Displaying publications 1 - 20 of 25 in total

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  1. Fulltext Rare and Unique Case of Midline Anterior Arch of Atlas Non-formation Mimicking Jefferson Type 1 Fracture
    Das S, Palaniandy K, Abu Bakar A, Idris Z, Abdullah JM
    Cureus, 2020 Feb 03;12(2):e6850.
    PMID: 32181085 DOI: 10.7759/cureus.6850
    Cervical spine injuries are rare occurrences in children, especially the congenital anomalies of the atlas vertebra. Any injury involving the craniovertebral junction such as Jefferson fracture, is a valid cause for alarm due to the complex nature of the craniovertebral junction and the morbidity associated with it. We report the case of a 10-year-old male, who had failure of fusion of anterior arch of atlas due to the failure of formation of the anterior midline synchondrosis, and this mimicked a Jefferson fracture. If it was not for the peculiar absence of any corresponding evidence to suggest spinal injury, we might have mistaken this extremely rare but benign anomaly for a Jefferson fracture and subjected the patient to needless surgical treatment. Hence, it is concluded that keen clinical acumen and clear understanding of the developmental anatomy of these patients may be necessary to adequately manage them.
    Matched MeSH terms: Neck Injuries
  2. Extrusion of fish bone through the neck
    An HK
    Med J Malaya, 1972 Mar;26(3):215-6.
    PMID: 5064004
    Matched MeSH terms: Neck Injuries*
  3. Retained haemodialysis-catheter guidewire in the head and neck: a multidisciplinary team approach
    Xiao Hong C, Abd Wahab S, Azman M
    BMJ Case Rep, 2020 Oct 27;13(10).
    PMID: 33109696 DOI: 10.1136/bcr-2020-236484
    Penetrating foreign body in the head and neck can be catastrophic from injury to the constellation of vascular and neural structures in the neck. Early recognition and prompt surgical intervention is imperative to save lives. Herein, we present an unusual case of iatrogenic foreign body-a coiled guidewire embedded in the deep neck space. The complications, radiological investigation and multidisciplinary surgical management are further discussed.
    Matched MeSH terms: Neck Injuries/diagnosis*; Neck Injuries/etiology; Neck Injuries/surgery
  4. Potential forensic implications of kerokan therapy - a traditional Indonesian therapy associated with neck bruising
    Samberkar PN, Samberkar SP, Byard RW
    Med Sci Law, 2020 Oct;60(4):315-318.
    PMID: 32501165 DOI: 10.1177/0025802420926867
    Kerokan is a traditional Indonesian treatment involving abrading the skin over various parts of the body with a blunt object such as a coin or a piece of ginger which may create suspicious injuries. Here, the case of a 30-year-old woman who had undergone kerokan therapy is reported. She was complaining of retro-sternal pain and epigastric discomfort and subsequently became markedly short of breath and died. The observation of injuries predominantly located around the neck initiated a police investigation and forensic autopsy. Scattered abrasions, blisters and bruises were present on the forehead, the bridge of the nose extending to the ala, the upper and anterior aspect of the chin and the sternal notch, with discrete fresh and scabbed abrasions around the neck, over the sternum and on the backs of both hands. There were, however, no facial or conjunctival petechiae and no bruising of the underlying strap muscles, or fractures of the hyoid bone or thyroid cartilage. Histology revealed that myocarditis was the cause of death. Traditional practices may cause unusual bruises, abrasions, blisters and burns that may raise suspicion of inflicted injury from an assault. Knowledge of the manifestations of socio-ethnic practices such as kerokan is important in the evaluation of trauma in specific cultural groups.
    Matched MeSH terms: Neck Injuries/pathology*
  5. Suicide patterns in children and adolescents: a review from a pediatric institution in England
    Zainum K, Cohen MC
    Forensic Sci Med Pathol, 2017 Jun;13(2):115-122.
    PMID: 28349246 DOI: 10.1007/s12024-017-9860-y
    Suicide is a catastrophic event to both families and communities yet it is potentially preventable. This study aims to determine incidence and patterns of suicide in children and young adolescents in our region, raise awareness of this entity as a potentially preventable cause of death in this age group, and identify its possible associated risk factors. We retrospectively reviewed suicide cases presenting as sudden unexpected death in children and adolescents that underwent coronial post-mortems at our institution. This is the largest pathological review of completed suicide in children and young adolescents within a single institution in the United Kingdom. We identified 23 suicide cases during a 12 year period from 2003 to 2015, in which 18 cases (78%) were male and 5 cases (22%) were female. The age range was from 8 to 16 years (mean age 12.82 +/- 2.52 SD). With the exception of one case, all of the victims were Caucasian. The majority, 19 cases (81%), were found dead inside their place of residence, 15 of whom were discovered in their own bedrooms. Twenty-one cases (91%) died from neck compression due to hanging; 6 cases (26%) had used the cord of a dressing gown and 5 (22%) opted to use a belt as the ligature. Two cases (9%) that died from multiple-drug toxicity were female. In 7 cases (30.5%) there was evidence of self-harm and in 3 cases (13%) there was a history of previous suicide attempts. Petechial hemorrhages were found at autopsy in more than half of hanging victims and only three cases (14%) displayed dual distribution of post-mortem hypostasis (back and legs). Seven victims (30.5%) left some form of suicide message to family members and friends, 2 of which wrote the message on their arm. Parental separation, conflict with parents, and depression, were common amongst decedents prior to committing suicide. Substance abuse was uncommon in suicide within our cases. Valuable information is available from thorough review of suicide data in children and young adolescents from a single institution. Pathologists and clinicians can play crucial roles in identifying potential risk factors that may contribute to prevent future deaths.
    Matched MeSH terms: Neck Injuries/mortality
  6. Fulltext Foreign body aspiration in adult: removing aspirated foreign body using flexible bronchoscopy in emergency department
    Ismail, M.S., Fareena, Z.
    Medicine & Health, 2020;15(1):294-299.
    MyJurnal
    Aspirasi bendasing boleh mengancam nyawa. Presentasi yang tidak tipikal dan kekurangan pengimejan diagnostik, telah membuatkan kecurigaan klinikal adalah penting. Kami ingin melaporkan kes aspirasi bendasing dalam seorang dewasa yang hadir ke Jabatan Kecemasan dalam keadaan yang tidak sedarkan diri. Lelaki berusia 31 tahun yang lumpuh disebabkan oleh keretakkan ‘cervical 7th fracture’ dihantar ke Jabatan Kecemasan selepas tidak sedarkan diri dan mengalami penurunan peratusan oksigen disebabkan oleh aspirasi bendasing. Ini adalah kes atipikal aspirasi bendasing pada pesakit yang berjaya didiagnosis dan dirawat menggunakan bronkoskopi fleksibel di Jabatan Kecemasan. Aspirasi bendasing pada orang dewasa sering diabaikan terutama jika ia tidak menyebabkan sesak nafas. Indeks kecurigaan yang tinggi diperlukan terutamanya untuk pesakit berisiko tinggi yang menunjukkan simptom atipikal. Bronkoskopi fleksibel dan ‘rigid’ adalah kaedah diagnosis dan rawatan pesakit yang disyaki aspirasi bendasing. Kesimpulannya, pelbagai jenis penemuan klinikal aspirasi bendasing yang tidak aspirasi dalam saluran udara pada orang dewasa telah dipaparkan. Faktor diagnostik yang paling penting adalah indeks klinikal curiga yang tinggi. Walaupun bronkoskopi ‘rigid’ terus menjadi instrumen pilihan untuk menghilangkan bendasing yang tidak aspisasi di saluran udara orang dewasa, tetapi bronkoskop optik gentian optik juga boleh digunakan dalam keadaan yang tertentu.
    Matched MeSH terms: Neck Injuries
  7. Superior long term functional and scar outcome of Meek micrografting compared to conventional split thickness skin grafting in the management of burns
    Lee SZ, Halim AS
    Burns, 2019 09;45(6):1386-1400.
    PMID: 31054957 DOI: 10.1016/j.burns.2019.04.011
    INTRODUCTION: Autologous skin grafting is the mainstay of treatment in burn patients. Extensive full thickness burns remains a challenge to the burns surgeon due to the lack of autologous skin donor sites. The conventional split thickness skin grafting (SSG) and the Meek micrografting (Meek) technique are part of the armamentarium of the burns surgeon to curtail the challenge of paucity of donor sites. With advances in burn care, mortality rates of burn patients have reduced. As a result, with more patients surviving acute burn, there is a paradigm shift of research towards assessment of functional outcomes and quality of life of the burn survivors. As there is lack of research regarding the functional outcome of the Meek technique, this study was designed to examine the long term functional outcome of the Meek technique and SSG in burns.

    METHOD: A cross-sectional study was conducted in Hospital Universiti Sains Malaysia to assess patients with burns between 10 to 40% total body surface area (TBSA) and with at least one year after injury. The Burn Specific Health Score-brief (BSHS-B) was utilized to compare the functional outcome whilst the Vancouver Scar Scale (VSS) was used for comparison on the scar outcome of the two skin grafting techniques.

    RESULTS: Forty three patients (Meek,15; SSG,28) were included. The mean current age (years old) of Meek and SSG was 24.7 (range, 7-75) and 25.9 (range, 7-65) respectively. The mean TBSA (%) of the Meek group was 26.7 (range, 13-40) while that of the SSG group was 16.1 (range, 10-32). A simplified domain structure was used for the BSHS-B questionnaire. The work and sexuality subscale were analyzed separately due to missing data. There mean scores of affect and relations was higher in Meek compared to SSG (Meek, 3.86; SSG, 3.75; p > 0.05). Function domain was also better in Meek compared to SSG (Meek, 3.88; SSG, 3.73; p > 0.05). The Meek group displayed superior scar outcome compared to SSG as evidenced by the statistically significant difference in score for the pigmentation, pliability, height and total VSS score.

    CONCLUSION: The Meek group showed more favorable BSHS-B scores compared to the SSG group. The scar outcome of the Meek technique is significantly superior to SSG. Therefore, the Meek technique is superior in the management of burns because the long term scar and functional outcome of this technique is better compared to conventional SSG.

    Matched MeSH terms: Neck Injuries/surgery
  8. Suicide and ethnicity in Malaysia
    Murty OP, Cheh LB, Bakit PA, Hui FJ, Ibrahim ZB, Jusoh NB
    Am J Forensic Med Pathol, 2008 Mar;29(1):19-22.
    PMID: 19749611 DOI: 10.1097/PAF.0b013e31815b4c57
    This article highlights methods of ending life in different ethnic groups. This inference is drawn from analysis of data from suicidal cases from the University Malaya Medical Centre mortuary. This study also looked at sex, age, social, and employment factors. Kuala Lumpur has sizeable populations of Muslims, Chinese, Indians and Indonesian, etc. This study is based on 251 cases of suicide that were reported at the University Malaya Medical Centre from 2000 to 2004. Malaysia has a population of 22,662,365 people with 3 major ethnic groups: Malay (58%), Chinese (24%), and Indians (8%) with a minority of "others" (10%), which includes foreigners, Sabahan, and Sarawakian. This research found suicides of 164 male (65%) and 87 female (35%) victims. Their age ranged from 15 to 80 years. The age group from 21 to 30 had the highest total cases of suicide (83 of 251; 33.1%). Among ethnic groups highest rate of suicide was among Chinese with a total of 120 cases (120 of 251; 47.8%). As far as lone method of suicide is concerned, hangings accounted for the highest proportion of cases (108 of 251; 43%). Among ethnic groups, jumping from height was the commonest method used by Chinese (49 of 120; 41%), Malay (9 of 16; 56%), and others (15 of 28; 53.4%); whereas, hanging was the commonest method of committing suicide by Indians (49 of 87); Muslims showed the lowest cases of suicide (18 of 251; 7.2%). In poisoning group Indian was the highest ethnic group who used this method (20 of 37; 54.1%).
    Matched MeSH terms: Neck Injuries/mortality
  9. Delayed hanging death: a case report
    Kumar V
    J Pak Med Assoc, 2007 Jan;57(1):39-41.
    PMID: 17319420
    Matched MeSH terms: Neck Injuries*
  10. Hanging without knot in the noose
    Kumar V
    J Forensic Leg Med, 2007 Jan;14(1):35-8.
    PMID: 16530454
    Death by hanging is believed to be a painless method of committing suicide. In most cases the noose has a knot and on this basis only it can be labeled as atypical or typical hanging. A 35 year Chinese man committed suicide by hanging with a ligature material made of electric wire where there was no knot present on the noose.
    Matched MeSH terms: Neck Injuries/etiology*; Neck Injuries/pathology
  11. Isolated hyoid bone fracture in a child due to a fall
    Chainchel Singh MK, Siew SF, Lai PS
    Int J Pediatr Otorhinolaryngol, 2020 Dec;139:110443.
    PMID: 33068949 DOI: 10.1016/j.ijporl.2020.110443
    Hyoid bone fractures due to blunt trauma are rare accounting for only 0.002% of all head and neck fractures with most documented fractures being due to strangulation, hanging, motorcycle helmet straps, sports injuries and rarely as a complication of intubation. However, they are even rarer in the paediatric age group. We present a hyoid bone fracture in a two-year-old child as a result of a fall down three steps. Hyoid bone fractures though generally heal well with conservative treatment must be diagnosed early to avoid air way obstruction leading to morbidity and mortality.
    Matched MeSH terms: Neck Injuries*
  12. Fulltext A delayed unusual presentation of a penetrating foreign body
    Lee ST
    Singapore Med J, 1992 Jun;33(3):304-5.
    PMID: 1631596
    Complications resulting from the penetrating percutaneous foreign bodies almost always arise in the early post injury period. Delayed presentations of previous asymptomatic foreign bodies are rare. In this case report, symptoms of tracheal irritation arose seven years following the initial penetrating shrapnel injury to the neck. Computed tomography scans enabled localisation of the foreign body at the tracheal wall and carotid sheath interface. The usefulness of this radiologic modality in the evaluation of the penetrating soft tissue injury is highlighted. A review of the phenomenon of the migrating and asymptomatic foreign body follows.
    Matched MeSH terms: Neck Injuries
  13. Fulltext Rigid endoscope guided removal of penetrated embedded neck foreign body
    Paul M, Kalimuthu S, Banu C, Marimuthu S
    Trauma Case Rep, 2018 Dec;18:5-7.
    PMID: 30505922 DOI: 10.1016/j.tcr.2018.11.002
    Penetrative neck injury can cause potentially fatal damage to the neck. Removing those fully embedded small foreign bodies secondary to ballistic trauma can be technically challenging. Neck exploration under direct vision may cause more local tissue damage or dislodge the foreign body further. We discussed a case where a small foreign body embedded in the neck caused by ballistic trauma. Successful removal of the foreign body guided by rigid endoscope thru the neck wound was also discussed as a useful tool as it was not ferromagnetic and image intensifier was not available.
    Matched MeSH terms: Neck Injuries
  14. Condom-murder
    Murty OP
    J Forensic Leg Med, 2009 Jan;16(1):35-9.
    PMID: 19061848 DOI: 10.1016/j.jflm.2008.05.017
    Condom-murder is term used to describe a homicide where a person has been killed due to his recreational sexual behaviour and the killing has strong links with the recovered condom/contraceptive material on the scene or was in personal possession of victim. It can provide immediate clue about perpetrator. We present six cases of a similar nature. Four males and two females had condoms in their vicinity at crime scene. All incidents occurred at different timings and different places but there was striking similarity in method of killing. In four cases hands were tied on the back in three cases; similarly legs were also tied in three cases. In three cases strong electric cords were used. The presence of condoms give clue for investigation, possibility of DNA identification, about type of sexual behaviour as recreational and commercial method in these cases.
    Matched MeSH terms: Neck Injuries/pathology
  15. Fulltext Valsalva manoeuvre to detect isolated hyoid bone fracture
    Mohd Hamdan MH, Saniasiaya J, Narayanan P
    BMJ Case Rep, 2021 Jul 13;14(7).
    PMID: 34257127 DOI: 10.1136/bcr-2021-243756
    The hyoid bone fracture has traditionally been attributed to strangulation and hanging. Although rare, ensuing its vague presentation, hyoid bone fracture is oftentimes overlooked and missed, leading to delayed complications. Herein, we are reporting an overlooked hyoid bone fracture in a man who attempted suicide by strangulating himself, whereby Valsalva manoeuvre performed during bedside flexible nasopharyngolaryngoscopy revealed the fractured segment. As the patient was stable and asymptomatic, he was successfully managed conservatively. We would like to highlight the awareness of the Valsalva manoeuvre, which could elicit hyoid bone fracture as missing or overlooking the fracture may lead to devastating complications which may ensue, such as respiratory distress.
    Matched MeSH terms: Neck Injuries*
  16. Fulltext A rare case of traumatic bilateral sixth cranial nerve palsy
    Hamidon, B.B., Md Shariful, H.S., Nasaruddin, M.Z.
    International Medical Journal Malaysia, 2012;11(2):50-52.
    MyJurnal
    Traumatic bilateral sixth cranial nerve palsy is a rare condition which is typically associated with additional intracranial, skull, and cervical spine injuries. We describe a case of complete bilateral sixth nerve palsy in a 28-year-old female patient after an alleged motor vehicle accident. She had altered level of consciousness but no intracranial lesion or associated skull or cervical spine fracture was detected. In this case, we discussed the differential diagnoses, initial workup, and possible treatment options in cases of traumatic 6th nerve palsy.
    Matched MeSH terms: Neck Injuries
  17. Thyroid rupture secondary to blunt neck trauma
    Sow YL, Aziz NA, Ng KL
    Am J Emerg Med, 2013 Apr;31(4):760.e3-5.
    PMID: 23399341 DOI: 10.1016/j.ajem.2012.12.005
    Rupture of the thyroid gland is uncommon in cases of blunt neck trauma. We report a case of thyroid rupture after a motor vehicle accident in a patient without a preexisting goiter. He presented with a painful anterior neck swelling associated with dysphagia and hoarseness of voice. Computed tomographic scans showed lacerations of the right thyroid lobe and isthmus with features suggestive of slow active bleeding. Neck exploration was subsequently performed, and a ruptured right thyroid lobe was found with ongoing venous hemorrhage. A right hemithyroidectomy was performed, and the patient recovered without complications.
    Matched MeSH terms: Neck Injuries/complications*; Neck Injuries/radiography; Neck Injuries/surgery
  18. Fulltext Massive subcutaneous emphysema after a blunt neck injury
    Mohamad, I., Md Shukri, N., Fauzi, M.H., Abdul Karim, A.H., Nik Hassan, N.F.H.
    Malaysian Journal of Emergency Medicine, 2017;2(1):16-20.
    MyJurnal
    Subcutaneous emphysema can occur after a breach to the air-containing space. The classical condition will be ruptured alveolus in chronic lung disease. A disruption of the upper airway such as trauma to the laryngotracheal framework may lead to similar presentation. The amount of air leak varies depending on site and size of the breach. We report a case of blunt neck trauma after a fall from bicycle, which ended with massive subcutaneous emphysema, pneumothorax and pneumomediastinum requiring intubation.
    Matched MeSH terms: Neck Injuries
  19. Fulltext Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma
    Adi O, Sum KM, Ahmad AH, Wahab MA, Neri L, Panebianco N
    Ultrasound J, 2020 Aug 12;12(1):37.
    PMID: 32783133 DOI: 10.1186/s13089-020-00186-3
    BACKGROUND: Upper airway injury secondary to blunt neck trauma can lead to upper airway obstruction and potentially cause a life-threatening condition. The most important aspect in the care of laryngeal trauma is to establish a secure airway. Focused airway ultrasound enables recognition of important upper airway structures, offers early opportunity to identify life-threatening upper airway injury, and allows assessment of the extent of injury. This information that can be obtained rapidly at the bedside has the potential to facilitate rapid intervention.

    CASE PRESENTATION: We report a case series that illustrate the diagnostic value of focused airway ultrasound in the diagnosis of laryngeal trauma in patients presenting with blunt neck injury.

    CONCLUSION: Early recognition, appropriate triaging, accurate airway evaluation, and prompt management of such injuries are essential. In this case series, we introduce the potential role of focused airway ultrasound in suspected laryngeal trauma, and the correlation of these exam findings with that of computed tomography (CT) scanning, based on the Schaefer classification of laryngeal injury.

    Matched MeSH terms: Neck Injuries
  20. Fulltext A study of computer-related upper limb discomfort and computer vision syndrome
    Sen A, Richardson S
    J Hum Ergol (Tokyo), 2007 Dec;36(2):45-50.
    PMID: 18572794 DOI: 10.11183/jhe1972.36.2_45
    Personal computers are one of the commonest office tools in Malaysia today. Their usage, even for three hours per day, leads to a health risk of developing Occupational Overuse Syndrome (OOS), Computer Vision Syndrome (CVS), low back pain, tension headaches and psychosocial stress. The study was conducted to investigate how a multiethnic society in Malaysia is coping with these problems that are increasing at a phenomenal rate in the west. This study investigated computer usage, awareness of ergonomic modifications of computer furniture and peripherals, symptoms of CVS and risk of developing OOS. A cross-sectional questionnaire study of 136 computer users was conducted on a sample population of university students and office staff. A 'Modified Rapid Upper Limb Assessment (RULA) for office work' technique was used for evaluation of OOS. The prevalence of CVS was surveyed incorporating a 10-point scoring system for each of its various symptoms. It was found that many were using standard keyboard and mouse without any ergonomic modifications. Around 50% of those with some low back pain did not have an adjustable backrest. Many users had higher RULA scores of the wrist and neck suggesting increased risk of developing OOS, which needed further intervention. Many (64%) were using refractive corrections and still had high scores of CVS commonly including eye fatigue, headache and burning sensation. The increase of CVS scores (suggesting more subjective symptoms) correlated with increase in computer usage spells. It was concluded that further onsite studies are needed, to follow up this survey to decrease the risks of developing CVS and OOS amongst young computer users.
    Matched MeSH terms: Neck Injuries/epidemiology
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