scholarly journals Nasal Fractures: The Role of Primary Reduction and Secondary Revision

2019 ◽  
Vol 35 (06) ◽  
pp. 590-601 ◽  
Author(s):  
Weitao Wang ◽  
Thomas Lee ◽  
Scott Kohlert ◽  
Sameep Kadakia ◽  
Yadranko Ducic
Keyword(s):  
Rigid Fixation ◽  
Open Rhinoplasty ◽  
Facial Skeleton ◽  
Acute Setting ◽  
Nasal Bones ◽  
Secondary Deformity ◽  
Primary Reduction ◽  
Nasal Trauma ◽  
Nasal Fractures

AbstractThe nasal bones are among the most commonly fractured bones in the facial skeleton. Proper management of nasal trauma acutely is important in minimizing secondary deformities and impaired function with nasal airway obstruction. Septal hematoma, if present, should be drained right away. Acutely closed nasal reduction and limited septoplasty can be performed. Unrecognized septal fracture may play a role in the failure of closed nasal reduction of fractured nasal bones. Complex nasoorbitoethmoid fractures are approached openly and treated with rigid fixation. Primary use of open rhinoplasty in an acute setting is debated, and there are no clearly accepted indications for timing, patient selection, and surgical technique. However, open septorhinoplasty is more commonly used in a delayed fashion to provide definitive correction of any residual cosmetic or functional problems. Recent algorithms provide a systematic approach to nasal trauma and may improve secondary deformity rates following closed reduction.

Functional Role of Scroll Reconstruction in Open Rhinoplasty

2021 ◽  
Author(s):  
Arin Ozturk ◽  
Suleyman Eroglu ◽  
Timur Batmaz ◽  
A. Emre İlhan ◽  
Sercan Gode
Keyword(s):  
Functional Role ◽  
Open Rhinoplasty

Dental Findings in Parents of Children with Cleft Lip and Palate

1996 ◽  
Vol 33 (5) ◽  
pp. 436-439 ◽  
Author(s):  
Peter J. Anderson ◽  
Anthony L.H., Moss
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Normal Population ◽  
Permanent Teeth ◽  
Dental Anomalies ◽  
Facial Skeleton ◽  
Missing Teeth ◽  
Congenitally Missing Teeth ◽  
Congenitally Missing

The incidence of dental abnormalities in the cleft lip and palate population has been reported to be much higher than in the normal population. The role of genes in the production of a cleft lip and palate, and dental anomalies is thought to be complex, with autosomal dominant, recessive, and x-linked genes all playing a role. Noncleft parents can carry some of the cleft lip and palate genes, which produce clinically subtle manifestations in their facial skeleton. The purpose of this study was to look for evidence of increased dental anomalies in the non-cleft parents of cleft lip and palate children. The dentitions of the parents of 60 children with different types of cleft lip and palate were examined prospectively to see whether or not they exhibited features found more readily in the cleft lip and palate rather than did the normal population. Their dentitions were studied to record the following dental features: congenitally missing teeth, supernumerary teeth, or morphologic changes of the crowns of the permanent teeth. The number and position of any frenal attachments were also recorded. The results of this study did not show any differences in incidence of dental anomalies from the noncleft population. There was no evidence to support the hypothesis that congenital absence of lateral incisors is a microform of cleft lip and palate. Further, these results also failed to reveal any consistent pattern in the number and position of frenal attachments.

scholarly journals Intra-operative application of ultrasonoghaphy (USG) for reduction of zygomatic arch fracture

2021 ◽  
Author(s):  
Pradeep Acharya
Keyword(s):  
Zygomatic Arch ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
High Incidence ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Zygomatic arch fractures are the most common facial fractures or second in frequency after the nasal fractures. The high incidence of zygomatic fractures probably relates to its prominent position in the facial skeleton hence it is frequently exposed to fractures.

scholarly journals Role of ultrasound in the evaluation of first-trimester pregnancies in the acute setting

2020 ◽  
Vol 39 (2) ◽  
pp. 178-189
Author(s):  
Venkatesh A. Murugan ◽  
Bryan O’Sullivan Murphy ◽  
Carolyn Dupuis ◽  
Alan Goldstein ◽  
Young H. Kim
Keyword(s):  
First Trimester ◽  
Acute Setting

Nasal fractures in children: influence on the development of the nose

1985 ◽  
Vol 99 (8) ◽  
pp. 735-739 ◽  
Author(s):  
Luisa F. Grymer ◽  
Carolina Gutierrez ◽  
Poul Stoksted
Keyword(s):  
Closed Reduction ◽  
Control Group ◽  
Fracture Group ◽  
Fractures In Children ◽  
Nasal Trauma ◽  
Nasal Fractures ◽  
Functional Complaints

SummaryFifty-seven patients between the ages of zero and 16 years, treated for nasal fractures during childhood by means of closed reduction, have been subjected to follow-up examination after development of the nose has ceased. These patients have been compared to a control group of 50 persons without any known nasal trauma. No difference was found between the two groups with regard to functional complaints, but deviations of the osseous and cartilaginous pyramid, humps and sáddle formations, as well as spine formations and deviations of the septum, were particularly prevalent in the fracture group. Crista formation and angulation were found to be equally frequent in both groups. The findings are discussed.

scholarly journals The role of ADAMTS13 testing in the diagnosis and management of thrombotic microangiopathies and thrombosis

Blood ◽  
2018 ◽  
Vol 132 (9) ◽  
pp. 903-910 ◽  
Author(s):  
Camila Masias ◽  
Spero R. Cataland
Keyword(s):  
Thrombotic Microangiopathies ◽  
Acute Setting ◽  
Artery Disease ◽  
A Disintegrin And Metalloproteinase ◽  
Von Willebrand ◽  
Willebrand Factor ◽  
Deficient Activity

Abstract ADAMTS13 (a disintegrin and metalloproteinase with thrombospondin type 1 motif, 13) is a metalloprotease responsible for cleavage of ultra-large von Willebrand factor (VWF) multimers. Severely deficient activity of the protease can trigger an acute episode of thrombotic thrombocytopenic purpura (TTP). Our understanding of the pathophysiology of TTP has allowed us to grasp the important role of ADAMTS13 in other thrombotic microangiopathies (TMAs) and thrombotic disorders, such as ischemic stroke and coronary artery disease. Through its action on VWF, ADAMTS13 can have prothrombotic and proinflammatory properties, not only when its activity is severely deficient, but also when it is only moderately low. Here, we will discuss the biology of ADAMTS13 and the different assays developed to evaluate its function in the context of TTP, in the acute setting and during follow-up. We will also discuss the latest evidence regarding the role of ADAMTS13 in other TMAs, stroke, and cardiovascular disease. This information will be useful for clinicians not only when evaluating patients who present with microangiopathic hemolytic anemia and thrombocytopenia, but also when making clinical decisions regarding the follow-up of patients with TTP.

scholarly journals Role of the Neurosurgeon in Acute Ischemic Stroke Treatment From Triage to Intensive Care Unit

Neurosurgery ◽  
2019 ◽  
Vol 85 (suppl_1) ◽  
pp. S47-S51
Author(s):  
Kimberly P Kicielinski ◽  
Christopher S Ogilvy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Mechanical Thrombectomy ◽  
Stroke Care ◽  
Stroke Patients ◽  
Acute Setting ◽  
Stroke Treatment

Abstract As ischemic stroke care advances with more patients eligible for mechanical thrombectomy, so too does the role of the neurosurgeon in these patients. Neurosurgeons are an important member of the team from triage through the intensive care unit. This paper explores current research and insights on the contributions of neurosurgeons in care of acute ischemic stroke patients in the acute setting.

Intracranial complications of sinusitis: what is the role of endoscopic sinus surgery in the acute setting

2010 ◽  
Vol 31 (1) ◽  
pp. 25-28 ◽  
Author(s):  
John M. DelGaudio ◽  
Seth H. Evans ◽  
Steven E. Sobol ◽  
Shatul L. Parikh
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Acute Setting ◽  
Intracranial Complications

scholarly journals External Fixation of Unstable, “Flail” Nasal Fractures

2012 ◽  
Vol 5 (2) ◽  
pp. 99-105 ◽  
Author(s):  
George E. Anastassov ◽  
Ali Payami ◽  
Zain Manji
Keyword(s):  
External Fixation ◽  
Closed Reduction ◽  
Nasal Septum ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Facial Fractures ◽  
Kirschner Wires ◽  
Nasal Bones ◽  
External Stabilization ◽  
Nasal Fractures

Nasal bone fractures are the most common among facial fractures. Usually these are adequately treated with closed reduction and internal and/or external stabilization with splints. However, there are clinical situations where the nasal bones are severely displaced, the nasal septum fractured and displaced, or there are external drape lacerations which preclude the use of nasal splints. If the nasal bones are reducible but unstable we consider them “flail” and in this case transmucosal, endonasal Kirschner wires are used for dorsal support until sufficient healing occurs. The technique is simple, quick, and predictable and causes minimal discomfort to the patients.

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