A case of orbital and palpebral emphysema following fracture of the orbital floor.

DOI 2 Citations 12 References Open Access
  • YOSHII Takashi
    Department of Oral and Maxillofacial Surgery, Hyogo Prefectural Awaji Hospital
  • HAMAMOTO Yoshihiko
    Department of Oral and Maxillofacial Surgery, Hyogo Prefectural Awaji Hospital
  • MURAOKA Shigetada
    Department of Oral and Maxillofacial Surgery, Hyogo Prefectural Awaji Hospital
  • FURUDOI Shungo
    Department of Oral and Maxillofacial Surgery, Hyogo Prefectural Awaji Hospital
  • OHTSUKA Yoshiki
    Department of Maxillofacial Surgery, kobe University, School of Medicine
  • KOMORI Takahide
    Department of Maxillofacial Surgery, kobe University, School of Medicine

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  • 眼か底骨折後に眼か眼けん気腫をきたした１例

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A case of orbital and palpebral emphysema caused by fracture of the orbital floor is presented. The patient was a 4-year-old boy. He fell from a slide and struck the left side of his face. The patient presented with swelling of the left lower eyelid. A computed tomographic scan revealed a low density area inthe orbit and under the skin of the lower eyelid. Although mild exophthalmusand upward esodeviation ofthe eyeball had been caused by left orbital emphysema, no disorder of ocular movement was observed, andocular tension was normal. We administered antibiotics for 5 days to prevent infection and observed thepatient's grogress, giving instructions not to sneeze or blow his nose. Subsequent progress was favorable, and the swelling of the lower eyelid disappeared on the 7 th day after the injury. A computed tomographicscan obtained in the third week showed no remaining gas.

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