scholarly journals Case Report: Facial injury due to a firearm projectile in a Brazilian adolescent

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1729
Author(s):  
Alessandro Leite Cavalcanti ◽  
Lunna Farias ◽  
Isla Camilla Carvalho Laureano ◽  
Damião Edgleys Porto ◽  
Josuel Raimundo Cavalcante ◽  
...  

Background: Deaths and injuries from firearms are significant public health problems. This article presents a case of face injury caused by a firearm projectile with atrial involvement. Case report: A 13-year-old male Black patient was admitted as an emergency victim of an accident caused by a firearm projectile. On physical examination, a hemorrhage was diagnosed in the right ear pinna region from the wound, and an increase of volume, of hardened consistency, in the right genic region, suggestive of local infection. On radiographic examination, a radiopaque, dense, foreign body was identified in the right zygomatic process region. The patient underwent surgery to remove the projectile. Conclusion: The care provided to the victim of a firearm injury depends on the systemic conditions, the available professional staff, the resources and the infrastructure of the environment. Prior to initiating therapy, it is important to stabilize the patient to ensure survival.

2021 ◽  
Vol 12 ◽  
Author(s):  
Noriya Enomoto ◽  
Kenji Yagi ◽  
Shunji Matsubara ◽  
Masaaki Uno

Bow hunter's syndrome (BHS) is most commonly caused by compression of the vertebral artery (VA). It has not been known to occur due to an extracranially originated posterior inferior cerebellar artery (PICA), the first case of which we present herein. A 71-year-old man presented with reproducible dizziness on leftward head rotation, indicative of BHS. On radiographic examination, the bilateral VAs merged into the basilar artery, and the left VA was predominant. The right PICA originated extracranially from the right VA at the atlas–axis level and ran vertically into the spinal canal. During the head rotation that induced dizziness, the right PICA was occluded, and a VA stenosis was revealed. Occlusion of the PICA was considered to be the primary cause of the dizziness. The patient underwent surgery to decompress the right PICA and VA via a posterior cervical approach. Following surgery, the patient's dizziness disappeared, and the stenotic change at the right VA and PICA improved. The PICA could be a causative artery for BHS when it originates extracranially at the atlas–axis level, and posterior decompression is an effective way to treat it.


2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Michael Moncure ◽  
Jared A. Konie ◽  
Adam B. Kretzer ◽  
Peter J. DiPasco ◽  
Carla C. Braxton

Impalement injuries are a unique form of penetrating trauma and are typically associated with a fall onto the object (Steele, 2006). We present the case of a 45-year-old man who reportedly slipped in his bathtub and fell onto a broomstick. Radiographic examination revealed a slender mass extending from his rectum to the right side of his neck. A review of English literature suggests that this is the second reported case in the last 100 years describing the successful management of an impalement injury traversing the pelvic, abdominal, and thoracic cavities. The management of this case is described.


2021 ◽  
Vol 32 (3) ◽  
pp. 136
Author(s):  
Nyoman Ayu Anggayanti ◽  
Endang Sjamsudin ◽  
Melita Sylvyana

Pendahuluan: Sialolithiasis adalah penyakit umum kelenjar saliva. Gejalanya termasuk pembengkakan kelenjar yang terlibat, terutama selama makan, dan nyeri tekan, yang mungkin mereda tetapi dapat kambuh kembali. Sialolith terjadi terutama di kelenjar submandibula (80-90%) dan pada tingkat yang lebih rendah di kelenjar parotid (5-20%). Sialolith bisa tunggal atau jamak. Multipel sialolith di kelenjar submandibula jarang terjadi. Tujuh puluh dari delapan puluh persen kasus memiliki sialolith tunggal, hanya sekitar 5% pasien yang memiliki tiga atau lebih sialolith. Faktor etiopatogenesis terkait dengan pembentukan sialolith adalah obstruksi, penurunan laju aliran saliva, dehidrasi, infeksi kelenjar saliva, dan terganggunya kelarutan kristaloid. Tujuan penulisan laporan kasus ini untuk menjelaskan etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula. Laporan kasus: Seorang wanita 24 tahun datang dengan pembengkakkan dan nyeri pada submandibula kanan. Radiografi panoramik menunjukkan massa radiopak terdefinisi dengan baik dalam submandibula kanan. Interpretasi ultrasonografi menunjukkan massa tak homogen hypoechoic dengan kalsifikasi ganda. Pengangkatan kelenjar submandibula dilakukan dengan pendekatan ekstraoral. Laporan kasus ini menunjukkan Gambaran sebanyak sembilan sialolith di kelenjar submandibula, yang dihilangkan dengan pendekatan ekstraoral. Simpulan: Etiopatogenesis dari pembentukan multipel sialolithiasis pada duktus kelenjar, yaitu faktor mekanis, inflamasi, kimiawi, dan infeksi. Diperkirakan bahwa alkalin serta saliva kental yang mengandung banyak sel mukus, memiliki persentase kalsium fosfat lebih tinggi seperti pada kelenjar saliva submandibula yang mendukung pembentukan sialolith. Pengangkatan kelenjar submandibula beserta sialolith dilakukan sebagai standar baku perawatan dan dapat menghindari kekambuhan. Pasien kontrol kembali satu minggu pasca operasi dengan kondisi baik dan dijadwalkan untuk pemeriksaan radiografis ulang enam bulan kemudian untuk memastikan tidak terjadinya pembentukan sialolith baru di saluran kelenjar saliva.Kata kunci: Multipel, sialolithiasis, kelenjar submandibula. ABSTRACTIntroduction: Sialolithiasis is a common disease of the salivary glands. Symptoms include the glands inflammation, especially during eating, and tenderness, which may subside but may recur. Sialoliths occur mainly in the submandibular glands (80-90%) and to a lesser extent in the parotid glands (5-20%). Sialolith can be singular or plural. Multiple sialoliths in the submandibular gland rarely occur. Seventy out of eighty per cent of cases have a single sialolith. Only about 5% of patients have three or more sialoliths. The etiopathogenetic factors associated with sialolith formation are obstruction, decreasing salivary flow rate, dehydration, salivary gland infection, and impaired crystalloid solubility. The purpose of this case report was to describe the etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis. Case report: A 24-year-old woman presented with inflammation and pain in the right submandibular. Panoramic radiograph shows a well-defined radiopaque mass in the right submandibular. Ultrasound interpretation revealed a hypoechoic homogeneous mass with multiple calcifications. Removal of the submandibular gland was carried out with an extraoral approach. This case report showed the appearance of as many as nine sialoliths in the sub-mandibular gland, removed by an extraoral approach. Conclusion: Etiopathogenesis of the formation of multiple sialolithiasis in the glandular duct are mechanical, inflammatory, chemical, and infectious factors. It is thought that alkaline and thick saliva, which contains many mucus cells, has a higher percentage of calcium phosphate than in the submandibular salivary glands, which support the formation of sialoliths. Submandibular gland removal along with the sialoliths is performed as the treatment standard, which can avoid recurrence. The control visit is carried out one week postoperatively in good condition, and the patient is scheduled for another radiographic examination six months after to ensure that no new sialoliths occurred in the salivary gland.Keywords: Multiple, sialolithiasis, submandibular gland.


2016 ◽  
Vol 9 (3) ◽  
pp. 156
Author(s):  
Rafeza Sultana ◽  
Md. Shamsul Alam

<p>This case report represents the clinical management of tooth with palato-gingival groove in a right maxillary lateral incisor with endo-perio lesion leading to dento-alveolar abscess and sinus tract. The right maxillary lateral incisor was examined clinico-radiographically. On clinical examination, the offending tooth revealed localized swelling and an intraoral draining sinus pointing on the labial gingiva without any evidence of caries, discoloration and trauma. The palatal surface of lateral incisor showed a groove with mild calculus embedded in it. The radiographic examination revealed periapical radiolucency. This case provides an evidence of morphological defect of tooth. Complete clinical and radiological examination and adequate knowledge of such morphological/ developmental defects of teeth are necessary for recognition and identification especially because of their diagnostic complexity and further consequences.</p><p> </p>


2016 ◽  
Vol 42 (01) ◽  
pp. 31-34
Author(s):  
Ji-Hang Yin ◽  
Yu-Lun Tsai ◽  
Wen-Fa Chang ◽  
Shun-Ting Hsiao ◽  
Fang-Tse Chan ◽  
...  

A young female Reeves’s muntjac (Muntiacus reevesi) was presented with signs of weakness and inability to stand. Radiographic examination revealed a healed bone fracture in the right radius and ulna. The animal failed to respond to therapy and died two days later. At necropsy, serous atrophy was mainly present in the subcutis of the skull and ventral cervical skin. Muscular atrophy was also evident, especially around the right femur. Multiple bone calluses with newly developed bone fractures were distributed on both sides of the ribs. Microscopically, decreased and irregularly thin bony trabeculae and widened trabeculae with excess unmineralized osteoid were observed in both femurs. Multiple sarcocysts were incidentally noted in the right femoral and longissimus dorsi muscles. It was concluded that M. reevesi in the present case appeared to have suffered from osteoporosis and osteomalacia with multiple bone fractures.


2017 ◽  
Vol 5 (4) ◽  
pp. 128-130
Author(s):  
Mohit Sharma

Osteomas are benign, slow-growing osteogenic tumors commonly occurring in the craniofacial bones. Osteomas are characterized by the proliferation of compact and/or cancellous bone. It can be of a central, peripheral, or extraskeletal type. The peripheral type arises from the periosteum and is rarely seen in the mandible, if involved, the lingual surface and lower border of the body are the most common locations of these lesions. They are usually asymptomatic and can be discovered in routine clinical and radiographic examination. This paper presents a large solitary peripheral osteoma located in the lingual surface of the right posterior mandible. The osteoma was removed surgically, and no recurrence has been observed.Journal of Kathmandu Medical College, Vol. 5, No. 4, Issue 18, Oct.-Dec., 2016, page: 128-130 


2020 ◽  
Vol 4 (1) ◽  
pp. 37
Author(s):  
Anak Agung Istri Agung Feranasari ◽  
Ria Noerianingsih Firman ◽  
Farina Pramanik

Objectives: The aim of this study is to increase knowledge about Dense Bone Island diagnosis and differential diagnosis as well as emphasize on radiographic characteristics of this lesion. Case Report: A male 24 years came to the Dentomaxillofacial Radiology Installation, Faculty of Dentistry Dental Hospital Universitas Padjajaran  referred for radiographic examination from the Periodontics Department. The patient will be paired dental implants in the second premolar in the right mandible. Patients had no inflammation and pain. The patient then were take radiography examinations as indicated dental implant, that were periapical, panoramic and CBCT, then one of the radiographic examination was done, the panoramic which shows radiopaque, well-defined, rounded irregularly shaped lesion with a diameter of approximately 6 mm, which is located around apical first premolar teeth in the right mandible. Mandible first premolar is still vital. Conclusion: Dense bone Island is an increased bone density that occurs in the maxilla or mandible especially around the root of a tooth, and is often asymptomatic. Cases that occur in these patients have no clinical complaints either before or after the installation of dental implant.  


2015 ◽  
Vol 63 (3) ◽  
pp. 331-336
Author(s):  
Henrique Castilhos RUSCHEL ◽  
Michelle DIAMANTE ◽  
Paulo Floriani KRAMER

The occurrence of hypodontia (absence of teeth) and hyperdontia (presence of supernumerary teeth) in the same patient is a rarely seen condition in dental practice. Early diagnosis and adequate treatment are very important when addressing this abnormality in the mixed dentition. The approach will depend on the severity of the case and the timing of diagnosis. This paper reports the case of an 11-year-old patient with absence of the permanent maxillary lateral incisors and the mandibular second premolars, with concomitant presence of a supernumerary tooth in the region of the right mandibular lateral incisor. Based on physical and radiographic examination findings, a diagnosis of hypo-hyperdontia was made. The diagnostic and therapeutic management of the case is discussed. The treatment adopted was surgical removal of the supernumerary teeth and esthetic restoration to transform the permanent mandibular canines into lateral incisors.


2014 ◽  
Vol 6 (2) ◽  
pp. 112-116
Author(s):  
VT Pramod ◽  
Shobhaprakash LNU ◽  
S Sadiya

Abstract Endodontic–periodontal lesions pose challenge to the clinician as far as diagnosis and prognosis of the involved teeth are concerned. The pathways for the spread of bacteria between pulpal and periodontal tissues are controversial. Treatment and prognosis of endodontic–periodontal diseases vary and depend on the cause and the correct diagnosis of specific condition. This case report describes a successful treatment of a 44 year old male patient who reported with a chief compliant of pain in the right upper and lower tooth back region of the jaw since 20 days. Clinical examination revealed deep pockets and furcation involvement between maxillary right first and second molars. Radiographic examination showed bone loss and furcation involvement. Non-vital root resection with maxillary first molar was planned. Prior to root resection, root canal treatment was performed and then rehabilitated with full metal crown. How to cite this article Pramod VT, Shobhaprakash, Sadiya S. Hopeless to hopeful: Management of an endo-perio lesion with an interdisciplinary approach - A case report: CODS J Dent 2014;6;112-116


2020 ◽  
Vol 27 (2) ◽  
Author(s):  
Lia Desire Octarina ◽  
◽  
Tri Endra Untara ◽  
Ema Mulyawati ◽  
◽  
...  

Four rooted maxillary second molar is a rare condition. A research of 1,200 maxillary second molars found only 0.4% of the sample with this condition. In a tooth with two palatal roots, one of them is the normal palatal root, while the other is a supernumerary structure which can be found mesiolingually (radix mesiolingualis) or distolingually (radix distolingualis). Objective: to describes a successful root canal treatment of a maxillary second molar with radix mesiolingualis. Final restoration using a short fiber-reinforced composite as the bottom structure under the onlay composite direct restoration. Case report: A 39-year old female patient complained of pain continuously for the past two weeks in her right maxillary second molar (tooth #17). Clinical examination revealed a deep mesioocclusal caries lesion and presence of extra cusps on the palatal surface of the crown. Conclusion: Crown with extra cusps relatively larger compared to a normal crown. It could be indicated the additional palatal roots. Those variations could be identified by clinical and radiographic examination, while more accurate assessment with CBCT imaging. The right material was required to support function and strengthen the tooth after root canal treatment.


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