fa Posttraumatic orbital emphysema: incidence, topographic classification and possible pathophysiologic mechanisms. A retrospective study of 137 patients جراحی دهان، فک و صورت Oral and Maxillofacial Surgery پژوهشي Research <p> <strong>Objective</strong></p><p>  The aim of this study was to retrospectively evaluate the incidence of posttraumatic orbital emphysema (OE) and to propose a radiologic topographic classification as well as a possible pathophysiologic model.</p><p> <strong> Study Design</strong></p><p>  Orbital fine-cut (1 mm) computerized tomographic scan slices from 137 patients were used to assess the fracture's type, the presence and position of OE, and periorbital tissue herniation. The OE was categorized into the following 5 compartments: subcutaneous periorbital, peribulbar, retrobulbar extra- and intraconal, and pterygopalatine fossa. </p><p> <strong>Results</strong></p><p>  The incidence of OE was 61%. OE was more frequently associated with isolated medial wall (78% P < .001) and combined medial wall/orbital floor (82% P < .01) fractures. Palpable isolated subcutaneous eyelid emphysema was not related to fracture's type (P = .85). <strong></strong></p><p> <strong>Conclusions</strong></p><p>  OE suggested medial wall fractures alone or combined with orbital floor fractures. Pathophysiologically, according to the Poiseuille law, the difference in length between the ethmoid and sinusal infundibulii could explain the increased incidence of OE when the medial wall is involved. </p><hr><p></p><p> <strong>Source: </strong>Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology </p><p> <a href="http://www.oooojournal.net/article/S2212-4403(12)01681-1/abstract" target="_blank"><font color="#0000ff">Full Text</font></a></p> 0 0 http://idai.ir/browse.php?a_code=A-10-32-1625&slc_lang=fa&sid=1 Cristopher van Issum 10031947532846007557 10031947532846007557 No Department of Ophthalmology, Ipswich Hospital, Ipswich, Suffolk, United Kingdom Dlphine S.Courvoisier 10031947532846007558 10031947532846007558 No Department of Psychology, Harvard University, Cambridge, Massachusetts Paolo Scolozzi 10031947532846007559 10031947532846007559 Yes Division of Oral and Maxillofacial Surgery, Department of Surgery, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland