50,629 results match your criteria Neck Trauma


Airbag Burns: An Unfortunate Consequence of Motor Vehicle Safety.

J Burn Care Res 2020 Jul 10. Epub 2020 Jul 10.

University of Rochester Medical Center, Department of Surgery, Division of Plastic Surgery.

Thousands of people are injured in motor vehicle collisions daily and mandated installation of airbags protect passengers but can also cause injuries from deployment including cutaneous burns. We sought to characterize the patterns and outcomes of burns resulting from airbag deployment by performing a retrospective review of all patients evaluated by the burn service from 5/1/2015-4/30/2019. Inclusion criteria was patients of all ages with burn injuries related to airbag deployment. Read More

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http://dx.doi.org/10.1093/jbcr/iraa117DOI Listing

Gender-affirming vaginectomy - Transperineal approach.

Urology 2020 Jul 6. Epub 2020 Jul 6.

Department of Urology, Oregon Health and Science University, Portland, OR. Electronic address:

Objective: Gender-affirming vaginectomy treats gender dysphoria associated with the presence of a vagina in transgender males. Prior reported approaches include transperineal vaginectomy, mucosal fulguration, and robotic-assisted. We present key steps in transperineal gender-affirming vaginectomy in a 39-year-old transgender male. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.084DOI Listing

Two cases of calcium pyrophosphate deposition disease (CPPD) presented with spondylodiscitis.

Eur J Rheumatol 2020 Apr 1;7(2):84-87. Epub 2020 Apr 1.

Division of Rheumatology, Department of Internal Medicine, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.

Calcium pyrophosphate deposition disease (CPPD) is a crystal arthropathy, and may present with various clinical manifestations such as asymptomatic CPPD, osteoarthritis with CPPD, acute CPPD crystal arthritis (formerly pseudogout), and chronic CPPD crystal inflammatory arthritis. It is known that aging, trauma and osteoarthritis are major risk factors for CPPD. Acute CPP arthritis may occur as monoarticular or oligoarticular and usually involves large peripheral joints such as the knees, wrists and ankles. Read More

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http://dx.doi.org/10.5152/eurjrheum.2020.19180DOI Listing

Musculoskeletal Injuries in Master Swimmers: A National Survey in Turkey.

Cureus 2020 Jun 3;12(6):e8421. Epub 2020 Jun 3.

Orthopaedics, University of Health Sciences, Antalya Education and Research Hospital, Antalya, TUR.

Background This study aimed to determine the frequency of musculoskeletal injuries in master swimmers in Turkey. Methods A questionnaire was formed and distributed to all master swimmers registered with the Turkish Swimming Federation. The collected data included age, sex, the age to start swimming (SAS), weekly training time (WTT), weekly training distance (WTD), any painful episode that lasted more than 10 days in any of the body regions within last one year, any confirmed diagnosis of musculoskeletal disease by a physician, and history of musculoskeletal surgical operation. Read More

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http://dx.doi.org/10.7759/cureus.8421DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336593PMC

Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study.

Craniomaxillofac Trauma Reconstr 2020 Jun 25;13(2):115-121. Epub 2020 Mar 25.

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA, USA.

Introduction: Assault appears to be the most frequent cause of facial fractures in certain urban trauma centers, possibly due to the ease of acquiring weapons and increasingly aggressive behavior. The objectives of this study were to identify specific demographic, socioeconomic, maxillofacial fracture, and assault patterns in urban versus suburban communities.

Methods: A retrospective chart review of patients who sustained maxillofacial fractures from August 2014 through August 2016 at one urban campus, Einstein Medical Center, Philadelphia, and two suburban campuses, Einstein Medical Center Montgomery and Elkins Park. Read More

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http://dx.doi.org/10.1177/1943387520910338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311833PMC

Open Treatment of Mandibular Condyle by Direct Transparotid Approach: Our Experience.

Craniomaxillofac Trauma Reconstr 2020 Jun 20;13(2):109-114. Epub 2020 Mar 20.

Oral and Maxillofacial Surgery, East Riyadh Specialized Center, Riyadh, Saudi Arabia.

The fractures of the mandibular condyle are commonly encountered in maxillofacial surgical practice. The controversies to open or not to open are still ongoing. We have used both techniques, to successfully manage our patients. Read More

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http://dx.doi.org/10.1177/1943387520903543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311840PMC

Assessment of Functional Recovery and Subjective Donor-Site Morbidity Following Radial Forearm Flap Reconstruction in Small- to Moderate-Sized Palatal Defects.

Craniomaxillofac Trauma Reconstr 2020 Mar 16;13(1):71-77. Epub 2020 Mar 16.

Department of Speech and Language Pathology, Manipal Hospital, Bangalore, Karnataka, India.

Context: Palatal defects are encountered following tumor extirpation, trauma, or congenitally. Among the known alternatives, radial artery free forearm flap (RAFF) is a versatile flap that confers good results in head and neck reconstruction, but donor-site morbidity has been an issue of discontent among the plastic surgeons. This limitation needs to be studied further and addressed considering the unmatched quality of this tissue. Read More

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http://dx.doi.org/10.1177/1943387520904879DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311849PMC

Management of Isolated Zygomatic Arch Fractures and a Review of External Fixation Techniques.

Craniomaxillofac Trauma Reconstr 2020 Mar 17;13(1):38-44. Epub 2020 Mar 17.

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA, USA.

Introduction: Fractures of the zygomatic bone can present with complicated aesthetic and neurological pathology. Specifically, management of isolated zygomatic fracture has been sparsely discussed in the literature, and most studies are based upon older techniques. Here, we compare the results of 2 critical operative techniques as well as review the available literature in the setting of isolated zygomatic fractures. Read More

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http://dx.doi.org/10.1177/1943387520905164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311848PMC

Open Reduction Internal Fixation of Femoral Neck Fracture-Anterior Approach.

J Orthop Trauma 2020 Aug;34 Suppl 2:S27-S28

Departments of Surgery & Pediatric Surgery, McGill University, Montreal, QC, Canada.

Femoral neck fractures are frequently treated with open reduction and internal fixation to achieve anatomical reduction. This video demonstrates open reduction internal fixation of a femoral neck fracture in a 59-year-old man, performed through an anterior approach. This approach provides safe and effective access to the femoral neck, including the subcapital and basicervical regions, with excellent direct visualization of the fracture site. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001818DOI Listing

Hemiarthroplasty Through a Direct Anterior Approach for Femoral Neck Fractures.

J Orthop Trauma 2020 Aug;34 Suppl 2:S25-S26

Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

This video demonstrates the direct anterior approach (DAA) for placement of an uncemented hemiarthroplasty for a displaced femoral neck fracture. The DAA is an intranervous and intramuscular approach that is believed to allow patients a quicker recovery and decrease the rate of dislocation. Femoral exposure is the most challenging component of the approach. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001820DOI Listing

Direct Anterior Approach to Total Hip Arthroplasty for Femoral Neck Fractures.

J Orthop Trauma 2020 Aug;34 Suppl 2:S23-S24

Department of Orthopaedics, University of Rochester, Strong Memorial Hospital, Rochester, NY.

Femoral neck fractures are a common injury pattern, especially within the elderly. Replacement with either hemiarthroplasty or total hip arthroplasty allows for immediate weight-bearing. This video demonstrates the direct anterior approach to total hip arthroplasty for management of displaced femoral neck fractures. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001817DOI Listing

Lower cranial nerve syndromes: a review.

Neurosurg Rev 2020 Jul 8. Epub 2020 Jul 8.

Department of Anatomical Sciences, St. George's University, St. George's, Grenada.

The purpose of this paper is to provide a comprehensive review encompassing the syndromes associated with the lower cranial nerves (LCNs). We will discuss the anatomy of some of these syndromes and the historical contributors after whom they were named. The LCNs can be affected individually or in combination, since the cranial nerves at this level share their courses through the jugular foramen and hypoglossal canal and the extracranial spaces. Read More

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http://dx.doi.org/10.1007/s10143-020-01344-wDOI Listing

A spontaneous cervical epidural hematoma mimicking a stroke - A case report.

Surg Neurol Int 2020 20;11:157. Epub 2020 Jun 20.

Department of Neurosurgery, Centro Hospitalar Universitario do Algarve, Rua Leao Penedo, Faro, Portugal.

Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence. It usually presents with quadriparesis, but it may present with hemiparesis or hemiplegia and can easily be misdiagnosed as stroke. We present a case of stroke mimicking SCEH with hemiparesis worsened after tissue plasminogen activator therapy (tPA) followed by emergency cervical decompression laminectomy. Read More

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http://dx.doi.org/10.25259/SNI_161_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332487PMC

Giant Cell Reparative Granuloma of Parotid Region Infiltrating the Zygomatic Bone: A case report.

Ann Med Surg (Lond) 2020 Aug 26;56:145-148. Epub 2020 Jun 26.

Department of Maxillofacial Surgery, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.

Introduction: Giant cell reparative granuloma is a rare, locally benign tumor with an aggressive behavior resembling malignant neoplasm, originating mainly from the mandible and maxilla; however, it can originate from other sites, such as zygomatic and temporal bones, with a young adult female predilection.

Case Presentation: A 28-year-old female presented to the Department of Otolaryngology and Head and Neck Surgery with a history of a slowly enlarging swelling over the left parotid region for four months. Physical examination revealed a non-erythematous, non-tender, firm mass with no overlying skin changes. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.06.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330136PMC

Biomechanical evaluation of locked plating fixation for unstable femoral neck fractures.

Bone Joint Res 2020 Jun 30;9(6):314-321. Epub 2020 Jun 30.

Institute for Biomechanics, BG Unfallklinik Murnau, Murnau am Staffelsee, Germany.

Aims: Evaluate if treating an unstable femoral neck fracture with a locking plate and spring-loaded telescoping screw system would improve construct stability compared to gold standard treatment methods.

Methods: A 31B2 Pauwels' type III osteotomy with additional posterior wedge was cut into 30 fresh-frozen femur cadavers implanted with either: three cannulated screws in an inverted triangle configuration (CS), a sliding hip screw and anti-rotation screw (SHS), or a locking plate system with spring-loaded telescoping screws (LP). Dynamic cyclic compressive testing representative of walking with increasing weight-bearing was applied until failure was observed. Read More

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http://dx.doi.org/10.1302/2046-3758.96.BJR-2019-0331.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331880PMC

A rare vascular complication of Eagle syndrome highlight by CTA with neck flexion.

Radiol Case Rep 2020 Aug 29;15(8):1408-1412. Epub 2020 Jun 29.

Department of Interventional Radiology, CHU Ambroise Paré, 2, Boulevard Kennedy, 7000 Mons, Belgium.

We report a case of a 53-year-old woman admitted to the emergency department with left hemiplegia, tinnitus and palpitations. A cerebral and cervical computed tomography angiography revealed an acute large ischemic stroke on the right Sylvian territory, which was related to a dissection of the right internal carotid. Moreover, a left internal carotid pseudo-aneurysm was observed. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.05.052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330452PMC

Internal Jugular Vein Injury by Fishbone Ingestion.

Case Rep Med 2020 18;2020:9182379. Epub 2020 Jun 18.

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Fishbone ingestion is a common occurrence in the Middle East countries. We present a patient with a unique complication of fishbone ingestion. A 65-year-old woman presented with left-sided neck pain and swelling since 5 days before admission. Read More

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http://dx.doi.org/10.1155/2020/9182379DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321512PMC

IMPACT-Scot report on COVID-19 and hip fractures.

Bone Joint J 2020 Jul 7:1-10. Epub 2020 Jul 7.

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.

Aims: The primary aim was to assess the independent influence of coronavirus disease (COVID-19) on 30-day mortality for patients with a hip fracture. The secondary aims were to determine whether: 1) there were clinical predictors of COVID-19 status; and 2) whether social lockdown influenced the incidence and epidemiology of hip fractures.

Methods: A national multicentre retrospective study was conducted of all patients presenting to six trauma centres or units with a hip fracture over a 46-day period (23 days pre- and 23 days post-lockdown). Read More

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http://dx.doi.org/10.1302/0301-620X.102B9.BJJ-2020-1100.R1DOI Listing

Intensive Motion Style Acupuncture Treatment (MSAT) Is Effective for Patients with Acute Whiplash Injury: A Randomized Controlled Trial.

J Clin Med 2020 Jul 2;9(7). Epub 2020 Jul 2.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundations, Gangnam-gu, Seoul 100011, Korea.

In this single-center, parallel, randomized controlled trial, we aim to examine the effects and safety of motion style acupuncture treatment (MSAT; a combination of acupuncture and Doin therapy) on pain reduction and functional improvement in patients with whiplash-associated disorders (WADs). Ninety-seven patients with cervical pain admitted to the Bucheon Jaseng Hospital of Korean Medicine, South Korea, due to acute whiplash injury were treated with integrative Korean medicine (IKM) with (MSAT group, 48 patients) or without (control group, 49 patients) an additional 3-day MSAT during hospitalization (5-14 days) and followed-up for 90 days. The mean numeric rating scale (NRS) scores of the MSAT and control groups at baseline were 5. Read More

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http://dx.doi.org/10.3390/jcm9072079DOI Listing

The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures.

J Clin Med 2020 Jul 2;9(7). Epub 2020 Jul 2.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, 81675 München, Germany.

Background: Fractures of the proximal femur constitute daily work in orthopedic trauma surgery. With the continuous increase of obesity in the general population, surgeons face several known technical challenges. The aim of this study was to investigate the association of high body mass index (BMI) in patients with proximal femur fractures with intra- and postoperative adverse events, as well as with functional outcomes after successful surgery. Read More

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http://dx.doi.org/10.3390/jcm9072076DOI Listing

Multiple screws versus sliding hip screws in femoral neck fractures: A protocol of cohort study.

Medicine (Baltimore) 2020 Jul;99(27):e20970

Background: There has been a paucity of cohort trials directly comparing multiple cannulated screws (MCS) and sliding hip screws (SHS) in femoral neck fractures at any level. Thus, a well-conducted clinical trial with an adequate sample size is urgently needed. We undertake a retrospective study to compare outcomes in patients who undertake MCS or SHS fixation for femoral neck fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000020970DOI Listing

Self-inflicted neck wounds under influence of lysergic acid diethylamide: A case report and literature review.

Medicine (Baltimore) 2020 Jul;99(27):e20868

Department of Forensic Medicine, Rennes University Hospital.

Rationale: Lysergic acid diethylamide (LSD) is a highly potent psychedelic drug derived from ergot alkaloids. The available literature data derived from controlled studies or usage in a medical setting seem reassuring; however the literature contains very rare cases of fatal self-inflicted injuries associated with LSD exposure. The behavioral disorder that created the conditions conducive to death is a maladaptive or irrational response to the psychiatric manifestations induced by the substance. Read More

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http://dx.doi.org/10.1097/MD.0000000000020868DOI Listing

SOCIETY FOR VASCULAR SURGERY CLINICAL PRACTICE GUIDELINES FOR THORACIC ENDOVASCULAR ANEURYSM REPAIR (TEVAR).

J Vasc Surg 2020 Jul 3. Epub 2020 Jul 3.

University of Pennsylvania, Philadelphia, PA.

Thoracic aortic diseases, including disease of the descending thoracic aorta (DTA), are significant causes of death in the United States. Open repair of DTA is a physiologically impactful operation with relatively high rates of mortality, paraplegia, and renal failure. Thoracic endovascular aneurysm repair (TEVAR) has revolutionized the treatment of DTA, and has largely supplanted open repair due to lower morbidity and mortality. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.05.076DOI Listing

Quantifying Aerosolization of Facial Plastic Surgery Procedures in the COVID-19 Era: Safety and Particle Generation in Craniomaxillofacial Trauma and Rhinoplasty.

Facial Plast Surg Aesthet Med 2020 Jul 2. Epub 2020 Jul 2.

Department of Otolaryngology Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts, USA.

COVID-19 poses a potentially significant infectious risk during procedures of the head and neck due to high viral loads in the nasal cavity and nasopharynx. Facial plastic surgery has significant exposure to these areas during craniomaxillofacial trauma procedures and rhinoplasty. Airborne particulate generation in the 1-10 μm range was quantified with an optical particle sizer in real time during cadaveric-simulated rhinoplasty and facial trauma conditions. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0322DOI Listing

Anterior reduction and fusion for acute unilateral cervical facet dislocation without severe spinal cord injuries.

J Clin Neurosci 2020 Jul 2. Epub 2020 Jul 2.

Dept. Orthoped., Lianyungang No.1 People' s Hospital, Xuzhou Academy of Medical Sciences, 182 Tongguang Rd, Lianyungang, Jiangsu 222002, China.

Purpose: This study aimed to evaluate safety and effectiveness of simple anterior reduction and fusion for acute lower cervical unilateral facet dislocation without severe spinal cord injuries.

Materials And Methods: One hundred and two patients with unilateral cervical facet dislocations without severe spinal cord injuries who were surgically treated by the only anterior approach were analyzed. The treatment effects were evaluated based on the Visual Analogue Scale (VAS) scores, the Cobb angle of kyphosis, the Neck Disability Index (NDI) and Odom's criteria. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.05.059DOI Listing

Active learning in head and neck trauma: Outcomes after an innovative educational course.

Br J Oral Maxillofac Surg 2020 Jul 2. Epub 2020 Jul 2.

Leeds Teaching Hospitals NHS Trust, United Kingdom. Electronic address:

Excellence in teaching and learning is fundamental to the provision of quality training for doctors and for this a sound knowledge of the principles of adult learning theory is important. We present an educational course in head and neck trauma skills for emergency medicine (EM) registrars, using the pedagogical principle of active learning. Our aim was to provide trainees with skills in the evaluation and management of hard and soft tissue injuries to the head, neck, and mouth. Read More

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http://dx.doi.org/10.1016/j.bjoms.2020.05.003DOI Listing

Operative treatment of 2-part surgical neck type fractures of the proximal humerus in the elderly: Cement augmented locking plate PHILOS™ vs. proximal humerus nail multiloc®.

Injury 2020 Jun 16. Epub 2020 Jun 16.

Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Germany.

Introduction: The purpose of this prospective randomized controlled clinical trial was to compare locked plating with intramedullary nailing in the treatment of displaced 2-part surgical neck type proximal humeral fractures in elderly patients.

Patients And Methods: Patients ≥60 years of age with a displaced 2-part surgical neck type fracture of the proximal humerus were surgically treated and randomized for either augmented locking plate fixation Group LP or multiplanar intramedullary nailing Group IN. The primary outcome parameter was the Disabilities of the Shoulder, Arm and Hand (DASH) Score after 24 months. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.026DOI Listing

Retropharyngeal Internal Carotid Artery Management in TORS Using Microvascular Reconstruction.

Laryngoscope 2020 Jul 4. Epub 2020 Jul 4.

Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.

Objectives: Guidelines for transoral robotic surgery (TORS) have generally regarded patients with retropharyngeal carotid arteries as contraindicated for surgery due to a theoretical risk of intraoperative vascular injury and/or perioperative cerebrovascular accident. We aimed to demonstrate that careful TORS-assisted resection and free flap coverage could not only avoid intraoperative injury and provide a physical barrier for vessel coverage but also achieve adequate margin control.

Study Design: Retrospective cohort analysis. Read More

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http://dx.doi.org/10.1002/lary.28876DOI Listing

Systemic inflammatory markers in neck pain: a systematic review with meta-analysis.

Eur J Pain 2020 Jul 3. Epub 2020 Jul 3.

RECOVER Injury Research Centre, NHMRC Centre for Research Excellence in Recovery Following Road Traffic Injuries, The University of Queensland, Brisbane, Australia.

Background And Objective: Mechanisms underpinning symptoms in non-traumatic neck pain (NTNP) and whiplash-associated disorder (WAD) are not comprehensively understood. There is emerging evidence of systemic inflammation in musculoskeletal pain conditions, including neck and back pain. The aim of this systematic review was to determine if raised blood inflammatory markers are associated with neck pain. Read More

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http://dx.doi.org/10.1002/ejp.1630DOI Listing

Neck CT angiography examinations for pediatric oropharyngeal trauma: diagnostic yield and proposal of a new targeted technique.

Pediatr Radiol 2020 Jul 3. Epub 2020 Jul 3.

Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.

Background: Neck computed tomography (CT) angiography is commonly ordered for pediatric patients with soft palate trauma to exclude vascular injury. Debate exists regarding what type of imaging is indicated in this setting, particularly amid growing concern that standard neck CT angiography results in considerable radiation exposure.

Objective: To assess the diagnostic yield and estimated dose reduction of a novel targeted protocol extending from the skull base to the hyoid bone to evaluate pediatric oropharyngeal trauma. Read More

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http://dx.doi.org/10.1007/s00247-020-04737-7DOI Listing

Tolerance and safety of 45S5 bioactive glass used in obliteration procedures during middle ear surgery: Preliminary results.

Am J Otolaryngol 2020 May 7:102542. Epub 2020 May 7.

Department of Otolaryngology, and Otoneurosurgery, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310 Lyon, Pierre-Bénite, France.

Objective: Otologists face many disadvantages after extensive mastoid drilling and canal wall down technique in cholesteatoma surgery. Mastoid and epitympanic cavity obliterations or reconstructions after canal wall down procedure using bioactive glass seem to be an interesting solution to overcome some of these disadvantages. Bioactive glass offers many benefits including the availability when there are no sufficient autologous materials for obliteration, its antibacterial activity in chronic infected ear and decreasing the recidivism of cholesteatoma. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102542DOI Listing

Evaluation of Blunt Force Trauma for Culling of Neonatal Piglets On-Farm.

J Anim Sci 2020 Jul 3. Epub 2020 Jul 3.

Embrapa Suínos e Aves, Concórdia, Brazil.

Twenty-seven neonate piglets (range from 0.35 to 1.17 kg) were evaluated for the effectiveness of blunt force trauma as a method of on-farm cull. Read More

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http://dx.doi.org/10.1093/jas/skaa204DOI Listing

A Comparison Between the Direct Anterior and Posterior Approaches for Total Hip Arthroplasty Performed for Femoral Neck Fracture.

J Orthop Trauma 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13 St S, Birmingham, AL, 35205.

Objectives: To compare 90-day and 1-year outcomes, including mortality, of femoral neck fracture patients undergoing total hip arthroplasty (THA) by direct anterior approach (DAA) versus posterior approach (PA).

Design: Retrospective cohort SETTING:: Level I Trauma Center PATIENTS:: One hundred forty-three consecutive intracapsular femoral neck fractures treated with THA from 2010-2018. The minimum follow-up was 12 months and the average follow-up was 14. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001883DOI Listing

Ergonomic Considerations in the Incidence of CTS in College of Dentistry, King Khalid University, Abha - Kingdom of Saudi Arabia.

Oral Health Prev Dent 2020 Apr 1;18(2):277-285. Epub 2020 Apr 1.

Purpose: Ergonomics in dentistry poses some challenges to dentists and may require considerable concentration and attention to detail. This research enables early recognition and prevention of common ergonomic-related conditions, such as carpel tunnel syndrome, back pain and neck pain. The purpose of this study was to determine the prevalence of ergonomic-related problems concerning carpel tunnel syndrome (CTS) and to know the efficacy of independent and combined clinical tests used in diagnosing it. Read More

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http://dx.doi.org/10.3290/j.ohpd.a44031DOI Listing

Appearance of normal MRI anatomy of the lingual nerve using steady-state free precession sequences at 3-T.

J Biol Regul Homeost Agents 2020 May-Jun;34(3 Suppl. 1):19-26

Dept. of social dentistry and gnathological rehabilitation, National Institute for Health, Migration and Poverty (NIHMP), Roma, Italy.

The aim of this study is to assess the value of SSFP MRI sequence in depicting the normal anatomy of the lingual nerve (LN), particularly in the molar region, in order to help the periodontists, dentists and oral surgeons in their daily practice. The study group included 24 patients who were to undergo MR study for a reason unrelated to our purpose. All imaging was performed by using a 3. Read More

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Comparative study of Pauwels type III femoral neck fractures managed by short dynamic hip screw with fibula bone graft or cannulated screws in young adults.

Ann Transl Med 2020 Jun;8(11):681

Trauma Emergency Center, Third Hospital of Hebei Medical University, Shijiazhuang, China.

Background: The aim of our study was to compare the clinical effect of short dynamic hip screw (DHS) combined with fibula bone graft and short DHS combined with cannulated screws (CS) on the treatment of femoral neck fracture in young adults.

Methods: Thirty-five Pauwels type III femoral neck fracture patients between January 2014 and May 2019 were divided into two groups: group A (patients treated with DHS combined with fibula bone graft) and group B (patient treated with DHS combined with CS). The operative time, intraoperative blood loss, fracture healing time and complication of two groups were recorded. Read More

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http://dx.doi.org/10.21037/atm-19-3344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327311PMC

Marginal Mandibular Nerve Mapping Prior to Nonablative Radiofrequency Skin Tightening.

Aesthet Surg J 2020 Jul 2. Epub 2020 Jul 2.

Background: Aging skin and increased skin laxity is a prevalent concern of patients. Nonsurgical treatments, such as radiofrequency, are increasing in popularity due to decreased pain, downtime, and scarring. ThermiRF (Thermi, Irving, TX) is a subdermal radiofrequency treatment being used to tighten skin. Read More

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http://dx.doi.org/10.1093/asj/sjaa184DOI Listing
July 2020
2.034 Impact Factor

Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block.

Local Reg Anesth 2020 22;13:49-55. Epub 2020 Jun 22.

Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA.

Intractable headaches can be debilitating, often leading to significant distress, prolonged medical treatment, and unanticipated hospital admissions. There have been significant advances in the treatment of primary intractable headaches such as migraines, tension headaches, and cluster headaches beyond medical management. Treatments may now include interventional strategies such as trigger-point injections, peripheral nerve stimulators, or peripheral nerve and ganglion blocks. Read More

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http://dx.doi.org/10.2147/LRA.S249250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319503PMC

Efficacy of arthrocentesis and lavage for treatment of post-traumatic arthritis in temporomandibular joints.

J Korean Assoc Oral Maxillofac Surg 2020 Jun;46(3):174-182

Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.

Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Read More

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http://dx.doi.org/10.5125/jkaoms.2020.46.3.174DOI Listing

Laparoscopic sigmoid vaginoplasty: a salvage option for genitourinary fistula after failed McIndoe's repair.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

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

A 30-year-old woman presented with vesicovaginal fistula after a forceful intercourse. She was diagnosed as a case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome 14 years ago and had underwent McIndoe's vaginoplasty using amniotic membrane. Similarly, another 14-year-old girl presented with an iatrogenic urethral and bladder neck injury during an attempt at McIndoe's vaginoplasty 4 months ago at another centre leading to urinary fistula with absent vagina. Read More

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http://dx.doi.org/10.1136/bcr-2020-235297DOI Listing

Two trajectories of functional recovery in thyroid surgery-related unilateral vocal fold paralysis.

Surgery 2020 Jun 27. Epub 2020 Jun 27.

School of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Otolaryngology Head and Neck Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:

Background: Iatrogenic unilateral vocal fold paralysis caused by thyroid surgery induces profound physical and psychosocial distress in patients. The natural course of functional recovery over time differs substantially across subjects, but the mechanisms underlying this difference remain unclear. In this study, we examined whether the anatomic site of the lesion affected the trajectory of recovery. Read More

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http://dx.doi.org/10.1016/j.surg.2020.04.042DOI Listing

Development of an enhanced acute care surgery service in response to the COVID-19 global pandemic.

Injury 2020 Jun 25. Epub 2020 Jun 25.

Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singhealth Duke-NUS Head and Neck Centre, Singapore. Electronic address:

Background: As the COVID-19 pandemic sweeps across the world, healthcare departments must adapt to meet the challenges of service provision and staff/patient protection. Unlike elective surgery, acute care surgery (ACS) workloads cannot be artificially reduced providing a unique challenge for administrators to balance healthcare resources between the COVID-19 surge and regular patient admissions.

Methods: An enhanced ACS (eACS) model of care is described with the aim of limiting COVID-19 healthcare worker and patient cross-infection as well as providing 24/7 management of emergency general surgical (GS) and trauma patients. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315164PMC

Traumatic Retroclival Epidural Hematoma.

Pediatr Emerg Care 2019 Feb 19. Epub 2019 Feb 19.

Neurosurgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.

Retroclival epidural hematomas are particularly rare conditions that are frequently the result of high-energy, hyperflexion-hyperextension injuries in pediatric patients. We present the case of a 7-year-old previously healthy girl with traumatic retroclival epidural hematoma after a fall from a swing. She presented with a Glasgow Coma Scale score of 15 with severe neck pain and limitation of cervical movements in all directions. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001756DOI Listing
February 2019

Evaluation of Insertion Forces and Cochlea Trauma Following Robotics-Assisted Cochlear Implant Electrode Array Insertion.

Otol Neurotol 2020 Jun;41(5):631-638

Department of Otolaryngology-Head & Neck Surgery, University of Iowa Hospitals and Clinics.

Hypothesis: The objective was to evaluate the effect of cochlear implant (CI) insertion technique on electrode insertion forces and intracochlear trauma. We hypothesize that robotics-assisted insertions will reduce insertion forces and intracochlear trauma compared with manual insertions.

Background: Variability in CI outcomes exists across patients, implant centers, surgeons, and electrode types. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002608DOI Listing

Thoracic Aortic Dilation Following Endovascular Repair of Blunt Traumatic Aortic Injury.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

Division of Vascular Surgery, Stanford University, Stanford, CA.

Objectives: Thoracic endovascular aneurysm repair (TEVAR) has become the current standard of care for emergent treatment of blunt traumatic aortic injuries (BTAI). Although aortic dilation of the infrarenal neck following EVAR for aortic aneurysms has been studied, changes in aortic diameter following TEVAR for BTAI is not well understood. This study aims to characterize changes in thoracic aortic diameter following stent graft placement in the setting of non-aneurysmal traumatic aortic injury. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.049DOI Listing

Acne keloidalis nuchae in the armed forces.

Cutis 2020 May;105(5):223-226

Department of Dermatology, James A. Lovell Federal Health Care Center, North Chicago, Illinois, USA.

Acne keloidalis nuchae (AKN) is a chronic inflammatory skin disease characterized by the development of keloidlike papules, pustules, and plaques on the occipital scalp and posterior neck following mechanical trauma and irritation. First-line therapy involves avoidance of aggravating factors including short and frequent haircuts. Medical treatments-from topical and intralesional steroids, oral antibiotics, and UV light to laser and surgical excision-have demonstrated varying degrees of efficacy. Read More

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