Delayed contralateral traumatic carotid cavernous fistula after craniomaxillofacial fractures

A carotid-cavernous sinus fistula is a rare condition in which an abnormal communication exists between the internal or external carotid artery and the cavernous sinus. It typically occurs within a few weeks after craniomaxillofacial trauma. In most cases, the carotid-cavernous sinus fistula occurs on the same side as the craniomaxillofacial fracture. We report a case of delayed carotidcavernous sinus fistula that developed symptoms 7 months after the craniomaxillofacial fracture. The fistula developed on the side opposite to that of the craniomaxillofacial fracture. Based on our experience with this case, we recommend a long follow-up period of 7–8 months after the occurrence of a craniomaxillofacial fracture. We also recommend that the follow-up should include consideration of the side contralateral to the injury.

Skeletal cavernous hemangiomas of the frontal bone with orbital roof and rim involvement

Skeletal cavernous hemangiomas are rare, benign tumors that may involve the supraorbital rim and orbital roof. However, such involvement is extremely rare. We report a case of skeletal cavernous hemangioma of the frontal bone involving the orbital roof and rim. En bloc excision and reconstruction, using a calvarial bone graft for the orbital roof and rim defect, was performed. It is important not only to perform total excision of skeletal cavernous hemangiomas, but to properly reconstruct the defects after the total excision since several complications can arise from an orbital roof and rim defect.

Feature Analysis of Burn Patients in Korea Using National Health Insurance Database

PURPOSE: Investigating epidemiological features of burn victims from a national frame has not been attempted recently. METHODS: South Korean National Health Insurance System (NHIS) provides a vast array of feature data on common diseases. A database search from January 2013 to December 2017 was undertaken with disease codes related to burn injuries and burn dressing procedures. After data cleaning, feature analysis was done with final dataset of 1,800 records. RESULTS: Demographic analysis showed gender preference to woman by 6:4. Age distribution showed bimodal peaks at 0~9 years and 40~60 years. Burns to the lower extremity seemed to increase with burn depth. Marked decrease in duration of hospitalization for first- and second-degree burns were noted over five years. CONCLUSION: Incidence to age analysis showed bimodal peaks in pediatric (age 0~9) and middle-aged (age 40~60) individuals. A decreasing trend towards shorter hospitalization is noted in mild to moderate burns. Further attention is needed to prevent third-degree burns to the elderly.