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Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture

Orbital floor fractures are generally the result of blowout orbital and may be associated with orbital emphysema leading to proptosis and even to loss of vision. A 49-year-old woman fractured the orbital floor in a fall. After blowing her nose, she developed exophthalmos and severe reduction in visi...

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Detalles Bibliográficos
Autores principales: Tomasetti, Patrick, Jacbosen, Christine, Gander, Thomas, Zemann, Wolfgang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635220/
https://www.ncbi.nlm.nih.gov/pubmed/24964422
http://dx.doi.org/10.1093/jscr/rjt011
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author Tomasetti, Patrick
Jacbosen, Christine
Gander, Thomas
Zemann, Wolfgang
author_facet Tomasetti, Patrick
Jacbosen, Christine
Gander, Thomas
Zemann, Wolfgang
author_sort Tomasetti, Patrick
collection PubMed
description Orbital floor fractures are generally the result of blowout orbital and may be associated with orbital emphysema leading to proptosis and even to loss of vision. A 49-year-old woman fractured the orbital floor in a fall. After blowing her nose, she developed exophthalmos and severe reduction in vision. She consulted our department and underwent emergency surgical management with orbital drainage. Decompression led to immediate resolution of the exophthalmos and postoperative improvement in visual acuity. Urgent decompression is indicated by the presence of proptosis, elevated intraocular pressure, and progressive loss of vision in cases of orbital trauma with additional emphysema. Surgical treatment of tension emphysema includes lateral canthotomy or cantholysis, needle aspiration, transconjunctival, or lateral blepharoplasty approach, and bone decompression depending on the severity of the case. Sneezing or blowing the nose can lead to proptosis and decreased visual acuity secondary to trauma to the orbit. Under such circumstances, emergency decompression is essential.
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spelling pubmed-36352202013-04-25 Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture Tomasetti, Patrick Jacbosen, Christine Gander, Thomas Zemann, Wolfgang J Surg Case Rep Case Reports Orbital floor fractures are generally the result of blowout orbital and may be associated with orbital emphysema leading to proptosis and even to loss of vision. A 49-year-old woman fractured the orbital floor in a fall. After blowing her nose, she developed exophthalmos and severe reduction in vision. She consulted our department and underwent emergency surgical management with orbital drainage. Decompression led to immediate resolution of the exophthalmos and postoperative improvement in visual acuity. Urgent decompression is indicated by the presence of proptosis, elevated intraocular pressure, and progressive loss of vision in cases of orbital trauma with additional emphysema. Surgical treatment of tension emphysema includes lateral canthotomy or cantholysis, needle aspiration, transconjunctival, or lateral blepharoplasty approach, and bone decompression depending on the severity of the case. Sneezing or blowing the nose can lead to proptosis and decreased visual acuity secondary to trauma to the orbit. Under such circumstances, emergency decompression is essential. Oxford University Press 2013-03 2013-03-21 /pmc/articles/PMC3635220/ /pubmed/24964422 http://dx.doi.org/10.1093/jscr/rjt011 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.
spellingShingle Case Reports
Tomasetti, Patrick
Jacbosen, Christine
Gander, Thomas
Zemann, Wolfgang
Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
title Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
title_full Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
title_fullStr Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
title_full_unstemmed Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
title_short Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
title_sort emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635220/
https://www.ncbi.nlm.nih.gov/pubmed/24964422
http://dx.doi.org/10.1093/jscr/rjt011
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