scholarly journals Penetrating Cervical Neck Injuries in Children: About a Case

2020 ◽  
pp. 1-4
Author(s):  
Toualouth Lafia ◽  
Toualouth Lafia ◽  
F Ettayebi ◽  
H Zerhouni
Keyword(s):  
Emergency Management ◽  
High Morbidity ◽  
Neck Injuries ◽  
Cervical Trauma ◽  
Child Victim ◽  
Penetrating Wounds ◽  
Children's Hospital ◽  
Systematic Exploration ◽  
Cervical Injuries ◽  
Real Challenge

Penetrating wounds of the neck are rare traumas in children, providers of mortality and high morbidity due to the density of the vital structures of this region and the lack of protection. Their management, a real challenge for the surgeon, has evolved over the years, going from systematic exploration to more selective management. We report the case of an 8-year-old child, victim of a penetrating cervical trauma after falling on a stick to the partner, who was successfully treated at the Rabat Children's Hospital. We will also discuss the emergency management methods for these cervical injuries.

Pediatric neck injuries

1984 ◽  
Vol 60 (4) ◽  
pp. 700-706 ◽  
Author(s):  
Stephen A. Hill ◽  
Carole A. Miller ◽  
Edward J. Kosnik ◽  
William E. Hunt
Keyword(s):  
Motor Vehicle ◽  
Spinal Column ◽  
Neurological Deficits ◽  
Neck Injuries ◽  
Older Children ◽  
Content Type ◽  
Vehicle Accidents ◽  
Upper Cervical ◽  
Cervical Injuries ◽  
Fine Print

✓ This review of pediatric neck injuries includes patients admitted to Children's Hospital of Columbus, Ohio, during the period 1969 to 1979. The 122 patients with neck injuries constituted 1.4% of the total neurosurgical admissions during this time. Forty-eight patients had cervical strains; 74 had involvement of the spinal column; and 27 had neurological deficits. The injuries reached their peak incidence during the summer months, with motor-vehicle accidents accounting for 31%, diving injuries and falls from a height 20% each, football injuries 8%, other sports 11%, and miscellaneous 10%. There is a clear division of patients into a group aged 8 years or less with exclusively upper cervical injuries, and an older group with pancervical injuries. In the younger children, the injuries involved soft tissue (subluxation was seen more frequently than fracture), and tended to occur through subchondral growth plates, with a more reliable union than similar bone injuries. In the older children, the pattern and etiology of injury are the same as in adults. The entire cervical axis is at risk, and there is a tendency to fracture bone rather than cartilaginous structures.

scholarly journals MORPHOLOGICAL STUDY OF VARIATIONS IN FORAMEN TRANSVERSARIUM OF ATLAS VERTEBRA

2018 ◽  
Vol 26 (2) ◽  
Author(s):  
Hina Kausar ◽  
Alok Tripathi ◽  
Ajay Kumar ◽  
Satyam Khare ◽  
Shilpi Jain ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Morphological Study ◽  
Cervical Vertebrae ◽  
Transverse Process ◽  
Neck Injuries ◽  
Morphological Variations ◽  
Cervical Injuries

Introduction: Foramen transversarium are the characteristic bony feature of the cervical vertebrae. They are located on the transverse process of cervical vertebrae through which second part of vertebral artery passes along with vertebral venous and sympathetic plexus. Their variations are common with regard to size, shape, incomplete, duplicated and may even absent. Material & Methods: Two hundred foramen transversarium of one hundred atlas vertebrae were examined for morphological variations. Results: Out of hundred atlas vertebrae examined, foramen transversarium was present in all. Absence of costal element was noticed in four atlas vertebrae. Four atlas vertebrae showed incomplete bilateral foramen transversarium while four showed unilateral duplicated foramen transversarium. Conclusion: The increasing incidence of neck injuries and related syndromes necessitates the study of bony variations of the atlas vertebra and its foramen transversarium. The second part of vertebral artery is prone to be damaged during neck surgeries and posterior cervical injuries due to incomplete formation of the foramen transversarium, hence the knowledge of such variations is important for surgeons, otorhinolaryngologists, neurologists, orthopedicians, radiologists and physicians.

scholarly journals VARIATIONS OF FORAMEN TRANSVERSARIUM IN ATLAS VERTEBRAE : A MORPHOLOGICAL STUDY WITH ITS CLINICAL SIGNIFICANCE

2015 ◽  
Vol 05 (02) ◽  
pp. 080-083 ◽  
Author(s):  
Qudusia Sultana ◽  
Ramakrishna Avadhani ◽  
Varalakshmi KL ◽  
Shariff MH ◽  
Keyword(s):  
Vertebral Artery ◽  
Clinical Significance ◽  
Morphological Study ◽  
Posterior Arch ◽  
Neck Injuries ◽  
Venous Plexus ◽  
Cerebrovascular Accidents ◽  
Cervical Injuries ◽  
The Right

Abstract Introduction: The second part of the vertebral artery along with vertebral venous plexus and sympathetic plexus traverses through vicinity of foramen transversarium of atlas. Derangement of these structures in their course may be seen due to deformities, narrowing and presence of osteophytes in foramen transversarium. Methods: Two hundred foramen transversarium of 100 atlas vertebrae were grossly studied for their variations. Results: Out of hundred atlas vertebrae examined, we found that all the vertebrae had foramina transversaria. Absence of costal element was noticed in five atlas vertebrae. 2 of the vertebrae showed incomplete unilateral foramen transversarium, 3 vertebrae showed bilateral incomplete foramen, In 1 vertebra along with normal foramen transversarium, complete retroarticular foramen was observed on the left side and incomplete retroarticular foramen observed on the right side of the posterior arch.4 vertebrae showed incomplete retroarticular foramen. Conclusion: The increasing incidence of neck injuries and related syndromes necessitates the study of bony variations of the atlas vertebra and its transverse foramina. Due to the incomplete formation of the foramen transversarium the second part of vertebral artery is prone to be damaged easily during posterior cervical injuries and Surgeries. The bony bridges embracing the vertebral artery may be responsible for vertigo and cerebrovascular accidents hence the knowledge of such variations is important for Physicians, Otirhinolaryngologists, neurologists ,Orthopaedicians and Radiologists.

Cervical injuries suffered in automobile crashes

1981 ◽  
Vol 54 (3) ◽  
pp. 316-322 ◽  
Author(s):  
Donald F. Huelke ◽  
James O'Day ◽  
Robert A. Mendelsohn
Keyword(s):  
Cervical Spine ◽  
Spinal Cord Injuries ◽  
Injury Rate ◽  
Study Data ◽  
Neck Injury ◽  
Neck Injuries ◽  
Passenger Cars ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Cervical Injuries

✓ The National Crash Severity Study data in which occupants sustained severe, serious, critical-to-life, or fatal cervical injuries were reviewed. Of passenger cars damaged severely enough to be towed from the scene, it is estimated that one in 300 occupants sustained a neck injury of a severe nature. The neck-injury rate rose to one in 14 occupants for those ejected from their cars, although many of these injuries resulted from contacts within the car before or during the process of ejection. Severe neck injuries were rather rare in cars struck in the rear, but were more common in frontal and side impacts. Occupants between 16 and 25 years of age had such injuries more than twice as often as those in any other age group. Most of the neck injuries of a more severe nature involved the cervical spine or spinal cord. Injuries of the anterior aspect of the neck were relatively infrequent, and usually resulted from direct blunt impacts. National projections of the number of fatalities related to cervical injuries indicates that 5940 deaths, or approximately 20% of all in-car deaths, include fatal cervical spine injuries, and that about 500 cases of quadriplegia per year result from automobile accidents.

Emergency mitigation and preparedness in healthcare facilities

2013 ◽  
Vol 11 (6) ◽  
pp. 411 ◽  
Author(s):  
Emma Paras, BS, MPH candidate ◽  
Robert M. Schwartz, PhD
Keyword(s):  
Emergency Management ◽  
Critical Infrastructure ◽  
Medical Center ◽  
City Hospital ◽  
Archival Research ◽  
Healthcare Facilities ◽  
Children's Hospital ◽  
Emergency Managers ◽  
The City ◽  
Wide Population

The city of Akron, Ohio, has four major healthcare facilities: Akron General Medical Center, Summa Akron City Hospital, Summa St. Thomas, and Akron Children’s Hospital. These institutions have implemented the preparedness and mitigative strategies to prepare for hazards affecting the community. Because of the wide population these facilities serve, it is crucial that an effective emergency management (EM) system be in place at each hospital. Archival research and interviews with the emergency managers of each hospital examine the preparedness of these establishments for disasters. Strengths and weaknesses of the EM systems are also discussed and include recommendations on ways to improve shortcomings. This research demonstrates how EM is evolving and improving in one of the most important critical infrastructure of a community.

scholarly journals Oliver Syndrome with Extensive Aplasia Cutis Congenita: A Case Report and Literature Review

2020 ◽  
Vol 5 (6) ◽  
pp. 1253-1263
Author(s):  
Hamid Khay, M.D ◽  
Mohannad Aldabbas, M.D ◽  
Mohammed Khoulali, M.D ◽  
Nabil Raouzi, M.D ◽  
Noureddine Oulali, M.D ◽  
...  
Keyword(s):  
Genetic Diversity ◽  
Case Report ◽  
Literature Review ◽  
Clinical Examination ◽  
Clinical Presentation ◽  
High Morbidity ◽  
Skin Defect ◽  
Aplasia Cutis Congenita ◽  
Real Challenge ◽  
Aplasia Cutis

Aplasia cutis congenita is a very rare and heterogeneous disease. It is characterized by a localized or extensive skin defect, isolated or associated with damage to the underlying structures, including the bone. The diagnosis is based on the clinical examination. Other abnormalities of various etiologies and severities may be associated with this pathology. Adams-Oliver syndrome is a genetic polymalformative syndrome. The typical form is defined by the presence of Aplasia cutis congenita and limb anomalies. Managing Aplasia cutis congenita, especially in severe cases, is a real challenge. We report a case of a newborn, treated surgically, for extensive occipito-parietal Aplasia cutis congenita. The clinical presentation was suggestive of AdamsOliver syndrome. The evolution was favorable. Describing our experience of managing a case of Aplasia cutis congenita is interesting because: the proposed treatment is very controversial, the rarity and the high morbidity and mortality of Aplasia cutis congenita and Adams-Oliver syndrome. As well as clinical and genetic diversity.

scholarly journals Molecular Diagnosis of Atypical Pneumonia Infection in Children Presenting with Acute Respiratory Tract Infection Attending Yangon Children’s Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 116-119
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Mycoplasma Pneumoniae ◽  
Chlamydophila Pneumoniae ◽  
Acute Respiratory Tract Infection ◽  
High Morbidity ◽  
Atypical Pneumonia ◽  
Children's Hospital ◽  
Children’S Hospital

Acute respiratory tract infection (ARI) is a clinical condition which causes high morbidity and mortality, especially in infants and young children. Pneumonia is a common complication of respiratory tract infection. Atypical pneumonia, which is commonly caused by Mycoplasma pneumoniae, Chlamydophila pneumoniae and Legi-onella pneumophila, is difficult to be detected because the causal bacteria cannot be diagnosed by routine culture method and presenting with non-specific clinical symptoms. This study aimed to diagnose the atypical pneumonia infection in children presenting with ARI attending Yangon Children’s Hospital during 2014-15 by using multiplex polymerase chain reaction (M-PCR). The bacterial DNA was extracted from nasopharyngeal swab samples by using Qiagen DNA minikit and detected by M-PCR. Of 245 patients with ARI, 140(57%) were males and 105(43%) were females. Eleven samples (4.4%) were positive for atypical pneumonia infection, among which 4(1.6%) were Mycoplasma pneumoniae,5(2%) were Chlamydophila pneumoniae and 2(0.8%) were Legionella pneumophila. The atypical pneumonia cases were mostly seen among the age of 1 to 5 years and sex distribution was nearly equal. The infected cases were detected from pneumonia (36.4%), severe pneumonia (27.3%), viral-induced wheeze (18.2%), severe bronchiolitis (9.1%) and bronchiolitis (9.1%). This study highlights the role of atypical pneumonia infection in ARI cases among children.

scholarly journals Penetrating Neck Injury: Mandatory exploration versus conservative approach

2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Muhammad Hamid Majid ◽  
Mahmood Ayyaz ◽  
Faraz Fahim
Keyword(s):  
Hospital Stay ◽  
Anatomical Landmarks ◽  
Conservative Approach ◽  
Neck Injuries ◽  
Neck Trauma ◽  
Cervical Trauma ◽  
Mortality And Morbidity ◽  
Conservative Group ◽  
Penetrating Neck Injury ◽  
Penetrating Neck Trauma

This study is designed to investigate the outcome of patients managed on both conservative as well as operative protocols and then compare the two groups for morbidity and mortality. It is a comparative study comparing the groups of patients with operative and non operative intervention done for penetrating neck trauma at Mayo Hospital Lahore for a period of six years from September 1995 to August 2001. All patients of age more than 12 years of age presenting with penetrating cervical trauma in our emergency were included in study. In patients with multiple injuries mortality and morbidity of only cervical trauma was compared. Neck was divided in to three zones according to recognized anatomical landmarks. In conservative group 38.9% developed complications where as in other group 46.4%, developed complications This difference was not significant (p=0.05) Mean hospital stay was 10 days in the conservative group where as 4 days in other group which was statistically significant. Hence we conclude that patients with penetrating neck injuries who are clinically stable can be managed conservatively after appropriate investigations.

scholarly journals Pathological Mechanisms and Additional Factors Involved in Complex Neck Traumatology

2021 ◽  
Vol 11 (24) ◽  
pp. 11863
Author(s):  
Diana Bulgaru-Iliescu ◽  
Andrei Nicolau ◽  
Ștefan Roșca ◽  
Ioan-Adrian Ciureanu ◽  
Florentina Severin
Keyword(s):  
Rural Areas ◽  
Suicide Attempts ◽  
Control Strategies ◽  
Demographic Factors ◽  
Public Health Problem ◽  
Incidence Rates ◽  
Neck Injuries ◽  
Cervical Trauma ◽  
Car Accidents ◽  
Socio Demographic Factors

Background. Cervical trauma can be closed or open, have different degrees of severity, incidence rates, prevalence, or mortality, with variations in the presence of demographic factors. The different types of traumatic injuries have a certain pattern of occurrence depending on criteria related to sex, age, alcohol consumption, and socio-demographic factors. Increasing the rate of trauma is becoming a public health problem and it is necessary to study their epidemiology and implement control strategies. Aims. The objectives of the study are to establish the particularities of epidemiological, morphopathological, and pathophysiological factors involved in complex neck traumatology. Methods. The study group consisted of 384 patients, representative for the population of Moldova, who presented at the ENT Clinic, Hospital “St. Spiridon” Iași and the Institute of Forensic Medicine, Iași during 2012–2016, with complex cervical trauma pathology, produced by various mechanisms, such as car accidents, domestic accidents, aggressions, ballistic trauma, self-inflicted attempts, hanging or strangulation. Data were collected from autopsy reports and medical records. Results. Complex cervical trauma occurs with a predisposition in males, with an average age of 43 years, from rural areas. The mechanism of cervical trauma is predominantly self-inflicted—hanging in 78.4% of the total number of cases, followed by 14.8% of stabbing aggression. The majority of neck injuries, both open and closed, are located in anatomical zone II (73.6%), vascular and pharyngeal are produced by stabbing. Psychiatric disorders and blood alcohol levels are correlated with complex cervical trauma caused by self-inflicted mechanism—hanging and can be considered a predictive factor of suicide attempts. Conclusions. Overall, the vast majority of closed neck injuries were caused by the self-inflicted mechanism, attempted suicide by hanging, followed by the accidental mechanism. Regarding the penetrating complex aero-digestive cervical traumas, they were mostly produced by stabbing both in aggression and self-inflicted circumstances. Aggravating addictive factors such as alcoholism and mental disorders require a competent assessment in terms of the indication of institutionalized treatment, prevention of repeated self-inflicted attempts, or social reintegration.

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

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