Pediatric Head and Neck Trauma from All-Terrain Vehicle Accidents

2007 ◽  
Vol 137 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Brian S. Wang ◽  
Stacey L. Smith ◽  
Kevin D. Pereira
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Pediatric Trauma ◽  
Case Series ◽  
Soft Tissue Injuries ◽  
Neck Trauma ◽  
Retrospective Case ◽  
Average Hospital ◽  
Maxillofacial Fractures ◽  
Head And Neck Trauma

OBJECTIVE: To characterize pediatric head and neck trauma from all-terrain vehicles (ATVs) at a single institution. STUDY DESIGN/SETTING: Retrospective case series at a level I pediatric trauma center. RESULTS: Thirty-four patients were admitted: average age was 12 years, with 68% between 12 and 16 years and 32% under 12 years. The patient was the driver in 74% of cases and the passenger in 17% of cases. Driver average age was 12.7 years and passenger average age was 10.5 years. Seventy-six percent of children were not wearing helmets. Average hospital stay was 6 days, with 81% of cases discharged home. Central nervous system injuries were most common, followed by soft tissue injuries. Soft tissue repair was the most frequent procedure, and most maxillofacial fractures required operative intervention. CONCLUSIONS: ATV-related morbidity and mortality in children are significant public health issues amenable to primary prevention by prohibiting passengers on ATVs and requiring helmet use. SIGNIFICANCE: National trends indicate increasing ATV-related injuries in children.

scholarly journals A microsurgical anterior cervical approach and the immediate impact of mechanical retractors: A case control study

2015 ◽  
Vol 6 (03) ◽  
pp. 315-319 ◽  
Author(s):  
Rodrigo Ramos-Zúñiga ◽  
Laura Rocío Díaz-Guzmán ◽  
Shannen Velasquez ◽  
Ana Magdalena Macías-Ornelas ◽  
Martín Rodríguez-Vázquez
Keyword(s):  
Soft Tissue ◽  
Case Control Study ◽  
Case Series ◽  
Soft Tissue Injuries ◽  
Radical Change ◽  
Case Control ◽  
Retrospective Case ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
Control Study

Abstract Introduction: A microsurgical anterior cervical approach with discectomy and fusion (MACDF) is one of the most widely used procedures for treating radicular disorders. This approach is highly successful; however, it is not free from complications. These can be associated with soft tissue injuries. Aim of the Study: The recognition of the risks for these complications should be identified for timely prevention and safe treatment. Materials and Methods: Study Design: Retrospective case control study. This study includes a retrospective case series of 37 patients, paying special attention to immediate complications related to the use of mechanical retraction of soft tissue (dysphagia, dysphonia, esophageal lesions and local hematoma); and a comparative analysis of the outcomes after changes in the retraction method. Results: All selected cases had a positive neurological symptom response in relation to neuropathic pain. Dysphagia and dysphonia were found during the first 72 h in 94.1% of the cases in which automatic mechanical retraction was used for more than one hour during the surgical procedure. A radical change was noted in the reduction of the symptoms after the use of only manual protective blades without automatic mechanical retraction: 5.1% dysphagia and 0% dysphonia in the immediate post-operative period, P = 0.001. Conclusions: Soft tissue damage due to the use of automatic retractors in MACDF is not minor and leads to general discomfort in the patient in spite of good neurological results. These problems most often occur when automatic retractors are used continuously for more than 1 hour, as well as when they are used in multiple levels. Dysphagia, dysphonia and local pain decreased with the use of transient manual blades for retraction, and with intermittent release following minimally invasive principles.

scholarly journals An Overview of Facial and Head and Neck Trauma at Patan Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 15-19
Author(s):  
Namita Shrestha ◽  
Bhawana Dangol ◽  
Ishwor Raj Devkota ◽  
Ajit Nepal ◽  
Deepak Yadav ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Oral Cavity ◽  
Head And Neck ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
X Rays ◽  
Neck Trauma ◽  
Facial Soft Tissue ◽  
Common Mode ◽  
Head And Neck Trauma

Objective: To find out the prevalence of various types of head and neck trauma.Material and Methods: This retrospective study was done in the department of ENT and HNS, Patan Hospital, PAHS. Charts were retrospectively reviewed for total 61 inpatients with a diagnosis suggestive of head and neck trauma from August 2013 to January 2015. Data was collected for  age, sex, address, type of admission (emergency/OPD), mechanism of injury, site of injury , imaging including X-rays/CT scan wherever applicable and results, surgical therapy, type of anesthesia, hospital admission duration, complications, and follow-up and analyzed.Result: Males were common than females (62.3% vs. 37.7%).  Fall was the most common mode of injury (100%) in both pediatric and elderly population and in adults RTA (42.10%) was the most common mode. In the type of injury most common in pediatrics was oral cavity and oropharyngeal injury (47.60%), in adults facial soft tissue injury (STI) and facial fractures (42.10%) were equally common and in geriatrics  it was (100%).Conclusion: Adult males were prone to head and neck trauma mostly sustaining soft tissue injury (STI)  and fractures due to RTA and physical assult. Injury to oral cavity and oropharynx and STI due to fall is common in extreme of ages. Though the management out comes were good and no grave complications were reported in this study.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015 

The tooth as a foreign body in soft tissue after head and neck trauma

Head & Neck ◽  
1989 ◽  
Vol 11 (6) ◽  
pp. 545-549 ◽  
Author(s):  
John R. Houck ◽  
Mark R. Klingensmith
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Head And Neck ◽  
Neck Trauma ◽  
Head And Neck Trauma

CLINICAL CHARACTERISTICS AND TREATMENT OUTCOME OF EPISTAXIS IN HEAD AND NECK TRAUMA

2016 ◽  
pp. 70-76
Author(s):  
Ngoc Si Tran ◽  
Thanh Dang ◽  
Van Dung Phan ◽  
Thanh Thai Le
Keyword(s):  
Treatment Outcome ◽  
Head And Neck ◽  
Clinical Characteristics ◽  
Nasal Packing ◽  
Partial Recovery ◽  
Neck Trauma ◽  
Center Hospital ◽  
Nasal Bleeding ◽  
Head And Neck Trauma ◽  
Embolization Procedure

Objectives: To study clinical characteristics and treatment outcome of epistaxis in head and neck trauma. Methods: A prospective descriptive study of 71 cases of epistaxis managed at Hue Center Hospital and Hue Univesity Hospital from April 2015 to June 2016. Results: Most of bleeding times were at night (59.2%). Unilateral bleeding was seen in almost 72.9% cases. Anterior nasal bleeding was noted in majority of the patients (70.4%), anterior and posterior nasal was 18.3%, posterior nasal was 11.3%. There were three stage: mild (77.5%), moderate (15.5%), severe (7%). Anterior nasal packing (70.4%) were the most common methods, Posterior nasal packing were 25.4%, Local cauterization were 1.4%, Constriction of the blood vessels were 1.4%, Embolization procedure were 1.4%. Complication rate was 8.4% include: fever (5%), pressure necrosis (1.7%), scars (1.7%). The rate of good recovery after treatment was 91.7%, partial recovery was 8.3%. The overall mean of hospital stay was 6,33 ± 5,61 days (range 1 to 36 days). Key words: Epistaxis

scholarly journals Management of head and neck trauma in a developing country

2009 ◽  
Vol 61 (S1) ◽  
pp. 35-43 ◽  
Author(s):  
Kishore Chandra Prasad ◽  
Sampath Chandra Prasad ◽  
S. Vijendra Shenoy ◽  
Abhijith Kumar
Keyword(s):  
Head And Neck ◽  
Developing Country ◽  
Neck Trauma ◽  
Head And Neck Trauma

The Joint Facial and Invasive Neck Trauma (J-FAINT) Project, Iraq and Afghanistan: 2011-2016

2017 ◽  
Vol 157 (4) ◽  
pp. 602-607 ◽  
Author(s):  
Alexander Lanigan ◽  
Brentley Lindsey ◽  
Stephen Maturo ◽  
Joseph Brennan ◽  
Adrienne Laury
Keyword(s):  
Soft Tissue ◽  
Tertiary Care ◽  
Case Series ◽  
Soft Tissue Injuries ◽  
Published Data ◽  
Care Hospital ◽  
Neck Injuries ◽  
Facial Fractures ◽  
Tympanic Membrane Perforations ◽  
Tissue Injuries

Objective Define the number and type of facial and penetrating neck injuries sustained in combat operations in Iraq and Afghanistan from 2011 to 2016. Compare recent injury trends to prior years of modern conflict. Study Design Case series with chart review. Setting Tertiary care hospital. Methods The Joint Theater Trauma Registry (JTTR) was queried for facial and neck injuries from Iraq and Afghanistan from June 2011 to May 2016. Injury patterns, severity, and patient demographics were analyzed and compared to previously published data from combat operations during January 2003 to May 2011. Results A total of 5312 discrete facial and neck injuries among 922 service members were identified. There were 3842 soft tissue injuries (72.3%) of the head/neck and 1469 (27.7%) facial fractures. Soft tissue injuries of the face/cheek (31.4%) and neck/larynx/trachea (18.8%) were most common. The most common facial fractures were of the orbit (26.3%) and maxilla/zygoma (25.1%). Injuries per month were highest in 2011 to 2012 and steadily declined through 2016. The percentage of nonbattle injuries trended up over time, ranging from 14.7% to 65%. Concurrent facial/neck soft tissue trauma or fracture was associated with an overall mortality rate of 2.44%. Comparison of our data to that previously published revealed no statistical difference in concurrent mortality (3.5%-2.2%, P = .053); an increase in orbital fractures ( P < .005), facial nerve injury ( P < .0005), and ear/tympanic membrane perforations ( P < .0005); and a decrease in mandible fractures ( P < .005). Conclusion Penetrating neck and facial injuries remain common in modern warfare. Assessing injury characteristics and trends supports continued improvements in battlefield protection and identifies areas requiring further intervention.

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