keyword
https://read.qxmd.com/read/38527728/epidemiology-of-craniomaxillofacial-fractures-over-a-5-year-period-at-a-midwestern-level-1-trauma-center-serving-a-large-rural-population
#1
JOURNAL ARTICLE
Shreya Rangarajan, Ethan W Chen, Mai Nguyen, Deepak Lakshmipathy, Knika Sethi, Jonathan Bailey
BACKGROUND: Though the epidemiology of craniomaxillofacial (CMF) fractures has been well documented at urban hospitals, the characteristics of these fractures in rural hospitals have not been well studied. PURPOSE: The purpose of this study is to report on the epidemiology of CMF fractures at a regional Level 1 trauma center serving a large rural population in central Illinois. STUDY DESIGN, SETTING, SAMPLE: This is a retrospective cohort study at a community-based regional tertiary referral center that serves a predominantly rural population...
March 6, 2024: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38511475/virtual-reality-and-mixed-reality-assisted-endoscopic-dcr-in-extremely-complex-lacrimal-obstructions
#2
JOURNAL ARTICLE
Rafal Nowak, Izabela Nowak-Gospodarowicz, Marek Rękas, Mohammad J Ali
OBJECTIVE: To report the techniques and outcomes of virtual reality (VR) and mixed reality (MR)-assisted powered endoscopic dacryocystorhinostomy (DCR) in extremely complex lacrimal drainage obstructions. METHODS: A prospective, non-randomized clinical study was performed in complex syndromic congenital nasolacrimal duct obstruction (CNLDO) and post-traumatic secondary acquired lacrimal duct obstruction (SALDO) in the setting of Le Fort fractures. All patients underwent preoperative planning in VR and intraoperative planning with a step ahead with MR assistance during the surgery...
March 21, 2024: Laryngoscope
https://read.qxmd.com/read/38494759/injury-of-the-hyoid-bone-as-a-rare-complication-in-cervical-spine-rehabilitation-a-case-report
#3
JOURNAL ARTICLE
Anna Bohdziewicz, Julia Wisniewska, Karolina Dzaman, Karolina Piskadlo-Zborowska, Marzena Kubiczek-Jagielska
Neck pain is a common reason for primary care visits, and its differential diagnosis should consider various conditions. The reported incidence of hyoid bone fractures is extremely low, accounting for only 0.002% of all fractures. The most common causes of hyoid bone fractures include strangulation attempts and motor vehicle accidents. We report a case of an uncommon complication of manual therapy of the cervical spine. A 76-year-old woman complained of neck pain that worsened during speaking and swallowing, originating from a neck physiotherapy session...
March 17, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38468675/massive-bilateral-paraclinoidal-subdural-empyema-and-parenchymal-temporopolar-abscess-with-anatomical-infection-pathway-in-a-chronic-inhaling-cocaine-addicted-patient-a-case-report-and-literature-review
#4
Giuseppe Corazzelli, Sergio Corvino, Giulio Di Noto, Cristiana Germano, Simona Buonamassa, Salvatore Di Colandrea, Raffaele de Falco, Antonio Bocchetti
BACKGROUND: Focal suppurative bacterial infections of the central nervous system (CNS), such as subdural empyemas and brain abscesses, can occur when bacteria enter the CNS through sinus fractures, head injuries, surgical treatment, or hematogenous spreading. Chronic cocaine inhalation abuse has been linked to intracranial focal suppurative bacterial infections, which can affect neural and meningeal structures. CASE DESCRIPTION: We present the case of a patient who developed a cocaine-induced midline destructive lesion, a vast bilateral paraclinoidal subdural empyema, and intracerebral right temporopolar abscess due to cocaine inhalation abuse...
2024: Surgical Neurology International
https://read.qxmd.com/read/38452143/factors-influencing-olfactory-function-in-an-adult-general-population-sample-the-chris-study
#5
JOURNAL ARTICLE
Martin Gögele, David Emmert, Christian Fuchsberger, Johannes Frasnelli
The sense of smell allows for the assessment of the chemical composition of volatiles in our environment. Different factors are associated with reduced olfactory function, including age, sex, as well as health and lifestyle conditions. However, most studies that aimed at identifying the variables that drive olfactory function in the population suffered from methodological weaknesses differences in study designs and participant selection, such as the inclusion of convenience sample or only of certain age groups, or recruitment biases...
March 7, 2024: Chemical Senses
https://read.qxmd.com/read/38440457/nasal-bone-fracture-reduction-under-local-anaesthesia-a-holistic-approach-to-nasal-blocks-and-a-comparison-with-general-anaesthesia
#6
JOURNAL ARTICLE
Sonali Jana, Ruma Guha, Kumar Shankar De, Biswajit Adhikari, Prithvi Das
To compare the pain scores in closed reduction of nasal bone fractures under local anaesthesia (LA) and general anaesthesia (GA), and to outline the blocks that should be used for the same based on their nerve supply. A prospective study was conducted with 40 patients with Class 1 and 2 nasal bone and septal fracture. 20 patients underwent the procedure under LA and 20 under GA. The local blocks that should be used based on the complete nerve supply of the nose has been tabulated. Pain scores were recorded immediately after the procedure and 6 h later...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38425847/nasal-osteotomies-revisited-in-asians-surface-aesthetics-anatomical-and-technical-considerations
#7
JOURNAL ARTICLE
Jae-Yong Jeong, Taek-Kyun Kim, Inhoe Ku, Bakhtiyor Najmiddinov
Background  Although osteotomy is commonly performed in rhinoplasty, it is difficult for less experienced surgeon to understand mechanism of the procedure. The primary goal of this study is to improve understanding of nasal osteotomy in Asians by considering the surface aesthetics and anatomy of the nose as well as their relationships with the surgical procedure. Methods  Surface aesthetics, anatomic considerations, kinetics of medial and lateral osteotomy, fracture levels of osteotomy were discussed in detail by reviewing the previous publications and 18 years of our experience...
January 2024: Archives of Plastic Surgery
https://read.qxmd.com/read/38385032/traumatic-tension-pneumocephalus-a-case-report-and-perspective-from-indonesia
#8
Alphadenti Harlyjoy, Michael Nathaniel, Aryandhito Widhi Nugroho, Kevin Gunawan
Traumatic tension pneumocephalus is a rare and life-threatening complication of traumatic brain injury necessitating prompt diagnosis and neurosurgical treatment. Nevertheless, various possibilities for impedance in timely management, including patient-related barriers are commonly experienced in low-and middle-income countries setting. Here we presented a delay of management in traumatic tension pneumocephalus case due to initial refusal for emergency surgery. A 59-year-old male presented to the emergency department following a motorcycle accident fully alert with no neurological deficit...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38370987/evaluating-the-appropriateness-of-ent-emergency-clinic-referrals-to-enhance-the-quality-of-healthcare-provision-in-the-national-health-service-nhs
#9
JOURNAL ARTICLE
Abubaker Elamin, Amena Al Saad, Giridharan Wijayasingam, Wai Sum Cho
Background Ear, Nose, and Throat (ENT) services in the National Health Service (NHS) face escalating pressure, exacerbated by the COVID-19 pandemic, resulting in prolonged waiting times and increased referrals. Understanding the factors driving pressure on ENT services is crucial for enhancing patient care and resource allocation. Methods A retrospective single-centre cohort study was conducted at Queen's Medical Centre, Nottingham, UK, over five weeks. A total of 156 referrals to the ENT Emergency Clinic (E-Clinic) were analyzed, assessing the appropriateness of referrals and healthcare professionals' involvement in reviewing cases...
January 2024: Curēus
https://read.qxmd.com/read/38348522/the-aetiology-of-maxillofacial-trauma-in-australia-a-scoping-review
#10
JOURNAL ARTICLE
Ssr Pabbati, P Thomson, D Sharma, S Bhandari
BACKGROUND: The oral and maxillofacial complex is subject to a range of traumas. Injuries to the region are devastating and have a great impact on social health outcomes. This review intends to investigate the aetiologies of maxillofacial trauma across Australia. METHODS: This review was written in accordance with the PRISMA-ScR. Comprehensive searches of CINAHL, MEDLINE, Ovid, Scopus, and Web of Science databases were conducted to identify potentially relevant literature...
February 13, 2024: Australian Dental Journal
https://read.qxmd.com/read/38343050/study-on-improved-computed-tomography-scanning-parameters-for-patients-with-nasal-bone-fracture-based-on-itk-three-dimensional-labelling
#11
JOURNAL ARTICLE
Lei Yang, Cun Yang, Guo-Dong Gao, Ying Li, Liang Li, Xue-Fang Han, Jin-Hui Dong
OBJECTIVE: To investigate the influence of improved exposure parameters on the image quality of multi-slice spiral computed tomography in nasal bone fracture imaging. METHODS: Fifty patients with optimised parameters combined with coronal scanning were allocated to the modified group and 50 patients with routine scanning parameters to the routine group. The image quality and nasal bone display of the two groups were assessed and statistically analysed, and the quality of scanned images before and after parameter optimisation was compared...
February 9, 2024: Current medical imaging
https://read.qxmd.com/read/38332706/management-of-frontal-sinus-fractures-requiring-surgical-intervention-an-analysis-of-a-case-series
#12
JOURNAL ARTICLE
Maciej J Wróbel, Łukasz Kluczyński
<b><br>Introduction:</b> Isolated frontal bone fractures constitute 5-15% of traumatic facial fractures cases, with frontal sinus fractures categorized into anterior wall, posterior wall, or complex fractures. The approach is tailored to fracture type and bone fragment displacement. This paper presents the summary of surgical management in patients with isolated and complex fractures of the anterior wall of the frontal sinus.</br> <b><br>Material and Methods:</b> Five patients with different frontal sinus fractures were treated surgically...
February 29, 2024: Otolaryngologia Polska
https://read.qxmd.com/read/38312985/injury-to-the-submandibular-duct-and-secondary-fibrosis-causing-sialocele-an-unusual-complication-of-submental-intubation
#13
Nidhi Bhatia, Tarush Gupta, Sourabha Patro, S P S Aswin Ram, Dias Queenie Valerian, Kajal Jain
Maxillofacial fractures with the nasal/skull base fractures may preclude nasotracheal intubation, and oro-tracheal intubation may obstruct surgical access. In these cases, submental intubation is a safe and well-accepted alternative, associated with low morbidity and complication rate. We report a case of one such rare complication, wherein following submental intubation, the patient presented with a sublingual sialocele, associated with dilatation of the submandibular duct with surrounding fibrosis. The secondary sublingual sialocele we encountered could have been due to errors in the technique of submental intubation...
February 2024: Journal of Maxillofacial and Oral Surgery
https://read.qxmd.com/read/38294297/development-of-ai-based-diagnostic-algorithm-for-nasal-bone-fracture-using-deep-learning
#14
JOURNAL ARTICLE
Yeonjin Jeong, Chanho Jeong, Kun-Yong Sung, Gwiseong Moon, Jinsoo Lim
Facial bone fractures are relatively common, with the nasal bone the most frequently fractured facial bone. Computed tomography is the gold standard for diagnosing such fractures. Most nasal bone fractures can be treated using a closed reduction. However, delayed diagnosis may cause nasal deformity or other complications that are difficult and expensive to treat. In this study, the authors developed an algorithm for diagnosing nasal fractures by learning computed tomography images of facial bones with artificial intelligence through deep learning...
January 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38292496/does-performing-manipulation-of-nasal-bones-under-local-anaesthetic-beyond-two-weeks-after-injury-affect-outcomes-a-prospective-study-during-the-sars-cov-2-pandemic
#15
JOURNAL ARTICLE
J Smith, K O'Doherty, B Hanna
INTRODUCTION: ENTUK guidelines recommend that manipulation of nasal bones (MNB) should be performed within 14 days of injury. However, evidence suggests treatment under general anaesthetic remains effective up to 5 weeks after injury. With the SARS-CoV-2 pandemic leading to delays in referral and limited access to theatre, local practice changed to offer delayed MNB under local anaesthetic. This prospective study assesses the effectiveness of MNB delayed until 3 weeks or later from time of injury when performed mostly under local anaesthetic...
January 2024: Ulster Medical Journal
https://read.qxmd.com/read/38285991/facial-anthropometric-analysis-of-gender-related-characteristics-in-computed-tomography
#16
JOURNAL ARTICLE
Guan-Jie Luo, Pang-Yun Chou, Chih-Hao Chen
BACKGROUND: In recent years, facial feminization surgery (FFS) has gained increasing popularity because of increases in transgender individuals and the acceptance of diversity in gender identity. However, there is still a scarcity of anthropometric research to guide evidence-based practices for FFS in Taiwan. AIM AND OBJECTIVES: The purpose of this study was to provide a reference for surgeons to achieve optimal outcomes for patients undergoing FFS. The anthropometric analysis could help surgeons meet patients' specific requirements and improve patients' alignment with their gender identity...
January 1, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38253375/nasal-fractures
#17
JOURNAL ARTICLE
Jess Rhee, Sheena Belisle, Julie Strychowsky
No abstract text is available yet for this article.
January 21, 2024: Canadian Medical Association Journal: CMAJ
https://read.qxmd.com/read/38241620/orbital-trapdoor-fracture-with-extraocular-muscle-entrapment-in-adults-a-case-series
#18
JOURNAL ARTICLE
Hidetaka Miyazaki, Steffani Krista Someda, Tatsuro Yokoyama, Aric Vaidya, Hirohiko Kakizaki, Yasuhiro Takahashi
PURPOSE: To report adult patients with an orbital trapdoor fracture with extraocular muscle entrapment. METHODS: We retrospectively reviewed 566 adult patients (>18 years) with a pure orbital fracture who were referred to us from January 2016 to May 2023. The following data were collected: age, sex, affected side, causes of injury, concomitant ocular injury and nasal bone fracture, presence or absence of oculocardiac reflex and infraorbital nerve hypesthesia, period from injury to surgery, follow-up period, and pre- and postoperative limitation of extraocular muscle motility and fields of a binocular single vision...
January 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38234950/synergic-difficulties-in-an-anticipated-physiologically-and-anatomically-difficult-airway-in-a-trauma-patient-a-case-report
#19
Patrícia Martins Lima, Mariana Adams, Sérgio G Pinto, Carlos Mexedo
The American Society of Anesthesiologists (ASA) defines a difficult airway as a clinical situation in which a physician who is trained in anesthesiology experiences difficulty or fails in either face mask ventilation, laryngoscopy, using a supraglottic airway, tracheal intubation, extubation, or front-of-neck airway. Classically, this has been defined in relation to anatomic factors, but the concept of a physiologically difficult airway has been growing in relevance, in which physiologic factors, such as hypoxemia and hypercapnia, act to reduce safe apnea times...
December 2023: Curēus
https://read.qxmd.com/read/38176761/clinical-characteristics-of-pediatric-nasal-bone-fractures-by-age-group
#20
JOURNAL ARTICLE
Jun Woo Kim, Dong Gil Han
BACKGROUND: The clinical characteristics of pediatric nasal fractures can vary depending on the child's age, social activities, and environment. Therefore, this study aimed to analyze these characteristics in different age groups. METHODS: We retrospectively reviewed of a series of patients aged under 12 years who received treatment between 2013 and 2021. The initial study design involved dividing the patients into four age groups, corresponding to different developmental ages, but there were no cases in infants aged 0 to 1 year...
December 2023: Archives of Craniofacial Surgery
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