scholarly journals Tratamento de fratura nasal pediátrica: relato de caso clínico

2019 ◽  
Vol 7 (12) ◽  
Author(s):  
Júlio Leite de Araújo-Júnior ◽  
Elma Mariana Verçosa de Melo-Silva ◽  
Anderson Maikon de Souza-Santos ◽  
Tiburtino José de Lima-Neto ◽  
Murilo Quintão dos Santos ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Motor Vehicle ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Motor Vehicle Collisions ◽  
Bone Deformity ◽  
Vehicle Collisions ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Introdução: Os ossos nasais são os mais proeminentes do esqueleto facial, tornando esses os mais frequentes nas fraturas faciais, sendo o terceiro osso mais comumente fraturado do esqueleto humano. Objetivo: Apresentar um relato de caso de fratura nasal em um paciente pediatrico tratado com redução incruenta. Método: Estudo descritivo com um paciente que apresentou diagnóstico clínico/imaginológico de fratura nasal. Conclusão: O tratamento através de redução incluenta mostrou-se adequado em pacientes pediatricos. A ocorrência de traumatismos e lesões associadas a fraturas nasais reforça a importância de uma abordagem multidisciplinar.Descritores: Fraturas Ósseas; Osso Nasal; Traumatismos Faciais.ReferênciasMa L, Shen SH, Hu P, Wu ZQ. The observation of curative effect on closed reduction of nasal bone fracture under ultrasound guidance: report of 38 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;52(12):933-35.Schoinohoriti O, Igoumenakis D, Rallis G. Fractures of the nasal bones: is external splinting really warranted? J Craniofac Surg. 2017;28(8):e760-e63.Kang CM, Han DG. Correlation between Operation Result and Patient Satisfaction of Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(1):25-9.Kyung H, Choi JI, Song SH, Oh SH, Kang N. Comparison of postoperative outcomes between monitored anesthesia care and general anesthesia in closed reduction of nasal fracture. J Craniofac Surg. 2018;29(2):286-88.Nishioka H, Kondoh S, Yuzuriha S. Convex bone deformity after closed reduction of nasal bone fracture. J Plast Reconstr Aesthet Surg. 2018;71(1):85-9.Lu GN, Humphrey CD, Kriet JD. Correction of Nasal Fractures. Facial Plast Surg Clin North Am. 2017;25(4):537-546.Kim SW, Park B, Lee TG, Kim JY. Olfactory Dysfunction in Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(2):92-6.Davidson J, Nickerson D, Nickerson B. Zygomatic fractures: comparison of methods of internal fixation. Plast Reconstr Surg. 1990;86(1):25-32.Yabe T, Tsuda T, Hirose S, Ozawa T. Comparison of pediatric and adult nasal fractures. J Craniofac Surg. 2012;23(5):1364-6.Murphy RX Jr, Birmingham KL, Okunski WJ, Wasser TE. Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions. Plast Reconstr Surg. 2001;107(1):34-7.

Influence of Restraining Devices on Patterns of Pediatric Facial Trauma in Motor Vehicle Collisions

2001 ◽  
Vol 107 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Robert X. Murphy ◽  
Lesley K. Birmingham ◽  
Walter J. Okunski ◽  
Thomas E. Wasser
Keyword(s):  
Motor Vehicle ◽  
Facial Trauma ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions

The Influence of Airbag and Restraining Devices on the Patterns of Facial Trauma in Motor Vehicle Collisions

2000 ◽  
Vol 105 (2) ◽  
pp. 516-520 ◽  
Author(s):  
Robert X. Murphy ◽  
K. Lesley Birmingham ◽  
Walter J. Okunski ◽  
Thomas Wasser
Keyword(s):  
Motor Vehicle ◽  
Facial Trauma ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions

scholarly journals Convex bone deformity after closed reduction of nasal bone fracture

2018 ◽  
Vol 71 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Hiroshi Nishioka ◽  
Shoji Kondoh ◽  
Shunsuke Yuzuriha
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Nasal Bone ◽  
Bone Deformity

Case Exercise: Biomechanics in Rearend Motor Vehicle Collisions

2007 ◽  
Vol 12 (3) ◽  
pp. 4-7
Author(s):  
Charles N. Brooks ◽  
Christopher R. Brigham
Keyword(s):  
Motor Vehicle ◽  
Body Position ◽  
Motor Vehicle Collisions ◽  
Time Curve ◽  
Vehicle Collisions ◽  
Need For Treatment ◽  
Multiple Factors ◽  
Bodily Injury ◽  
Vehicle Collision ◽  
Physical Findings

Abstract Multiple factors determine the likelihood, type, and severity of bodily injury following a motor vehicle collision and, in turn, influence the need for treatment, extent of disability, and likelihood of permanent impairment. Among the most important factors is the change in velocity due to an impact (Δv). Other factors include the individual's strength and elasticity, body position at the time of impact, awareness of the impending impact (ie, opportunity to brace, guard, or contract muscles before an impact), and effects of braking. Because Δv is the area under the acceleration vs time curve, it combines force and duration and is a useful way to quantify impact severity. The article includes a table showing the results of a literature review that concluded, “the consensus of human subject research conducted to date is that a single exposure to a rear-end impact with a Δv of 5 mph or less is unlikely to result in injury” in most healthy, restrained occupants. Because velocity incorporates direction as well as speed, a vehicular occupant is less likely to be injured in a rear impact than when struck from the side. Evaluators must consider multiple factors, including the occupant's pre-existing physical and psychosocial status, the mechanism and magnitude of the collision, and a variety of biomechanical variables. Recommendations based solely on patient history and physical findings (and, perhaps, imaging studies) may be ill-informed.

105: Renal Injury Mechanisms in Motor Vehicle Collisions: Analysis of the Crash Injury Research and Engineering Network (CIREN) Dataset

2007 ◽  
Vol 177 (4S) ◽  
pp. 37-37
Author(s):  
James K. Kuan ◽  
Robert Kaufman ◽  
Jonathan L. Wright ◽  
Charles Mock ◽  
Avery B. Nathens ◽  
...  
Keyword(s):  
Renal Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Injury Mechanisms ◽  
Injury Research

scholarly journals A comparison of the demographics, injury patterns and outcome data for patients injured in motor vehicle collisions who are trapped compared to those patients who are not trapped

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Tim Nutbeam ◽  
Rob Fenwick ◽  
Jason Smith ◽  
Omar Bouamra ◽  
Lee Wallis ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Blood Loss ◽  
Injury Severity ◽  
Spinal Cord Injuries ◽  
Motor Vehicle ◽  
Tension Pneumothorax ◽  
Research Network ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Time Critical

Abstract Background Motor vehicle collisions (MVCs) are a common cause of major trauma and death. Following an MVC, up to 40% of patients will be trapped in their vehicle. Extrication methods are focused on the prevention of secondary spinal injury through movement minimisation and mitigation. This approach is time consuming and patients may have time-critical injuries. The purpose of this study is to describe the outcomes and injuries of those trapped following an MVC: this will help guide meaningful patient-focused interventions and future extrication strategies. Methods We undertook a retrospective database study using the Trauma Audit and Research Network database. Patients were included if they were admitted to an English hospital following an MVC from 2012 to 2018. Patients were excluded when their outcomes were not known or if they were secondary transfers. Results This analysis identified 426,135 cases of which 63,625 patients were included: 6983 trapped and 56,642 not trapped. Trapped patients had a higher mortality (8.9% vs 5.0%, p < 0.001). Spinal cord injuries were rare (0.71% of all extrications) but frequently (50.1%) associated with other severe injuries. Spinal cord injuries were more common in patients who were trapped (p < 0.001). Injury Severity Score (ISS) was higher in the trapped group 18 (IQR 10–29) vs 13 (IQR 9–22). Trapped patients had more deranged physiology with lower blood pressures, lower oxygen saturations and lower Glasgow Coma Scale, GCS (all p < 0.001). Trapped patients had more significant injuries of the head chest, abdomen and spine (all p < 0.001) and an increased rate of pelvic injures with significant blood loss, blood loss from other areas or tension pneumothorax (all p < 0.001). Conclusion Trapped patients are more likely to die than those who are not trapped. The frequency of spinal cord injuries is low, accounting for < 0.7% of all patients extricated. Patients who are trapped are more likely to have time-critical injuries requiring intervention. Extrication takes time and when considering the frequency, type and severity of injuries reported here, the benefit of movement minimisation may be outweighed by the additional time taken. Improved extrication strategies should be developed which are evidence-based and allow for the expedient management of other life-threatening injuries.

Use of cannabis and/or prescription opioids among adult drivers in Ontario, Canada: Prevalence and association with motor vehicle collisions

2021 ◽  
Vol 22 ◽  
pp. 101091
Author(s):  
Christine M. Wickens ◽  
Anca R. Ialomiteanu ◽  
Patricia Di Ciano ◽  
Gina Stoduto ◽  
Robert E. Mann
Keyword(s):  
Motor Vehicle ◽  
Prescription Opioids ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions

scholarly journals Precisely Closed Reduction of Nasal Bone Fracture Assisted With Plain Film Measurements Under the Picture Archiving and Communication System

2021 ◽  
pp. 014556132110121
Author(s):  
Tzu-Hsien Yang ◽  
Chien-Liang Fang ◽  
Chong-Bin Tsai ◽  
Ming-Shan Chen ◽  
Chih-Hsuan Changchien ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Communication System ◽  
Closed Reduction ◽  
Operative Time ◽  
Nasal Bone ◽  
Plain Film ◽  
Ao Classification ◽  
Group A ◽  
Picture Archiving And Communication ◽  
Group B

Objectives: To prevent aesthetic and functional deformities, precisely closed reduction is crucial in the management of nasal fractures. Plain film radiography (PF), ultrasonography (USG), and computed tomography can help confirm the diagnosis and classification of fractures and assist in performing closed reduction. However, no study in the literature reports on precisely closed reduction assisted with PF measurements under the picture archiving and communication system (PACS). Methods: We retrospectively evaluated 153 patients with nasal bone fracture between January 2013 and December 2017. Surgeons conducted precisely closed reduction assisted with PF measurement of the distance between the fracture site and nasal tip under PACS on 34 patients (group A). Another group on 119 patients were reduced under surgeon’s experience (group B). Results: No significant differences in age, gender, Arbeitsgemeinschaft fur Osteosynthesefragen (AO) classification, and reduction outcome were observed between group A and group B ( P > .05). The operative time of the group A was significantly lower (12.50 ± 4.64 minutes) compared to group B (23.78 ± 11.20 minutes; P < .001). After adjusted age, gender, and AO classification, patients in group A scored 10.46 minutes less on the operative time than those in group B ( P < .001). In addition, the severity of nasal bone fracture (AO classification, β = 3.37, P = .002) was positive associated with the operative time. Conclusions: In this study, closed reduction in nasal bone fracture assisted with PF measurements under PACS was performed precisely, thereby effectively decreasing operative time and the occurrence of complications. This procedure requires neither the use of new instruments or C-arm nor USG or navigation experience. Moreover, reduction can be easily performed using this method, and it requires short operative time, helps achieve great reduction, less radiation exposures, and is cost-effective.

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