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"Facial Trauma"

Alexander M Mozeika, Devika Sachdev, Rijul Asri, Nicole Farber, Boris Paskhover
PURPOSE: Medical error in the United States carries substantial economic and safety costs, which manifest in a large number of malpractice suits filed each year. The aim of this study was to characterize the various sociologic and medical factors that influence malpractice suits occurring from cases of facial trauma. MATERIALS AND METHODS: This retrospective cohort study examined defendant data from facial trauma malpractice cases extracted from the Westlaw database, a database composed of representative federal litigations...
January 15, 2019: Journal of Oral and Maxillofacial Surgery
Debraj Howlader, Hari Ram, Shadab Mohammad, Vibha Singh, Jagdish Gamit, Rubin S John
PURPOSE: The optimal treatment for adult mandibular condylar fractures (MCFs) has largely shifted in favor of open reduction and rigid internal fixation. However, a sizeable portion of these injuries are still being treated in a closed manner based on old literature, convenience, results deemed acceptable, and lesser associated morbidity. Most MCFs with multiple associated facial traumas are appropriately treated under general anesthesia (GA). However, some selected isolated MCFs or those with minimal associated mandibular or low midfacial fractures can be treated optimally with patients under local anesthesia following a protocol presented in this article, thus expediting and simplifying their management...
January 14, 2019: Journal of Oral and Maxillofacial Surgery
Amit Frenkel, Yair Binyamin, Vladimir Zeldetz, Leonid Koyfman, Moti Klein, Evgeni Brotfain
Pneumomediastinum (PNMD) entails the presence of air or other gas in the mediastinum and is also known as mediastinal emphysema. PNMD may cause a wide variety of signs and symptoms, as well as ECG abnormality, including ST segment changes. We present a 56-year-old man admitted to our hospital after a facial trauma. After undergoing tracheostomy, he complained of chest discomfort. A chest X-ray in the posteroanterior view showed PNMD, and an ECG was suggestive of inferior-lateral wall myocardial infarction. An urgent cardiac catheterisation identified a critical obstruction at the origin of the right coronary artery...
February 6, 2019: BMJ Case Reports
Patrick J Louis, Anthony B Morlandt
For the 75th anniversary of the Journal of Oral and Maxillofacial Surgery, the authors were asked to review the past and examine advancements in the management of facial trauma. Several important advances in the management of maxillofacial trauma have resulted in improved outcomes. These include the development of high-resolution computed tomography, improved classification schemes, rigid fixation techniques, improved biomaterials, soft tissue resuspension, and primary bone grafting. Further advances in outcomes have occurred with the use of microsurgical techniques, free tissue transfer techniques, virtual surgical planning, endoscopic techniques, and surgical navigation...
November 2018: Journal of Oral and Maxillofacial Surgery
Jia-Ruei Yang, Chang-Fu Kuo, Ting-Ting Chung, Han-Tsung Liao
OBJECTIVE: The role of maxillofacial trauma in dementia risk is less well established. The aim of this study was to evaluate the association between craniofacial trauma, including facial bone fracture and TBI, and dementia. METHODS: Using Taiwan's National Health Insurance Research Database, we identified 501,889 adults, who had had at least one medical record of craniofacial trauma between 2000 and 2010 and did not have a dementia diagnosis at baseline. Diagnoses of craniofacial trauma, including facial bone fracture and TBI, and dementia were made using ICD-9 codes...
February 1, 2019: World Neurosurgery
Gabriele Canzi, Elena De Ponti, Giorgio Novelli, Fabio Mazzoleni, Osvaldo Chiara, Alberto Bozzetti, Davide Sozzi
At the time of writing there is no measuring scale for the severity of facial trauma that can effectively summarize its clinical relevance, and can therefore be proposed as a definitive tool in trauma center decision making. This paper introduces a new, simple, comprehensive, and reproducible score for facial trauma, in which its severity is expressed in relation to the surgical duration necessary for definitive treatment. This parameter is identified as the most significant in expressing the commitment of care required...
January 18, 2019: Journal of Cranio-maxillo-facial Surgery
Patrick R Keller, Steven Schneeberger, Brian C Drolet, Salam Al Kassis, F Bennett Pearce, Galen Perdikis
INTRODUCTION: Facial trauma is common and carries significant morbidity and cost. Suboptimal interdisciplinary communication is associated with negative health outcomes. This study evaluates the clinical impact of implementation of American College of Surgeons Trauma Quality Improvement Program (TQIP) interdisciplinary communication guidelines between facial surgery and trauma teams. METHODS: Patients with facial trauma presenting to our level 1 trauma center between May and December 2017 were included (N = 812) and split into 3 groups, each anonymously representing a service that treats facial trauma...
January 28, 2019: Annals of Plastic Surgery
Adekunle Elegbede, Sara Mermulla, Silviu C Diaconu, Colton McNichols, Yuanyuan Liang, Fan Liang, Yvonne M Rasko, Michael P Grant, Arthur J Nam
Background: There is a paucity of patient-reported outcome measures for facial trauma reconstruction. To measure satisfaction and health-related quality of life (HRQOL), following repair of traumatic facial fractures, we used the FACE-Q, a set of patient-reported outcome instruments designed for aesthetic facial surgery. As a step toward validating the scales for facial trauma, we evaluated their reliability. Methods: This is a prospective study of patients following primary repair of traumatic facial fractures at a level 1 trauma center from 2016 to 2018...
December 2018: Plastic and Reconstructive Surgery. Global Open
Dario Bertossi, Irene Dell'Acqua, Massimo Albanese, Pierpaolo Marchetti, Pierfrancesco Nocini
Background: The bad outcomes of a facial trauma could have a strongly negative psychological impact and compromise patient's quality of life. Unfortunately, surgery cannot always solve this problem or give an acceptable result. Objectives: Aesthetic medicine treatments with injectables may provide a solution that is minimally invasive and more accepted by the patients in improving bad outcomes after facial trauma. Methods: This retrospective study involved 50 patients (29 men, 21 women) who underwent primary surgery to treat facial trauma from January 2015 to January 2017...
January 14, 2019: Aesthetic Surgery Journal
I Chen, Chia-Ming Chang, Michael Yuan-Chien Chen, Kwei-Jing Chen
Dislocation of the mandibular condyle is one of several consequences of facial trauma that can be anticipated. The condylar neck is inherently weak and likely to fracture at the time of impact before dislocating into the middle cranial fossa. A review of the literature revealed that most cases of dislocation of the mandibular condyle into the middle cranial fossa are treated by open reduction and internal fixation via an extraoral approach or are treated conservatively with closed reduction. An intraoral approach is rare...
January 7, 2019: Journal of the Formosan Medical Association, Taiwan Yi Zhi
Omar Mufi Aldwsari, Khalid Hadi Aldosari, Musab Khader Alzahrani, Zaid Ali Alzahrani, Abdulrahman Hamoud Alanazi, Khalid Mansour Alkhathlan, Mohammad Ghormallah Alzahrani, Ali Hazzaa Alzahrani, Sameer Al-Ghamdi
Background: Every minute, an accident occurs in Saudi Arabia, causing 39,000 injuries and 7,000 deaths annually. Facial trauma or maxillofacial trauma (MFT) is a frequent presentation of road traffic accidents (RTAs), ranging from simple nasal fractures to gross or severe maxillofacial injuries. Methods: A total number of 237 patients were included in this prospective study from May 2013 to January 2018. The following medical details were recorded for each case, gender, age, fracture location, the presence of scalp laceration, the presence of brain damage, type of brain damage, shock degree, Glasgow Coma Scale (GCS), number of units used for blood transfusions for documentation of patient survival rate...
November 2018: Journal of Family Medicine and Primary Care
F Campbell, S Clark
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...
January 3, 2019: British Journal of Oral & Maxillofacial Surgery
Wanderley da Silva Félix Junior, Marina Fanderuff, Thiago Vinicius Rodrigues Reis, Nelson Luis Barbosa Rebellato, Rafaela Scariot, Leandro Eduardo Klüppel
The mandibular fracture takes the second position among facial bones fractures, with significant increase of cases in the last years. The aim of this paper is to report a clinical case of a patient with facial trauma due to an automotive accident, resulting in an atypical fracture in a unilateral mandibular angle. In the image examinations an atypical favorable fracture in the right mandibular angle region involving the apex of the erupted 48 tooth was found. The fracture line started in the posterior region of mandibular ramus, below mandibular condyle, and spread out until inferior border of the mandible in premolar region...
December 28, 2018: Journal of Craniofacial Surgery
Emily Ambrose, Mofiyinfolu Sokoya, Marcia Eustaquio
Pseudoaneurysms are a known complication following facial trauma and orthognathic surgery. Few reports exist of this clinical entity following traditional open techniques of repair, and none have been associated with endoscopic-assisted open reduction and internal fixation (ORIF) of a subcondylar fracture. We present a case of a 33-year-old man who developed pseudoaneurysm after endoscopic-assisted ORIF as well as a review of the literature on this topic. While uncommon, this is a potential complication that should be recognized with the use of endoscopic-assisted repair of mandibular fractures...
December 2018: Craniomaxillofacial Trauma & Reconstruction
Bonifacio Oliquino Buño, Franz Marie Cruz
An otherwise healthy, 11-year-old boy presented with a long-standing history of right eye esotropia associated with a right head turn. Following a mild blunt facial trauma, he was brought to an ophthalmologist for binocular horizontal diplopia. Cranial CT scan revealed a large, enhancing lesion in the right cavernous sinus. Neuro-ophthalmological evaluation showed abduction deficit of the right eye, right corneal anaesthesia, right upper lid ptosis and a smaller right pupil suggesting involvement of the intracavernous segments of the right abducens nerve, ophthalmic nerve and oculosympathetic fibres...
November 28, 2018: BMJ Case Reports
Brian J Christensen, Andrew G Chapple, Brett J King
PURPOSE: Surgeons treating facial trauma are faced with a dilemma: Fracture healing requires a tremendous energy expenditure, yet the treatments for mandibular fractures commonly include dietary limitations. Despite this, almost no studies have attempted to quantify the effect of fracture treatments on patient weight. The purposes of this study were to quantify the effect that mandibular fractures and their treatment have on a patient's weight and to identify risk factors associated with an increased change in weight...
November 15, 2018: Journal of Oral and Maxillofacial Surgery
Joab Cabral Ramos, Mirla Lays Dantas de Almeida, Yan Carlos Gomes de Alencar, Luís Ferreira de Sousa Filho, Camila Helena Machado da Costa Figueiredo, Manuella Santos Carneiro Almeida
OBJECTIVE: to study the epidemiological data of patients suffering from buccomaxillofacial trauma treated at a referral hospital in the State of Paraíba. METHODS: we conducted a cross-sectional study of inductive approach, with a comparative statistical procedure and research technique by field direct documentation. The sample comprised hospital records obtained from January 2016 to December 2017 of patients attended by the Service of Buccomaxillofacial Surgery and Traumatology of this hospital, and consisted of 332 patients according to the study's eligibility criteria...
November 29, 2018: Revista do Colégio Brasileiro de Cirurgiões
Christopher David Jones, Weiguang Ho, Eilidh Gunn, Daniel Widdowson, Hilal Bahia
INTRODUCTION: Electronic cigarettes (EC) have been reported to be associated with burns secondary to explosions of the device or battery, or contact from overheating, resulting in flame, contact or chemical burns. In addition to this, there have also been reported cases of soft tissue and bony trauma with or without associated burns. Using collective evidence, this review aims to summarise all reported burns associated with ECs, and its implications on immediate management with a particular focus on surgical treatment...
November 12, 2018: Burns: Journal of the International Society for Burn Injuries
Guillaume Giran, Hélios Bertin, Carine Koudougou, Florent Sury, Benjamin Croisé, Boris Laure
Less-lethal weapon are more and more used in law enforcement to neutralize combative individuals and to disperse riot crowds. Even if this type of weapon has been created to be less damaging than classical firearms, it has been incriminated many times in cases of facial injuries with functional consequences, even death. In many countries, these guns can be possessed by average citizens. They could be extremely harmful when handled by inexperienced users and cannot be considered solely as defense weapons. Interestingly, little literature is available concerning facial injuries caused by the less-lethal weapons...
November 12, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Sang Min Lee, Jin-A Baek, Yongsoo Kim
PURPOSE: Extra-articular temporomandibular bony ankylosis between the zygomatic bone and coronoid process is a rare condition. Currently, there are fewer than 40 cases reported in the English-language literature. The aim of this study was to report a case of zygomatico-coronoid ankylosis with surgical intervention and a literature review. MATERIALS AND METHODS: Through a PubMed search from 1946 to February 2018, using the terms ("extra-capsular" OR "zygomatico-coronoid" OR "extra-articular") AND ("ankylosis"), 61 articles were initially identified...
October 18, 2018: Journal of Oral and Maxillofacial Surgery
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