Wydawnictwo Medyczne Mediton
quarterly

Under the scientific patronage of

the Polish Society of Audiology and Phoniatrics

 

Original articles

« return
Ocular and orbital symptoms following traumatic sinonasal injury
Magdalena Józefowicz-Korczyńska 1/, Katarzyna Starska 1/, Beata Miaśkiewicz 2/
  • 1/ Zakład Układu Równowagi, I Katedra Otolaryngologii UM w Łodzi, Uniwersytecki Szpital Kliniczny nr1 im. N. Barlickiego
  • 2/ Klinika Audiologii i Foniatrii Instytutu Fizjologii i Patologii Słuchu w Warszawie

Introduction.
The increasing number of facial trauma requires correct diagnosis and treatment in clinical practice. Traumatic sinonasal injury may results in ocular and orbital symptoms. Craniofacial fractures most frequently involve the orbito-zygomatic and the naso-orbito-ethmoidal complex.

Aim.
To describe ocular and/or orbital symptoms and evaluate fractures and their treatment in patients following traumatic sinonasal injury.

Material and methods.
In the retrospective study we assessed ocular and orbital symptoms in 42 patients after sinonasal injury, treated in Otolaryngologic Clinical between 1991-2002. Otolaryngological and radiological examinations were performed in all patients.

Results.
The major causes of trauma were car accidents – 21 (50%) and struggle injury – 14 (1/3). Most frequent symptoms were oedema (62%), ecchymosis (62%) and impaired mobility of the eyelid (52%). The radiological evaluation revealed most frequently frontosinal (81%), orbital (98%) and nasal (57%) bone fractures. The patients were treated significantly more frequently within 7 days from the trauma than at a later date. Laryngological intervention was performed almost in 98% of patients, including surgery in 83% of the cases. About ten-years follow up of cases with sinonasal injury showed some ocular or orbital symptoms in 25% patients.

Conclusions.
The major symptoms in patients with traumatic sinonasal injury included eyelid oedema, blepharal ecchymosis and eyelid movement restriction. These symptoms resulted predominantly from multiple craniofacial fractures, and almost all patients with such fractures required to be operated within 7 days since the moment of injury.

Otorynolaryngologia vol 10. no 4. Decemberpages: from 158to 163
full version