The transconjunctival approach with lateral canthal extension for three-wall orbital decompression in thyroid orbitopathy.

Background: Graves' disease associated orbitopathy (thyroid orbitopathy) gives rise to a characteristic facial appearance and aesthetic concerns due to exophthalmus and eyelid abnormalities, most notably upper eyelid retraction. Involvement of ocular muscles or compression of the optic nerve near the orbital apex can lead to diplopia and decreased visual acuity.

Methods: Seven patients with thyroid orbitopathy were operated upon and their charts retrospectively reviewed.

Plasmablastic lymphoma mimicking orbital cellulitis.

Introduction: Orbital cellulitis is an uncommon, potentially devastating condition that, when not promptly and adequately treated, can lead to serious sequelae. The presenting clinical signs are proptosis, swelling, ophthalmoplegia, pain and redness of the peri-orbital tissues. A number of cases have been reported in which these symptoms have been mistakenly interpreted as being secondary to an orbital infection whilst, in fact, other pathology was present.

Multiple complications due to osteoradionecrosis in a patient with thromboangiitis obliterans.

A case is presented of a patient with thromboangiitis obliterans (TAO) who developed severe necrosis of the intraoral soft tissues and maxillary and mandibular bone after radiotherapy for a cT2N0M0 squamous cell carcinoma of the soft palate. Multiple surgical procedures including partial resection of the mandible and maxilla and reconstruction of intraoral and extraoral defects with a pectoralis major myocutaneous flap and anterolateral thigh flap were performed with partial success. Although a causal relationship between TAO and the described complications cannot be verified, close monitoring of patients with TAO who are being treated with radiotherapy is advised.