@article{ref1,
title="Orbital fracture due to high-pressure air injection",
journal="Journal of cranialfacial surgery",
year="2011",
author="Hwang, Kun and Kim, Dong Hyun and Lee, Hong Sik",
volume="22",
number="4",
pages="1506-1507",
abstract="We present a case of orbital fracture associated with emphysema and pneumocephalus caused by a high-pressured air injection in the eyeball.  A 49-year-old man injured his right eye while working with a high-pressure (compressed) air jet in a workshop. The periorbital area was swollen and ecchymotic. The bulbar conjunctiva sustained multiple lacerations around the pupil: 9 mm at 12 o'clock in direction, 6 mm at 3, 8 mm at 6, and 6 mm at 9, respectively. Computed tomography showed crisp emphysema around the right orbit, and a fracture of the medial wall of the orbit. Free air was also seen near the basal cistern and sylvian fissure, indicating a pneumocephalus.Our case proved a high pneumatic pressure could induce a fracture of the medial wall of the orbit. Green et al (Ophthal Plast Reconstr Surg 1990;6:211-217) suggested that a consistent force of more than 2.08 J is enough to inflict injury on the orbital wall.<p /> <p>Language: en</p>",
language="en",
issn="1049-2275",
doi="10.1097/SCS.0b013e31821d4c3a",
url="http://dx.doi.org/10.1097/SCS.0b013e31821d4c3a"
}