RESUMO
We have found and reported on all injuries to the head and neck described in Homer's Iliad, and give several particularly graphic examples.
Assuntos
Traumatismos Craniocerebrais/história , Medicina na Literatura , Lesões do Pescoço/história , Grécia Antiga , História Antiga , Humanos , Poesia como Assunto , Turquia , GuerraRESUMO
Forty-five patients with postoperative or post-traumatic paresis of the facial nerve were studied and it was found that in only 2.6% of the postoperative cases was there some temporary facial nerve palsy, while in 11% of the cases with facial lacerations the paralysis was permanent. The preauricular area was the most hazardous, while in the submental area no paresis was recorded. It is our opinion that (excluding the preauricular area) when designing a surgical approach to the face, no particular attention need be paid to the preservation of terminal branches of the facial nerve as no permanent paralysis will ensue.
Assuntos
Face/cirurgia , Traumatismos Faciais/complicações , Traumatismos do Nervo Facial , Paralisia Facial/etiologia , Complicações Pós-Operatórias , Adolescente , Adulto , Bochecha/lesões , Bochecha/inervação , Eletromiografia , Pálpebras/lesões , Pálpebras/inervação , Músculos Faciais/inervação , Músculos Faciais/fisiopatologia , Nervo Facial/fisiopatologia , Paralisia Facial/fisiopatologia , Feminino , Testa/lesões , Testa/inervação , Humanos , Masculino , Nervo Mandibular/fisiopatologia , Pessoa de Meia-Idade , Traumatismos do Nervo TrigêmeoRESUMO
Phleboliths are well established pathological entities that are often associated with vascular lesions. Three cases are reported in which no vascular malformation was detected.
Assuntos
Cálculos , Músculo Masseter/irrigação sanguínea , Seio Maxilar/irrigação sanguínea , Doenças Vasculares , Adulto , Cálculos/patologia , Criança , Feminino , Humanos , Hipertrofia , Masculino , Músculo Masseter/patologia , Doenças Vasculares/patologia , VeiasRESUMO
A retrospective study covering a period of 3.5 years was undertaken to determine the incidence of work-related injuries in the maxillofacial region. A group of 2,383 patients treated at our institution with maxillofacial trauma of various causes was evaluated. Work-related maxillofacial injuries in this population ranked fourth in frequency of occurrence after traffic accidents, falls, and acts of violence. Hand tools were found to be the culprit of most of the injuries in the maxillofacial region. The majority of the fractures of the facial skeleton were comminuted and/or compound and mostly involved the mandible. In many cases there was a delay in the treatment of the maxillofacial injuries due to associated severe trauma involving other bones and internal organs. Such a delay in treatment can result in aesthetic problems, such as facial deformity and asymmetry, functional problems due to damage inflicted upon vital structures, such as the eyes and the facial nerve, and psychological problems that can be caused by facial scarring and the traumatic loss of teeth at an early age. The best way of treating work-related maxillofacial injuries is through prevention. That should include adequate training of workers, recognition of possible occupational hazards, and the implementation of strict safety measures in the work place.
