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Epidemiological and Computed Tomography Aspects of facial trauma at Kira Hospital in Bujumbura

Open Journal of Radiology 2024年第2期14卷 83-91页

作者： Sébastien Manirakiza Jean Marie Banziriyubusa Stany Harakandi Patrice Barasukana Chantal Murekatete Daniel Nduwayo Jean Bosco Bizimana Léopold Nzisabira Department of Radiology Teaching Hospital of Kamenge Bujumbura Burundi Department of Anesthesia and Resuscitation Teaching Hospital of Kamenge Bujumbura Burundi Department of Internal Medicine (Neurology) Teaching Hospita lof Kamenge Bujumbura Burundi Department of Surgery (Neurosurgery) Teaching Hospital of Kamenge Bujumbura Burundi

Background: Maxillofacial trauma affects young adults more. The injury assessment is difficult to establish in low-income countries because of the imaging means, particularly the scanner, which is poorly available and less financially accessible. The aim of this study is to describe the epidemiological profile and the various tomodensitometric aspects of traumatic lesions of the face in patients received in the Radiology department of Kira Hospital. Patients and methods: This is a descriptive retrospective study involving 104 patients of all ages over a period of 2 years from December 2018 to November 2019 in the medical imaging department of KIRA HOSPITAL. We included in our study any patient having undergone a CT scan of the head and presenting at least one lesion of the facial mass, whether associated with other cranioencephalic lesions. Results: Among the 384 patients received for head trauma, 104 patients (27.1% of cases) presented facial damage. The average age of our patients was 32.02 years with extremes of 8 months and 79 years. In our study, 87 of the patients (83.6%) were male. The road accident was the circumstance in which facial trauma occurred in 79 patients (76% of cases). These injuries were accompanied by at least one bone fracture in 97 patients (93.3%). Patients with fractures of more than 3 facial bones accounted for 40.2% of cases and those with fractures of 2 to 3 bones accounted for 44.6% of cases. The midface was the site of the fracture in 85 patients (87.6% of cases). Orbital wall fractures were noted in 57 patients (58.8% of cases) and the jawbone was the site of a fracture in 50 patients (51.5% of cases). In the vault, the fractures involved the extra-facial frontal bone (36.1% of cases) and temporal bone (18.6% of cases). Cerebral contusion was noted in 41.2% of patients and pneumoencephaly in 15.5% of patients. Extradural hematoma was present in 16 patients and subdural hematoma affected 13 patients. Conclusion: Computed tomography is

关键词： Road Accident CT-Scan facial trauma

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Pathophysiological mechanisms of blindness in facial trauma:A review

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Open Journal of Stomatology 2013年第2期3卷 183-191页

作者： Andre Luis Ribeiro Ribeiro Adriana Maria Melo dos Reis Driene Goes Ramalho Sergio de Melo Alves Júnior Joao de Jesus Viana Pinheiro Department of Oral and Maxillofacial Surgery School of DentistryUniversity Center of Pará—CESUPABelémBrazil School of Dentistry State University of CampinasCampinasBrazil Private Clinic MacapáBrazil Department of Oral Pathology School of DentistryUniversity Center of Pará—CESUPABelémBrazil Department of Oral Pathology School of DentistryFederal University of ParáBelémBrazil

Blindness is a serious complication that can occur after facial trauma and may represent the loss of one of the most useful senses in the human relationship with the world—the sight. This study aims to review the pathophysiology of blindness related to facial trauma in order to identify the mechanisms by which it develops and to recognize the signs and symptoms required to establish proper diagnosis and treatment. Blindness following facial trauma may occur due to mechanisms that involve injury to the eyeball, optic nerve and eyelids. The leading causes of blindness resulting from facial trauma, and which may be altered by medical interference, are related to retrobulbar hemorrhage and traumatic optic neuropathy, which require extremely rapid diagnosis and can be accomplished with the resources available in most trauma-based emergency services. The authors conclude that loss of vision tends to be irreversible in direct eyeball and optic nerve lesions, but can be prevented in retrobulbar hemorrhage and traumatic optic neuropathy. Eyeball and, especially, sight accuracy evaluation should be included in the initial care of trauma patients, so that the lesions that might lead to loss of vision are diagnosed and treated early.

关键词： Blindness facial trauma Retrobulbar Hemorrhage traumatic Optic Neuropathy

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Contemporary reconstruction after complex facial trauma

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Burns & trauma 2020年第1期8卷 397-406页

作者： Matthew R.Zeiderman Lee L.Q.Pu Division of Plastic Surgery Department of SurgeryUniversity of CaliforniaDavis2335 Stockton BoulevardRoom 6008 SacramentoCA 95817USA

Complex facial trauma requires complex repair and *** process is challenging for the surgeon who seeks to manage the expectations of the patient and family while achieving the best possible ***,the use of pedicled flaps,and then free tissue transfer,were the primary techniques *** in soft-tissue reconstruction,such as perforator flaps and pre-expanded and prefabricated flaps,allow refinement of the soft-tissue reconstruction process to create the best initial soft-tissue *** advent of contemporary technologies,such as virtual surgical planning,stereolithography and customized implants and plates,facilitates a tailored approach to the patient’s reconstructive needs for precise bony *** surgical and technological techniques are combined in complementary multistage reconstructions,better reconstructive and aesthetic outcomes are achievable than ever *** this review,the authors present a summary of the management of complex facial trauma based on the senior author’s broad *** management and contemporary reconstructive techniques and technology to provide optimal outcomes are reviewed.A case series of complex facial traumas and their reconstructive process is also presented to demonstrate how complementary staged procedures can yield an optimal *** believe the reconstructive surgeon managing complex facial trauma should strive to incorporate contemporary technologies and techniques into their armamentarium to provide the best patient care.

关键词： facial trauma facial reconstruction Soft-tissue reconstruction facial skeletal reconstruction

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Road Traffic Accident Fatalities and its Association with Key SocioDemographic Determinants in Nashik,Maharashtra:A Recurring Challenge

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Journal of Forensic Science and Medicine 2022年第2期8卷 52-56页

作者： Tej Bahadur Chhetri Syed Meraj Ahmed Departments of Forensic Medicine Community Medicine Dr.Vasantrao Pawar Medical CollegeHospital and Research CentreNashikMaharashtraIndia

Background:Road traffic accidents are not a new phenomenon,rather ifs a disturbing occurrence which shows no sign of abating very ***,it remains one of those public health issues which even the most educated and civilized populations tend to ignore,primarily for the thrill of *** study aims to identify the outcome associated with vehicular accidents and its association with socio-demographic ***:This is a retrospective,record-based study of victims of road traffic accidents admitted in a tertiary care hospital in Nashik,*** data would include records from the 2018 to *** variables will include the socio-demographic factors,site of injuries and its severity.A descriptive analysis would be done by SPSS software to find out the prevalence of vehicular accidents,association of site of injury with age and severity of the *** approval would be taken before the initiation of the ***:A total of486 victims ofRTAs were included from the medical records of the casualty of a tertiary care hospital,out of which 330 were from the year 2018 and 156 from 2019.A look at the sociodemographic profiles of the RTA victims showed that females comprised only 19.3%(2018)and 18.6%(2019)of the total victims in road traffic accidents,while majority,80.6%(2018)and 81.4%(2019)were males during the same ***,we can also observe that both in 2018(38.5%)and 2019(50.6%)most of the road traffic accidents among the victims were of moderate ***:The need of the hour is to bring about a change from within through self-reflection of lawmakers,strict implementation of traffic rules and guidelines with hefty fines,lockup,and criminal punishment to habitual wrongdoers.

关键词： Age facial trauma gender head trauma multiple injuries road traffic accident

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