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Endoscopic-assisted versus open fronto-orbital distraction for unicoronal craniosynostosis: morphometric and technique considerations.
Childs Nerv Syst
December 2024
Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Introduction: In an effort to maximize benefit and minimize morbidity when performing fronto-orbital distraction osteogenesis (FODO) for unilateral coronal synostosis (UCS), we have transitioned to an endoscopic-assisted approach ("endo-FODO"). This study compares photogrammetric outcomes of patients who underwent FODO via an endoscopic-assisted versus open approach.
Methods: We retrospectively reviewed patients treated for UCS from 2013 to 2023.
Asymmetric, Bilateral Nontraumatic Subperiosteal Orbital Hematomas in an Anticoagulated Patient Following Anesthesia in Prone Positioning.
Ophthalmic Plast Reconstr Surg
December 2024
Department of Ophthalmology.
The authors report a case of nontraumatic orbital subperiosteal hematoma after general anesthesia with patient in the prone position. The patient, who was on aspirin, clopidogrel, and subcutaneous heparin, presented immediately after sacral ulcer debridement with acute bilateral vision loss and periorbital edema. While the OD improved with conservative management, the OS continued to have 20/200 vision, decreased color vision, afferent pupillary defect, and extraocular movement limitation after lateral canthotomy and cantholysis.
View Article and Find Full Text PDFOral cyclophosphamide treatment for clinical periocular inflammation of unknown origin.
Oman J Ophthalmol
October 2024
The Ocular Immunology and Uveitis Foundation, Waltham, MA, USA.
This study outlines a scenario involving unilateral periocular inflammation exhibited resistance to conventional immunomodulatory therapy (IMT) and biologic response modifying agents, which was successfully managed with oral cyclophosphamide monotherapy. A 39-year-old male visited our clinic, expressing discomfort and swelling in his left upper eyelid for six months. All multidisciplinary consultations and imaging yielded normal results.
View Article and Find Full Text PDFPrevalence of Ocular Injuries Following Road Traffic Accidents Among Two-Wheeler Riders/Pillions and the Factors Influencing Them Reported in a Tertiary Care Center in Chengalpattu in Tamil Nadu, India.
Cureus
October 2024
Oral and Maxillofacial Surgery, SRM Medical College and Hospital, Chennai, IND.
Article Synopsis
- Road traffic accidents can cause severe eye injuries, potentially leading to blindness, with a focus on individuals involved in motorcycle accidents in Tamil Nadu, India.
- A study involving 67 accident victims revealed that most were middle-aged males who often rode without helmets and were frequently under the influence of alcohol.
- Key findings indicated that over half experienced compromised vision, while many suffered from orbital fractures and other significant eye injuries, highlighting a need for targeted public health interventions.
Primary bilateral macronodular adrenal hyperplasia: A rare case report of Cushing syndrome and review of literature.
Medicine (Baltimore)
October 2024
Department of Endocrinology, Vali-Asr Hospital, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Primary bilateral macronodular adrenal hyperplasia (PBMAH) is a rare condition that causes Cushing syndrome (CS) and can be challenging to diagnose, making up less than 2% of CS cases.
- The case involves a 52-year-old woman experiencing multiple symptoms including fever, fatigue, and bruising, leading to an eventual diagnosis of PBMAH after lab tests and an abdominal CT scan showed increased cortisol levels and adrenal masses.
- Although the patient underwent surgery to remove one adrenal gland and her symptoms improved, she continues to rely on glucocorticoid therapy a year later, highlighting the need for more research on effective treatment options for PBMAH.
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