Postoperative orbital emphysema in a patient with nasoorbitoethmoidal fracture: Case report

被引:2
作者
Tuncer S. [1 ]
Güven E. [1 ]
Emekli U. [1 ]
Kesim S.N. [1 ]
机构
[1] Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Istanbul University, Capa 34390 Istanbul, Millet Caddesi
关键词
Facial trauma; Forced hyperventilation; Nasoorbitoethmoidal fracture; Orbital emphysema;
D O I
10.1007/s00238-004-0692-0
中图分类号
学科分类号
摘要
A 33-year-old male patient with multiple facial bone fractures, along with optic nerve transection in the left eye due to a motor vehicle accident developed unilateral orbital emphysema in the right eye in the immediate postoperative period for facial fracture reduction. Following extubation, the patient developed laryngospasm, which necessitated forced manual hyperventilation, resulting in the escape of air into the orbit. Despite the common occurrence of orbital emphysema in orbital fractures, the condition may be severe and threaten the vision, which is especially important if the threat is to the "only seeing eye", as in our case. Early recognition and appropriate management in such cases is crucial to prevent possible sequela. © Springer-Verlag 2005.
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收藏
页码:46 / 49
页数:3
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共 20 条
[1]  
Muhammed J.K., Simpson M.T., Orbital emphysema and the medial orbital wall: A review of the literature with particular reference to that associated with indirect trauma and possible blindness, J. Craniomaxillofac Surg., 24, (1996)
[2]  
Galler I.E.Z., Bartley G., Orbital emphysema: Case reports and review of the literature, Mayo. Clin. Proc., 69, (1994)
[3]  
Hunts J.H., Patrinely J.R., Holds J.B., Anderson R.L., Orbital emphysema Staging and acute management, Ophthalmology, 101, (1994)
[4]  
Wojno T.H., Walter K., Subcutaneous emphysema of the eyelids after dacryocystorhinostomy, Am. J. Ophthalmol., 115, (1993)
[5]  
Manson P.N., The management of midfacial and frontal bone fractures, Plastic, Maxillofacial and Reconstructive Surgery, pp. 351-376, (1997)
[6]  
Landa M.S., Landa E.H., Levine M.R., Subperiosteal hematoma of the orbit: Case presentation, Ophthal. Plast. Reconstr. Surg., 14, (1998)
[7]  
Stewart C.R., Salmon J.F., Domingo Z., Murray A.D., Proptosis as a presenting sign of extradural hematoma, Br. J. Ophthalmol., 77, (1993)
[8]  
Wood C.M., The medical management of retrobulbar haemorrhage complicating facial fractures: A case report, Br. J. Oral. Maxillofac. Surg., 27, (1989)
[9]  
Kosaka M., Extubation induced unilateral exophthalmos, Plast. Reconstr. Surg., 108, (2001)
[10]  
Jimenez D.F., Gibbs S.R., Carotid - Cavernous fistulae in craniofacial trauma: Classification and treatment, J. Craniomaxillofac. Trauma, 1, (1995)