ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
Blow-Out Fracture due to a Hazel Stick Beat
1 Hekim Sinan Medical Center, Ophtalmology Clinic, Kütahya, Turkey  
2 Duzce University, Faculty of medicine, Deparment of Ophtalmology, Düzce, Turkey  
3 Akçakoca State Hospital , Ophtalmology Clinic, Düzce, Turkey.  
4 Atatürk Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı, Erzurum  
Eurasian J Med 2008; 40: 151-153

Key Words: Blow-out fracture, Barotrauma, Subcutaneous emphysema

The aim of this case report is to demonstrate that blow-out fractures can occur not only by a classical trauma mechanism but also from the consequences of a stick beat. A 66-year-old male was admitted to our hospital complaining of a sudden swelling of his right eyelid after blowing his nose. In his medical history there was the report of a hazel stick beat the previous day. Upon ophthalmological examination, ecchymosis was observed in the right orbital region, and subcutaneous amphisema in addition to a dense subconjunctival hemorrhage were detected. Using computed tomography (CT), the intraorbital air density in the soft tissues and the right maxillary sinus wall fracture possessing fluid density compatible with hemorrhage was observed. The patient was treated conservatively with prednisolone and antibiotics. We conclude that a blow-out fracture may occur in patients who experience orbital trauma, even in cases of low-energy trauma. These patients may be symptomatic after an episode of hard nose-blowing.

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