Aim of study. This study aimed to measure orbits to determine asymmetry between the right and left orbit and the gender-specific and age-specific changes to the bony orbit using area, volume, perimeter. Materials and method. This retrospective observational study aimed to evaluate orbital asymmetry using Computed Tomography (CT) measurements. Patients were retrospectively and randomly selected from all patients who underwent CT of the head during this period. Of the patients included, 46 were males (45,2%) and 38 were females (54,8%); 37 - age group 40-60 (44%),47 -age group > 60 (56%). The mean age was 62,06 years, with a range from 41 to 85 years. 84 CT images were selected, which were acquired between 01/2024 and 12/2024. All images were acquired with CT scanner from Siemens Healthineers (Erlangen, Germany). The three-dimensional (3D) medical imaging software “Biotronics 3D” was used for CT visualisation. Orbital asymmetry was calculated by comparing the corresponding parameters of the right and left orbits for area, volume and perimeter. We classified the differences into degrees of asymmetry – slight, mild, and medium – based on the interquartile ranges we calculated. Results. For area, the mean values were nearly identical (9.85 cm² for the left orbit and 9.86 cm² for the right orbit), with no statistically significant difference (p = 0.726). Likewise, the volume presented comparable mean values (1.83 cm³ for the left orbit and 1.84 cm³ for the right orbit), without significant differences (p = 0.831). Regarding perimeter, although the left orbit had a slightly higher mean value (127.20 mm) compared to the right orbit (126.44 mm), the difference was not statistically significant (p = 0.098). Conclusions. This study proved the high degree of symmetry between the two orbits in terms of area, volume, and perimeter, suggesting that the healthy, mutual orbit can be considered a planning basis for accurate orbital reconstructions by Titanium mesh. The analysis of the relationship between asymmetry differences and age revealed distinct patterns, with weak, non-significant positive association for area, volume asymmetry tends to increase slightly as age advances, while perimeter asymmetry tends to decrease with increasing age.

Background: Cervicofacial actinomycosis is an uncommon chronic bacterial infection that can mimic neoplasia or granulomatous disease because of its infiltrative presentation. Diagnosis is often delayed, particularly in pregnant patients in whom imaging and invasive procedures may be limited. Case report: A 25-year-old woman at 14 weeks of gestation presented with a multiple-fistulized cervical mass. The lesion was initially diagnosed as a cutaneous furuncle in a private dermatology practice and treated with topical therapy, resulting in only transient improvement. Two weeks later, multiple fistulizations developed, prompting consultation in the emergency department. ENT assessment and ultrasound raised suspicion of cervical actinomycosis versus fistulized tuberculous lymphadenitis. Considering the pregnancy, drainage of the collection was performed under local anesthesia and empiric antibiotic therapy with amoxicilin-clavulanic acid was started. Microbiological confirmation of Actinomyces (Schaalia) georgiae led to infectious disease evaluation that established a long-term antibiotic therapy while monitoring fetal safety. Progressive clinical improvement was observed, with complete resolution after three months. The pregnancy progressed without complications and fetal morphology remained normal under therapy. Conclusions: This case illustrates the diagnostic complexity of cervicofacial actinomycosis caused by A. georgiae during pregnancy, representing the first such report in the current literature, and emphasizes the need for a multidisciplinary approach.