Barotraumatic blowout fracture of the orbit after sneezing: Cone beam CT demonstration

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Abstract

A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. A blowout fracture of the right orbital floor and lateral orbital wall with an intact orbital rim and a ipsilateral maxillary sinus effusion with an air liquid level, were detected at the CBCT study. Our conclusion, confirmed by the clinician, was the patient had a barotraumatic, isolated, pure blowout fracture of the right orbit consequence of the episode of vigorous sneezing. The patient was treated by steroid and antibiotic therapy and diplopia resolved after two weeks. Clinicians and radiologists should be aware that a barotraumatic blowout fracture of the orbit after sneezing should be included among the unusual causes of sudden diplopia.
Original languageEnglish
Pages (from-to)e265-e268
Number of pages4
JournalLA CLINICA TERAPEUTICA
Volume169
Publication statusPublished - 2018

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Sneezing
Diplopia
Orbit
Orbital Fractures
Cone-Beam Computed Tomography
Maxillary Sinus
Steroids
Air
Anti-Bacterial Agents
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Barotraumatic blowout fracture of the orbit after sneezing: Cone beam CT demonstration",
abstract = "A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. A blowout fracture of the right orbital floor and lateral orbital wall with an intact orbital rim and a ipsilateral maxillary sinus effusion with an air liquid level, were detected at the CBCT study. Our conclusion, confirmed by the clinician, was the patient had a barotraumatic, isolated, pure blowout fracture of the right orbit consequence of the episode of vigorous sneezing. The patient was treated by steroid and antibiotic therapy and diplopia resolved after two weeks. Clinicians and radiologists should be aware that a barotraumatic blowout fracture of the orbit after sneezing should be included among the unusual causes of sudden diplopia.",
author = "{Lo Casto}, Antonio and {La Tona}, Giuseppe and Chiara Tudisca and Pierpaolo Purpura and Sergio Salerno and Purpura",
year = "2018",
language = "English",
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journal = "LA CLINICA TERAPEUTICA",
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TY - JOUR

T1 - Barotraumatic blowout fracture of the orbit after sneezing: Cone beam CT demonstration

AU - Lo Casto, Antonio

AU - La Tona, Giuseppe

AU - Tudisca, Chiara

AU - Purpura, Pierpaolo

AU - Salerno, Sergio

AU - Purpura, null

PY - 2018

Y1 - 2018

N2 - A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. A blowout fracture of the right orbital floor and lateral orbital wall with an intact orbital rim and a ipsilateral maxillary sinus effusion with an air liquid level, were detected at the CBCT study. Our conclusion, confirmed by the clinician, was the patient had a barotraumatic, isolated, pure blowout fracture of the right orbit consequence of the episode of vigorous sneezing. The patient was treated by steroid and antibiotic therapy and diplopia resolved after two weeks. Clinicians and radiologists should be aware that a barotraumatic blowout fracture of the orbit after sneezing should be included among the unusual causes of sudden diplopia.

AB - A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. A blowout fracture of the right orbital floor and lateral orbital wall with an intact orbital rim and a ipsilateral maxillary sinus effusion with an air liquid level, were detected at the CBCT study. Our conclusion, confirmed by the clinician, was the patient had a barotraumatic, isolated, pure blowout fracture of the right orbit consequence of the episode of vigorous sneezing. The patient was treated by steroid and antibiotic therapy and diplopia resolved after two weeks. Clinicians and radiologists should be aware that a barotraumatic blowout fracture of the orbit after sneezing should be included among the unusual causes of sudden diplopia.

UR - http://hdl.handle.net/10447/337370

M3 - Article

VL - 169

SP - e265-e268

JO - LA CLINICA TERAPEUTICA

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ER -