1/21. Balloon compression of the intramaxillary sinus for intractable post-traumatic bleeding from the maxillary artery. Case report.We present a case of severe intractable epistaxis after midfacial trauma in which the bleeding was identified as coming from the descending palatine artery, a branch of the maxillary artery. It could not be controlled by simple packing, and was stopped by inserting a balloon into the maxillary sinus, tamponading the injured vessel in the sphenopalatine fossa (pterigopalatine fossa). We describe an easy and practical emergency manoeuvre to control bleeding from inaccessible branches of the maxillary artery and to prevent rebleeding after embolisation.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
2/21. Delayed post-traumatic subdural empyema.A case of subdural empyema is reported, treated through a frontal bone flap, with exenteration of the infected frontal sinus at operation, and subdural instillation of antibiotics for 48 hours postoperatively. Diagnostic findings are reviewed, and the likelihood of anaerobic infection this case and similar cases discussed.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
3/21. A case report of post-traumatic facial reconstruction in the west indies.The radial forearm free flap is one of the most commonly used free flaps in reconstructive surgery. It is a recognized option for facial reconstruction internationally, but, to our knowledge, it has not been widely used in the Caribbean. We present a patient who posed a difficult reconstructive problem, for which the radial forearm free flap was the ideal solution, utilizing the flap's features of a long length of pedicle, large area of coverage, minimal tissue bulk, and options for further cosmetic revision.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
4/21. Fatal dissecting aneurysm of the internal carotid artery with delayed symptoms following facial impact.A fatal dissecting aneurysm of the internal carotid artery occurred in a 16-year-old male following facial impact in an automobile accident. The patient showed no neurologic deficit until two days after the automobile accident, when he suddenly started having seizures and developed right-sided hemiparesis. There was no evidence of direct trauma to the neck externally or internally. The only injuries observed in the head and face were two skin lacerations in the chin area. His condition rapidly deteriorated, and he expired on the fourth hospital day. The gross and microscopic findings for the internal carotid artery are presented. The possible mechanisms for the vascular lesion and a review of the literature are discussed.- - - - - - - - - - ranking = 0.0071234584318914keywords = impact (Clic here for more details about this article) |
5/21. Post-traumatic maxillary sinus mucocele.Two cases of post-traumatic maxillary sinus mucoceles are described. In both scenarios, the patients had sustained severe facial injuries many years prior to presentation. Proptosis and globe displacement were identified clinically, and both patients had radiographic evidence of a maxillary sinus mucocele. Maxillary sinus mucoceles may occur as a late complication of facial fractures even if the draining ostium is normal.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
6/21. Post-traumatic facial artery aneurysm in a child.Significant facial soft tissue injury can result from trauma to the head and neck. The long-term sequelae of such injuries include vascular anomalies, which may present weeks or months following the initial injury. We report here a case of a post-traumatic facial artery aneurysm which developed in a pediatric patient three weeks following a penetrating facial injury during motor vehicle accident (MVA). Although post-traumatic aneurysm of the facial artery is rare, follow-up on head and neck trauma patients with respect to this type of complication is warranted.- - - - - - - - - - ranking = 0.5keywords = post-traumatic (Clic here for more details about this article) |
7/21. Death due to positional asphyxia under severe alcoholisation: pathophysiologic and forensic considerations.In contrary to "physical restraint", describing a fixed body position due to external devices, "positional restraint" is defined as an abnormal body position, resulting from accidental fixation under unfortunate circumstances. We report on a remarkable case of positional asphyxia of an alcoholised young man after a fall down a staircase. On external examination, the body showed petechiae of the conjunctivae and oral mucosa, abrasions on the left zygomatic region and scratch marks, respectively. Neither broken fingernails, etc. nor signs of external violence against the neck were found. autopsy revealed haemorrhages in the praevertebral cervical musculature and Simon's sign. Haemorrhagic pulmonary edema and cerebral edema were observed; blood alcohol concentration: 2.60 g/l, urine alcohol concentration: 3.26 g/l. As cause of death, positional asphyxia after blunt head trauma has to be considered as well as lethal ethanol intoxication. To us, alcoholisation attributed to the fall and together with unconsciousness following blunt head trauma circumvented self-rescue efforts, and therefore, aggravated the potentially lethal impact of positional restraint.- - - - - - - - - - ranking = 0.0014246916863783keywords = impact (Clic here for more details about this article) |
8/21. Post-traumatic severe trismus caused by impairment of the masticatory muscle.Restriction of the mouth opening from a pathologic condition outside the temporomandibular joint is called a pseudo- or extra-articular ankylosis. The authors report two cases of severe post-traumatic pseudoankylosis. One case showed fibrous degeneration of the bilateral masseter muscles without a facial bone fracture, which caused severe trismus, a mouth opening of less than 2 mm, and gradually appeared after blunt injuries to the face. The other was a rare case accompanied with the bone formation in the masseter muscle and was diagnosed as myositis ossificans traumatica, which also presented as severe trismus, with a maximal mouth opening of 5 mm after facial violence. Both were surgically treated with dissection of the affected muscles. In addition, a hemicoronoidotomy was performed in the case of myositis ossificans traumatica. Although a conservative therapy with physical rehabilitation is the basic policy for the management of pseudoankylosis of the temporomandibular joint, a surgical treatment should be considered when the origin of the problems is an osteogenic character or severe extra-articular ankylosis resistant to conservative therapy before completion of true temporomandibular joint ankylosis.- - - - - - - - - - ranking = 0.25keywords = post-traumatic (Clic here for more details about this article) |
9/21. Accidental death resulting from acetylene cylinder impact.acetylene is an inflammable gas commonly used for welding in small-scale industries. We present a case of a 34-year-old male welder who died following injuries sustained from explosion of an acetylene gas-welding cylinder. In this case report, we discuss the circumstances leading to the explosion of the welding cylinder, the autopsy findings, and a brief review of the literature on deaths resulting from blasts of acetylene cylinders.- - - - - - - - - - ranking = 0.0056987667455131keywords = impact (Clic here for more details about this article) |
10/21. Impacted knife injuries of the face.Impacted knife injuries of the face are uncommon. Associated vascular, ocular and neurosurgical injuries should be excluded. The impacted knife should be removed in theatre. Four patients who presented with this injury are discussed.- - - - - - - - - - ranking = 0.0014246916863783keywords = impact (Clic here for more details about this article) |
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