Displaying publications 1 - 20 of 29 in total

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  1. Noorizan Y, Chew YK, Khir A, Brito-Mutunayagam S
    Med J Malaysia, 2009 Jun;64(2):179-80.
    PMID: 20058586 MyJurnal
    Acute laryngeal injury is a rare, potentially lethal injury. It often poses difficulty in airway management. Commonly described are external laryngeal or blunt injuries. We report a case of penetrating neck injury resulting in complete transection of cricoid cartilage. A lady presented with a large, deep slash wound in her neck from a knife injury. There was complete laryngotracheal separation. The airway was secured before she was taken to the operating theatre. A tracheostomy was performed. Exploration revealed the cricoid ring was cut horizontally into two. Anastomosis of the cartilaginous framework was undertaken. Fibreoptic laryngoscopy showed bilateral vocal cords paralysis. After two months the patient recovered without airway compromise, she regains her voice. Repeat laryngoscopy showed good mobility of the vocal cords. In conclusion surgical reconstruction should be meticulously done to ensure good respiratory and phonatory abilities.
    Matched MeSH terms: Wounds, Penetrating/surgery*
  2. Shriwas SR
    Trop Doct, 1993 Jul;23(3):140.
    PMID: 8356755
    Matched MeSH terms: Wounds, Penetrating/etiology*
  3. Shahrudin MD
    Med J Malaysia, 1996 Mar;51(1):159.
    PMID: 10968002
    Matched MeSH terms: Wounds, Penetrating/etiology*
  4. Elango S, Htun YN
    J Otolaryngol, 1993 Jun;22(3):206.
    PMID: 8371334
    Matched MeSH terms: Wounds, Penetrating/surgery*
  5. Atan AA, Chong JS, Oon ZS, Abu Bakar I
    Med J Malaysia, 2020 09;75(5):597-599.
    PMID: 32918436
    An 8-year-old child of Bajau Laut descent (a stateless tribe in Eastern Borneo and the Sulu archipelago) presented following a fall, with penetrating injury through the axilla caused by a stilt pole, exiting at the supero-anterior aspect of the left shoulder. Due to the lack of comprehension of modern medical treatment and poor language skills, the parents refused to consent for detailed radioimaging studies, nor surgical removal and exploration in the operating theatre. The removal of retained stilt pole was done in casualty area in Hospital Tawau, followed by local exploration under sedation and local analgesia. Despite the horrific injury, there was no limb-threatening neurovascular injury sustained. Management of such injury in the nomadic Bajau Laut population provides valuable insight and about the challenges and decisions of management.
    Matched MeSH terms: Wounds, Penetrating/surgery*
  6. Ohn MH, Ohn KM
    BMJ Case Rep, 2020 Dec 12;13(12).
    PMID: 33310836 DOI: 10.1136/bcr-2020-239234
    Matched MeSH terms: Wounds, Penetrating/surgery*
  7. Nur AK, Mohd Mokhtar MA, Izzat I, Abdul Halim S, Nor Elayni B
    Med J Malaysia, 2016 04;71(2):77-8.
    PMID: 27326948 MyJurnal
    Damage Control Resuscitation and Surgery is the concept of controlled hypotension, haemostatic resuscitation and abbreviated surgical procedures following severe trauma; the practice of which has resulted in improved mortality and morbidity. We describe a rare case of thoraco-abdominal impalement successfully managed based on the concept of Damage Control Resuscitation.
    Matched MeSH terms: Wounds, Penetrating
  8. Ho CK, Yip KT, Eng JB, Rajan L, Tan BH
    Med J Malaysia, 2001 Sep;56(3):374-7.
    PMID: 11732086
    A 16 year-old man presented with fracture of both his femurs after a road traffic accident. Chest radiograph revealed mediastinal widening. Subsequent CT scan and arch aortogram confirmed the findings of traumatic aortic arch transection at the isthmus. He underwent successful surgical repair. High index of suspicion and prompt actions are important in managing this potentially fatal but treatable condition.
    Matched MeSH terms: Wounds, Penetrating/diagnosis*; Wounds, Penetrating/etiology; Wounds, Penetrating/surgery*
  9. Ahmad R, Zaini IZ, Mohamed NA, Roslanuddin MS
    PMID: 24050106
    Peripheral vascular injuries result from penetrating or blunt trauma to the extremities. We describe here an unusual cause of a radial artery injury by the spine from the pectoral fin of Pangasius sutchi in a 51 year-old man and we review the literature.
    Matched MeSH terms: Wounds, Penetrating/complications*
  10. Aung T
    Med J Malaysia, 1997 Dec;52(4):441-3.
    PMID: 10968125
    A case of unsuspected penetrating cardiac injury is presented. It was recognised by the presence of bleeding into peritoneal cavity even after the source of bleeding from intra-abdominal organs had been stopped. It highlights the importance of high index of suspicion of associated cardiac injury in high epigastric penetrating injury.
    Matched MeSH terms: Wounds, Penetrating/diagnosis*
  11. Hanifi N, Halim AS, Aleas CF, Singh J, Marzuki M, Win TT, et al.
    Exp Clin Transplant, 2015 Jun;13(3):273-8.
    PMID: 26086837
    Skin grafting has been evolving as an important application in reconstructive surgery. Mixed reports about the survival of allogeneic and xenogeneic keratinocytes require further substantiation to determine the role of these cells in wound healing.
    Matched MeSH terms: Wounds, Penetrating/pathology; Wounds, Penetrating/physiopathology; Wounds, Penetrating/surgery*
  12. Michael A, Yahya ZO, Mdrazali I, Hanif H
    Med J Malaysia, 2017 02;72(1):75-76.
    PMID: 28255150 MyJurnal
    Penetrating chest wounds is less common but more deadly then blunt trauma. Majority of penetrating chest trauma can be managed conservatively with observation and simple thoracotomy. This case report highlights a bizarre occupational hazard causing a penetrating chest injury and the option of non-invasive management with the aid of computed tomography with 3D reconstruction.
    Matched MeSH terms: Wounds, Penetrating
  13. Low QJ, Hatta Z, Cheo SW, Syed RSH, Goh KS
    Med J Malaysia, 2019 Oct;74(5):431-432.
    PMID: 31649221
    Haemothorax refer to the bleeding in the pleural space. It is commonly due to iatrogenic, blunt or penetrating chest trauma. Non-traumatic haemothorax is a rare entity that can potentially lead to life threatening complications. The initial management of both traumatic and non-traumatic haemothorax includes resuscitation and stabilisation of the patient. We would like to present two cases of non-traumatic haemothorax secondary to an avulsed bullae vessel.
    Matched MeSH terms: Wounds, Penetrating
  14. Tan GH, Ho CC, Bahadzor B, Praveen S, Goh EH, Afdzillah AR, et al.
    Clin Ter, 2013;164(1):35-7.
    PMID: 23455741 DOI: 10.7417/T.2013.1509
    Concurrent penetrating injury to the male external genitalia and the anterior urethra is uncommon. This case illustrates an unusual cause of such an injury, and its subsequent management and outcome. A 69-year-old man had his scrotum and anterior urethra pierced by a long thorn when he fell in his farm. He presented with urine leakage from the scrotal wound each time he micturated. Cystoscopic examination confirmed the cause and extent of the injury, and also facilitated the extraction of the thorn. The injury was allowed time to heal by urinary diversion with a urinary catheter. There were no stricture or fistula formations and the patient remained symptom-free at 3 months follow-up. Careful cystoscopic examination was both diagnostic and therapeutic in this case. A conservative approach is a feasible option in the management of selected cases of penetrating anterior urethral injury.
    Matched MeSH terms: Wounds, Penetrating/diagnosis; Wounds, Penetrating/surgery*
  15. Barss PG
    Med J Aust, 1985 12 9;143(12-13):617-8, 621-2.
    PMID: 3831754
    Needle-fish are slender silvery fish with long pointed beaks. They are commonly seen swimming beneath the surface near fringing reefs in the Indo-Pacific area. Such areas are also frequented by Melanesian villagers. The speed of needle-fish, together with their tendency to leap out of the water when bright lights are used for fishing and at other times, occasionally result in deep, penetrating injuries to swimmers, waders, and, in particular, to fishermen who are working at night from small canoes. Injuries from needle-fish are a relatively common occupational hazard of subsistence village life in Oceania, and probably also for some fishermen in other coastal environments, such as those in Japan and Malaysia.
    Matched MeSH terms: Wounds, Penetrating/etiology*; Wounds, Penetrating/epidemiology
  16. Tie ST, Wong JL, Kannan SK, Rahman JA
    J Bronchology Interv Pulmonol, 2012 Jul;19(3):246-8.
    PMID: 23207471 DOI: 10.1097/LBR.0b013e31825c3228
    We report a case of a young man who presented with a left-sided pneumothorax after suffering an accidental penetrating injury by a sewing needle to the anterior chest wall. Chest radiograph and the computed tomography of the thorax revealed that the needle was in the pleural cavity and there was an associated pneumothorax. An attempt at retrieval by direct incision failed. The sewing needle was successfully retrieved by a medical pleuroscopy. The patient recovered without any consequences and was discharged home after 24 hours of observation.
    Matched MeSH terms: Wounds, Penetrating/radiography; Wounds, Penetrating/surgery*
  17. Lau P, Bidin N, Islam S, Shukri WNBWM, Zakaria N, Musa N, et al.
    Lasers Surg Med, 2017 04;49(4):380-386.
    PMID: 27859389 DOI: 10.1002/lsm.22614
    BACKGROUND AND OBJECTIVE: The aim of this study is to investigate the effect of gold nanoparticles (AuNPs) in photobiomodulation therapy (PBMT) on wound healing process.

    MATERIALS AND METHODS: AuNPs are synthesized by Q-switched Nd:YAG laser ablation technique. Cutaneous wound are induced on 45 Sprague Dawley rats on its dorsal part and then randomly divided into three groups. One group serves as non-treatment group (GC) and another two groups are subjected to AuNPs with and without PBMT. About 808 nm diode laser with output power of 100 mW is used as a light source for PBMT. The treatment was carried out daily with exposure duration of 50 seconds and total fluence of 5 J/cm2 . Wound area is monitored for 9 consecutive days using a digital camera, and histological examination is performed at 3rd, 6th, and 9th day through hematoxylin and eosin stain as well as Masson's trichrome stain.

    RESULTS: The group of rats subjected to AuNPs with PBMT shows significantly accelerated wound closure compared to other groups. Histological results indicate that AuNPs and PBMT group is more effective in stimulating angiogenesis and triggers inflammatory response at early stage.

    CONCLUSION: The application of AuNPs in PBMT has potential to accelerate wound healing due to enhanced epithelialization, collagen deposition and fast vascularization. Lasers Surg. Med. 49:380-386, 2017. © 2016 Wiley Periodicals, Inc.

    Matched MeSH terms: Wounds, Penetrating/pathology; Wounds, Penetrating/therapy*
  18. 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: Wounds, Penetrating/diagnosis*; Wounds, Penetrating/etiology; Wounds, Penetrating/surgery
  19. Assikin Muhamad, Aishath Azna Ali, Firdaus Hayati, Andee Dzulkarnaen Zakaria
    MyJurnal
    Penetrating injury to the abdominal viscera is not uncommon unless when it is caused by marine life. We present a 39-year-old fisherman from a tropical country who had sustained a penetrating injury from a stab wound to the abdomen due to needlefish impalement. He sustained a small perforation of the sigmoid colon during exploratory laparotomy and primary repair was done. Although this incident is rare, there are cases involving seawater activities either for leisure, sport or diving for fishing. We highlight this rare incident and discuss the management plan.
    Matched MeSH terms: Wounds, Penetrating
  20. S,Praveen, TW, Khor, L, James, GC, Teh, S, Febra
    MyJurnal
    Penetrating injuries to bladder occur in 20 % of cases. Synchronous bladder and rectal perforation occur in 30-64 % of cases. The management of rectal and bladder injuries depend on whether it is an extra-peritoneal or intra-peritoneal injury. We hereby, report a case of penetrating trauma in a 13 year old boy who fell off a tropical fruit (Rambutan - Nephelium lappaceum) tree. He sustained an extra-peritoneal rectal injury with intra-peritoneal bladder injury. The rectal injury was repaired primarily via per anal route while the bladder injury needed an open repair following laparotomy. Upon removal of bladder clots, a leaf of the ‘Rambutan’ tree was found intra-vesically. It was removed and bladder repaired as per standard method. We review the literature on rare intra-vesicle foreign bodies and discuss the treatment of synchronous rectal and bladder injuries.
    Matched MeSH terms: Wounds, Penetrating
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