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  1. Fulltext Severe Orbital Myiasis Caused by Chrysomya bezziana: A Case Report
    Ng YS, Gan YK, Tupang L
    Turk J Ophthalmol, 2021 Feb 25;51(1):62-65.
    PMID: 33631919 DOI: 10.4274/tjo.galenos.2020.00225
    An 88-year-old woman was brought to the hospital immediately after her neighbours noticed that she was bleeding from her right eye. On examination, her right eye was phthisic with maggot infestation of her right orbit. Over a hundred live maggots were extracted using forceps. Computed tomography scan revealed the infestation was confined to the right orbit. The patient underwent exenteration of the right orbit under general anaesthesia. The species was identified by an entomologist as Chrysomya bezziana, which has aggressive larvae that eat living tissue. This case report demonstrates that orbital myiasis caused by C. bezziana poses a very real risk of intracranial invasion as they feed on living tissues. Adjacent tissue destruction can be very rapid and definitive treatment involves urgent removal of its larvae via surgical debridement. To our knowledge, we are reporting the first case of orbital myiasis from a patient in Malaysia. Therefore, our case report may be helpful in the management of similar case of orbital myiasis.
    Matched MeSH terms: Orbit
  2. Fulltext A Taphonomic Study of Crocodylus porosus (Crocodylidae) and Tomistoma schlegelii (Gavialidae) Remains from Western Sarawak, Malaysian Borneo: Applications for Public Education
    Ruhana Hassan, Nur Fatimah Mohd Azizi, Muhammad Amirul Arib Md Adzhar, Mohd Izwan Zulaini Abdul Gani, Rambli Ahmad, Charles Leh Moi Ung
    Trends in Undergraduate Research, 2018;1(1):0-0.
    MyJurnal
    This study documented details of the dentitions, skulls and other skeletal remains of Crocodylus porosus and Tomistoma schlegelii, from western part of Sarawak, Malaysian Borneo. The remains of both reptiles were exhumed, followed by standard cleaning procedures and then detail morphological assessments were carried out accordingly. Both species show similar structure of vertebral columns, but T. schlegelii has the following unique structures: a long and narrower snout, D-shaped eye sockets, long and sharp pointed protruding quadratojugal bones, straight maxillae and dentary, a smooth surfaced skull, elongated triangular suborbital fenestrae, round shaped internal nares and visible supraoccipital from a dorsal view. C. porosus has heterodont dentition with blunt-pointed and irregular size of teeth whereas T. schlegelii has almost homodont dentition with sharp and similar size teeth. This is the first collection of teeth, skulls and other skeletal remains of both species obtained from Sarawak, and the materials have been used regularly to educate the public through science exhibitions, hoping they will spark the interests of young budding scientists to be involved in wildlife taphonomic studies in the future.
    Matched MeSH terms: Orbit
  3. Fulltext Posterior intraorbital metallic foreign body: a case discussion
    Vinodh VP, Sellamuthu P, Harun RH, Zenian MS
    Med J Malaysia, 2014 Apr;69(2):89-91.
    PMID: 25241819 MyJurnal
    Intraorbital foreign body (IOFB) has been a rare phenomenon in the cases of gunshot wounds and always represents a dilemma in medical management. In Sabah, this scenario is becoming common as there is still certain population in the interiors who owns self made guns for hunting. They either present with self inflicted gunshot injuries or after being mistakenly shot while hunting. There are very few articles on this topic especially when it is located posteriorly in the orbit and occurs without visual impairment. This case reports the challenges faced in the management of the patient with a posteriorly located metallic IOFB. The appropriate management of the patient is discussed based on several international literatures. Author describes a 37 years old male farmer, who was referred from a nearby district hospital after he sustained gunshot injuries to his face and scalp. Urgent computed tomography (CT) scan showed that bullet pellets were at the left orbital floor, the left mandible and the left frontal bone. All bullet pellets were located extracranially only without intracranial involvement. Patient clinically does not have any neurologic deficit and without any visual impairment, thus he refused any surgical intervention. As there is no proper guideline in managing such cases, decision was made based on evidences from international literatures. It was concluded that metallic IOFB located in the posterior orbit may be conservatively managed with observation and regular follow-ups as they are well-tolerated and does not cause much impact on visual deterioration unless inflammation, infection, optic neuropathy or functional deficit occurs. This avoids unnecessary surgery and prevents risk of iatrogenic injury to the eye.
    Matched MeSH terms: Orbit; Orbital Diseases
  4. Fulltext Langerhans cell histiocytosis of maxillary sinus
    Azreen AB, Kwan CY, Prepagaren N
    Med J Malaysia, 2012 Dec;67(6):627-8.
    PMID: 23770962 MyJurnal
    Langerhan cell histiocytosis is a rare disease and usually occurs in paediatric age group. This disease may involve single or multiple organs system and has an unpredictable course of disease. The involvement of head and neck region are almost 90% of cases, however maxillary sinus involvement is very rare. We report a case of 2 year old boy presented with multi organ LCH (orbit, skull, sinus and liver). The mainstay treatment for this high risk multi organ LCH group is chemotherapy. Unfortunately, although with the advancement of treatment, their mortality rate is still high.
    Matched MeSH terms: Orbit
  5. Fulltext An unusual entry site of an intraorbital foreign body in a child
    Mallika PS, Chong YJ, Tan AK, Tang IP, Aziz S, Lee HK
    Med J Malaysia, 2011 Oct;66(4):361-2.
    PMID: 22299559 MyJurnal
    Intraorbital foreign bodies (IOrbFB) are associated with both sight and life threatening injuries. We report a case of an IOrbFB associated with retrobulbar hemorrhage and injury of the frontal sinus in an 11 year-old boy, after history of fall from the tree. Imaging studies revealed a metallic foreign body (FB) in the orbit and fracture of the walls of the frontal sinus. The usual entry route of an IOrbFB is either through the eye or orbital walls and extremely rare through the paranasal sinuses. This is the first reported case of a FB entering the orbit through the frontal sinus.
    Matched MeSH terms: Orbit/injuries*
  6. Fulltext Ocular injuries and severe ocular surface diseases in Malaysia
    Tan AK, Pall S
    Med J Malaysia, 2011 Oct;66(4):284-5.
    PMID: 22299542 MyJurnal
    Matched MeSH terms: Orbit/injuries*
  7. Fulltext Endoscopic orbital decompression for Graves' ophthalmopathy
    Tang IP, Prepageran N, Shashinder S
    Med J Malaysia, 2008 Mar;63(1):67-8.
    PMID: 18935740
    We report a male patient of Graves' Disease with bilateral exophthalmos who had undergone bilateral transnasal endoscopic orbital decompression with subsequent improvement of 3 mm in orbital proptosis bilaterally without any complications. Transnasal endoscopic orbital decompression is recommended as an alternative to traditional decompression techniques especially for purely cosmetic reasons.
    Matched MeSH terms: Orbit
  8. Fulltext Unilateral superior ophthalmic vein thrombosis in a user of oral contraceptives
    Jaais F, Habib ZA
    Med J Malaysia, 1994 Dec;49(4):416-8.
    PMID: 7674980
    A patient on oral contraceptives over several years developed unilateral proptosis, haemorrhagic retinopathy and increase in intraocular pressure. An orbital vein venogram confirmed the diagnosis of right superior ophthalmic vein thrombosis. There was complete resolution of thrombosis and eye signs and symptoms with discontinuation of the oral contraceptive.
    Matched MeSH terms: Orbit/blood supply*
  9. Non-syndromic craniosynostosis treated by frontal orbital advancement: A case report
    Khoo KW, Arman Zaharil MS, Mohd Ali MZ
    Med J Malaysia, 2018 12;73(6):423-424.
    PMID: 30647221
    Craniosynostosis is a premature pathologic fusion of one or more cranial vault sutures leading to abnormally-shaped skull. It can occur in isolated event (non-syndromic), or it can occur in conjunction with other anomalies in welldefined patterns (syndromic). The diagnosis rests on clinical examination and confirmation is generally on the computed tomography scan. The need for surgery is both for cosmetic and functional reasons. Here we describe a case of nonsyndromic craniosynostosis that was treated with frontal orbital advancement (FOA). The potential benefits of FOA need to be carefully weighed against the potential complications when deciding for any surgical intervention.
    Matched MeSH terms: Orbit/surgery*
  10. Fulltext Dental infection presenting with ipsilateral parapharyngeal abscess and contralateral orbital cellulitis - a case report
    Embong Z, Ismail S, Thanaraj A, Hussein A
    Malays J Med Sci, 2007 Jul;14(2):62-6.
    PMID: 22993494 MyJurnal
    A 43 year-old man presented with pain on the right tooth for three days duration. Computed tomography showed left orbital cellulitis and right parapharyngeal abscess. There was also evidence suggestive of a dental abscess over right upper alveolar region. Magnetic resonance imaging revealed left superior ophthalmic vein thrombosis. Emergency drainage of the right parapharyngeal abscess was performed. Right maxillary molar extraction revealed periapical abscess. Left eye proptosis markedly reduced after initiating heparin.
    Matched MeSH terms: Orbit; Orbital Cellulitis
  11. Frontoethmoidal encephalocele: treatment and outcome
    Arshad AR, Selvapragasam T
    J Craniofac Surg, 2008 Jan;19(1):175-83.
    PMID: 18216685 DOI: 10.1097/scs.0b013e3181534a77
    This is a study on 124 patients who were treated by the authors over a 19-year period. There were 48 male and 76 female patients. The age range of these patients at the time of treatment was between 4 months and 32 years. There was no family history of similar deformity. All of these patients come from a socially low-income group. Fourteen patients had accompanying congenital amputation of fingers, toes, or limbs. Two had oral cleft lip and palate. The surgical treatment was medial orbital wall osteotomy and excision of encephalocele. There were two mortalities and five patients who had complications that needed secondary surgical intervention. Thirty-eight patients are still under follow up without any complaints.
    Matched MeSH terms: Orbit/surgery
  12. Photogrammetric Analysis of Eyebrow and Eyelid Dimensions in Indian American Adults
    Sadacharan CM, Packirisamy V
    J Craniofac Surg, 2020 Jul 14.
    PMID: 32675767 DOI: 10.1097/SCS.0000000000006757
    In cosmetic surgery, knowledge of the average dimensions of periorbital features based on gender and ethnicity is essential to improve the patient appearance and maintain the ethnicity. The aim the study was to establish gender-specific periorbital anthropometric and anthroposcopic data for Indian Americans (IA) and to assess the statistically ethnic differences by comparing with published data of Malaysian Indians (MI). Evaluation of periorbital features was done on the standardized frontal photographs of 400 IA, aged 18 to 26 years. The measured values were evaluated by an independent t-test. Sexual dimorphism was found in all 15 measurements. The eyebrow height, combined height of the orbit and eyebrow, eyebrow apex inclination, apex to lateral canthus distance, medial end of brow to medial canthus distance, lateral end of brow to lateral canthus distance; pretarsal skin height, palpebral fissure height, palpebral fissure inclination (PFI), and medial canthus tilt were significantly greater in female than the males. In males, eyebrow apex hairline distance, apex to lateral limbus distance, eyebrow apex angle (EAA), lower eyelid height, and interpupillary distance was significantly greater than the females. Significant ethnic difference was found between IA and MI for eyebrow height, apex to lateral limbus distance, EAA, palpebral fissure height, and PFI in male group. In female group, EAA, medial canthus tilt, and PFI were significantly greater in MI. Four types of epicanthus were observed and the brow apex between lateral limbus and lateral canthus was the most common position. The generated normative data may be useful during diagnosis and treatment planning.
    Matched MeSH terms: Orbit
  13. Orbital Morphometry: A Computed Tomography Analysis
    Singh J, Rahman RA, Rajion ZA, Abdullah J, Mohamad I
    J Craniofac Surg, 2017 Jan;28(1):e64-e70.
    PMID: 27922969 DOI: 10.1097/SCS.0000000000003218
    INTRODUCTION: The human orbit is a complex anatomic region, which plays predominant role in the evaluation of craniofacial complex. A thorough understanding of the relationship of the distance from orbital rim to the important vital structures of the orbital apex is required for the surgeon to perform safe and effective surgery.

    OBJECTIVES: To evaluate and compare the depth and distances from various points of the orbital rim to the fissures and foramina of the orbital apex between genders in the local population.

    METHODOLOGY: Linear measurements were conducted on 60 orbits from 30 patients who had undergone head computed tomography scan. These measurements were done utilizing the multiplanar reconstruction modes on computed tomography images with minimum slice thickness of 1 mm.

    RESULTS: Males have statistically significant larger orbits than females with higher mean measurements in all parameters, except for the distance from posterior ethmoidal foramen to the optic canal which was the same. However, there were no significant differences in all parameters between the right and left orbits.

    CONCLUSION: This study provides the absolute limit of safe internal orbital dissection in respect to the local population. Despite males having larger orbits than females, it is clinically negligible.

    Matched MeSH terms: Orbit/anatomy & histology*
  14. Three-dimensional quantitative evaluation of facial morphology in adults with unilateral cleft lip and palate, and patients without clefts
    Othman SA, Ahmad R, Asi SM, Ismail NH, Rahman ZA
    Br J Oral Maxillofac Surg, 2014 Mar;52(3):208-13.
    PMID: 24342372 DOI: 10.1016/j.bjoms.2013.11.008
    The aims of this study were to assess the quantitative values of measurements using proportion indices in the craniofacial region in patients with repaired, non-syndromic, complete unilateral cleft lip and palate (UCLP), and compare them with a control group who did not have clefts using the non-invasive systems of 3-dimensional technology. Three-dimensional measurements of the facial surfaces of 15 Malay patients who had UCLP repaired and 100 Malay control patients aged 18-25 years were analysed. The 3-dimensional images of the respondents' faces were captured using the VECTRA-3D Stereophotogrammetry System. Eleven craniofacial proportions were assessed using a combination of 18 linear measurements obtained from 21 anthropometric soft tissue landmarks. These measurements were used to produce proportion indices to find the differences in the morphological features between the groups, and assessed using the independent sample t test and z scores. There were significant differences between the groups in 7 out of 11 craniofacial proportion indices (p=0.001-0.044). Z scores of 2 indices were disproportionate. They were nasal index (which was severely supernormal) and upper lip index (which was moderately supernormal). Patients with UCLP had higher mean z scores, indicating that patients with UCLP tended to have larger faces than the control group. There were clinically important differences mainly in the nasolabial area, where the nose and the upper lip were wider, larger, or flatter in patients with UCLP.
    Matched MeSH terms: Orbit/pathology
  15. Orbital fractures in children: 10 years' experience from a tertiary centre
    Sirichai P, Anderson PJ
    Br J Oral Maxillofac Surg, 2015 Dec;53(10):938-42.
    PMID: 26130591 DOI: 10.1016/j.bjoms.2015.06.007
    Our aim was to examine the relations between type and site of the fracture, age of the patient, and the management and outcomes, among children diagnosed with orbital fractures at the Women's and Children's Hospital, Adelaide, during a 10-year period from 1 January 2003 to 31 December 2012. The records of 41 children whose ages ranged from 8 months to 15 years were analysed. There was a male predominance (n=33). Two most common fractures were orbital floor and multiwalled fractures, with medial wall as the second most common site. The most common cause of injury was sport, more often with increasing age. In contrast, falls were more common among young children. Fractures of the orbital roof were more common among young children, all of ours being in children 10 years old or less. Lateral wall fractures were also more common among young children and declined in frequency with increasing age. In contrast, fractures of the orbital floor and medial wall can occur at any age, though those of the medial wall were more common among older children. As children grow their behaviour and activities change, and the mechanism by which they become injured also changes. Growth and development of the craniofacial skeleton lead to differences in the patterns of fractures with age. Fractures of the orbital roof and lateral wall are more common among young children, while those of the orbital floor and medial wall can occur at any age.
    Matched MeSH terms: Orbit
  16. Fulltext Near-zero metamaterial inspired UHF antenna for nanosatellite communication system
    Alam T, Islam MT, Cho M
    Sci Rep, 2019 Mar 05;9(1):3441.
    PMID: 30837629 DOI: 10.1038/s41598-019-40207-3
    Epsilon-and-mu-near-zero (EMNZ) metamaterial structure inspired UHF antenna for nanosatellite has been proposed in this paper. The antenna consists of 3 × 2-unit cell array on the ground plane and a meander line radiating patch. Coaxial probe feeding technique has been obtained to excite the antenna. The meander line enables the antenna to resonate at lower UHF band and the metamaterial array is used to make the resonant frequency stable by reducing the coupling effect with metallic nanosatellite structure. The metamaterial structure exhibits EMNZ characteristics from 385 MHz to 488.5 MHz, which facilitates stable resonant frequency and higher antenna efficiency when embedded with nanosatellite structure. The proposed EMNZ inspired antenna has achieved measured impedance bandwidth (S11 orbit nanosatellite communications.
    Matched MeSH terms: Orbit
  17. Current and conductance modulation at elevated temperature in siliconand InAs-based spin field-effect transistors
    Osintsev D, Sverdlov V, Makarov A, Selberherr S
    Sains Malaysiana, 2013;42:205-211.
    Spin field-effect transistors (SpinFETs) are promising candidates for future integrated microelectronic circuits. A SpinFET is composed of two ferromagnetic contacts (source and drain), which sandwich a semiconductor channel. Current modulation is achieved by electrically tuning the gate voltage dependent strength of the spin-orbit interaction in the semiconductor region. We investigated the properties of SpinFETs for various parameters - the band mismatch, the barrier height between the contacts and the channel and the strength of the spin-orbit coupling, for various temperatures. We demonstrated that the creation of Schottky barriers between the channel and the contacts guarantees a pronounced modulation of the magnetoresistance sufficient to open a possibility to operate SpinFETs at room temperature. We also demonstrated that silicon fins with [100] orientation exhibit a stronger dependence on the value of the spin-orbit interaction and are thus preferable for practical realization of silicon-based SpinFETs.
    Matched MeSH terms: Orbit
  18. Insect succession associated with a hanging pig carcass placed in an oil palm plantation in Malaysia
    Heo CC, Sallehudin Sulaiman, Hidayatulfathi Othman, Baharudin Omar, Jeffery J, Kurahashi H
    Sains Malaysiana, 2010;39.
    This study was carried out in an oil palm plantation in Tanjung Sepat, Selangor in September 2007 by using pigs (Sus scrofa L.) as a carcass model in a forensic entomological research. A 2.5 month old pig (10 kg) which died naturally was hanged on a palm tree to observe the insect succession and decomposition stages. Observation was made for 16 days; one afternoon visit per day and all climatological data were recorded. On the first day, adult muscids of Ophyra spinigera Stein and Musca domestica L. were observed, however no blowfly (Calliphoridae) activities were sighted. Fly eggs wer seen on the second day on both sides of the face, inside nostrils and genitourinary area. Adults of Chrysomya megacephala Fabricius and Chrysomya rufifacies (Macquart) congregated on the head and anal areas. Adult flies and maggots (first and second instars) were observed in the mouth and anus of the pig on the third day of hanging. Adult yellow jackets (Vespidae) and spiders (Arachnida) were found preying on some adult flies. Rove beetles (Staphilinidae) were also discovered on the pig carcass. Only a few ants (Formicidae) were sighted. Maggot masses were found in eye orbits, neck, and genital organs on the fourth day of hanging and some maggots were seen falling down to the ground. The dominant maggot species identified on this day was Ch. megacephala. On the sixth day, the head, neck, and anus were in the stage of active decay. Maggots of Ch. rufifacies were abundant on the seventh day and was the dominant species. On day eight the carcass fell onto the ground. Chrysomya rufifacies maggots were found underneath the pig carcass and they started to migrate and pupated under the soil. On the tenth day, third instar Op. spinigera maggots were found under the carcass. The rate of carcass decomposition slowed down and became stable from tenth day onwards to the sixteenth day of decomposition. Thereafter, most of the remaining parts of the body remained dried and devoid of any insects.
    Matched MeSH terms: Orbit
  19. Fulltext Surface UV irradiance obtained by Ozone Monitoring Instrument (OMI) over Peninsular Malaysia
    Hisamuddin Shah, N.H., Lim, H.S., Mat Jafri, M.Z.
    Pertanika Journal of Science & Technology, 2011;19(3):125-129.
    MyJurnal
    Ultraviolet radiation is at shorter wavelengths than the visible spectrum (400 to 700 nm) and is divided into three components: UV-A (315 to 400 nm), UV-B (280 to 315 nm), and UV-C (less than 280 nm). Global increases in UV-B fluxes from decreasing stratospheric ozone amounts caused by anthropogenic chlorine releasing gases (mostly chlorofluorocarbons) have been a matter of public concern for the past 20 years. This surface UV irradiance data retrieved from Ozone Monitoring Instrument (OMI) from AURA spacecraft with the filename OMUVB. OMUVB contains surface UV irradiance data along with supplementary information generated using the OMI global mode measurements. In this mode each file contains the sunlit portion of a single orbit from pole-to-pole, with an approximately 2600 km wide swath composed of 60 ground pixels. The OMI measurements are used to estimate the ultraviolet (UV) radiation reaching the Earth’s surface. The product contains spectral irradiances at 305.1, 310.1, 324.1, and 380.1 nm corresponding to both the overpass time and the local solar noon. Using the correspondence latitude and longitude of Peninsular Malaysia, we can develop the pattern of distribution of UV irradiance interpolations using Sigma Plot and Adobe Photoshop.
    Matched MeSH terms: Orbit
  20. Proptosis--Correlation and Agreement between Hertel Exophthalmometry and Computed Tomography
    Ramli N, Kala S, Samsudin A, Rahmat K, Abidin ZZ
    Orbit, 2015;34(5):257-62.
    PMID: 26186249 DOI: 10.3109/01676830.2015.1057291
    To determine the correlation and agreement between Hertel exophthalmometry and computed tomography (CT) of the orbits in measuring proptosis.
    Matched MeSH terms: Orbit/radiography*
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