Background
Trauma-related hyoid fractures are rare entities. These fractures represent only 0.002% of head and neck region fractures. Victims of hanging and strangling constitute the great majority of cases. Fractures associated with trauma are extremely rare. These fractures are difficult to diagnose and can easily be overlooked during physical examination. However, they are also important traumas since airway safety is endangered in these rare cases.
Case Report
We describe a case of a young male presenting with isolated neck injury associated with hitting an electric cable while riding a motorbike. Tenderness was present in the anterior neck region at physical examination, but movement was not restricted and no respiratory difficulty was determined. Isolated hyoid fracture was detected at tomography of the neck performed in the emergency department.
Conclusion
Hyoid bone fractures should not be forgotten in patients with pain and tenderness in the anterior neck region following blunt trauma to the neck.
Background:The most frequently observed chest wall deformities are pectus excavatum and pectus carinatum. The purpose of this observational study was to examine the prevalence of chest wall deformities in adult patients presenting for various reasons to the emergency department in our institution, a regional reference center for chest deformities, the demographic characteristics of patients with such malformations, emergency presentation symptoms, and the effects of deformities on patients' psychological state.
Materials and Methods: Two hundred forty cases presented to the İzmir Katip Çelebi UniversityAtatürk Training and Research Hospital tertiary emergency department and meeting the inclusion criteria were investigated retrospectively. The cases' demographic data, presence of family histories of similar deformities, presenting symptoms, deformity depths, Haller indices, and patients' psychological deformity levels were determined and subjected to statistical analysis.
Results:The prevalence of pectus excavatum among the patients presenting to our center was 1/308, while the prevalence of pectus carinatum was 1/698. The patients' mean age was 24.75 years, and 84.6% were men. The accompanying psychological deformity was present in only 28.33% of cases.The presence of family history was determined at 38.8%. The patients' mean Haller Index value was 3.16, and the mean depth of deformity was 2.5 cm. Haller Index values were significantly higher among patients with moderate or severe psychological deformity than in the other patients (p < 0.001). The Haller Index exhibited a high correlation with depth of deformity (p < 0.001) and a negative correlation with patients' body mass index values (p = 0.024).
Conclusions:Chest wall deformities are a very common societal health problem, one that exhibits psychological effects and familial predisposition, and that can lead to various physiological problems.Familial disposition levels may vary among societies. Adult patients begin to tolerate the presence of low body mass index and psychological deformity. Prospective studies are now needed for greater clarification of these issues.
Objective: There are more than 3000 snake species in the world, about 30% of which are known to be venomous. Snake poisoning can cause serious mortality and morbidity. In this study, it was aimed to investigate epidemiologically and clinically the snake bite cases admitted to the emergency department of a tertiary hospital in Izmir.
Material and Methods: Patients who applied to our emergency department with the complaint of snake bite between 2012 and 2022 were included in the retrospective observational study. The data of the patients were obtained by scanning the hospital electronic database. Vital signs, laboratory values, physical examination findings and outcomes of the patients were evaluated.
Results: Of the 52 patients, 22 (42.3%) were female, 30 (57.7%) were male, and the mean age was 48±16. It was seen that the most cases occurred in the summer season and only 1 patient died in total. Snake bite was seen on extremity in 41 (78.8%) patients while 11 (21.2%) had non-extremity bites. There was a statistically significant difference in CK value, potassium value, local edema and diffuse edema incidence between the two groups according to the bite site.
Conclusion: Higher CK, lower potassium level and more local and diffuse edema are seen in extremity bites compared to non-extremity bites.
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