Subject(s)
Cerebrospinal Fluid Otorrhea/complications , Ear Diseases/complications , Sinus Thrombosis, Intracranial/etiology , Adolescent , Audiometry, Pure-Tone , Colon, Sigmoid/pathology , Hearing Loss, Conductive/diagnosis , Hearing Loss, Conductive/etiology , Humans , Magnetic Resonance Imaging , Male , Sinus Thrombosis, Intracranial/diagnosis , Sinus Thrombosis, Intracranial/surgery , Tomography, X-Ray Computed , Tympanic Membrane Perforation/complicationsABSTRACT
To better understand the epidemiology of accidents affecting wheelchair users, we evaluated 2,066 nonfatal wheelchair-related accidents reported, between 1986 and 1990, to the National Electronic Injury Surveillance System (NEISS) Division of the United States Consumer Product Safety Commission. The NEISS used data from representative emergency departments across the United States during this period. An extrapolation from this sample and from those of 1991 and 1992 provided an average national estimate of 36,559 wheelchair-related accidents per year that are serious enough to cause the injured person to seek attention at an emergency department; there was a significant (P = 0.007) upward trend over time. Elderly women were the most likely to sustain an injury. Of the people injured, 7.6% were not wheelchair users themselves. The most common causes of accidents were related to falls and tips in 73.2% of incidents, associated secondary causes (e.g., a ramp) in 41.4% and transfers in 16.9%. The most frequently reported location for the falls was at home (50.8%). The majority of resulting injuries were contusions and abrasions (32.8%), lacerations (28.0%), fractures (20.2%) and sprains and strains (10.3%). Hospitalization was required in 12% of cases. The results of this analysis have implications for rehabilitation professionals, regulatory bodies and wheelchair manufacturers.
Subject(s)
Accidents/statistics & numerical data , Wheelchairs , Wounds and Injuries/epidemiology , Accidental Falls/statistics & numerical data , Accidents/mortality , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Child , Female , Humans , Male , Middle Aged , Sex Factors , United States/epidemiologyABSTRACT
Fibrosarcoma in childhood is a rare disease. An interesting new case involving the infratemporal fossa in a three-year-old girl is reported. The literature, the symptomatology and the diagnostic features are reviewed. The difficult management decisions and the thorny problem of reconstruction of head and neck malignancies in growing children are discussed. Suggestions are made for management of similar cases.
Subject(s)
Fibrosarcoma/surgery , Head and Neck Neoplasms/surgery , Mandibular Neoplasms/surgery , Child, Preschool , Female , Fibrosarcoma/diagnostic imaging , Fibrosarcoma/pathology , Head and Neck Neoplasms/diagnostic imaging , Head and Neck Neoplasms/pathology , Humans , Mandibular Neoplasms/diagnostic imaging , Mandibular Neoplasms/pathology , RadiographyABSTRACT
The role of surgery in the management of sinus disease is in a state of evolution. With the advent of the endoscope, functional sinus surgery has become a reality. This type of surgery is recently being utilized as a therapeutic modality for sinus disease in children. The sinus surgeon should be aware of the differences between adult and pediatric sinus anatomy. This study utilizes the CT scanner to chart the anatomy and development of the ostiomeatal unit area in childhood, from the age of one through 16. This study may provide a more comprehensive understanding of the ostiomeatal unit in the pediatric population.
