diseases diagnosed by pathology were retrospectively reviewed. Borderline tumors, cases associated with pathological fractures, and skull lesions were excluded from the study. Read More

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http://dx.doi.org/10.1155/2019/8206913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6874953PMC

Impact of obesity and obstructive sleep apnea in lateral skull base cerebrospinal fluid leak repair.

Laryngoscope 2019 Nov 27. Epub 2019 Nov 27.

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee, U.S.A.

Objective: To investigate the prevalence and impact of obstructive sleep apnea (OSA) and obesity in lateral skull base cerebrospinal fluid leak repair (LSBR) of various etiologies.

Methods: Retrospective case review at a tertiary skull base center was conducted of consecutive adults undergoing LSBR via transmastoid, middle cranial fossa, or combined approach between 2013-2018. The following data were collected: demographics, comorbidities, radiology and intraoperative findings, and surgical outcomes including complications and need for revision surgery or shunt placement. Read More

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http://dx.doi.org/10.1002/lary.28421DOI Listing
November 2019
5 Reads

Lateral nasal wall abscess following manipulation of fractured nasal bones.

BMJ Case Rep 2019 Nov 25;12(11). Epub 2019 Nov 25.

ENT, Morriston Hospital, Swansea, UK.

Nasal fracture accounts for over 50% of facial fractures and is a frequent presentation to ear, nose and throat emergency clinics. Optimal management of nasal injuries with deformity is by manipulation under anaesthetic and should be offered when appropriate. A healthy 27-year-old woman presented with a lateral nasal wall mass with purulent discharge 1 month following manipulation. Read More

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http://dx.doi.org/10.1136/bcr-2019-232089DOI Listing
November 2019

The outcome of observation of acute traumatic extradural hemorrhage in pediatric age group.

Eur J Trauma Emerg Surg 2019 Nov 20. Epub 2019 Nov 20.

King Abdullah University Hospital, Ar-Ramtha, Jordan.

Purpose: The non-operative management of extradural hemorrhage in the pediatric age group has been increasingly considered in the last decade with good clinical outcomes and comparable results to surgical intervention in carefully selected patients. The purpose of this study is to evaluate the outcome of observation in the management of pediatric patients with extra dural hematoma.

Patients And Methods: All consecutive pediatric patients with traumatic EDH after TBI who were presented to a single neurosurgical institution between January, 2008 and November, 2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00068-019-01262-7DOI Listing
November 2019

[Importance of Skull X-ray in Head Trauma].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):342-347

Klinika úrazové chirurgie Fakultní nemocnice Brno a Lékařské fakulty Masarykovy univerzity, Brno.

PURPOSE OF THE STUDY The aim of our study is to show the pitfalls of performing skull X-rays in patients with head injuries and the lack of accuracy of this examination nowadays, and to clarify the current trend in the MTBI investigation algorithm. MATERIAL AND METHODS A retrospective study of 3,950 patients treated for acute head injury at the Department of Trauma Surgery (University Hospital Brno) in the period from 2015 to 2016. Inclusion criteria were the following: mild brain injury (GCS = 15), primary skull X-ray design in head injury diagnosis. Read More

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December 2019

Isolated Retrodental Epidural Hematoma Without Dens Fracture.

J Emerg Med 2019 Nov 15. Epub 2019 Nov 15.

Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Background: Traumatic spinal epidural hematomas (TSEDH) are rare, with the reported incidence being < 1% of all spinal injuries. Causes of TSEDHs include vertebral fractures, obstetrical birth trauma, lumbar punctures, postsurgical bleeding, epidural anesthesia, and missile injuries. The retrodental location has not been reported as a location for spontaneous epidural hematoma. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.09.008DOI Listing
November 2019
3 Reads

Reconstruction of Medial Wall Blowout Fracture Defect with a Combination of Resorbable Meshed Plate and Cancellous Bone Allograft.

Biomed Res Int 2019 15;2019:2656503. Epub 2019 Oct 15.

Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon-si, Gyeonggi-do, Republic of Korea.

Background: Various materials are available for the reconstruction of bone defects in cases of medial wall blowout fracture. This study was conducted to assess the efficacy of the combination of a resorbable meshed plate and cancellous bone allograft.

Methods: From March 2014 to March 2017, a total of 111 patients were evaluated. Read More

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http://dx.doi.org/10.1155/2019/2656503DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815640PMC

Traumatic combined vertical atlanto-occipital and atlanto-axial dislocations with 2-part fracture of the atlas: Two case reports.

Medicine (Baltimore) 2019 Nov;98(44):e17776

Department of Orthopaedic Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, Gyeonggi-do.

Rationale: To our knowledge, this is the first report of traumatic combined vertical atlanto-occipital dislocation (AOD) and atlanto-axial dislocation (AAD) with 2-part fracture of the atlas.

Patient Concerns: The first case was of a 31-year-old woman admitted to the emergency room comatose after a traffic accident. The second case was of a 21-year-old woman admitted to the emergency room comatose after a fall. Read More

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http://dx.doi.org/10.1097/MD.0000000000017776DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946329PMC
November 2019

Isolated Increased Intracranial Pressure and Unilateral Papilledema in an Infant With Traumatic Brain Injury and Nondepressed Basilar Skull Fracture.

Pediatr Emerg Care 2019 Nov;35(11):e198-e200

From the Department of Pediatrics, University of Utah, Salt Lake City, UT.

Traumatic brain injury is one of the most common pediatric injuries; totaling more than 500,000 emergency department visits per year. When the injury involves a skull fracture, sinus venous thrombosis and the risk of resultant increased intracranial pressure (ICP) are a concern. We describe a previously healthy 11-month-old female infant with nondepressed skull fracture who developed increased ICP in the absence of intracranial changes on imaging. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001968DOI Listing
November 2019
1 Read

Is the pure and impure distinction of orbital fractures clinically relevant with respect to ocular and periocular injuries? A retrospective study of 473 patients.

J Craniomaxillofac Surg 2019 Dec 18;47(12):1935-1942. Epub 2019 Oct 18.

Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, University of Geneva & University Hospitals of Geneva, Geneva, Switzerland. Electronic address:

Objective: To determine the association of "pure" orbital fractures (POF) and "impure" orbital fractures (IOF) with ocular and periocular injuries.

Materials And Methods: A retrospective study of patients with orbital fractures was designed. The predictor variable was the orbital's fracture configuration (pure versus impure). Read More

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http://dx.doi.org/10.1016/j.jcms.2019.10.001DOI Listing
December 2019

[Isolated fracture of styloid process of the temporal bone].

Medicina (B Aires) 2019 ;79(5):409

Sección Cirugía de Cabeza y Cuello, Servicio de Cirugía General, Hospital Italiano de Buenos Aires, Argentina.

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Pneumocephalus and pneumorachis after blunt chest trauma without spinal fractures: a case report.

J Med Case Rep 2019 Oct 25;13(1):317. Epub 2019 Oct 25.

Department of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.

Background: Pneumocephalus and pneumorachis, presence of air inside the skull and spinal canal, are mostly seen after neurosurgical procedures and neuraxial anesthesia. They have also been described after penetrating trauma, but never after blunt trauma without adjacent bone fractures.

Case Description: We present the case of an 85-year-old white male patient admitted to our intensive care unit after a high velocity car accident. Read More

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http://dx.doi.org/10.1186/s13256-019-2208-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813974PMC
October 2019

Orbital Blowout Fracture and Orbital Emphysema caused by Nose Blowing.

J Craniofac Surg 2020 Jan/Feb;31(1):e82-e84

Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi, Japan.

A 76-year-old man presented with 1 day history of eyelid swelling and decreased vision on the left side. History reveals nose blowing the night prior to the occurrence of the symptoms. Initial examination of the left eye showed decreased visual acuity, increased intraocular pressure, and limited ocular motility with presence of air bubbles under the bulbar conjunctiva. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005941DOI Listing
March 2020
1 Read

Extensive Post-Traumatic Surgical Emphysema Exacerbated by Cocaine Insufflation.

J Craniofac Surg 2020 Mar/Apr;31(2):e114-e116

Department of Oral & Maxillofacial Surgery at St John's Hospital, Livingston, UK.

Surgical emphysema (SE) is characterized by air in the soft tissues causing a crackling sensation on palpation. In oral and maxillofacial surgery, it might occur using conventional air-driven dental hand pieces, as a complication of trauma and with cocaine insufflation.The subcutaneous air may travel through tissue planes causing cervicofacial emphysema, pneumothorax, and pneumomediastinum. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005900DOI Listing

Clinical Analysis and CT 3D-Mediated Precise Internal Fixation in Maxillofacial Fracture.

Ear Nose Throat J 2019 Oct 17:145561319882114. Epub 2019 Oct 17.

Otorhinolaryngology Head and Neck Surgery, Fudan University, Shanghai, China.

Background/purpose: To retrospectively analyze the epidemiological features, clinical diagnosis, and treatment of 610 patients with maxillofacial fractures, while providing a reference for the prevention and optimized treatment of maxillofacial fractures.

Methods: Data of patients with maxillofacial fractures who were treated and followed up at the Second People's Hospital of Kashi Prefecture from June 2012 to April 2018 were summarized. The epidemiological features, clinical manifestations, fracture sites, treatment methods, and results were analyzed. Read More

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http://dx.doi.org/10.1177/0145561319882114DOI Listing
October 2019
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Use of computed tomography in an upright position for preoperative planning in orbital wall fracture treatment: A pilot study.

J Plast Reconstr Aesthet Surg 2019 Dec 1;72(12):2064-2094. Epub 2019 Oct 1.

Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.

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http://dx.doi.org/10.1016/j.bjps.2019.09.046DOI Listing
December 2019
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Posttraumatic Triple Acute Epidural Hematomas: First Report of Bilateral Synchronous Epidural Hematoma and a Third Delayed.

World Neurosurg 2020 Jan 9;133:212-215. Epub 2019 Oct 9.

Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy.

Background: Development of a delayed acute epidural hematoma (DEDH) represents a rare event, characterized by a high mortality rate. It is defined as an extradural bleeding not evident at the first brain computed tomography (CT) scan performed after traumatic brain injury but evidenced by further radiologic evaluations.

Case Description: A 22-year-old male was admitted to our unit after brain injury due to an assault. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.10.009DOI Listing
January 2020
3 Reads

The Role of Ultrasound in the Diagnosis of Pediatric Nasal Fractures.

J Craniofac Surg 2019 Oct;30(7):2099-2101

Department of Paedaitric Emergency Medicine, The Royal London Hospital, London, United Kingdom.

Background: Nasal fractures are the most commonly encountered facial fracture in children presenting to emergency departments. Though plain radiographs have long been used to aid the diagnosis of fractures, its limited diagnostic accuracy has led to the increasing use of ultrasound. Ultrasound offers a cheap, safe, and readily available imaging modality. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005994DOI Listing
October 2019
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Postoperative Management of Zygomatic Arch Fractures: In-House Rapid Prototyping System for the Manufacture of Protective Facial Shields.

J Craniofac Surg 2019 Oct;30(7):2057-2060

Department of Neurosciences, Reproductive and Odontostomatological Sciences, Maxillofacial Surgery Unit.

Zygomatic fractures account for 10% to 15% of all facial fractures. The surgical management of isolated zygomatic arch fractures usually requires open reduction treatment without fixation through an intraoral access. Therefore, the main problem in the non-fixed treatment of zygomatic arch fractures is related to the difficulty in obtaining a stable reduction for a period long enough to guarantee the physiological bone healing process. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005930DOI Listing
October 2019
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Possible interpersonal violence in the Neolithic necropolis of Campo de Hockey (San Fernando, Cádiz, Spain).

Int J Paleopathol 2019 12 23;27:38-45. Epub 2019 Sep 23.

Laboratory of Anthropology, Faculty of Medicine, University of Granada, Av. de la Investigación 11, 18016 Granada, Spain. Electronic address:

Objective: To interpret traumatic cranial lesions on two individuals buried at the Neolithic necropolis of Campo de Hockey, Spain.

Materials: Skeletal remains and grave goods associated with two individuals recovered in good condition from a single grave.

Methods: Crania were macroscopically and radiographically analysed. Read More

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http://dx.doi.org/10.1016/j.ijpp.2019.08.006DOI Listing
December 2019
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Feasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young Children.

Pediatrics 2019 10;144(4)

School of Medicine, University of Colorado, Denver, Colorado.

Background: Computed tomography (CT) is commonly used for children when there is concern for traumatic brain injury (TBI) and is a significant source of ionizing radiation. Our objective was to determine the feasibility and accuracy of fast MRI (motion-tolerant MRI sequences performed without sedation) in young children.

Methods: In this prospective cohort study, we attempted fast MRI in children <6 years old who had head CT performed and were seen in the emergency department of a single, level 1 pediatric trauma center. Read More

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http://dx.doi.org/10.1542/peds.2019-0419DOI Listing
October 2019
6 Reads
5.473 Impact Factor

Nasal bone fractures and the use of radiographic imaging: An otolaryngologist perspective.

Am J Otolaryngol 2019 Nov - Dec;40(6):102295. Epub 2019 Sep 9.

Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, United States of America. Electronic address:

Objective: To determine radiologic preferences of practicing otolaryngologists regarding isolated nasal bone fractures.

Study Design: An 8-question survey on isolated nasal bone fractures was designed.

Setting: Surveys were sent to all otolaryngology residency program directors for distribution among residents and faculty. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.102295DOI Listing
April 2020
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Transphyseal Humeral Separations: What Can We Learn? A Retrospective, Multicenter Review of Surgically Treated Patients Over a 25-Year Period.

J Pediatr Orthop 2019 Sep 12. Epub 2019 Sep 12.

Department of Orthopaedics, University of Maryland Medical Center.

Purpose: Transphyseal humeral separations (TPHS) are rare injuries with only case reports and small series reported in the literature. This multicenter study aimed to assess the various patient characteristics, injury patterns, treatments, outcomes, and complications in a large series of these injuries.

Methods: A retrospective review was conducted at 5 pediatric institutions to identify TPHS that were treated surgically in patients 0 to 3 years of age over a 25-year period. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001455DOI Listing
September 2019
2 Reads