181,475 results match your criteria head trauma

Historical evolution of surgical approaches to the face-part III: lower face.

Oral Maxillofac Surg 2021 Apr 17. Epub 2021 Apr 17.

Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky, Lexington, KY, USA.

Surgical approaches to the head and maxillofacial area have been described and modified by many authors throughout history. It was, however, during the nineteenth and twentieth centuries when most of the techniques were described, mainly thanks to the advent of anesthesia and antibiotic therapy. Currently, a myriad of surgical techniques are employed to access the maxillofacial complex, with each of them having advantages and disadvantages. Read More

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The impact of COVID-19 on neurosurgical head trauma referrals and admission at a tertiary neurosurgical centre.

J Clin Neurosci 2021 May 2;87:50-54. Epub 2021 Mar 2.

University of Manchester, Manchester, UK; Department of Neurosurgery, Salford Royal NHS Foundation Trust, Salford, UK.

Background: COVID-19 has greatly impacted surgical specialities throughout the globe leading to a decrease in hospital admissions and referrals. Neurosurgery has seen a great decline in cases including head trauma leading to a negative impact on the development of neurosurgical trainees. The main objective of this study is to the identify changes in neurosurgical referrals, admissions and management during the COVID-19 pandemic. Read More

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Geriatric Trauma.

Emerg Med Clin North Am 2021 May;39(2):257-271

Johns Hopkins University, 1830 E. Monument St, St 6-100, Baltimore, MD 21224, USA. Electronic address: https://twitter.com/koriezinkmd.

Geriatric trauma patients will continue to increase in prevalence as the population ages, and many specific considerations need to be made to provide appropriate care to these patients. This article outlines common presentations of trauma in geriatric patients, with consideration to baseline physiologic function and patterns of injury that may be more prevalent in geriatric populations. Additionally, the article explores specific evidence-based management practices, the significance of trauma team and geriatrician involvement, and disposition decisions. Read More

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Osteopathic Manipulative Treatment to Optimize the Glymphatic Environment in Severe Traumatic Brain Injury Measured With Optic Nerve Sheath Diameter, Intracranial Pressure Monitoring, and Neurological Pupil Index.

Cureus 2021 Mar 11;13(3):e13823. Epub 2021 Mar 11.

Neurosurgery, Arrowhead Regional Medical Center, Colton, USA.

Background Traumatic brain injury (TBI) has a complex pathophysiology that has historically been poorly understood. New evidence on the pathophysiology, molecular biology, and diagnostic studies involved in TBI have shed new light on optimizing rehabilitation and recovery. The goal of this study was to assess the effect of osteopathic manipulative treatment (OMT) on peripheral and central glial lymphatics in patients with severe TBI, brain edema, and elevated intracranial pressure (ICP) by measuring changes in several parameters regularly used in management. Read More

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IgA autoreactivity towards brain enriched and apoptosis regulating proteins in saliva of athletes after acute concussion and subconcussive impacts.

J Neurotrauma 2021 Apr 15. Epub 2021 Apr 15.

George Mason University, 10900 University Blvd. 4E5, Manassas, Virginia, United States, 20110;

The diagnosis and management of concussion is hindered by its diverse clinical presentation and assessment tools reliant upon subjectively-experienced symptoms. The biomechanical threshold of concussion is also not well understood and asymptomatic or 'subconcussive impacts' of variable magnitudes are common in contact sports. Concerns have risen because athletes returning to activity too soon have an increased risk of prolonged recovery or long-term adverse health consequences. Read More

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The Impact of the COVID-19 Pandemic on an Israeli Acute Care Surgery Unit: Fewer Patients, More Disease.

Am Surg 2021 Apr 15:31348211011132. Epub 2021 Apr 15.

Department of General Surgery, 26738Tel-Aviv Sourasky Medical Center, Ichilov Hospital, Tel. Aviv, Israel.

Background: The COVID-19 pandemic has transformed and affected every aspect of health care. Like any catastrophic event, the stress on hospitals to maintain a certain level of function is immense. Acute surgical pathologies cannot be prevented or curtailed; therefore, it is important to understand patterns and outcomes during catastrophes in order to optimize care and organize the health care system. Read More

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Utility of three-dimensional and reformatted head computed tomography images in the evaluation of pediatric abusive head trauma.

Pediatr Radiol 2021 Apr 15. Epub 2021 Apr 15.

Department of Radiology, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham St. Slot 556, Little Rock, AR, 72205, USA.

Skull fractures are common in the pediatric population following head trauma and are estimated to occur post head trauma in 11% of children younger than 2 years. A skull fracture indicates potential underlying intracranial injury and might also help explain the mechanism of injury. Multiple primary and accessory sutures complicate the identification of non-depressed fractures in children younger than 2 years. Read More

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[Extensor digitorum communis split approach combined with loop-plate technique for treatment of ulnar coronoid fracture in terrible triad of elbow].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):420-425

Department of Orthopaedic Trauma, Honghui Hospital Affiliated to Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To explore the effectivenesss of simple lateral extensor digitorum communis (EDC) split approach combined with loop-plate fixation in the treatment of ulnar coronoid fracture in terrible triad of elbow (TTE).

Methods: The clinical data of 60 patients with TTE who met the selection criteria between January 2015 and May 2018 were retrospectively analyzed. There were 48 males and 12 females, aged from 18 to 60 years (mean, 37. Read More

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A cartilage conserving concept of a surgical tracheostomy-introduction and analysis of safety and complications of the Visor-tracheostomy-a retrospective monocentric comparative study over 8 years.

Eur Arch Otorhinolaryngol 2021 Apr 14. Epub 2021 Apr 14.

Department Biometry and Bioinformatics, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany.

Introduction: For decades, surgical tracheostomy using a Bjoerk-flap has been the standard procedure to create a reliable epithelialized tracheostomy in head and neck tumour surgery. This technique is being used as the gold standard approach in every surgical subspecialty. Preparation of the Bjoerk-flap requires splitting one or two tracheal rings, causing potential tracheal instability and tissue trauma. Read More

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Soft Tissue Trauma to the Nose: Management and Special Considerations.

Facial Plast Surg 2021 Apr 14. Epub 2021 Apr 14.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, Massachusetts.

The nose is one of the most common sites of facial injury due to its prominence and anatomical placement. Given its intricate anatomy, function, and high visibility, it also proves to be one of the most complex regions for repair. We provide a review of the management of soft tissue injuries to the nose, including the various reconstructive tools available and adjunctive wound care measures. Read More

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Posttraumatic learning deficits correlate with initial trauma severity and chronic cellular reactions after closed head injury in male mice.

Exp Neurol 2021 Apr 11:113721. Epub 2021 Apr 11.

Department of Neurosurgery, University Hospital of Würzburg, Josef-Schneider-Str. 11, 97080 Würzburg, Germany. Electronic address:

Traumatic brain injury (TBI) is often associated with sustained attention and memory deficits. As persisting neuroinflammation and neurodegeneration may contribute to posttraumatic psychomotor dysfunction, we studied the relationship of brain cellular reactions three months after a weight-drop closed head injury in male mice with posttraumatic learning and memory using automated home-cage monitoring of socially housed mice in IntelliCages as well as tests for locomotor activity, anxiety and forepaw fine motor skills. One month after TBI, deficits in place learning and cognitive flexibility in reverse learning were clearly detectable in IntelliCages and these memory deficits correlated with the initial trauma severity on the functional neuroscore. Read More

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Bilateral neglected posterior dislocation of the shoulder treated by reverse arthroplasty and contralateral osteochondral autograft. A case report.

Trauma Case Rep 2021 Jun 11;33:100455. Epub 2021 Mar 11.

Orthopaedic and Trauma Unit, Hospital "Maggiore della Carità", Novara, Italy.

Bilateral posterior dislocation of the glenohumeral joint is an uncommon event, that can be missed at the initial presentation. We report the case of a 76-year old woman, who suffered a traumatic bilateral posterior dislocation, that was diagnosed three months later. She underwent surgical treatment on both shoulders in a single stage. Read More

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Numerical simulation and analysis of midfacial impacts and traumatic brain injuries.

Ann Transl Med 2021 Mar;9(6):459

Department of Oral and Maxillofacial Surgery, Xinqiao Hospital, Army Military Medical University (Third Military Medical University), Chongqing, China.

Backgrounds: The maxillofacial region is the exposed part of the human body and is susceptible to injury due to the limited protective equipment. Due to anatomic proximity of the maxillofacial skeleton and cranium, the force can be transmitted directly to the brain in case of maxillofacial impact, maxillofacial injuries are often accompanied with craniocerebral trauma. Therefore, it is necessary to study the biomechanical response mechanism of trauma to improve prevention of traumatic brain injury (TBI). Read More

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Localizing a metabolic focus during a functional seizure with fluorodeoxyglucose positron emission tomography-computed tomography.

World J Nucl Med 2021 Jan-Mar;20(1):96-98. Epub 2020 Jun 27.

Department of Psychiatry, Medical University of Vienna, Vienna, Austria.

Traumatic brain injuries can lead to long-term mental seizures that are difficult to differentiate from dissociative psychogenic symptoms, respectively, psychogenic nonepileptic seizures. Recent articles have drawn attention to the need of differentiation of psychological and brain trauma-related symptoms in survivors of violence. This case study reflects a diagnostic step in a 20-year-male who reported to have been subjected to torture, including blunt force to the head 2 years before examination. Read More

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[Perineal pain in Tintin adventures].

G Amarenco

Prog Urol 2021 Apr 10. Epub 2021 Apr 10.

Sorbonne université, GRC 001, GREEN groupe de recherche clinique en neuro-urologie, AP-HP, Hôpital Tenon, 75020 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France.

Aims: To analyze the determinants and severity of perineal pain in the adventures of Tintin and Snowy.

Material And Methods: All 23 adventures of Tintin and Snowy (Hergé, Moulinsart Ed.) were reviewed in order to determine the presence, causes and severity of perineal pain (PP) observed in the various heroes of this comic book. Read More

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Epidemiology of Nasal Bone Fractures.

Facial Plast Surg Aesthet Med 2021 Apr 13. Epub 2021 Apr 13.

New York University Langone Health, Otolaryngology-Head and Neck Surgery, New York, New York, USA.

Although nasal bones are the most common type of facial fracture given their natural projection and vulnerability to trauma, there is a paucity of data on its trends. To report on the trends and costs associated with open and closed nasal bone fractures across the United States. A retrospective analysis from 2006 to 2014 was conducted of the Nationwide Emergency Department Sample by using the International Classification of Disease, Ninth Revision codes for closed and open nasal bone fractures (802. Read More

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A national trauma data bank analysis of large animal-related injuries.

Injury 2021 Mar 12. Epub 2021 Mar 12.

Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Trauma Services, 1500 Red River St, TX 78701, Austin. Electronic address:

Introduction: Large animal-related injuries (LARI) are relatively uncommon, but, nevertheless, a public hazard. The objective of this study was to better understand LARI injury patterns and outcomes.

Materials And Methods: We performed a retrospective review of the 2016 National Trauma Data Bank and used ICD-10 codes to identify patients injured by a large animal. Read More

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[Hypopituitarism after traumatic brain injury].

Rev Med Chil 2020 Dec;148(12):1796-1805

Departamento de Endocrinología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Hypopituitarism after moderate or severe traumatic brain injury (TBI) is usually underdiagnosed and therefore undertreated. Its course can be divided in an acute phase during the first 14 days after TBI with 50 to 80% risk of hypopituitarism, and a chronic phase, beginning three months after the event, with a prevalence of hypopituitarism that ranges from 2 to 70%. Its pathophysiology has been addressed in several studies, suggesting that a vascular injury to the pituitary tissue is the most important mechanism during the acute phase, and an autoimmune one during chronic stages. Read More

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December 2020

Laryngeal Manifestations of Intractable Singultus.

Cureus 2021 Mar 6;13(3):e13730. Epub 2021 Mar 6.

Otolaryngology - Head and Neck Surgery, Mayo Clinic, Jacksonville, USA.

Hiccup is a common phenomenon experienced by almost everyone in life. Although the exact physiology of this phenomenon remains unknown, it is associated with multiple central and peripheral etiologic causes. Vocal fold granulomas are benign laryngeal lesions typically caused by iatrogenic trauma, voice misuse, or chronic irritation. Read More

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Outcomes and Health Care Resource Utilization of Adult Bacterial Meningitis in the United States.

Neurol Clin Pract 2021 Apr;11(2):117-126

Department of Neurosurgery (MK, SEH, SMA, LTC, BP, SPL), Department of Biostatistics and Bioinformatics (BL, H-JL), and Division of Infectious Diseases, Department of Medicine (JRP), Duke University Medical Center, Durham, NC.

Objective: To examine the longitudinal health care resource utilization, in-hospital mortality, and incidence of downstream complications of bacterial meningitis in the United States.

Methods: Using IBM MarketScan, we retrieved data on adult patients with a diagnosis of bacterial meningitis admitted to a US hospital between 2008 and 2015. Patients were stratified into groups (1) with/without prior head trauma/neurosurgical complications, (2) nosocomial/community acquisition, and (3) Gram-negative/positive bacteria. Read More

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The Effect Of Mild Exercise Induced Dehydration On Sport Concussion Assessment Tool 3 (SCAT3) Scores: A within-subjects design.

Int J Sports Phys Ther 2021 Apr 2;16(2):511-517. Epub 2021 Apr 2.

University of Lynchburg.

Background: Sports-related concussions are prevalent in the United States. Various diagnostic tools are utilized in order to monitor deviations from baseline in memory, reaction time, symptoms, and balance. Evidence indicates that dehydration may also alter the results of diagnostic tests. Read More

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A randomized controlled trial comparing McGRATH series 5 videolaryngoscope with the Macintosh laryngoscope for nasotracheal intubation.

J Anaesthesiol Clin Pharmacol 2020 Oct-Dec;36(4):477-482. Epub 2021 Jan 18.

Department of Anaesthesia Critical Care and Pain, Tata Memorial Centre, Dr Ernest Borges Road, Parel, Mumbai, Maharashtra, India.

Background And Aims: The aim of this study was to compare the efficacy of McGRATH series 5 videolaryngoscope (VL) with Macintosh laryngoscope for nasotracheal intubation (NTI) in patients without anticipated difficult airways undergoing head and neck cancer surgeries.

Material And Methods: We randomized 60 adult patients for NTI by experienced anesthetists with either Macintosh laryngoscope or McGRATH series 5 VL (VL group). The primary objective was to compare time taken for intubation (TTI). Read More

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January 2021

Head Over Wheels: Traumatic Head and Neck Injuries Secondary to Mountain Biking.

Ann Otol Rhinol Laryngol 2021 Apr 12:34894211007231. Epub 2021 Apr 12.

Department of Head and Neck Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Objectives: The popularity of mountain biking (MTB) in the United States has risen in recent years. We sought to identify the prevalence and distribution of MTB associated head and neck injuries presenting to emergency departments across the U.S. Read More

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Supplemental oxygen therapy in trauma patients: an exploratory registry-based study.

Acta Anaesthesiol Scand 2021 Apr 11. Epub 2021 Apr 11.

Department of Anesthesia, Center of Head and Orthopedics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Background: Supplemental oxygen (SO) is one of the most commonly administered drugs in trauma patients and is recommended by guidelines. However, evidence supporting uniform administration is sparse, and excess oxygen use has been shown to be harmful in other patient populations. We hypothesized that SO may be harmful in patients with oxygen saturation>97%. Read More

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The acetabular roof reinforcement plate for the treatment of displaced acetabular fractures in the elderly: results in 59 patients.

Arch Orthop Trauma Surg 2021 Apr 11. Epub 2021 Apr 11.

Department of Orthopaedics and Traumatology, Paracelsus Medical University Salzburg, Muellner Hauptstrasse 48, 5020, Salzburg, Austria.

Introduction: Open reduction and internal fixation is considered the gold standard of treatment for displaced acetabular fractures in younger patients. For elderly patients with osteoporotic bone quality, however, primary total hip arthroplasty (THA) with the advantage of immediate postoperative mobilization might be an option. The purpose of this study was to evaluate the clinical and radiological outcomes of surgical treatment of displaced osteoporotic acetabular fractures using the acetabular roof reinforcement plate (ARRP) combined with THA. Read More

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Using deep learning and natural language processing models to detect child physical abuse.

J Pediatr Surg 2021 Mar 18. Epub 2021 Mar 18.

Division of Pediatric Surgery, Children's Hospital Colorado, Aurora, CO, USA; Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

Background: The recognition of child physical abuse can be challenging and often requires a multidisciplinary assessment. Deep learning models, based on clinical characteristics, laboratory studies, and imaging findings, were developed to facilitate unbiased identification of children who may have been abused.

Methods: Level 1 pediatric trauma center registry data from 1/1/2010-1/31/2020 were queried for abused children and matched participants with non-abusive trauma. Read More

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Injury Severity, Arrival Physiology, Coagulopathy, and Outcomes Among the Youngest Trauma Patients.

J Surg Res 2021 Apr 7;264:236-241. Epub 2021 Apr 7.

Department of Pediatric Surgery, Houston, Texas; Center for Surgical Trials and Evidence-based Practice, the McGovern Medical School at The University of Texas-Houston, Houston, Texas. Electronic address:

Background: Although physiologic differences exist between younger and older children, pediatric trauma analyses are weighted toward older patients. Trauma-induced coagulopathy, determined by rapid thrombelastography (rTEG), is a predictor of outcome in trauma patients, but the significance of rTEG values among very young trauma patients remains unknown. Our objective was to identify the prehospital or physiologic factors, including rTEG values, that were associated with mortality in trauma patients younger than 5 y old. Read More

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Utility of the Marshall & Rotterdam Classification Scores in Predicting Outcomes in Trauma Patients.

J Surg Res 2021 Apr 7;264:194-198. Epub 2021 Apr 7.

Department of Surgery, Division of Trauma and Acute Care Surgery, Kendall Regional Medical Center, Miami, Florida; Department of Surgery, University of South Florida, Tampa, Florida.

Background: Traumatic Brain Injury (TBI) is a leading cause of mortality in the trauma population. Accurate prognosis remains a challenge. Two common Computed Tomography (CT)-based prognostic models include the Marshall Classification and the Rotterdam CT Score. Read More

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Outcome of revision surgery for adverse local tissue reactions in patients with recalled total hip arthroplasty.

Arch Orthop Trauma Surg 2021 Apr 9. Epub 2021 Apr 9.

Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.

Introduction: Recalls of total hip arthroplasty (THA) implants, including metal-on-metal (MoM) THA and dual taper stems, due to increased risk of adverse local tissue reaction (ALTR), represent a challenge for both surgeons and patients. This study aims to analyze the revision surgery outcomes for ALTR in patients with recalled THA implants.

Methods: A total of 118 consecutive patients who underwent revision surgery due to ALTR with recalled THA were analyzed. Read More

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Endonasal resection of orbital cavernous venous malformations with septal preservation.

Am J Otolaryngol 2021 Apr 5:103021. Epub 2021 Apr 5.

Department of Otolaryngology - Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA. Electronic address:

Purpose: Multiple surgical approaches have been described to maximize visualization and accessibility for resection while minimizing morbidity in the patient with orbital intraconal tumors. Transnasal endoscopic approaches have become increasingly standard in select orbital cavernous venous malformations but often require a partial septectomy. The purpose of this manuscript is to communicate a septal preserving modified transseptal approach. Read More

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