Komro Jack J, Williams Parker J, Lin Daniel J
Ophthalmology, Ascension St. John Hospital, Detroit, USA.
Ophthalmology, Wayne State University, Detroit, USA.
Cureus. 2022 Dec 26;14(12):e32958. doi: 10.7759/cureus.32958. eCollection 2022 Dec.
A 59-year-old man with a history of obstructive sleep apnea presented to the emergency department for acute swelling of the left upper and lower eyelids after nose blowing. The patient denied prior orbital trauma or surgery and examinations were unremarkable for bony step-offs, lacerations, enophthalmos, proptosis, hypoglobus, or extraocular muscle restriction. Imaging confirmed the diagnosis of left anteromedial orbital floor defect with periorbital emphysema. The orbital floor fracture repair was successfully performed with a MEDPOR implant (Stryker, Kalamazoo, Michigan) to seal the persistent orbital floor defect. A review of the literature revealed common predisposing factors, including forceful nose blowing, remote history of trauma, mucosal inflammation, and smoking.
一名有阻塞性睡眠呼吸暂停病史的59岁男性因擤鼻后左上、下眼睑急性肿胀到急诊科就诊。患者否认既往有眼眶外伤或手术史，检查未发现骨台阶、裂伤、眼球内陷、眼球突出、眼球低位或眼外肌受限等异常。影像学检查确诊为左眶内侧壁骨折伴眶周气肿。使用MEDPOR植入物（史赛克公司生产，密歇根州卡拉马祖市）成功进行了眶底骨折修复，以封闭持续存在的眶底缺损。文献回顾显示了常见的诱发因素，包括用力擤鼻、既往外伤史、黏膜炎症和吸烟。
