The Journal of cranio-maxillofacial trauma
-
Ocular injuries occur commonly in patients with facial trauma. Patients with significant eye injuries may present with grossly normal eyes and good visual acuity; however, subsequent ocular disorders may become apparent. The estimates of incidence vary considerably. Trauma is the second leading cause of blindness, and a review is, therefore, warranted. ⋯ The diagnosis of ocular injuries resulting from trauma is difficult. The recently introduced scoring system was found to improve the procedure. Based on this system, the authors have devised an algorithm to assist the clinician, with emphasis on visual acuity and the importance of visual examination.
-
J Craniomaxillofac Trauma · Jan 1997
Case ReportsThe use of the C-Arm in reduction of isolated zygomatic arch fractures: a technical overview.
Isolated zygomatic arch fractures account for approximately 10% of all zygoma fractures. Numerous techniques have been described to reduce these fractures using a variety of approaches. Successful reductions are often difficult to evaluate clinically because of the great amount of swelling that often accompanies these fractures. ⋯ This article describes a technique that uses the C-Arm to quickly and accurately evaluate the reduction intraoperatively so that appropriate corrections can be made. A case report of a patient who suffered multiple orthopedic injuries and a w-shaped depressed fracture of the left zygomatic arch is presented. The C-Arm can obviate the need for intraoperative radiographs that, due to technician and film processing delays, add significantly to operative time.
-
J Craniomaxillofac Trauma · Jan 1997
Case ReportsTraumatic cranial defects reconstructed with the HTR-PMI cranioplastic implant.
Titanium mesh, polymethyl methacrylate application, and autogenous bone grafting have been used to reconstruct traumatic cranial defects, with varying success. A more recent technique utilizing hard tissue replacement-patient matched implants (HTR-PMIs) involves the production of a cranioplastic implant using three-dimensional computed tomography imaging. ⋯ Both patients exhibited satisfactory results and no postoperative complications. The authors believe this relatively new technique represents an advance in the management of large cranial defects.
-
J Craniomaxillofac Trauma · Jan 1996
ReviewAvoiding secondary brain injury after severe head trauma: monitoring and management.
Research has demonstrated that much of the mortality and morbidity in severely head-injured patients is due to secondary injury. The development of techniques to monitor cerebral blood flow, arteriovenous difference of oxygen or saturation of jugular venous blood flow with oxygen, and cerebral metabolic rate of oxygen has led to recognition, treatment, and prevention of secondary insults. ⋯ Special emphasis is given to the factors governing both cerebral blood flow and cerebral blood volume, and how these factors can be monitored and manipulated to strike an optimal balance between the two. This information can aid in determining when it is safe to operate on patients with non-life-threatening conditions.
-
J Craniomaxillofac Trauma · Jan 1996
Review Case ReportsTrauma to the temporal bone: diagnosis and management of complications.
The temporal bone contains important sensory and neural structures that may be damaged in patients who experience craniofacial trauma. The most serious complications of temporal bone trauma include facial nerve paralysis, cerebrospinal fluid leak, and hearing loss. ⋯ A high index of suspicion and a thorough knowledge of how to diagnose injury to the temporal bone are paramount in treating patients who present to the emergency room with craniofacial trauma. This article provides an overview of temporal bone trauma, outlines a methodical approach to the patient with temporal bone trauma, details four cases, and describes the treatment of complications.