Frontalis suspension procedure using a Mersilene mesh sling was performed on 23 ptotic eyelids of 22 patients (age range 3 to 35 years) with poor or absent levator function. The surgical technique used was a modified Fox's method. The mean palpebral fissure height was 3.1 mm preoperatively and increased to 8.0 mm after the operation. No serious complication was seen postoperatively and during an average follow-up of 25 months. In one case with a cosmetically inadequate result, the upper third of the initially implanted Mersilene mesh was removed during reoperation and histological examination of the specimen revealed fibrovascular tissue invasion through the mesh fibres. Mersilene mesh appears to be an effective and safe alternative sling material for brow suspension surgery, giving good permanent results for cases in which autogenous fascia lata was inappropriate.

Congenital laryngeal cysts (CLCs) are rare and may be fatal. Although CLCs have the potential to cause severe airway obstruction and death, these are not common presentations at birth. The most common CLCs are the aryepiglottic cysts, with the epiglottic cysts being the least common. In this report, a newborn with severe airway obstruction at birth, caused by a giant congenital epiglottic cyst, is presented.

We retrospectively reviewed the medical records of the patients who presented to the Pediatrics Emergency Department in our hospital between May 2010 and May 2013 after sustaining an EI. The patients' data were investigated, including age, sex, location and form of exposure to electrical current, seasonal distribution, length Background/aim: To evaluate children who presented to the Pediatric Emergency Department with electrical injury and to discuss the follow-up of these cases and potential precautions that can be taken. Materials and methods:A total of 36 patients presented to the Pediatric Emergency Department with electrical injury between May 2010 and May 2013, and these cases were investigated retrospectively. The patients' age and sex, location and form of exposure to electric current, seasonal distribution, length of hospital stay, musculoskeletal and cardiovascular system complications, renal damage, and treatments were recorded. Results:The majority of the patients were exposed to low-voltage electrical current at home. When the patients were evaluated based on the type of electric current, alanine transaminase, aspartate transaminase, creatine kinase, and creatine kinase-myocardial isoenzyme levels were found to be significantly higher among patients who were exposed to high-voltage electric current. None of the patients died, and the mean length of hospital stay was 2.50 ± 1.06 days. Conclusion:Electrical injuries can present with a wide variety of problems, ranging from a simple injury to life-threatening severe multiple organ injury. Even simple precautions can prevent possible morbidity and mortality. We think that the public level of knowledge and awareness should be increased.

Prolonged elevation of serum aminotransferase activity in an asymptomatic child is usually thought to be secondary to hepatic disease. These enzymes also originate from skeletal muscle. Here a case with persistent elevation of serum aminotransferase levels who were diagnosed as alpha-sarcoglycanopathy in the group of limb girdle disease. Patients with persistent hypertransaminasemia should be evaluated for muscle disease should be considered in the differential diagnosis especially if comes with high creatinine phosphokinase level. .

Guillain-Barré syndrome (GBS) is an acute inflammatory, demyelinating polyradiculoneuropathy. The neurological complications of varicella-zoster virus (VZV) infection are usually cerebellar ataxia and other forms of encephalitis. VZV is associated with only 1% of the GBS cases. GBS may present as a clinical picture mimicking encephalitis. We report a patient with GBS who presented with altered consciousness and flaccid paralysis of the legs, three weeks after VZV infection.