Orbit
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To report a case of a patient with periorbital necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus (MRSA). ⋯ Monomicrobial MRSA should be considered in the etiology of periorbital necrotizing fasciitis. Early diagnosis and prompt surgical and medical therapy are essential in the management of periorbital necrotizing fasciitis.
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Eyebrows can be damaged in facial burns, trauma, skin cancer, herpes zoster and other conditions. Some of these patients will demand eyebrow reconstruction surgery. ⋯ In an attempt to make free graft reconstructions faster and easier, we modified the technique. We describe an easy way of obtaining a template that simplifies the procedure and enhances symmetry.
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Group C Streptococcus is a well recognised pathogen in acute pharyngitis and sinusitis. To our knowledge group c streptococcus has not been reported to cause orbital cellulitis or subperiosteal abscess. We wish to report a case of a child with orbital subperiosteal abscess caused by Group C streptococcus.
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Randomized Controlled Trial Comparative Study
A randomised controlled trial to compare patient satisfaction with two different types of local anaesthesia in ptosis surgery.
Ptosis surgery is performed under local anaesthetic to allow intra-operative assessment of lid positioning. Most commonly the anaesthetic is administered as a subcutaneous infiltration at the surgical site. Ptosis surgery using a regional nerve block has also been described, with reported advantages for minimising levator paralysis and disruption of the surgical landmarks. This study was designed to compare patient satisfaction with the two techniques of local anaesthetic administration. ⋯ This randomised controlled trial found regional nerve blocks to be associated with equal levels of patient satisfaction as the more standard technique of diffuse infiltration of local anaesthetic along the upper eyelid. This result supports the use of regional nerve blocks as a valid alternative for anaesthesia in ptosis surgery.
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Surgical approaches are becoming increasingly minimally invasive, without compromising either safety or ease. Penetrating ocular foreign bodies has traditionally been approached either by intraocular or supraorbital access. We successfully attempted a minimally invasive approach to remove a retrobulbar foreign body under computer-assisted image guidance in a 19-year-old man involved in an industrial mishap.