Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report

Background and Importance: Transorbitocranial assaults with sharp objects like a knife are rare neuro-ophthalmologic emergencies. However, they can have dramatic functional and life-threatening consequences. Our presentation aims to report the importance of an urgent multidisciplinary approach and to raise awareness among the general population on the importance of preventing violent behavior. Case Presentation: A 33-year-old man was a victim of a knife attack without obvious brain or ophthalmological lesions. The knife entered the medial part of the orbit. Neurological examination was normal, and Computed Tomography (CT) scan showed intracranial trajectory through the orbit to the frontal horn of the lateral ventricle. The knife was extracted without complications. The patient reported spectacular improvement in visual acuity without neurological or oculomotor deficit at long-term follow-up. In this case report, we will discuss the radiological diagnosis and surgical management of transorbital and orbitocranial injuries by foreign body penetration. Conclusion: Urgent multidisciplinary management in orbitocranial trauma by stabbing is mandatory to avoid life-threatening complications and irreversible damages.

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Primary Tuberculous Lymphadenitis: a Rare Case Report

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2018-0019 ◽

2018 ◽

Vol 22 (2) ◽

pp. 106-110

Author(s):

Mustafa Mert Açikgöz ◽

Ayşem Yurtseven ◽

Gülsüm Ak

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Maxillofacial Surgery ◽

Excisional Biopsy ◽

Oral And Maxillofacial Surgery ◽

Tuberculous Lymphadenitis ◽

Rare Case Report ◽

Long Term Follow Up

SummaryBackground/Aim: Our aim is to describe multidisciplinary approach to primary tuberculous lymphadenitis with a case report.Case Report: A 6-year-old boy was referred to İstanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery with the symptoms of painless extra-oral abscess and lymphadenopathy. The diagnosis of primary tuberculous lymphadenitis was proved by microbiological culture and ultrasound imaging.Conclusions: Combine tuberculosis treatment should be applied and long term follow up is necessary. Excisional biopsy for tissue diagnosis and bacterial examination with culture should be performed for an early diagnosis as a delay in treatment can lead to devastating consequences.

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Case Report

Hand ◽

10.1177/1558944716658748 ◽

2016 ◽

Vol 11 (4) ◽

pp. NP38-NP40 ◽

Cited By ~ 1

Author(s):

Sanjay Naran ◽

Joseph E. Imbriglia

Keyword(s):

Case Report ◽

Donor Site ◽

Donor Site Morbidity ◽

No Donor ◽

Metacarpophalangeal Joints ◽

Active Function ◽

Patient Reported ◽

Long Term Follow Up

Background: A case is discussed in which a young girl was born with symbrachydactyly of multiple digits in whom nonvascularized proximal toe phalanges were transferred to the aphalangic digits at the age of four. At 39 years of age, she presented incidentally to our clinic and was observed to have a very functional hand with mobile metacarpophalangeal joints in all reconstructed digits. Methods: We present a case report which is discussed in the context of long-term follow-up, and phalangeal growth in the absence of distraction, and a review of the current literature in regards to outcomes for this modality of treatment. Results: We document growth of the transplanted phalanges, despite surgery occurring after the reported optimum age of before 18 months, and the patient not undergoing distraction. The patient reported no donor site morbidity in regards to function or psychosocial impact. Furthermore, we observed active function at the metacarpophalangeal joints of all operated digits. Conclusions: We report the longest follow-up (35 years) following nonvascularized proximal toe phalangeal transfer for short finger type symbrachydactyly. We highlight the long-term functional outcome of nonvascularized toe phalangeal transfers, and present an overview of the current outcome literature for this type of procedure, advocating that nonvascularized toe phalangeal transfers remain a viable treatment option for select cases of symbrachydactyly.

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Mini-implants: Alternative for Oral Rehabilitation of a Child with Ectodermal Dysplasia

Brazilian Dental Journal ◽

10.1590/0103-6440201300111 ◽

2015 ◽

Vol 26 (1) ◽

pp. 75-78 ◽

Cited By ~ 3

Author(s):

Bianca Zeponi Fernandes Mello ◽

Thiago Cruvinel Silva ◽

Daniela Rios ◽

Maria Aparecida Andrade Moreira Machado ◽

Fabrício Pinelli Valarelli ◽

...

Keyword(s):

Case Report ◽

Ectodermal Dysplasia ◽

Oral Rehabilitation ◽

Mini Implants ◽

Prosthesis Retention ◽

Patient Reported ◽

Long Term Follow Up ◽

Socialization Skills

Ectodermal dysplasia is a rare congenital disease that affects several structures of ectodermal origin. The most commonly related oral characteristics are hypodontia, malformed teeth and underdeveloped alveolar ridges. New alternative treatments are needed due to the failure of the conventional prosthesis retention. This case report outlines the oral rehabilitation treatment of a 9-year-old girl with ectodermal dysplasia. The treatment was performed with conventional prosthesis upon mini-implants. The mini-implants provided prosthetic retention. The patient reported a good adaptation of the dental prosthesis and satisfaction with the treatment. The increased self-esteem improved the socialization skills of the girl. In this case report, use of prosthesis with mini-implants was satisfactory for prosthetic retention. However, clinical studies with long-term follow-up are needed to test the mini-implants as an alternative for oral rehabilitation of children with ectodermal dysplasia.

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Ocular Chemical Burn with an Unusual Presentation: A Case Report

Modern Care Journal ◽

10.5812/modernc.113239 ◽

2021 ◽

Vol 17 (4) ◽

Author(s):

Malihe Nikandish

Keyword(s):

Case Report ◽

Chemical Burn ◽

Surface Chemical ◽

Case Presentation ◽

Long Term Follow Up ◽

The Right ◽

Topographic Parameters ◽

Irregular Astigmatism

Introduction: Ocular chemical injury is an ophthalmic emergency that may be challenging to manage. Here, we presented a case of persistent corneal astigmatism secondary to chemical burn with superficial limbal injury and no corneal involvement. Case Presentation: The case was a 36-year-old man who presented with a chemical acid injury in the right eye. He had sectorial superficial involvement of inferior limbus from 4 to 5 o'clock hours, and the cornea was clear. Corneal topography showed high irregular astigmatism that was not corrected with glass. In long-term follow-up, changes in topographic parameters happened very slowly. Conclusions: In conclusion, optical corneal changes should be considered in the ocular surface chemical burn, especially in sectorial involvement despite clear cornea.

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PRIMARY MELANOMA OF THE GALLBLADDER MANIFESTED BY ACUTE CHOLECYSTITIS. DESCRIPTION OF A SINGLE CASE

Problems in oncology ◽

10.37469/0507-3758-2018-64-2-253-255 ◽

2018 ◽

Vol 64 (2) ◽

pp. 253-255

Author(s):

Oleg Kit ◽

Yevgeniy Kolesnikov ◽

Roman Myagkov ◽

Leonid Kharin ◽

Yevgeniya Nepomnyashchaya

Keyword(s):

Acute Cholecystitis ◽

Mucous Membrane ◽

Cutaneous Melanoma ◽

Multidisciplinary Approach ◽

Single Case ◽

Primary Melanoma ◽

Metastatic Lesions ◽

Long Term Follow Up

Most of melanomas of the gallbladder are metastatic lesions of cutaneous melanoma. Primary melanomas of the gallbladder are described as single, polypoid, intraluminal masses emanating from the mucous membrane. The most important characteristic is the absence of melanoma damage to the skin. If it is not possible to localize primary melanoma a multidisciplinary approach to diagnostic search comes to the fore. Predicting for primary melanoma of the gallbladder is a difficult task due to the small number of cases and the absence of long-term follow-up for this category of patients.

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Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01441-x ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Zai-Qiang Zhang ◽

Jia-Wang Ding

Keyword(s):

Case Report ◽

Atrial Septal Defect ◽

Septal Defect ◽

Emergency Operation ◽

Atrial Wall ◽

Aortic Sinus ◽

Case Presentation ◽

Lethal Complications ◽

Life Threatening

Abstract Background While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it’s life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976. Case presentation We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition. Conclusions With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.

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Fibromuscular dysplasia with recurrence after “long-term” following percutaneous transcatheter renal angioplasty: two case reports with a review of 26 patients

BMC Nephrology ◽

10.1186/s12882-021-02342-w ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Shuntaro Oribe ◽

Takafumi Toyohara ◽

Eikan Mishima ◽

Takehiro Suzuki ◽

Koichi Kikuchi ◽

...

Keyword(s):

Fibromuscular Dysplasia ◽

Age Of Onset ◽

Case Reports ◽

Case Presentation ◽

Renal Angioplasty ◽

Long Term Follow Up ◽

Percutaneous Transluminal Renal Angioplasty ◽

The Difference

Abstract Background Fibromuscular dysplasia (FMD) often causes renal artery stenosis with renovascular hypertension. Recent clinical outcomes encourage percutaneous transluminal renal angioplasty (PTRA) to treat FMD; however, the necessary follow-up period remains unclear. Moreover, previous studies have not revealed the difference in the period until recurrence between two major types of FMD—multifocal and focal. Case presentation We describe two patients with multifocal FMD who developed hypertension during their teenage years and had recurrence of FMD > 10 years after PTRA. We further examined the types of FMD and age of onset in 26 patients who underwent PTRA. The period until recurrence of multifocal FMD was longer than that of focal FMD. Moreover, patients with early-onset multifocal FMD are likely to have a delayed recurrence after PTRA compared to other types. Conclusions Our report suggests that patients with multifocal FMD, especially those with onset at an early age, may need long-term follow-up for at least ≥ 10 years.

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