Recreational motor vehicle use and facial trauma

2015 ◽  
Vol 126 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Kevin Shaigany ◽  
Anish Abrol ◽  
Peter F. Svider ◽  
Jean Anderson Eloy ◽  
Michael A. Carron ◽  
...  
1994 ◽  
Vol 35 (1) ◽  
pp. 90-91 ◽  
Author(s):  
R. Olsson ◽  
R. Kunz

A 43-year-old male presented with blunt facial trauma after a motor-vehicle accident. CT-evaluation revealed a right-sided maxillary fracture and a fracture of the left occipital condyle. The fracture of the occipital condyle is potentially unstable and fatal cases have been described. Plain radiographs are not diagnostic. This occipital condyle fracture was an incidental finding during CT-evaluation of a maxillary fracture and is probably the first case with coronary CT scans of this type of fracture.


2020 ◽  
Vol 185 (9-10) ◽  
pp. 414-416
Author(s):  
John Breeze ◽  
William Gensheimer ◽  
Joseph J DuBose

Abstract Introduction Facial fractures sustained in combat are generally unrepresentative of those commonly experienced in civilian practice. In the US military, acute trauma patient care is guided by the Joint Trauma System Clinical Practice Guidelines but currently none exists for facial trauma. Materials and methods All casualties that underwent surgery to facial fractures between January 01, 2016 and September 15, 2019 at a US deployed Military Treatment Facility in Afghanistan were identified using the operating room database. Surgical operative records and outpatient records for local Afghan nationals returning for follow-up were reviewed to determine outcomes. Results 55 casualties underwent treatment of facial fractures; these were predominantly from explosive devices (27/55, 49%). About 46/55 (84%) were local nationals, of which 32 (70%) were followed up. Length of follow-up ranged between 1 and 25 months. About 36/93 (39%) of all planned procedures developed complications, with the highest being from ORIF mandible (18/23, 78%). About 8/23 (35%) casualties undergoing ORIF mandible developed osteomyelitis, of which 5 developed nonunion. Complications were equally likely to occur in those procedures for “battlefield type” events such as explosive devices and gunshot wounds (31/68, 46%) as those from “civilian type” events such as falls or motor vehicle collisions (5/11, 45%). Conclusions Complications Rates from facial fractures were higher than that reported in civilian trauma. This likely reflects factors such as energy deposition, bacterial load, and time to treatment. Load sharing osteosynthesis should be the default modality for fracture fixation. External fixation should be considered in particular for complex high-energy or infected mandible fractures where follow-up is possible.


2019 ◽  
Vol 280 ◽  
pp. 04016
Author(s):  
Muhammad Nanang Prayudyanto ◽  
Muiz Thohir ◽  
Stefan Belka

The subsidies for public transport entails a controversial discussion on the pros and cons. On one hand mode share of public transport will decrease with increasing income levels towards private motor vehicle use. Intention of this paper is to prove that subsidy plays important role in the public transport operation and business. However such subsidy is not recover he needs to carry out the sustainable urban transport in the future. Government and private partner should create a systematic subsidy targeted for the right modes, that having sustainable achievement. This paper is structured to answer to what extent the effectiveness of government subsidies for the development of public transport services.


2002 ◽  
Vol 20 (12) ◽  
pp. 784-792 ◽  
Author(s):  
KATHLEEN L. SITZMAN ◽  
MARJORIE A. PETT ◽  
DONALD S. BLOSWICK

2016 ◽  
Vol 2016 ◽  
pp. 1-2
Author(s):  
Megan EuDaly ◽  
Chadd K. Kraus

Mucoceles are cysts that can develop after facial bone fractures, especially those involving the frontal sinuses. Despite being rare, mucoceles can result in serious delayed sequelae. We present a case of a frontal mucocele that developed two years after extensive facial trauma following a motor vehicle crash (MVC) and review the emergency department (ED) evaluation and treatment of mucocele. Early recognition, appropriate imaging, and an interdisciplinary approach are essential for managing these rare sequelae of facial trauma.


2015 ◽  
Vol 95 (2) ◽  
pp. 75-98
Author(s):  
Miomir Jovanovic

The fundamental aims of sustainable urban development and the pro-automobile oriented economic development are on a collision course. It is obvious that automobile-dependent urban development is under heavy/powerful influence of the automobile lobby (automobile and oil industries, along with construction). In this domain famous land-use-transportation studies (or ?grand transportation studies?) are, unfortunately, still prevailing - a vicious circle of self-fulfilling prophecy of congestion, road building, sprawl, congestion and more road building. Until recently, it was commonly thought that investment in public transport was not economically sustainable and that focusing on the development of the automobile industry and financing the construction of roadways stimulated economic growth. In this paper we clearly show that automobile industry is now overcapitalized, less profitable than many other industries (and may become even less profitable in the future), that transport market is characterized with huge distortions (more than a third of motor-vehicle use can be explained by underpriced driving), while new road investment does not have a major impact on economic growth (especially in a region with an already well-developed infrastructure), and that pro-automobile transport strategy inexorably incurs harmful global, regional and local ecological consequences.


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 ◽  
...  

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.


2020 ◽  
Vol 3 (1) ◽  
pp. 24-25
Author(s):  
Abdullah -Al-Faisal ◽  
Afrina Akter ◽  
Nishita Chowdhury ◽  
Anutosh Das ◽  
Faria Afrin Zinia

Consumption of non-renewable energy resources and global warming are increasing due to excessive dependency on motorized vehicle. The study investigates the influencing factors for private motor vehicle dependency to develop a structural equation model (SEM) for quantifying subjective motor vehicle dependency by examining the determinants. A questionnaire survey of 130 random samples was conducted among private motor vehicle users from different districts of Bangladesh. On the basis of user practical experience and reliance on motor vehicle use, a subjective measure of private motor vehicle dependency is established. Results support to accept the model hypothesis which is MVU [Motor Vehicle Use] affects DEPEND [Dependency on Motor Vehicle] positively and both negatively affect INTENT [Intention to Reduce Motor Vehicle]. Hence, children and monthly income of respondents have large influence on motor vehicle use as the beta weights are 1.22 and 1.01, respectively. In case of dependency, regression weight shows that fuel expenses, average travelling distance, speed have significant influences. Besides, the greater social grade shows less intention to reduce motor vehicle use. The study shows clear overview of possible affecting factors behind dependency which can be reflected in decision-making strategies.


2021 ◽  
Vol 12 (46) ◽  
pp. 70-75
Author(s):  
Dimas Albertiny Barradas de Sousa Varela ◽  
Priscila Vital Fialho ◽  
Mariana Mendes de Carvalho ◽  
Victor Hugo Moraes Salviano ◽  
Carlos Vinicius Moreira ◽  
...  

Fronto-naso-orbito-etmoidal fractures, known as FNOE fractures, are the result of blunt trauma of high energy in the middle and upper third of the face. Presenting an approximate frequency of 5% to 15% of facial trauma in children and adults, respectively, FNOE fractures are found more commonly after motor vehicle accidents, physical aggression, falls or cycling accidents. The diagnosis and treatment of FNOE fractures are difficult to perform and, for this reason, the performance of a thorough clinical examination associated with a good imaging evaluation is of great importance in these traumas, as incorrect diagnosis and inadequate or late treatment generally result in aesthetic and functional. The treatment of this type of fracture must be defined after the identification of the extension, type of fracture, and affected structures in order to restore function and shape of the middle face. This study aimed to report a case of sequelae of FNOE fracture where there were aesthetic and respiratory complaints, treated with coronal access and subsequent reduction of nasal bones fracture and aesthetic correction of the nasal dorsum and glabella with the use of polymethylmethacrylate cement (PMMA). It was concluded that the early diagnosis of FNOE fractures is of great importance to avoid sequelae, with coronal access being a good access option for the surgical correction of these sequelae and the biocompatibility and handling characteristics, as well as the low cost of cement PMMA is a good option for grafting in corrections of craniofacial deformities.


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