Al-Shammari L, Majithia A, Adams A, Chatrath P
Department of Medicine (Endocrinology), Chase Farm Hospital, Enfield.
J Laryngol Otol. 2008 Mar;122(3):e8. doi: 10.1017/S002221510700165X. Epub 2008 Feb 11.
We present a 38-year-old man with a tension pneumo-orbit following medial orbital wall fracture, managed with endoscopic decompression.
A case report and a review of the world literature concerning the aetiology, clinical features and management of medial orbital wall fractures are presented.
Our patient presented with a post-traumatic tension pneumo-orbit exacerbated by air travel and nose-blowing. Computed tomography revealed a fracture of the ethmoid bone, and intra-orbital emphysema causing proptosis. Management with endoscopic, endonasal surgery produced excellent results, with decompression achieved and immediate and sustained improvement in visual acuity.
A search of the world literature revealed no documented cases of tension pneumo-orbit as a complication of medial orbital wall fracture. Endoscopic sinus surgery is currently used in the management of nasal and sinus diseases and their orbital complications. We discuss this extended indication of endoscopic surgery, and its advantages over other surgical approaches.
我们报告一名38岁男性，因眶内侧壁骨折后出现张力性气眶，接受了内镜减压治疗。
本文报告一例病例，并对有关眶内侧壁骨折的病因、临床特征及治疗的世界文献进行综述。
我们的患者因航空旅行和擤鼻而使创伤后张力性气眶加重。计算机断层扫描显示筛骨骨折，眶内气肿导致眼球突出。采用鼻内镜手术治疗取得了良好效果，实现了减压，视力立即并持续改善。
检索世界文献未发现有记录的眶内侧壁骨折并发张力性气眶的病例。鼻内镜鼻窦手术目前用于治疗鼻腔和鼻窦疾病及其眼眶并发症。我们讨论了内镜手术的这一扩展适应症及其相对于其他手术方法的优势。
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