Binder syndrome (BS) is an uncommon congenital disorder affecting the face. The condition, which also goes by the names naso-maxillary hypoplasia (NMH) and maxilla-facial dysplasia (MFD), causes the central face to develop inward and may also affect the upper jaw and the nose. A 19-year-old male with a known case of BS presented with a complaint of poor esthetics since birth. Previously, the patient was admitted to a private hospital where he was operated on for cleft lip and palate in the years 2003 and 2005. In 2017, he visited the dental clinic where the orthodontic treatment started for poor esthetics, and then he was referred to the oral surgery ward for surgical intervention. For about five years, he has been undergoing orthodontic treatment. A physical examination of the oral cavity was done and the physician suggested a CT scan of the brain. Recently, the patient underwent bilateral Le Fort II osteotomy with distraction osteogenesis under general anesthesia which repaired the patient's esthetics.
Monkeypox is a zoonotic infection that causes painful or pruritic dermatologic lesions on the face, trunk, limbs, genitals, and mucosal surfaces. Monkeypox cases increased exponentially in 2022, prompting the World Health Organization and the United States Department of Health and Human Services to proclaim it a public health emergency. The role of community health nurses towards monkeypox prevention and control in transmission. We searched various databases like World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), American Nurses Association (ANA), EMBASE, Web of Science, CINAHL, PubMed, and Cochrane databases were comprehensively searched. This review article focuses on the monkeypox pandemic, the transmission of the infection, vaccination and the role of healthcare workers. The healthcare role is crucial in preventing and promoting the monkeypox pandemic. These results can be consolidated when policymakers plan to increase the implementation of the healthcare worker in the face of monkeypox and future global threats.
Children with recurrent ependymoma have a poor prognosis. Reirradiation has been proposed as an effective treatment for relapsed ependymoma. In this report, we present the case of a 14-year-old male child with a World Health Organization (WHO) grade III relapse ependymoma, emphasizing the imaging feature that helps differentiate the relapse ependymoma, which is a rarer condition in children. Being able to determine this tumor by its imaging appearance is important to risk stratify patient management decisions. The survival rate of ependymoma is usually five years, but in this case, we present a 14-year-old male child alive with reirradiation and chemotherapy management. The prognosis of the patient after undergoing treatment was good.
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