Barotraumatic Blow-out Fracture of the Medial Orbital Wall by Nose Blowing. Issue 3 (May 2021)

• Record Type: Journal Article
• Authors: Kim, Dong Hwi; Kim, Na Rim; Ko, Hyo Sun; Lee, Jung Ho
• Is Part Of: Journal of craniofacial surgery. Volume 32:Issue 3(2021)
• Publication Date: 2021-05
• Subjects: Barotraumatic -- blow-out fracture -- nose blowing -- orbital medial wall; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000007106
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: Blow-out fracture is one of the most common facial bone fractures and mainly caused by blunt trauma, whereas barotraumatic causes are relatively rare. In this report, we present the case of a patient with an orbital medial wall blow out fracture caused by nose blowing. This case is unique in that the barotraumatic blow out fracture occurred in a patient without previous known risk factors, except that she had previously been operated on for orbital floor blow-out fracture. It is possible that barotraumatic orbital medial wall fracture occurred due to postoperative changes in the aerodynamics or shock-absorbing capacity of the paranasal sinuses. To prevent barotraumatic trauma in the orbital wall, patients undergoing surgery for orbital fractures should consider avoiding excessive nose blowing not only in the weeks after surgery, but for a sufficient period of time. Abstract : Supplemental Digital Content is available in the text