NHÃN CẦU SA VÀO XOANG HÀM SAU CHẤN THƯƠNG

Abstract

Purpose: Diagnosis and management of dislocated globe into maxillary sinus following trauma, prognosis visual acuity recovery and cosmetic results in the future. The globe dislocation occurs due to the traumatic mechanism causing the orbital floor fractures, lead to the permanent mechanical optic nerve damage. We report a case which is the globe dislocated into maxillary sinus caused by a blunt wood, it made the orbital floor ruptured and the globe dislocated completely into maxillary sinus. Method: A case report. Results: Male patient, 38 years old, hospitalized due to the dislocated right globe into the maxillary sinus following “fall down” trauma that made a blunt wood hit into the right eye. Visual acuity of the right eye pre-op was no light perception. The patient was undergone surgery to remove the globe from maxillary sinus and repair of orbital floor fractures. Visual acuity post-op is hand movement. After 4 weeks, visual acuity of the right eye did not improve, even though the ocular mobility recovered following time. We evaluate this case is one of the rarest cases in the world literature review, the visual acuity post-op improved, even though not much compare to pre-op. Conclusion: Traumatic globe dislocation into the maxillary sinus is a severe kind of trauma, but the recovering ability still can happen, even though the intitial visual auity may be extremely poor due to the completely traumatic dislocation of the globe into the maxillary sinus. Early surgical intervention, right management will be helpful in restore the visual acuity and cosmetic for the patient.