Traumatic Displacement of the Globe into the Ethmoid Sinus: Case Report.

Lee, Sung Hwan; Chung, Yoon Jae; Kim, Gene; Sohn, Byung Kyu

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2003;30(4):498-500.
Published online July 1, 2003.

Traumatic Displacement of the Globe into the Ethmoid Sinus: Case Report.

Sung Hwan Lee, Yoon Jae Chung, Gene Kim, Byung Kyu Sohn

Department of Plastic and Reconstructive Surgery, School of Medicine, Dankook University, Chungcheongnamdo, Korea. bksohnucla@hanmail.net

Abstract

We experienced a rare case of traumatic displacement of the globe into the ethmoid sinus. A 66-year-old man sustained trauma of the right eye and orbit, which resulted in displacement of the globe into the ethmoid sinus. One day after injury, surgery was performed to restore the intact globe into position within the orbit. Ten days after the operation, light perception was noticed only when transillumination was placed into orbit. Trace test undergone 45 days after the operation, no sight were measured from right eye, and the movement of right eyeball was not possible in any direction. We believe that the nerve and extraocular muscles were severed against the floor of the orbit or severely traumatized as the globe entered the ethmoid sinus. This case is very rare and never reported in Korea. We treated by replacing the globe in the orbit surgically and reconstructing the orbital floor with acurate diagnosis by the Computed Tomography(CT) scan.

Keywords: Blowout fracture; Globe displacement; Ethmoid sinus