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Ann Otol Rhinol Laryngol 2019 Feb 8:3489419830114. Epub 2019 Feb 8.

1 Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Objectives:: "Young adulthood" is a term used to define individuals falling within the 18- to 22-year-old age range. Injuries account for more than a third of emergency department visits in this population. A particular area of concern is accidents that lead to injuries of the facial bones because they can have long-term functional, aesthetic, and psychosocial impacts. Read More

J Plast Surg Hand Surg 2019 Feb 8:1-6. Epub 2019 Feb 8.

c Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center , University of Ulsan College of Medicine , Seoul , Korea.

Purpose: Nasal bone fracture reduction surgery is normally followed by nasal packing to control bleeding. Yet, patients suffer from pain and require further analgesic treatments following nasal packing and removal. This study aimed to evaluate the effect of fentanyl-soaked packing as a method of controlling pain after nasal surgeries in a prospective, randomized, double-blind controlled trial. Read More

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

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

J Maxillofac Oral Surg 2019 Mar 29;18(1):124-130. Epub 2018 Mar 29.

1Formerly Head of Department of Maxillofacial Surgeon, Baghdad Medical City, Baghdad, Iraq.

Purpose: Current ballistics and high-energy explosion possess unnoticed, new and significant biophysics and pathophysiology wounding effects that are unique in comparison with civilian trauma. The primary blast wave effects of compressed air due to explosion lead to tattered and crushed eggshell injuries to the upper central midface (UCM). High-energy shell fragments of various shapes and sizes cause extensive destruction and are different from assault rifle's bullets that cause high energy transfer to the  creating a temporary cavitation. Read More

Radiology 2019 Feb 5:180801. 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

Rev Bras Anestesiol 2019 Jan 18. Epub 2019 Jan 18.

Universidade Federal de Juiz de Fora (UFJF), CET-SBA do Hospital Universitário, Juiz de Fora, MG, Brasil; Hospital Monte Sinai, Juiz de Fora, MG, Brasil. Electronic address:

Background: Trigeminocardiac reflex is a physiological phenomenon that may occur in head and neck surgery, and is usually benign. However, it may present with exaggerated responses with severe morbidity.

Case Report: Male patient, 26 years old, candidate for surgical treatment of zygomatic-orbital complex fracture. Read More

Can J Rural Med 2019 Jan-Mar;24(1):18-22

Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Dent Traumatol 2019 Jan 7. Epub 2019 Jan 7.

Department of Oral and Maxillofacial Surgery, University Medical Centre Mainz, Mainz, Germany.

Aims: The number of patients suffering maxillofacial trauma remains constant although the affected patients become older. The aim of this study was to illuminate the patterns of maxillofacial fractures in a University Medical Centre and to analyse potential changes in patient population and treatment methods during a 5-year period.

Materials And Methods: In a retrospective analysis, the records of 573 patients with maxillofacial fractures treated in a level one trauma centre from January 2010 to December 2014 were analysed with regard to gender, age, date and time of hospitalization as well as discharge, aetiology, type of fracture, surgery details, complications and further injuries. Read More

J Family Med Prim Care 2018 Nov-Dec;7(6):1548-1554

Medical Student, Colleges of Medicine, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia.

Background: Every minute, an accident occurs in Saudi Arabia, causing 39,000 injuries and 7,000 deaths annually. Facial trauma or maxillofacial trauma (MFT) is a frequent presentation of road traffic accidents (RTAs), ranging from simple nasal fractures to gross or severe maxillofacial injuries.

Methods: A total number of 237 patients were included in this prospective study from May 2013 to January 2018. Read More

Arch Craniofac Surg 2018 Dec 27;19(4):270-274. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Background: Nasal bone fractures occur frequently because the nasal bone is located at the forefront of the face. The goal of this study was to examine the cause, change in severity, change in incidence, and demographics of nasal bone fracture according to today's lifestyle.

Methods: A total of 2,092 patients diagnosed as having nasal bone fractures at our department between 2002 and 2017 were included in this study. Read More

Laryngoscope 2018 Dec 28. Epub 2018 Dec 28.

Department of Otolaryngology and Communication Sciences, State University of New York Upstate Medical University, Syracuse, New York, U.S.A.

Objectives/hypothesis: To determine outcomes of patients with displaced nasal bone fractures after closed nasal reduction (CNR).

Study Design: Retrospective patient review.

Methods: Review of all patients presenting to the emergency department of a tertiary-care, level 1 trauma hospital with a nasal bone fracture over a 2-year period, followed by telephone survey after CNR. Read More

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

Craniomaxillofac Trauma Reconstr 2018 Dec 1;11(4):285-295. Epub 2018 May 1.

Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Stockholm, Sweden.

Despite extensive debate and publications in the management of blowout fracture (BOF), there are still considerable differences in the surgeons' management of BOF due to a lack of reliable evidence-based studies. This article aimed to evaluate which BOF patients require surgical treatment due to functional and/or cosmetic deformities; evaluate which computed tomography (CT) scan findings predict these problems; and provide an algorithm in the management of BOF. Seventy-nine patients with BOF were treated conservatively and followed up prospectively regarding functional and cosmetic deformities for at least 1 year. Read More

Craniomaxillofac Trauma Reconstr 2018 Dec 21;11(4):249-255. Epub 2017 Jul 21.

Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, The Pennsylvania State University, Hershey, Pennsylvania.

Dog bites in the pediatric population commonly cause injuries to the head and can be associated with fractures, often leading to prolonged hospital stays, multiple surgical interventions, and long-term complications. Our goal was to evaluate our experience with dog-bite-related craniofacial fractures, understand frequency and demographics of these fractures, identify common fracture patterns, and provide recommendations based on management and complications encountered. The institution's electronic medical record was reviewed. Read More

J Feline Med Surg 2018 Dec 20:1098612X18819183. Epub 2018 Dec 20.

Department of Clinical Sciences and Services, The Royal Veterinary College, Hatfield, UK.

Objectives: The aim of this study was to describe and evaluate the configurations and management of feline skull fractures and concurrent injuries following head trauma.

Methods: Medical records and CT images were reviewed for cats with skull fractures confirmed by CT that were managed conservatively or with surgery. Details of signalment, presentation, skull fracture configuration, management, re-examination, and complications or mortality were recorded and analysed. Read More

BMJ Case Rep 2018 Dec 7;11(1). Epub 2018 Dec 7.

Department of Otorhinolaryngology, Hospital of Sion, Sion, Switzerland.

Acute laryngeal trauma is estimated to occur in approximately one patient per 14 500 to 42 500 emergency room admissions. If the larynx is injured, its vital functions are affected and can be threatened in case of severe injury. Soft cartilage offers no protective advantage, which is the reason why young as well as older individuals are at risk of thyroid cartilage fracture. Read More

BMJ Case Rep 2018 Dec 3;11(1). Epub 2018 Dec 3.

ICU/ED, Manly Hospital, Sydney, New South Wales, Australia.

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(24):1893-1896

Department of Otolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

To explore the application and to evaluate the advantage of image navigation assisted nasal endoscopic surgery in optic nerve decompression. Sixty patients accepted the image navigation assisted nasal endoscopic surgery therapy in optic nerve decompression were included in this retrospective study and followed up for about six months to four years. The visual acuity was improved in 16 cases with visual acuity above light. Read More

Dent Traumatol 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthodontics, The University of Illinois in Chicago, Chicago, Illinois.

Background/aims: The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital-based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA-wide data of hospital-based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits.

Material And Methods: The Nationwide Emergency Department Sample (NEDS) for the years 2008-2014 was used for the present study. Read More

BMC Med Genet 2018 Dec 12;19(1):211. Epub 2018 Dec 12.

Department of Endocrinology and Diabetes, The First Affiliated Hospital of Xiamen University, 55# Zhenhai Road, Xiamen, 361003, China.

Background: Tricho-rhino-phalangeal syndrome (TRPS) is a rare autosomal dominant genetic disorder characterized by distinctive craniofacial and skeletal abnormalities, while non-ossifying fibroma (NOF) is a common benign bone tumour in children and adolescents. To date, no case of TRPS coexisting with NOF has been reported. This report presents a 12-year-old girl who had the characteristic features of tricho-rhino-phalangeal syndrome and non-ossifying fibroma with a fibula fracture. Read More

Rev Col Bras Cir 2018 Nov 29;45(6):e1978. Epub 2018 Nov 29.

Universidade Federal de Campina Grande, Unidade Acadêmica de Ciências Biológicas, Patos, PB, Brasil.

Objective: to study the epidemiological data of patients suffering from buccomaxillofacial trauma treated at a referral hospital in the State of Paraíba.

Methods: we conducted a cross-sectional study of inductive approach, with a comparative statistical procedure and research technique by field direct documentation. The sample comprised hospital records obtained from January 2016 to December 2017 of patients attended by the Service of Buccomaxillofacial Surgery and Traumatology of this hospital, and consisted of 332 patients according to the study's eligibility criteria. Read More

J Contemp Dent Pract 2018 Oct 1;19(10):1174-1180. Epub 2018 Oct 1.

Department of Oral and Maxillofacial Surgery, MES Dental College, Malappuram, Kerala, India.

Introduction: The closed reduction of a displaced nasal fracture is a preferred method in oral and maxillofacial surgery. This prospective study was conducted to evaluate the treatment outcome following closed reduction of nasal bone fractures.

Materials And Methods: A total of 20 patients with nasal bone fracture who underwent closed reduction were included in the study. Read More

Ear Nose Throat J 2018 Oct-Nov;97(10-11):E36-E43

Department of Craniofacial Surgery, Nitte Meenakshi Institute of Craniofacial Surgery, Deralakatte, Mangalore, Karnataka, India.

Rhinosporidiosis is a rare, chronic, granulomatous infection of the mucous membranes that mainly involves the nose and nasopharynx; it occasionally involves the pharynx, conjunctiva, larynx, trachea and, rarely, the skin. The characteristic clinical features of this disease include the formation of painless polyps in the nasal mucosa or the nasopharynx that bleed easily on touch. At our center, excision of the lesion with a Le Fort I osteotomy is carried out in patients (1) in whom two or more previous attempts at excision of biopsy-proven rhinosporidiosis arising from the nasal mucosa was carried out or (2) in whom the rhinosporidiosis arises from the nasophayrngeal mucosa and/or extranasal sites. Read More

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

Plast Surg (Oakv) 2018 Nov 9;26(4):286-292. Epub 2018 Jan 9.

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

Purpose: The aim of this study was to compare the diagnostic performance (accuracy, sensitivity, specificity, positive predictive value, and negative predictive value) of plain film (PF), ultrasonography (USG), and computed tomography (CT) in diagnosing nasal bone fractures (NBFs).

Methods: In a search of PubMed and Scopus, "nasal bone fracture" AND "X-ray OR CT OR USG OR MRI" were searched. Among the 369 titles from PubMed and 379 titles from Scopus, 257 duplicate titles were excluded and 491 titles were reviewed. Read More

Eur Arch Otorhinolaryngol 2019 Jan 31;276(1):85-91. Epub 2018 Oct 31.

Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland.

Objective: The clinical challenge in blunt nasal trauma in children, is to identify cases requiring specialized care among frequently encountered banalities, whilst trying to minimize the exposure to diagnostic procedures. We aim to evaluate the related diagnostic and therapeutic pathways and its outcome during follow-up.

Methods: This retrospective cohort study includes children up to 16 years presenting at the emergency department with blunt nasal trauma of our tertiary reference center. Read More

Maxillofac Plast Reconstr Surg 2018 Dec 15;40(1):29. Epub 2018 Oct 15.

2Section of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Republic of Korea.

Background: For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures.

Methods: This retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Read More

J Oral Maxillofac Surg 2018 Sep 13. Epub 2018 Sep 13.

Professor, Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea. Electronic address:

Purpose: Nasal and blowout fractures are the most common injuries from craniomaxillofacial trauma. Nasal fractures are easily diagnosed by clinical signs, such as pain and crepitus. However, blowout fractures are frequently asymptomatic and are easy to miss without computed tomographic (CT) scanning. Read More

J Craniofac Surg 2018 Nov;29(8):e797-e803

Oral and Maxillofacial Diseases Research Center, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: The Le Fort I maxillary osteotomy is a versatile and simple procedure, which has gained popularity nowadays, to correct a wide range of malocclusion and maxillofacial deformities. This procedure is often associated with significant but rare postoperative complications. The aim of this study was to evaluate the types and frequencies of intra- and perioperative complications related to Le Fort I osteotomies in noncleft Iranian patients. Read More

J Cosmet Dermatol 2018 Dec 23;17(6):1037-1040. Epub 2018 Sep 23.

Tropical Pathology and Public Health Institute, Federal University of Goias, Goiânia, GO, Brazil.

Background: Polymethyl methacrylate (PMMA) is a dermatologic filler commonly used in esthetic procedures. However, it can also be used in more severe cases such as reconstruction of facial traumas.

Aims: The aim of this report was to describe the use of PMMA in a nasal reconstruction of a patient victim of an automobilist accident which presented previous rejection of autograft. Read More

J Plast Reconstr Aesthet Surg 2019 Jan 4;72(1):107-113. Epub 2018 Sep 4.

Department of Plastic Surgery, Sisli Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Background: Osteotomy is a crucial step in rhinoplasty, which can have a significant impact on the outcome. In addition to previous percutaneous (external perforating) and endonasal (internal) approaches, piezosurgery has been used in rhinoplasty practice since 2007. This experimental model was planned to compare the three osteotomy techniques. Read More

J Craniofac Surg 2018 Oct;29(7):1809-1812

Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA.

This study showed a retrospective analysis of the incidence and pattern of traumatic facial fractures in a pediatric and adolescent population (≤18 years old) in China. The authors retrospectively reviewed 154 children and adolescent who had traumatic facial fractures and who were admitted to our university-affiliated hospitals from 2005 to 2010. This study enrolled 109 males and 45 females aged 11. Read More

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

J Craniofac Surg 2018 Oct;29(7):1903-1905

Loma Linda University, Loma Linda.

The management of frontal sinus fractures can vary widely depending on involvement of the anterior wall, the posterior wall, and the frontonasal duct. The main morbidity associated with isolated anterior wall fractures is an aesthetic deformity. Treatment includes coronal, endoscopic, and transcutaneous approaches. Read More

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

J Craniomaxillofac Surg 2018 Sep 7;46(9):1539-1543. Epub 2018 Jun 7.

Rutgers New Jersey Medical School, Department of Otolaryngology, 90 Bergen Street, Suite 8100, Newark, NJ, 07103, USA.

Purpose: The aims of this study were as follows: To determine the national incidence of facial fractures among infants, toddlers, and children; to evaluate the types of facial fractures; and to analyze common products/activities associated with the fractures.

Materials And Methods: A retrospective review was conducted to explore patterns of facial fractures among infants (<1 year), toddlers (1-3 years), and children (3-5 years), using the National Electronic Injury Surveillance System (NEISS) from the Consumer Product Safety Commission (CPSC). The database was searched for emergency department (ED) visits involving facial fractures sustained by children 1 month through 5 years of age from 2004 through 2016 and analyzed for patient demographics, primary diagnosis and associated products/activities. Read More

J Korean Assoc Oral Maxillofac Surg 2018 Aug 29;44(4):151-158. Epub 2018 Aug 29.

Department of Oral Medicine Diagnosis and Radiology, NIMS Dental College and Hospital, Jaipur, India.

Zygomatic fractures are the second most common fractures of the facial skeleton, after nasal bone fractures. Due to its uniqueness, the malar bone plays a very important role in maintaining appropriate facial contours. Zygomatic fractures can cause ocular and mandibular functional impairment, along with cosmetic defects. Read More

Medicine (Baltimore) 2018 Aug;97(35):e11983

Department of Thoracic Surgery, Weifang People's Hospital, Weifang, P.R. China.

Background: Thoracolumbar spine (TLS) fractures are commonly associated with the young healthy population, with its risk factors including both high-energy traumas and neurological deficit. The underlying mechanisms of traditional Chinese medicine (TCM) and TLS fractures have been explored. Therefore, our prospective study was conducted in order to explore the beneficial effects of TCM fumigation "Bone-healing Powder" method in both postoperative pain as well as the recovery of the patient's neurological function following healing from their traumatic TLS fractures. Read More

J Craniofac Surg 2018 Oct;29(7):e722-e723

Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, Brazil.

Frontal bone fractures represent a low percentage of craniofacial fractures. However, a systematic approach and a correct diagnosis are essential for successful treatment and maintenance of physiology of the frontal sinus and late complications. The purpose of this study was to report a clinical patient with anterior wall fracture of the frontal due to sports accident sinus that was surgically treated. Read More

Forensic Sci Med Pathol 2018 12 28;14(4):503-508. Epub 2018 Aug 28.

Faculty of Medicine, University of Montenegro, Ljubljanska b.b, 20000, Podgorica, Montenegro.

This study aimed to determine the effectiveness of airbags and seatbelts in the prevention of facial fractures and slight facial injuries in relation to the speed and kinetic energy experienced in frontal collisions. All cases of vehicle occupants who had been in frontal collisions and had subsequently been examined in the Institute for Emergency Medical Assistance and the Clinical Center of Montenegro in 2017 were analyzed. There were 29 cases of facial fractures (Group 1), 35 cases of slight facial injuries (including nondisplaced nasal fractures) (Group 2), and 26 cases of occupants who had suffered no facial injuries (control Group 3). Read More

J Craniofac Surg 2018 Oct;29(7):1952-1955

Department of Plastic Surgery, Kyorin University School of Medicine, Shinkawa, Mitaka, Tokyo, Japan.

In 1986, Altemir first reported the use of submental intubation to avoid tracheotomy in patients with panfacial and midfacial fractures for whom intermaxillary fixation is necessary, but orotracheal and nasotracheal intubations are not recommended. This novel technique allowed intraoperative access to perform dental occlusion and reconstruction of the nasal pyramid in patients with skull base fractures. Herein, we describe a refined technique based on Altemir's original procedure. Read More

Craniomaxillofac Trauma Reconstr 2018 Sep 2;11(3):165-171. Epub 2018 Apr 2.

Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Stockholm, Sweden.

To clarify the conflicting recommendations for care of blowout fracture (BOF), a prospective randomized study is required. Here, we present a prospective randomized pilot study on BOF. This article aimed to evaluate which computed tomography (CT) findings predict late functional and/or cosmetic symptoms in BOF patients with ≥ 1. Read More

Adv Clin Exp Med 2018 Aug 7. Epub 2018 Aug 7.

Department and Clinic of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Wroclaw Medical University, Poland.

Background: The downfracture access to septoand turbinoplasty during maxillary osteotomy may be recommended in many cases. One or both of these laryngological interventions may be necessary when, after the patient's clinical evaluation, either an impaired function of nasal breathing or a deviated septum are present. The main postsurgical risk of the procedure is the destabilization of the cartilaginous septum position and its relation to adjacent anatomical structures, a change in the shape of the nose and the presence of a supratip break. Read More

J Contemp Brachytherapy 2018 Jun 30;10(3):274-278. Epub 2018 Jun 30.

Department of Radiation Oncology, Cancer Institute Hospital, The Japanese Foundation for Cancer Research, Tokyo, Japan.

We initiated the first multi-institutional prospective study of accelerated partial breast irradiation for early breast cancer in Japan. Our early clinical results showed that the treatment methods were technically reproducible between institutions and showed excellent disease control at a median follow-up of 26 months in our previous report. At present, total 46 patients from six institutions underwent the treatment regimen from October 2009 to December 2011, and the median follow-up time was 60 months (range, 57-67 months). Read More

World J Otorhinolaryngol Head Neck Surg 2018 Mar 14;4(1):39-45. Epub 2018 Mar 14.

Department of Otolaryngology - Head & Neck Surgery, Virginia Commonwealth University, Richmond, VA, USA.

Olfactory impairment is a well-established sequela of head injury. The presence and degree of olfactory dysfunction is dependent on severity of head trauma, duration of posttraumatic amnesia, injuries obtained, and as more recently established, age. Deficits in smell can be conductive or neurosensory, contingent on location of injury. Read More

J Craniofac Surg 2018 Nov;29(8):e774-e777

Kies-U Plastic Surgery Clinic, Seoul, Republic of Korea.

Background: In recent years, efficacy of 3-dimensional (3D) simulation, in preoperative planning of aesthetic and reconstructive surgeries and prediction of the postoperative result, has been reported in many clinical studies. Especially in rhinoplasty, it can be used not only for prediction the outcome but also for fabricating implants that will strictly match with the anatomical needs of patient.

Clinical Report: A 30-year-old male after traffic accident visited emergency room complaining on painful swelling and contour deformity of nose. Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Oct 17;135(5):365-369. Epub 2018 Jul 17.

Département de cancérologie cervicofaciale, Gustave Roussy Cancer Campus, Université Paris-Saclay, 114, rue Edouard-Vaillant, 94800 Villejuif, France.

Introduction: Oncogenic osteomalacia is a very rare disease usually caused by a phosphaturic mesenchymal tumor, particularly the "mixed connective tissue type", secreting FGF-23 hormone.

Objective: The authors report a case of ethmoid tumor associated with oncogenic osteomalacia and discuss management based on a review of the literature.

Case Summary: A 41-year-old woman with multiple fractures causing major disability was diagnosed with early-onset osteoporosis. Read More

Am J Transl Res 2018 15;10(6):1722-1729. Epub 2018 Jun 15.

Department of Ophthalmology, Puai Hospital Affiliated to Tongji Medical College of Huazhong Science and Technology University Wuhan, Hubei, China.

Objective: Mesenchymal stem cells (MSCs) derived from nasal mucosa are featured by high division and differentiation capacity, with large nuclei, obvious nucleoli and weak cytoplasmic basophily. Imaging examination, typically CT scan, is the gold standard for the diagnosis of orbital fracture.

Methods: We isolated MSCs derived from goat nasal mucosa and built the calcification model so as to investigate the repair mechanism of nasal mucosa-derived MSCs in orbital fracture. Read More

Otolaryngol Head Neck Surg 2018 Oct 10;159(4):712-716. Epub 2018 Jul 10.

1 Department of Otolaryngology-Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri, USA.

Objectives The purpose of this study is to describe the demographics of children undergoing inpatient management of epistaxis and recognize the clinical circumstances that may necessitate embolization or ligation for epistaxis management. Study Design and Setting Cross-sectional analysis of a national database. Subjects and Methods A review of data reported by hospitals in the United States to the Healthcare Cost and Utilization Project Kids' Inpatient Database with a diagnosis of epistaxis was conducted ( International Classification of Diseases, Ninth Revision [ ICD-9] code 784. Read More