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Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD

Posttraumatic Progressive Orbital Emphysema Treated By Needle Aspiration-Decompression Application: A Case Report. Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD. Selcuk Unıversıty Meram Medıcal Faculty Department Of Plastıc And Reconstructıve Surgery Konya/Turkey.

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Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD

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  1. Posttraumatic Progressive Orbital Emphysema Treated By Needle Aspiration-Decompression Application: A Case Report Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD

  2. Selcuk Unıversıty Meram Medıcal Faculty Department Of Plastıc And Reconstructıve Surgery Konya/Turkey None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript Nothing to disclose

  3. Orbital emphysema • serious morbidity • occurs with fracture of orbital bone • “Attention” visual loss

  4. Orbital emphysema Treatment • observation • corticosteroid application • surgical decompression • …

  5. 15 yo male • fist injury • swelling and pain • Palpableemphysema

  6. computerized tomography imaging • nondisplaced fracture on the medial wall • superior and inferior part of the globe

  7. patient’s follow-up • pain with ocular movement • diplopia in lateral gaze • increase emphysema with maneuver of the valsalva

  8. percutaneous aspiration-decompression • 21 gauge needle • under local anesthesia

  9. complaints were decreased after the procedure • air was disappeared gradually in CT

  10. Orbital emphysema • usually benign and limits itself • valve effect may cause visual impairment • this situation may cause ischemic optic neuropathy • decompression treatment is essential

  11. conclusion Needle aspiration-decompression is a considerably effective and reliable technique in emergency situations

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