Volume 66, Issue 5 pp. 2002-2005
CASE REPORT

Traumatic dislocation of the eye into the maxillary sinus: Case report and literature review

Kateřina Vránová MD

Corresponding Author

Kateřina Vránová MD

Department of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic

Correspondence

Karin Chytilová MD, PhD, Department of Oral and Maxillofacial Surgery, Faculty Hospital in Olomouc and Faculty of Medicine and Dentistry, Palacký University Olomouc, Czech Republic.

Email: [email protected]

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Karin Chytilová MD, PhD

Karin Chytilová MD, PhD

Department of Oral and Maxillofacial Surgery, Faculty Hospital in Olomouc and Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic

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Martin Dobiáš MD, PhD

Martin Dobiáš MD, PhD

Department of Forensic Medicine and Medical Law, University Hospital Olomouc, Olomouc, Czech Republic

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Peter Tvrdý MD, PhD

Peter Tvrdý MD, PhD

Department of Oral and Maxillofacial Surgery, Faculty Hospital in Olomouc and Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic

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Petr Handlos MD, PhD

Petr Handlos MD, PhD

Institute of Forensic Medicine, University Hospital Ostrava, Ostrava, Czech Republic

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First published: 25 April 2021

Abstract

Traumatic dislocation of the eye is usually encountered in high-energy injuries. These include traffic accidents, accidents at work, sporting accidents, falling from a height, impact of the hooves or horns of animals, gunshot injuries, and physical assault. Such incidents are accompanied by facial soft tissue damage and injuries to the facial skeleton, especially the orbit, and can be associated with varying degrees of dislocation of the eye. We describe a rare case of non-fatal traumatic eye dislocation into the maxillary sinus, coupled with an orbital fracture resulting from a physical assault on a 63-year-old woman. The cause of death was asphyxiation due to manual strangulation and mechanical asphyxia. Even though dislocations of the eye are relatively rare, forensic pathologists should be aware of such injuries to correct assessment of injury mechanism. The available literature regarding eye dislocation is summarized, and the forensic issues applicable to the assessment of such cases are reviewed.

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