scholarly journals Ballooning technique for orbital floor fracture reduction in neglected midfacial fracture: a case report

2019 ◽  
Vol 1 (2) ◽  
pp. 43
Author(s):  
Cahyadi Siauw ◽  
Endang Syamsudin ◽  
Yoyos Dias Ismiarto

Objective: Midfacial fracture is a fracture that separates maxilla from the middle part of face. Orbital floor fracture includes in midfacial fracture that difficult to treat. The aggravating factor of the treatment are depressed fractures and infection. We use ballooning technique which is inflated in the maxillary sinus to lift fracture segment of orbital floor and to prevent the orbital floor displaced to the maxillary sinus.Methods: There were multiple lacerations at left eye and nose region, post suturing at left zygoma and left cheek region. Intraoral findings there were multiple laceration, then the patient was examined a complete blood count, chest xray, cervical lateral examination, and 3D CT-Scan examination.Results: Examination of head and panoramic xray was performed and showed there was no bone discontinuity, contact and stable fracture segments. Examination of the 5th day post operative showed minimal pus drainage, leukocytes were within normal limits and other lab results were normal. Physical examination showed minimum scar, there was no dehiscence, symmetrical face and drain was performed at left zygoma region, symmetrical orbital, intact and stable occlusion.Conclusion: In this case, ballooning technique was successfully reduced the ruptured orbital floor and obtained good result.Keywords: Ballooning, Fixation, Open fracture, Orbital floor fracture.  

Author(s):  
Idha Arfianti Wiraagni

Background: There are several risks to health associated with pesticide use. The use of Personal Protective Equipment (PPE) can minimize pesticide exposure to farmers. The aim of this study was to determine the basic characteristics of farmers, blood parameters (complete blood count, cholinesterase, and creatinine), patterns of pesticide use, and the use of PPE. Methods: This research was a cross-sectional study, with total sampling method. The data were taken from all farmers in Kulonprogo, Yogyakarta, Indonesia. Case group was organophosphate sprayers that have sprayed organophosphate for more than 1 year. Results: In case of group, there were 36 farmers (31 male and 5 female), while in control group, there were 11 persons (4 male and 7 female). The mean blood cholinesterase level in the exposed group was 7.8 ± 2.01Ku/L and in the control group 8.7± 1.56 Ku/L. The mean of exposed group blood urea nitrogen: 12.08±3.88 mmol/L and control Group: 11.4±3.11 mmol/L. The mean of blood creatinine was within normal limits (case group: 0.9 ± 0.17mg/dl and control group: 0.7 ± 0.19 mg/dl), but there were significant differences between them (p : 0.015). Conclusions: The results of a complete blood count, cholinesterase, and renal function in the organophosphate sprayers In Kulonprogro were within normal limits. There was an increase of creatinine levels on exposed group significantly, although still within normal limit. They have sufficient rest period for farmers (1 month) in every planting season. It is necessary to educate farmers about the importance of using PPE and management of acute pesticide poisoning.


JMS SKIMS ◽  
2017 ◽  
Vol 20 (2) ◽  
pp. 107
Author(s):  
Sumat Ul Khurshid ◽  
Iqbal Lone ◽  
Wajahat Mir

A 23-year-old man was admitted to the surgical ward with a two-month history of epigastric pain, abdominal discomfort, nausea and frequent bouts of vomiting. The Complete Blood Count (CBC) and biochemical investigations were within normal limits. On Endoscopy a large polypoidal mass arising from the  second part of duodenum was seen. JMS 2017;20(2):107


Author(s):  
Adelia Martalova. AJ ◽  
Lidya Alexandra ◽  
Tjokorda Dalem Pemayun

Herpes Zoster (HZ) or shingles is a clinical manifestation caused by the reactivation of varicella-zoster virus (VZV). HZ is rarely happening in children, and its incidence increases with age. We report a 9-month-old baby boy with disseminated HZ. There were grouped vesicles on an erythematous base scattered in several dermatomes with dominant lesions in C5-C7 dermatomes. Complete blood count were within the normal limits. Human immunodeficiency virus (HIV) serology was negative both in mother and baby. Patient was treated with 150 mg oral acyclovir 4 times a day for 5 days. The infant experienced significant improvement and recovered completely without sequelae.


2018 ◽  
Vol 6 (3) ◽  
pp. e000642
Author(s):  
Darren Kelly ◽  
Andrew Craig ◽  
Florence Juvet

SummaryA nine-year-old female neutered Old English sheepdog was referred for investigation and treatment of moderate, non-regenerative anaemia and thrombocytopenia. Aside from the aforementioned changes on complete blood count (CBC), the only abnormality found during diagnostic investigation was marked, generalised splenomegaly. A cause for the anaemia, thrombocytopenia and splenomegaly was not found following initial investigation. Splenectomy was performed and histopathological analysis showed marked, diffuse, subacute-chronic congestion and intraparenchymal haemorrhage. There was no evidence of neoplastic change. The splenic vasculature appeared normal during coeliotomy and torsion was not present. The findings of anaemia and thrombocytopenia, along with the histopathological changes found in the spleen, are similar to those found in people diagnosed with idiopathic splenomegaly. The dog recovered well from anaesthesia and was discharged the following day. Repeat CBCs over 12 months postsurgery showed results within normal limits, and no clinical signs had been reported by the owners.


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