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