IJCRR - Vol 06 Issue 17, September, 2014
EARLY SUBPERIOSTEAL AND INTRA-ORBITAL HAEMATOMA EVACUATION IN TRAUMATIC SKULL AND PAN ORBITAL FRACTURE - VISION SAVING AND LIFE SAVING
Author: N. Ezhilvathani, V. S. Hari
Fractures of the skull and the orbit can lead on to devastating morbidity and mortality to a patient if not identified and treated early. Skull and facial fractures are often complicated by ocular injuries. A case of early surgical drainage of an infected intra orbital and subperiosteal haematoma in a traumatic craniofacial fracture involving all the four walls of the right orbit and frontoparietal bone causing severe proptosis and exposure keratopathy resulting in improving the visual status and general condition of the patient is reported. The resolution of proptosis, exposure keratopathy and the restricted ocular motility resulted in clearing the corneal opacity leaving only a small residual macular corneal opacity away from the visual and pupillary axis following the surgical evacuation. The purulent collection from the intra orbital space would have spread to the brain due to the orbital roof and
the co-existant fronto-parietal fracture culminating in a severe meningeal and cerebral infection deteriorating the condition of a young patient, had a delayed decision been taken. Moreover, the value of comprehensive management of craniofacial fractures is evident from the aesthetic and the functional outcome.
Keywords: Intra orbital haematoma, Subperiosteal haematoma, Pan orbital fracture, Proptosis, Ophthalmoplegia, Exposure keratopathy, Traumatic optic neuropathy
N. Ezhilvathani, V. S. Hari. EARLY SUBPERIOSTEAL AND INTRA-ORBITAL HAEMATOMA EVACUATION IN TRAUMATIC SKULL AND PAN ORBITAL FRACTURE - VISION SAVING AND LIFE SAVING International Journal of Current Research and Review. Vol 06 Issue 17, September, 48-51
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