#nasal bone fracture

[entinformativespace]

Nasal Bone Fractures in Children: Special Considerations

Childhood is a time of boundless energy and adventurous exploration, but it also comes with its share of potential accidents. Nasal bone fractures in children are relatively common due to their active lifestyles and developing coordination. However, handling these injuries in children requires special considerations and careful management.

Unique Nasal Structure: Children have softer nasal bones and more cartilage than adults. This unique structure can sometimes allow for minor displacements without serious consequences. However, any nasal injury should be assessed by a healthcare professional to rule out complications.

Potential Impact on Growth: Children are still growing, and facial injuries, including nasal fractures, can impact their facial development. A pediatric specialist should evaluate the injury to ensure that growth patterns are not adversely affected.

Assessing Breathing Difficulties: Nasal fractures can lead to breathing difficulties, especially if there is displacement or damage to the nasal septum. Children may not always express discomfort clearly, making it crucial for parents and healthcare providers to be vigilant about any signs of breathing problems.

Emotional Support: Facial injuries, even minor ones, can affect a child emotionally. Providing emotional support and reassurance is vital to help them cope with the experience and any potential fears related to medical procedures.

Timely Medical Attention: Prompt medical evaluation is essential, even for seemingly minor nasal injuries. An ENT Doctor near C.A. Road 440018 can assess the severity, rule out associated injuries, and determine the best course of action, which may include realignment procedures or surgery if necessary.

Prevention: Educating children about safety measures, especially during physical activities, can significantly reduce the risk of accidents leading to nasal fractures. Proper supervision and the use of protective gear also play crucial roles in prevention.

Nasal bone fractures in children require specialized care and attention. With appropriate medical evaluation, emotional support, and preventive measures, children can recover well and continue their active lifestyles, ensuring a safe and healthy developmental journey.

[iftitah]

we've had around ten vehicular accidents in the past ten days im so scared

[feedbaylenny]

Uncle accused of beating, locking woman in dog cage; Mom, grandfather face same charges

(As originally published with additional photos, Fri, January 19th 2024) WILDWOOD, Fla. (TND) — A young woman was allegedly beaten and forced into a dog cage, and now her mother, uncle, and grandfather have been arrested for the crimes. The uncle’s arrest report said the victim arrived at his “vehicle repair center” in central Florida, along with her grandfather, “to collect a vehicle for the…

[hayatheauthor]

The Anatomy of Punching a Character in the Face

Punching scenes are a staple of action sequences in many genres. Whether it’s an intense brawl, a quick defense, or an emotional outburst, a punch can carry a lot of weight both physically and narratively. As a writer, it’s essential to understand what really happens when a fist meets a face—from the immediate impact to the longer-lasting effects on both the person getting punched and the one throwing the punch.

This guide will help you craft authentic, detailed, and believable punch scenes by exploring different areas of the face, types of punches, and the aftermath of such an impact.

1. Target Areas of the Face and Their Vulnerabilities

A punch isn’t a one-size-fits-all situation. Depending on where the fist lands, the consequences will vary significantly. Different parts of the face have varying levels of vulnerability, and targeting these areas produces different effects, from knockouts to broken bones.

A. Jawline: The Knockout Zone

The jawline is a classic target in many fight scenes, especially when knockout punches are involved. This area is highly vulnerable because a hit here causes the head to snap to the side, leading to a sharp rotational movement of the brain inside the skull. This movement disrupts the brain’s communication and often results in a temporary loss of consciousness—what we commonly refer to as a "knockout."

Common Effects: Dislocation or fracture of the jaw, loss of consciousness, slurred speech, and severe pain.

Visual Aftermath: Swelling around the jawline, bruising, and possible misalignment of the jaw if broken.

B. Nose: Breaking and Bleeding

The nose is another vulnerable target, known for being easily broken. It’s not just a fragile bone structure, but it’s also connected to many blood vessels, meaning a direct punch to the nose often results in immediate bleeding. The nasal bone can fracture, causing difficulty in breathing, and in some cases, the nose may need surgical intervention to reset.

Common Effects: Intense pain, bleeding, difficulty breathing, potential for a broken nose.

Visual Aftermath: Blood running from the nostrils, swelling, and significant bruising around the nose and eyes.

C. Cheekbones (Zygomatic Bones): Bruising and Fractures

The cheekbones are one of the more solid structures in the face but are still susceptible to breaks, particularly from a heavy blow. Damage here can lead to not just bruising, but potentially severe injuries that can affect the entire facial structure.

Common Effects: Fractures of the zygomatic bone, swelling, bruising, and pain extending to the eye socket.

Visual Aftermath: Black eyes, noticeable swelling on one side of the face, and a sunken appearance if the bone is fractured.

D. Forehead: A Hard Target

The forehead is much harder than most parts of the face and is less vulnerable to severe damage. However, punches to the forehead can still cause pain, disorientation, and dazing of the recipient. While it’s less likely to result in a knockout, it’s effective in dazing an opponent, especially if the puncher’s goal is to create an opening for another strike.

Common Effects: Swelling, redness, and potential concussions if hit with enough force.

Visual Aftermath: Redness, minimal bruising, and a dazed expression.

E. Eyes: Black Eyes and Swelling

A punch to the eyes is particularly brutal because the area around the eyes is delicate, and the skin is thin. It’s not just about swelling but also potential damage to the orbital bones. The impact can cause "black eyes," characterized by intense bruising and swelling that may close the eye shut for days.

Common Effects: Swelling, black eyes, potential orbital bone fractures, temporary blurred vision.

Visual Aftermath: Discoloration that starts purple and turns yellowish-green as it heals, swollen shut eyes.

2. Types of Punches

Not all punches are created equal. The type of punch thrown can drastically change the outcome of the scene, both in terms of damage and realism. Understanding these different types of punches will allow you to convey more varied and dynamic fight sequences.

A. Jab: Speed and Precision

A jab is a quick, straight punch, usually thrown with the non-dominant hand. It’s not meant to be a knockout punch but more of a setup punch to create an opening or keep the opponent at a distance. Jabs are fast and can be disorienting, especially if they repeatedly land in quick succession.

Common Effects: Light bruising, potential cuts, and swelling in the area hit.

B. Cross: Power and Impact

The cross is a powerful, straight punch delivered with the dominant hand. It’s often aimed at vulnerable spots like the jaw or nose. Unlike a jab, the cross is meant to deliver a significant amount of force, and when landed properly, it can cause serious damage.

Common Effects: Knockouts, broken bones, severe swelling, and bruising.

C. Hook: Lateral Devastation

A hook is a wide, circular punch that targets the side of the head, particularly the jaw or temple. It’s one of the most powerful punches and is often used with the intent of knocking the opponent out.

Common Effects: Knockouts, severe disorientation, potential for concussions, and jaw dislocations.

D. Uppercut: Lifting from Below

The uppercut is thrown upward, usually aimed at the chin. It’s a devastating punch that can lift the opponent’s head and jolt their brain, leading to knockouts. Uppercuts are especially dangerous when they land cleanly on the jaw or chin.

Common Effects: Knockouts, broken teeth, jaw fractures, and disorientation.

E. Haymaker: Risky but Powerful

A haymaker is a wild, swinging punch delivered with as much force as possible. It’s often thrown with reckless abandon and is easy to dodge, but if it connects, it can deal significant damage. Because of its wide arc, it leaves the puncher exposed to counterattacks.

Common Effects: Knockouts, severe bruising, and possible fractures if landed correctly.

3. Punch Wounds: What They Look Like and Healing

Punches to the face leave lasting marks, some immediately visible and others taking days to fully form. Understanding the aftermath of a punch will help you describe the physical toll on your characters more accurately.

A. Immediate Effects

Swelling and Redness: Swelling can begin almost instantly, particularly in areas with soft tissue like the eyes and lips.

Bruising: Bruises start off as red, then turn purple, blue, and eventually fade into yellow or green as they heal.

Bleeding: Punches to the nose, lips, and even cheeks can result in bleeding, either from the skin breaking or from internal damage like a broken nose.

B. Long-Term Injuries

Black Eyes: Punches near the eyes can lead to bruising that darkens the skin around the eyes, giving it a purplish hue.

Fractures: Broken bones, such as the nose or jaw, may require weeks to heal, and in severe cases, surgery may be necessary.

Scarring: If the skin is cut open, there’s the potential for scarring, especially if stitches are required.

C. Healing Process

Bruises: These typically take about a week to two weeks to heal, with the colors shifting as the body absorbs the blood trapped under the skin.

Fractures: Healing from fractures can take several weeks to months, depending on the severity.

Swelling: Swelling can last anywhere from a few hours to a few days, with cold compresses helping to reduce it.

4. How the Punch Affects the Puncher

While we often focus on the person receiving the punch, it’s important to remember that throwing a punch can also take a toll on the puncher.

A. Physical Strain

Knuckle Damage: Hitting a hard surface, like a jaw or forehead, can cause damage to the puncher’s knuckles. This is known as a “boxer’s fracture,” where the small bones in the hand break due to impact.

Wrist Injury: If the punch is not aligned correctly, the wrist can absorb too much force, leading to sprains or breaks.

Fatigue: After multiple punches, especially in a drawn-out fight, the puncher can become fatigued, leading to less powerful or accurate strikes.

B. Emotional and Psychological Effects

Adrenaline Rush: For inexperienced fighters, throwing a punch can lead to an adrenaline surge, which can cause tunnel vision or reckless behavior.

Moral Conflict: If the puncher is not used to violence, they may experience guilt or shock at the damage they’ve caused, especially if the recipient is significantly injured.

5. Psychological Impact of Receiving a Punch

A punch to the face doesn’t only cause physical damage. For the recipient, it can have a lasting psychological effect, especially if the punch was unexpected or in a vulnerable situation. Writing this aspect adds depth to your characters and shows that a punch is more than just physical pain.

A. Shock and Fear

Fight or Flight Response: Getting punched can immediately trigger a fight-or-flight reaction. Some characters might freeze or retreat, especially if they’ve never been in a physical altercation before.

Loss of Confidence: For characters not used to violence, being punched in the face may cause a significant loss of confidence. They may question their own strength, bravery, or ability to defend themselves.

Increased Aggression: Alternatively, the punch may trigger a rage-fueled response, pushing the character into aggressive, reckless action.

B. Embarrassment and Humiliation

Public Fights: If the punch occurs in front of others, there’s often an added layer of humiliation. Characters might feel embarrassed, even if they weren’t at fault.

Internalizing the Event: The recipient of the punch may carry the emotional impact for a long time, replaying the event in their mind, feeling shame, or seeking revenge.

C. Post-Traumatic Stress

Lingering Anxiety: In extreme cases, receiving a punch can cause anxiety or even post-traumatic stress disorder (PTSD). Characters who’ve experienced significant trauma might relive the event through flashbacks or become hyper-vigilant, avoiding confrontations in the future.

Fear of Future Confrontations: A character who’s been severely beaten might actively avoid scenarios where they could be hit again, making them overly cautious or paranoid.

6. Writing Tips: Making It Believable

Writing a punch scene isn't just about describing the physical action. To make the moment believable and impactful, you’ll need to consider various elements—from pacing and sensory details to character psychology and aftermath. Here’s how to make your punch scenes authentic:

A. Build Tension Before the Punch

Foreshadowing Conflict: Build up the tension before the punch is thrown. Is the character agitated? Are there verbal warnings or body language that suggests things are escalating? By slowly ramping up the tension, the eventual punch feels earned and inevitable.

Use Dialogue: A heated exchange of words can make a punch more meaningful. If the punch follows a particularly cutting remark or threat, it adds weight to the action.

B. Focus on Sensory Details

Physical Sensations: Describe not just the punch itself, but how it feels. Does the skin split? Does the puncher’s knuckles scrape against teeth or bone? Is there an immediate sting or delayed throbbing pain?

Sound: The sound of a punch can enhance the realism of the scene. A dull thud as a fist connects with soft tissue, the crack of a bone breaking, or the splatter of blood hitting the floor are all effective auditory details.

C. Show Immediate and Delayed Reactions

Physical Reaction: After being punched, characters rarely shake it off immediately. Staggering, falling, or momentarily losing their vision are realistic reactions. You can also show how the puncher feels—did their hand hurt from the impact?

Emotional Fallout: Punches are often emotional events. Show how your characters feel right after—whether it’s satisfaction, regret, or shock. The emotional weight of a punch can be just as impactful as the physical consequences.

D. Consider the Aftermath

Healing Process: Don’t forget that punches have a lasting impact. A black eye will take days to heal, and a broken nose could require medical attention. Characters might have to deal with soreness, swelling, or difficulty talking and eating.

Ongoing Tension: A punch can dramatically shift relationships. A once-trusting friendship could be shattered, or a bitter rivalry could be born. Make sure to carry the emotional weight of the punch forward in your story.

7. Common Misconceptions About Punching

Many writers fall into the trap of perpetuating unrealistic portrayals of punches. These misconceptions can make your scenes feel less authentic or overly cinematic. Here’s how to avoid them.

A. The Myth of the "Clean Knockout"

Reality: A punch to the jaw might cause a knockout, but it’s not always instant. In real life, knockouts are often messy and unpredictable. The recipient might stagger or struggle before finally losing consciousness, and they could wake up with serious concussions, memory loss, or nausea.

B. Punches Always Cause Immediate Bleeding

Reality: While a punch to the nose often causes immediate bleeding, not all punches result in visible blood. Even when skin splits, it might take a moment for blood to pool and become visible. Bruising and swelling often take hours to fully appear.

C. Punching Doesn’t Always Lead to a Win

Reality: Throwing a punch doesn’t guarantee victory. The puncher could hurt themselves, miss entirely, or end up escalating a fight they weren’t prepared for. Additionally, punches to the forehead or temple might not have the knockout effect portrayed in movies—they could just make the puncher’s hand hurt more than the opponent.

Looking For More Writing Tips And Tricks? 

Are you an author looking for writing tips and tricks to better your manuscript? Or do you want to learn about how to get a literary agent, get published and properly market your book? Consider checking out the rest of Quillology with Haya Sameer; a blog dedicated to writing and publishing tips for authors! While you’re at it, don’t forget to head over to my TikTok and Instagram profiles @hayatheauthor to learn more about my WIP and writing journey! 

[drramentclinic]

A nasal fracture, also known as a broken nose, is a common injury that typically occurs due to blunt trauma to the face. The treatment of nasal fracture usually involves reducing the swelling and realigning the bones. Initially, cold compresses can help reduce pain and swelling. Pain relievers can also be prescribed to alleviate discomfort. If the fracture is severe or the bones are significantly displaced, then surgery may be required to reset the nose. This can involve a closed reduction, where the surgeon manipulates the bones back into place, or an open reduction, where incisions are made to access and realign the bones. After the procedure, a splint may be applied to the nose to help it heal properly.

[macgyvermedical]

Definitive Care for Writers

The following are things that could be believably taken care of completely outside of a hospital/without a doctor, listed by the caregiver's highest level of medical training:

With a "Lay" caregiver:

OTC Medications with labels that have instructions for use, like acetaminophen and/or ibuprofen for a headache/fever, antihistamines for minor allergies, etc..

Sunburn

Menstrual cramps

With someone who has first aid training:

Simple choking (Heimlich maneuver believably fixes this)

Small cuts, venous bleeding only (pressure to stop bleeding, washing with water and dressing is believable)

Opioid overdose (single drug, use of nasal naloxone and rescue breathing is believable as long as the person is monitored for several hours)

Heat exhaustion (get them out of the sun, give water)

With an urban EMT or Paramedic:

CPR for drowning or lightning strike only (other causes generally need medications or surgical procedures to return heart to normal rhythm)

Uncomplicated childbirth (It's not fun to have a baby out of a hospital, but it can be done)

Uncomplicated seizure for someone who has a known seizure disorder (basically just need to time it and give emergency med if longer than 5 minutes, have it at least stop after the medication)

Fainting (if it's a 1-off thing with no injury)

Low blood sugar (sugar/food with carbohydrates fixes this within about 15 minutes)

With a Wilderness EMT:

Simple fractures, broken ribs, sprains, and strains (as long as the bone ends are well approximated, a splint during the healing process will do a "good enough" job fixing this)

Some dislocations (forward shoulder dislocation, patella dislocation, finger dislocations all can be believably reduced in the field)

Small wound closure (something like a cut or bullet graze that doesn't hit an artery)

Moderately-sized wounds without life-threatening bleeding (can be packed in the field and believably heal with daily care)

Hypothermia (warm the person up and give sweet warm liquids)

With a Registered Nurse:

Uncomplicated concussion (need to do assessments every 2 hours, have them come up normal)

Severe nausea and vomiting (needs timing of medication, sips of water)

Small skin infections and abscesses (treat-able with heat)

Viral Pneumonia (not requiring oxygen)

Malnutrition

Migraines (assessments needed to determine not a stroke)

[writerbri-archive]

parting writing advice before this blog becomes inactive from someone who takes pictures of broken bones for a living and who has worked in an ER

a fracture of the bone is the exact same thing as a break, it’s just a more medical term the same way that sutures are the exact same thing as stitches and edema is the same thing as swelling, so an open fracture that breaks through the skin is the same thing as a closed hairline fracture you can barely see on an X-ray is the same thing as a stress fracture that is only really detectable with a physical exam, they’re only classified in more specific ways and they are treated based on severity

most superficial wounds aren’t going to be stitched up after 12-24 hours because they’ve been open long enough that closing them at that point would be asking for infection

an X-ray is a little bit of radiation, a CT is quite a bit more radiation, and an MRI is a magnet with no radiation whatsoever

no matter what grey’s anatomy or any other medical show might make you believe, doctors rarely do any actual imaging (taking X-rays, CTs, etc) and most of them would have no idea how

Concussions are not diagnosed with imaging. There is not a single X-ray or CT or anything else that can tell a doctor that their patient has a concussion. A concussion is diagnosed with an exam. Patients will usually have a headache and they will be dizzy, nauseous, light/sound sensitive, and sometimes they will have memory or vision problems. They will occasionally have something called nystagmus in their eyes. CTs are taken to rule out more serious conditions such as a fractured skull or bleeding/clotting in the brain.

O2 saturation is a vital that tells you how much oxygen is in your blood. Anything above 95% is okay. Anything from 90-94% is going to make a medical professional take a second look. Anything from 80-90% is low grade hypoxia and you’re getting a chest X-ray and possibly put on oxygen. You might be going to the hospital. Anything below 80% is most likely a hospital admission whether you like it or not because you’re about to get a whole shit ton of labs and a CT of your lungs at the very least if the X-ray hasn’t show a punctured lung or pneumonia to explain what’s up. I hope you find nasal cannulas comfortable. Doctors would be concerned about a blood clot, lung cancer, and other super concerning pathologies.

Kidney stones hurt like a bitch and can cripple most people to the point where they cannot walk. Imagine a foot long straw trying to pass a rock that is 2-3x it’s diameter.

Children regrow bones like lizards grow their tails. Kids can be healed from a fracture in 2-4 weeks that would take an adult 6-8 weeks to heal.

The femur is an incredible difficult bone to break. It’s usually a very high impact injury (car wreck, long distance fall, skiing accident, etc).

This is just advice but do not do not DO NOT ride in the passenger seat of a car with your legs propped up on the dash if you value keeping your leg bones intact where they are supposed to be. Just don’t do it, please. But if you want to write a particularly gruesome car wreck, that’s a good way to do it!

Animal bites are almost always preemptively treated with antibiotics.

I might add more if I can think of it but I’ll answer any questions if people have them

[zorlovinghue]

Being Beaten To A Pulp

tw: depiction of injuries

Okay, just a small question or curiosity I have. Og!Choi Han beat Og!Cale to a pulp in tboah, right? How much force would Choi Han exerted in his unstable state of mind? If he delivered precised punch on Cale's philtrum, how high is the chance for Cale to experience fracture, breaking the alveolar process up to his nasal spine at the same time? No, really. Is it possible? If Choi Han did not stop with philtrum alone, going as far as to punch him on either sides of parietal bones, mandible, and frontal bones (pardon me if I got the name wrong)... with swordmaster's strength, uncontrollable anger, and little to no self-control. At this point, honestly Cale might not be so weak. I mean if we cast aside the existence of potion and holy power, 'fantasy' factors that may contribute to Cale's physical endurance, severe blood loss, and assuming Choi Han went all out.

This might be a stupid thought but I'm genuinely wondering. And at the same time it's unnerved me that tboah Vicross decided it was a breathtaking display of power...? Towards an 18-years-old? I'm not trying to be biased but please, let's see it this way for a bit. How could Deruth forgive Choi Han enough? Why did Ron finalised his decision to resign at the same time?

Me here quite frankly thought 'being beaten to a pulp' is an understatement of Cale's potential injuries, his head might as well pummeled and mashed. And the emphatic sense of people around is fairly questionable, or is it just for the fact that Cale is trash? Character bashing aside.... I'm, I'm crying because now I feel so guilty. And it just 'head', what if Choi Han beat the 'body' too...?

[bonaxie]

A father's love (Comfy-vember day 28)

Spider had always been a daredevil, wanting to climb everywhere and always on the move. He wasn't called Spider for nothing, after all.

From an early age, before he could even get out of the base at Hell's Gate, Spider climbed everything he could. And sometimes even what he couldn't, causing a few big scares for the scientists.

So when he discovered the forest of Pandora, he was unstoppable.

As he began to spend more and more time with the Na'vi, Spider was soon adopted by the village chief's children: Neteyam, Kiri and Lo'ak. And if Jake and Neytiri seemed a little reluctant at first, they eventually sided with their children and Spider became Spider te Suli te Tsyeyk'itan on his 7th birthday.

And from that day on, he was permanently with his family, returning to Hell's Gate only when he absolutely had to. He had learned to manage his breathing masks so as not to have any problems, and he had learned to eat by breathing only through his nose with a nasal cannula so as to be able to eat with his family.

And while Neytiri had initially been rather worried, knowing the effect of Pandora's air on humans, Jake had reassured her. Spider knew what he was doing and they were there to make sure everything was okay.

So Spider knew how to get by in the forest, and took absolutely no account of his physical limitations when he was with his Na'vi siblings. Quite the opposite, in fact. He was often the one who took the most risks, climbed the highest trees and that sort of thing.

And if most of the time, he was fast and agile enough to have no problems, there were times when his human condition, more fragile than the Na'vi, reminded him of himself.

Like that time, almost 6 weeks ago, when Spider had gone a bit too far in playing with Lo'ak, and the latter, in trying to defend himself, had broken his brother's arm without even realizing it.

A general panic ensued, after which Jake finally flew his son to Hell's Gate so that Meredith, the chief physician, could attend to him. Luckily, the fracture wasn't too bad and Meredith didn't need to operate, but she did have to reduce the fracture and put a cast on the blond so he wouldn't strain his arm.

She had wanted to keep him indoors while he convalesced, but trying to lock Spider in the base for 6 whole weeks was absolutely impossible. So she made his cast as strong as possible and allowed him to go home, under the strict supervision of his parents.

Lo'ak had blamed himself for a long time, but after several discussions on human anatomy, he had finally understood that human bones were more fragile than Na'vi bones, so it was just an accident. Spider had the feeling that it would take some time before his brother would agree to play with him like that again, but it would be all right.

And today, after 6 weeks in cast, it was finally time to take it off! Freedom!

Freedom, except that the doctors were going to use a saw to cut his cast. Spider had seen saws before, he knew they cut hard, and he had no desire to put his arm under a saw!

"Spider, it's not a real saw." Jake tried to reassure him.

"Then why is it called a saw?" The boy asked.

"Well, it's a specific saw. The blade only vibrates and it doesn't cut skin, only plaster."

"Does it hurt?"

"No."

"It's still scary." Said the little human, appearing to sulk but actually hiding a worried pout.

Jake stifled a small sigh and wondered how he was going to do it, before remembering something. "I'll be with you. And I'll try the saw on myself first if you like, so you'll see that it doesn't hurt." He offered.

Spider nodded and almost jumped into his father's arms.

So, 2 days later, Jake took his son to Hell's Gate to remove his cast. Once in the right room, Spider stared warily at the saw. But he didn't have too much time to think about it before Meredith entered the room.

"Hello Spider, ready to have this cast taken off?" She asked with a smile.

"The plaster yes, but I don't like the saw." Replied the young human, pointing to said machine with his free hand.

"Oh, this isn't a conventional saw. In fact, here, the blade only vibrates and it doesn't rotate, so it'll cut through plaster but not your skin."

"Dad already said that, but it's still scary." Spider muttered.

"Do you want me to try it on myself, like we said?" Jake offered.

Spider nodded, still in his father's arms, and so Jake held out an arm to Meredith. "Be my guest."

Meredith nodded and took the machine head in hand. "It's going to make a little noise." She warned, waiting for the child's little nod before turning on the machine.

She then placed the vibrating blade squarely on Jake's skin, and even pressed quite hard. Spider was a little afraid of the result, but when she withdrew the machine, his father didn't even have a scratch on him. His skin was simply a slightly darker blue where the blade had been.

Wait... blue.

"You're a Na'vi!" Spider exclaimed, turning to look at his father.

"Well, not by birth, as you know, but otherwise yes." Jake replied, not really sure where this thought was leading.

"Your skin is stronger than human skin. So you don't get cut, but I do!"

Jake sighed a little, but Meredith stifled a laugh before regaining her seriousness at Jake's gaze. "Would you like me to try the saw on my skin?" She offered. "I'm human, like you, so if the saw doesn't hurt me, it won't hurt you either. Do you want that?"

Spider still seemed a little hesitant, but nodded. So Meredith pressed the vibrating saw to her own arm and just as she'd said, her skin didn't break and when she withdrew the blade, her skin was barely red.

"There, you see, the blade doesn't cut the skin." Meredith said.

Spider seemed a little more confident and finally held out his plastered arm to the doctor.

And in fact, they were right, it didn't hurt! There were just some not-so-pleasant vibrations, but in the end, Spider didn't even have a scratch on his arm. And he had his whole arm back!

A little hesitant, he unfolded his elbow and bent his wrist, testing the movements. And he was relieved to see that it no longer hurt! It was still a little stiff, but at least he could move without pain, and that was so good. And he could move in all directions, which also meant he could start going out in the forest with his siblings again!

And as if hearing his thoughts, Meredith spoke up again. "You may have to take it easy for a few days, while your arm gets used to it again, but it should be fine. The X-rays we took earlier show that your bones have healed perfectly."

"So I can go back to the forest without any problems?" He asked, hopeful.

Meredith laughed a little. "That's a question for your parents, I'm not responsible for you." She smiled.

Spider turned over on Jake's lap and stood up to be at eye level. "Please Dad, can I go back to the forest like before?" He asked with wide eyes.

"How about we go home first? We'll go eat and then we'll see, okay?"

"Okay... Can we have pa'li milk for dessert?"

Jake chuckled and stood up, keeping his son in his arms. "We'll check with your mom. Thanks Meredith."

"My pleasure, Jake. Have a nice fly home, boys."

"Thanks Meredith, Bye bye!" Spider tossed, over his father's shoulder.

The two then left Hell's Gate, stopping just long enough for Spider to put his mask back on properly.

As soon as they were out, Jake called Bob, who soon landed in front of them. Jake settled Spider in before climbing in behind him, and they were off, heading for Home Tree.

"Can we have pa'li milk for dessert?" Spider asked again after a few minutes of flight.

Jake laughed a little and shook his head. "I'm going to start regretting introducing you to this if you keep asking for it."

"But it's so good!"

This drink, warm pa'li milk mixed with a few Na'vi spices, was something Jake had discovered by accident, mistaking a recipe, but it was strangely similar to human hot chocolate. Remembering having loved it when he was younger, he had introduced his children to it, and now they loved it as much as he did.

The only problem was that Neytiri was less of a fan of this Na'vi hot chocolate than Jake and the kids, finding that there was too much sugar and that it wasn't good for the kids.

"You'll have to convince your mother." Jake said, gently kissing the top of his son's head.

"If we all get into it together she won't be able to resist us, we're too cute. Besides, I didn't even cry when Meredith took my cast off, so I earned some pa'li milk." Spider determined.

Jake just burst out laughing. Yes, if his son got it into his head that he'd get his pa'li milk, he'd be able to convince Neytiri, he had no doubt. By Eywa, how he loved his son. Adopting Spider had perhaps been one of the best decisions of his life, after choosing to become Na'vi and marry Neytiri.

@comfy-vember

[theleseroftwoweevils]

Who Will You Help Today? - Nouran and her family

I've decided that, starting today, I will post a resource to help palestinians.

Nouran and her family need help to get major surgeries for their injuries.

"- My brother lost his right eye and ear, and suffered a skull fracture. Shrapnel has destroyed his right ear canal, and he’s completely deaf on that side. After nearly a month, he underwent eye enucleation surgery (where the eyeball is removed) to prevent further damage and infection.

- I lost my right eye as well, and last week I got the same surgery as my brother. I also suffered major soft tissue trauma to my forehead and scalp. Twenty days after we arrived to the hospital, I was finally able to get X-rays done (posted above) which revealed fractures to my clavicle, my left hand (meaning I can no longer draw), and shrapnel/debris in my nasal cavity (which has recently thankfully been surgically removed). The bones have begun to heal in the wrong places due to delayed treatment and thus need more intensive surgeries to be fixed. My right thumb has been paralyzed and needs physical therapy, meaning I can’t really use either of my hands. Finally, I was left with a large open wound on my cheek for weeks which meant that I couldn’t drink water without some of it spilling out through the hole.

- My dad has completely lost his right calf muscle and can no longer walk without support. He can’t get surgery to transplant tissue from other parts of his body to his calf right now because there are no doctors here that know how to give epidural anaesthesia.

- My mom has an untreated broken jaw and can no longer eat solid food. In the time since she was injured, she has lost over 14kg."

She currently needs around €50,000 more

[teddybeartoji]

mickey for starters i have a confession to make… even after all these months whenever i search your acc i ALWAYS accidentally type “teddybearmick-“. toji is your teddybear but he better understand that you’re mine 🫶🏼

OKAY SO im a cartilage piercing virgin because i am. scared of infections 😞 but i was wondering if you had a conch piercing? if you do - how would you rate the pain / healing process? and second, how would you compare it to a helix? i want one sooooooo bad 😭

TEDDYBEARMICKEYYY PLEASEEEE YOU'RE SO CUTEE I WANNA BITE YOUR CHEEKSSS>:333333333333333 yk i think toji is somewhat okay with sharing me but i think he'd like to thirdwheel us. listen listen listen he just likes the company okay,, he'd never admit that sitting quietly on the armchair while we play video games together on the couch is very relaxing for him. i don't think he'd mind that at all!!!!!!!!!!!! he will want me back for the night though.. i fear he gets very clingy and grumpy smhhh he is a grown man (i'm so giddy just thinking abt him being clingy scar i'm so doomed i love him)

OKAY SOOOOOOOOOOOOOOOO . FIRST THINGS FIRST SCAR . my ears are very sensitive😭😭😭PLEAAAASEEE BEAR THAT IN MIND OKAY and i do really mean that they're sensitive bc i am very good with pain overall. i've broken bones i've had fractures, i am always a breath away from falling asleep during tattoos (mind you i have one that reaches from my hip to the side of my boob so it's a a pretty big one in a rather tender area and . i was still fighting off sleep)(i was also horny but that's another topic) ANDDDDD i have a belly button piercing which was literally like a pinch too okay i am veeery good with pain

except when it comes to my ears😭😭😭 i have seventeen ear piercings and i have hated getting every single one of them. actually i've taken two of them out so there are 19 holes in my ears in total. no pain.. no gain.. (i say through tears) AAANYWAYYY i do have a conch piercing and it is, in fact, very super sexy:3333333333 it is also the second most painful one out of all of them:33333333333333333333

the cartilage is just very thick there yk? so it's definitely like a very uncomfortable piercing to get. i also need to mention that this is like one of the few things that actually make me feel squeamish lmao i can't LOOK at somebody getting a piercing like the mere idea of something going through my ear is making me tweak a little SOO i think that just made everything even worse for me

i can't really talk abt my healing process just bc all of mine always heal the same way - they're fine at first and then after the first two weeks or so they swell up very badly and stay like that for like five days and then it's fine . healed . hgasdghsaghdhgsaghas so it was the same with the conch one too, it ended up swelling so bad that you couldn't even see the bar anymore and yk they put a longer bar at first for that very same reason lmao IT HASN'T GIVEN ME ANY GRIEF AFTER THAT THOUGH!!!!!!!!!!!!!!!! i feel like my older helix piercings have acted up a million times more than my conch so that's good i think..

you can always use salt water if it does get infected!!!!!!!!!!! there's this thing called Humer Nasal Spray idk if you have it where you are but it's literally just salt water and yes it's meant for your nose but it works wonders for infected piercings!!!!!!!!!!! they even sell it at the salon i go to lmao if you don't have it though then you can put like a teaspoon of salt into a lukewarm cup of water and then either dip a rag or smth in it and then hold it to your ear,, i always thought this was kind of painful though so i always end up just tilting my head to the side and literally just dipping my ear into the cup . i don't have a specific time for you i always just do that for as long as i have the patience lmao

BUT BUTBUTT NOWW!!!!!!!! A LITTLE PLUS FOR YOU!!!!!!!! SO YOU WOULDN'T ACTUALLY GET ALL SCARED!!!!!!!!!!!!!!! i was there when my friend got a conch too and for her . it was like nothing. she didn't pull a face or anything and she literally asked the piercer whether she could get another one right away????????????????????? i was kind of horrified lmao aaaand genuinely can't remember her whining about the healing process later on either and we were in classmates and we sat together at all times so i definitely would've heard it yk??

SOOOOOO ALL IN ALL sadly it really just depends on the person i fear. but . no pain no gain okay this is what i always tell myself. you couldn't fucking pay me to take them out rn btw i had to do that when i was getting a dental xray lmao that was horrible i'm never taking them out i looked so weird and BORINGGGGG piercing are so sexy they're worth the pain (unfortunately)

[entinformativespace]

Preventing Nasal Bone Fractures: Safety Measures and Precautions

Nasal bone fractures, often caused by accidents or trauma, can be painful and require significant recovery time. Fortunately, there are proactive steps you can take to reduce the risk of nasal injuries. Here are essential safety measures and precautions to prevent nasal bone fractures:

Wear Protective Gear: If you participate in sports or activities where facial injuries are common, such as biking, skiing, or martial arts, wearing appropriate protective gear like helmets and face guards can provide a crucial layer of defense.

Drive Safely: Motor vehicle accidents are a common cause of facial injuries, including nasal fractures. Always wear your seatbelt, avoid distractions while driving, and adhere to speed limits and traffic rules.

Childproof Your Home: In households with young children, accidents often happen during play. Childproof your home to minimize potential hazards. Use safety gates, secure furniture to walls, and cushion sharp corners to protect children from falls and collisions.

Avoid Physical Altercations: Engaging in physical fights significantly increases the risk of facial injuries. Practice conflict resolution and communication skills to avoid physical altercations, reducing the likelihood of facial trauma.

Be Cautious During Activities: Be mindful during recreational activities, especially those involving heights or speed. Activities such as skateboarding, skiing, or even running can lead to accidents. Stay alert and follow safety guidelines.

Regular Eye Checkups: Impaired vision can contribute to accidents. Ensure you have regular eye checkups and wear prescribed eyeglasses or contact lenses to maintain clear vision.

Consult a Specialist: If you have a history of recurrent nasal fractures, consider consulting with an ENT specialist near C.A. Road 440018. They can evaluate your nasal structure and provide personalized recommendations to minimize the risk of future injuries.

By adopting these safety measures and precautions, you significantly reduce the risk of nasal bone fractures and protect yourself and your loved ones from painful accidents. Prioritizing safety and taking preventative steps can lead to a safer and injury-free lifestyle.

[landerspaul]

Paul gets asked if he has a favorite story given that he's been in "the business" for a few years. He answers that it was when Moses Pelham knocked out Stefan Raab's tooth.

Clarification: In 1997 Moses Pelham is said to have hit Stefan Raab several times, causing him to suffer a fractured nasal bone and a concussion [article], but a rumor circulated that he had knocked out his teeth [article].

[justkidneying]

Skull Fractures: Le Fort I-III

Le Fort fractures are a specific type of midfacial fracture which can be split into three types: Type I, Type II, and Type III. These three types vary in severity and presentation. They are most commonly caused by high-speed or high-impact forces.

Facial and Cranial Anatomy 

Le Fort fractures of all types involve different bones which make up the facial structure. You can look up a picture of the skull if you don't know what I'm talking about, but you should have an idea of what's going on from. Anyways, the skull is 22 bones and that's too much to get into right now. Onto important stuff.

The mandible is not part of the skull and isn't part of what makes a Le Fort fracture, though facial trauma may also cause the fracture of this bone. It is also an important part of the facial anatomy and its misalignment with the other bones can help diagnose Le Fort fractures. 

Le Fort Type I

Le Fort type I injuries are the least damaging type of Le Fort fracture, though they still cause significant damage to the facial structures. This type of fracture involves the maxilla and pterygoid plates (four structures that are up inside the skull/back of the mouth) primarily. Due to the involvement of the maxilla, it can also be referred to as a trans-maxillary fracture. 

There are several mechanisms of injury for this type of fracture. Most commonly, it is caused by a downward blow to the face. This can be the result of a fall, assault (like stomping on someone's head), or motor vehicle accident, which causes the maxilla of the patient to impact a hard surface and detach from the rest of the facial structure. 

The downward force on the face causes the fracture of the internal structures of the maxillary sinus as well as the pterygoid plates. The fracture extends to the maxillary antrum, or the antrum of Highmore, which is a large sinus cavity that sits superior to the upper teeth and posteriorly to the nose. All three walls of the sinus are fractured, and the maxillary structures break away in a palate-facial separation.

Type I fractures oftentimes present with swelling in the upper lip and ecchymosis (bruising) to the maxilla and cheeks. The most telling sign of maxillary dissociation is malocclusion of the teeth. This means that the upper teeth are not in alignment with the lower teeth, which can be seen in dissociations and fracture of the maxilla and mandible. The triangular area of the face that comes away from the cranium is made of the maxilla, palate, and pterygoid plates.

The soft tissue damage of this fracture is mostly within the oral cavity, sinuses, and nasal cavities. This can cause the respiratory ability of the patient to become compromised. Because of the damage to the nasal passages and the possibility of fracture of the inner bones of the skull, a nasopharyngeal airway (NPA) device is not recommended. NPAs are devices made of a pliable foam or rubber, which are inserted through the nares, and allow for the linkage of the nasal openings to the pharynx (throat). When heavy facial trauma, especially to the nasal area, is present, NPAs are not indicated. Instead, airway management should be done with an endotracheal tube, which goes into the trachea (windpipe). This bypasses the damage done to the oral or nasal cavities and allows for the establishment of respiratory function. 

Other symptoms of the patient should be managed until they can reach a trauma center for further treatment, with the patient's airway, breathing, and cardiovascular function taking precedence. 

Le Fort Type II

Type II fractures are more severe than Type I. They involve more facial structures and cause a greater portion of the face to separate from the skull. This type of fracture involves the nasion, which is commonly referred to as the bridge of the nose. It also involves the medial wall of the orbit and the inferior orbital rims. Importantly, this type of fracture does not involve the zygomatic bones (cheek bones).

This fracture is best traced beginning at the nasion. The fracture extends laterally to the medial wall of the orbit and downward into the inferior orbital rim. It then crosses downward into the maxilla. Inside of the structure, the fracture extends superiorly to the hard palate, and ends with the separation of the pterygoid buttress. The section of bone that breaks away from the cranium is pyramidal in structure. 

The involvement of the orbit in this fracture increases the severity of this fracture because of the complexity of orbital bones as well as the involvement of the soft tissue of the eyes. The forces which are of a great enough magnitude to fracture this portion of the face can create severe damage to the delicate tissues inside the orbit, including blood vessels and the eyes themselves. 

Type II fractures present distinctly from Type I fractures. In Le Fort Type II fractures, there will be mobility in the maxilla, but the nasal region will move with the maxilla away from the other facial structures. The increased severity also opens a possibility of cerebrospinal fluid (CSF) leakage from the nasal passages. CSF leakage can be confirmed using a piece of gauze to absorb some of the fluid. As the CSF dries, it will create a distinct two-ringed figure, which mucous does not. CSF is also very clear and watery compared to mucous, which is yellowish and sticky. 

Due to the damage to the nasion and surrounding area, the intercanthal space (the distance between the corners of the eyes) has a high possibility of widening. This will lead to severe deformity of the normal facial structure. Bruising will be significant, with presentation of bruising on both orbital areas, or bilateral periorbital ecchymosis, sometimes called “racoon eyes.” 

As with Type I fractures, an NPA is not indicated, particularly when CSF leakage is present. This indicates a fracture deep enough to compromise the integrity of the intracranial space. If an NPA is used in this case, even the soft tip of the  device could worsen the intrusion into the cavity or cause severe damage to the sensitive nervous system structures. The airway should be established using an endotracheal tube instead. The patient should be transported with haste to the nearest trauma center.

Le Fort Type III

Type III fractures are the most severe type of Le Fort fracture. This type is also called a full facial-cranial separation. It involves the nasion, two walls of the orbit, the orbital rim, the zygomas, and the pterygoid plates. 

The path of this fracture can be traced starting at the nasion.  From there it extends laterally through the medial orbital rim and orbit. The fracture extends horizontally across the entire orbit and to the lateral rim. Finally, it extends downwards across the zygomatic arch and through the superior pterygoid plates. This fracture extends bilaterally through both sides of the facial structure5.

Due to the fracture extending horizontally through the orbit, there is a great risk of damage to the soft tissues of the eye. The fracture also extends parallel to the base of the cranium, and will cause a complete separation of the midfacial skeleton from the cranium. Because of this extreme dissociation, there is an increased risk of cerebrospinal fluid leakage. This leakage can result in infection or serious brain injury. 

This type of fracture is most typically caused by large amounts of force to the nasion and superior maxilla. This force is of a great enough magnitude to cause a fracture to extend through the entirety of the facial structure in a posterior and downwards direction. 

Many signs from Type I and II carry over, including bilateral periorbital ecchymosis, orbital edema, and buccal ecchymosis. However, Type III presents uniquely with a sign commonly called “dish-face deformity.” This condition results from the breakdown of the structure of the face, and results in a lengthened and shallowed face. There may also be a condition known as “orbital hooding” present, which is the drooping of the upper eyelid commonly seen when zygomatic structure is compromised. Battle’s sign may also be seen, which is the bruising of the mastoid region, or the region behind the ear. Enophthalmos, the sinking of the eyes posteriorly into the sockets, may also be seen. This is due to the severe damage to the orbital area. CSF may also leak out of the ears and nasal passages, called CSF otorrhea and CSF rhinorrhea, respectively. Blood may also be within the inner ear in a condition called hemotympanum. 

The severe damage to the facial bones, along with intracranial hemorrhaging and CSF leakage will most likely cause a patient with a Type III fracture to be treated as critical. Airway integrity should be maintained with an endotracheal tube, but if the oral airway is compromised, stabilization can be difficult without a tracheostomy. A tracheostomy is a procedure where an opening is made in the neck into the trachea, where a breathing tube can be inserted. This bypasses any oral damage and allows for the respiratory function of the patient to be secured. The patient should be rushed to a trauma center, as the signs presenting give an impression of a condition that can be lethal. 

Treatment

As with any trauma patient, those with Le Fort fractures should be stabilized to ensure the continuation of life before any effort is made to repair the damage to the face. This gives the patient’s airway, breathing, and circulatory systems precedence in their care. Once the patient reaches the emergency room of what is hopefully a trauma center, more specialized care can begin. This includes testing, scans, and stabilization. 

Computerized tomography (CT) scans are very useful to determine the extent of the fracture and the type. These scans use several x-rays and an interpreting computer system to create several  two-dimensional slices of the structures captured. This is important in severe facial injuries, as simple film x-rays do not typically provide enough data to accurately diagnose and see all of the damage done to the face. In Le Fort fractures, the most appropriate type of CT scan ordered is a non-contrast, fine cut scan with axial cuts. Contrast is a substance injected intravenously that allows for a better view of body structures on the scan, but it is not used in this case. Typically, contrast used in trauma cases is for abdominal injuries. The CT scan should be fine cut, which means that the slices of data gathered from the patient are 2 mm in width. This means more can be seen from the scan. 

The two main areas of treatment in facial fractures are reduction and fixation. Reduction is the process of putting the structures back where they are meant to sit. Reduction can either be open or closed. Open reduction requires the “opening” of the face through surgical means. Typically, this means that the fracture was too complex to be reset through external manipulation. A closed reduction is done without exposing the bone. This is done externally through manipulation of the structures. Fixation is the process of keeping the bones in the correct place, typically through the use of metal plates, wires, and screws.

Intermaxillary fixation can be used to repair or stabilize the fracture. This should be done after all CT scans are completed. Intermaxillary fixation uses metal pieces screwed to the maxilla to demobilize it. Typically, metal plates are also screwed to the mandible and wire is connected between the mandible and the maxilla. This will reestablish proper occlusion of the teeth. Intermaxillary fixation can be used to stabilize the face while other surgeries are done, or as the treatment itself.

Facial reconstruction is most likely with Type III fractures. In a broad sense, facial reconstruction includes the reduction and fixation detailed previously. However, it also includes more fine and cosmetic reconstruction. After a more severe fracture and the resulting fixation, the skin and formation of the face can be altered from the patient’s original appearance. Due to this, there may be more extensive work required by a plastic surgeon after the initial treatment to repair the bone structure.

The goals of the fracture repair are to reestablish proper structure and restore the integrity of the face. The correct facial projection should be reclaimed, as to correct any deformity or dish-face condition. The sinus cavities should also be repaired so that they have proper function and location within the facial structure. The realignment of the orbital and nasal structures is also important to the overall soundness of the facial structure and function. Finally, malocclusion should be remedied, as proper occlusion of the teeth is necessary for not only facial structure, but the function of the teeth and mouth in chewing food.

Outcomes

The recovery of this type of fracture can be long and difficult, but the ultimate outcome is generally good. Mortality rates of patients with complex facial fractures, which includes Le Fort fractures, are estimated around 11.6%. Mortality of patients with simple facial fractures is estimated around 5.1%. For Le Fort fractures specifically, there are different mortality rates for each type. For Type I, there is a 0% mortality rate. For a Type II fracture, there is a 4.5% mortality rate. For Type III fractures, there is an 8.7% mortality rate. 

Besides death, disability can also be the result of Le Fort fractures. The following conditions have been reported as a result of Le Fort fractures: difficulty breathing (31% of patients), difficulty chewing (40% of patients), vision issues (47% of patients), double vision (21% of patients), and excessive tearing and poor eye drainage (37% of patients). These disabilities can greatly affect the ability of the patient to return to normal activities. For Type I and II fractures, 70% of patients were able to return to work. For Type III fractures, only 58% reported being able to return to work. The facial deformities resulting from these fractures and their repair have an impact on the patient’s mental wellbeing. Of patients who had facial surgery, 89.1% reported satisfaction with the outcome of their appearance.

End Notes

Wow this was fucking long, wasn't it? I guess I just got going and couldn't stop. Now you know everything you need to know about Le Fort fractures, which was probably nothing. But anyways, I wanted to include the outcome of severe injuries like these because I feel like in fiction I don't see it enough. Like if you get that fucked up you're gonna need some help for a while. I also think I see too many NPAs in patients that don't need them or shouldn't have them, so I think that might be some valuable information. I'm gonna write on the structure of the nose eventually, but for the love of god don't stick anything up there, especially if someone has head trauma.

Thanks for reading :))

[leanstooneside]

Being rendered helpless (PANOPTICON)

• Rita Ora's thumb (Encounter for aftercare following multiple organ transplant)

• Florence Welch's thumb (Laceration with foreign body of right ring finger with damage to nail)

• Winona Ryder's thumb (Secondary lacrimal gland atrophy)

• Lucy Hale's thumb (Failure in dosage during unspecified surgical and medical care)

• Conan O'Brien's thumb (Influenza due to other identified influenza virus with otitis media)

• Tyra Banks's thumb (Malignant neoplasm of overlapping sites of other and unspecified parts of mouth)

• AnnaSophia Robb's thumb (Laceration of extensor muscle, fascia and tendon of left middle finger at forearm level)

• Minka Kelly's thumb (Acute tonsillitis, unspecified)

• Djimon Hounsou's thumb (Cyst and mucocele of nose and nasal sinus)

• Forest Whitaker's thumb (Meningococcal myocarditis)

• Jimmy Buffett's thumb (Other disorders of continuity of bone, right radius)

• Kate Bosworth's thumb (Other hyperparathyroidism)

• Kristen Bell's thumb (Solitary bone cyst, left ulna and radius)

• Matt Bomer's thumb (Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm)

• Prince Harry's thumb (Laceration without foreign body of back wall of thorax without penetration into thoracic cavity)

• Avril Lavigne's thumb (Calcification and ossification of muscle)

• Demi Lovato's thumb (Nondisplaced fracture of lateral condyle of unspecified femur)

• Carmen Electra's thumb (Salter Harris Type III physeal fracture of upper end of humerus, left arm)

• Mary-Louise Parker's thumb (Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg)

• Vince Vaughn's thumb (Toxic effect of contact with other venomous marine animals, assault)

• Sean Lennon's thumb (Unspecified open wound of left front wall of thorax without penetration into thoracic cavity)

• Tate Donovan's thumb (Osseous and subluxation stenosis of intervertebral foramina of abdomen and other regions)

• Jennifer Aniston's thumb (Alcohol abuse with intoxication)

• Zachary Quinto's thumb (Mooren's corneal ulcer, unspecified eye)

• Tracy Morgan's thumb (Preterm labor without delivery, unspecified trimester)

• Jenna Elfman's thumb (Inflammatory polyneuropathy, unspecified)

• Kaley Cuoco-Sweeting's thumb (Perforated corneal ulcer, unspecified eye)

• DJ AM's thumb (Kaschin-Beck disease, left knee)

• Gordon Ramsay's thumb (Unspecified injury of extensor muscle, fascia and tendon of right index finger at forearm level)

• Elle Fanning's thumb (Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder)

• Scott Speedman's thumb (Encounter for routine postpartum follow-up)

• Curtis Stone's thumb (Swimmer's ear, left ear)

• Uma Thurman's thumb (Altered mental status, unspecified)

• Khloe Kardashian's thumb (Retinal hemorrhage, left eye)

• Maria Menounos's thumb (Passenger in three-wheeled motor vehicle injured in collision with fixed or stationary object in nontraffic accident)

• Miranda Kerr's thumb (Other combined immunodeficiencies)

• Brooklyn Decker's thumb (Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg)

• Ellie Goulding's thumb (Osteonecrosis in diseases classified elsewhere, thigh)

• Bethenny Frankel's thumb (Other chronic hematogenous osteomyelitis, left humerus)

• Judi Dench's thumb (Resistance to unspecified beta lactam antibiotics)

[askdrhanniballecter]

Dr. Lecter how thick is the human skull? Asking for a friend.

That depends on the portion of the skull.

The Pterion is the thinnest part of the skull at around 0.34 millimeters. The Pterion is the connective point for the Frontal, Parietal, and Temporal bones.

The Occipital bone is the thickest part of the skull, averaging about 15 millimeters. This is the part of the skull at the base, which protects the top of the spinal cord.

The Frontal and Temporal bones both average around 13 millimeters.

While the cranial bones may seem to be thin and therefore "weak," they are actually quite dense and difficult to break. This does not always apply to facial bones, however, as the connective points for the Supraorbital Foramen and nasal cavities are very easy to fracture.

Why do you ask?