background: streptococcus pneumoniae (s. pneumoniae) is a gram-positive pathogen bacteria which causes a variety of diseases, including otitis media, bacteremia, and meningitis. cases report : a 19-year-old man with paroxysm was admitted to emergency department of hospital. he was diagnosed with s. pneumoniae meningitis on the basis of an analysis of the cerebrospinal fluid and blood culture. c...

Six patients with blowout fractures of the orbital floor, not associated with infraorbital rim fractures, are presented. Diplopia, infraorbital anesthesia and enophthalmos following blunt trauma to the eye should alert the examiner to the possibility of a blowout fracture with incarceration of extraocular tissues. Early roentgenographic examinations are often difficult to evaluate because of pe...

PURPOSE This study assessed the association between eye symptoms (enophthalmos or diplopia) and site of damage, volume, deviated inferior rectus muscle (IRM) and type of fracture with computed tomography (CT). The intent is to anticipate the prognosis of orbital trauma at initial diagnosis. METHODS Forty-five patients were diagnosed with fractures of the inferior wall of one orbit. Fracture a...

The AOCMF Classification Group developed a hierarchical three-level craniomaxillofacial classification system with increasing level of complexity and details. Within the midface (level 1 code 92), the level 2 system describes the location of the fractures within defined regions in the central and lateral midface including the internal orbit. This tutorial outlines the level 3 detailed classific...

PURPOSE To examine the type of orbital blowout fracture and its variation with race. DESIGN Retrospective review of computed tomography (CT) scans and demography in an unselected cohort of patients with orbital blowout fractures. PARTICIPANTS Patients with a high-resolution CT scan of adequate quality for analysis who presented with an orbital blowout fracture to the Orbital Clinic at Moorf...

The present study describes clinical manifestation, histopathologic findings and differential diagnosis of a first-reported case of giant chondroid syringoma (CS) of the upper nasal orbital rim. A 35-yr-old man with cranial palsy (CP) and a tumor of 3×3×4 cm in the upper nasal orbital rim of the left eye was referred to the eye clinic. The tumor was reported to have developed gradually over the...

OBJECTIVES To introduce the surgical technique of 1-point fixation at the zygomaticomaxillary buttress (ZMB) and to verify its effectiveness using 3-dimensional computed tomography (3D CT). DESIGN Case series with chart review. SETTING Academic tertiary care medical center. PATIENTS AND METHODS The study included 29 patients who underwent 1-point fixation at the ZMB for zygomaticomaxillar...