Ann Clin Otolaryngol | Volume 2, Issue 3 | Case Report | Open Access

Orbital Wall Fracture with Displacement of the Right Eyeball into the Right Nasal Cavity: A Case Report

Takehiko Komatsu¹, Atsushi Kamijo^1,2,5*, Tomoya Sato³, Akira Kabasawa⁴, Masanori Hangaⁱ⁴, Tomoe Inoue^1,2, Sayaka Kikkawa^1,2, Yasuhiro Kase^1,2 and Tetsuo Ikezono¹

¹Department of Otorhinolaryngology, Saitama Medical University, Saitama, Japan
²Allergy Center, Saitama Medical University, Saitama, Japan
³Department of Plastic Surgery, Saitama Medical University, Saitama, Japan
⁴Department of Ophthalmology, Saitama Medical University, Saitama, Japan
⁵Department of Otolaryngology, Head & Neck Surgery, University of Yamanashi, Yamanashi, Japan

^*Correspondance to: Atsushi Kamijo 

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Abstract

Here, we report the case of a man whose eyeball had been completely displaced into the nasal cavity due to a trauma. A 65-year-old man with a history of radical surgery to the bilateral maxillary and ethmoid sinuses received a severe blow to the right eye. He was subsequently unable to open this eye, and the eyeball was displaced into the nasal cavity. Visual acuity on initial examination was light perception only, and surgery was performed on Day 4 after the injury. Although visual acuity did not improve postoperatively, the patient was fully satisfied from the cosmetic view point. One factor in this case may have been the ossification that occurred as part of remodeling of the maxillary sinus after his previous Caldwell-Luc procedure for chronic rhinosinusitis. To our knowledge, this is the first report of the complete displacement of an eyeball into the nasal cavity due to a trauma

Keywords:

Orbital fracture; Blowout fracture; Eyeball displacement; Orbital medial wall; Nasal endoscopy

Citation:

Komatsu T, Kamijo A, Sato T, Kabasawa A, Hangai M, Inoue T, et al. Orbital Wall Fracture with Displacement of the Right Eyeball into the Right Nasal Cavity: A Case Report. Ann Clin Otolaryngol. 2017; 2(3): 1018.