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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2024年4月3日

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Yue Fu,
Ying He,
Huixuan Xie,
Kongliang Sun,
Hanjun Dai

摘要

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.