Eye Injury from a Firecracker

Gupta, Parul Chawla; Ram, Jagat

doi:10.1056/nejmicm1616104

Cited by 5 publications

(7 citation statements)

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“…1 Yet, we have identified only 24 unique cases of fireworks injuries in the head and neck with CT imaging described in the literature with only 4 case series. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Here, we presented 18 additional cases that demonstrated a wide range of CT findings, including soft tissue swelling and Previous studies have also demonstrated that fireworks injuries disproportionately affect children, young adults, and males, 1-3 which is consistent with findings from our series of cases. Furthermore, the 24 cases in the literature showed a variety of CT findings: 13 cases with skull/maxillofacial fractures, 13,[15][16][17]20,25 7 cases with globe rupture, 9,12,16,20 10 cases with foreign bodies, 9,11,14,15,[18][19][20][21][22][23] 11 cases with intracranial hemorrhage or hematoma, 8,10,11,13,16,17,…”

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

“…1,3 Despite the well-documented prevalence of fireworks injuries, only 24 cases of fireworks-related injuries to the head and neck region with computed tomography (CT) imaging have been reported in the literature dating back to 1984. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] These were mostly case reports, 8,[11][12][13][14][15][17][18][19][21][22][23][24][25] and case series are scarce with each one including 2 to 3 cases with CT imaging. 9,10,16,20 In addition, there has been no study reviewing CT imaging findings of fireworks injuries to the head and neck in the past literature.…”

Section: Introductionmentioning

confidence: 99%

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CT Findings of Firework Injuries to the Head and Neck

Ginat

2021

Ear Nose Throat J

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Objectives: The purpose of this study is to review the CT imaging findings of injuries in the head and neck caused by fireworks through a case series. Methods: The imaging database from the University of Chicago Medicine was searched with “fireworks,” “firecrackers,” and “mortar” as keywords and CT as the imaging modality. Cases without acute CT findings or initial CT scans were excluded. Results: Eighteen cases with acute CT findings of head and neck firework injuries were identified and included. The associated injuries included skull fractures (5, 28%), ocular injuries (7, 39%), soft tissue trauma (18, 100%), retained foreign bodies (8, 44%), and intracranial trauma (2, 11%). Conclusions: Fireworks can cause injuries of varying severity in the head and neck, including blunt and penetrating trauma, that warrant CT evaluation.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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CT Findings of Firework Injuries to the Head and Neck

Ginat

2021

Ear Nose Throat J

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“…Its Chinese term is Baozhu, meaning "exploding bamboo," because bamboo explodes when it is heated, making a sound like lighting a firecracker. Nowadays, firecrackers are well known to cause not only fire accidents, but also physical injuries such as blindness, hearing loss, skin burn, etc., depending on which part of the body was damaged [Ward and Glorig, 1961;Gupta and Ram, 2017]. Consequently, the use of firecrackers has been banned in many countries, remaining legal in rural areas in Asian countries.…”

Section: Introductionmentioning

confidence: 99%

Inner Ear Damage by Firecracker Trauma

Liao¹,

Young²

2018

Audiol Neurotol

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Firecrackers are still popular among the general public of various populations worldwide. This study investigated inner ear damage in patients with firecracker trauma and analyzed noise levels in 6 kinds of commercially available firecrackers. During the past 20 years, we have experienced 30 patients with firecracker trauma. An inner ear test battery comprising audiometry, cervical and ocular vestibular-evoked myogenic potential (cVEMP and oVEMP) tests and a caloric test was performed. The real-time noise levels were measured outdoors at a distance of 2, 4 and 6 m away from a lighting firecracker to mimic a noise event. Mean hearing levels at high frequencies (4,000 and 8,000 Hz) were significantly higher than those at the low and middle frequencies, indicating that firecrackers mostly cause high-tone hearing loss. For the vestibular damage, abnormality percentages were higher in the results of cVEMP (80%) and oVEMP (60%) tests, but not in the caloric test (8%). In conclusion, most firecrackers exhibited noise levels > 110 dB SPL even at a distance of 6 m. This blast injury simultaneously damaged the cochlea, saccule and utricle, but spared the semicircular canals, indicating that blast exposure potentiates the adverse effect of noise exposure on both cochlear and vestibular partitions.

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“…It is useful for identifying ocular problems in several situations, not only clinical but also traumatic (27) . A study recently developed in India reached the conclusion on the possibility of promoting behavior changes when these include simple information and without involvement of complex procedures or those interfering with cultural beliefs (28) .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the self-eye examination method for health promotion

Lima

Nascimento²,

Silva

et al. 2018

Rev. esc. enferm. USP

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Objective:To evaluate the self-eye examination practice as a tool to promote the ocular self-evaluation. Method: Quasi-experimental study developed in a university of Piauí with sample of 324 students between January and May 2014. A team of thirteen researchers made observations during the self-examination followed by an ocular screening. Results: There was no agreement on the hypothesis of defense that the ocular exam could help to observe the eyes health, p-value>0.3. However, the exam was considered as easy to accomplish (99.7%) and that not only the physician can perform the eye exam (99.4%). The awareness about eye care is identified as the main purpose of this booklet (97.6%), (χ 2 = 186.01; p=0.001). The results highlight the booklet can be used in the teaching process of self-eye examination (84.6%). Although the defense that its fulfilment can replace the consultation with the ophthalmologist (23.8%%) cannot be accepted (χ 2 = 46.34), the self-exam must be done routinely (82.4%). Conclusion: The results prove that the learning through virtual booklet is possible and supports self-care with the eyes by performing the self-exam.

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Eye Injury from a Firecracker

Cited by 5 publications

References 0 publications

CT Findings of Firework Injuries to the Head and Neck

CT Findings of Firework Injuries to the Head and Neck

Inner Ear Damage by Firecracker Trauma

Evaluation of the self-eye examination method for health promotion

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