An unusual presentation of orbital floor fracture

Arx, D.P. Von; Gilhooly, Michael

doi:10.1016/0007-117x(83)90055-0

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…65 PM is considered an acute medical condition given that patients are almost always used to visit hospital less than 24 hours from the onset of symptoms. 66 SE of the face has been observed by Von Arx et al 67 even 7 years after an orbital fracture.…”

Section: Discussionmentioning

confidence: 81%

Pneumomediastinum as a Complication of Oral and Maxillofacial Injuries: Report of 3 Cases and a 50-Year Systematic Review of Case Reports

Papadiochos

Sarivalasis

Chen

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Objectives: Pneumomediastinum (PM) secondary to oromaxillofacial trauma (OMF) is a rare but well-described complication/pathologic finding. The aim of this study was twofold: first, to report our experience in treatment of maxillofacial trauma patients with PM, and second, to review the literature regarding the clinical features, severity, course, and management of the aforementioned complication. Material and methods: We retrospectively reviewed the medical records and charts of patients who suffered from maxillofacial trauma and treated in our hospital between September 1, 2013 and September 31, 2017. The inclusion criteria were patients with radiologically confirmed PM. In addition, the electronic databases PubMed, Scopus, and Science Direct were queried for articles reporting PM cases secondary to OMF injuries and published in English, French, and German language. Results: Three cases of PM out of 3,514 cases of craniomaxillofacial trauma were found; there were 3 male patients who presented in our emergency department with the chief complaint of cervicofacial swelling. Literature search isolated 58 selected articles and 63 cases were assessed in total; posttraumatic repeated blowing of nose was proved as most frequent triggering factor among them. Furthermore, the outcomes of review showed that thoracic pain, respiratory distress, and swallowing difficulties were not frequently reported in patients with ME due to facial trauma. Conclusions: Both our experience and the results of systematic literature review indicated that patients with PM due to OMF injuries present mild clinical course. If properly managed, this specific pathologic condition may have no further complications or relative comorbidities. The exact etiology and mechanism of PM in the context of maxillofacial injuries always needs to be identified. Radiographic, laboratory, and endoscopic examinations should be applied to rule out the more serious and frequently diagnosed aerodigestive, thoracic, and abdominal causes of PM.

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Section: Discussionmentioning

confidence: 81%

Pneumomediastinum as a Complication of Oral and Maxillofacial Injuries: Report of 3 Cases and a 50-Year Systematic Review of Case Reports

Papadiochos

Sarivalasis

Chen

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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“…These findings usually present in the following weeks after the fracture. However in one case, emphysema associated with nose blowing was reported 7 years after an orbital floor fracture 25. Maxillofacial surgeons who treat these fractures recommend that patients must be told to refrain from nose blowing during recovery 24…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic temporal bone pneumatocele presenting after aggressive Valsalva

2021

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We report a case of a temporal bone pneumatocele with full-thickness erosion of the cranium associated with aggressive nose blowing. This condition presented 9 years after traumatic fracture of the temporal bone. There are 17 reported cases of mastoid sinus hyperpneumatisation in the literature. Eleven of the 17 are associated with Valsalva manoeuvres or elevated middle ear pressure. However, no other cases of full-thickness erosion at the site of a former fracture have been reported. We propose that the fracture, in combination with elevated mastoid sinus pressure from aggressive nose blowing, led to escape and trapping of pressurised air in the epidural and subcutaneous spaces, which resulted in bone erosion.

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“…Physicians should be aware of both acute and long-term complications of head trauma in order to ensure prompt and adequate intervention, and therefore, guarantee better outcomes. ( 1 - 8 )…”

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confidence: 99%