Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2012
Case Reports[Conservative approach to isolated cricoid cartilage fracture].
Isolated cricoid fracture is encountered rarely during the clinical follow-up. A 71-year-old female patient was referred to emergency service with complaints of fall from height, and urgent tracheotomy was performed due to dyspnea. During the examination, isolated fractures of the cricoid cartilage were identified. With the conservative approach, the patient remained symptom-free and was discharged after decannulation.
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Ulus Travma Acil Cer · Nov 2012
ReviewSubmental endotracheal intubation as an alternative to tracheostomy in selected cases of facial fracture: literature review and technique report.
Intermaxillary fixation (IMF) is an essential guide to optimize the reduction and fixation of most facial fractures associated with occlusal alterations. To allow IMF, nasotracheal intubation is used in most cases. ⋯ Submental endotracheal intubation allows IMF to be used without resorting to nasal intubation or tracheostomy, and it does not interfere with reduction and fixation of fractures in most cases. The purpose of this article is to describe the indications, contraindications and the technique of submental endotracheal intubation as performed in our service.
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Ulus Travma Acil Cer · Nov 2012
Comparative Study Observational StudyPredicting the outcome in children with head trauma: comparison of FOUR score and Glasgow Coma Scale.
Because of the limitations of the Glasgow Coma Scale (GCS), many scoring systems have emerged and been compared with GCS. Herein, we investigated whether the Full Outline of Unresponsiveness (FOUR) score is better than GCS in predicting morbidity and mortality in children with head trauma. ⋯ FOUR score provides no significant advantage over GCS in predicting morbidity and mortality in children with head trauma.
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Ulus Travma Acil Cer · Nov 2012
Case Reports[Carotico-jugular fistula following a ballistic injury].
Carotico-jugular fistulae are known complications of gunshot injuries and stab wounds, but they can be iatrogenic. Untreated, these lesions may lead to heart failure, endocarditis, or cerebral embolization. We present the computerized tomography (CT)-angiographic view and its value in the treatment strategy in carotico-jugular fistula. ⋯ Surgical interposition with 6 mm polytetrafluoroethylene for the carotid artery and with 12 mm Dacron for the internal jugular vein was performed. The fistulous tract was ligated. In the postoperative sixth month, Doppler ultrasound was normal and the patient was on antiaggregant therapy and healthy.
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Ulus Travma Acil Cer · Nov 2012
Observational StudyDoes preservation of active range of motion after acute elbow injury rule out the need for radiography?
We aimed to evaluate the role of a normal elbow active range of motion (ROM) in predicting low fracture risk and avoiding elbow X-ray in patients with acute elbow injuries. Lack of any approved rules for this purpose led us to evaluate simple physical examination methods to predict elbow fractures. ⋯ Patients with elbow injury and a limited ROM in all directions of flexion, extension, supination and pronation require further X-ray investigations.