keyword
https://read.qxmd.com/read/38283411/successful-reconstruction-of-severe-traumatic-scalp-defect-with-exposed-bones-in-a-6-year-old-boy-a-case-report
#21
Erdo P Sidarta, Elric B Malelak, Robertus A Datusanantyo, Christopher Lauren, Sri Maliawan
Full-thickness scalp defect reconstruction is considered challenging for the surgeon. The goal of this procedure is to provide coverage of the calvarium. Scalp defect needs thorough and careful planning in reconstruction, not only in choosing the best closure strategy but also in post-operative care. We report a case of successful reconstruction of traumatic severe scalp and bone loss using local scalp flap in a 6-year-old trauma patient. Free flap reconstruction should be considered in such a defect. However, limited resources prevented us to do so...
January 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38281701/reconstruction-of-the-orbitozygomatic-framework-state-of-the-art-and-perspectives
#22
JOURNAL ARTICLE
Ségolène Reiss, Dimitri Kulker, Boris Laure, Arnaud Paré
The reconstruction of the whole orbitozygomatic framework (OZF) is complex and can be encountered in cases of congenital midface deformity, after tumor ablative surgery and in severe facial trauma. Nowadays, surgeon has a wide range of available techniques that have continually grown over the past years, optimizing the surgical management and the aesthetical outcomes. Among them, the autologous bone graft (ABG) remains one of the most suitable options : ABG is easy to harvest and has optimal biological properties for bone healing...
January 26, 2024: Journal of Stomatology, Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38269714/deep-learning-for-midfacial-fracture-detection-in-ct-images
#23
JOURNAL ARTICLE
Kritsasith Warin, Sothana Vicharueang, Patcharapon Jantana, Wasit Limprasert, Bhornsawan Thanathornwong, Siriwan Suebnukarn
This study deploys the deep learning-based object detection algorithms to detect midfacial fractures in computed tomography (CT) images. The object detection models were created using faster R-CNN and RetinaNet from 2,000 CT images. The best detection model, faster R-CNN, yielded an average precision of 0.79 and an area under the curve (AUC) of 0.80. In conclusion, faster R-CNN model has good potential for detecting midfacial fractures in CT images.
January 25, 2024: Studies in Health Technology and Informatics
https://read.qxmd.com/read/38234434/features-and-networks-of-the-mandible-on-computed-tomography
#24
JOURNAL ARTICLE
Tuan D Pham, Simon B Holmes, Mangala Patel, Paul Coulthard
The mandible or lower jaw is the largest and hardest bone in the human facial skeleton. Fractures of the mandible are reported to be a common facial trauma in emergency medicine and gaining insights into mandibular morphology in different facial types can be helpful for trauma treatment. Furthermore, features of the mandible play an important role in forensics and anthropology for identifying gender and individuals. Thus, discovering hidden information of the mandible can benefit interdisciplinary research...
January 2024: Royal Society Open Science
https://read.qxmd.com/read/38227636/orbital-fat-herniation-through-inferior-orbital-fissure-and-persistent-diplopia-caused-by-facial-trauma
#25
JOURNAL ARTICLE
Ryo Kitai, Kou Fujisawa, Shiho Ueno
Orbital fat herniation is often accompanied by orbital floor fractures. Furthermore, herniation through the inferior orbital fissure (IOF) is rare, and its pathophysiology remains largely unknown. Here, the authors report a case of a patient with IOF herniation and diplopia caused by orbital trauma. The patient was a 58-year-old male who had undergone reduction of a left zygomatic fracture 15 years previously; however, reduction of the lateral orbital wall displacement was not performed at that time. The patient presented with refractory diplopia following a sports-related orbital injury...
January 15, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38191125/risk-factors-for-pediatric-facial-trauma-in-an-appalachian-region-an-epidemiological-review-at-a-single-institution
#26
JOURNAL ARTICLE
Andrew J Deek, Devin J Clegg, Rebecca A Deek, Caleb Blackburn, Christopher A Scott, Tyler Holley, Jack E Gotcher
BACKGROUND: Rural and low-income pediatric populations are at higher risk for trauma. Craniomaxillofacial (CMF) trauma in this population has not been studied. PURPOSE: This study's purpose was to determine if rural populations or low-income populations are at higher risk for pediatric CMF trauma than urban or high-income populations, respectively, and to determine differences in mechanisms of injury (MOI). STUDY DESIGN, SETTING, SAMPLE: A retrospective cohort study of CMF trauma patients younger than 17 years-old, living in the region served by one institution in Tennessee, and requiring oral and maxillofacial surgery consultation between January 2011 and December 2022 was performed...
December 26, 2023: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38187024/periorbital-emphysema-due-to-traumatic-pneumothorax
#27
José Pedro Manata, Mariana Moniz Ramos, Tetiana Baiherych, Martim Alçada, João Matos Costa
Periorbital emphysema is rare and associated with facial trauma. Its main distinguishing feature is crepitation on palpation of the edema. It resolves spontaneously in a few days, but there are cases of orbital compartment syndrome that can lead to loss of vision. Here we present the case of a 55-year-old male who came to the emergency department for bilateral periorbital edema associated with non-steroidal anti-inflammatory drug (NSAID) usage, for pain following a fall from a ladder. He was treated with antihistamines and corticosteroids, for presumed allergic reaction, but without response, and subsequently developed acute onset dyspnea...
January 2024: Curēus
https://read.qxmd.com/read/38161067/facial-trauma-transfers-taking-the-lead
#28
JOURNAL ARTICLE
Nicholas O'Sick, Brian C Drolet, Michael S Golinko, Edward Ellis, Matthew E Pontell
No abstract text is available yet for this article.
January 2024: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38132427/prosthetic-oral-rehabilitation-with-cad-cam-suprastructures-in-patients-with-severe-tissue-deficits-a-case-series
#29
JOURNAL ARTICLE
Marisa Laurila, Pilvi Mäntynen, Jari Mauno, Juho Suojanen
This article presents the outcomes of prosthetic oral rehabilitation using CAD/CAM telescopic bar overdentures in patients with oral cancer ( n = 3), severe facial trauma ( n = 2), or various syndromes ( n = 1), all suffering from severe tissue deficits and requiring complex and comprehensive oral rehabilitation. The aim was to assess the durability and functionality of implant-retained prosthetic structures, ensuring easy oral hygiene and minimizing specialized follow-up needs. The data for this study were sourced from a retrospective cohort at Helsinki University Hospital...
December 13, 2023: Dentistry Journal
https://read.qxmd.com/read/38129827/indications-and-use-of-cone-beam-computed-tomography-in-children-and-young-individuals-in-a-university-based-dental-hospital
#30
JOURNAL ARTICLE
Rovshan Ismayılov, Beste Özgür
BACKGROUND: The aim of this study was to evaluate the indications of cone beam computed tomography (CBCT) in children and young individuals in a university-based dental hospital and their association with age, gender and field of view. METHODS: 7131 CBCT scans, taken during 3-year period, were reviewed and a total of 649 pediatric patients (0-18 years) with complete request forms were included. Data related to gender, age, referring department, CBCT indications, field of view (FOV), region of interest (ROI), need for re-exposure and patients received more than one CBCT examination were recorded...
December 21, 2023: BMC Oral Health
https://read.qxmd.com/read/38105875/primary-free-flaps-for-coverage-and-reconstruction-in-acute-facial-trauma
#31
JOURNAL ARTICLE
Parvati Ravula, Srikanth R, Pathan Subhan Khan, Rambabu Nuvvula, Rajesh Yellinedi
Background  Acute facial trauma in motor vehicle accident defects may be associated with skeletal, neuromuscular, or mucosal losses. Simultaneous repair of the critical structures in these defects mandates the use of flap cover; paucity of local tissues necessitates the use of free skin flaps. Materials and Methods  Six free flap reconstructions for acute facial trauma defects over a 10-year period were reviewed. The defect location, associated injuries, flap choice, additional reconstructive procedures, and flap outcomes were analyzed...
December 2023: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://read.qxmd.com/read/38101139/time-to-operation-delays-and-in-hospital-complications-in-operative-facial-trauma-a-national-analysis
#32
JOURNAL ARTICLE
Rahul K Sharma, Niketna Vivek, Shiayin F Yang, Scott J Stephan, Priyesh N Patel
BACKGROUND: Management of facial fractures is variable. Understanding how time to operative management impacts outcomes can help standardize practice. METHODS: Retrospective analysis of the ACS Trauma Quality Improvement Program (TQIP) database between 2016 and 2019. Adult patients with operative facial fractures were isolated by ICD-10 procedure codes, and further stratified by fracture location, including the mandible, orbit, maxilla, zygoma, and frontal bone...
December 8, 2023: American Journal of Otolaryngology
https://read.qxmd.com/read/38078284/temporal-artery-pseudoaneurysm-in-a-pediatric-patient
#33
Gowri Gowda, Donald Mendoza, Amanda Tullos, Jessica Zagory, Malachi Sheahan
Superficial temporal artery pseudoaneurysms are an uncommon vascular pathology that can present after head or facial trauma. Furthermore, they are rarely reported in the pediatric population. Ultrasound can be a useful tool in the diagnosis because it is easily accessible and can be rapidly acquired. We report a case that demonstrates the utility of ultrasound in the diagnosis of a superficial temporal artery pseudoaneurysm.
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38046747/age-effects-in-facial-fracture-trauma-disparities-in-multisystem-injuries-in-non-fall-related-trauma
#34
JOURNAL ARTICLE
Joseph Boscia, Heather X Rhodes, Thomas Sanders, Saptarshi Biswas
Background and objective Facial fractures represent a growing concern among an aging population prone to falls. In light of this, this study aimed to investigate differential facial fracture patterns and outcomes based on age effects. Determining the differences between the severity and type of facial fractures in populations of different ages will help guide clinical decision-making when managing patients with facial fractures. Methods This was a single-center study involving trauma registry data, from July 1, 2016, to January 31, 2022...
November 2023: Curēus
https://read.qxmd.com/read/38026484/application-possibilities-of-artificial-intelligence-in-facial-vascularized-composite-allotransplantation-a-narrative-review
#35
REVIEW
Leonard Knoedler, Samuel Knoedler, Omar Allam, Katya Remy, Maximilian Miragall, Ali-Farid Safi, Michael Alfertshofer, Bohdan Pomahac, Martin Kauke-Navarro
Facial vascularized composite allotransplantation (FVCA) is an emerging field of reconstructive surgery that represents a dogmatic shift in the surgical treatment of patients with severe facial disfigurements. While conventional reconstructive strategies were previously considered the goldstandard for patients with devastating facial trauma, FVCA has demonstrated promising short- and long-term outcomes. Yet, there remain several obstacles that complicate the integration of FVCA procedures into the standard workflow for facial trauma patients...
2023: Frontiers in Surgery
https://read.qxmd.com/read/38022114/morpho-volumetric-changes-of-the-pharyngeal-airway-with-traumatic-maxillofacial-injuries-a-retrospective-radiographic-study
#36
JOURNAL ARTICLE
Muath S Alassaf, Hamza K Khan, Osama A Habib, Ayyob E Aboalkhair, Hasan A Albeshir, Mahmood M Samman
BACKGROUND: When dealing with traumatized patients, it is crucial to prioritize securing their airway. However, intubating someone who has sustained significant facial injuries can pose difficulties, as the narrow and altered shape of their upper airway may impede their ability to open their mouth. In light of this, the purpose of this study is to evaluate the volumetric and morphological alterations to the upper airway resulting from facial trauma by utilizing computed tomography (CT) scans...
October 2023: Curēus
https://read.qxmd.com/read/38022074/decreasing-lens-irradiation-on-brain-imaging-a-multi-ct-scanner-quality-improvement-project
#37
JOURNAL ARTICLE
Berk Abay, James C Sankeshwar, Hussein Kamel
AIMS: Cataracts, a leading global cause of blindness, are associated with ionising radiation exposure. This audit aimed to enhance lens exclusion during non-contrast head computed tomography (CT) scans at Newham University Hospital (NUH) using two CT scanners. METHODS: A retrospective audit of non-contrast head CT scans at NUH excluded scans for trauma and imaging of orbital structures. A one-week audit in April 2023 assessed lens exclusion, compared to the Royal College of Radiologists (RCR) standards...
October 2023: Curēus
https://read.qxmd.com/read/38012957/can-a-point-of-care-3d-printing-workflow-produce-accurate-and-successful-results-for-craniomaxillofacial-trauma
#38
JOURNAL ARTICLE
Jeffrey S Marschall, Mark A Oppenheim, George M Kushner
BACKGROUND: Computer-aided design and manufacturing (CAD/CAM) is having a profound impact on craniomaxillofacial surgery, and point-of-care (POC) solutions for repairing facial trauma are starting to emerge. PURPOSE: The purpose of this study was to demonstrate the success and accuracy of a POC 3D printing workflow for craniomaxillofacial trauma. STUDY DESIGN, SETTING, SAMPLE: A retrospective cohort study was undertaken to analyze subjects presenting to a level 1 trauma center after sustaining facial trauma and were then treated using the POC 3D printing workflow...
November 10, 2023: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38006474/are-severity-and-location-of-facial-trauma-risk-factors-for-cervical-spine-injuries-10-year-analysis-based-on-the-use-of-the-ao-spine-injury-classification-and-the-comprehensive-facial-injury-cfi-score
#39
JOURNAL ARTICLE
G Canzi, E De Ponti, A Spota, G Mangini, E De Simone, S P B Cioffi, M Altomare, R Bini, F Virdis, S Cimbanassi, O Chiara, D Sozzi, G Novelli
PURPOSE: This study aims to demonstrate a correlation between cervical spine injury and location and severity of facial trauma. METHODS: We did a 10-year retrospective analysis of prospectively collected patients with at least one facial and/or cervical spine injury. We classified facial injuries using the Comprehensive Facial Injury (CFI) score, and stratified patients into mild (CFI < 4), moderate (4 ≤ CFI < 10) and severe facial trauma (CFI ≥ 10)...
November 25, 2023: European Spine Journal
https://read.qxmd.com/read/37995450/targeting-safety-exploring-trends-and-risk-factors-in-pediatric-head-and-neck-bb-gun-injuries-and-hospitalization
#40
JOURNAL ARTICLE
Thomas L Haupt, Earl H Harley
OBJECTIVE: To examine head and neck injuries caused by BB (Ball Bearing) guns treated in US emergency departments among children under 18 to identify trends in injury frequency over time and risk factors associated with severe injuries leading to hospital admission. METHODS: This retrospective study utilized data from the National Electronic Injury Surveillance System (NEISS), a single database, to analyze head and neck injuries caused by BB guns between 1993 and 2019...
November 9, 2023: International Journal of Pediatric Otorhinolaryngology
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