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Self-induced subcutaneous facial emphysema in a prisoner: Report of a case

June 14, 2011  |  Mahmoud Goudarzi, MD and Jafar Navabi, MD


Subcutaneous cervicofacial emphysema is a rare condition that results from various causes. Initially it might be misdiagnosed and managed as other clinical entities, such as angioedema. We report a case of self-induced subcutaneous facial emphysema in a prisoner who sought...

Nasal septal abscess

April 1, 2011  |  Jordan Cain, MD and Soham Roy, MD, FACS, FAAP

Postaural inflammatory pseudotumor: An extremely unusual complication of trauma in a child

March 1, 2011  |  Ashwani Sethi, MS, Vikas Malhotra, MS, Deepika Sethi, MS, and Sonu Nigam, MD


We report the case of a 12-year-old boy who presented with a rapidly enlarging, painless mass behind the ear following trauma to the area. The mass was excised, and histopathologic and immunohistochemical evaluations revealed it to be an inflammatory pseudotumor. At 1 year...

Traumatic hemorrhage and rapid expansion of a cervical lymphatic malformation

January 1, 2011  |  Nishant Bhatt, MD, Helen Perakis, MD, Tammara L. Watts, MD, PhD, and Jack C. Borders, MD

Aspiration of radiolucent dentures in facial trauma: Case report

December 17, 2010  |  Jon B. Chadwell, MD, Joshua R. Mitchell, MD, Michael Donnino, MD, Charles Peterson, MD, Paul Guentert, MD, Cliff Arnold, BA, and Mark Walsh, MD


Foreign body aspiration is a serious problem that may lead to complications or even death. People who sustain major maxillofacial trauma can often damage their teeth or oral prostheses, and aspiration can occur. Detection of this type of aspiration can be difficult, especially...

Botulinum toxin-assisted endoscopic repair of traumatic vocal fold avulsion

September 1, 2010  |  Rima F. Abraham, MD, Stanley Shapshay, MD, and Lisa Galati, MD


Blunt traumatic laryngeal injury in children often leads to intralaryngeal soft-tissue damage, which can quickly compromise an already small airway. Injuries requiring operative intervention have historically been repaired via open approaches such as thyrotomy and...

Expect the unexpected: Two cases of penetrating head and neck trauma from Operation Iraqi Freedom

September 1, 2009  |  CPT Debjeet Sarkar, MD, CPL Andrew Demma; CPT Dean Stulz, PA-C, and LTC Gunther Hsue, MD


The protocol for treating penetrating head and neck trauma in a war zone differs from the standard protocol. Rather than first securing an airway, as is standard in civilian trauma cases, the primary emphasis is on assessing and controlling hemorrhage because it is the leading...

Distal parotid duct pseudocyst as a result of blunt facial trauma

August 1, 2009  |  Ashkan Monfared, MD, Justin Ortiz, MD, and Carrie Roller, MD


The sequelae of sharp trauma to the parotid duct, such as sialocele and salivary fistula, are well known. In contrast, complications of blunt trauma to the parotid duct are not as common. A search of the English-language literature revealed 2 cases of parotid pseudocysts caused...

Ear trauma caused by a yucca plant leaf spine

June 1, 2009  |  Yoav P. Talmi, MD, FACS, Michael Wolf, MD, Lela Migirov, MD, and Jona Kronenberg, MD


Three uncommon cases of ear trauma caused by a yucca plant leaf spine are presented. One patient presented with tympanic perforation and the second with mixed hearing loss after spontaneous closure. The third patient probably had a perilymphatic fistula with subsequent...

Transport of a patient with massive traumatic epistaxis using a cricket helmet and posterior nasal packing

June 1, 2009  |  Philip V. Alexander, MS and Alka Walters, MS


In developing countries, when patients with traumatic epistaxis cannot be adequately treated at their local medical facility and require further treatment at a distant tertiary care center, it is important that bleeding be controlled before their transport. We describe a...

The role of angiography in managing patients with temporal bone fractures: A retrospective study of 64 cases

May 1, 2009  |  K. Asif Ahmed, MD, David Allison, MD, Wesley S. Whatley, MD, and Rakesh K. Chandra, MD


We conducted a retrospective study of the utility of angiography in the evaluation of patients with temporal bone fractures. Our study population was made up of 64 patients-58 males and 6 females, aged 14 to 75 years (mean: 35.3)-with a temporal bone fracture who had presented...

Depressed anterior table fracture: A minimally invasive method of reduction

January 1, 2009  |  Derek K. Hewitt, MD, MPH, Troy D. Scheidt, MD, and Karen H. Calhoun, MD


One-third of frontal sinus fractures are isolated to the anterior table. Traditional approaches to the reduction of an isolated anterior table fracture include the coronal incision, the bilateral brow incision, an endoscopic brow lift with an incision either directly over the...


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