Journal of Rhinology 2009;16(1):72-74.
Published online May 31, 2009.
A Case of Orbital Medial Wall Fracture in a Pilot
Il Gyu Kang, Chae Young Lim, Heung Eog Cha, Seon Tae Kim
Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon Medical School, Incheon, Korea.
비행기 조종사의 안와 내벽 골절 1예
강일규, 임채영, 차흥억, 김선태
가천의과학대학교 길병원 이비인후과학교실
Incidences of blowout fractures have increased due to rapid industrialization and rise in violent crimes. However, there have been few studies on the proper follow-up guidelines or protocol after reduction of the orbital wall for patients working in a high atmospheric pressure environment. We have experienced a pilot with an orbital medial wall fracture who underwent reduction through an endoscopic approach. The patient underwent the Valsalva maneuver and scan of paranasal sinuses 8 weeks after reduction. Emphysema did not occur in the orbit even after the Valsalva maneuver and he was able to return to his workplace without any complications. We report this case with a brief review of the literature.
Key Words: Orbital medial wall fracture;Atmospheric pressure change;Pilot

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