|Magdalena Józefowicz-Korczyńska, Katarzyna Starska, Beata Miaśkiewicz|
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
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.
keywords: uraz twarzoczaszki, złamania ścian zatok, sinonasal injury and fracture, orbital fracture, ocular and/or orbital complications
pages: from 158 to 163
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