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Facial human bites. Vision on STMMs in Africa

100%
Clarós P., Końska N., Clarós A.
Otolaryngologia Polska
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2020
|
vol. 74(5)
31-35
EN
Objectives: Human bites of the face are a frequent and serious health issue as they often compromise patients function and aesthetics as well as lead to further complications. The aim of the study is to review human bites of the face referred to our team during 112 short-term medical missions (STMMs) in Sub-Saharan Africa over the past 20 years and to discuss the epidemiology, appearance, management and outcome, including the most common complications. Methods: A retrospective medical documentation review was carried out examining all human bites of the face operated by our team during 112 STMMs from 2000 to 2019 in different countries of Sub-Saharan Africa. Results: Out of about 5500 patients medical charts 51 patients were selected due to history of human bite. Patients’ age range was 15–65 years, female to male ratio was 1, 55:1, the most often involved parts were: lips, ear and nose. Various surgical procedures were carried out including local flaps and free grafts. Infection and graft necrosis were the most common reported complication (n = 4; 9.3%). Conclusion: Human bites injuries are a serious health problem in some African populations because of their frequency and possible severity. The treatment is particularly challenging due to their potential to cause local infections, the risk they pose for transmission of systemic diseases as well as their demanding surgical management.
2
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Jael’s syndrome: knife blade impacted in the facial skeleton: an illustrated case report and a review of literature

100%
Massaad J., Olszewski R.
Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery
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2022
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vol. 24
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issue 1
1-42
EN
Objective: This article focuses on the penetrating trauma of the facial mass caused by the knife with retention of the blade fractured in the facial skeleton. Case report: We describe preoperative, intra-operative and post-operative outcomes of the knife stabbing in the face, and of the surgical removal of the broken 8cm long blade using two dimensional, and tridimensional computed tomography, and clinical iconography Conclusions: We provide the readership with a broader perspective on iatrogenic facial trauma caused by blades with examples from history of medicine, with biomechanical focus, as well as a review of literature on the management, and on the surgical treatment outcomes of such infrequent emergency in maxillofacial surgery.
3
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Facial human bites. Vision on STMMs in Africa

100%
Clarós P., Końska N., Clarós A.
Polish Journal of Otolaryngology
|
2020
|
vol. 74
|
issue 5
31-35
EN
Objectives: Human bites of the face are a frequent and serious health issue as they often compromise patients function and aesthetics as well as lead to further complications. The aim of the study is to review human bites of the face referred to our team during 112 short-term medical missions (STMMs) in Sub-Saharan Africa over the past 20 years and to discuss the epidemiology, appearance, management and outcome, including the most common complications. Methods: A retrospective medical documentation review was carried out examining all human bites of the face operated by our team during 112 STMMs from 2000 to 2019 in different countries of Sub-Saharan Africa. Results: Out of about 5500 patients medical charts 51 patients were selected due to history of human bite. Patients’ age range was 15–65 years, female to male ratio was 1, 55:1, the most often involved parts were: lips, ear and nose. Various surgical procedures were carried out including local flaps and free grafts. Infection and graft necrosis were the most common reported complication (n = 4; 9.3%). Conclusion: Human bites injuries are a serious health problem in some African populations because of their frequency and possible severity. The treatment is particularly challenging due to their potential to cause local infections, the risk they pose for transmission of systemic diseases as well as their demanding surgical management.
4
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Computed tomography of the heads of ancient Egyptian mummies: a systematic review of the medical literature.

86%
Olszewski R., Hastir J.-P., Tilleux C., Delvaux L., Danse E.
Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery
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2020
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vol. 9
|
issue 1
1-49
EN
Objective: To summarize the current knowledge on CT scanning of Egyptian mummy heads and faces and provide more valid methodology than that previously available. Material and methods: A systematic review was performed by one observer using two biomedical databases: PubMed and EMBASE. Inclusion and exclusion criteria were applied along with language restrictions. Finally, 2120 articles were found, 359 articles were duplicated among all search equations, 1454 articles were excluded, 307 articles were retained for full review, and 28 articles (31 mummies) were selected for the final study (PRISMA workflow). Results: The data were categorized into the following groups: 1) general information; 2) 1st author affiliation; 3) CT radiological protocol; 4) excerebration pathways; 5) soft tissue preservation; 6) dental status and displaced teeth; 7) packing of the mouth, ears, nose, and eyes, and 8) outer facial appearance. The evidence-based quality of the studies was low because only case reports and small case series were found. Discussion: The embalming art applied to a mummified head and face shows great variability across the whole span of Egyptian civilization. The differences among the various embalming techniques rely on multiple tiny details that are revealed by meticulous analysis of CT scans by a multidisciplinary team of experts. Conclusion: There is a need for more systematization of the CT radiological protocol and the description of Egyptian mumm’y heads and faces to better understand the details of embalming methods.  
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