Gas gangrene, though relatively common in the extremities is a relatively rare affliction of the head and neck. However, they warrant prompt recognition and immediate treatment because of their potential risk of rapid spread to the deep neck spaces, thrombophlebitis, mediastinitis and cardiac tampanode. They have been classified based on the causative organism as non clostridial and those due to clostridial perfringens anaerobic gram positive bacilli. Herein we report a case of gas gangrene of the neck and mediastinum in a poorly managed Type II diabetic with concomitant odontogenic infection. Despite the burden of co-morbidities and the gravity of the illness, the patient was successfully treated and remained free of complications in the long term.
Orbital fractures are common in facial trauma, with an incidence from 18% to 50% of all craniomaxillofacial traumas. Posttraumatic orbital reconstruction has been a challenge for decades in craniomaxillofacial surgery. Complications like enophthalmos, diplopia, and soft tissue deformities are common when orbital trauma occurs, affecting people's daily life as well as their appearance. Advances in technology and research have provided us with a variety of filling materials that we can choose from to handle the bony and soft tissue deformities. Soft tissue augmentation following correction of the orbital volume is important to provide an overall satisfactory treatment. However, the best type of material for the repair of orbital deformities is a controversy and remains a dilemma. In this report, we have used dermis fat graft as a soft tissue filler following orbital trauma, to improve cosmetic and achieve adequate volume enhancement.
Neurosensory evaluation is performed to determine the degree of sensory disturbance, monitor sensory recovery, and decide whether or not surgical intervention is indicated. 3 Clinical neurosensory testing is generally divided into 2 basic categories based on the specific
Multiple neurofibromatosis (NF) or von Recklinghausen's disease is an autosomal dominant disorder affecting the growth of neural tissues, caused due to the mutation of the gene located at 17q11.2 chromosome, known as neurofibromatosis type I (NF1) gene. The gene product neurofibromin serves as a tumor suppressor; hence, decreased production of this protein results in a myriad of clinical features, which include café au lait spots, multiple skin tumors, axillary and inguinal freckling, optic glioma, and Lisch nodules (pigmented hamartomas of the iris). Besides the functional troubles, it is an esthetically devastating disease. Like other genetic diseases, it has no definitive treatment and surgical corrections have a bleak prospect in improving cosmesis and only help in creating a lesser monster.In this article, we discuss the etiopathogenesis, clinical features, and the intricacy of the surgical management of the craniofacial involvement of von Recklinghausen's disease along with two case reports.
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