[Orbito-palpebral emphysema due to ethmoidal fracture].
BACKGROUND
Orbito-palpebral emphysema is a frequent pathological entity due to head injury. We report on a patient and correlate the clinical view and computer tomography findings.


METHODS
A 17-year-old male was referred to our hospital after a blunt trauma to his head. Visual acuity was 1,0. Diplopia, restricted motility and exophthalmus about 4 mm were found.


CONCLUSIONS
If swelling of the lid is found orbito-palpebral emphysema should be thought of to initiate appropriate therapy to avoid possible severe complications, for example, occlusion of the retinal central artery.
Bergua
A
A
Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg, Erlangen. antonio.bergua@augen.imed.uni-erlangen.de
Wolter-Roessler
E
E
Tomandl
B
B
Holbach
L M
LM
D000293:Adolescent; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology; D004646:Emphysema / Q000209:etiology*; D005004:Ethmoid Bone / Q000293:injuries*; D005094:Exophthalmos / Q000209:etiology; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D012887:Skull Fractures / Q000150:complications* / Q000175:diagnosis*; D012916:Soccer / Q000293:injuries; D014792:Visual Acuity