Department of Plastic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Craniofac Surg. 2021 May 1;32(3):e265-e266. doi: 10.1097/SCS.0000000000007106.
Blow-out fracture is one of the most common facial bone fractures and mainly caused by blunt trauma, whereas barotraumatic causes are relatively rare. In this report, we present the case of a patient with an orbital medial wall blow out fracture caused by nose blowing. This case is unique in that the barotraumatic blow out fracture occurred in a patient without previous known risk factors, except that she had previously been operated on for orbital floor blow-out fracture. It is possible that barotraumatic orbital medial wall fracture occurred due to postoperative changes in the aerodynamics or shock-absorbing capacity of the paranasal sinuses. To prevent barotraumatic trauma in the orbital wall, patients undergoing surgery for orbital fractures should consider avoiding excessive nose blowing not only in the weeks after surgery, but for a sufficient period of time.
爆裂性骨折是最常见的面部骨折之一，主要由钝性创伤引起，而气压性创伤的原因则相对较少。在本报告中，我们介绍了一例因擤鼻引起的眼眶内侧壁爆裂性骨折患者。该病例的独特之处在于，除了先前曾因眼眶底爆裂性骨折接受过手术治疗外，气压性爆裂性眼眶内侧壁骨折发生在无已知危险因素的患者中。由于鼻窦的空气动力学或减震能力发生术后改变，气压性眼眶内侧壁骨折可能发生。为了预防眼眶壁气压性创伤，接受眼眶骨折手术的患者不仅应在手术后的数周内，而且应在足够长的时间内避免过度擤鼻。
