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Med Eng Phys 2019 Apr 17. Epub 2019 Apr 17.

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

The ideal simulator for Endoscopic Sinus and Skull Base Surgery (ESSS) training must be supported by a physical model and provide repetitive behavior in a controlled environment. Development of realistic tissue models is a key part of ESSS virtual reality (VR)-based surgical simulation. Considerable research has been conducted to address haptic or force feedback and propose a phenomenological tissue fracture model for sino-nasal tissue during surgical tool indentation. Read More

Eplasty 2019 1;19:e9. Epub 2019 Apr 1.

Hiram C. Polk Jr Department of Surgery, University of Louisville, Louisville, Ky.

Lateral osteotomy is a mainstay of rhinoplasty surgery and involves fracture of the nasal and maxillary bones to narrow or widen the nasal dorsal bridge and base. To avoid nasal midvault collapse following rhinoplasty, the accepted "high-low-high" lateral osteotomy technique advocates for the preservation of a triangular strut of maxillary bone when initiating the osteotomy. We evaluated the risk of starting a lateral osteotomy in the "high" position to leave the aforementioned triangular maxillary strut without risk of falling into the nasomaxillary suture line, which can result in an aberrant and uncontrolled fracture. Read More

J Hosp Med 2019 Apr 8;14:E1-E5. Epub 2019 Apr 8.

Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Hospital medicine continues to grow in workforce, clinical scope, and academic inquiry. This article provides a summary of recent high-impact publications for busy clinicians who provide care to hospitalized adults.

Methods: Authors reviewed articles that were published between March 2017 and March 2018 for the Update in Hospital Medicine presentations at the 2018 Society of Hospital Medicine and Society of General Internal Medicine annual meetings. Read More

J Craniofac Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine.

Retrobulbar emphysema is a rare condition compared to the more common orbital emphysema. It is often associated with medial orbital wall fracture with rupture of the periosteum. In some severe patients, retrobulbar emphysema can increase the intraorbital pressure and lead to orbital compartment syndrome. Read More

Fetal Pediatr Pathol 2019 Apr 3:1-9. Epub 2019 Apr 3.

a Pathology Department , University of Illinois at Chicago , Chicago , IL , USA.

Background: Osteogenesis imperfect (OI) type II is a genetic disorder of bone characterized by bone fragility, multiple fractures, severe bowing and shortening of long bones, and perinatal death due to respiratory insufficiency. It is mainly caused by mutations in the COL1A1 or COL1A2 genes, inherited in an autosomal dominant manner.

Case Report: A fetal form of this disorder that included brachydactyly, macrocephaly, frontal bossing, soft calvarium, saddle nose, micrognathia, low set ears, and narrow thoracic cavity is described. Read More

Eur Arch Otorhinolaryngol 2019 Apr 2. Epub 2019 Apr 2.

Department of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Introduction: Septoplasty is one of the most common otolaryngologic procedures. Previous studies have reported that the overall rate of significant change in cosmetic appearance of the nose after septoplasty ranged from 0.4 to 3. Read More

Asian J Neurosurg 2019 Jan-Mar;14(1):322-324

Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana, India.

Extradural hemorrhages are commonly seen in coup head injuries, rarely seen in contrecoup head injuries. Acute extradural hemorrhage in the coup head injuries associated with a fracture is common, but the incidence of acute contrecoup extradural hemorrhage not associated with the fracture is extremely rare. Only 21 cases have been reported previously. Read More

J Craniofac Surg 2019 Mar 9. Epub 2019 Mar 9.

Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea.

Anterior cranial base reconstruction is occasionally necessary following severe trauma. Several methods for reconstruction have been described and some authors have described their experiences regarding the use of a pericranial flap for anterior skull base reconstruction after trauma. A 26-year-old woman was admitted to our department with multiple facial bone fractures identified using facial bone computed tomography. Read More

Endocr Pract 2019 Mar;25(3):230-241

Objective: Osteogenesis imperfecta (OI) is a group of heritable fragile bone diseases, and the majority are caused by pathogenic variants in the COL1A1 and COL1A2 genes. We sought to identify the genetic causes and phenotypes of OI in Chinese patients without COL1A1 or COL1A2 mutations.

Methods: Twenty-three patients who were diagnosed with sporadic OI but did not carry COL1A1/2 mutations were recruited, and their genomic DNA was analyzed using targeted next-generation sequencing of rare OI-related genes. Read More

Can J Surg 2019 Apr;62(2):105-110

From the Department of Maxillofacial and Oral Surgery, University Hospital Center Split, Split, Croatia (Lupi-Ferandin); Dental Medicine Program, University of Split School of Medicine, Split, Croatia (Galic); the Split Sleep Medicine Center, University of Split School of Medicine, Split, Croatia (Ivkovic, Pecotic, Dogas); and the Department of Neuroscience, University of Split School of Medicine, Split, Croatia (Pecotic, Dogas).

Background: Midface fractures can cause airway obstruction and breathing disturbances. The purpose of the present study was to determine the prevalence of undiagnosed obstructive sleep apnea (OSA) among patients with surgically treated maxillary and zygomatic fractures.

Methods: We retrospectively analyzed the medical records of 44 patients who had undergone surgical treatment of maxillary or zygomatic fractures between Jan. Read More

BMJ Case Rep 2019 Mar 20;12(3). Epub 2019 Mar 20.

Department of Otolaryngology Head Neck and Skull Base Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

A 24-year-old man sustained significant injuries as a result of a motor bicycle accident. CT scans demonstrated multiple intracranial injuries including bilateral temporal bone fractures. On emergence from sedation, the patient reported right-sided hearing loss which was attributed to ossicular chain disruption after the incus was found to be in the external auditory canal. Read More

Br J Oral Maxillofac Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Oral & Maxillofacial Surgery, Sunderland Royal Hospital, Kayll Road, Sunderland, SR4 7TP, United Kingdom.

Patients with a low socioeconomic status suffer disproportionately from trauma, and have a high incidence of mandibular fractures. To explore how deprivation affects the incidence of facial fractures in the north east of England, we reviewed 1096 patients who were admitted to the oral and maxillofacial surgical (OMFS) unit at Sunderland Royal Hospital for treatment of a facial fracture between December 2013 and December 2017. Levels of socioeconomic deprivation, which were obtained from postcodes and the UK Government Open Data Communities database, were compared with a random sample of deprivation data from the catchment area of our hospital. Read More

Biomed Res Int 2019 13;2019:9024763. Epub 2019 Feb 13.

School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.

Background/aim: Epidemiology of maxillofacial fractures (MFF) varies between populations. This study investigated the epidemiology of MFF treated at the Oral and Maxillofacial Surgery (OMFS) Unit, Hospital Universiti Sains Malaysia (USM).

Methods: A retrospective review of 473 medical records of patients with MFF treated from June 2013 to December 2015 was conducted. Read More

Oper Neurosurg (Hagerstown) 2019 Mar 14. Epub 2019 Mar 14.

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah.

Petrous internal carotid artery (ICA) aneurysms are rare, complicated lesions to treat. The management paradigms include observation, endovascular exclusion, or surgical trapping with or without revascularization. The case described in this video involved a 67-yr-old woman with a known history of chronic lymphocytic leukemia, who presented after a mechanical ground-level fall. Read More

J Stomatol Oral Maxillofac Surg 2019 Mar 9. Epub 2019 Mar 9.

Department of oral and maxillofacial surgery, Rouen university hospital, 1, rue de Germont, 76000 Rouen, France; Laboratory of anatomy, Rouen faculty of medicine, 22, boulevard Léon-Gambetta, 76000 Rouen, France; French national institute for health (inserm), LIMICS UMR-1142, 76000 Rouen, France.

Purpose: Nasomaxillary fractures can be mistaken for fractures confined to the nasal bones, resulting in inappropriate treatments that jeopardize patient outcomes. Our purpose here was to provide information on nasomaxillary fractures via a retrospective study and literature review.

Material And Methods: We retrospectively collected clinical, computed tomography (CT), therapeutic, and outcome data in consecutive patients managed for unilateral impacted nasomaxillary fractures at our centre over a 5-year period (2013-2017). Read More

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

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

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

J Craniofac Surg 2019 Feb 9. Epub 2019 Feb 9.

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

The aim of this study was to investigate the occurrence of facial trauma in handball players in South Korea.Forty-one handball coaches responded to an 11-item standardized questionnaire. Twenty-three coaches (56. Read More

Arch Craniofac Surg 2019 Feb 20;20(1):31-36. Epub 2019 Feb 20.

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

Background: After closed reduction, patients are sometimes concerned that their external nasal shapes have changed. The aim of this study was to investigate and explain changes in nasal shape after surgery through objective photogrammetric anthropometry measurements taken through three-dimensional (3D) reformed computed tomography (CT) images.

Methods: Our study included 100 Korean patients who underwent closed reduction of isolated nasal bone fracture from January 2016 to June 2017. Read More

Arch Craniofac Surg 2019 Feb 20;20(1):24-30. Epub 2019 Feb 20.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. Read More

J Craniofac Surg 2019 Mar 1. Epub 2019 Mar 1.

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

Nasal fractures are the most common facial bone fractures, and soft tissue injuries are frequently accompanied. This study intends to make a deep analysis on the relationship between the 2.Patients diagnosed with nasal fracture between 2015 and 2017 were included. Read More

BMJ Case Rep 2019 Mar 1;12(3). Epub 2019 Mar 1.

Otorhinolaryngology - Head & Neck Surgery, Hospital de Braga, Braga, Portugal.

Post-traumatic pneumolabyrinth is an uncommon clinical entity, particularly in the absence of temporal bone fracture. We report the case of a patient who presented to our emergency department with a headache, sudden left hearing loss and severe dizziness which began after a traumatic brain injury 3 days earlier. On examination, the patient presented signs of left vestibulopathy, left sensorineural hearing loss and positive fistula test, normal otoscopy and without focal neurological signs. Read More

World Neurosurg 2019 Feb 27. Epub 2019 Feb 27.

Department of Neurosurgery. Electronic address:

Background: and Importance: Penetrating injuries are dangerous because they can damage intracranial structures. Removal of the object carries this same risk of injury so neurosurgeons often visualize the injury via craniotomy during removal.

Case Description: This report illustrates the case of a 41-year-old male who had a penetrating injury with a knife that started in the left nasal passage and extended to the parasellar region. Read More

Craniomaxillofac Trauma Reconstr 2019 Mar 26;12(1):70-74. Epub 2018 Jul 26.

Clinic of Oral and Maxillofacial Surgery, Evangelismos General Hospital of Athens, Athens, Greece.

Pneumomediastinum (PM) implies an abnormal condition where a collection of free air or gas is entrapped within the fascial planes of mediastinal cavity. It is considered as benign entity, but an uncommonly seen complication of craniofacial injuries. We report a case of a 63-year-old male patient with the presenting sign of closed rhinolalia who was diagnosed with retropharyngeal emphysema and PM due to a linear and nondisplaced fracture of midface. Read More

Craniomaxillofac Trauma Reconstr 2019 Mar 17;12(1):45-53. Epub 2018 May 17.

Department of Plastic Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.

Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. Read More

Craniomaxillofac Trauma Reconstr 2019 Mar 30;12(1):39-44. Epub 2018 Mar 30.

Department of Plastic Surgery, New York University Langone Medical Center, New York.

Traumatic optic neuropathy (TON) is rare. The heterogeneity of injury patterns and patient condition on presentation makes diagnosis difficult. Fracture patterns associated with TON have never been evaluated. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Feb;33(2):157-159

Department of Otolaryngology Head and Neck Surgery, the Second Hospital, Shanxi Medical University.

To investigate the surgical technique and curative effect of transnasal endoscopic anterior lacrimal approach for the treatment of sacral wall fractures. Retrospective clinical analysis of 5 patients with inferior orbital walls fracture treated by expanding prelacrimal recess-maxillary ainus under nasal endoscope was studied, and the surgical method and its efficacy were annalyzed. After 1 year of follow-up,4 patients' diplopia symptom disappeared, and 1 patient's diplopia symptom was significantly relieved compared with preoperation, the range of eye movement was normal and enophthalmos were totally corrected. Read More

J Foot Ankle Surg 2019 Feb 22. Epub 2019 Feb 22.

Orthopedic Surgeon, Department of Orthopedic Surgery, Albert Einstein Medical Center, Philadelphia, PA.

Ankle fractures are common orthopedic injuries with favorable outcomes when managed with open reduction and internal fixation (ORIF). Several patient-related risk factors may contribute to poor short-term outcomes, and machine learning may be a valuable tool for predicting outcomes. The objective of this study was to evaluate machine-learning algorithms for accurately predicting short-term outcomes after ORIF for ankle fractures. Read More

Plast Surg Nurs 2019 Jan/Mar;39(1):22-24

Alberto Pérez-García, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Juan Ramón Esteban-Vico, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Concepción Lorca-García, MD, Department of Pediatric Surgery, Gregorio Marañón Hospital, Madrid, Spain. Jose María García-Sánchez, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Luis Miranda Gómez, PhD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Abel Llinás Porte, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Pilar García-Sanz, RN, School of Nursing, University of Valencia, Spain.

This study investigated the use of endonasal infiltrative anesthesia for the management of pain associated with nasal bone fracture reduction. Fifty-two patients with nasal bone fractures were distributed in 2 groups. In the first group, topical endonasal anesthesia and external transcutaneous infiltrative anesthesia were employed. Read More

Unfallchirurg 2019 Feb 19. Epub 2019 Feb 19.

Klinik für Mund‑, Kiefer- und Gesichtschirurgie, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.

Introduction: The treatment of facial fractures is an integral part of the oral and maxillofacial surgical treatment spectrum. In the case of complex fractures that involve multiple levels of the facial skeleton associated with severe concomitant injuries, an individual and interdisciplinary treatment approach is needed, which requires the infrastructure of a national trauma center.

Objective: The aim of this study was to analyze the incidence and management of patients with complex facial fractures and considering the concomitant injury pattern. Read More

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 Apr;82(4S Suppl 3):S195-S198

University of Mississippi Medical Center, Jackson, MS.

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

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

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

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

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 Apr 24;35(2):115-120. Epub 2019 Jan 24.

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

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

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

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

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