Agriculture-related severe craniofacial injuries in rural children and adolescents.
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The severe craniofacial injuries connected with agricultural work in rural children and adolescents were analysed. The analysis took into account the causes for injuries, their types and treatment. The studied group were hospitalized and constituted 18.6% of the patients of the specialized surgery department. The most severe injuries of the face and the bone structure occurred during operating or assisting in operating farming equipment, wood processing, as a result of the fall from a height, or were injuries inflicted by an animal. Causes of injuries sustained by rural children are analogous to factors causing injuries in adult agricultural workers. The practice of employing children to perform agricultural work should be prohibited because severe injuries of the facial skeleton and soft tissues may lead to disorders in children's physical and mental development. (+info)
A simple new method for identifying the proximal cut end in lower canalicular laceration.
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Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration repair, tissue adhesives are similar in patient satisfaction, infection rates, and scarring risk in low skin-tension areas and may be more cost-effective. The tissue adhesive hair apposition technique also is effective in repairing scalp lacerations. The sting of local anesthesia injections can be lessened by using smaller gauge needles, administering the injection slowly, and warming or buffering the solution. Studies have shown that tap water is safe to use for irrigation, that white petrolatum ointment is as effective as antibiotic ointment in postprocedure care, and that wetting the wound as early as 12 hours after repair does not increase the risk of infection. Patient education and appropriate procedural coding are important after the repair. (+info)