A Differential Approach to the Choice of Treatment of Facial Bone Fractures in the Children

10.12737/3564 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-5
Author(s):  
Тихонов ◽  
E. Tikhonov ◽  
Харитонов ◽  
D. Kharitonov ◽  
Гаршина ◽  
...  
Keyword(s):  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Facial Bone ◽  
Differential Approach ◽  
Fractures In Children ◽  
Choice Of Treatment ◽  
Post Traumatic

The choice of treatment of facial bone fractures in the early age remains a challenge for dentists and maxillofacial surgeons due to the peculiarities of child organism. The purpose of this study was to develop a differential approach to the choice of treatment of children´s facial bone fractures taking into account the age of a child, location of injury and possible complications. This paper presents the analysis of current epidemiological situation regarding to facial bone fractures in children in Voronezh city and Voronezh region. It is shown that the most common injuries is a fall from a height of its own growth, i.e. low-trauma; at the same time the number of high-speed traumas, such as road-traffic accidents, high falls, has decreased. The analysis was carried out 58 cases of facial bone fractures in a group of children from 1 month to 16 years being treated in Maxillofacial Department of Voronezh Regional Pediatric Hospital №2. The developed model of differential choice of treatment of facial bone fractures in children allows to choosing the method taking into account a child age, location of injury and severity, as well as possible consequences of surgery. The clinical monitoring has proved the efficacy of the model which gives an opportunity to decrease post-traumatic complications associated with growth and occlusion deformations as well as complications of inflammatory genesis. It was convincingly shown the need for follow-up care of children with facial fracture that the doctor-orthodontist should continue. The presented data of this study about correlation between surgical and conservative treatment of facial bone fractures in children coincide with the worldwide statistics showing the current tendency to a wide application of mini-invasive methods of fractures fragments immobilization.

The Association between Severity of Injuries of Facial Bones in the Children and the Circumstances of the Injury

10.12737/3565 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-4
Author(s):  
Харитонов ◽  
D. Kharitonov ◽  
Тихонов ◽  
E. Tikhonov
Keyword(s):  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Severe Trauma ◽  
Low Speed ◽  
Fractures In Children ◽  
Medium Speed ◽  
Speed Group ◽  
Trauma Group

The aim of the study is to identify the association between the severity of maxillofacial trauma and its origin. The study has included 58 cases of facial bone fractures in children of different ages received in different circumstances. All patients were treated in Maxillofacial Department of Voronezh Regional Pediatric Hospital № 2. In this paper it is shown that the gravity of the injury is directly dependent on the forces of the action of damaging factors, which is determined by the circumstances of an injury. The injuries are divided into two groups: low-speed trauma group and high-speed trauma group. The study has proved the necessity to reveal the separate group, i.e. medium-speed group of the traumas typical for children (a fall from a bike, a playground trauma). The results of this study are the following: the most frequent trauma in children is a low-speed trauma (a fall from one’s height, a criminal trauma), the most severe trauma is a high-speed-one (a high fall, road-traffic accidents, a blow into a face from a cattle).

scholarly journals Clinical and audiological evaluation of post traumatic hearing loss

2020 ◽  
Vol 6 (12) ◽  
pp. 2258
Author(s):  
Abhijit Shankar ◽  
Shibu George ◽  
Satheesh Somaraj
Keyword(s):  
Hearing Loss ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Post Injury ◽  
Temporal Bone Fracture ◽  
Mixed Hearing Loss ◽  
Hearing Thresholds ◽  
Post Traumatic ◽  
Conductive Hearing

<p><strong>Background</strong>: Post traumatic hearing loss is one of the most common problems encountered among trauma victims. It can manifest as conductive, sensorineural or mixed hearing loss. It is against this background that the study evaluated the clinical and audiological outcome of 47 patients of trauma.</p><p><strong>Methods</strong>: A descriptive longitudinal study was conducted over a period January 2017 to March 2018. Follow up was done after 3 months of discharge. Study consisted of 47 patients presenting with features of trauma related injuries. After carrying out systematic clinical, audiometric and radiological evaluation, patients were managed conservatively.</p><p><strong>Results</strong>: Of the 47 patients studied, 89.98% were related to road traffic accidents (RTAs); and 76.60% were under the influence of alcohol at the time of trauma. Among the 32 cases of the RTAs involving two wheelers, 29 patients (90.62%) were not using protective devices like helmet. Nearly 90% of patients had temporal bone fracture. Audiological evaluation confirmed hearing loss in 77% of patients at presentation. There was significant improvement of hearing thresholds with 51% attaining normal hearing at follow up with conservative management.</p><p><strong>Conclusions</strong>: Post traumatic hearing loss was very common, conductive hearing loss being the most common type. It resolved over a few days to few weeks post injury. Timely diagnosis and management with early steroid therapy showed encouraging results for patients with traumatic sensorineural hearing loss or mixed hearing loss.</p>

scholarly journals PATTERN OF FACIAL BONE FRACTURES IN ROAD TRAFFIC ACCIDENTS RIDING ON TWO WHEELERS IN A TERTIARY HOSPITAL IN BANGALORE, INDIA

2020 ◽  
pp. 1-3
Author(s):  
Kumaraswamy Mohan Kumar
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Tertiary Hospital ◽  
Road Traffic Accidents ◽  
Facial Bone ◽  
Retrospective Case ◽  
Case Record ◽  
The Face ◽  
Single Bone

The injury to the face is second most common in cases with road traffic accidents in patients on two wheelers. This adds to physical, social, emotional, economical burden and also psychological problems to the patient. It is a retrospective case record study of patients who had come to casualty with Road traffic accidents and were riding a two wheeler. 89 patients were selected with facial bone fractures and analyzed. Out of 89 patients 19% patients had single bone fracture and 67% had multiple bone fractures. Most common fractures were maxilla and nasoethmoid fractures. Conclusion- wearing full helmets can decrease the severity of these injuries. Awareness about wearing full helmets should increase.

scholarly journals Short and medium term outcome of surgical treatment of the floating shoulder

2020 ◽  
Vol 6 (4) ◽  
pp. 678
Author(s):  
Niranjan Tadvi
Keyword(s):  
Surgical Treatment ◽  
Functional Outcome ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Rare Injury ◽  
Term Outcome ◽  
Floating Shoulder ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Floating shoulder are rare injuries just because of high velocity of trauma and road traffic accidents. The aim of this study was to evaluate the functional outcome of surgically treated clavicle, glenoid and both bone injuries.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in the department of orthopaedics, Sir. T. Hospital, Bhavnagar from October 2009 to November 2013. Out of 25 patients all turned up for follow up. Functional and clinical assessments done with range of movements in surgically treated fractures of clavicle, glenoid and both bone group.<strong></strong></p><p class="abstract"><strong>Results:</strong> All bone fractures are united in all the patients. The mean follow up period was 30 months. The mean functional result was assessed using Rowe score to assesses the function, pain, stability and motion. All the cases showed excellent to fair results after follow up period.</p><p class="abstract"><strong>Conclusions:</strong> Surgical treatment for double disruption of the superior shoulder suspensory complex, which is inherently an unstable and rare injury, is a good option, allowing early rehabilitation and improving the functional outcome.</p>

scholarly journals P014: Incidental findings in trauma whole-body CT scans: a systematic review

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S69-S69
Author(s):  
V. Tsang ◽  
K. Bao ◽  
J. Taylor
Keyword(s):  
Systematic Review ◽  
Incidental Findings ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Subsequent Treatment ◽  
Whole Body ◽  
Trauma Patients ◽  
Patient Demographics ◽  
Study Results

Introduction: Whole-body computed tomography scans (WBCT) are a mainstay in the work-up of polytrauma or multiple trauma patients in the emergency department. While incredibly useful for identifying traumatic injuries, WBCTs also reveal incidental findings in patients, some of which require further diagnostic testing and subsequent treatment. Although the presence of incidental findings in WBCTs have been well documented, there has been no systematic review conducted to organize and interpret findings, determine IF prevalence, and document strategies for best management. Methods: A systematic review was conducted using MEDLINE, PUBMED, and EMBASE. Specific journals and reference lists were hand-mined, and Google Scholar was used to find any additional papers. Data synthesis was performed to gather information on patient demographics, prevalence and type of incidental findings (IFs), and follow-up management was collected. All documents were independently assessed by the two reviewers for inclusion and any disagreements were resolved by consensus. Results: 1231 study results were identified, 59 abstracts, and 12 included in final review. A mean of 53.9% of patients had at least one IF identified, 31.5% had major findings, and 68.5% had minor findings. A mean of 2.7 IFs per patient was reported for articles that included number of total IFs. The mean age of patients included in the studies were 44 years old with IFs more common in older patients and men with more IFs than women. IFs were most commonly found in the abdominal/pelvic region followed by kidneys. Frequency of follow-up documentation was poor. The most common reported mechanisms of injury for patients included in the study were MVA and road traffic accidents (60.0%) followed by falls from >3m (23.2%). Conclusion: Although there is good documentation on the mechanism of injury, patient demographics, and type of IF, follow-up for IFs following acute trauma admission lacks documentation and follow-up and is an identified issue in patient management. There is great need for systematic protocols to address management of IFs in polytrauma patients.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Development of a Road Condition Information System using Augmented Reality Technology on Smartphones

2020 ◽  
Vol 10 (2) ◽  
pp. 49-55
Keyword(s):  
Information System ◽  
Augmented Reality ◽  
High Speed ◽  
Human Error ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Data Conversion ◽  
The Road ◽  
Road Condition ◽  
Augmented Reality Technology

Recently, accidents involving ground transportations are getting worse and more serious. Indonesian State Police (Korlantas POLRI) recorded the number of accidents in 2018 as many as 109,215 accidents. The number has incresed 4.69 percent compared to 2017 as many as 104,327 events. Road traffic accidents are caused by human error, the driver in this case. The driver's mistake is influenced by several factors, one of them is they cannot expect the road condition when they drive a vehicle at high speed. To solve this problem, drivers need information that can show road conditions. So, we present a new approach for detecting damaged roads by applying augmented reality technology. This research produces a road condition information system to help drivers get information about road conditions via smartphone. This system uses augmented reality technology with a markerless GPS Based Tracking method. The development of this system requires several stages such as collecting the data, data conversion, data classification, and views road condition. The researchers gathered the road condition data from the Public Work Department Semarang. This department itself undertakes a task to control the road condition in Semarang The trial of this system includes all drivers in Semarang city. Based on the results of the questionnaire responded to by 93 respondents, this test obtained an average value of 68%. So this system gets a pretty good response from the driver. Through this system, all drivers can avoid the damaged road condition which can cause traffic-congested and accident.

scholarly journals Outcome of tibial diaphyseal fracture fixation with Surgical Implant Generation Network (SIGN) nail

2019 ◽  
Vol 6 (2) ◽  
pp. 5-11
Author(s):  
Balakrishnan M. Acharya ◽  
Rojan Tamrakar ◽  
Pramod Devkota ◽  
Abhishek K. Thakur ◽  
Suman K. Shrestha
Keyword(s):  
Road Traffic ◽  
Bone Fractures ◽  
Long Bone ◽  
Fracture Union ◽  
Surgical Implant ◽  
Non Union ◽  
Generation Network ◽  
Diaphyseal Fractures ◽  
The Mean

Introductions: Fractures of diaphyseal region of the tibial bone are amongst the most commonly seen extremity injuries in the developing countries. The surgical implant generation network (SIGN) intramedullary (IM) nail was designed for the treatment of long bone fractures in the developing nations. Methods: From March 2008 to December 2018, a total of 104 patients with 104 tibial diaphyseal fractures were treated with SIGN IM nail. The follow-up visits were arranged at 6, 12, 24 weeks and one-year post operatively. During follow-up visits, the signs of fracture union clinically as well as radiologically and the presence of complications any were recorded and analyzed. Results: The mean age of the patients was 32.81 (16 – 65) years, male 74 (71.2%) and female 30 (28.8%). Majority of the patients 70 (67.3%) had fractures after road traffic accidents. The mean time of surgery was 13.58 (1 – 463) days. Six (5.8%) patients had delayed union and no non-union was detected. We had 10 cases (9.6%) of mal-alignment but were on acceptable range. Conclusions: In the developing country like Nepal, the SIGN nail is an effective surgical implant for the management of the tibial diaphyseal fractures with good result of fracture union and low rates of nonunion, mal-alignment and manageable complications.

Sign in / Sign up

Export Citation Format

Share Document