Retrospective Analysis of Skull and Spine Traumas

Objective:In this study, in patients who applied to the forensic medicine outpatient clinic due to skull and spine trauma; We aimed to compare categorical data by defining age, gender, causes of trauma, trauma site, fracture type and accompanying pathologies.Methods:Files and computed tomography reports of a total of 105 patients, 24 women and 81 men, between the ages of 18 and 75, who were exposed to skull and spine trauma, registered in the database of the Hitit University Erol Olçok Training and Research Hospital Forensic Medicine Polyclinic Unit between 01.01.2017 and 31.12.2020 examined. In cases; gender, age, cause of trauma, fracture type, injury site, multiple site injuries and presence of pathologies accompanying trauma were evaluated. Data analysis was performed with the IBM SPSS Statistics 22.0 statistical program. Categorical data were compared with chi-square and Fisher Exact tests.Results:The most trauma was detected in male individuals aged 51-60 years. The most common cause of trauma was traffic accidents with a rate of 48.6% (51 cases). In the skull, frontal linear fractures and in the spine, lumbar vertebrae corpus fractures were the most common lesions. Pneumocephaly, spinal injuries and paraplegia were seen as a complication.Conclusion:We think that our study will be beneficial in terms of guiding physicians in the observation, diagnosis and reporting processes of patients who apply to the Forensic Medicine units of hospitals

Subcutaneous emphysema, pneumo-orbita and pneumomediastinum following a facial trauma caused by a high-pressure car washer

Pneumomediastinum is air leakage to mediastinal space from various potential sites, including lung, esophagus, trachea, and neck. It is a rare condition that develops either spontaneously with increased intraalveolar or intrabronchial pressure, or due to trauma. Although cases where face or neck trauma with subcutaneous emphysema that extended to mediastinal cavity via anatomical connections in face and neck have been reported, orbital traumas leading to pneumomediastinum are very rare occurrences that have seldom been reported. This paper documents a 17-year-old male who presented with diffuse subcutaneous emphysema involving paraorbital facial areas, which extended to neck and mediastinal cavity

Relationship between renal tubulointerstitial fibrosis and serum prolidase enzyme activity

Objectives: The severity of interstitial fibrosis/tubular atrophy (IFTA) is the most important determinant of the irreversible progression of chronic kidney disease (CKD). Prolidase is the key enzyme in collagen turnover and is associated with an extracellular matrix increase. We aimed to evaluate the relationship between the presence and degree of IFTA and serum prolidase enzyme activity (SPEA) in patients undergoing a renal biopsy

Assessment of maxillofacial trauma in emergency department

Introduction: The incidence and epidemiological causes of maxillofacial (MF) trauma varies widely. The objective of this study is to point out maxillofacial trauma patients' epidemiological properties and trauma patterns with simultaneous injuries in different areas of the body that may help emergency physicians to deliver more accurate diagnosis and decisions. Methods: In this study we analyze etiology and pattern of MF trauma and coexisting injuries if any, in patients whose maxillofacial CT scans was obtained in a three year period, retrospectively. Results: 754 patients included in the study consisting of 73.7% male and 26.3% female, and the male-to-female ratio was 2.8:1. Mean age was 40.3 +/- 17.2 years with a range of 18 to 97. 57.4% of the patients were between the ages of 18-39 years and predominantly male. Above 60 years of age, referrals were mostly woman. The most common cause of injuries were violence, accounting for 39.7% of the sample, followed by falls 27.9% and road traffic accidents 27.2%. The primary cause of injuries were violence between ages 20 and 49 and falls after 50. Bone fractures found in 56,0% of individuals. Of the total of 701 fractured bones in 422 patients the most frequent was maxillary bone 28,0% followed by nasal bone 25,3%, zygoma 20,2%, mandible 8,4%, frontal bone 8,1% and nasoethmoidoorbital bone 3,1%. Fractures to maxillary bone were uppermost in each age group. 8, 9% of the patients had brain injury and only frontal fractures is significantly associated to TBI (p < 0.05) if coexisting facial bone fracture occurred. Male gender has statistically stronger association for suffering TBI than female (p < 0, 05). Most common cause of TBI in MF trauma patients was violence (47, 8%). 158 of the 754 patients had consumed alcohol before trauma. No statistically significant data were revealed between alcohol consumption gender and presence of fracture. Violence is statistically significant (p < 0.05) in these patients. Conclusion: Studies subjected maxillofacial traumas yield various etiologic factors, demographic properties and fracture patterns probably due to social, cultural and governmental differences. Young males subjected to maxillofacial trauma more commonly as a result of interpersonal violence