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NR 4-5/2004
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Uraz oczodołu bez
zranienia gałki ocznej zadany nożem rzeźniczym
Orbital trauma inflicted by
a butcher’s knife without any injury of the eyeball
Jadwiga Stępień1, Bartosz
Fabijańczyk1, Adam Jarmak1, Andrzej
Pieniński2
1Z Oddziału Okulistycznego Wojewódzkiego Szpitala
Specjalistycznego w Zgierzu
Ordynator: dr n. med. Adam Jarmak
2Z Oddziału Laryngologicznego Wojewódzkiego Szpitala
Specjalistycznego w Zgierzu
Ordynator: dr n. med. Ryszard Piotrowicz |
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| Summary: |
We present a 25 year old
man, who suffered from an apparently serious orbital
injury inflicted by a butcher's knife during a fight.
The knife perforated the upper lid of the right eye, and
than penetrated the orbita along its medial wall into
the right maxillary sinus, the ethmoid sinus, finally
reaching the left maxillary sinus. The eye bulb, as well
as the optic nerve and the muscles remained intact. A
major hemorrhage from the nasal cavity, which occurred
immediately after the extraction of the knife, was
managed successfully by means of anterior and posterior
nasal packing. Intranasal synechias developed in the
days following the injury, leading to obstruction of the
nasal cavities. The synechias were later almost entirely
eliminated through appropriate treatment, leaving the
patient with practically no complications of this
dramatic injury. |
| Słowa kluczowe: |
uraz, nóż, krwiak
oczodołu, krwiak zatoki szczękowej. |
| Key words: |
injury, knife, orbital
haematoma, maxillary sinus haematoma. |
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