The mandible is one of the most frequently fractured facial bone, most commonly by automobile accidents followed by fall from heights. However, segmental avulsion of mandible, that too in pediatric population is rarely reported. We report a case of 10-year-old male child sustaining facial injury following fall from a tree, resulting in complete segmental avulsion of the mandible highlighting the importance of early plastic surgery referral to optimize treatment outcomes. After clinical and radiological evaluation, the patient underwent free fibula osseocutaneous flap reconstruction. Given the greater healing potential of facial bones in younger patients, re-fixation of the avulsed segment would have been considered if presenting well within time.
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http://dx.doi.org/10.1093/jscr/rjaf076 | DOI Listing |
J Surg Case Rep
February 2025
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Patna-801507, Bihar, India.
The mandible is one of the most frequently fractured facial bone, most commonly by automobile accidents followed by fall from heights. However, segmental avulsion of mandible, that too in pediatric population is rarely reported. We report a case of 10-year-old male child sustaining facial injury following fall from a tree, resulting in complete segmental avulsion of the mandible highlighting the importance of early plastic surgery referral to optimize treatment outcomes.
View Article and Find Full Text PDFPain Manag
February 2025
Service de Neurochirurgie Fonctionnelle, Hôpital neurologique et neurochirurgical Pierre Wertheimer, Hospices Civils de Lyon, France.
Peripheral nerve field stimulation (PNFS) can effectively manage pain localized to one or two dermatomes that are refractory to conventional approaches, such as chronic low back pain. However, its utility in pain management in the upper limbs is limited due to the risk of lead displacement related to articular and mobile segment constraints.In this technical note, we describe a 58-year-old man with neuropathic pain refractory to extensive medical treatment, and dorsal root entry zone lesion.
View Article and Find Full Text PDFStrabismus
January 2025
Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Shroff's Charity Eye Hospital, New Delhi, India.
: Trauma to extraocular muscle without globe perforation is rare. This case report describes the clinical features and principles of repair of the simultaneous injury to two extraocular muscles sustained from a goat's horn. : Case records of the 36-year-old man who suffered trauma to his left eye were reviewed.
View Article and Find Full Text PDFCurr Opin Otolaryngol Head Neck Surg
October 2024
Lehigh Valley Health Network-LVHN, Institute for Surgical Excellence, Otolaryngology Head & Neck Surgery, Allentown, Pennsylvania.
Purpose Of Review: This systematic review investigates the recent literature and aims to determine the approach, efficacy, and timing of facial nerve decompression with or without grafting in temporal bone fractures with facial palsy.
Recent Findings: The surgical management of facial palsy is reserved for a small population of cases in which electrophysiologic tests indicate a poor likelihood of spontaneous recovery. The transmastoid (TM), middle cranial fossa (MCF), and translabyrinthine (TL) approaches to the facial nerve provide access to the entire intracranial and intratemporal segments of the facial nerve.
Georgian Med News
June 2024
1Hanoi Medical University, Viet Nam.
Background: To evaluate the treatment outcomes of lateral interbody bone graft surgery and posterior percutaneous screws for lumbar spinal stenosis Methods: This is a cross-sectional descriptive study. There were 27 patients with 30 segments of surgery diagnosed with lumbar spinal stenosis that were surgically treated with the XLIF method. Clinical outcomes measured included VAS scores for lower back pain and leg pain, ODI, and JOA scores.
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