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1,173 results for

Blunt Neck Trauma

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1161. Prediction of prolonged ventilatory support in blunt thoracic trauma patients. (Abstract)

Prediction of prolonged ventilatory support in blunt thoracic trauma patients. To identify predictors of prolonged (>7 days) mechanical ventilation (MV) in patients with blunt thoracic trauma.Prospective analysis of consecutive patients.Adult intensive care unit (ICU) in a teaching, tertiary-care hospital.Sixty-nine patients (53 men, 16 women) with thoracic trauma having a median age of 35 (range 17-85) years and a median injury severity score (ISS) of 29 (range 14-41) were enrolled (...) in the present study. Associated injuries included head-neck (77%), extremities (72%), external (67%), abdomen-pelvis (67%), and face (55%).Patient surveillance and data collection.Thirty-three (48%) of the 69 patients required prolonged ventilatory support, ranging in duration from 8 to 38 (median 18) days. Logistic regression analysis revealed that advancing age (odds ratio=1.04, p=0.04), severity of head injury (odds ratio=1.92, p=0.008), and bilateral thoracic injuries (odds ratio=12.80, p<0.0001) were

2003 Intensive Care Medicine

1162. Bilateral recurrent laryngeal nerve palsy following blunt neck trauma Full Text available with Trip Pro

Bilateral recurrent laryngeal nerve palsy following blunt neck trauma Blunt trauma neck to larynx is an uncommon injury that results in a wide spectrum of damage to endolaryngeal soft tissues as well as underlying cartilaginous skeleton leading to upper airway obstruction requiring emergency tracheostomy. A case report of blunt trauma neck anterior is presented who developed upper airway obstruction necessitating tracheostomy. Indirect Laryngoscopy and fibre optic examination identified vocal (...) cord paralysis as primary cause of upper airway obstruction although X ray soft tissue neck and CT neck revealed fracture hyoid as well as hematoma surrounding the laryngeal frame work. Emergency tracheostomy was done and patient recovered uneventfully.

2007 Indian Journal of Otolaryngology and Head & Neck Surgery

1163. Does applying the Canadian Cervical Spine rule reduce cervical spine radiography rates in alert patients with blunt trauma to the neck? A retrospective analysis Full Text available with Trip Pro

Does applying the Canadian Cervical Spine rule reduce cervical spine radiography rates in alert patients with blunt trauma to the neck? A retrospective analysis A cautious outlook towards neck injuries has been the norm to avoid missing cervical spine injuries. Consequently there has been an increased use of cervical spine radiography. The Canadian Cervical Spine rule was proposed to reduce unnecessary use of cervical spine radiography in alert and stable patients. Our aim was to see whether (...) applying the Canadian Cervical Spine rule reduced the need for cervical spine radiography without missing significant cervical spine injuries.This was a retrospective study conducted in 2 hospitals. 114 alert and stable patients who had cervical spine radiographs for suspected neck injuries were included in the study. Data on patient demographics, high risk & low risk factors as per the Canadian Cervical Spine rule and cervical spine radiography results were collected and analysed.28 patients were

2008 BMC Medical Imaging

1164. Retropharyngeal space swelling secondary to minor blunt head and neck trauma. (Abstract)

Retropharyngeal space swelling secondary to minor blunt head and neck trauma. Retropharyngeal space swelling is a rare occurrence following minor head and neck trauma. Upper airway obstruction is a potentially life-threatening sequela. The authors present a case of retropharyngeal space haematoma following minor blunt head and neck trauma. Management was conservative with gradual spontaneous resolution of the haematoma. The literature is reviewed and the management and treatment principles

2004 Journal of Laryngology & Otology

1165. Carotid-cavernous fistula after blunt trauma to the neck. (Abstract)

Carotid-cavernous fistula after blunt trauma to the neck. Carotid-cavernous fistulas (CCF) are uncommon conditions, but cause significant morbidity if untreated. The majority of CCFs in young men are attributed to direct skull trauma. We present a case of CCF following a blunt injury to the neck.

2006 British Journal of Neurosurgery

1166. Posterior tracheal wall laceration after blunt neck trauma in children: a case report and review of the literature. (Abstract)

Posterior tracheal wall laceration after blunt neck trauma in children: a case report and review of the literature. Adults seem to be more vulnerable than children to tracheal lacerations. Tracheal lacerations have been described particularly after surgical procedures and penetrating trauma, but they may also result from minor blunt trauma. We report the case of a 7-year-old boy who sustained a posterior tracheal wall laceration after a direct frontal fall on a wooden strut. We also review (...) the literature on posterior wall tracheal laceration as an isolated feature after blunt cervical trauma in children, the diagnostic features and management options.

2004 Resuscitation

1167. A child with isolated Horner's syndrome after blunt neck trauma. (Abstract)

A child with isolated Horner's syndrome after blunt neck trauma. Horner's syndrome is the triad of miosis, ptosis, and anhidrosis that results from disruption of the sympathetic pathways between the brain and the eye. Although the individual signs of Horner's syndrome do not constitute an emergency, their presence makes any Horner's syndrome a potential vascular emergency due to the proximity of the internal carotid artery to the sympathetic ganglia. We present a case of Horner's syndrome (...) in a 5-year-old child after blunt trauma to the neck, and discuss the management and implications of a potential carotid artery injury.

2004 Journal of Emergency Medicine

1168. Isolated cricoid fracture associated with blunt neck trauma. Full Text available with Trip Pro

Isolated cricoid fracture associated with blunt neck trauma. A 32-year-old woman without a remarkable history presented at the emergency department with strangulation of the neck. CT scans of the neck revealed a displaced cricoid fracture. Six days after admission to hospital, hoarseness and dyspnoea disappeared. On the 10th day, the patient was discharged without complications. The traditional treatment guidelines for laryngeal trauma have recommended an early surgical intervention after

2007 Emergency Medicine Journal

1169. Laryngotracheal separation with pneumopericardium after a blunt trauma to the neck Full Text available with Trip Pro

Laryngotracheal separation with pneumopericardium after a blunt trauma to the neck 11559626 2001 12 05 2016 11 24 1472-0205 18 5 2001 Sep Emergency medicine journal : EMJ Emerg Med J Laryngotracheal separation with pneumopericardium after a blunt trauma to the neck. 410-1 Shweikh A M AM Accident and Emergency Department, Diana, Princess of Wales Hospital, Scartho Road, Grimsby DN33 2BA, North East Lincs, UK. amirmshweikh@aol.com Nadkarni A B AB eng Case Reports Journal Article England Emerg Med (...) J 100963089 1472-0205 IM Accidents, Traffic Adult Airway Obstruction etiology Fatal Outcome Humans Larynx diagnostic imaging injuries Male Neck Injuries complications diagnostic imaging Pneumopericardium etiology Radiography Trachea diagnostic imaging injuries Tracheostomy Wounds, Nonpenetrating complications diagnostic imaging 2001 9 18 10 0 2002 1 5 10 1 2001 9 18 10 0 ppublish 11559626 PMC1725683

2001 Emergency Medicine Journal : EMJ

1170. Jet-ski injury: severe blunt neck trauma with survival Full Text available with Trip Pro

Jet-ski injury: severe blunt neck trauma with survival 11461985 2001 08 30 2018 11 13 0141-0768 94 8 2001 Aug Journal of the Royal Society of Medicine J R Soc Med Jet-ski injury: severe blunt neck trauma with survival. 402-3 Davies G G Department of Paediatric Surgery, Great Ormond Street Hospital NHS Trust, London, UK. Leighton S S Hayward R R Spitz L L eng Case Reports Journal Article England J R Soc Med 7802879 0141-0768 IM Acute Disease Athletic Injuries surgery Child Esophagus injuries (...) surgery Female Humans Multiple Trauma surgery Neck Injuries surgery Spinal Fusion Spinal Injuries surgery Trachea injuries surgery Tracheostomy Wounds, Nonpenetrating surgery 2001 7 20 10 0 2001 8 31 10 1 2001 7 20 10 0 ppublish 11461985 PMC1281635 Thorac Cardiovasc Surg. 1993 Jun;41(3):193-5 8367875 J Trauma. 1994 Mar;36(3):408-9 8145326 Laryngoscope. 1997 Mar;107(3):351-6 9121312 J Trauma. 1993 Jul;35(1):140-2 8331704 J Trauma. 1987 Dec;27(12):1365-7 3694728 J Laryngol Otol. 1988 Apr;102(4):378-9

2001 Journal of the Royal Society of Medicine

1171. Pharyngeal perforation caused by blunt trauma to the neck Full Text available with Trip Pro

Pharyngeal perforation caused by blunt trauma to the neck 12585799 2003 03 06 2018 11 13 0008-428X 46 1 2003 Feb Canadian journal of surgery. Journal canadien de chirurgie Can J Surg Pharyngeal perforation caused by blunt trauma to the neck. 57-8 Hagr Abdulrahman A Department of Surgery, Montreal General Hospital Montréal, Que. Kamal Dhafer D Tabah Roger R eng Case Reports Journal Article Review Canada Can J Surg 0372715 0008-428X IM Adult Humans Male Neck Injuries complications Pharynx (...) diagnostic imaging injuries surgery Rupture Tomography, X-Ray Computed Wounds, Nonpenetrating complications 11 2003 2 15 4 0 2003 3 7 4 0 2003 2 15 4 0 ppublish 12585799 PMC3211670 J Thorac Cardiovasc Surg. 1973 Jan;65(1):1-7 4682465 Arch Otolaryngol. 1978 Jan;104(1):51-4 413535 Surgery. 1979 Oct;86(4):583-9 483168 Arch Otolaryngol. 1980 Sep;106(9):578-80 7406763 Ann Surg. 1981 Jul;194(1):57-63 7247533 J Trauma. 1999 May;46(5):957-8 10338422 J Thorac Cardiovasc Surg. 1988 Apr;95(4):692-5 3352304 Med J

2003 Canadian Journal of Surgery

1172. Penetrating and blunt neck trauma: 10-year review of a Canadian experience Full Text available with Trip Pro

Penetrating and blunt neck trauma: 10-year review of a Canadian experience To determine if selective management of blunt and penetrating neck trauma is still appropriate in Canadian tertiary care centres because of differences in trauma demographics. A key secondary objective was a descriptive analysis of the Canadian head and neck trauma patient population and outcomes.A retrospective case series.An academic tertiary care centre.All 85 patients admitted between 1982 and 1992 with a diagnosis (...) of blunt (19) or penetrating (66) neck trauma.Emergent neck explorations (29 patients), selective nonoperative management (20 patients) and elective neck exploration (17 patients).Hospital stay, complication rate, rate of negative exploration (elective management, emergent exploration) and rate of secondary exploration (selective management), and outcome and complication rate. The entire population was described demographically.In 66 patients the injuries were penetrating, with the majority being

1997 Canadian Journal of Surgery

1173. Hearing loss after direct blunt neck trauma. (Abstract)

Hearing loss after direct blunt neck trauma. To report for the first time hearing impairment resulting from blunt neck trauma.Retrospective chart review of clinical, pure tone, and speech audiometric findings. The first obtained within 3 months and the follow-up ones between 6 and 12 months after injury. Three representative examples are given.Eighty-three patients (166 ears) who reported hearing impairment after blunt neck trauma.Twenty of the 166 ears (12%) had normal hearing and 137 ears (...) (81.3%) showed an acoustic trauma-like hearing impairment. Eight ears (4.8%) had a hearing loss of at least 30 dB in the speech frequencies (500-2,000 Hz) and two ears (1.2%) had additional impairment in the higher frequencies. Only one ear (0.8%) had a conductive hearing loss. No speech discrimination score was poorer than 80%. Forty-six subjects (55.4%) reported tinnitus.Blunt neck trauma, like whiplash injury, may cause objectively measurable hearing impairment.

2003 Otology and Neurotology

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