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The Crooked Nose-Surgical Algorithm in Post-Traumatic Patient-Evaluation of Surgical Sequence.
J Clin Med
December 2024
Department of Otolaryngology with Division of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine-National Research Institute, 04-141 Warsaw, Poland.
A crooked nose is a challenge for a surgeon performing rhinoplasty. When performed correctly, rhinoseptoplasty aligns the nasal framework, restores nasal patency, and achieves facial symmetry. The key to this procedure is to dissect all the structures of the nasal framework, mobilize, reposition, and stabilize them.
View Article and Find Full Text PDFFour-Point C2 Fixation for Unstable Atlas Fractures: Technical Note.
Cureus
December 2024
Neurological Surgery, Cleveland Clinic Foundation, Cleveland, USA.
Traumatic burst fractures of the atlas occur with axial loading of the cervical spine. Many of these injuries can be treated by nonsurgical management with external orthosis; however, cases with transverse ligament disruption or significant C1 lateral mass displacement require internal reduction and fixation. In patients with poor bone quality in the setting of osteoporosis or chronic illness, atlanto-axial fixation and reduction of the fracture can be a challenge, necessitating extension of fusion to the occiput, which significantly limits the range of motion.
View Article and Find Full Text PDFLateral Sternoclavicular Joint Dislocation: A Case Report.
JBJS Case Connect
October 2024
North American Spine and Pain; Hainesport, New Jersey.
Case: We report a case of a 29-year-old woman who sustained a left lateral sternoclavicular joint (SCJ) dislocation. Imaging demonstrated a 30-mm gap between the sternum and medial clavicle. Given well-preserved shoulder range of motion and well-controlled pain, she was ultimately treated nonoperatively.
View Article and Find Full Text PDFSecondary insults prevalence, co-occurrence and relationship with outcome after severe TBI.
Brain Spine
February 2024
Brain Physics Laboratory Division of Neurosurgery Department of Clinical Neurosciences, University of Cambridge, UK.
Introduction: Secondary insults due to high intracranial pressure (ICP), low cerebral perfusion pressure (CPP) and impaired cerebral pressure reactivity (PRx) predict outcome after severe traumatic brain injury (TBI).
Research Question: What is the prevalence, co-occurrence and prognostic importance of secondary insults due to deranged ICP, CPP or PRx after TBI.
Material And Methods: Severe TBI patients requiring ICP monitoring were included.
Epidemiology of watersport related traumatic spinal cord injuries in New Zealand (2007-2021).
ANZ J Surg
January 2025
Middlemore Hospital, Auckland, New Zealand.
Background: To investigate the incidence, demographic characteristics, etiologies, surgical interventions, hospital stays, and neurologic outcomes associated with watersport-related traumatic spinal cord injuries (TSCI) in New Zealand.
Methods: Retrospective study collected data from New Zealand's two spinal rehabilitation units, the Auckland Spinal Rehabilitation Unit (ASRU) and the Burwood Spinal Unit (BSU). It included adults aged over 16 years, between January 2007 and December 2021 with new TSCI secondary to traumatic watersport activities.
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