Dynamic changes of facial skeletal fractures with time
To investigate the characteristics of imaging changes with time of facial fractures, patients with facial fractures who had computed tomographic scan were enrolled including 500 patients who were divided into six groups based on the time of scanning: super early (2 months). The data were compared an...
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| Veröffentlicht in: | Scientific reports 2020-03, Vol.10 (1), p.4001-4001, Article 4001 |
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| description | To investigate the characteristics of imaging changes with time of facial fractures, patients with facial fractures who had computed tomographic scan were enrolled including 500 patients who were divided into six groups based on the time of scanning: super early (2 months). The data were compared and analyzed. Forty two patients with frontal bone fractures had high-energy impact as the reason of fractures. The fracture line was clear and sharp within one week but blunt and sclerotic due to bone absorption at 2–3 weeks, and might exist for a long time. All patients had soft tissue swelling and paranasal sinus effusion at 1–2 weeks after injury. Air might gather in the adjacent soft tissues and/or intracranially within 3 days of injury if the fracture involved the frontal or other sinuses. Twelve of the 42 patients (28.6%) had intracranial hematoma, and five (11.9%) had epidural effusion. Subarachnoid hemorrhage was mostly absorbed within one week while epidural hematoma was completely absorbed over 3 weeks. Significant changes (P |
| doi_str_mv | 10.1038/s41598-020-60725-9 |
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The data were compared and analyzed. Forty two patients with frontal bone fractures had high-energy impact as the reason of fractures. The fracture line was clear and sharp within one week but blunt and sclerotic due to bone absorption at 2–3 weeks, and might exist for a long time. All patients had soft tissue swelling and paranasal sinus effusion at 1–2 weeks after injury. Air might gather in the adjacent soft tissues and/or intracranially within 3 days of injury if the fracture involved the frontal or other sinuses. Twelve of the 42 patients (28.6%) had intracranial hematoma, and five (11.9%) had epidural effusion. Subarachnoid hemorrhage was mostly absorbed within one week while epidural hematoma was completely absorbed over 3 weeks. Significant changes (P < 0.05) in the fracture lines, effusion of paranasal sinuses, soft tissue swelling and pneumocephalus were observed during the study period. For patients with medial orbital wall fractures, the fracture line was sharp and clear at early stages with concurrent sphenoid sinus effusion, and the fracture line became depressed 3 weeks later with disappearance of sphenoid sinus effusion. Significant changes (P < 0.05) were observed in the sharp fracture line, soft tissue swelling, sphenoid sinus effusion and smooth depression at fracture sites. For nasal fractures, the fracture line was sharp and clear at early stages with concurrent soft tissue swelling which disappeared one week later. The fracture line became smooth three weeks later. A significant (P < 0.05) difference was demonstrated in the changes of fracture line and soft tissue swelling with time. In conclusion, facial fractures have some dynamic alterations with time and identification of these characteristics may help reaching a correct clinical diagnosis with regard to fracture severity and time.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-60725-9</identifier><identifier>PMID: 32132591</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>59 ; 692/699/578 ; 692/700/1421/2770 ; Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Computed tomography ; Effusion ; Epidural hematoma ; Facial Bones - injuries ; Facial Bones - metabolism ; Facial Bones - pathology ; Facial Bones - physiopathology ; Female ; Fractures ; Hematoma ; Humanities and Social Sciences ; Humans ; Male ; Middle Aged ; multidisciplinary ; Paranasal sinus ; Science ; Science (multidisciplinary) ; Sinus ; Sinuses ; Skull Fractures - metabolism ; Skull Fractures - pathology ; Skull Fractures - physiopathology ; Soft tissues ; Subarachnoid hemorrhage ; Time Factors ; Traumatic brain injury</subject><ispartof>Scientific reports, 2020-03, Vol.10 (1), p.4001-4001, Article 4001</ispartof><rights>The Author(s) 2020</rights><rights>This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-e5108cddc3e6c98b2649ca64b476b25ccb05544c9b7bcc60a4b5998e56e719823</citedby><cites>FETCH-LOGICAL-c474t-e5108cddc3e6c98b2649ca64b476b25ccb05544c9b7bcc60a4b5998e56e719823</cites><orcidid>0000-0003-4668-0737</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055228/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055228/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,41101,42170,51557,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32132591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Bao-Hai</creatorcontrib><creatorcontrib>Han, Shu-Man</creatorcontrib><creatorcontrib>Sun, Tao</creatorcontrib><creatorcontrib>Guo, Zhe</creatorcontrib><creatorcontrib>Cao, Lei</creatorcontrib><creatorcontrib>Wu, Hui-Zhao</creatorcontrib><creatorcontrib>Shi, Yun-Heng</creatorcontrib><creatorcontrib>Wen, Jin-Xu</creatorcontrib><creatorcontrib>Wu, Wen-Juan</creatorcontrib><creatorcontrib>Gao, Bu-Lang</creatorcontrib><title>Dynamic changes of facial skeletal fractures with time</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>To investigate the characteristics of imaging changes with time of facial fractures, patients with facial fractures who had computed tomographic scan were enrolled including 500 patients who were divided into six groups based on the time of scanning: super early (<3 d), early (4–7 d), early-to-medium (8–14 d), medium (15–21d), medium-to-late (22d–2 months) and late stage (>2 months). The data were compared and analyzed. Forty two patients with frontal bone fractures had high-energy impact as the reason of fractures. The fracture line was clear and sharp within one week but blunt and sclerotic due to bone absorption at 2–3 weeks, and might exist for a long time. All patients had soft tissue swelling and paranasal sinus effusion at 1–2 weeks after injury. Air might gather in the adjacent soft tissues and/or intracranially within 3 days of injury if the fracture involved the frontal or other sinuses. Twelve of the 42 patients (28.6%) had intracranial hematoma, and five (11.9%) had epidural effusion. Subarachnoid hemorrhage was mostly absorbed within one week while epidural hematoma was completely absorbed over 3 weeks. Significant changes (P < 0.05) in the fracture lines, effusion of paranasal sinuses, soft tissue swelling and pneumocephalus were observed during the study period. For patients with medial orbital wall fractures, the fracture line was sharp and clear at early stages with concurrent sphenoid sinus effusion, and the fracture line became depressed 3 weeks later with disappearance of sphenoid sinus effusion. Significant changes (P < 0.05) were observed in the sharp fracture line, soft tissue swelling, sphenoid sinus effusion and smooth depression at fracture sites. For nasal fractures, the fracture line was sharp and clear at early stages with concurrent soft tissue swelling which disappeared one week later. The fracture line became smooth three weeks later. A significant (P < 0.05) difference was demonstrated in the changes of fracture line and soft tissue swelling with time. In conclusion, facial fractures have some dynamic alterations with time and identification of these characteristics may help reaching a correct clinical diagnosis with regard to fracture severity and time.</description><subject>59</subject><subject>692/699/578</subject><subject>692/700/1421/2770</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Computed tomography</subject><subject>Effusion</subject><subject>Epidural hematoma</subject><subject>Facial Bones - injuries</subject><subject>Facial Bones - metabolism</subject><subject>Facial Bones - pathology</subject><subject>Facial Bones - physiopathology</subject><subject>Female</subject><subject>Fractures</subject><subject>Hematoma</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Paranasal sinus</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Sinus</subject><subject>Sinuses</subject><subject>Skull Fractures - 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injuries</topic><topic>Facial Bones - metabolism</topic><topic>Facial Bones - pathology</topic><topic>Facial Bones - physiopathology</topic><topic>Female</topic><topic>Fractures</topic><topic>Hematoma</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>multidisciplinary</topic><topic>Paranasal sinus</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Sinus</topic><topic>Sinuses</topic><topic>Skull Fractures - metabolism</topic><topic>Skull Fractures - pathology</topic><topic>Skull Fractures - physiopathology</topic><topic>Soft tissues</topic><topic>Subarachnoid hemorrhage</topic><topic>Time Factors</topic><topic>Traumatic brain injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Bao-Hai</creatorcontrib><creatorcontrib>Han, Shu-Man</creatorcontrib><creatorcontrib>Sun, Tao</creatorcontrib><creatorcontrib>Guo, Zhe</creatorcontrib><creatorcontrib>Cao, Lei</creatorcontrib><creatorcontrib>Wu, Hui-Zhao</creatorcontrib><creatorcontrib>Shi, Yun-Heng</creatorcontrib><creatorcontrib>Wen, Jin-Xu</creatorcontrib><creatorcontrib>Wu, Wen-Juan</creatorcontrib><creatorcontrib>Gao, Bu-Lang</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Bao-Hai</au><au>Han, Shu-Man</au><au>Sun, Tao</au><au>Guo, Zhe</au><au>Cao, Lei</au><au>Wu, Hui-Zhao</au><au>Shi, Yun-Heng</au><au>Wen, Jin-Xu</au><au>Wu, Wen-Juan</au><au>Gao, Bu-Lang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dynamic changes of facial skeletal fractures with time</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-03-04</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>4001</spage><epage>4001</epage><pages>4001-4001</pages><artnum>4001</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>To investigate the characteristics of imaging changes with time of facial fractures, patients with facial fractures who had computed tomographic scan were enrolled including 500 patients who were divided into six groups based on the time of scanning: super early (<3 d), early (4–7 d), early-to-medium (8–14 d), medium (15–21d), medium-to-late (22d–2 months) and late stage (>2 months). The data were compared and analyzed. Forty two patients with frontal bone fractures had high-energy impact as the reason of fractures. The fracture line was clear and sharp within one week but blunt and sclerotic due to bone absorption at 2–3 weeks, and might exist for a long time. All patients had soft tissue swelling and paranasal sinus effusion at 1–2 weeks after injury. Air might gather in the adjacent soft tissues and/or intracranially within 3 days of injury if the fracture involved the frontal or other sinuses. Twelve of the 42 patients (28.6%) had intracranial hematoma, and five (11.9%) had epidural effusion. Subarachnoid hemorrhage was mostly absorbed within one week while epidural hematoma was completely absorbed over 3 weeks. Significant changes (P < 0.05) in the fracture lines, effusion of paranasal sinuses, soft tissue swelling and pneumocephalus were observed during the study period. For patients with medial orbital wall fractures, the fracture line was sharp and clear at early stages with concurrent sphenoid sinus effusion, and the fracture line became depressed 3 weeks later with disappearance of sphenoid sinus effusion. Significant changes (P < 0.05) were observed in the sharp fracture line, soft tissue swelling, sphenoid sinus effusion and smooth depression at fracture sites. For nasal fractures, the fracture line was sharp and clear at early stages with concurrent soft tissue swelling which disappeared one week later. The fracture line became smooth three weeks later. A significant (P < 0.05) difference was demonstrated in the changes of fracture line and soft tissue swelling with time. In conclusion, facial fractures have some dynamic alterations with time and identification of these characteristics may help reaching a correct clinical diagnosis with regard to fracture severity and time.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32132591</pmid><doi>10.1038/s41598-020-60725-9</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-4668-0737</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 59 692/699/578 692/700/1421/2770 Adolescent Adult Aged Child Child, Preschool Computed tomography Effusion Epidural hematoma Facial Bones - injuries Facial Bones - metabolism Facial Bones - pathology Facial Bones - physiopathology Female Fractures Hematoma Humanities and Social Sciences Humans Male Middle Aged multidisciplinary Paranasal sinus Science Science (multidisciplinary) Sinus Sinuses Skull Fractures - metabolism Skull Fractures - pathology Skull Fractures - physiopathology Soft tissues Subarachnoid hemorrhage Time Factors Traumatic brain injury |
| title | Dynamic changes of facial skeletal fractures with time |
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