Submission is open for December 2024, Call for papers Volume 06, Issue 12, December 2024, Open Access; Peer Reviewed Journal; Fast Publication. The Journal is welcoming original Research Articles, Book Reviews, Commentaries, Reviewed Articles, Technical Notes Please you can reach us if you have any queries send email to: editor@journalijisr.com

EMPHYSEME INTRA ORBITAIRE SUR DEHISCENCE DE LA LAME PAPYRACEE POST TRAUMATIQUE, A PROPOS D’UN CAS

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Author: 
*AHUKA LONGOMBE Lambert, BAMBALE LIMENGO Jean Paul, ARROYE BETOU Arthur Cyril, SOUSSOU LONKENGAristide Marius, TEPAGE YAGI Joël, TSHIMPANGA BAKATUBALA Marco, MOLUA AUNDU Antoine
Country: 
Congo
Volume & Issue: 
Volume 06, Issue 12, December 2024
Page No: 
7490-7492
Abstract: 

L’emphysème intra orbitaire est une anomalie post traumatique connue des fractures orbitaires et/ou des déhiscences des parois orbitaires. Il est un phénomène peu commun pouvant survenir lors d’un effort de mouchage ou d’éternuement. Son diagnostic de certitude est posé à travers la réalisation d’un scanner du massif facial non injecté et dont les caractéristiques scannographiques sont variables allant de la présence d’un pneumorbitie intra orbitaire simple associé ou non à un emphysème palpébral. L’évolution est le plus souvent spontanément résolutive mais l’hyperpression induite par la présence d’air peut être source de complications ophtalmologiques rendant nécessaire une surveillance rigoureuse pour une éventuelle intervention décompressive. Nous avons rapporté un cas d’un patient présentant cette pathologie diagnostiquée au scanner avec un complément d’Imagerie par Résonnance Magnétique orbitaire une semaine plus tard objectivant la disparition totale de l’emphysème. Il a été soumis sous un traitement antibiotique tout en proscrivant les efforts de mouchage. Dans son évolution rien n’a été noté de particulier notamment pas de survenu de complication.

KeyWords: 
Déhiscence-Lame papyracée-emphysème orbitaire.