1/4. Frontobasilar blast injuries: access and treatment.blast injuries involving the frontobasilar region and orbit can present difficult evaluation and treatment challenges. This article presents the surgical treatment of four patients presenting with blast-type injuries involving the central periorbital region and anterior skull base. Three of these were the result of close-range gunshot wounds, and one was caused by an avulsive penetrating tree branch injury during a motor vehicle accident. All four patients underwent frontal craniotomy for exposure to repair significant intracranial injuries. Following intracranial repair of dural and brain injuries, anterior cranial fossa reconstruction was performed. In two of these patients, elective supraorbital osteotomies were performed to allow improved access to the posterior aspect of the anterior skull base. The healing period of all four patients has been without complications relative to the anterior fossa injuries.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
2/4. Rapid molecular diagnosis of posttraumatic keratitis and endophthalmitis caused by alternaria infectoria.The first case of alternaria infectoria ocular infection is reported. keratitis and endophthalmitis developed after eye-perforating trauma from a lemon tree branch. Two months after surgery and empirical steroid and antibiotic treatment, diagnosis by molecular methods was performed. PCR amplification was positive for a fungus after 4 h. Antifungal treatment with amphotericin b and fluconazole was initiated immediately. dna sequence analysis showed alternaria infectoria to be the causal agent. After topical and systemic administration of antifungal treatment, ocular inflammation disappeared and visual acuity improved. dna typing was found to be a useful tool to achieve early identification of the causal agent.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
3/4. Five liability claims involving the cornea and how they could have been prevented.Five recent professional liability claims involving the cornea are reviewed, arising from five unusual conditions: fungal infection following corneal abrasion with a tree branch; herpes simplex-induced neurotrophic keratitis resulting from contact lens wear; corneal necrotization caused by lime particulate matter splashed into the eye; siderosis-related retinal detachment secondary to a penetrating iron foreign body; and fluctuating acuity, halos, and flare resulting from radial keratotomy. Emphasis is on how these claims might have been avoided.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
4/4. Wooden foreign particles in the orbit--spontaneous recovery.A six-year-old boy consulted an ophthalmologist, because another boy had hit his right eye with a tree branch. There were slight corneal erosions, and a superficial small wound in the oedematous upper lid. The erosions healed in 2 days, but the lid showed progressive ptosis and oedema. Computed tomography revealed a hyperdense, tight structure, which was suspected to be a foreign particle. An orbital exploration was made three times, but the foreign body was not found. After prolonged suppuration, two wooden particles appeared spontaneously 4 and 5.5 months after the trauma. After that, the suppuration subsided and the wound healed.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |