Facial and Orbital Fractures: A Fifteen Years Retrospective Evaluation of North East Sicily Treated Patients

Background:Orbital fractures are classified as diseases usually related to common midface trauma. It represents the most challenging treatment due to the complex anatomy, physiology, and aesthetic role. A midface trauma involves also the zygomatic complex and the nose, however the orbit fracture seems to be a more frequent disease due to its anatomical features.Objective:The purpose of this work is to retrospectively evaluate and record the frequency of the midfacial traumas and orbital fractures observed in the North Eastern Sicily. The results of the present data may be useful for the clinicians in order to recognize the kind of fracture just from the first general visit having a quick diagnosis and management.Methods:In the years between 2001 and 2016, about 1200 patients with midfacial trauma and about 100 patients involving the orbital floor have been evaluated. All those patients underwent the surgical fracture reduction and a CT scan follow up control at one month, three months, six months and one year.Results:Data showed high percentage of orbital floor, nose and mandibular body and ramus fractures; moreover the most frequent causes of fractures seem to be related to motor vehicle accident, followed by assaults, work and fall.Conclusion:The results have highlighted the changing trends in the causes of facial injuries, particularly the increasing incidence of assaults and the falling incidence of motor vehicle accidents in developed countries. The quick diagnosis and management proved fundamental for the successful treatment. Clinicians should be able to recognize the first symptoms in order to avoid possible complications.

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An experience with blunt abdominal trauma: evaluation, management and outcome

Clinics and Practice ◽

10.4081/cp.2014.599 ◽

2014 ◽

Vol 4 (2) ◽

Cited By ~ 24

Author(s):

Nikhil Mehta ◽

Sudarshan Babu ◽

Kumar Venugopal

Keyword(s):

Early Diagnosis ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

World Health ◽

Common Mechanism ◽

World Population ◽

Diagnosis And Management ◽

Time Of Presentation

Blunt abdominal trauma (BAT) is a frequent emergency and is associated with significant morbidity and mortality in spite of improved recognition, diagnosis and management. Trauma is the second largest cause of disease accounting for 16% of global burden. The World Health Organization estimates that, by 2020, trauma will be the first or second leading cause of <em>years of productive life</em> <em>lost</em> for the entire world population. This study endeavors to evaluate 71 cases of BAT with stress on early diagnosis and management, increase use of non operative management, and time of presentation of patients. A retrospective analysis of 71 patients of BAT who were admitted in Kempegowda Institute of Medical Sciences hospital (KIMS, Bangalore, India) within a span of 18 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Most of the patients in our study were in the age group of 21-30 years with an M:F ratio of 3.7:1. Motor vehicle accident (53%) was the most common mechanism of injury. Spleen (53%) was the commonest organ injured and the most common surgery performed was splenectomy (30%). Most common extra abdominal injury was rib fracture in 20%. Mortality rate was 4%. Wound sepsis (13%) was the commonest complication. Initial resuscitation measures, thorough clinical examination and correct diagnosis forms the most vital part of management. 70% of splenic, liver and renal injuries can be managed conservatively where as hollow organs need laparotomy in most of the cases. The time of presentation of patients has a lot to do with outcome. Early diagnosis and prompt treatment can save many lives.

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Cerebral Myiasis Associated with Angiosarcoma of the Scalp

Neurosurgery ◽

10.1227/01.neu.0000279738.15307.37 ◽

2007 ◽

Vol 61 (1) ◽

pp. E167-E167 ◽

Cited By ~ 12

Author(s):

Samuel H. Cheshier ◽

Simon R. Bababeygy ◽

Dominique Higgins ◽

Julie Parsonnet ◽

Stephen L. Huhn

Keyword(s):

United States ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Skilled Nursing Facility ◽

Rare Condition ◽

Developed Countries ◽

The United States ◽

Skilled Nursing ◽

Contact Exposure ◽

A Minor

Abstract OBJECTIVE Primary human cerebral myiasis is an exceedingly rare condition and is almost never encountered by physicians in developed countries. The case report summarizes a case of extensive cerebral myiasis in a periurban community in the United States. CLINICAL PRESENTATION After a minor motor vehicle accident, police brought a 75-year-old man to the emergency room because he was observed to have a large cranial lesion. Examination revealed a 15 × 17 cm frontal bone defect with eroded frontal dura, exposed cortex, and massive cortical maggot infestation. INTERVENTION The patient was empirically treated with intravenous antibiotics for meningitis. Maggots (Phaenicia sericata, or the green bottle fly) were removed by suction, attrition, and gentle contact exposure to a mild bleach solution. Biopsy of the scalp and cranium revealed angiosarcoma, for which operative treatment was refused. The patient was transferred to a skilled nursing facility for palliative care where he died 3 months later. CONCLUSION This is the first published case of cerebral myiasis in the United States. Although human cerebral myiasis is rare, conditions do exist in this country that permit myiasis.

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Acute Traumatic Injury of the Larynx

Medicine Today ◽

10.3329/medtoday.v27i1.25999 ◽

2015 ◽

Vol 27 (1) ◽

pp. 36-37

Author(s):

Mohammad Saiful Islam ◽

Prajit Kumar Deb ◽

Ajoy Bardhan ◽

Sharmin Khandakar

Keyword(s):

Case History ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Cricoid Cartilage ◽

Thyroid Cartilage ◽

Traumatic Injury ◽

Mechanism Of Injury ◽

Diagnosis And Management ◽

Laryngeal Trauma ◽

Lead Pipe

Laryngeal trauma is rare but serious and potentially deadly injury. The prompt diagnosis and management of acute laryngeal trauma is necessary because the clinical presentation is variable depending on the location, severity, and mechanism of injury. Two case histories are presented: (1) case history No.1: a 43-year-old male, after motor vehicle accident, fractured the mid anterior thyroid cartilage and both aspects of the cricoid cartilage; however, this patient was asymptomatic from the above fractures; and (2) case history No.2: a 36-year-old male who sustained trauma to the chest, neck, and left arm after being struck by a large lead pipe which fractured the left aspect of the cricoid cartilage was symptomatic. The type rather than the severity of acute laryngeal injury and the mechanism of injury may be related to symptomatology. Acute laryngeal trauma should be recognized by trauma radiologists and emergency room physicians. Early diagnosis and management of acute laryngeal trauma may prevent unnecessary specialty consults and long-term complications.Medicine Today 2015 Vol.27(1): 36-37

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Acute Traumatic Injury of the Larynx

Case Reports in Otolaryngology ◽

10.1155/2015/393978 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

K. O. Kragha

Keyword(s):

Case History ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Cricoid Cartilage ◽

Thyroid Cartilage ◽

Traumatic Injury ◽

Mechanism Of Injury ◽

Diagnosis And Management ◽

Laryngeal Trauma ◽

Lead Pipe

Laryngeal trauma is rare but serious and potentially deadly injury. The prompt diagnosis and management of acute laryngeal trauma is necessary because the clinical presentation is variable depending on the location, severity, and mechanism of injury. Two case histories are presented: (1) case history A: a 53-year-old male, after motor vehicle accident, fractured the mid anterior thyroid cartilage and both aspects of the cricoid cartilage; however, this patient was asymptomatic from the above fractures; and (2) case history B: a 41-year-old male who sustained trauma to the chest, neck, and left arm after being struck by a large lead pipe which fractured the left aspect of the cricoid cartilage was symptomatic. The type rather than the severity of acute laryngeal injury and the mechanism of injury may be related to symptomatology. Acute laryngeal trauma should be recognized by trauma radiologists and emergency room physicians. Early diagnosis and management of acute laryngeal trauma may prevent unnecessary specialty consults and long-term complications.

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Diagnosis and Management of Traumatic Pseudoaneurysm of the Carotid Artery: Case Report and Review of the Literature

Vascular ◽

10.2310/6670.2008.00047 ◽

2008 ◽

Vol 16 (6) ◽

pp. 350-355 ◽

Cited By ~ 11

Author(s):

Deepa Magge ◽

Alik Farber ◽

Felix Vladimir ◽

Jonathan Woodson ◽

Kathryn Collins ◽

...

Keyword(s):

Case Report ◽

Carotid Artery ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Penetrating Trauma ◽

Review Of The Literature ◽

Pseudoaneurysm Formation ◽

Diagnosis And Management ◽

Vehicle Accident ◽

Traumatic Pseudoaneurysm

Injury to the carotid artery can occur in the setting of blunt and penetrating trauma. Such injury can result in pseudoaneurysm formation. We present a case of posttraumatic common carotid pseudoaneurysm (PTCP) that was diagnosed and treated 2 months after a motor vehicle accident and review the literature on the presentation, diagnosis, and management of PTCP.

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COVID-19 in Afghanistan: Evaluating Health Vulnerability and Identifying Controlling Mechanism

Quest Journal of Management and Social Sciences ◽

10.3126/qjmss.v3i2.41562 ◽

2021 ◽

Vol 3 (2) ◽

pp. 175-192

Author(s):

Najibullah Omerkhil ◽

Gul Agha Sadiq ◽

Nisar Ahmad Kohistani ◽

Abdur Rahim Abidi ◽

Gul Mina Azizi

Keyword(s):

Research Work ◽

Developed Countries ◽

Vulnerability Index ◽

Primary Data ◽

Small Scale ◽

Least Developed Countries ◽

Online Questionnaire ◽

North East ◽

The North ◽

Health Vulnerability

Background: The insistent range of coronavirus (COVID-19) crisis and its permeation into least developed countries has escalated the bar of countries fragility and susceptibility. Afghanistan is amongst the most affected countries by the COVID-19 pandemic certainly due to its poor health infrastructure and conflict affected demography. Objective: This study intends to assess the health vulnerability profile and identifying the control mechanism of the north and northeast regions of Afghanistan using the IPCC framework. Method: A pre-evaluated online questionnaire (Google form) and mobile survey of 361 households distributed in 8 provinces across the both zones to collected the primary data. Exposure, sensitivity and adaptive capacity covered the three main components of vulnerability index, weighing method of Iyenger and Sudershan is used to estimate the fabricate vulnerability index. Result: The province’s health vulnerability status was classified to the different groups based on beta distribution. Based on the vulnerability index, 62.5% of provinces were highly vulnerable, 25% moderately and 37.5% were least vulnerable. Conclusion: In north-east region people were highly vulnerable to COVID-19 in terms of sensitivity and exposure, with low copping capacity to cope with COVID-19 pandemic risks compare to the north zone. Recommendation: Enhancing health and hygiene facilities and a handful of lowcost methods such as strengthen informal safety nets and introducing small-scale regional infrastructure projects, could be most cost effective and viable options. Originality: The research work is original and has not been published in other publications. As well, no financial support has been received for the study.

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Isolated Unilateral Vocal Fold Palsy following Skull Base Fracture: A Case Report

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v17i3.240 ◽

2020 ◽

Vol 17 (3) ◽

Author(s):

Marina MB ◽

Hazleigh NM ◽

Thean YK ◽

Sani A.

Keyword(s):

Skull Base ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Closed Head Injury ◽

Lower Cranial Nerve ◽

Skull Base Fracture ◽

Delayed Onset ◽

Complex Anatomy ◽

Vocal Fold Palsy ◽

High Index Of Suspicion

Isolated lower cranial nerve (CN) palsy affecting the CN X resulting from a skull base fracture is very rare. The clinical manifestation and natural history is related closely to the complex anatomy of this region and mechanism of injury. Here, we report a case of a 54 year-old man who presented with a delayed onset of dysphonia and dysphagia with aspiration following a closed head injury sustained from a motor vehicle accident. Injection laryngoplasty was implemented to alleviate symptoms of his CN X palsy, which eventually almost completely resolved. High index of suspicion should be maintained when investigating possible skull base fractures, especially with a suggestive clinical presentation of lower CN palsies affecting one or all the lower CNs. Delayed onset of these CN palsies are likely to have more favourable outcomes.

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Ras al Khaimah: further archaeological discoveries

Antiquity ◽

10.1017/s0003598x00150070 ◽

1976 ◽

Vol 50 (200) ◽

pp. 216-222

Author(s):

Beatrice De Cardi

Keyword(s):

United Arab Emirates ◽

The State ◽

Focused Attention ◽

North East ◽

The North ◽

History Of ◽

The City

Ras a1 Khaimah is the most northerly of the seven states comprising the United Arab Emirates and its Ruler, H. H. Sheikh Saqr bin Mohammad al-Qasimi, is keenly interested in the history of the state and its people. Survey carried out there jointly with Dr D. B. Doe in 1968 had focused attention on the site of JuIfar which lies just north of the present town of Ras a1 Khaimah (de Cardi, 1971, 230-2). Julfar was in existence in Abbasid times and its importance as an entrep6t during the sixteenth and seventeenth centuries-the Portuguese Period-is reflected by the quantity and variety of imported wares to be found among the ruins of the city. Most of the sites discovered during the survey dated from that period but a group of cairns near Ghalilah and some long gabled graves in the Shimal area to the north-east of the date-groves behind Ras a1 Khaimah (map, FIG. I) clearly represented a more distant past.

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