We describe an interesting case of a 57-year-old man who presented with a rare case of orbital tuberculosis masquerading as sarcoidosis. The varied presentation of orbital tuberculosis may only become evident once a tissue diagnosis is available. Therefore, the dilemma in diagnosis of this rare condition highlights the need for definitive diagnosis through tissue biopsy by a plastic surgeon.
Introduction: Children with single suture craniosynostosis (SSC) are at risk for neurocognitive problems. The reported magnitude of differences between children with SSC and their normative peers on standardized tests of academic and intellectual ability are small. Evaluation of real-world academic outcomes of these children and its impact on educational resources have not been conducted. Methods: A retrospective cohort study of academic outcomes of children with SSC was conducted using the data from Ontario's Education Quality and Accountability Office (EQAO) standardized provincial reading, writing and mathematics tests. The need for special education was identified by documentation of the child's need for an Identification, Placement, and Review Committee (IPRC). Results: Of 296 eligible children, 42 participated in the study. Half of the children had sagittal synostosis, while the remaining were 10 (24%) unicoronal, 9 (21%) metopic, and 2 (5%) lambdoid synostosis. Thirty-six (86%) underwent operative management. The EQAO scores of operated children with SSC met the provincial academic standards on the Grade 3 and 6 EQAO scores across the 3 academic subjects. Converted grade-matched EQAO scores decreased in reading and writing over time, while math improved. Of the 21 patients with special education data, one child required an IPRC in Grade 3, while an additional four (24%) required an IPRC in Grade 6. Conclusions: Operated children with SSC had average academic performance, however, their needs appeared to change over time. Future studies are needed to evaluate academic difficulties and special education needs as these children progress through grade school.
Breast augmentation surgery is the most common cosmetic surgery in the United States, and seroma is a known complication of breast augmentation. However, late seroma is a rare event and is most associated with textured implants. A 29-year-old woman with a remote history of breast implantation presented to the plastic surgery clinic for evaluation of a swollen breast, which began 24 h postpartum. Magnetic resonance imaging revealed peri-implant fluid maintained within the fibrous capsule. The patient was managed conservatively and the swelling self-resolved without recurrence. The authors report the first known case of a late seroma associated with pregnancy, occurring nine years postoperatively.
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