1,625 results match your criteria Penetrating Neck Trauma


A mixed psychiatric and somatic care unit for trauma patients: 10 years of experience in an urban level I trauma center in the Netherlands.

Eur J Trauma Emerg Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Section Trauma Surgery, Amsterdam University Medical Center, Location VUmc, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.

Background: A medical-psychiatric unit (MPU) is a special ward where staff is trained in caring for patients with psychiatric or behavioural problems that need hospitalisation for physical health problems. It is well known that these patients are at higher risk of complications and have a longer length of stay resulting in higher costs than patients without psychiatric comorbidity. The objective of this study was to analyse the trauma patient population of the first 10 years of existence of the MPU in a level I trauma center. Read More

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http://dx.doi.org/10.1007/s00068-019-01088-3DOI Listing
February 2019

Development and Validation of a Prediction Model for Prehospital Triage of Trauma Patients.

JAMA Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Traumatology, University Medical Center Utrecht, Utrecht, the Netherlands.

Importance: Prehospital trauma triage protocols are used worldwide to get the right patient to the right hospital and thereby improve the chance of survival and avert lifelong disabilities. The American College of Surgeons Committee on Trauma set target levels for undertriage rates of less than 5%. None of the existing triage protocols has been able to achieve this target in isolation. Read More

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http://dx.doi.org/10.1001/jamasurg.2018.4752DOI Listing
February 2019

A Randomized Controlled Trial using iTClamp, Direct Pressure, and Balloon Catheter Tamponade to Control Neck Hemorrhage in a Perfused Human Cadaver Model.

J Emerg Med 2019 Jan 29. Epub 2019 Jan 29.

Department of Surgery, Foothills Medical Centre, Calgary, Alberta, Canada; Regional Trauma Services, Foothills Medical Centre, Calgary, Alberta, Canada; Department of Critical Care Medicine, Foothills Medical Centre, Calgary, Alberta, Canada; Canadian Forces Health Services Centre, Ottawa, Ontario, Canada.

Background: Penetrating neck wounds are common in the civilian and military realms. Whether high or low velocity, they carry a substantial morbidity and mortality rate.

Objectives: We endeavored to ascertain whether the iTClamp is equivalent to direct manual pressure (DMP) and Foley catheter balloon tamponade (BCT). Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.008DOI Listing
January 2019

Bilateral Valgus Slipped Capital Femoral Epiphysis in an 11-year-old Girl.

Cureus 2018 Nov 15;10(11):e3598. Epub 2018 Nov 15.

Orthopedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

Valgus slipped capital femoral epiphysis (SCFE) is very infrequent, and it is characterized by a superolateral displacement of the epiphysis on the metaphysis. To date, less than 100 cases of valgus SCFE have been described in the literature. Bilaterality of valgus SCFE is extremely rare, and it presents management challenges to the treating orthopedic surgeons. Read More

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http://dx.doi.org/10.7759/cureus.3598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338410PMC
November 2018
3 Reads

Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries.

Scand J Trauma Resusc Emerg Med 2019 Jan 23;27(1). Epub 2019 Jan 23.

Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

Background: Studies on penetrating injuries in Europe are scarce and often represent data from single institutions. The aim of this study was to describe the incidence and demographic features of patients hospitalized for stab injury in a whole nation.

Materials And Methods: This was a retrospective nationwide population-based study on all consecutive adult patients who were hospitalized in Iceland following knife and machete-related injuries, 2000-2015. Read More

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http://dx.doi.org/10.1186/s13049-018-0582-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343331PMC
January 2019

Treatment strategy for a penetrating stab wound to the vertebral artery: a case report.

Acute Med Surg 2019 Jan 28;6(1):83-86. Epub 2018 Nov 28.

Department of Otorhinolaryngology School of Medicine Hirosaki University Hirosaki Aomori Japan.

Case: Vertebral artery injury is a low-frequency but high-mortality injury. The surgical approach to a bleeding vertebral artery injury is one of the most difficult procedures in trauma surgery.A 64-year-old woman was transported to our emergency department after being stabbed in the middle side of the right neck with a large kitchen knife. Read More

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http://doi.wiley.com/10.1002/ams2.381
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http://dx.doi.org/10.1002/ams2.381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328909PMC
January 2019
8 Reads

Use of Vascularized Myo-Osseous Fibula Free Flap to Reconstruct a Hemimandibular Defect With a Concomitant Skull Defect Arising From Stock Condylar Prosthesis Displacement Into the Middle Cranial Fossa.

J Oral Maxillofac Surg 2018 Dec 12. Epub 2018 Dec 12.

Assistant Professor, Louisiana State University, New Orleans; Oral and Maxillofacial Surgery Department, Louisiana State University School of Dentistry, New Orleans; Director, Head and Neck and Microvascular Reconstruction Fellowship; Oral and Maxillofacial Surgery, LSUHSC School of Dentistry, New Orleans, LA.

Functional reconstruction of the temporomandibular joint (TMJ) is a controversial topic among oral and maxillofacial surgeons; this controversy becomes more complicated when one dives into the dilemma of the ideal reconstructive modality. TMJ defects might result from various etiologies, such as blunt or penetrating traumatic injuries, advanced degenerative joint disease, or various pathologic conditions, including benign and malignant conditions, that might arise from the TMJ or adjacent tissues. Reconstruction of the TMJ is vital because of its essential function in mastication, articulation, speech, and facial esthetics and symmetry. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391183130
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http://dx.doi.org/10.1016/j.joms.2018.12.003DOI Listing
December 2018
6 Reads

Penetrating facial trauma from a Taser barb.

Authors:
F Campbell S Clark

Br J Oral Maxillofac Surg 2019 Jan 3. Epub 2019 Jan 3.

Manchester University NHS Foundation Trust, Manchester Head and Neck Centre, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.

The Taser X26 (Axon) is a conducted energy device that is used by the police forces in the United Kingdom to deliver a high voltage shock that will disable a person. Injuries related to its use are uncommon but can be serious, the extent of the damage caused being related to the structures targeted and the length of deployment of the electrical charge. We describe a 15-year-old boy who had a penetrating midfacial injury after deployment of a Taser, the barb of which became embedded in the subtarsal region of his left cheek. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02664356183068
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http://dx.doi.org/10.1016/j.bjoms.2018.12.009DOI Listing
January 2019
7 Reads

Applications of digital subtraction angiography in the management of penetrating injuries of the maxillofacial region: A case report.

Imaging Sci Dent 2018 Dec 20;48(4):295-300. Epub 2018 Dec 20.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

This report presents a clinical case of trauma due to assault with a knife, and describes the importance of using the correct imaging modality in cases of facial penetrating trauma involving the superficial and deep anatomical planes. Penetrating wounds in the maxillofacial region are rare and poorly reported, but can result in serious complications that are difficult to resolve and may compromise the patient's quality of life, especially when large blood vessels or other vital structures are involved. Thus, it is essential to determine the extent of the affected blood vessels and the proximity of the retained object to the anatomical structures. Read More

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http://dx.doi.org/10.5624/isd.2018.48.4.295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305777PMC
December 2018
1 Read

Urethroplasty for urethral injuries and trauma-related strictures in children and adolescents: a single-institution experience.

J Pediatr Urol 2018 Nov 29. Epub 2018 Nov 29.

Dept. of Urology, Ghent University Hospital, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address:

Introduction: Urethral injuries and trauma-related strictures (UITSs) in children are rare. The treatment is challenging but crucial to avoid life-long urinary complications such as recurrent stricture formation, urinary incontinence, and impotence.

Objective: The aim was to report on the surgical and functional outcome of urethroplasty for UITSs and to provide data on patient-reported outcome measures (PROMs). Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.11.014DOI Listing
November 2018
4 Reads

Nasal blowing induces subcutaneous emphysema post penetrating mastoid tip trauma.

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

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http://dx.doi.org/10.1016/j.ijporl.2018.11.014DOI Listing
February 2019
2 Reads

A Rare Penetrating Trauma of Both Orbit and Nasal Cavity.

Iran J Otorhinolaryngol 2018 Nov;30(101):365-367

Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Introduction: Diagnosis of orbital foreign body (FB) penetration is usually obvious when part of the FB is still attached at the entry wound (1). However, the depth and course of the FB in this case was not visible.

Case Report: A 5-year old female presented with a pencil penetrating the left orbit. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291816PMC
November 2018
1 Read

Distribution characteristics of combat-related shrapnel and relationship to weapon type and conflict location: Experience of an operational field hospital.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):587-593

Department of Radiology, Dr. Aşkım Tüfekçi State Hospital, Adana-Turkey.

Background: The aim of this study was to investigate the characteristics of shrapnel distribution in the body and a possible relationship to the type of weapon and type of location of the conflict.

Methods: The records of 246 patients admitted to a level-III trauma center with any kind of firearm injury were examined retrospectively. Ninety patients who had at least 1 radiologically-proven piece of shrapnel in their body were included in the study. Read More

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http://dx.doi.org/10.5505/tjtes.2018.13402DOI Listing
November 2018
2 Reads

A double jeopardy: transection of the aero-digestive tract after penetrating neck trauma.

Pan Afr Med J 2018;30:185. Epub 2018 Jun 28.

Trauma Unit, Tygerberg Hospital Cape Town, South Africa.

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http://dx.doi.org/10.11604/pamj.2018.30.185.14960DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235508PMC
December 2018
9 Reads

Management of a steel bar injury penetrating the head and neck: a case report and review of the literature.

World Neurosurg 2018 Nov 14. Epub 2018 Nov 14.

Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai, China. Electronic address:

Non-missile penetrating injuries (NMPIs) to the head and neck caused by steel bar are rare and without standard management strategy. We report a case of a 42-years-old female who experienced a steel bar injury penetrating to the head and neck. Computed tomography and three-dimensional reconstruction were applied for preoperative evaluation. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.029DOI Listing
November 2018
9 Reads

Prehospital triage for mass casualty incidents using the META method for early surgical assessment: retrospective validation of a hospital trauma registry.

Eur J Trauma Emerg Surg 2018 Nov 7. Epub 2018 Nov 7.

Unit for Research in Emergency and Disaster, Department of Medicine, Public Health Area, Faculty of Medicine, Universidad de Oviedo, C/ Julián Clavería, 6, 33006, Oviedo, Spain.

Background: In mass casualty incidents (MCI), death usually occurs within the first few hours and thus early transfer to a trauma centre can be crucial in selected cases. However, most triage systems designed to prioritize the transfer to hospital of these patients do not assess the need for surgery, in part due to inconclusive evidence regarding the value of such an assessment. Therefore, the aim of the present study was to evaluate the capacity of a new triage system-the Prehospital Advanced Triage Method (META)-to identify victims who could benefit from urgent surgical assessment in case of MCI. Read More

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http://link.springer.com/10.1007/s00068-018-1040-6
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http://dx.doi.org/10.1007/s00068-018-1040-6DOI Listing
November 2018
9 Reads

Epidemiology of firearm injuries in a Scandinavian trauma center.

Eur J Trauma Emerg Surg 2018 Nov 3. Epub 2018 Nov 3.

Section of Acute and Trauma Surgery, Karolinska University Hospital, Stockholm, Sweden.

Background: There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.

Methods: Retrospective cohort study of all patients (n = 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Read More

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http://link.springer.com/10.1007/s00068-018-1045-1
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http://dx.doi.org/10.1007/s00068-018-1045-1DOI Listing
November 2018
13 Reads

Pediatric Major Vascular Injuries: A 16-Year Institutional Experience From a Combined Adult and Pediatric Trauma Center.

Pediatr Emerg Care 2018 Oct 17. Epub 2018 Oct 17.

From the Division of Trauma, Department of Surgery, and.

Objectives: Vascular injury in pediatric trauma patients is uncommon but associated with a reported mortality greater than 19% in some series. The purpose of this study was to characterize pediatric major vascular injuries (MVIs) and analyze mortality at a high-volume combined adult and pediatric trauma center.

Methods: A retrospective review (January 2000 to May 2016) was conducted of all pediatric (<18 years old) trauma patients who presented with a vascular injury. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001642DOI Listing
October 2018
1 Read

Penetrating shrapnel injury to the chest presenting as a delayed tracheoesophageal fistula (TEF). A case report.

Trauma Case Rep 2018 Oct 26;17:5-8. Epub 2018 Sep 26.

American University of Beirut Medical Center, Department of Surgery, Lebanon.

Tracheo-esophageal fistulae (TEF) due to trauma are rare. We report a case of a delayed TEF caused by a shrapnel from a blast. A 25-year-old male was admitted to the hospital after sustaining a blast injury. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178131PMC
October 2018
3 Reads

Long-term outcomes after pediatric peripheral revascularization secondary to trauma at an urban level I center.

J Vasc Surg 2018 Oct 3. Epub 2018 Oct 3.

Division of Pediatric Surgery, Department of Surgery, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Ind.

Objective: The purpose of this investigation was to determine our limb-related contemporary pediatric revascularization perioperative and follow-up outcomes after major blunt and penetrating trauma.

Methods: A retrospective review was performed of a prospectively maintained pediatric trauma database spanning January 2010 to December 2017 to capture all level I trauma activations that resulted in a peripheral arterial revascularization procedure. All preoperative, intraoperative, and postoperative continuous variables are reported as a mean ± standard deviation; categorical variables are reported as a percentage of the population of interest. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.07.029DOI Listing
October 2018
2 Reads

Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience.

Iran J Otorhinolaryngol 2018 Sep;30(100):283-290

Department of ENT and Head Neck Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, India.

Introduction: Laryngotracheal trauma is a rare life-threatening emergency that requires early identification and immediate intervention. Here, we present 26 patients with laryngotracheal trauma from a tertiary hospital in India. The aim was to describe the clinical presentation and management of laryngotracheal trauma patients. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147270PMC
September 2018
1 Read

Anatomy of the vestibulum esophagi and surgical implications during prosthetic laryngoplasty in horses.

Vet Surg 2018 Oct 19;47(7):942-950. Epub 2018 Sep 19.

Equine Clinic of Grosbois, Boissy St Leger, France.

Objective: To describe the anatomy of the entry to the equine esophagus (vestibulum esophagi) and to assess the risk of penetrating its adventitia and/or lumen during laryngoplasty.

Study Design: Ex vivo cadaveric study.

Sample Population: Five isolated equine larynges and 39 equine head and neck specimens. Read More

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http://dx.doi.org/10.1111/vsu.12944DOI Listing
October 2018
9 Reads
1.041 Impact Factor

Fatal penetrating neck injury due to defective airbag inflator.

Forensic Sci Int 2018 Oct 31;291:e4-e7. Epub 2018 Aug 31.

Forensic Unit, Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Cheras, 56000 Kuala Lumpur, Malaysia. Electronic address:

We present a case of a fatal motor vehicle collision of a 22-year-old car driver, who died at the scene after losing control of his car, and subsequently collided with a tree by the roadside. The subsequent autopsy revealed penetrating injuries on the neck, severing the larynx, carotid artery, jugular vein and fracturing the cervical vertebrae. Internal examination showed the offending material to be a semi-cylindrical metal fragment, which had lodged within the paravertebral muscle. Read More

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http://dx.doi.org/10.1016/j.forsciint.2018.08.038DOI Listing
October 2018
1 Read

Respiratory Pathway and Swallowing Management in a Patient With Epiglottis Loss After Life-Threatening Penetrating Laryngeal Trauma.

Authors:
Suha Ertugrul

J Craniofac Surg 2018 Oct;29(7):1912-1913

Department of Otorhinolaryngology, Karabuk University, Faculty of Medicine, Karabuk, Turkey.

Laryngeal trauma is a rare but potentially life-threatening injury. Damage to larynx structures may occur in forms of a simple contusion, fractures of the laryngeal cartilage, and may even result in laryngotracheal disjunction depending on the ossification level of the larynx and the severity of the trauma. However, in almost all cases, damaged laryngeal tissue is also observed in the trauma area. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005012DOI Listing
October 2018
9 Reads

Use of Telemedicine in Surgical Education: A Seven-Year Experience.

Am Surg 2018 Aug;84(8):1252-1260

Uniformity in surgical education is challenging because surgical experience is based on rotation assignments. With work hour restrictions, the likelihood of residents being exposed to rare or unusual cases is diminished. Telemedicine may create a new learning paradigm for surgical education and supplement exposure for rare or unusual cases. Read More

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August 2018
4 Reads

The Clinical Implications of Adding CT Angiography in the Evaluation of Cervical Spine Fractures: A Propensity-Matched Analysis.

J Bone Joint Surg Am 2018 Sep;100(17):1490-1495

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Background: Advanced-imaging screening for asymptomatic blunt cerebrovascular injury is controversial. Vertebral artery injury (VAI) is most commonly associated with cervical spine fracture, and many guidelines advocate indiscriminate screening for all cervical spine fractures. The purpose of this study was to determine whether the addition of computed tomographic angiography (CTA) results in a change in management for patients with cervical spine fractures. Read More

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http://dx.doi.org/10.2106/JBJS.18.00107DOI Listing
September 2018
8 Reads

Retained Eyeglasses in the Orbital Cavity After Penetrating Facial Trauma.

J Craniofac Surg 2018 Oct;29(7):e679-e680

Department of Otolaryngology-Head and Neck Surgery.

This study describes a 68-year-old man who was presented to the emergency department with left orbital cavity penetration by his eyeglasses. The eyeglasses had entered the orbit and at presentation his eyesight could not be measured. The foreign body was extracted carefully and panfacial bone fractures were then reduced through lateral rhinotomy combined with a lip-splitting incision. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9541
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http://dx.doi.org/10.1097/SCS.0000000000004854DOI Listing
October 2018
25 Reads
0.680 Impact Factor

Penetrating Foreign Bodies in Head and Neck Trauma: A Surgical Challenge.

Craniomaxillofac Trauma Reconstr 2018 Sep 24;11(3):172-182. Epub 2018 Apr 24.

Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Berlin, Germany.

Penetrating foreign bodies of different origins in the head and neck are rare and potentially dangerous injuries, which might pose problems for their detection, primary care, and final treatment. Depending on the severity of the underlying trauma, some injuries present a higher risk for the presence of foreign bodies. Minor wounds, including common lacerations, are likely to be contaminated with loose gravel debris or dental fragments, and need to be distinguished from severe wounds caused by impalement, shootings, stabbings, and explosions. Read More

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http://dx.doi.org/10.1055/s-0038-1642035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078685PMC
September 2018
11 Reads

Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick.

BMJ Case Rep 2018 Jul 24;2018. Epub 2018 Jul 24.

Head and Neck Center, Otorhinolaryngology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Foreign bodies cause a remarkable number of otolaryngological emergency visits and occasionally result in life-threatening conditions and later-emerging complications. Patient recovery depends on the detection and proper extraction of all foreign materials. Despite various obtainable diagnostic tools, adequate anamnesis forms the basis of clinical reasoning and should direct later examinations and radiological imaging. Read More

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http://dx.doi.org/10.1136/bcr-2017-224021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059225PMC
July 2018
1 Read

Endovascular Management of an Acquired Carotid-Jugular Fistula in a Child.

Am J Case Rep 2018 Jul 18;19:839-843. Epub 2018 Jul 18.

Academic Unit of Surgery, University Hospital of South Manchester, Manchester, United Kingdom.

BACKGROUND There is a paucity of published literature on carotid-jugular fistulae in children. These injuries are uncommon in the pediatric age group and most of the current practice in managing such injuries is extrapolated from similar injuries in the adult population. CASE REPORT We report a case of an acquired carotid-jugular fistula (CJF) following penetrating neck trauma in a 12-year-old male, treated by minimally invasive endovascular covered stent. Read More

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http://dx.doi.org/10.12659/AJCR.909937DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066963PMC
July 2018
1 Read

Facing the facts on prophylactic antibiotics for facial fractures: 1 day or less.

J Trauma Acute Care Surg 2018 Sep;85(3):444-450

From the Department of Surgery (B.M.Z., C.W.E., D.E.K., F.J., V.P.H., J.A.C.), MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio.

Background: To evaluate the role of initial prophylactic antibiotics on facial fractures, outcomes were compared between a short course (≤24 hours) of antibiotics to those who received an extended course (>24 hours).

Methods: Adults admitted (2010-2015) to a Level I trauma center intensive care unit with at least one facial bone fracture and major injuries isolated to the head and neck were included. Our primary analysis compared infectious complications of the head or neck (H/N infection) between patients given short or extended courses of antibiotic prophylaxis. Read More

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http://dx.doi.org/10.1097/TA.0000000000002009DOI Listing
September 2018
21 Reads

Traumatic Penetrating Neck Injury with Right Common Carotid Artery Dissection and Stenosis Effectively Managed with Stenting: A Case Report and Review of the Literature.

Case Rep Vasc Med 2018 10;2018:4602743. Epub 2018 Jun 10.

Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang Road, Chengdu, Sichuan 610041, China.

Introduction: Penetrating neck injuries (PNI) are common and associated with arterial and other neuronal injuries. Although many authors have written on penetrating and blunt carotid artery injuries as a result of PNI or traumatic neck injuries, no one has reported a case or case series on PNI that resulted in blunt carotid dissection and stenosis.

Case Presentation: We present a case of 40-year-old building and construction male worker who slipped and fell on an iron rod that resulted in penetrating wound on the right side of the anterior neck a week prior to presenting at our facility. Read More

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http://dx.doi.org/10.1155/2018/4602743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6015681PMC
June 2018
10 Reads

Facial Nerve Injury in Temporomandibular Joint Approaches.

Ann Maxillofac Surg 2018 Jan-Jun;8(1):51-55

Department of Oral and Maxillofacial Surgery, Sri Rajiv Gandhi College of Dental Sciences, Bengaluru, Karnataka, India.

Facial paralysis can be a devastating consequence resulting from blunt and penetrating trauma to the head and neck, as well as surgical injury, either accidental or due to involvement by tumor. In addition, the etiology can be attributed to a variety of other causes, ranging from infectious to metabolic, and is frequently idiopathic in nature. The incidence of facial nerve injury during temporomandibular joint (TMJ) surgeries varies among surgeons. Read More

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http://dx.doi.org/10.4103/ams.ams_200_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018270PMC
July 2018
6 Reads

Utility of CT angiography in screening for traumatic cerebrovascular injury.

Clin Neurol Neurosurg 2018 Sep 21;172:27-30. Epub 2018 Jun 21.

Mallinckrodt Institute of Radiology, Washington University School of Medicine, MO510 S. Kingshighway Boulevard, St. Louis, MO, 63110, United States. Electronic address:

Objective: Computed tomographic angiography (CTA) is increasingly utilized to evaluate for traumatic cerebrovascular injury (TCVI). The purpose of this study was to determine the yield, management effect, and risk of stroke or poor outcome of a positive CTA in a large cohort of trauma patients.

Patients And Methods: A retrospective analysis was performed on 1290 consecutive trauma patients that underwent head and/or neck CTA at our level I trauma center from 2006 to 2015. Read More

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http://dx.doi.org/10.1016/j.clineuro.2018.06.001DOI Listing
September 2018
8 Reads

[The wounds of the neck].

Authors:
D M Mustafaev

Vestn Otorinolaringol 2018;83(3):75-76

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia, 129110.

The author presents his personal observation of a complex wound on the neck treated with a favourable outcome. Prior to the surgical intervention, the efficient intubation was performed by an anesthesiologist through the wound at the frontal surface of the neck which communicated with the cavity of the oropharynx. The revision showed the injury to the superior thyroid artery branching off from the external carotid artery. Read More

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http://dx.doi.org/10.17116/otorino201883375DOI Listing
October 2018
2 Reads

[Precise application of Traditional Chinese Medicine in minimally-invasive techniques].

Authors:
Fu-Hui Dong

Zhongguo Gu Shang 2018 06;31(6):493-496

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China;

The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.06.001DOI Listing
June 2018
7 Reads

Cephalic region war injuries in children: Experience in French NATO hospital in Kabul Afghanistan.

Injury 2018 Sep 9;49(9):1703-1705. Epub 2018 Jun 9.

Military Hospital of Desgenettes, Ophthalmology Department, Lyon, France; French Military Health Service Academy of Val de Grâce, Paris, France.

Backgrounds: The NATO KAIA Hospital (Kabul International Airport), under French command, provided medical support for NATO forces in the Kabul region from 2009 to 2014. Medical assistance to civilians was an additional mission which included support for children who were war injured. The objective of this study was to analyze characteristics of cephalic injuries in children victims of war trauma. Read More

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http://dx.doi.org/10.1016/j.injury.2018.06.013DOI Listing
September 2018
8 Reads

Multidisciplinary surgical management of an unusual penetrating foreign body of the face.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Oct 7;135(5):361-363. Epub 2018 Jun 7.

Institut universitaire de la face et du cou, 31, avenue de Valombrose, 06103 Nice, France.

Introduction: Facial injuries by penetrating foreign body are unusual and require specific multidisciplinary surgical management.

Case Report: This case report concerns a 20-year-old man who experienced a penetrating injury by a piece of wood to the face and describes the surgical approach to remove the wood and repair the injury. The foreign body had penetrated the infratemporal fossa, with an entry wound situated below the right eye and an exit wound in the neck, in contact with the left internal carotid artery. Read More

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http://dx.doi.org/10.1016/j.anorl.2018.05.011DOI Listing
October 2018
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Selective nonoperative management of pharyngoesophageal injuries secondary to penetrating neck trauma: A single-center review of 86 cases.

J Trauma Acute Care Surg 2018 Sep;85(3):541-548

From the Pietermaritzburg Metropolitan Trauma Service, Department of Surgery (A.S.M., G.V.O. J.L.B., W.B., G.L.L., D.L.C.), University of KwaZulu-Natal, Nelson R Mandela School of Medicine, Pietermaritzburg, KwaZulu-Natal, South Africa; and †Department of Surgery (C.D.L.), University of the Witwatersrand, Johannesburg, South Africa.

Background: This article describes our experience with penetrating pharyngoesophageal injuries (PEI) in the light of a selective conservative approach, and has the objective to define criteria for nonoperative management (NOM).

Methods: This retrospective single-center review of patients with penetrating neck injury treated for confirmed PEI over a 6-year period aimed to test our proposed hypothesis that NOM is safe for hemodynamically stable patients with PEI, who have no competing indications for exploration, have no established sepsis, and who have a water-soluble contrast swallow either showing no- or a contained extravasation.

Results: Eighty-six (9%) patients with PEI (oropharynx, 17; hypopharynx, 40; esophagus, 29) of 948 patients with penetrating neck injury were included. Read More

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http://dx.doi.org/10.1097/TA.0000000000001973DOI Listing
September 2018
4 Reads
1.970 Impact Factor

Staged crime scene determination by handling physical and digital evidence: Reports and review of the literature.

Forensic Sci Int 2018 Jul 16;288:236-241. Epub 2018 May 16.

Sezione di Medicina Legale - Università degli Studi di Torino, Italy.

Geberth in 2006 stated that "staging is a conscious criminal action on the part of an offender to thwart an investigation." In the present paper two crime scenes staged by handling digital evidence are reported. The first case involves a 50-year-old woman who had been living with the offender for three years before he murdered her at the end of their relationship. Read More

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http://dx.doi.org/10.1016/j.forsciint.2018.04.050DOI Listing
July 2018
2 Reads

Clindamycin-induced Maculopapular Exanthema with Preferential Involvement of Striae Distensae: A Koebner phenomenon?

Acta Dermatovenerol Croat 2018 Apr;26(1):61-63

Benigno Monteagudo-Sánchez, MD, Hospital Arquitecto Marcide, Avenida Residencia SN , 15405 Ferrol (A Coruńa), A Coruńa, Spain;

Clindamycin is a lincomycin-derived antibiotic useful for the treatment of anaerobic and Gram-positive aerobic bacterial infections. Cutaneous adverse reactions are usually maculopapular exanthemas, although hypersensitivity syndrome, acute generalized exanthematous pustulosis, and Stevens-Johnson syndrome have also been reported (1). We report the case of a patient with a maculopapular rash triggered by clindamycin who developed cutaneous lesions on striae distensae (SD). Read More

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April 2018
21 Reads

A rare case of life-threatening traumatic carotid artery dissection in a child.

Gen Thorac Cardiovasc Surg 2018 May 8. Epub 2018 May 8.

Department of Cardiovascular Surgery, Izmir Tepecik Teaching and Research Hospital, Izmir, Turkey.

Penetrating injuries of the carotid and vertebral arteries are rare, but life-threatening conditions. There are still challenges in the first intervention management and patient treatment. Deciding which methods to apply in the first intervention, whether to perform imaging, and the preferred appropriate treatment for the patient (open surgery or endovascular intervention) plays a main role in the patient's survival without neurological deficit. Read More

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http://dx.doi.org/10.1007/s11748-018-0932-zDOI Listing
May 2018
3 Reads

Bilateral diaphragmatic paralysis after an unusual physical effort.

Respir Med Case Rep 2018 20;23:145-147. Epub 2018 Feb 20.

División Neumonología, Hospital de Clínicas José de San Martín, Córdoba Av. 2351, Buenos Aires, C1120AAR, Argentina.

Diaphragmatic paralysis is an uncommon cause of pulmonary dysfunction and can occur after traumatic phrenic nerve injury. Penetrating and blunt trauma to the neck is the most recognized mechanism of injury being stretching of the nerves very uncommon. We report a case of a 39-year-old man with bilateral diaphragmatic paralysis due to violent stretching of the phrenic nerves. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925953PMC
February 2018
2 Reads

Airway Management in a Patient With Tracheal Disruption due to Penetrating Neck Trauma With Hollow Point Ammunition: A Case Report.

A A Pract 2018 May;10(9):242-245

Department of Otolaryngology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

Rapid sequence induction and intubation was performed for a patient in respiratory distress after a gunshot wound to the neck. Resistance was noted distal to vocal cords. With a bronchoscope unavailable, the endotracheal tube was advanced with a corkscrew maneuver. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000675DOI Listing
May 2018
5 Reads