Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review

Noman, Samer Abduljabar; Shindy, Mostafa Ibrahim

doi:10.1055/s-0036-1584393

Cited by 10 publications

(7 citation statements)

References 40 publications

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“…The management of cranial-orbital injuries is currently a challenge for ophthalmologists, neurosurgeons, and neuroradiologists and requires innovative planning. Previous studies have shown that the dislocation of the globe into either the paranasal sinuses or nasal cavities [1]. In contrast, the patient in this case was suffering from a traumatic globe extruded into the anterior cranial fossa, which has been rarely reported in the literature [2].…”

Section: Discussionmentioning

confidence: 56%

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Traumatic prolapse of the globe into the anterior cranial fossa: a case report

Liu

Qin

2020

BMC Ophthalmol

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Background: Orbital fracture associated with traumatic intracranial prolapse of the eyeball is rare. In all previously reported cases, vision was severely impaired with no light perception. Herein, we report a case of traumatic prolapse of the globe into the anterior cranial fossa, in which the patient's vision was preserved by early repositioning. Case presentation: The present case report focused on a man hit by a steel pipe, leading to prolapse of the globe of the right eye into the anterior cranial fossa through fractures in the superior orbit roof, accompanied by cerebral contusion. The eyeball was immediately repositioned into the orbital cavity, along which the wound tract was debrided and the skull base was repaired. The patient underwent a follow-up period of 12 months, during which the visual acuity increased to 12/20 without any intracranial infections. However, the patient's ptosis persisted and was associated with complete loss of supraduction. Conclusions: In this case, early diagnosis and proper globe repositioning with reconstruction of the orbital roof could allow recovery of vision, as well as prevention of intracranial infection.

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Section: Discussionmentioning

confidence: 56%

“…Dislocation of the globe mainly occurs inferiorly into the maxillary sinus or medially into the ethmoid sinus following significant blunt facial trauma [1]. Only three cases of eyeball extrusion into the cranial cavity have been reported to date [2].…”

Section: Introductionmentioning

confidence: 99%

Traumatic prolapse of the globe into the anterior cranial fossa: a case report

Liu

Qin

2020

BMC Ophthalmol

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“… 4 , 5 Dislocation into the maxillary sinus is most common, followed by the ethmoid sinus. 2 Even less common is dislocation into the frontal sinus 6 and the anterior cranial fossa behind the orbit. 7 No cases of globe dislocation into the sphenoid sinus have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Although the risk of vision loss is high in these rare cases, it has been reported that favorable visual, functional, and aesthetic outcomes can be achieved with rapid and appropriate treatment. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Traumatic Dislocation of the Globe into the Ethmoid Sinus

Onaran¹,

Şimşek²,

Konuk³

2021

tjo

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Traumatic globe dislocation into the paranasal sinuses is a rare condition. Globe displacement with preserved integrity can result in functional and cosmetic recovery with rapid and appropriate intervention. In this article, we discuss the presentation and treatment of globe dislocation into the ethmoid sinus in a 36-year-old patient who presented to the emergency department with the complaint of vision loss due to a fall.

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“…Among the various adverse outcomes of OBF, eyeball displacement and subsequent entrapment in the maxillary sinus are exceptionally rare [ 7 ]. A systematic literature search of English-language publications on PubMed revealed only 28 reported cases, with most complications being decreased vision, blurred vision, diplopia, and enophthalmos [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Closed head injury combined with orbital blowout fracture and displacement of the eyeball into the maxillary sinus in a 14-year-old boy: a case report

Fu,

He,

Xie

et al. 2024

BMC Ophthalmol

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Background Trauma-induced orbital blowout fracture (OBF) with eyeball displacement into the maxillary sinus is rare. Case presentation We present the case of a 14-year-old with a closed head injury, OBF, and displacement of the eyeball into the maxillary sinus following a car accident. A prompt transconjunctival access surgery was performed for eyeball repositioning and orbital reconstruction in a single session, mitigating anaesthesia-related risks associated with multiple surgeries. At the 12-month follow-up, his visual acuity was 20/200. Despite limited eye movement and optic nerve atrophy, overall satisfaction with the ocular appearance was achieved. Conclusions This report offers novel insights into the mechanisms of OBF occurrence and the development of postoperative complications.

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Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review

Cited by 10 publications

References 40 publications

Traumatic prolapse of the globe into the anterior cranial fossa: a case report

Traumatic prolapse of the globe into the anterior cranial fossa: a case report

Traumatic Dislocation of the Globe into the Ethmoid Sinus

Closed head injury combined with orbital blowout fracture and displacement of the eyeball into the maxillary sinus in a 14-year-old boy: a case report

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