眼眶、面部及颈部受压柴油机损伤一例。

IF 0.9 Q4 OPHTHALMOLOGY

Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-02-28 DOI:10.1080/01676830.2025.2465487

Amee D Azad, Lisa Y Lin, Carolina Chiou, Douglas Dembinski, Christopher D Dwyer, Dane Slentz, Natalie Wolkow

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引用次数: 0

摘要

高压柴油造成的软组织损伤并不常见，尤其是眶部。这些损伤最初可能具有欺骗性的良性临床表现，放射学上可能类似软组织肺气肿，但可能迅速发展，导致视力威胁；有完全丧失视力和失明的病例报告。早期诊断和干预对于尽量减少对软组织和重要结构的化学损伤至关重要。我们报告一例从压缩柴油到眼眶、面部和颈部的严重损伤，需要多学科治疗、连续清创、大剂量皮质类固醇和分阶段重建，并有良好的视觉结果。

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A case presentation of a pressurized diesel injury to the orbit, face, and neck.

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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来源期刊

Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery OPHTHALMOLOGY-

CiteScore

2.40

自引率

9.10%

发文量

136

期刊介绍： Orbit is the international medium covering developments and results from the variety of medical disciplines that overlap and converge in the field of orbital disorders: ophthalmology, otolaryngology, reconstructive and maxillofacial surgery, medicine and endocrinology, radiology, radiotherapy and oncology, neurology, neuroophthalmology and neurosurgery, pathology and immunology, haematology.