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Related Experiment Videos

Orbital emphysema: how common, how significant?

R B Birrer1, T Robinson, P Papachristos

  • 1Department of Emergency Medicine, Catholic Medical Center of Brooklyn, Jamaica, New York.

Annals of Emergency Medicine
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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Orbital emphysema, often caused by trauma, requires careful evaluation for associated injuries in the emergency department (ED). While antibiotics are common, prophylactic use may not be necessary for clean wounds.

Area of Science:

  • Ophthalmology
  • Emergency Medicine
  • Trauma Surgery

Background:

  • Orbital emphysema is a rare condition characterized by the presence of air in the orbital tissues.
  • It is typically associated with facial trauma, particularly orbital floor fractures.

Purpose of the Study:

  • To describe the natural history of orbital emphysema.
  • To outline its management in the emergency setting.

Main Methods:

  • Retrospective review of medical records.
  • Inclusion of all orbital floor fracture and orbital emphysema cases from 1988 to 1993.
  • Data collected from an inner-city integrated hospital system.

Main Results:

  • The average patient was 33 years old, with a 7:1 male-to-female ratio.

Related Experiment Videos

  • Trauma was the cause in all cases; 74% required hospitalization and 43% had complications.
  • Orbital emphysema was detected on radiographs in 65% of cases; 83% received antibiotics.
  • Conclusions:

    • ED identification of orbital emphysema necessitates a thorough search for associated injuries.
    • Consultation is advised for orbital or ocular injuries.
    • Antibiotic prophylaxis is not indicated for clean wounds.