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.

Role of Camouflage in Management of Facial Trauma Deformities

2017 ◽  
Vol 33 (06) ◽  
pp. 643-652
Author(s):  
Oliver Chin ◽  
Travis Tollefson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Tissue Contraction ◽  
Tissue Injuries

AbstractFacial fractures and soft tissue injuries around the eyes, nose, and mouth can be difficult to manage in the primary setting, but if untreated, the secondary correction of facial trauma is very challenging. Prevention of soft tissue contraction by restoring the skeletal framework is ideal. Staged, individualized camouflage techniques can be effective in improving outcomes.

scholarly journals MANAGEMENT OF SOFT TISSUE INJURIES – CASE SERIES

2015 ◽  
Vol 05 (01) ◽  
pp. 079-082
Author(s):  
Muralee Mohan ◽  
B Rajendra Prasad ◽  
S M Sharma ◽  
Tripthi Shetty ◽  
Priyadharsana P S.
Keyword(s):  
Soft Tissue ◽  
Composite Structures ◽  
Subcutaneous Tissue ◽  
Case Series ◽  
Soft Tissue Injuries ◽  
Tissue Handling ◽  
Aesthetic Sense ◽  
Life Threatening ◽  
Tissue Injuries ◽  
And Function

AbstractSoft tissue injuries, whether isolated or in combination with other injuries, are amongst the most common traumatic craniofacial injuries encountered in our day to day practice.Soft tissue injuries may involve the skin, subcutaneous tissue, underlying muscle or a combination of any of these elements. Although rarely life-threatening, the treatment of these injuries can be complex and may have significant impact on the patients' facial aesthetics and function. Hence one should know the “do's and don'ts”.Disfigurement following trauma, has a detrimental effect on the victim's personality and future. Therefore such cases should be most appropriately managed with thorough knowledge of applied anatomy, an aesthetic sense and meticulous tissue handling, along with surgical skills to repair composite structures.

scholarly journals RECONSTRUCTION OF UPPER LIMB SOFT TISSUE INJURIES, EXCEPT FOR FINGERTIPS LESIONS

2021 ◽  
Vol 29 (2) ◽  
pp. 81-86
Author(s):  
CARLOS ALBERTO EGUEZ JELSKI ◽  
GUSTAVO BALADORE SZENDLER ◽  
CRISTINA SCHMITT CAVALHEIRO ◽  
LUIZ ANGELO VIEIRA ◽  
EDIE BENEDITO CAETANO
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Case Series ◽  
Soft Tissue Injuries ◽  
Free Flaps ◽  
Fasciocutaneous Flaps ◽  
Muscle Flaps ◽  
Reconstructive Procedures ◽  
Advantages And Disadvantages ◽  
Tissue Injuries

ABSTRACT Objective: The main purpose of this work was to evaluate the advantages and disadvantages of reconstructive procedures applied in upper limb soft tissue injuries according to their location. Methods: The study involved 94 male and 22 female patients (116 total) operated between April 2001 and November 2017 due to traumatic injuries in a upper limb. Individuals were evaluated considering their age, sex, etiology, reconstruction area , applied methodology and complications. The finger injuries were excluded. Results: The performed reconstruction procedures include 29 skin grafts; six advancement flaps; seven rotation flaps; 33 pedicled fasciocutaneous flaps, 9 free fasciocutaneous flaps; 5 pedicled muscle flaps; 12 free muscle flaps, three pedicled musculocutaneous flaps; one free musculocutaneous flap; 11 neurovascular free flaps. Conclusion: Reconstructive procedures in the upper limbs are diverse, varying from skin grafting to free flaps. The indication of the best option depends on the type of injurie and the surgeon. The final goal is to reach the best functional result combined with the lowest possible morbidity. Level of Evidence IV, Case series.

Management of Maxillofacial and Neck Soft-Tissue Injuries

1989 ◽  
Vol 8 (1) ◽  
pp. 11-23
Author(s):  
Michael J. White ◽  
Peter C. Johnson ◽  
Frederick R. Heckler
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

MR Imaging of Tibial Plateau Fractures: Evaluation of Fracture Types and Associated Soft Tissue Injuries

1997 ◽  
Vol 36 (5) ◽  
pp. 867
Author(s):  
Geon Lee ◽  
Chan Heo ◽  
Yong Jo Kim ◽  
Hyeok Po Kwon ◽  
Jung Hyeok Kwon ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Mr Imaging ◽  
Tibial Plateau ◽  
Soft Tissue Injuries ◽  
Tibial Plateau Fractures ◽  
Tissue Injuries ◽  
Fracture Types

Features of soft tissue injuries in elderly patients with shoulder dislocation

2019 ◽  
Vol 17 (1) ◽  
pp. 108-111
Author(s):  
A. A. Makovsky ◽  
◽  
G. V. Fedoruk ◽  
A. P. Stepanchenko ◽  
◽  
...  
Keyword(s):  
Soft Tissue ◽  
Elderly Patients ◽  
Shoulder Dislocation ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

Interventions for preventing soft-tissue injuries of the knee

2014 ◽  
Author(s):  
Davide Susta ◽  
Dónal P O'Mathúna ◽  
Michael Parkinson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

Interventions for preventing soft-tissue injuries of the knee

2010 ◽  
Author(s):  
Davide Susta ◽  
Dónal P O'Mathúna ◽  
Michael Parkinson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

scholarly journals Providing safe care for patients in the coronavirus disease 2019 (COVID-19) era: A case series evaluating risk for hospital-associated COVID-19

2021 ◽  
pp. 1-7
Author(s):  
Elizabeth B. Habermann ◽  
Aaron J. Tande ◽  
Benjamin D. Pollock ◽  
Matthew R. Neville ◽  
Henry H. Ting ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Tertiary Care ◽  
Case Series ◽  
Adult Patients ◽  
Care Hospital ◽  
Strict Adherence ◽  
Large Tertiary Care ◽  
Healthcare Associated ◽  
Serology Testing ◽  
Pcr Test

Abstract Objective: We evaluated the risk of patients contracting coronavirus disease 2019 (COVID-19) during their hospital stay to inform the safety of hospitalization for a non–COVID-19 indication during this pandemic. Methods: A case series of adult patients hospitalized for 2 or more nights from May 15 to June 15, 2020 at large tertiary-care hospital in the midwestern United States was reviewed. All patients were screened at admission with the severe acute respiratory coronavirus virus 2 (SARS-CoV-2) polymerase chain reaction (PCR) test. Selected adult patients were also tested by IgG serology. After dismissal, patients with negative serology and PCR at admission were asked to undergo repeat serologic testing at 14–21 days after discharge. The primary outcome was healthcare-associated COVID-19 defined as a new positive SARS-CoV-2 PCR test on or after day 4 of hospital stay or within 7 days of hospital dismissal, or seroconversion in patients previously established as seronegative. Results: Of the 2,068 eligible adult patients, 1,778 (86.0%) completed admission PCR testing, while 1,339 (64.7%) also completed admission serology testing. Of the 1,310 (97.8%) who were both PCR and seronegative, 445 (34.0%) repeated postdischarge serology testing. No healthcare-associated COVID-19 cases were detected during the study period. Of 1,310 eligible PCR and seronegative adults, no patients tested PCR positive during hospital admission (95% confidence interval [CI], 0.0%–0.3%). Of the 445 (34.0%) who completed postdischarge serology testing, no patients seroconverted (0.0%; 95% CI, 0.0%–0.9%). Conclusion: We found low likelihood of hospital-associated COVID-19 with strict adherence to universal masking, physical distancing, and hand hygiene along with limited visitors and screening of admissions with PCR.

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