Water balloon-induced orbital fracture in an aviator

Timothy E. Holland; David M. Smith; Guy N. Gibson; Jared G. Brinkerhoff

doi:10.1186/s40779-019-0210-0

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Water balloon-induced orbital fracture in an aviator

CASE REPORT | Updated：2023-06-05

- Water balloon-induced orbital fracture in an aviator
- Military Medical Research Vol. 7, Issue 2, Pages: 245-248(2020)
- Affiliations：
  
  1.Flight and Operational Medical Clinic, 78th Medical Group, 655 Seventh Street, Robins Air Force Base, Robins, GA 31098, USA
  2.Department of Radiology, Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt AFB, NE, Offutt 68113-2160, USA
  3.Flight and Operational Medical Clinic, 5th Medical Group, 194 Missilie Ave, Minot AFB, ND, Minot 58705, USA
- Author bio：
  
  * Timholland.do@gmail.com
- Funds：
- DOI：10.1186/s40779-019-0210-0
  CLC：
- Published：2020-06
- Accepted：
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Cite this article as: Holland et al.: Water balloon-induced orbital fracture in an aviator. Mil Med Res, 2019, 6: 3
DOI：

Cite this article as: Holland et al.: Water balloon-induced orbital fracture in an aviator. Mil Med Res, 2019, 6: 3 DOI： 10.1186/s40779-019-0210-0.

摘要

Abstract

Background:

Orbital fractures are common injuries found in facial trauma. Typical etiologies of orbital fractures include motor vehicle collisions and assault. We report the case of a 32-year-old male who suffered an orbital fracture from a water balloon. Additionally

we describe the aeromedical complications that may result from this injury. Finally

we attempt to answer the question of when a patient may return to flying after sustaining such an injury through review of the literature.

Case presentation:

A 32-year-old male pilot with the United States Air Force was at an outdoor event with his unit when he was struck with a water balloon launched from a sling shot into his left orbit. Shortly afterwards

he had an onset of subcutaneous emphysema and was escorted to a nearby Emergency Department. Computed tomography identified an orbital fracture with associated orbital and subcutaneous emphysema. The patient was evaluated by a plastic surgeon and was determined not to be a surgical candidate. Four weeks later

he returned to flying status.

Conclusions:

Water balloons are thought to be safe and harmless toys. However

when coupled with sling shots

water balloons can become formidable projectiles capable of significant orbital injury including orbital fractures. These injuries are concerning to aviators

as the most common sites for fractures of the orbit are the thin ethmoid and maxillary bones adjacent to the sinuses. At altitude

gases in the sinuses may expand and enter the orbit through these fractures

which may suddenly incapacitate the flyer. It is important for flight surgeons to identify and assess these individuals to determine suitability for flying.

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references

Guyuron B , Eriksson E , Persing J , Chung K , Disa J , Gosain A , et al . Plastic surgery: indications and practice . 1st ed . Philadelphia : Saunders ; 2008 . p. 627 – 31 .

Cruz AAV , Eichenberger GCD . Epidemiology and management of orbital fractures . Curr Opin Ophthalmol. 2004 ; 15 ( 5 ): 416 – 21 .

Shere JL , Boole JR , Holtel MR , Amoroso PJ . An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States Army soldiers, 1980-2000 . Otolaryngol Head Neck Surg. 2004 ; 130 ( 2 ): 164 – 70 .

Ko MJ , Morris CK , Kim JW , Lad SP , Arrigo RT , Lad EM . Orbital fractures: national inpatient trends and complications . Ophthalmic Plast Reconstr Surg. 2013 ; 29 ( 4 ): 298 – 303 .

Holds JB , Anderson RL , Teske M . Water balloon orbitopathy . JAMA. 1988 ; 260 ( 13 ): 1884 .

Chaudhry NA , Falcone P , Alexandrakis G , Grannum E . Traumatic retinal detachment from a water balloon slingshot . Ophthalmic Surg Lasers. 1998 ; 29 ( 10 ): 864 – 5 .

Bullock JD , Ballal DR , Johnson DA , Bullock RJ . Ocular and orbital trauma from water balloon slingshots. A clinical, epidemiologic, and experimental study . Ophthalmology. 1997 ; 104 ( 5 ): 878 – 87 .

Tan-Gore E , Thanigaivel R , Wilson B , Thomas A , Thomas ME . Flying and midface fractures: the truth is out there . Int J Oral Maxillofac Surg. 2013 ; 42 ( 12 ): 1506 – 9 .

Monaghan AM , Millar BG . Orbital emphysema during air travel: a case report . J Craniomaxillofac Surg. 2002 ; 30 ( 6 ): 367 – 8 .

Rosh AJ , Sharma R . Orbital emphysema after nose blowing . J Emerg Med. 2008 ; 34 ( 3 ): 327 – 9 .

Mahmood S , Keith DJW , Lello GE . When can patients blow their nose and fly after treatment for fractures of zygomatic complex: the need for a consensus . Injury. 2003 ; 34 ( 12 ): 908 – 11 .

Eiff MP , Hatch R . Fracture Management for Primary Care , vol. 2017 . 3rd ed . Philadelphia : Elsevier Saunders . p. 5 – 6 .

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