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Delayed treatment of traumatic eyeball dislocation into the maxillary sinus and treatment algorithm: a case report and literature review

  • Hoon Kim (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine) ;
  • Keun Hyung Kim (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine) ;
  • In Chang Koh (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine) ;
  • Ga Hyun Lee (Department of Ophthalmology, Konyang University Hospital, Konyang University of College of Medicine) ;
  • Soo Yeon Lim (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University of College of Medicine)
  • Received : 2023.10.19
  • Accepted : 2024.02.12
  • Published : 2024.02.20

Abstract

Orbital floor fractures are commonly encountered, but the dislocation of the eyeball into the maxillary sinus is relatively rare. When it does occur, globe dislocation can have serious consequences, including vision loss, enucleation, and orbito-ocular deformity. Immediate surgical intervention is typically attempted when possible. However, severe comorbidities and poor general health can delay necessary surgery. In this report, we present the surgical outcomes of a 70-year-old woman who received delayed treatment for traumatic eyeball dislocation into the maxillary sinus due to a subarachnoid hemorrhage and hemopneumothorax. Additionally, we propose a treatment algorithm based on our clinical experience and a review of the literature.

Keywords

References

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