Comminuted orbital blowout fracture after vigorous nose blowing that required repair

Rahmel, B.; Scott, Cameron; Lynham, Anthony

doi:10.1016/j.bjoms.2010.02.004

Cited by 19 publications

(24 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 Some authors have recommended surgical therapy in the presence of high intraocular pressure and/or ophthalmoplegia to protect optic nerve from direct or ischaemia-related injury. 13 During the remission period vigorous sneezing, nose blowing, vomiting, coughing or any other activities that may give rise to increased nasal cavity pressure, such as diving and flying by plane, should be avoided. 3,4,9,12,14 …”

Section: Discussionmentioning

confidence: 99%

Orbital Emphysema and Orbital Floor Fracture following a Severe and Prolonged Sneezing Attack

Yılmaz

Özlem

Aslan

et al. 2015

Hong Kong j. emerg. med.

View full text Add to dashboard Cite

Orbital emphysema and orbital floor fracture following a severe and prolonged sneezing attackWe present here a rare case of barotraumatic orbital blowout fracture. An 18-year-old man with sudden swelling of the right orbital region after severe and prolonged sneezing attack presented to our emergency department. Computed tomographic examination demonstrated a blowout fracture of the right orbital floor, which led to orbital emphysema and herniation of the orbital soft tissue. He was managed with nasal decongestants, steroids, anti-inflammatory drugs and an antibiotic. He developed no visual disturbance subsequently. (Hong Kong j.emerg.med. 2015;22:256-258) 我們在這裡報告一例罕見的氣壓傷性眼眶爆裂性骨折。一個 18 歲的男子到診我們急診科，在劇烈而持久打噴嚏之後呈現右眼眶區域突然腫脹。電腦斷層檢查顯示右側眶底爆裂性骨折，導致眼眶氣腫和眶內軟組織膨出。他接受鼻減充血劑、類固醇、消炎藥和抗生素的治療之後，沒有出現視力障礙。

show abstract

Section: Discussionmentioning

confidence: 99%

Orbital Emphysema and Orbital Floor Fracture following a Severe and Prolonged Sneezing Attack

Yılmaz

Özlem

Aslan

et al. 2015

Hong Kong j. emerg. med.

View full text Add to dashboard Cite

show abstract

“…Other complications of orbital emphysema include diplopia, ocular motility disorders and infection spreading by direct continuity from paranasal sinuses [7,10,14,18]. Diplopia with restricted ocular movements and incarceration of intraorbital soft tissues is an indication for surgical treatment within 2 weeks [19]. …”

Section: Discussionmentioning

confidence: 99%

“…There were also cases of spontaneous orbital emphysema after forceful nose blowing, sneezing or cough, without a history of previous trauma, often as a result of lamina papyracea (orbital lamina) rupture [2,7,11–13,19,21]. The orbital lamina, as the thinnest orbital wall with a thickness of 0.25 mm, is a part the most vulnerable to barotraumas [2,4,6,11,15,17].…”

Section: Discussionmentioning

confidence: 99%

“…It seems rather unlikely that orbital floor fracture was a result of this trauma, not involving orbital area itself. Other possible etiology includes previous trauma, remaining asymptomatic until increased pressure in the upper respiratory tract occurred [7,19]. However, a spontaneous orbital floor fracture due to forceful nose blowing or cough cannot be excluded.…”

Section: Discussionmentioning

confidence: 99%

“…However, a spontaneous orbital floor fracture due to forceful nose blowing or cough cannot be excluded. So far only 3 cases of orbital emphysema due to orbital floor fracture spontaneously occurring after forceful nose blowing have been described [7,19,21]. One of them was reported in a 70-year-old woman.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Niezwykłe izolowane złamanie dna oczodołu typu „blow-out” powikłane rozległą rozedmą podskórną: opis przypadku i przegląd piśmiennictwa.

et al. 2012

View full text Add to dashboard Cite

SummaryBackground:Blow-out fracture of the orbit is a common injury. However, not many cases are associated with massive subcutaneous emphysema. Even fewer cases are caused by minor trauma or are associated with barotrauma to the orbit due to sneezing, coughing, or vomiting. The authors present a case of blow-out fracture complicated by extensive subcutaneous and mediastinal emphysema that occurred without any obvious traumatic event.Case Report:A 43-year-old man presented to the Emergency Department with a painful right-sided exophthalmos that he had noticed in the morning immediately after waking up. The patient also complained of diplopia. Physical examination revealed exophthalmos and crepitations suggestive of subcutaneous emphysema. The eye movements, especially upward gaze, were impaired. CT showed blow-out fracture of the inferior orbital wall with a herniation of the orbital soft tissues into the maxillary sinus. There was an extensive subcutaneous emphysema in the head and neck going down to the mediastinum. The patient did not remember any significant trauma to the head that could explain the above mentioned findings. At surgery, an inferior orbital wall fracture with a bony defect of 3×2 centimeter was found and repaired.Conclusions:Blow-out fractures of the orbit are usually a result of a direct trauma caused by an object with a diameter exceeding the bony margins of the orbit. In 50% of cases, they are complicated by orbital emphysema and in 4% of cases by herniation of orbital soft tissues into paranasal sinuses. The occurrence of orbital emphysema without trauma is unusual. In some cases it seems to be related to barotrauma due to a rapid increase in pressure in the upper airways during sneezing, coughing, or vomiting, which very rarely leads to orbital wall fracture. Computed tomography is the most accurate method in detecting and assessing the extent of orbital wall fractures.

show abstract

Pediatric Orbital Fractures

Lee¹,

Goldstein²,

Losee³

2020

Facial Trauma Surgery

View full text Add to dashboard Cite

Comminuted orbital blowout fracture after vigorous nose blowing that required repair

Cited by 19 publications

References 5 publications

Orbital Emphysema and Orbital Floor Fracture following a Severe and Prolonged Sneezing Attack

Orbital Emphysema and Orbital Floor Fracture following a Severe and Prolonged Sneezing Attack

Niezwykłe izolowane złamanie dna oczodołu typu „blow-out” powikłane rozległą rozedmą podskórną: opis przypadku i przegląd piśmiennictwa.

Pediatric Orbital Fractures

Contact Info

Product

Resources

About