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| Year : 2015 | Volume
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| Issue : 3 | Page : 172-173 |
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| An unexpected complication of sneezing: Blow-out orbital fracture |
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Pinar Yeşim Akyol1, Erden Erol Erol Ünlüer1, Orhan Oyar2, Serkan Bilgin1
1 Department of Emergency, Atatürk Research and Training Hospital, Izmir Katip Çelebi University, Izmir, Turkey
2 Department Radiology, Atatürk Research and Training Hospital, Izmir Katip Çelebi University, Izmir, Turkey
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| Date of Web Publication | 13-Jul-2015 |
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How to cite this article:
Akyol PY, Erol Ünlüer EE, Oyar O, Bilgin S. An unexpected complication of sneezing: Blow-out orbital fracture. J Emerg Trauma Shock 2015;8:172-3 |
How to cite this URL:
Akyol PY, Erol Ünlüer EE, Oyar O, Bilgin S. An unexpected complication of sneezing: Blow-out orbital fracture. J Emerg Trauma Shock [serial online] 2015 [cited 2020 Jul 10];8:172-3. Available from: http://www.onlinejets.org/text.asp?2015/8/3/172/145409 |
Dear Editor,
Blow-out fracture is characterized by a damage to the orbital walls with intact orbital margins and bone fragments displaced outside the orbit. The common mechanism of injury for a orbital fracture is blunt trauma to the orbit or forehead. [1] A 32-years-old man was brought to our emergency department with a swollen condition on his right orbita which began after sneezing. He had horizontal diplopia and crepitus as a sign of periorbital emphysema. Computed tomography scan revealed blow-out fracture on the medial wall of right orbita image, extra conala dipose tissue protruded partially to the superior oblique muscle and free air inside the soft tissue areas [Figure 1] and [Figure 2]. | Figure 1: Blow-out fracture is seen on the medial wall of right orbita image and free air inside the soft tissue areas
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 | Figure 2: On the medial wall of orbita, extraconal adipose tissue protrudes partially to the superior oblique muscle and free air inside the soft tissue areas
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Clinical symptoms of orbital fracture are diplopia, enophthalmos, or restriction of gaze. [2] Orbital emphysema without impaired vision is not a life-threatening condition and usually resolves spontaneously within 2 weeks. Cases of spontaneous orbital emphysema caused by sneezing, cough, or nose blowing are very rare.
 References | |  |
| 1. | Rzymska-Grala I, Palczewski I, Blaz M, Zmorzyński M, Gołębiowski M, Wanyura H. A peculiar blow-out fracture of the inferior orbital wall complicated by extensive subcutaneous emphysema: A case report and review of the literature. Pol J Radiol 2012;77:64-8.  |
| 2. | Kunz C, Sigron GR, Jaquiéry C. Functional outcome after non-surgical management of orbital fractures - the bias of decision-making according to size of defect: Critical review of 48 patients. Br J Oral Maxillofac Surg 2013;51:486-92. |
Correspondence Address:
Pinar Yeşim Akyol
Department of Emergency, Atatürk Research and Training Hospital, Izmir Katip Çelebi University, Izmir
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-2700.145409
[Figure 1], [Figure 2] |
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