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[PMID]:28467575
[Au] Autor:Yücel M; Özpek A; Tolan HK; Basak F; Bas G; Ünal E; Alimoglu O
[Ad] Endereço:Department of General Surgery, Ümraniye Training and Research Hospital, Istanbul-Turkey. drmetin69@mynet.com.
[Ti] Título:Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):107-111, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Stab wounds in the left thoracoabdominal region may cause diaphragmatic injury. The aim of the present study was to determine incidence of diaphragmatic injury and role of diagnostic laparoscopy in detection of injury in patients with left thoracoabdominal stab wound. METHODS: Total of 81 patients (75 male, 6 female; mean age 27.5±9.8 years; range 14 to 60 years) who presented with left thoracoabdominal stab wound between April 2009 and September 2014 were evaluated. Laparotomy was performed on patients who had hemodynamic instability, signs of peritonitis, or organ evisceration. Remaining patients were followed conservatively. After 48 hours, diagnostic laparoscopy was performed on patients without laparotomy indication to examine the left diaphragm for injury. Follow-up and treatment findings were prospectively evaluated. RESULTS: Thirteen patients underwent laparotomy while diagnostic laparoscopy was performed on remaining 68 patients. Left diaphragmatic injury was observed in 19 patients (23.5%) in the study group. Four injuries were diagnosed by laparotomy and 15 were diagnosed by laparoscopy. Presence of hemopneumothorax did not yield difference in incidence of diaphragmatic injury (p=0.131). No significant difference was detected in terms of diaphragmatic injury with respect to entry site of stab wound in the thoracoabdominal region (p=0.929). CONCLUSION: It is important to evaluate the diaphragm in left thoracoabdominal stab injuries, and diagnostic laparoscopy is still the safest and most feasible method.
[Mh] Termos MeSH primário: Traumatismos Abdominais
Diafragma
Laparoscopia
Traumatismos Torácicos
Ferimentos Perfurantes
[Mh] Termos MeSH secundário: Traumatismos Abdominais/diagnóstico
Traumatismos Abdominais/epidemiologia
Traumatismos Abdominais/cirurgia
Adolescente
Adulto
Diafragma/lesões
Diafragma/cirurgia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Traumatismos Torácicos/diagnóstico
Traumatismos Torácicos/epidemiologia
Traumatismos Torácicos/cirurgia
Ferimentos Perfurantes/diagnóstico
Ferimentos Perfurantes/epidemiologia
Ferimentos Perfurantes/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.91043


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[PMID]:28759541
[Au] Autor:Faloye AO; Gershon RY
[Ad] Endereço:From the Emory University School of Medicine, Grady Memorial Hospital, Atlanta, Georgia.
[Ti] Título:Traumatic Ventricular Septal Defect After Stab Wound to the Chest Missed by Transthoracic Echocardiography: A Case Report.
[So] Source:A A Case Rep;9(3):65-68, 2017 Aug 01.
[Is] ISSN:2325-7237
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Traumatic ventral septal defect may be sustained after either blunt force or penetrating trauma to the chest. Severity ranges from asymptomatic to acute decompensated heart failure. Our patient suffered a stab wound to the chest and was initially taken to the operating room for repair of a lacerated right ventricle. Subsequent postoperative hemodynamic deterioration prompted a bedside transthoracic echocardiogram, which failed to identify causal factors. A transesophageal echocardiogram performed immediately after ventral septal defect was demonstrated. This case serves to highlight the gaps in current standard practice and encourages the use of transesophageal echocardiogram as a screening tool in patients after penetrating cardiac injuries.
[Mh] Termos MeSH primário: Erros de Diagnóstico
Comunicação Interventricular/diagnóstico por imagem
Septo Interventricular/lesões
Ferimentos Perfurantes/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Ecocardiografia
Evolução Fatal
Comunicação Interventricular/diagnóstico
Comunicação Interventricular/etiologia
Seres Humanos
Masculino
Septo Interventricular/diagnóstico por imagem
Ferimentos Perfurantes/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1213/XAA.0000000000000528


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[PMID]:28660819
[Au] Autor:Dayananda K; Kong VY; Bruce JL; Oosthuizen GV; Laing GL; Clarke DL
[Ad] Endereço:University of Kwa-Zulu Natal , Durban , South Africa.
[Ti] Título:Selective non-operative management of abdominal stab wounds is a safe and cost effective strategy: A South African experience.
[So] Source:Ann R Coll Surg Engl;99(6):490-496, 2017 Jul.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION Selective non-operative management (SNOM) of abdominal stab wounds is well established in South Africa. SNOM reduces the morbidity associated with negative laparotomies while being safe. Despite steady advances in technology (including laparoscopy, computed tomography [CT] and point-of-care sonography), our approach has remained clinically driven. Assessments of financial implications are limited in the literature. The aim of this study was to review isolated penetrating abdominal trauma and analyse associated incurred expenses. METHODS Patients data across the Pietermaritzburg Metropolitan Trauma Service (PMTS) are captured prospectively into the regional electronic trauma registry. A bottom-up microcosting technique produced estimated average costs for our defined clinical protocols. RESULTS Between January 2012 and April 2015, 501 patients were treated for an isolated abdominal stab wound. Over one third (38%) were managed successfully with SNOM, 5% underwent a negative laparotomy and over half (57%) required a therapeutic laparotomy. Over five years, the PMTS can expect to spend a minimum of ZAR 20,479,800 (GBP 1,246,840) for isolated penetrating abdominal stab wounds alone. CONCLUSIONS Provided a stringent policy is followed, in carefully selected patients, SNOM is effective in detecting those who require further intervention. It minimises the risks associated with unnecessary surgical interventions. SNOM will continue to be clinically driven and promulgated in our environment.
[Mh] Termos MeSH primário: Traumatismos Abdominais/economia
Traumatismos Abdominais/terapia
Ferimentos Perfurantes/economia
Ferimentos Perfurantes/terapia
[Mh] Termos MeSH secundário: Traumatismos Abdominais/epidemiologia
Adolescente
Adulto
Idoso
Criança
Tratamento Conservador
Feminino
Custos de Cuidados de Saúde/estatística & dados numéricos
Seres Humanos
Laparoscopia/estatística & dados numéricos
Masculino
Meia-Idade
Estudos Prospectivos
África do Sul/epidemiologia
Procedimentos Desnecessários
Ferimentos Perfurantes/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0075


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[PMID]:28642362
[Au] Autor:Renault-Mihara F; Mukaino M; Shinozaki M; Kumamaru H; Kawase S; Baudoux M; Ishibashi T; Kawabata S; Nishiyama Y; Sugai K; Yasutake K; Okada S; Nakamura M; Okano H
[Ad] Endereço:Department of Physiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan frenaultpro@yahoo.fr.
[Ti] Título:Regulation of RhoA by STAT3 coordinates glial scar formation.
[So] Source:J Cell Biol;216(8):2533-2550, 2017 Aug 07.
[Is] ISSN:1540-8140
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Understanding how the transcription factor signal transducer and activator of transcription-3 (STAT3) controls glial scar formation may have important clinical implications. We show that astrocytic STAT3 is associated with greater amounts of secreted MMP2, a crucial protease in scar formation. Moreover, we report that STAT3 inhibits the small GTPase RhoA and thereby controls actomyosin tonus, adhesion turnover, and migration of reactive astrocytes, as well as corralling of leukocytes in vitro. The inhibition of RhoA by STAT3 involves ezrin, the phosphorylation of which is reduced in STAT3-CKO astrocytes. Reduction of phosphatase and tensin homologue (PTEN) levels in STAT3-CKO rescues reactive astrocytes dynamics in vitro. By specific targeting of lesion-proximal, reactive astrocytes in - mice, we show that reduction of PTEN rescues glial scar formation in mice. These findings reveal novel intracellular signaling mechanisms underlying the contribution of reactive astrocyte dynamics to glial scar formation.
[Mh] Termos MeSH primário: Astrócitos/enzimologia
Cicatriz/enzimologia
Neuroglia/enzimologia
Fator de Transcrição STAT3/metabolismo
Traumatismos da Medula Espinal/enzimologia
Medula Espinal/enzimologia
Ferimentos Perfurantes/enzimologia
Proteínas rho de Ligação ao GTP/metabolismo
[Mh] Termos MeSH secundário: Actomiosina/metabolismo
Animais
Animais Recém-Nascidos
Astrócitos/patologia
Adesão Celular
Movimento Celular
Células Cultivadas
Cicatriz/genética
Cicatriz/patologia
Técnicas de Cocultura
Proteínas do Citoesqueleto/genética
Proteínas do Citoesqueleto/metabolismo
Modelos Animais de Doenças
Genótipo
Integrases/genética
Macrófagos/metabolismo
Metaloproteinase 2 da Matriz/genética
Metaloproteinase 2 da Matriz/metabolismo
Camundongos Endogâmicos C57BL
Camundongos Knockout
MicroRNAs/genética
MicroRNAs/metabolismo
Nestina/genética
Neuroglia/patologia
PTEN Fosfo-Hidrolase/genética
PTEN Fosfo-Hidrolase/metabolismo
Fenótipo
Fosforilação
Proteólise
Fator de Transcrição STAT3/deficiência
Fator de Transcrição STAT3/genética
Transdução de Sinais
Medula Espinal/patologia
Traumatismos da Medula Espinal/genética
Traumatismos da Medula Espinal/patologia
Transfecção
Ferimentos Perfurantes/genética
Ferimentos Perfurantes/patologia
Proteínas rho de Ligação ao GTP/genética
Quinases Associadas a rho/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Cytoskeletal Proteins); 0 (MIRN21 microRNA, mouse); 0 (MicroRNAs); 0 (Nes protein, mouse); 0 (Nestin); 0 (STAT3 Transcription Factor); 0 (Stat3 protein, mouse); 0 (ezrin); 9013-26-7 (Actomyosin); EC 2.7.11.1 (rho-Associated Kinases); EC 2.7.7.- (Cre recombinase); EC 2.7.7.- (Integrases); EC 3.1.3.67 (PTEN Phosphohydrolase); EC 3.1.3.67 (Pten protein, mouse); EC 3.4.24.24 (Matrix Metalloproteinase 2); EC 3.4.24.24 (Mmp2 protein, mouse); EC 3.6.5.2 (RhoA protein, mouse); EC 3.6.5.2 (rho GTP-Binding Proteins)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.1083/jcb.201610102


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[PMID]:28624361
[Au] Autor:Clarke D; Penrose MA; Harvey AR; Rodger J; Bates KA
[Ad] Endereço:School of Biological Sciences, The University of Western Australia, 35 Stirling Hwy, Perth, WA, Crawley, Western Australia 6009, Australia; School of Human Sciences, The University of Western Australia, 35 Stirling Hwy, Perth, WA, Crawley, Western Australia 6009, Australia.
[Ti] Título:Low intensity rTMS has sex-dependent effects on the local response of glia following a penetrating cortical stab injury.
[So] Source:Exp Neurol;295:233-242, 2017 Sep.
[Is] ISSN:1090-2430
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Repetitive transcranial magnetic stimulation (rTMS), a non-invasive form of brain stimulation, has shown experimental and clinical efficacy in a range of neuromodulatory models, even when delivered at low intensity (i.e. subthreshold for action potential generation). After central nervous system (CNS) injury, studies suggest that reactive astrocytes and microglia can have detrimental but also beneficial effects; thus modulating glial activity, for example through application of rTMS, could potentially be a useful therapeutic tool following neurotrauma. Immunohistochemistry was used to measure the effect of low intensity rTMS (LI-rTMS) on GFAP (astrocyte), IBA1 (microglial), and CS56 (proteoglycan) expression in a unilateral penetrating cortical stab injury model of glial scarring in young adult and aged male and female C57BL6/J mice. Mice received contralateral low frequency, ipsilateral low frequency, ipsilateral high frequency or sham LI-rTMS (4-5mT intensity), for two weeks following injury. There was no significant difference in the overall volume of tissue containing GFAP positive ( ) astrocytes, IBA1 microglia, or proteoglycan expression, between sham and LI-rTMS-treated mice of all ages and sex. Importantly however, the density of GFAP astrocytes and IBA1 microglia immediately adjacent to the injury was significantly reduced following ipsilateral low and high frequency stimulation in adult and aged females (p≤0.05), but was significantly increased in adult and aged males (p≤0.05). LI-rTMS effects were generally of greater magnitude in aged mice compared to young adult mice. These results suggest that sex differences need to be factored into therapeutic rTMS protocols. In particular, more work analyzing frequency and intensity specific effects, especially in relation to age and sex, is required to determine how rTMS can best be used to modify glial reactivity and phenotype following neurotrauma.
[Mh] Termos MeSH primário: Córtex Cerebral/lesões
Córtex Cerebral/patologia
Neuroglia/patologia
Estimulação Magnética Transcraniana/métodos
Ferimentos Perfurantes/patologia
Ferimentos Perfurantes/terapia
[Mh] Termos MeSH secundário: Envelhecimento
Animais
Astrócitos/metabolismo
Astrócitos/patologia
Proteínas de Ligação ao Cálcio/genética
Proteínas de Ligação ao Cálcio/metabolismo
Córtex Cerebral/metabolismo
Feminino
Proteína Glial Fibrilar Ácida/genética
Proteína Glial Fibrilar Ácida/metabolismo
Processamento de Imagem Assistida por Computador
Masculino
Camundongos
Camundongos Endogâmicos C57BL
Proteínas dos Microfilamentos/genética
Proteínas dos Microfilamentos/metabolismo
Neuroglia/metabolismo
Caracteres Sexuais
Ferimentos Perfurantes/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Aif1 protein, mouse); 0 (Calcium-Binding Proteins); 0 (Glial Fibrillary Acidic Protein); 0 (Microfilament Proteins); 0 (glial fibrillary astrocytic protein, mouse)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170619
[St] Status:MEDLINE


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[PMID]:28582273
[Au] Autor:Zohn A; Melinek J
[Ad] Endereço:From the *University of California, Davis; †Alameda County Sheriff-Coroner, Oakland; and ‡PathologyExpert Inc, San Francisco, CA.
[Ti] Título:Which Knife Was Used?: Using a Porcine Model to Assess Stab Wound Size.
[So] Source:Am J Forensic Med Pathol;38(3):180-183, 2017 Sep.
[Is] ISSN:1533-404X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Forensic pathologists who autopsy stab wound victims may be called upon to determine whether a specific weapon recovered as evidence caused the decedent's wounds. Some forensic training programs instruct pathologists to excise wounds and place them in formalin. There is little published information about the reliability of these assessments. To address these deficiencies, a porcine model was used to establish the limits of in situ knife wound measurements of wounds caused by 3 knives of different widths stabbed at 90 degrees to the skin surface. The results indicate that within the 95% confidence interval, most stab wounds when measured on the surface of the skin will be within 1 to 3 mm of the size of the knife blade. Four wounds from different anatomical areas of the pig were excised from the body, and after excision, their measurements differed from their in situ length. After fixation in a 10% buffered formalin solution, one wound stayed the same, one wound lengthened, one shrunk minimally, and the one from the thinner abdominal skin shrunk by 6 mm (11%). This study presents a porcine model that can be used to define parameters for testimony.
[Mh] Termos MeSH primário: Armas
Ferimentos Perfurantes/patologia
[Mh] Termos MeSH secundário: Animais
Patologia Legal
Modelos Animais
Pele/lesões
Pele/patologia
Suínos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE
[do] DOI:10.1097/PAF.0000000000000318


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[PMID]:28580065
[Au] Autor:Pontell M; Scantling D; Babcock J; Trebelev A; Nunez A
[Ad] Endereço:Department of Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.
[Ti] Título:Lateral Thoracic Artery Pseudoaneurysm as a Result of Penetrating Chest Trauma.
[So] Source:J Radiol Case Rep;11(1):14-19, 2017 Jan.
[Is] ISSN:1943-0922
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pseudoaneurysms are potentially fatal complications of vascular trauma; however, they are rarely seen as the sole complication of penetrating injury. We present a case of a pseudoaneurysm with an associated arteriovenous fistula of the left lateral thoracic artery as a result of direct trauma from a knife stab. The patient presented only with a painful, swollen left pectoralis muscle. Upon diagnosis, he was taken to the interventional radiology suite and treated successfully with fluoroscopic guided coil embolization. Cases such as these are infrequent and should encourage more aggressive use of contrast enhanced computed tomography imaging for soft tissue injury, as a missed traumatic pseudoaneurysm may result in life-threatening hemorrhage.
[Mh] Termos MeSH primário: Falso Aneurisma/diagnóstico por imagem
Falso Aneurisma/etiologia
Fístula Arteriovenosa/diagnóstico por imagem
Fístula Arteriovenosa/etiologia
Radiografia Intervencionista
Traumatismos Torácicos/diagnóstico por imagem
Traumatismos Torácicos/etiologia
Tomografia Computadorizada por Raios X
Lesões do Sistema Vascular/diagnóstico por imagem
Lesões do Sistema Vascular/etiologia
Ferimentos Perfurantes/complicações
[Mh] Termos MeSH secundário: Falso Aneurisma/terapia
Fístula Arteriovenosa/terapia
Diagnóstico Diferencial
Embolização Terapêutica/métodos
Seres Humanos
Masculino
Meia-Idade
Traumatismos Torácicos/terapia
Lesões do Sistema Vascular/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE
[do] DOI:10.3941/jrcr.v11i1.3015


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[PMID]:28536127
[Au] Autor:Brichacek M; Strazar R; Murray KA; Islur A
[Ad] Endereço:Section of Plastic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Man.
[Ti] Título:Necrotizing fasciitis after scalpel injury sustained during postmortem examination.
[So] Source:CMAJ;189(20):E721-E723, 2017 05 23.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Autopsia
Médicos Legistas
Fasciite Necrosante/etiologia
Traumatismos Ocupacionais/etiologia
Streptococcus pyogenes
Ferimentos Perfurantes/microbiologia
[Mh] Termos MeSH secundário: Adulto
Fasciite Necrosante/patologia
Fasciite Necrosante/terapia
Seres Humanos
Masculino
Traumatismos Ocupacionais/patologia
Traumatismos Ocupacionais/terapia
Ferimentos Perfurantes/patologia
Ferimentos Perfurantes/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.161386


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[PMID]:28524750
[Au] Autor:Sriram PR; Tsin Jien TC; Sellamuthu P
[Ad] Endereço:Department of Neurosurgery, Queen Elizabeth Hospital, Kota Kinabalu; and.
[Ti] Título:Backstabbing swordfish: a rare cause of traumatic hemiparesis.
[So] Source:J Neurosurg Spine;27(2):158-160, 2017 Aug.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Swordfish attacks on humans are uncommon, with only a few case reports available in the current literature. The authors report the first known case of a penetrating spinal injury from a swordfish, in which the patient presented with a small stab wound and hemiparesis. The presentation of a fisherman with hemiparesis and a harmless-looking stab wound must alert clinicians to the possibility of penetrating swordfish injuries to the spine.
[Mh] Termos MeSH primário: Vértebras Cervicais/lesões
Paresia/etiologia
Perciformes
Traumatismos da Medula Espinal/etiologia
Ferimentos Perfurantes
[Mh] Termos MeSH secundário: Agressão
Animais
Vazamento de Líquido Cefalorraquidiano/diagnóstico por imagem
Vazamento de Líquido Cefalorraquidiano/etiologia
Vazamento de Líquido Cefalorraquidiano/cirurgia
Vértebras Cervicais/diagnóstico por imagem
Vértebras Cervicais/cirurgia
Seres Humanos
Atividades de Lazer
Masculino
Meia-Idade
Paresia/diagnóstico por imagem
Paresia/cirurgia
Traumatismos da Medula Espinal/diagnóstico por imagem
Traumatismos da Medula Espinal/cirurgia
Ferimentos Perfurantes/diagnóstico por imagem
Ferimentos Perfurantes/patologia
Ferimentos Perfurantes/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.3171/2016.12.SPINE16586


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[PMID]:28522784
[Au] Autor:Neskoromna-Jedrzejczak A; Bogusiak K; Przygonski A; Antoszewski B
[Ad] Endereço:Medical University of Lodz Department of Craniomaxillofacial and Oncological Surgery, Head: Aneta Neskoromna-Jedrzejczak.
[Ti] Título:Penetrating trauma of the face and facial skeleton - a case series of six patients.
[So] Source:Pol Przegl Chir;89(1):50-60, 2017 Feb 28.
[Is] ISSN:2299-2847
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:Penetrating traumas of the facial skeleton are relatively rare; however, they can be dangerous and even life-threatening. The epidemiology of facial skeleton trauma is diverse and depends on the affected region, age, and the kind of foreign body that caused the injury. In Poland, the most common cause of penetrating traumas are accidents and assaults, and only rarely accidents are related to improper use of firecrackers or fireworks. The aim of this study is to present a literature review and our own experience with penetrating traumas of the face and the facial part of the cranium. Six cases with severe wounds and fractures of the facial skeleton were treated between the years 2000 and 2012 in our department. The applied treatment methods depended mainly on the general condition of the patients. In all cases, we achieved acceptable functional and aesthetic outcomes.
[Mh] Termos MeSH primário: Ossos Faciais/lesões
Ossos Faciais/cirurgia
Traumatismos Faciais/cirurgia
Ferimentos Penetrantes/diagnóstico
Ferimentos Perfurantes/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Maxila/lesões
Maxila/cirurgia
Polônia
Ferimentos Perfurantes/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.5604/01.3001.0009.6004



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