scholarly journals Acute Traumatic Injury of the Larynx

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

scholarly journals Acute Traumatic Injury of the Larynx

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.

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

2017 ◽  
Vol 11 (1) ◽  
pp. 546-556 ◽  
Author(s):  
Michele Runci ◽  
Francesco Saverio De Ponte ◽  
Roberto Falzea ◽  
Ennio Bramanti ◽  
Floriana Lauritano ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Developed Countries ◽  
Orbital Floor ◽  
Orbital Fractures ◽  
Diagnosis And Management ◽  
North East ◽  
The North ◽  
Complex Anatomy ◽  
Mandibular Body

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.

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

2014 ◽  
Vol 4 (2) ◽  
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.

scholarly journals O4B.2 Patterns and predictors of return to work after major trauma: a prospective, population based registry study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A34.2-A34
Author(s):  
Alex Collie ◽  
Pamela Simpson ◽  
Peter Cameron ◽  
Shanthi Ameratunga ◽  
Jennie Ponsford ◽  
...  
Keyword(s):  
Return To Work ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Multinomial Logistic Regression ◽  
Traumatic Injury ◽  
Population Based ◽  
Full Time ◽  
Post Injury ◽  
Targeted Interventions ◽  
Co Morbidity

BackgroundEmployment is an important marker of functional recovery from injury. There are few population-based studies of long-term employment outcomes, and limited data on the patterns of return to work post injury.ObjectivesThis study sought to characterise patterns of engagement in work over the four-year period following major traumatic injury, and to identify factors associated with those patterns.MethodWe conducted a population-based, prospective cohort study using the Victorian State Trauma Registry. A total of 1086 working age individuals, in paid employment or full-time education before injury, were followed-up through telephone interview at 6, 12, 24, 36, and 48 months post-injury. Responses to return to work (RTW) questions were used to define four discrete patterns: early and sustained; delayed; failed; no RTW. Predictors of RTW patterns were assessed using multivariate multinomial logistic regression.ResultsSlightly more than half of respondents (51.6%) recorded early sustained RTW. A further 15.5% had delayed and 13.3% failed RTW. One in five (19.7%) did not RTW. Compared with early sustained RTW, predictors of delayed and no RTW included being in a manual occupation and injury in a motor vehicle accident. Older age and receiving compensation predicted both failed and no RTW patterns. Pre-injury disability was an additional predictor of failed RTW. Presence of co-morbidity was an additional predictor of no RTW.ConclusionsA range of personal, occupational, injury, health and compensation system factors influence RTW patterns after serious injury. Early identification of people at risk for delayed, failed or no RTW is needed so that targeted interventions can be delivered.

scholarly journals Blunt external laryngeal trauma: Two case reports

2007 ◽  
Vol 60 (9-10) ◽  
pp. 489-492
Author(s):  
Slobodan Mitrovic
Keyword(s):  
Computerized Tomography ◽  
Computer Tomography ◽  
Motor Vehicle ◽  
Clinical Symptoms ◽  
Case Reports ◽  
Thyroid Cartilage ◽  
Complete Recovery ◽  
Valve Mechanism ◽  
Laryngeal Trauma ◽  
First Case

Introduction. External laryngeal trauma, blunt or penetrating, is rare but potentially life-threatening. Most frequently it occurs in motor vehicle accidents. The most common symptoms of external laryngeal injuries are: dysphagia, odynophagia, dysphonia, odynophonia, reduction of the laryngeal prominence, hemoptysis and neck crepitation. Two case reports. This paper reviews two cases of blunt laryngeal injury caused by a direct blow to the neck. After admission, both patients underwent clinical examination, as well as radiography of the neck, and computer tomography of the neck and larynx. GIRBAS scale was used for voice analysis. In the first case, computer tomography showed a fracture of the right thyroid cartilage in the posterior lamina where it is attached to the upper horn. In the other case, the presence of air was confirmed by radiography of the upper aperture. Computerized tomography showed the presence of air in the neck, underneath the skin, which was probably the consequence of the larygeal valve mechanism trauma. Both patients were treated conservatively. Discussion and Conclusion. The symptomatology of external larygeal trauma may include: hoarseness, swallowing difficulties and/or painful swallowing, painful phonation, neck pain, bloody sputum and breathing difficulties. The clinical symptoms of blunt laryngeal trauma may be hidden and non-specific, but also clear, indicating a larynx trauma, and vice versa. Quick diagnosis using computerized tomography, hospitalization and adequate therapy, can reduce the consequences of these injuries and increase the chances for a complete recovery of larygeal musculature and function. .

Osteochondral Defects of the Talus Treated with Fresh Osteochondral Allograft Transplantation

2001 ◽  
Vol 22 (5) ◽  
pp. 385-391 ◽  
Author(s):  
Allan Edward Gross ◽  
Zoe Agnidis ◽  
Carol Rose Hutchison
Keyword(s):  
Open Fracture ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Traumatic Injury ◽  
Osteochondral Allograft ◽  
Osteochondral Defects ◽  
Allograft Transplantation ◽  
Vehicle Accident ◽  
Fresh Osteochondral Allograft

Between 1980 and 1996, 9 patients with osteocartilagenous lesions of the talus were treated surgically using fresh osteochondral allograft transplantation. In 8 cases the reason for surgery was osteochondritis dissecans (4 of these cases had a previous traumatic injury). In 1 case a fresh osteochondral allograft of the talus was required following a traumatic open fracture of the talus sustained in a motor vehicle accident. Of these 9 grafts, 6 grafts remain in situ with a mean survival of 11 years (range 4 to 19). In the three cases requiring fusion the reason for surgery was not related to arthritic deterioration but due to resorption and fragmentation of the graft.

scholarly journals Does Trauma Influence Post-concussive Symptom Recovery in Youth?

2019 ◽  
Vol 34 (6) ◽  
pp. 843-843
Author(s):  
T Tarkenton ◽  
L Hynan ◽  
N Didehbani ◽  
C Silver ◽  
M Cullum
Keyword(s):  
Repeated Measures ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Recovery Period ◽  
Traumatic Events ◽  
Mechanism Of Injury ◽  
Post Traumatic Stress ◽  
Emotional Symptoms ◽  
Symptom Recovery

Abstract Objective Minimal research has focused on youth concussions acquired in traumatic events versus non-traumatic events, despite overlap between post-concussive and post-traumatic stress symptoms. Youth sustaining a concussion during a motor vehicle accident (MVA) may endorse greater emotional and cognitive symptoms than those with sports-related concussion (SRC). This study’s aim was to compare recovery from concussion due to MVA versus SRC to determine if recovery profiles differ. Data Selection Participants aged 7-25 who reported to clinic within 30 days of SRC (n = 329) or MVA-related concussion (n = 67) and endorsed persistent post-concussive symptomatology (>1 month) were selected from the North Texas Concussion Registry (ConTex). Data collected at initial visit and 3-month follow-up included a four-factor symptom checklist (physical, emotional, cognitive, sleep), GAD-7 for anxiety, and PHQ-8 for depression. Data Synthesis Repeated measures ANOVA compared longitudinal score differences. MVA and SRC groups significantly improved on all measures at follow up; however, the MVA group reported higher symptomatology on all measures at both visits (ps < .01). For all cognitive and emotional scores, a significant interaction was found (ps < .01), with the MVA group demonstrating greater improvement over 3 months (See Image Attachment). Conclusions Mechanism of injury influences post-concussion symptom recovery. Despite greater improvement in cognitive and emotional symptoms between visits, the MVA group endorsed significantly higher post-concussive symptomatology across the recovery period. Perhaps because of trauma related to mechanism of injury, specific differences in cognitive and emotional symptom presentation/recovery profiles were observed. Posttraumatic stress symptom assessment may be useful in examining the influence of potential trauma/reactions on post-concussive symptom recovery.

scholarly journals Consideration of penetrating abdominal trauma, a retrospective study.

2017 ◽  
Vol 1 (1) ◽  
pp. 50-55
Author(s):  
Agron Dogjani ◽  
Engjellushe Jonuzi ◽  
Fadil Gradica ◽  
Shkelzen Osmanaj ◽  
Eliziana Petrela
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Penetrating Trauma ◽  
Gunshot Wounds ◽  
Emergency Laparotomy ◽  
Mechanism Of Injury ◽  
Abdominal Injuries ◽  
Vehicle Accident ◽  
Data Collection Instrument ◽  
The Usa

Background; Nowadays penetrating trauma is increasing because of the growth of violence in our society. The penetrating injury (PI) constitute about 6% of the hospitalized cases and 10% of visits to the emergency department (ED), they are calculated to the second as the leading cause of death after motor vehicle accident (MVA) and occupied 20% of deaths related to injuries in the USA.[1] Objective: The purpose of this study was to evaluate the management results of patients with penetrating abdominal injuries. Patients and methods; We have used a standardized data collection instrument, case records of all patients with penetrating trauma (PT) diagnosed between January 2015 and August 2017. All patients who had performed or not emergency laparotomy (EL) after sustaining Blast injuries (BI), Gunshot wounds (GSW), stab wounds (SW), Sharp tools wounds (STW) were included in our study. Results; We have recorded 102 patients (Pt)[93(91%) male & 9(9%) female] with PAT in this study. Of 102 Pt, 47 (46%) were coming from Tirana, and 55 (54%) from another hospital. The mean age was 34.6 (10-80) years. The distribution of data based on mechanism of injury was; 2 (2%) of Pt was after BI, 34(33%) of Pt was after GSW, 55 (54%) of Pt was after SW, 11(11%) of Pt was after STW, were included in our study. Conclusions; Management of PAT remains a serious issue in ED. The outcome of treatment is dependent on the mechanism of injury, age, presence of shock in admission, number of injuries organ, associations with extra-abdominal injuries…

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

Vascular ◽  
2008 ◽  
Vol 16 (6) ◽  
pp. 350-355 ◽  
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.

Ankle-joint salvage following a tibial pilon fracture. A case report

1998 ◽  
Vol 88 (2) ◽  
pp. 80-83 ◽  
Author(s):  
MK O'Shea ◽  
KA Lewis
Keyword(s):  
Case Report ◽  
Ankle Joint ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Alternative Form ◽  
Mechanism Of Injury ◽  
Pilon Fracture ◽  
Tibial Pilon ◽  
Tibial Pilon Fracture ◽  
Vehicle Accident

This article presents a case of a tibial pilon fracture following a motor-vehicle accident. It discusses the main classification system and mechanism of injury for such fractures and emphasizes an alternative form of treatment of the usually suggested ankle fusion: an arthrectomy, which allows motion, thereby salvaging the ankle joint.

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