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Updated: Jun 21, 2026

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
Published on: September 21, 2017
A case presentation of a pressurized diesel injury to the orbit, face, and neck
Amee D Azad1, Lisa Y Lin1, Carolina Chiou1,2
1Ophthalmic Plastic Surgery Service, Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
Abstract:
High-pressure diesel soft tissue injuries are uncommon, especially in the orbit. These injuries can initially have a deceivingly benign clinical appearance and may radiographically mimic soft tissue emphysema but can rapidly progress with vision-threatening outcomes; cases of complete vision loss and loss of eye have been reported. Early diagnosis and intervention are essential to minimize chemical injury to soft tissues and vital structures. We present a case of a severe injury from compressed diesel to the orbit, face, and neck requiring multidisciplinary management, serial debridements, high-dose corticosteroids, and staged reconstruction with an excellent visual outcome.
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