Biomechanics of Nasal Septal Trauma

Gr, Holt

doi:10.1016/s0030-6665(05)70159-6

Cited by 36 publications

(31 citation statements)

References 4 publications

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“…As the magnitude of the impact increases beyond the threshold of cartilage deformation, increasing energy is then transmitted to the more posterior, rigid, bony support, with failure first occurring at the bony‐cartilaginous interface in most cases. The differential energy absorption between the cartilaginous and bony components of the septum has been noted previously 3 …”

Section: Discussionsupporting

confidence: 57%

“…Cadaveric studies are thus necessarily limited to a largely qualitative nature. Computational simulation offers a powerful alternative and had been suggested as a means of studying septal mechanics 3 . In finite element modeling (FEM), a defined object under a mechanical load is broken down into many smaller physical elements that interact based on laws of mechanics.…”

Section: Discussionmentioning

confidence: 99%

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Cadaveric and Engineering Analysis of the Septal L‐Strut

Mau

Kim

2007

The Laryngoscope

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Cadaveric and Engineering Analysis of the Septal L‐Strut

Mau

Kim

2007

The Laryngoscope

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“…In cases where the patient has nasal trauma history, a portion of the inferior one-third is the one of the commonest areas of septal deformity or septal fracture. After the cartilage is damaged, volume loss occurs due to apoptosis, making it thinner and weaker, and in turn causing warping and bending [19,20]. The reaction to compressive stress varies according to the direction of collagen orientation (anisotropy) [21].…”

Section: Importance Of Stabilitymentioning

confidence: 99%

Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty

Jeong¹

2014

Arch Plast Surg

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Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and definition, and to the failure to notice its weaknesses. Even if there is a sufficient amount of cartilage, improper separation or fixation might waste the cartilage, resulting in an inefficient operation. Appropriate resection and effective fixation are essential factors for economical rhinoplasty. The septal extension graft is a remarkable procedure since it can control the nasal tip bidirectionally and three dimensionally. Nevertheless, it has a serious drawback since resection is responsible for septal weakness. Safe resection and firm reconstruction of the framework should be carried out. Operating on the basis of the principle of "safe harvest" and rebuilding the structures is important. Further, it is important to learn several techniques to manage septal weakness, insufficient cartilage quantity, and failure of the rigid frame during the surgery.

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“…Yüz bölgesine gelen travmalarda anatomik yapısı ve yerleşimi nedeniyle en sık burun kemiği kırıkları görülmektedir (3)(4)(5)(6)(7)(8)(9). Burun kemik kırığının tipi uygulanan kuvvetin şiddetine, yönüne ve yaralanmanın mekanizmasına bağlıdır (7,10).…”

Section: Gi̇ri̇ş Ve Amaçunclassified

Burun Kemiği Kırıklarının Türk Ceza Kanunu Çerçevesinde Değerlendirilmesi

Kafadar

2014

Bull Leg Med

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Türk Ceza Kanunu'nun (TCK) 87. Maddenin 3. fıkrasında burun kemiği kırıklarının (lineer, deplase ve küçük kopma kırığı) hayat fonksiyonlarına etkisi, ayrı bir kavram olarak yer almaktadır. Bu çalışmada; burun kemiği kırığı bulunan olgulara düzenlenen adli raporlar ve karşılaşılan adli tıbbi sorunların incelenmesi amaçlandı.01 Ocak-31 Aralık 2012 tarihleri arasında, Elazığ Adli Tıp Şube Müdürlüğü'nce düzenlenen 2896 adli rapordan, burun kemiği kırığı saptanan 178 olgu değerlendirme kapsamına alındı. Veriler uygun bilgisayar destekli paket programı kullanılarak değerlendirildi. Olgular; yaş, cinsiyet, oluş nedeni, burun kemiğinin tipi ve kırığın hayat fonksiyonlarına etkisi yönünden incelendi Çalışma grubuna aldığımız 178 olgunun 24'ü (%13,48) kadın ve 154'ü (%86,51) erkek olup yaş ortalaması 34 ±7 olarak bulunmuştur. Burun kemiği kırığına neden olan olaylar incelendiğinde; öncelikli olarak darp 130 (%73.03), ikinci sırada 24 (%13.48) olgu ile trafik kazası, 18 (%10.11)'i düşme ve 6 (%3.37)'sının delici kesici alet yaralanması olduğu belirlendi. Burun kemiği kırıklarının tipi incelendiğinde; lineer kırık 76 (%42.69), deplase kırık 66 (%37,07), parçalı kırık 28 (%15,73) ve 6 (%3,37) olguda küçük kopma kırığı tespit edildi.Adli nitelik taşıyan burun yaralanmalarında, ağırlık derecesinin ve kırık tipinin belirlenmesi amacıyla nazal grafinin ve bilgisayarlı tomografinin incelenmesi uygun olacaktır. Adli raporda kırığın tipinin açıkça belirtilmesinin mükerrer yazışmaların ve adli süreçte gereksiz uzamaların önüne geçeceği görüşündeyiz.Anahtar kelimeler: Adli tıp, nazal kırık, travma. ABSTRACTNasal bone fractures (lineer, deplase or distal thinner portion) is delineated in the new Turkish Penal Code (Article 87, Section 3). In the current study, we investigated the reports of injury case with nasal bone fracture and available problems in foresic medicine.Of the 2896 forensic reports of our regional Center, The Council of Forensic Medicine, 178 cases with nasal bone fractures were determined between 1 June and 31 December 2012. The cases were invetigated about age, gender, origine, type of nasal bone fracture and effect on life function.There are 178 cases in our study. Of the cases, 13,48%(24 cases) were females and 86,51% (154 cases) males, a mean age of 34 ±7. was found. Of the cases, 73.03 % (130 cases) were assault, 13.48% (24 cases) traffic accident, 10.11% (18 ceses) fall from and 3.37%(6 cases) were stab injury. Of the cases, 42.69% (76 cases) were lineer fracture, 37,07%(66 cases) were deplase fracture, 15,73%(28 cases) were fragmeted and 3,37% (6 cases) were distal thinner portion fracture.Because of all traumatic nasal injuries are considered judicial cases that whith the goal of determination types of nasal bone fracture, x-Ray wiew and computerized tomography should investigate. We have considered that if it is clearly writen type of nasal bone fracture in foresic reports, recurrent correspondence would not have and judiciary process would not extend.

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Biomechanics of Nasal Septal Trauma

Cited by 36 publications

References 4 publications

Cadaveric and Engineering Analysis of the Septal L‐Strut

Cadaveric and Engineering Analysis of the Septal L‐Strut

Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty

Burun Kemiği Kırıklarının Türk Ceza Kanunu Çerçevesinde Değerlendirilmesi

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