Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
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A number of researchers from various regions have reported statistical and clinical studies of facial fractures. The results of those studies show slight differences depending on regional, cultural, social and economic backgrounds. This report presents a statistical analysis of facial fractures occurring over 4 years on Jeju, Korea. ⋯ According to the Jeju Statistics Agency, the people of Jeju are highly dependent on alcohol and previous research has reported the close relationship between alcohol consumption and violence. We paid close attention to violence as a primary cause for facial fractures in the cultural and social context of Jeju. Data analysis regarding facial fractures may provide crucial information for recognition of causes and planning for prevention.
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Based on a series of 632 patients who underwent craniotomy without head shaving, we report the efficacy and safety of our simplified procedure and document the usefulness of the electrosurgical scalpel. ⋯ Our simplified cranial surgery without head shaving does not increase the risk of wound infection. Because the use of the electrosurgical scalpel for skin and soft tissue dissection minimizes bleeding, the probability of wound infection appears to be reduced.
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J Craniomaxillofac Surg · Jun 2009
Case ReportsPenetrating injury of the maxilla by needlefish jaws.
Needlefish penetrating injuries have become a worldwide problem, inflicting critical morbidities and even mortalities. This is the first published case of needlefish injury in the Mediterranean basin. ⋯ Fish inflicted critical facial injuries might be dangerously underestimated prima facie. The impact might be energetic enough to penetrate deep facial and vital cranial structures, hence thorough examination and imaging are recommended. Needlefish species are now common in the tropical and subtropical regions of all oceans and therefore this phenomenon is of interest to worldwide trauma medical providers, fishermen, divers, and also to marine-biologists.
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J Craniomaxillofac Surg · Apr 2009
Review Case ReportsOrbital cellulitis, orbital subperiosteal and intraorbital abscess: report of three cases and review of the literature.
Orbital cellulitis is usually a complication of paranasal sinus infection. Either the infection may dissect under the periosteum and lead to subperiosteal abscess (SPA) or intraorbital abscess may be formed secondary to a progressive and localized cellulitis. Without appropriate treatment orbital infection may lead to serious complications, even death. ⋯ Prompt treatment is mandatory to avoid visual loss or intracranial complications. Initially, IV antibiotics may be administered, but if no improvement appears within 48h, surgical drainage of the orbit and the affected sinuses must be performed. In medial or medial-inferior SPA a transnasal approach is used, but in superior orbital abscess an external incision is required.