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Int J Clin Pediatr Dent 2019 Nov-Dec;12(6):528-531

Department of Oral and Maxillofacial Surgery, King Georges Medical University, Lucknow, Uttar Pradesh, India.

Background: Children are uniquely susceptible to craniofacial trauma because of their greater cranial mass-to-body ratio. The craniofacial injuries comprise approximately 11.3% of an overall pediatric emergency, and its etiology affects the incidence, clinical presentation, and treatment modalities, which are influenced by sociodemographic, economic, and cultural factor of the population being studied. Read More

J Craniofac Surg 2020 May 19. Epub 2020 May 19.

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Republic of Korea.

Background: The most prevalent form of facial bone fractures is nasal fractures. The surgical procedures used for these fractures are relatively simple, but complete correction is not easy because the nasal bone is small and identifying the fracture site by palpation is difficult. This study aimed to investigate the efficacy of intraoperative surgical navigation systems in nasal bone fracture surgery through a prospective analysis. Read More

Otolaryngol Head Neck Surg 2020 May 19:194599820928970. Epub 2020 May 19.

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.

Otolaryngology and head and neck surgery underwent drastic changes during the COVID-19 pandemic. Since March 10, the first day of the lockdown in Italy, diagnostic and therapeutic procedures were limited to emergency and oncology cases, while outpatient procedures and clinical examinations were temporarily suspended to limit virus diffusion and to reallocate personnel into wards dedicated to COVID-19. In our otolaryngology unit, between March 10 and April 28, 2020, we performed 96 surgical procedures; they mainly consisted in diagnosis and treatment of malignant tumors of the head and neck (77%), management of acute upper airway obstruction in adults and children (14. Read More

J Bone Joint Surg Am 2020 05;102(9):750-758

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.

Background: Studies of the novel coronavirus-induced disease COVID-19 in Wuhan, China, have elucidated the epidemiological and clinical characteristics of this disease in the general population. The present investigation summarizes the clinical characteristics and early prognosis of COVID-19 infection in a cohort of patients with fractures.

Methods: Data on 10 patients with a fracture and COVID-19 were collected from 8 different hospitals located in the Hubei province from January 1, 2020, to February 27, 2020. Read More

Laryngoscope 2020 Apr 30. Epub 2020 Apr 30.

Rhinology-Olfactology Unit, Department of Otorhinolaryngology-Head and Neck Surgery, Geneva University Hospitals, Geneva, Switzerland.

Objectives/hypothesis: To investigate olfactory and gustatory function in patients with maxillofacial trauma and associated fractures.

Study Design: Retrospective cohort study.

Methods: Olfactory and gustatory function was assessed psychophysically in 124 patients who had sustained maxillofacial trauma with an associated fracture. Read More

Vet Surg 2020 Apr 29. Epub 2020 Apr 29.

Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio.

Objective: To describe the repair of unstable facial fractures by using Foley catheter balloons as intrasinus bolsters.

Study Design: Case report ANIMALS: Two weanling foals with unilateral fractures of the sinus and orbit secondary to kick injuries. Preoperative imaging that included positive contrast dacrocystorhinography and computed tomography confirmed severe comminution of facial fractures and nasolacrimal duct disruption in both foals. Read More

J Int Med Res 2020 Apr;48(4):300060520920043

Department of Otorhinolaryngology, Wuxi Huishan District People's Hospital, Wuxi, P.R. China.

Objective: This study was performed to evaluate the clinical efficacy of endoscopic endonasal open reduction of fractures of the frontal process of the maxilla (FFPM).

Methods: We performed a retrospective study of patients who underwent endoscopic endonasal open reduction of FFPM from December 2013 to October 2018. The preoperative assessment included nasal endoscopy, computed tomography imaging, and three-dimensional craniofacial reconstruction. Read More

PeerJ 2020 15;8:e8793. Epub 2020 Apr 15.

Department of Orthopedics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Purpose: To develop a risk prediction model for postoperative sarcopenia in elderly patients with patellar fractures in China.

Patients And Methods: We conducted a community survey of patients aged ≥55 years who underwent surgery for patellar fractures between January 2013 and October 2018, through telephone interviews, community visits, and outpatient follow-up. We established a predictive model for assessing the risk of sarcopenia after patellar fractures. Read More

Ann R Coll Surg Engl 2020 Apr 24:1-4. Epub 2020 Apr 24.

Pennine Acute Hospitals NHS Trust, Manchester, UK.

Introduction: Guidelines for nasal injury state that assessment should be at 7-10 days post-injury and manipulation within 14 days. We performed a plan, do, study, act improvement cycle to assess whether a dedicated nasal fracture service led to better outcomes.

Materials And Methods: A retrospective study was carried out of all patients undergoing manipulation under anaesthesia for nasal trauma between February 2013 and December 2016 in a district general hospital. Read More

Trauma Case Rep 2020 Jun 18;27:100304. Epub 2020 Apr 18.

College of dentistry, King Khalid University, Guraiger, Abha 62529, Saudi Arabia.

Background: There are certain reported cases of unusual displacements of teeth involved in a maxillofacial trauma to the maxillary sinus, nasal cavity, gastrointestinal tract or the airway, if worst. All these usually lead to complication the worst being death. So enquiring about them is a very essential part of surveying a maxillofacial trauma patient involving dentition. Read More

Laryngoscope 2020 Apr 20. Epub 2020 Apr 20.

Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, U.S.A.

Objectives/hypothesis: To identify the epidemiology and impact of facial fractures on player performance and return to play (RTP) in the National Basketball Association (NBA).

Study Design: Retrospective case-control series METHODS: Fifty-three NBA players who sustained facial fractures between 1984 and 2018 were identified. Players with pre- and postinjury statistics were included in the performance analysis. Read More

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Center for Surgery and Public Health.

Background: Diagnosis of traumatic brain injury (TBI), and specifically mild TBI (mTBI), is a diagnostic challenge which can delay diagnosis preventing early intervention and follow-up care. Facial fractures represent an objective surrogate marker for potential force transmission to the neural cavity. The authors' objective was to characterize the prevalence of TBI in trauma patients with isolated facial fractures stratified by injury severity. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020 Mar;55(3):191-194

Department of Otorhinolaryngology Head and Neck Surgery, Shanghai 9th People's Hospital, Shanghai JiaoTong University School of Medicine; Ear Institute, Shanghai JiaoTong University School of Medicine; Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai 200011, China.

Facial Plast Surg Aesthet Med 2020 Apr 6. Epub 2020 Apr 6.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.

The nasal bone is one of the most commonly fractured bones of the midface. However, the frequency of coincident fractures of adjacent bones such as the frontal process of the maxillary bone, nasal septum, and medial or inferior orbital walls has not been fully evaluated. The purpose of this study was to investigate the incidence of fractures of adjacent structures in the setting of a nasal bone fracture. Read More

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

J Bone Joint Surg Am 2020 Apr 1. Epub 2020 Apr 1.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.

Background: Studies of the novel coronavirus-induced disease COVID-19 in Wuhan, China, have elucidated the epidemiological and clinical characteristics of this disease in the general population. The present investigation summarizes the clinical characteristics and early prognosis of COVID-19 infection in a cohort of patients with fractures.

Methods: Data on 10 patients with a fracture and COVID-19 were collected from 8 different hospitals located in the Hubei province from January 1, 2020, to February 27, 2020. Read More

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

Prehosp Disaster Med 2020 Jun 23;35(3):335-340. Epub 2020 Mar 23.

Emergency and Critical Care Center, The Fourth Affiliated Hospital of Nantong University, Yancheng, China.

Background: The aim of this study was to analyze the profile of chest injuries, oxygen therapy for respiratory failure, and the outcomes of victims after the Jiangsu tornado, which occurred on June 23, 2016 in Yancheng City, Jiangsu Province, China.

Methods: The clinical records of 144 patients referred to Yancheng City No.1 People's Hospital from June 23 through June 25 were retrospectively investigated. Read More

Int J Surg Case Rep 2020 7;68:246-250. Epub 2020 Mar 7.

Departments of Oral Medicine and Prosthodontics, Faculty of Dentistry, University of Passo Fundo, Passo Fundo, RS, Brazil. Electronic address:

Introduction: Osteomyelitis is an inflammatory-infectious state that may involve trabecular bone, cortical bone, bone marrow and periosteum. The source of the infection may be hematogenic, acquired from an adjoining infectious focus or by direct inoculation into the bone. Its treatment involves antibiotic administration and surgery, but its management remains challenging. Read More

J Plast Reconstr Aesthet Surg 2020 May 21;73(5):934-941. Epub 2020 Jan 21.

Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial hospital, Linkou, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital, College of Medicine, Taoyuan, Taiwan; Chang Gung University, Taoyuan, Taiwan; Department of Plastic Surgery, Xiamen Chang Gung Memorial Hospital, Xiamen, China. Electronic address:

Background: Telecanthus results from medial canthal tendon (MCT) disruption, which can result from traumatic naso-orbito-ethmoid (NOE) fractures. Several methods, using different anchoring materials, incision approaches, or fixation positions, have been proposed for MCT reconstruction. Herein, we report our experience in treating MCT disruption using ipsilateral transnasal medial canthopexy with a Y-V approach. Read More

Sci Rep 2020 Mar 4;10(1):4001. Epub 2020 Mar 4.

Department of Radiology, the Third Hospital, Hebei Medical University, Shijiazhuang, China.

To investigate the characteristics of imaging changes with time of facial fractures, patients with facial fractures who had computed tomographic scan were enrolled including 500 patients who were divided into six groups based on the time of scanning: super early (<3 d), early (4-7 d), early-to-medium (8-14 d), medium (15-21d), medium-to-late (22d-2 months) and late stage (>2 months). The data were compared and analyzed. Forty two patients with frontal bone fractures had high-energy impact as the reason of fractures. Read More

Arch Craniofac Surg 2020 Feb 20;21(1):7-14. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.

Background: It is difficult to completely fix nasal bone fractures with closed reduction, as it is often accompanied by septal cartilage damage, and this often results in postoperative secondary deformities. Thus, patients are often reluctant to undergo closed reduction surgery. The present study aimed to evaluate aesthetic and functional satisfaction, as well as satisfaction with and complications of closed reduction, according to nasal bone fracture type. Read More

Arch Craniofac Surg 2020 Feb 20;21(1):3-6. Epub 2020 Feb 20.

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

Nowadays, the incidence of nasal bone fracture is increasing because of social complexity with frequent social activity, and reduction of fractures is relatively simple and can be corrected in short operation time. However, the postoperative results are known to be less satisfied with higher complication rates relatively. These problems could have resulted from inaccurate recognition and interpretation of fracture aspect, inaccurate planning of operation resulting in under or overcorrection, ignoring septal management, complication related nasal packings with removal, postoperative management, and patient satisfaction with complication. Read More

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

J Otolaryngol Head Neck Surg 2020 Feb 28;49(1):10. Epub 2020 Feb 28.

Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Mount Sinai Hospital, 600 University Avenue, Suite 404, Toronto, ON, M5G 1X5, Canada.

The Choosing Wisely Canada campaign is an initiative that aims to involve physicians and patients in collaborative decision making to avoid unnecessary tests and treatments. The Rhinology Subspecialty Group of the Canadian Society of Otolaryngology - Head & Neck Surgery developed a list of five evidence-based recommendations for the management of acute rhinosinusitis and nasal fractures: (1) don't prescribe antibiotics to patients with acute sinusitis who do not meet the diagnostic criteria for acute bacterial rhinosinusitis; (2) don't order a CT scan for uncomplicated acute rhinosinusitis; (3) don't order plain film sinus x-rays; (4) don't swab the nasal cavity as part of the work up for rhinosinusitis; and (5) don't order a plain film x-ray in the evaluation of nasal fractures. Read More

Clin Cosmet Investig Dent 2020 19;12:41-48. Epub 2020 Feb 19.

Department of Orthodontics and Dentofacial Orthopaedics, UCMS College of Dental Surgery, Bhairahawa, Rupandehi, Nepal.

Introduction: Airway management in patients with panfacial fracture remains a challenge to anesthesiologists and surgeons. Submental intubation is an effective and less invasive alternative to tracheostomy during intraoperative airway management where orotracheal and nasotracheal intubation are not appropriate options. In addition, submental intubation allows proper access to oronasal airways and occlusion during intraoperative management. Read More

Plast Reconstr Surg 2020 Mar;145(3):780-789

St. Louis, Mo.; and Ann Arbor, Mich. From the Division of Plastic Surgery, Department of Surgery, and the Department of Anesthesiology, Washington University School of Medicine; and the Section of Plastic Surgery, Department of Surgery, University of Michigan.

Background: Facial fractures are painful injuries routinely managed by opioids after surgical repair. Studies have identified patient risk factors and prescribing patterns associated with opioid use in medicine and general surgery; however, little is known about these entities in the facial trauma population.

Methods: A retrospective cohort study of opioid-naive patients undergoing surgical repair of facial fractures was conducted using the Truven Health MarketScan Commercial Claims and Encounters (2006 to 2015) and Medicaid Multi-State Databases (2011 to 2015). Read More

BMJ Case Rep 2020 Feb 20;13(2). Epub 2020 Feb 20.

Department of General Medicine, Government Medical College and Hospital, Chandigarh, India

Facial paralysis is a potentially disabling complication of temporal bone fractures. Although unilateral palsy is commonly encountered, bilateral facial nerve palsy is rare, especially in post-traumatic situations. Other recognised causes of bilateral facial palsy are neurologic, infectious, neoplastic, idiopathic or metabolic disorders. Read More

J Korean Med Sci 2020 Feb 24;35(7):e57. Epub 2020 Feb 24.

Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.

Background: The big data provided by Health Insurance Review and Assessment (HIRA) contains data from nearly all Korean populations enrolled in the National Health Insurance Service. We aimed to identify the incidence of facial fractures and its trends in Korea using this big data from HIRA.

Methods: We used the Korean Standard Classification of Disease and Cause of Death 6, 7 for diagnosis codes. Read More

J Craniofac Surg 2020 May/Jun;31(3):e275-e277

Consultant Otorhinolaryngology, Department of Otorhinolaryngology, King Fahad General Hospital, Jeddah, Saudi Arabia.

Nasal fractures are the most common type of facial bone fracture. Studies conducted globally have shown that nasal fractures represent a significant liability on the health care system due to the frequency of its occurrence among most populations. This study aimed to describe the frequency, etiology, and demographics of nasal fractures in patients presenting to King Fahad General Hospital, Jeddah, Saudi Arabia. Read More

J Craniomaxillofac Surg 2020 Mar 1;48(3):261-267. Epub 2020 Feb 1.

Selçuk University, Medical Faculty, Department of Medical Pathology, Konya, Turkey.

Objective: This study aimed to determine whether administration of topical and intraperitoneal zinc for maxillofacial fractures has any impact on the bone healing process.

Material And Method: Thirty-two New Zealand rabbits were randomly assigned to four groups of eight each. The first group was the control group; fracture lines were fixed using titanium microplates and no medication was administered. Read More

Arch Plast Surg 2020 Jan 15;47(1):15-19. Epub 2020 Jan 15.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Background: Pain caused by nasal pack removal after closed reduction of nasal bone fractures is a common problem. This study investigated the effect of infiltrating lidocaine into nasal packs on the pain caused by pack removal after closed reduction of nasal bone fractures.

Methods: Seventy-five patients who underwent closed reduction of nasal bone fractures between March 2016 and March 2018 were enrolled in this prospective, randomized, single-blind study. Read More

Arch Pediatr 2020 Apr 16;27(3):146-151. Epub 2020 Jan 16.

Emergency Department, Hospital Universitaire des Enfants Reine Fabiola (HUDERF), Université Libre de Bruxelles (ULB), Bruxelles, Belgium; Departments of Intensive Care, Brugmann University Hospital, Université Libre de Bruxelles (ULB), Bruxelles, Belgium. Electronic address:

Introduction: Potassium abnormalities are frequent in intensive care but their incidence in the emergency department is unknown.

Aim: We describe the spectrum of potassium abnormalities in our tertiary-level pediatric emergency department.

Methods: Retrospective case-control study of all the patients admitted to a single-center tertiary emergency department over a 2. Read More

J Craniofac Surg 2020 May/Jun;31(3):e312-e315

Department of Plastic Surgery, Saitama Medical Center, Saitama Medical University, Moroyama, Japan.

Purpose: The purpose of this study was to compare the midfacial fracture patterns and management approaches between pediatric and adult patients.

Methods: We retrospectively analyzed 164 pediatric patients (<16 years old) and 564 nongeriatric adult patients (16 to 65 years old) with midfacial fractures at a single institution between 2011 and 2016. The location of the fractures, along with the etiology and management of the midfacial fractures, were compared. Read More

Dose Response 2020 Jan-Mar;18(1):1559325819895739. Epub 2020 Jan 6.

Cuttler & Associates Inc, Vaughan, Ontario, Canada.

The discovery of X-rays and radioactivity in 1895/1896 triggered a flood of studies and applications of radiation in medicine that continues to this day. They started with imaging fractures/organs and progressed to treating diseases by exposing areas to radiation from external and internal sources. By definition, treatments stimulate damage control (or adaptive protection) systems that remedy diseases. Read More

Ann Maxillofac Surg 2019 Jul-Dec;9(2):345-348

Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences, Bengaluru, Karnataka, India.

Objective: The objective of this study is to analyze the maxillofacial fracture pattern from road traffic accidents (RTAs) in cases treated surgically in a tertiary hospital during July 2008-June 2018.

Materials And Method: Data available in the department of oral and maxillofacial surgery of the institution of patients with maxillofacial fractures sustained due to RTAs that were treated in the department between the period July 2008 and June 2018 were collected and analyzed. The variables analyzed for the study were etiology, gender, age, and type of fracture. Read More

J Gerontol A Biol Sci Med Sci 2020 Jan 7. Epub 2020 Jan 7.

Partners HealthCare System.

Background: Many hospital systems in the United States report injurious inpatient falls using the National Database of Nursing Quality Indicators (NDNQI) categories: None, Minor, Moderate, Major, and Death. The Major category is imprecise, including injuries ranging from wrist fracture to potentially fatal subdural hematoma. The purpose of this project was to refine the Major injury classification to derive a valid and reliable categorization of the types and severities of Major inpatient fall-related injuries. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):e179-e182

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

This study reviews the epidemiology, diagnostic heuristics, and field management of sports-related facial injuries for sideline physicians.Facial injuries account for 3% to 29% of sports injuries, and sports injuries account for 11.3% to 42. Read More

Laryngoscope Investig Otolaryngol 2019 Dec 6;4(6):597-601. Epub 2019 Nov 6.

Department of Otolaryngology-Head and Neck Surgery Indiana University School of Medicine Indianapolis Indiana U.S.A.

Objective: To analyze management, outcomes, and complications of pediatric midface fractures.

Methods: Retrospective cohort study at an urban, single-institution, multispecialty surgical teams, at two level 1 pediatric trauma centers. Query included subjects aged 0-17 diagnosed with midface fractures between 2012 and 2016. Read More

Neurol India 2019 Nov-Dec;67(6):1509-1512

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Background: A unique self-expanding retractor (EASYTRAC) is described, which provides several advantages for endoscopic pituitary surgery-enhanced visualization, creating more space, reducing the mucosal damage, and enhancing the nasal quality of life (QoF). Presented here is the proof of concept.

Methods: EASYTRAC is made of an aircraft-grade, SS-titanium alloy to provide optimal opening strength with a low profile (0. Read More

Ann Plast Surg 2020 02;84(2):135-138

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, College of Medicine, Seoul National University, Gyeonggi-do, Republic of Korea.

Background: Augmentation rhinoplasty in Asians may be effectively accomplished with alloplastic materials. However, certain circumstances such as nasal bone fractures mandate the use of autologous grafts. The purpose of this study was to describe and evaluate the results of modified osseocartilaginous rib cantilever grafting for aesthetic and reconstructive rhinoplasty in patients with acute nasal bone fractures. Read More

BMC Anesthesiol 2019 12 16;19(1):228. Epub 2019 Dec 16.

Department of Anaesthesiology and Pain Medicine, Konyang University Hospital, Myunggok Medical Research Center, Konyang University College of Medicine, 158, Gwangeodong-ro, Seo-gu, Daejeon, 35365, South Korea.

Background: Sugammadex allows rapid recovery from rocuronium-induced neuromuscular blockade. Succinylcholine is often used for brief surgeries but is associated with myalgia, headache, histamine release, and increased lactate levels. Thus, we hypothesized that succinylcholine may affect emergence agitation (EA) and compared the effects of succinylcholine and rocuronium-sugammadex on EA in patients undergoing closed reduction of a nasal bone fracture under general anesthesia. Read More

Maxillofac Plast Reconstr Surg 2019 Dec 27;41(1):53. Epub 2019 Nov 27.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University, 42, Jebong-ro, Dong-gu, Gwangju, 61469 Republic of Korea.

Background: The nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. Read More

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

J Craniofac Surg 2020 Jan/Feb;31(1):169-171

Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Republic of Korea.

Introduction: The nose is the most protruding central part of the face, and nasal bone fractures are the most common of facial bone fractures, leading up to 39%. Despite its high frequency, not many studies handled the etiology of nasal bone fractures, leading to the necessity of a recent demographic study.

Materials And Methods: A total of 1111 patients diagnosed with nasal bone fracture from 2013 to 2018 at our institute were evaluated. Read More

Facial Plast Surg 2019 Dec 29;35(6):645-650. Epub 2019 Nov 29.

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

Fractures of the frontal sinus occur from extreme forces and are often associated with other injuries. Management of frontal sinus fractures is variable and dependent on involvement of the anterior table, posterior table, and frontal outflow tract. Severe complications can developed from poorly managed fractures, such as meningitis, mucocele, mucopyocele, and brain abscess. Read More

Facial Plast Surg 2019 Dec 29;35(6):607-613. Epub 2019 Nov 29.

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

Traumatic dental injuries affect 1 to 3% of the population, and disproportionately affect children and adolescents. The management of these injuries incorporates the age of patients, as children between 6 and 13 years of age have a mixed dentition. This helps to preserve the vitality of teeth that may be salvaged after a traumatic event. Read More

Facial Plast Surg 2019 Dec 29;35(6):590-601. Epub 2019 Nov 29.

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

The nasal bones are among the most commonly fractured bones in the facial skeleton. Proper management of nasal trauma acutely is important in minimizing secondary deformities and impaired function with nasal airway obstruction. Septal hematoma, if present, should be drained right away. Read More

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