Penetrating trauma of the face and facial skeleton – a case series of six patients

2017 ◽  
Vol 89 (1) ◽  
pp. 50-60
Author(s):  
Aneta Neskoromna-Jędrzejczak ◽  
Katarzyna Bogusiak ◽  
Aleksander Przygoński ◽  
Bogusław Antoszewski
Keyword(s):  
Foreign Body ◽  
Literature Review ◽  
General Condition ◽  
Case Series ◽  
Penetrating Trauma ◽  
Facial Skeleton ◽  
Common Cause ◽  
Improper Use ◽  
The Face ◽  
Life Threatening

Penetrating traumas of the facial skeleton are relatively rare; however, they can be dangerous and even life-threatening. The epidemiology of facial skeleton trauma is diverse and depends on the affected region, age, and the kind of foreign body that caused the injury. In Poland, the most common cause of penetrating traumas are accidents and assaults, and only rarely accidents are related to improper use of firecrackers or fireworks. The aim of this study is to present a literature review and our own experience with penetrating traumas of the face and the facial part of the cranium. Six cases with severe wounds and fractures of the facial skeleton were treated between the years 2000 and 2012 in our department. The applied treatment methods depended mainly on the general condition of the patients. In all cases, we achieved acceptable functional and aesthetic outcomes.

Conservative Management in Two Penetrating Fishbone Injuries: A Case Series and Literature Review

2021 ◽  
Keyword(s):  
Foreign Body ◽  
Literature Review ◽  
Conservative Management ◽  
Case Reports ◽  
Case Series ◽  
Foreign Body Ingestion ◽  
Medical Referral

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.

Penetrating Orbital Trauma by Large Foreign Body: Case Series Study with Treatment Guidelines and Literature Review

2020 ◽  
Author(s):  
Marcio Bruno Figueiredo Amaral ◽  
Samuel Macedo Costa ◽  
Vasco Oliveira de Araújo ◽  
Flavio Medeiros ◽  
Roger Lanes Silveira
Keyword(s):  
Foreign Body ◽  
Literature Review ◽  
Treatment Guidelines ◽  
Case Series ◽  
Orbital Trauma ◽  
Case Series Study ◽  
Series Study ◽  
Body Case

scholarly journals Impacted denture in the oesophagus: review of the literature and its management

2019 ◽  
Vol 12 (10) ◽  
pp. e229655
Author(s):  
Zahir Mughal ◽  
Alexander Rowan Charlton ◽  
Raghav Dwivedi ◽  
Basavaiah Natesh
Keyword(s):  
Foreign Body ◽  
Clinical Assessment ◽  
Treatment Options ◽  
Oesophageal Perforation ◽  
Review Of The Literature ◽  
Common Cause ◽  
Life Threatening ◽  
Foreign Body Impaction ◽  
Acute Dysphagia ◽  
Prompt Diagnosis

Foreign body impaction in the oesophagus is a common cause of acute dysphagia. Oesophageal impaction of sharp objects such as dentures can be life threatening due to the risk of oesophageal perforation. This condition requires urgent treatment, and therefore prompt diagnosis and management is vital to avoid complications. Diagnosing oesophageal foreign body can be challenging due to its poor localising symptoms. We describe a case of an impacted denture in which considerable delays to treatment were encountered, and discuss the pitfalls and lessons learnt. This case and review of the literature draw attention to clinical assessment, investigation and treatment options for oesophageal foreign body impaction.

scholarly journals Characteristic of Bacterias And Antibiotic Sensitivity of Blood Culture in Sepsis

2020 ◽  
Vol 5 (1) ◽  
pp. 99-106
Author(s):  
Jesica Sidabutar ◽  
Nurmalia Purnama Sari ◽  
Phey Liana
Keyword(s):  
Univariate Analysis ◽  
Treatment Guideline ◽  
Antibiotic Sensitivity ◽  
Gram Positive ◽  
Common Cause ◽  
Gram Positive Bacteria ◽  
Threatening Condition ◽  
Improper Use ◽  
Life Threatening ◽  
Staphylococcus Hominis

Introduction: Sepsis is a group of symptoms caused by infection, characterized byorgan dysfunction due to compromised hosts response to infection hence may leadto a life-threatening condition. One of the treatments for sepsis stated in one hour-bundle is the administration of broad-spectrum antibiotics before the culture resultsobtained. Improper use of antibiotics may lead to antibiotic resistance. The purposeof this study was to describe the microbes pattern and their sensitivity to antibioticsin patients with sepsis at Muhammad Hoesin Hospital, Palembang, to contribute toa useful treatment guideline and to provide a reference for further research.Methods: This study was a descriptive observational study with a cross-sectionaldesign using medical record of patients diagnosed with sepsis whose blood cultureresults were positive. This study was conducted at Muhammad Hoesin Hospital,Palembang, from January 2017 to December 2018. The data was processed andanalyzed by univariate analysis using the SPSS 21.0 computer program. Results:The study subjects were predominantly children with Gram-positive bacteria(24.6%) as the most common cause. The most common bacteria observed wereStaphylococcus epidermidis (35.7%), Staphylococcus aureus (27.3%), Staphylococcushaemolyticus (24%), and Staphylococcus hominis (21.4%). Linezolid (100%),nitrofurantoin (100%), and quinupristin/dalfopristin (100%) were found to besensitive to gram-positive bacteria. Conclusion: Gram-positive bacteria were themost common cause of sepsis in Muhammad Hoesin Hospital, Palembang. Thebacteria were sensitive to linezolid, nitrofurantoin, and quinupristin/ dalfopristin.

Iatrogenic tracheoarterial fistula: Case report and literature review

2017 ◽  
Vol 57 (3) ◽  
pp. 143-145 ◽  
Author(s):  
Durmić Tijana ◽  
Čurović Ivana ◽  
Bogdanović Milenko ◽  
Savić Slobodan
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Rare Complication ◽  
Case Series ◽  
Tracheobronchial Tree ◽  
Prolonged Intubation ◽  
Life Threatening ◽  
Life Threatening Complication

Tracheo-innominate fistula is a rare but recognised life-threatening complication most commonly associated with prolonged endotracheal intubation. We report the case of a 16-year-old boy who developed a tracheo-innominate fistula secondary to the prolonged intubation after a pool accident. After 16 days of hospitalisation, the patient died as a consequence of a massive haemorrhage into the tracheobronchial tree and asphyxia. This is a rare complication, and to our knowledge, no case of tracheo-innominate fistula or any other case series concerning this rare complication has been reported in Serbia recently. This case report addresses the epidemiology of a trachea-innominate fistulisation as a complication of prolonged tracheal intubation, with a special overview of its forensic importance as an iatrogenic injury.

scholarly journals Traumatic Foreign Body into the Face: Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Maysa Nogueira de Barros Melo ◽  
Lidyane Nunes Pantoja ◽  
Sara Juliana de Abreu de Vasconcellos ◽  
Viviane Almeida Sarmento ◽  
Christiano Sampaio Queiroz
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Literature Review ◽  
Mouth Opening ◽  
Facial Trauma ◽  
The Face

This paper describes a case of mouth opening limitation, secondary to a facial trauma by cutting-piercing instrument, whose fragments had not been diagnosed in the immediate posttrauma care. Description of an unusual surgical maneuver and a literature review are presented.

Acute Idiopathic Scrotal Edema: Systematic Literature Review

2017 ◽  
Vol 28 (03) ◽  
pp. 222-226 ◽  
Author(s):  
Maristella Santi ◽  
Sebastiano Lava ◽  
Giacomo Simonetti ◽  
Gregorio Milani ◽  
Mario Bianchetti
Keyword(s):  
Abdominal Pain ◽  
Literature Review ◽  
Children And Adolescents ◽  
General Condition ◽  
Case Series ◽  
Acute Scrotum ◽  
Good General Condition ◽  
Scrotal Edema ◽  
Limiting Condition ◽  
Made In

Introduction Existing information on acute idiopathic scrotal edema relies on small case series and textbooks. Methods We searched reports with no date limits on acute idiopathic scrotal edema. Results Thirty-seven studies were included. Sixteen case series addressed the prevalence of acute idiopathic scrotal edema among males with acute scrotum: among 3,403 cases, the diagnosis of acute idiopathic scrotal edema was made in 413 cases (12%). Twenty-four reports addressed history, findings, management, and course of acute idiopathic scrotal edema in 311 patients. The patients mostly ranged in age from 5 to 8 years, presented with acute scrotal redness and swelling, associated or not with mild pain. Ninety percent or more of the cases developed in patients without atopic diathesis and were not preceded by inguinoscrotal surgery, acute febrile illnesses, or trauma. They were afebrile; in good general condition; and presented without pruritus, nausea or vomiting, or abdominal pain. The lesions were bilateral in two-thirds and unilateral in one-third of the cases. The condition resolved spontaneously within 2 to 3 days without sequelae. Approximately 10% of the cases experienced a recurrence. Conclusion Acute idiopathic scrotal edema is a self-limiting condition that accounts for ≥ 10% of cases of acute scrotum in children and adolescents.

Hemoptysis in Children

1996 ◽  
Vol 17 (10) ◽  
pp. 344-348
Author(s):  
Paul Pianosi ◽  
Hammad Al-sadoon
Keyword(s):  
Cystic Fibrosis ◽  
Foreign Body ◽  
Tract Infection ◽  
Pulmonary Tuberculosis ◽  
Lower Respiratory Tract ◽  
Foreign Body Aspiration ◽  
Massive Hemoptysis ◽  
Common Symptom ◽  
Common Cause ◽  
Life Threatening

Definition Hemoptysis is defined as coughing up of blood or the presence of blood in sputum. It is not a common symptom in children and although not usually life-threatening, it can become so. Massive hemoptysis is defined as bleeding that exceeds 8 mL/kg per 24 hours. Because children younger than 6 years of age tend to swallow their sputum, they rarely present with hemoptysis, unless the bleeding is substantial. Epidemiology and Etiology Causes of hemoptysis in children are listed in Table 1. Acute lower respiratory tract infection is the single most common cause, accounting for approximately 40% of cases. Hemoptysis that ranges from blood-tinged sputum to massive quantities of blood in the sputum is relatively common among those who have cystic fibrosis (CF). Massive hemoptysis is estimated to occur in 5% of CF patients, but approximately 1% will have mild hemoptysis every year, most commonly among those who are older than 18 years. In bronchiectasis due to causes other than CF, the incidence of hemoptysis is approximately 10% to 15%. Foreign body aspiration remains a leading cause of hemoptysis in children, with the majority of cases occurring in those younger than 4 years of age. Hemoptysis seldom is encountered in those who have primary pulmonary tuberculosis; it is estimated to occur in fewer than 1% of cases.

Imaging in trauma of the facial skeleton and soft tissues of the neck

2020 ◽  
Vol 81 (6) ◽  
pp. 1-15
Author(s):  
George Bitar ◽  
Philip Touska
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Penetrating Trauma ◽  
Soft Tissue Injuries ◽  
Imaging Features ◽  
Facial Skeleton ◽  
Pictorial Review ◽  
The Face ◽  
Craniofacial Trauma ◽  
Tissue Injuries

Trauma to the face and neck is a frequent reason for emergency department attendance. Imaging is invaluable in the characterisation of such injuries, enabling delineation of fracture patterns as well as identification of vascular and other soft tissue injuries. It may also be used to prevent long-term mortality and morbidity and provide a roadmap for surgical intervention so that form and function may be restored. This article gives a pictorial review of the imaging of craniofacial trauma, stratified according to the thirds of the face, followed by a review of blunt and penetrating trauma of the neck. It discusses appropriate imaging modalities for each trauma category, describes major patterns of craniofacial trauma on cross-sectional imaging and identifies clinically relevant imaging features that should trigger subspecialist review or be of relevance to pre-surgical planning. It starts with the upper third comprising frontal sinus fractures before describing the component fractures of the middle third (including nasal, zygomaticomaxillary and orbital fractures) and then focusing on the lower third (specifically mandibular and dentoalveolar fractures). The article concludes with a review of soft tissue injuries of the neck, particularly penetrating, blunt and laryngeal trauma.

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