Posttraumatic Progressive Orbital Emphysema Treated By Needle AspirationDecompression
Posttraumatic Progressive Orbital Emphysema Treated By Needle Aspiration-Decompression Application: A Case Report Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD
Selcuk Unıversıty Meram Medıcal Faculty Department Of Plastıc And Reconstructıve Surgery Konya/Turkey None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript Nothing to disclose
Orbital emphysema n serious morbidity n occurs with fracture of orbital bone n “Attention” visual loss
Orbital emphysema Treatment n n observation corticosteroid application n surgical decompression n …
15 yo male n fist injury n swelling and pain n Palpable emphysema n
computerized tomography imaging n nondisplaced fracture on the medial wall n superior and inferior part of the globe n
n patient’s follow-up n pain with ocular movement n diplopia in lateral gaze n increase emphysema with maneuver of the valsalva
percutaneous aspirationdecompression n 21 gauge needle n under local anesthesia n
§ complaints were decreased after the § procedure air was disappeared gradually in CT
Orbital emphysema n usually benign and limits itself n valve effect may cause visual impairment n this situation may cause ischemic optic neuropathy n decompression treatment is essential
conclusion Needle aspiration-decompression is a considerably effective and reliable technique in emergency situations
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