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Orbital Region (orbital + region)

Distribution by Scientific Domains

Medical Sciences	60%

Selected Abstracts

Treatment of Idiopathic Cutaneous Hyperchromia of the Orbital Region (ICHOR) with Intense Pulsed Light

DERMATOLOGIC SURGERY, Issue 6 2006
NATALIA CYMROT CYMBALISTA MD
BACKGROUND Idiopathic cutaneous hyperchromia of the orbital region (ICHOR) does not have a clear etiopathogenesis. Genetic factors, increased melanin, prominent vasculature, and eyelid skin slackness seem to be involved. OBJECTIVE To evaluate individuals with ICHOR clinically and histologically, before and after treatment with high-energy pulsed light (HEPL), considering epidermal and dermal melanin, in order to evaluate HEPL efficacy in clearing away ICHOR, and 1 month and 1 year later to check whether improvement was maintained. METHODS Twelve individuals with ICHOR underwent clinical and histological evaluation before and after HEPL application, with photographic comparison. They underwent one to four HEPL sessions on the lower eyelid at approximately 30-day intervals. Melanin quantification by area, before and after treatment was performed by digital image morphometry. RESULTS Eyelid skin was significantly lightened (p=.24), and was maintained 1 year later with no ICHOR reincidence. All individuals (100%) showed postinflammatory hyperchromia (average 6-month duration), while 58.33% presented hypochromia (7-month duration). There was significantly decreased epidermal and dermal melanin after treatment. CONCLUSION HEPL was shown to be useful in clearing up ICHOR. This was maintained after 1 year. Epidermal and dermal histopathology showed decreased melanin following treatment. Longer follow-up is needed to evaluate possible later recurrence of ICHOR. [source]

A new specimen of Baphetes from Ný,any, Czech Republic and the intrinsic relationships of the Baphetidae

ACTA ZOOLOGICA, Issue 2009
Angela C. Milner
Abstract ,Loxomma'bohemicum from the Upper Carboniferous assemblage from Ný,any, Czech Republic, is a nomen dubium restricted to the type and only specimen. The new binomen Baphetes orientalis is created for a skull referred to Baphetes bohemicus by later authors. A previously undescribed baphetid specimen from Ný,any is referred to B. orientalis despite differences in skull proportions. It comprises a skull in dorsal aspect, mandibles and some associated postcranial elements. The skull possesses sclerotic ring elements within the orbital region of the dorsal fenestration of the skull, confirming the eye location. The elongate gastralia are arranged perpendicular to the interclavicle edge in contrast to the condition in temnospondyls and colosteids. Cladistic analysis of 24 characters of 11 baphetoids was carried out using Acanthostega and Crassigyrinus as outgroups. Eucritta was the most primitive baphetoid, with Spathicephalus being the sister-taxon to the remaining taxa, justifying a monotypic Spathicephalidae as a sister-taxon to the Baphetidae. The Baphetidae are divided into a subfamily Baphetinae nom.nov. containing two Baphetes species; and a subfamily Loxommatinae with Loxomma as a paraphyletic grade leading to a Megalocephalus +Kyrinion clade. The Linton taxon ,Baphetes' lintonensis is transferred to the genus Loxomma to give the new combination Loxomma lintonensis. [source]

Cluster headache: aetiology, diagnosis and management.

HEADACHE, Issue 3 2003
K Ekbom
Drugs. 2002;62(1):61-69 Cluster headache is characterised by repeated attacks of strictly unilateral pain in the orbital region associated with local autonomic symptoms or signs. The attacks are brief but of a very severe, almost excruciating intensity. For unknown reasons males are affected more often than females. Recent studies suggest that an autosomal dominant gene has a role in some families with cluster headache. Hormonal studies indicate a dysfunction in the central nervous system. Neuroimaging has revealed primary defects in the hypothalamic grey matter. Local homolateral dilatation in the intracranial segment of the internal carotid and ophthalmic arteries during attacks is the result of a generic neurovascular activation, probably mediated by trigeminal parasympathetic reflexes. Sumatriptan 6mg subcutaneously is the drug of choice in the treatment of acute attacks. Inhalation of 100% oxygen can also be recommended. In the prophylactic treatment, verapamil is the first option. Other drugs that can be considered are corticosteroids, which may induce a remission of frequent, severe attacks, and lithium. Oral ergotamine tartrate may be sufficient for patients with night attacks and/or short, rather mild to moderately severe cluster headache periods. Third line drugs are serotonin inhibitors (methysergide and pizotifen) and valproic acid. Patients should be encouraged to keep headache diaries and be carefully instructed about the nature and treatment of the headaches. Alcohol can bring on extra attacks and should not be consumed during active periods of cluster headache. Comment: A useful review of clinical options. Given the effectiveness of injectable sumatriptan and the prophylactic use of ergotamine mentioned, one might speculate that the new intranasal formulations of triptans (eg, zolmitriptan) and triptans with a longer half-life (eg, frovatriptan) may prove to be effective in the treatment of cluster headache. DSM [source]

The Placement of the Human Eyeball and Canthi in Craniofacial Identification

JOURNAL OF FORENSIC SCIENCES, Issue 3 2008
Carl N. Stephan Ph.D.
Abstract:, An accurate understanding of the spatial relationships between the deep and superficial structures of the head is essential for anthropological methods concerned with the comparison of faces to skulls (superimposition) or the prediction of faces from them (facial approximation). However, differences of opinion exist concerning: (i) the position of the eyeball in planes other than the anteroposterior plane and (ii) the canthi positions relative to the bony orbital margins. This study attempts to clarify the above relationships by dissection of a small sample of adult human cadavers (N = 4, mean age = 83 years, s = 12 years). The most notable finding was that the eyeballs were not centrally positioned within the orbits as the more recent craniofacial identification literature expounds. Rather, the eyeballs were consistently positioned closer to the orbital roof and lateral orbital wall (by 1,2 mm on average); a finding consistent with the earlier anatomical literature. While these estimation errors are small ipsilaterally, several factors make them meaningful: (i) the orbital region is heavily used for facial recognition; (ii) the width error is doubled because the eyes are bilateral structures; (iii) the eyes are sometimes used to predict/assess other soft tissue facial structures; and (iv) the net error in facial approximation rapidly accumulates with the subsequent prediction of each independent facial feature. While the small sample size of this study limits conclusive generalizations, the new data presented here nonetheless have immediate application to craniofacial identification practice because the results are evidence based. In contrast, metric data have never been published to support the use of the central positioning guideline. Clearly, this study warrants further quantification of the eyeball position in larger samples and preferably of younger individuals. [source]