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Am J Trop Med Hyg 2018 Sep 17. Epub 2018 Sep 17.

Post-Graduation Program in Medical Sciences, Department of Internal Medicine, Federal University of Ceará-UFC, Fortaleza, Brazil.

The northeastern region of Brazil has faced in the last 2 years the largest outbreak of chikungunya virus (CHIKV) infection in its history. There are still few studies on kidney involvement in CHIKV. The aim of this study is to describe the impact of chronic kidney disease (CKD) on CHIKV clinical manifestations and outcome. Read More

Intern Med 2018 Sep 12. Epub 2018 Sep 12.

Department of Neurology, Nagoya University Graduate School of Medicine, Japan.

An otherwise healthy 44-year-old woman exhibited isolated unilateral oculomotor nerve palsy accompanied by an influenza A infection. An intra-orbital MRI scan revealed that her right third intracranial nerve was enlarged and enhanced. She recovered completely during the first month after treatment with oseltamivir phosphate. Read More

Open Dent J 2018 21;12:377-387. Epub 2018 May 21.

Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark.

Objective: Evaluate the 1-year treatment outcome of zygomatic complex fractures with surgical or nonsurgical intervention.

Materials And Methods: One hundred and forty-two consecutive patients with a zygomatic complex fracture were enrolled. Sixty-eight patients underwent surgical intervention and 74 patients nonsurgical intervention. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):e162-e164

Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Medical Center, New York, New York, U.S.A.

Orbital infection can be caused by numerous pathogens, and accurate diagnosis informs appropriate therapy. The authors report a case of a 78-year-old man with well-controlled diabetes mellitus and recurrent sino-orbital infection following multiple surgical procedures with negative microbiologic results. This case presented a diagnostic and treatment challenge and was aided by the use of internal transcribed spacer sequencing for pathogen identification. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):e160-e162

Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut, U.S.A.

A 69-year-old woman with orbital cellulitis secondary to odontogenic Streptococcus constellatus was transferred to the authors' institution for surgical management of infection refractory to intravenous antibiotics. She underwent debridement with preservation of the globe, recovering full motility. Visual recovery was limited by optic nerve ischemia. Read More

J Craniofac Surg 2018 Sep 5. Epub 2018 Sep 5.

Department of Ophthalmology.

Orbital implants are commonly used to repair orbital blowout fractures, to restore the functional and anatomical structure of the orbit. Porous polyethylene implants are a type of alloplastic implant and are widely used for orbital reconstruction as micropores facilitate the growth of fibers and blood vessels through the material. Rare complications associated with porous polyethylene implants used to treat blowout fractures include delayed orbital inflammation and osteomyelitis. Read More

Front Vet Sci 2018 21;5:186. Epub 2018 Aug 21.

Department of Surgical and Radiological Sciences, University of California, Davis, Davis, CA, United States.

The objective of this study is to describe the clinical features and computed tomography (CT) findings of dogs with retrobulbar disease. There are two facets to this study: a retrospective case series in which findings of dogs with primary vs. secondary retrobulbar disease are described, and a retrospective cross-sectional study in which computed tomography findings of dogs with retrobulbar neoplasia vs. Read More

Oper Neurosurg (Hagerstown) 2018 Aug 30. Epub 2018 Aug 30.

Department of Neurosurgery, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.

Background: When performing a craniotomy involving the orbital bar, the supraorbital notch is a potential landmark to localize the lateral extent of the frontal sinus. Avoidance of the frontal sinus is important to reduce the risk of postoperative surgical site infection, epidural abscess formation, and mucocele development.

Objective: To determine the reliability of the supraorbital notch as a marker of the lateral location of the frontal sinus. Read More

Eur Arch Otorhinolaryngol 2018 Oct 30;275(10):2507-2513. Epub 2018 Aug 30.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.

Purpose: To determine the influence of anatomical changes after orbital decompression to nasal function.

Methods: We examined postoperative nasal function after orbital decompression in patients with GO in a prospective study. 25 patients were enrolled between 2014 and 2016. Read More

World Neurosurg 2018 Sep 2;117:371-376. Epub 2018 Jul 2.

Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Department of Neurosurgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA. Electronic address:

Background: Aneurysmal bone cysts are benign bone lesions affecting long bones and vertebrae; only 2%-6% have cranial involvement, and even fewer show sphenoid or intraorbital involvement. Gross total resection is the treatment of choice.

Case Description: A 10-month-old girl presented with unilateral proptosis and no neurologic deficits. Read More

Orbit 2018 Aug 27:1-3. Epub 2018 Aug 27.

a David Geffen School of Medicine , University of California , Los Angeles , CA , USA.

Salzmann's nodular degeneration (SND) typically occurs in patients who are female, 50-60 years old, and have a history of corneal inflammation and irritation. Multiple case reports have documented associations between SND and trachoma, viral infections, trauma, contact lens wear, corneal surgeries and corneal exposure. The authors describe a patient with bilateral SND confirmed by anterior segment optical coherence tomography (OCT) imaging in the context of thyroid eye disease (TED) and history of LASIK. Read More

Case Rep Infect Dis 2018 26;2018:4759807. Epub 2018 Jul 26.

Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Orbital actinomycosis is a very rare clinical manifestation of orbital infection caused by species, anaerobic Gram-positive filamentous bacteria. We report herein a case of a 58-year-old man who presented with chronic progressive course of total ophthalmoparesis in association with productive cough, leading to the diagnosis after extensive investigation. In addition, all reported cases of orbital actinomycosis in the literature are reviewed. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):e166-e168

Royal North Shore Hospital, Sydney, Australia.

Sinusitis complicated by orbital apex syndrome is rare. The majority of cases are due to mucormycosis in immunocompromised patients. The authors report a case of orbital apex syndrome secondary to Pseudomonas sinusitis. Read More

Infection 2018 Aug 18. Epub 2018 Aug 18.

Division of Infectious Diseases, American University of Beirut Medical Center, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon.

Purpose: Mucormycosis (MCM) is a rare fungal infection affecting people with impaired immunity. Data related to MCM from Lebanon are scarce. The aim of this study is to shed light on the epidemiology, incidence, and outcome of patients with MCM hospitalized at a tertiary care center in Lebanon. Read More

Graefes Arch Clin Exp Ophthalmol 2018 Aug 18. Epub 2018 Aug 18.

Department of Ophthalmology, Austin Health, Heidelberg, Victoria, Australia.

Purpose: Orbital tuberculosis (TB) is a rare extra-pulmonary manifestation of tuberculosis and its clinical diagnosis poses unique challenges, with potential for destructive complications as well as social and public health implications. The aim of this study is to report our experience of patients presenting with orbital TB and to identify common aspects.

Methods: A systematic search for mandatory notifications of orbital tuberculosis between January 01, 1994 and December 12, 2016 was undertaken in the Victorian Tuberculosis database. Read More

Prim Care 2018 Sep;45(3):433-454

Department of Family Medicine, Tidelands Health MUSC Family Medicine Residency Program, 4320 Holmestown Road, Myrtle Beach, SC 29588, USA.

The primary care provider will commonly see skin and soft tissue infections in the outpatient setting. Skin and soft tissue infections range from the uncomplicated impetigo to the potentially lethal necrotizing fasciitis. This article reviews these infections based on their underlying etiology: bacterial, fungal, and viral causes. Read More

PLoS One 2018 16;13(8):e0202233. Epub 2018 Aug 16.

Department of Diagnostic and Biomedical Sciences, School of Dentistry, University of Texas Health Science Center, Houston, Texas, United States of America.

The mitis group, a member of the genetically diverse viridans group streptococci, predominately colonizes the human oropharynx. This group has been shown to cause a wide range of infectious complications in humans, including bacteremia in patients with neutropenia, orbital cellulitis and infective endocarditis. Hydrogen peroxide (H2O2) has been identified as a virulence factor produced by this group of streptococci. Read More

Medwave 2018 Jul 30;18(4):e7234. Epub 2018 Jul 30.

Proyecto Epistemonikos, Santiago, Chile; Departamento de Oftalmología, Pontificia Universidad Católica de Chile, Santiago, Chile. Email: Address: Centro Evidencia UC, Pontificia Universidad Católica de Chile, Av. Diagonal Paraguay 476, Santiago, Chile.

Introduction: Infection is one of the main complications of orbital fracture, either because of the connection to the paranasal sinuses or as a postoperative complication. Despite the advances made in this condition, there is still controversy regarding the role of prophylactic antibiotics.

Methods: To answer this question we used Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. Read More

Horm Metab Res 2018 Aug 14. Epub 2018 Aug 14.

Faculty of Life Sciences & Medicine, King's College London, London, UK.

Experimental models of hyperthyroid Graves' disease (GD) and Graves' orbitopathy (GO) are efficiently developed by genetic immunisation by electroporation with human thyrotropin hormone receptor (hTSHR) A-subunit plasmid in female BALB/c (H-2d) mice. We investigated susceptibility in C57BL/6 J (H-2b) animals to allow studies on disease mechanisms in transgenic and immune response gene knock-out mice. Higher numbers of female C57BL/6 J were positive for pathogenic thyroid stimulating antibodies, but induced hyperthyroidism remained at a low frequency compared to BALB/c animals. Read More

J Craniofac Surg 2018 Aug 13. Epub 2018 Aug 13.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai.

Objective: This study aimed to evaluate the safety of a modified pre-aricular approach in the treatment of orbital zygomatic maxillary complex fractures.

Methods: This was a retrospective study of clinical data from 108 adults who were diagnosed with orbital zygomatic maxillary complex fractures and undergo open reduction and internal fixation through a modified pre-auricular approach. Exophthalmometry and limitation of extraocular muscle movement were determined using a Hertel exophthalmometer or synoptophore examination respectively. Read More

Am J Ophthalmol 2018 Aug 6. Epub 2018 Aug 6.

Department of Ophthalmology Seoul National University Hospital, Seoul, Korea; Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea. Electronic address:

Purpose: To investigate the clinical features and risk factors of atypical mycobacterial infection in anophthalmic sockets with porous orbital implant exposure.

Design: Case-control study.

Methods: The medical records of all patients who had undergone surgical correction of porous orbital implant exposure were consecutively reviewed, and the patients were stratified as those with atypical mycobacterial infection (AM infection group) and others (non-AM group). Read More

Oper Neurosurg (Hagerstown) 2018 Jul 31. Epub 2018 Jul 31.

Division of Neurosurgery, Addenbrookes Hospital, University of Cambridge, Cambridge, United Kingdom.

Background: Endoscopic endonasal surgery (EES) is increasingly used for olfactory groove meningiomas (OGMs). The role of EES for large (≥4 cm) or complex OGMs is debated. Specific imaging features have been reported to affect the degree of gross total resection (GTR) and complications following EES for OGMs. Read More

BMC Infect Dis 2018 Aug 6;18(1):371. Epub 2018 Aug 6.

Department of Pediatric Pneumology, Immunology and Intensive Care, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Background: Colonisation with Panton-Valentine Leukocidin expressing strains of Staphylococcus aureus (PVL + SA) is characterised by recurrent skin and soft tissue infections. While periorbital and orbital infections are common in children and frequently caused by S. aureus the role of PVL + SA in recurrent eye infections has not been studied. Read More

J Math Biol 2018 Jul 31. Epub 2018 Jul 31.

Institut de Recherche Pour le Développement, Unité 209 (UMMISCO), 32 Avenue Henri Varagnat, 93143, Bondy, France.

In this paper, we formulate an age-structured epidemic model for the demographic transition in which we assume that the cultural norms leading to lower fertility are transmitted amongst individuals in the same way as infectious diseases. First, we formulate the basic model as an abstract homogeneous Cauchy problem on a Banach space to prove the existence, uniqueness, and well-posedness of solutions. Next based on the normalization arguments, we investigate the existence of nontrivial exponential solutions and then study the linearized stability at the exponential solutions using the idea of asynchronous exponential growth. Read More

Ophthalmic Plast Reconstr Surg 2018 Jul 24. Epub 2018 Jul 24.

Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.

Purpose: The centenarian population is growing and ophthalmic plastic surgeons are providing care to an increasing number of elderly patients. Outcomes of centenarians have not been previously studied in the ophthalmic plastic surgery literature. The goal of the current review was to examine the baseline characteristics, surgical problems, and outcomes of this select group of patients. Read More

Malar J 2018 Jul 27;17(1):275. Epub 2018 Jul 27.

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Building 40, Room 3512, 40 Convent Drive, Bethesda, MD, 20814, USA.

Background: Plasmodium 18S rRNA is a biomarker used to monitor blood-stage infections in malaria clinical trials. Plasmodium sporozoites also express this biomarker, and there is conflicting evidence about how long sporozoite-derived 18S rRNA persists in peripheral blood. If present in blood for an extended timeframe, sporozoite-derived 18S rRNA could complicate use as a blood-stage biomarker. Read More

Am J Ophthalmol Case Rep 2018 Sep 21;11:6-9. Epub 2018 Apr 21.

Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Ave, Charlottesville, VA, 22908, USA.

Purpose: Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis. Read More

Medicine (Baltimore) 2018 Jul;97(30):e11650

Department of Ophthalmology.

Rationale: Orbital apex syndrome is a complex clinical disorder featuring a collection of cranial nerve deficits characterized by impairment of the extraocular muscles, the ophthalmic branch of the trigeminal nerve, and even the optic nerve. Sino-orbital aspergillosis is rare but aggressive infection. Surgical resection accompanied by antifungal medication is advised currently. Read More

Clin Microbiol Infect 2018 Jul 21. Epub 2018 Jul 21.

Centre for Infectious Diseases and Microbiology Laboratory Services, ICPMR, New South Wales Health Pathology, Westmead Hospital, Sydney, NSW, Australia; Marie Bashir Institute for Biosecurity and Emerging Infections, The University of Sydney, Sydney, NSW, Australia. Electronic address:

Background: The epidemiology of mucormycosis in the era of modern diagnostics is relatively under-explored.

Objectives: To examine the contemporary epidemiology, clinical manifestations, diagnosis and causative pathogens of mucormycosis.

Data Sources: Ovid MEDLINE and Ovid EMBASE from January 2000 to January 2017. Read More

Biochim Biophys Acta 2018 Jul 18. Epub 2018 Jul 18.

Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. Electronic address:

Diabetes contributes to cardiovascular complications and the pathogenesis of cardiac remodeling that can lead to heart failure. We aimed to evaluate the functional role of LAZ3 in diabetic cardiomyopathy (DCM). Streptozotocin (STZ) was used to induce a diabetic mouse model. Read More

Case Rep Infect Dis 2018 20;2018:6283701. Epub 2018 Jun 20.

Wyckoff Heights Medical Center, New York, NY, USA.

Mucormycosis is a rare and invasive fungal disease with high mortality rate caused by members of the order Mucorales. Mucorales species are vasotrophic organisms that may cause angioinvasive disease in immunosuppressed hosts. Risk factors include diabetic ketoacidosis, chronic kidney disease, organ or bone marrow transplantation, neutropenia, burns, malignancies, and steroid therapy. Read More

Case Rep Ophthalmol 2018 May-Aug;9(2):315-321. Epub 2018 Jun 13.

Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Background: Ocular basidiobolomycosis is an unusual infection caused by fungus of the order Entomophthorales. This fungus has been previously reported as a common cause of skin, subcutaneous, and gastrointestinal tract infection. The fungus isolation and its typical characteristics are clues for diagnosis of this uncommon pathogen. Read More

BMJ Case Rep 2018 Jul 15;2018. Epub 2018 Jul 15.

Department of Neurosurgery, University Hospital of Wales, Cardiff, UK.

A 75-year-old man with type 2 diabetes mellitus presented with complete loss of vision in his right eye and severe headaches for the past 24 hours. He had been treated for suspected giant cell arteritis (GCA) with high-dose corticosteroids which were being tapered to stop after an inconclusive right temporal artery biopsy and an erythrocyte sedimentation rate (ESR) value of 8. His current acute presentation, however, raised further concern for partially treated GCA and precipitated treatment with pulsed methylprednisolone. Read More

Case Rep Infect Dis 2018 30;2018:5498953. Epub 2018 May 30.

Montefiore Medical Center, New York, NY, USA.

We present a patient who was admitted for eye swelling, pain, and discharge, with CT orbits with contrast demonstrating inflammation and enlargement of the lacrimal glands and surrounding tissue. He was found to have an HCV infection for unknown duration upon further investigation. All other workup (autoimmune, rheumatic, and infectious) was unrevealing. Read More

Eur Arch Otorhinolaryngol 2018 Jul 11. Epub 2018 Jul 11.

Department of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Purpose: Septic cavernous sinus thrombosis (CST) is a rare complication of infections in the head and neck area. CST is notorious for its bad prognosis, with high mortality and morbidity rates described in literature. However, these rates are based on old series. Read More

Int Forum Allergy Rhinol 2018 Jul 6. Epub 2018 Jul 6.

Department of Otolaryngology, University of Washington, Seattle, WA.

Background: Acute invasive fungal sinusitis (AIFS) is a rare, aggressive infection occurring in immunocompromised patients. In this study we examined factors that affect survival in AIFS, and whether immune-stimulating therapies (IST) improve survival.

Methods: Pathology records of biopsy-proven AIFS were reviewed from 3 academic institutions from 1995 to 2016. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):e153-e154

Department of Ophthalmology.

A 41-year-old woman developed persistent unilateral conjunctivitis following an upper respiratory infection. A white cystic lesion of the inferior fornix was noted on computed tomography scan to extend behind the orbital septum into the anterior portion of the orbit. Following subtotal excision, histopathology showed benign pseudoadenomatous (pseudoglandular) hyperplasia. Read More

Front Microbiol 2018 21;9:1303. Epub 2018 Jun 21.

Department of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

The genus is composed of more than 300 species, a fraction of which are involved in animal or human infections mostly following environmental exposure. Various risk factors (i.e. Read More

Ann Otol Rhinol Laryngol 2018 Sep 4;127(9):637-642. Epub 2018 Jul 4.

2 Department of Otolaryngology, West Virginia University, Morgantown, West Virginia, USA.

Introduction: Functional endoscopic sinus surgery for frontal sinus disease has obviated the need for external approaches. Special circumstances such as acute infection with orbital involvement or significant lateral sinus disease frequently require adjunct access. We describe the clinical outcomes of a combined upper eyelid crease and endoscopic approach for lateral frontal sinus disease with orbital extension. Read More

Cardiovasc Revasc Med 2018 Jun 25. Epub 2018 Jun 25.

Department of Medicine, Division of Cardiology, The Miriam Hospital/Warren Alpert Medical School of Brown University, Providence, RI, United States of America.

Background: Surgical endarterectomy with or without patch angioplasty has been considered the gold standard for treatment of symptomatic common femoral artery (CFA) disease. Surgical risks include wound infection, hematoma and lymph leak in approximately 17% of patients. Endovascular therapy has less procedure-related morbidity and mortality. Read More

Am J Trop Med Hyg 2018 Aug 28;99(2):435-438. Epub 2018 Jun 28.

Ophthalmology Department, Martinique University Hospital, Martinique, France.

Adult T-cell Leukemia/Lymphoma (ATLL) is a sight- and life-threatening complication of human T-cell lymphotropic virus type 1 (HTLV-1) infection. Ophthalmic manifestations include uveitis, optic nerve oedema, retinal vasculitis, and lymphomatous infiltration. Orbital lesions are rare. Read More

Ann Maxillofac Surg 2018 Jan-Jun;8(1):56-60

Command Military Dental Centre (Northern Command), Udhampur, Jammu and Kashmir, India.

Introduction: The Frontoethmoidal encephalomeningocele (FEEM) is a congenital neural tube anomaly, with herniation of intracranial material such as the brain and leptomeninges through a defect of the dura and anterior skull base at the junction of the frontal and ethmoidal bones. It may result not only in neural defects, sensorimotor deficits, neurological morbidities, visual impairment, impaired nasal function, and a potential risk of intracranial infection, but also in significant craniofacial disfigurement with complex deformities in the frontal, orbital, and nasal regions.

Materials And Method: The standard two-staged surgical protocol comprises of the first stage performed by a neurosurgeon, which aims at correcting the neural defect by a formal craniotomy; then the second stage performed by a craniomaxillofacial or plastic and reconstructive surgeon, to correct craniofacial hard and soft tissue deformities. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):e151-e153

Ocular Tissue Engineering Research Center.

A 5-year-old boy was accidentally injured by a compressed air blast to his right eye and developed periorbital and subconjunctival emphysema and proptosis subsequently. CT scan showed periorbital subcutaneous and intraorbital emphysema around the right eye, as well as intracranial and cervical emphysema without frank fractures in orbital bones. He was examined under sedation, and the subconjunctival air was aspirated. Read More

Cir Cir 2018 ;86(3):289-295

UMAE Traumatología y Ortopedia Lomas Verdes, IMSS. Ciudad de México, México.

Introducción: Los defectos craneales secundarios a traumatismos son frecuentes. Por lo común se reparan de forma secundaria por sintomatología como el síndrome del paciente trepanado, por protección cerebral y por el aspecto cosmético. Históricamente se han utilizado diversos materiales para la reconstrucción. Read More

Clin Otolaryngol 2018 Jun 26. Epub 2018 Jun 26.

Department of Otorhinolaryngology - Head and Neck Surgery, Aintree University Hospital NHS Foundation Trust, Liverpool, UK.

Background: Rhino-orbital-cerebral mucormycosis (ROCM) is an uncommon yet potentially lethal fungal infection. Although most cases originate from developing countries, an ageing population and increased prevalence of chronic illness may mean some clinicians practicing in developed countries will encounter ROCM cases in their careers. Yohai et al published a systematic review of 145 case reports from 1970 to 1993 assessing prognostic factors for patients presenting with ROCM. Read More

Case Rep Ophthalmol 2018 May-Aug;9(2):299-303. Epub 2018 May 24.

Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi, Japan.

Purpose: To report a case of periocular necrotizing fasciitis with toxic shock syndrome.

Methods: This is a case report of a previously healthy 69-year-old woman with left preseptal eyelid infection that spread rapidly and deteriorated into necrosis of the eyelid with toxic shock syndrome. She was admitted to intensive care unit for hemodynamic stabilization. Read More

SAGE Open Med Case Rep 2018 31;6:2050313X18778726. Epub 2018 May 31.

Department of ENT-Head and Neck Surgery, KRL Hospital, Islamabad, Pakistan.

Nasal septal abscess is a rather unusual condition encountered in the Otorhinolaryngology outpatient department, let alone it being a complication of orbital cellulitis! The condition usually occurs due to trauma which is significant enough to cause a septal haematoma. The haematoma then eventually results in formation of a localised abscess. Orbital cellulitis as a sequela of nasal septal abscess is an established complication but vice versa, septal abscess as a sequela of orbital cellulitis is an extremely rare presentation. Read More

Ophthalmic Plast Reconstr Surg 2018 Jun 6. Epub 2018 Jun 6.

Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, Los Angeles, California, U.S.A.

Purpose: To test the hypothesis that the orbit expands in the cranial vault after wide dural exposure after minimally invasive extradural transorbital decompression for thyroid eye disease.

Methods: A cross-sectional cohort study of 36 patients (60 orbits). Preoperative and postoperative (6 months) orbital CT following extradural transorbital decompression was analyzed. Read More