Coincidence of craniocerebral and craniofacial injuries

Błaszczyk, Bartłomiej; Studziński, Maciej; Ładziński, Piotr

doi:10.1016/j.jcms.2018.11.024

Cited by 19 publications

(12 citation statements)

References 29 publications

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“…Craniocerebral trauma is one of the common emergency departments of brain surgery, and its clinical symptoms are head trauma, hemorrhage, intracranial hypertension and disturbance of consciousness caused by trauma [ 1 , 2 ]. The brain tissue damage of the patient causes the nervous system function to be affected, which affects the cognitive ability, motor function, and inconvenience to daily life [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Curative Effect of Early Full Nursing Combined with Postdischarge Continuation Nursing on Patients after Craniocerebral Trauma

Lv²,

Yin

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Early full nursing helps patients with some dysfunctions speed up the reorganization of central nervous system functions and coordinate muscle and limb activities. Postdischarge continuation nursing for patients who have not fully recovered after being discharged from the hospital can transfer nursing work from the hospital to the family to meet their nursing needs. In this study, early full nursing combined with postdischarge continuation nursing was used for patients with traumatic brain injury to explore its efficacy and its impact on patients' motor function, quality of life, and complications. The results of the study show that the total effective rate of the observation group (95.92%) was higher than that of the control group (85.71%). At discharge and 1 month, 3 months, and 6 months after discharge, the upper limb Fugl-Meyer score, lower limb Fugl-Meyer score, ARAT score, FIM score, 4 dimensions of GQOLI-74 score, and Barthel index scores of the observation group were higher than those of the control group in the same period. The postoperative complication rate (10.20%) of the observation group was lower than that of the control group (26.53%). Early full nursing combined with postdischarge continuation nursing can improve the rehabilitation effect, effectively promote the recovery of motor function in patients with traumatic brain injury, improve the quality of life, and reduce postoperative complications.

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Section: Introductionmentioning

confidence: 99%

Curative Effect of Early Full Nursing Combined with Postdischarge Continuation Nursing on Patients after Craniocerebral Trauma

Lv²,

Yin

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…Our analysis revealed a common combination between CNI and face injuries including ear and eye as well as skull base and viscerocranial fractures. There is ample evidence for this association in the epidemiological literature [5,11,15,24]. A long-term follow-up study on a pediatric head trauma cohort led to the insight that, in addition to the severity of the injury, fractures involving the base of the skull, its foramina and channels are the main determinants for the frequency of CNI [22].…”

Section: Discussionmentioning

confidence: 99%

Cranial Nerve Injuries In Patients With Moderate To Severe Head Trauma – Analysis of 91,196 Patients From The TraumaRegister DGU® Between 2008 And 2017

Huckhagel

Riedel

Rohde

et al. 2021

Preprint

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BackgroundTraumatic brain injury　(TBI)　constitutes a major cause of trauma-related disability and mortality. The epidemiology and implications of associated cranial nerve injuries　(CNI)　in moderate to severe TBI are largely unknown. We aimed to determine the prevalence of CNI in a large European cohort of TBI patients as well as clinical differences between TBI cases with and without concomitant CNI (CNI vs. control group) by means of a multinational trauma registry.MethodsThe TraumaRegister DGU® was evaluated for trauma patients with head injuries ≥2 Abbreviated Injury Scale, who had to be treated on intensive care units after emergency admission to European hospitals between 2008 and 2017. CNI and control cases were compared with respect to demographic, clinical, and outcome variables.Results1.0% (946 of 91,196) of TBI patients presented with additional CNI. On average, CNI patients were younger than control cases (44.3±20.6 vs. 51.8±23.0 years) but did not differ regarding sex distribution (CNI 69.4%; control 69.1%). Traffic accidents were encountered more frequently in CNI cases (52.3% vs. 46.7%; p<0.001; chi-squared test) and falls more commonly in the control group (45.2% vs. 37.1%; p<0.001). CNI patients suffered more frequently from concomitant face injuries (28.2% vs. 17.5%; p<0.001) and skull base fractures (51.0% vs. 23.5%; p<0.001). Despite similar mean Injury Severity Score (CNI 21.8±11.3; control 21.1±11.7) and Glasgow Coma Scale score (CNI 10.9±4.2, control 11.1±4.4), there was a considerably higher rate of anisocoria in CNI patients (20.1% vs. 11.2%; p<0.001). Following primary treatment, 50.8% of CNI and 35.5% of control cases showed moderate to severe disability (Glasgow Outcome Scale score 3-4; p<0.001).ConclusionsCNI as rare adjuncts to TBI should raise the suspicion of complicating skull base fractures and indicate higher rates of functional impairment following primary care.

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“…Juntamente com as imagens lateral e ventrodorsal ou dorsoventral, as incidências oblíquas laterais podem ajudar a atenuar a sobreposição de estruturas ósseas; isso é especialmente valioso para as mandíbulas, onde linhas de fratura claras podem frequentemente ser vistas em tais visualizações. As áreas que são particularmente difíceis de visualizar com a radiografia da cabeça e produzem uma imagem valiosa incluem a maxila, o crânio e a ATM (Błaszczyk et al, 2019).…”

Section: Diagnóstico Por Imagemunclassified

Manejo pré e pós-operatório do paciente com trauma crânio-maxilo-facial

Neto

Oliveira²,

Almeida³

et al. 2023

RSD

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As lesões faciais, em particular as lesões dos tecidos moles e fraturas dos ossos faciais, ocorrem frequentemente como resultado de colisões com veículos automotores, quedas, agressões violentas e colisões durante atividades recreativas, como andar de bicicleta. Embora ocasionalmente ocorram como lesões isoladas, elas são mais comumente associadas a outras lesões graves. Dessa forma, o objetivo desse estudo foi descrever o manejo pré e pós-operatório do paciente com trauma crânio-maxilo-facial, bem como descrever condutas que auxiliem o profissional a estabelecer o correto diagnóstico, determinando, conjuntamente, o seu prognóstico. Para a construção deste artigo foi realizado um levantamento bibliográfico nas bases de dados SciVerse Scopus, Scientific Eletronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) e ScienceDirect, com auxílio do gerenciador de referências Mendeley. Os artigos foram contemplados entre os anos de 2000 a 2022. O manejo da face lesada tem passado por grandes mudanças após uma maior compreensão do processo de cicatrização e com os avanços da tecnologia. Os resultados são consideráveis melhor do que há 30 anos como uma avaliação mais abrangente e gestão agora é possível. Entretanto, atualmente ainda existem desafios para restaurar consistentemente os pacientes traumatizados de volta à sua forma e função pré-lesão, mas isso nem sempre é possível. Maior compreensão e desenvolvimento melhoraram significativamente os resultados, embora ainda exista controvérsia em algumas áreas.

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Coincidence of craniocerebral and craniofacial injuries

Cited by 19 publications

References 29 publications

Curative Effect of Early Full Nursing Combined with Postdischarge Continuation Nursing on Patients after Craniocerebral Trauma

Curative Effect of Early Full Nursing Combined with Postdischarge Continuation Nursing on Patients after Craniocerebral Trauma

Cranial Nerve Injuries In Patients With Moderate To Severe Head Trauma – Analysis of 91,196 Patients From The TraumaRegister DGU® Between 2008 And 2017

Manejo pré e pós-operatório do paciente com trauma crânio-maxilo-facial

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