Akute Kompression des Nervus opticus durch orbitales Emphysem

Heichel, Jens; Lehmann, G; Viestenz, Arne; Eckert, Alexander W.; Reich, Waldemar; Scheffler, B

doi:10.1007/s00347-019-01025-0

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…One case report did not document the extraocular muscle status. All cases underwent radiologic assessment using CT. [13][14][15][16][17][18][19][20] MANAGEMENT REVIEW A total of 3 cases being stage 3 OE showed mild ocular symptoms and were managed conservatively at the inpatient level and then discharged on prophylactic antibiotics. All remaining 8 cases were stage 4 OE and needed intervention.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 3 cases underwent lateral canthotomy and cantholysis one of them showed immediate recovery, one case was followed by transcutaneous decompression and the other one underwent further transconjunctival decompression. [13][14][15][16][17][18][19][20] All of the 11 cases received immediate emergency care and surgical intervention was done in the first 24 hours when needed highlighting the emergency nature of OCS.…”

Section: Discussionmentioning

confidence: 99%

“…One case report did not document the extraocular muscle status. All cases underwent radiologic assessment using CT 13–20 …”

Section: Discussionmentioning

confidence: 99%

“…A total of 5 cases underwent only simple needle decompression 3 of them showed immediate recovery, one case was followed by surgical endoscopic decompression approach, and the other one was followed by transconjunctival decompression approach. A total of 3 cases underwent lateral canthotomy and cantholysis one of them showed immediate recovery, one case was followed by transcutaneous decompression and the other one underwent further transconjunctival decompression 13–20 …”

Section: Management Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Emergency Decompression of Orbital Emphysema, a Sight-Saving Tool in a Patient With Precious Eye

Abdelazeem,

Barhoma,

Samir

2024

Journal of Craniofacial Surgery

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A woman, 19 years old, with a history of falling from a height with resulting zygomatico-maxillar complex fracture on the right side, a mandibular fracture on the left side for which she underwent repair with plate insertion, and traumatic optic atrophy in her right eye, presented 9 months later with eye facial swelling, proptosis, and acute rapid loss of vision in the left eye. The diagnosis was done immediately aided by radiology assistance and a decision was taken to admit the patient to undergo urgent decompression to save the vision and the patient did recover well. This case presented here and the associated literature review focus on severe orbital emphysema with compressive optic neuropathy and orbital compartment syndrome as a morbidity that can exist with delayed presentation after trauma and not elicited by sneezing or forced blowing, as well as the drastic importance of brisk intervention, to save vision and prevent visual complications if left untreated.

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