Sümkürme sonrası oluşan tek taraflı orbital amfizem

Orbital amfizem, orbita boşluğuna hava girişi olarak tanımlanan nadir bir durumdur. Travma en yaygın nedeni gibi görünmesine rağmen travma öyküsü olmaksızın orbital amfizem bildirilen bazı olgular vardır. 45 yaşında erkek hasta sümkürme sonrası akut başlangıçlı sağ orbital amfizem ile başvurdu. Bir gece önce hastanın tariflediği minör yüz travması hikayesi mevcut olmasına rağmen BT taramasında görülebilen herhangi bir kırık hattı yoktu. Orbital amfizem sebebinin minör yüz travması mı yoksa güçlü sümkürme mi olduğu belirlenemedi. Görme kusuru olmayan ve normal BT görüntülemesi olan hastada konservatif tedavi yeterlidir.

Anahtar Kelimeler:

orbital amfizem, orbitofasiyel travma, sümkürme

Unilateral orbital emphysema after nose blowing

Orbital emphysema is a rare condition which is described as air enterance to the orbital cavity. The trauma seems to be the most common reason, there are some reports of orbital emphysema without any trauma history. A 45-year old man presented with acute onset right orbital emphysema after nose blowing whom recalled a minor facial trauma one night ago. There was no fracture line seen in the CT scan and we were unable to determine whether the minor facial trauma or the strong nose blowing itself caused the orbital emphysema. Patient who had no visual problem and normal CT scan, conservation treatment was enough.

Keywords:

orbital empysema, orbitofacial trauma, nose blowing,

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YazışmaAdresi / Address for Correspondence: Dr.Yüce İslamoğlu Ankara Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı 06100, Ankara, TURKEY.
E-mail: yuceislamoglu@gmail.com Geliş tarihi/Received on: 23.02.2014
Kabul tarihi/Accepted on:01.04.2014