Management of a severe cranio-orbito-facial trauma with a dislocation of the globe into the maxillary sinus.
We report two cases of severe cranio-orbito-facial trauma associated with a dislocation of the globe into the maxillary sinus. Simultaneous surgical repositioning the globe in the orbit and reconstruction of the orbital floor defect with an autogenous bone was performed in the first case. Postoperatively, the globe was in a normal position with a moderately reduced motility. The patient's visual acuity was reduced to light perception while indirect ophthalmoscopy was normal. In the second case, no surgery could be attempted because the patient never regained consciousness and died 7 days after the trauma. Although the visual prognosis of such conditions is usually considered to be extremely poor, avoiding primary enucleation and deploying all efforts to preserve the eye, aims at helping the patient to recover psychologically from the trauma and allows to improve her/his cosmetic aspect.
Jellab
B
B
Department of Ophthalmology, University Hospital Center Mohammed VI, Marrakech, Morocco. jellab_badr@yahoo.fr
Baha
Ali T
AT
Moutaouakil
A
A
Khoumiri
R
R
Raji
A
A
Ghannane
H
H
Samkaoui
M A
MA
Ait
Benali S
BS
D000328:Adult; D005131:Eye Injuries / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D008446:Maxillofacial Injuries / Q000175:diagnosis* / Q000601:surgery*; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis* / Q000601:surgery; D009917:Orbital Fractures / Q000175:diagnosis / Q000601:surgery; D011859:Radiography; D019651:Plastic Surgery Procedures