Blepharocele After Head Injury

Abstract

Blepharocele is a rare complication of skull base injury involving the orbital roof. We present a 23-year-old male who developed blepharocele due to an orbital rim fracture and basal dural tear. His vision remained intact. The lesion resolved completely after surgical repair of the basal dura.

Delayed Posttraumatic Blepharocele: A Rare Case Report with Review of the Literature

“…[16][17][18][19] The rarity of craniopalpebral fistulas is due to the fact that the orbital walls are thicker and less fragile as compared with the thin bones of the frontal and ethmoidal sinuses and the cribriform plates. 4 Craniopalpebral fistulas are more commonly reported in children, 1,5,6,8,10,11,13,20 probably because their orbital walls are thinner. Additionally, frontal sinus agenesis has been hypothesized as one of the factors for the development of blepharoencephalocele.…”

“…It is a rare condition, with only 15 cases reported to date. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] It is usually traumatic in origin, [1][2][3][4][5][6][7][8][9][10][11][12][13] and very rarely congenital, without any history of trauma. 14,15 Traumatic blepharocele develops as a result of the breaching of an orbital bone fracture in the dura, leading to the formation of a craniopalpebral CSF fistula.…”