Traumatic dislocation of the globe into the maxillary sinus associated with extraocular muscle injury

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: The mechanism of complete dislocation of an intact globe into the maxillary sinus after an extensive blowout fracture has not been clearly documented. Methods: A 68-year-old man sustained orbital wall fractures of the right orbit, resulting in dislocation of the globe into the maxillary sinus, associated with the transection of the medial and inferior rectus (MR and IR). We repaired the orbital wall fractures using Medpor barrier sheets, and repositioned the dislocated globe. And then, the distal section of the IR was sutured at its proximal end and the severed distal section of the MR was sutured at the fascial sheath and Tenon's capsule. Results: After repositioning, the eyeball was intact without signs of perforation, but the patient's visual acuity was impaired, exhibiting a loss of light perception, coupled with a noted pallor of the optic disc. The patient's eye movement was severely restricted, but supraduction and abduction proved possible. Conclusions: This case demonstrates that the globe can be dislocated into the maxillary sinus following orbital wall fracture associated with extraocular muscle injury, and provides a clue into the mechanism underlying dislocation of the globe into the maxillary sinus.

Original languageEnglish
Pages (from-to)1280-1283
Number of pages4
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume243
Issue number12
DOIs
Publication statusPublished - 2005 Dec 1

Fingerprint

Oculomotor Muscles
Maxillary Sinus
Orbital Fractures
Wounds and Injuries
Tenon Capsule
Patient Acuity
Pallor
Optic Disk
Orbit
Eye Movements
Visual Acuity
Light

Keywords

  • Blow-out fractures
  • Extraocular muscle injury
  • Maxillary sinus
  • Traumatic dislocation of the globe

ASJC Scopus subject areas

  • Ophthalmology

Cite this

@article{3789171cfdc74a289e9b8261e06a20ba,
title = "Traumatic dislocation of the globe into the maxillary sinus associated with extraocular muscle injury",
abstract = "Background: The mechanism of complete dislocation of an intact globe into the maxillary sinus after an extensive blowout fracture has not been clearly documented. Methods: A 68-year-old man sustained orbital wall fractures of the right orbit, resulting in dislocation of the globe into the maxillary sinus, associated with the transection of the medial and inferior rectus (MR and IR). We repaired the orbital wall fractures using Medpor barrier sheets, and repositioned the dislocated globe. And then, the distal section of the IR was sutured at its proximal end and the severed distal section of the MR was sutured at the fascial sheath and Tenon's capsule. Results: After repositioning, the eyeball was intact without signs of perforation, but the patient's visual acuity was impaired, exhibiting a loss of light perception, coupled with a noted pallor of the optic disc. The patient's eye movement was severely restricted, but supraduction and abduction proved possible. Conclusions: This case demonstrates that the globe can be dislocated into the maxillary sinus following orbital wall fracture associated with extraocular muscle injury, and provides a clue into the mechanism underlying dislocation of the globe into the maxillary sinus.",
keywords = "Blow-out fractures, Extraocular muscle injury, Maxillary sinus, Traumatic dislocation of the globe",
author = "Kim, {Seung Hyun} and Baek, {Se Hyun}",
year = "2005",
month = "12",
day = "1",
doi = "10.1007/s00417-004-1111-8",
language = "English",
volume = "243",
pages = "1280--1283",
journal = "Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie",
issn = "0065-6100",
publisher = "Springer Verlag",
number = "12",

}

TY - JOUR

T1 - Traumatic dislocation of the globe into the maxillary sinus associated with extraocular muscle injury

AU - Kim, Seung Hyun

AU - Baek, Se Hyun

PY - 2005/12/1

Y1 - 2005/12/1

N2 - Background: The mechanism of complete dislocation of an intact globe into the maxillary sinus after an extensive blowout fracture has not been clearly documented. Methods: A 68-year-old man sustained orbital wall fractures of the right orbit, resulting in dislocation of the globe into the maxillary sinus, associated with the transection of the medial and inferior rectus (MR and IR). We repaired the orbital wall fractures using Medpor barrier sheets, and repositioned the dislocated globe. And then, the distal section of the IR was sutured at its proximal end and the severed distal section of the MR was sutured at the fascial sheath and Tenon's capsule. Results: After repositioning, the eyeball was intact without signs of perforation, but the patient's visual acuity was impaired, exhibiting a loss of light perception, coupled with a noted pallor of the optic disc. The patient's eye movement was severely restricted, but supraduction and abduction proved possible. Conclusions: This case demonstrates that the globe can be dislocated into the maxillary sinus following orbital wall fracture associated with extraocular muscle injury, and provides a clue into the mechanism underlying dislocation of the globe into the maxillary sinus.

AB - Background: The mechanism of complete dislocation of an intact globe into the maxillary sinus after an extensive blowout fracture has not been clearly documented. Methods: A 68-year-old man sustained orbital wall fractures of the right orbit, resulting in dislocation of the globe into the maxillary sinus, associated with the transection of the medial and inferior rectus (MR and IR). We repaired the orbital wall fractures using Medpor barrier sheets, and repositioned the dislocated globe. And then, the distal section of the IR was sutured at its proximal end and the severed distal section of the MR was sutured at the fascial sheath and Tenon's capsule. Results: After repositioning, the eyeball was intact without signs of perforation, but the patient's visual acuity was impaired, exhibiting a loss of light perception, coupled with a noted pallor of the optic disc. The patient's eye movement was severely restricted, but supraduction and abduction proved possible. Conclusions: This case demonstrates that the globe can be dislocated into the maxillary sinus following orbital wall fracture associated with extraocular muscle injury, and provides a clue into the mechanism underlying dislocation of the globe into the maxillary sinus.

KW - Blow-out fractures

KW - Extraocular muscle injury

KW - Maxillary sinus

KW - Traumatic dislocation of the globe

UR - http://www.scopus.com/inward/record.url?scp=30344464997&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=30344464997&partnerID=8YFLogxK

U2 - 10.1007/s00417-004-1111-8

DO - 10.1007/s00417-004-1111-8

M3 - Article

C2 - 15906074

AN - SCOPUS:30344464997

VL - 243

SP - 1280

EP - 1283

JO - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie

JF - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie

SN - 0065-6100

IS - 12

ER -