ORBITAL EMPHYSEMA - HOW COMMON, HOW SIGNIFICANT

被引：20

作者：

BIRRER, RB

ROBINSON, T

PAPACHRISTOS, P

机构：

[1] Department of Emergency Medicine, Catholic Medical Center of Brooklyn, Queens, Inc, Jamaica, NY

来源：

ANNALS OF EMERGENCY MEDICINE | 1994年 / 24卷 / 06期

关键词：

D O I：

10.1016/S0196-0644(94)70241-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study Objective: The describe the natural history of orbital emphysema and its management in the emergency setting. Design: Retrospective medical record review. Setting: Inner-city integrated hospital system (four divisions) including one Level I trauma center. Participants: All cases of orbital floor fracture and orbital emphysema from January 1, 1988, to December 31, 1993. Results: The average patient was aged 33 years, and the male-to-female ratio was 7 to 1. Trauma was the underlying etiology in all patients. Seventy-four percent of patients required hospitalization, and 43% developed significant complications. Eighty-three percent were managed with antibiotics. Orbital emphysema was identified on conventional radiographs in 65% of cases. Conclusion: Identification of orbital emphysema in the ED should prompt a careful search for associated injury. Consultation should be sought in the presence of orbital or ocular injury. Antibiotic prophylaxis is not necessary for clean wounds.

引用

页码：1115 / 1118

页数：4

共 18 条

[1]

Lloyd, Orbital emphysema, Radiology, 39, pp. 933-938, (1966)

[2]

Demas, Braun, Infection associated with orbital subcutaneous emphysema, J Oral Maxillofac Surg, 49, pp. 1239-1242, (1991)

[3]

Jordan, White, Anderson, Et al., Orbital emphysema: A potentially blinding complication following orbital fractures, Ann Emerg Med, 17, pp. 853-855, (1988)

[4]

Wesley, Andersen, Weiss, Et al., Management of orbital-cranial trauma, Adv Ophthal Plastic Reconstruct Surg, 7, pp. 3-26, (1988)

[5]

Buckley, Turvey, Schumann, Et al., Orbital emphysema causing vision loss after a dental extraction, J Am Dent Assoc, 120, pp. 421-424, (1990)

[6]

Keene, Doris, A simple radiographic diagnosis of occult blowout fractures, Ann Emerg Med, 14, pp. 335-338, (1985)

[7]

Silver, Fucci, Flanagan, Et al., Severe orbital infection as a complication of orbital fracture, Arch Otolaryngol Head Neck Surg, 118, pp. 845-848, (1992)

[8]

Westfall, Shane, Isolated fractures of the orbital floor: Risk of infection and the role of antibiotic prophylaxis, Ophthalmic Surg, 22, pp. 409-411, (1991)

[9]

Goldfarb, Hoffman, Rosenberg, Orbital cellulitis and orbital fractures, Ann Ophthalmol, 19, pp. 97-99, (1987)

[10]

Catone, Morrissette, Carlson, A retrospective study of untreated orbital blow-out fractures, J Oral Maxillofac Surg, 46, pp. 1033-1038, (1988)

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