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Background <p>The occurrence of haemosinus (a sinus filled with blood) as a complication of facial trauma is common, and its effects on vision are rarely documented. Timely identification and decompression of the sinus may prevent lasting visual impairments.</p> Case Presentation <p>An 18-year-old male arrived 5 days post a road traffic accident, exhibiting left facial trauma, difficulty in opening his mouth, and a progressive decline in vision in the left eye. Imaging studies indicated multiple comminuted fractures of the facial skeleton, haemosinus in the left maxillary and bilateral sphenoid sinuses, involvement of the orbit, and dislocation of the temporomandibular joint. He underwent open reduction and internal fixation of the mandibular and TMJ fractures, followed by functional endoscopic sinus surgery, which included bilateral sphenoidotomies and clearance of the hematoma. By the second post-operative day (POD), there was a significant improvement in visual acuity in the left eye.</p> Conclusion <p>In instances of facial trauma accompanied by haemosinus and visual impairment, immediate surgical decompression of the affected sinuses (sphenoid), in conjunction with stabilization of fractures, can facilitate swift and complete visual recovery. This case highlights the necessity of a multidisciplinary approach and prompt intervention in intricate maxillofacial-sinonasal injuries.</p>

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Clinical Case Report: Recovery from—Haemosinus Causing Loss of Vision Following Road Traffic Accident

  • 期刊论文

  • 发表日期：

    2026年1月27日

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  • Karthika Gurusamy,
  • M. K. Rajasekar

摘要

Background

The occurrence of haemosinus (a sinus filled with blood) as a complication of facial trauma is common, and its effects on vision are rarely documented. Timely identification and decompression of the sinus may prevent lasting visual impairments.

Case Presentation

An 18-year-old male arrived 5 days post a road traffic accident, exhibiting left facial trauma, difficulty in opening his mouth, and a progressive decline in vision in the left eye. Imaging studies indicated multiple comminuted fractures of the facial skeleton, haemosinus in the left maxillary and bilateral sphenoid sinuses, involvement of the orbit, and dislocation of the temporomandibular joint. He underwent open reduction and internal fixation of the mandibular and TMJ fractures, followed by functional endoscopic sinus surgery, which included bilateral sphenoidotomies and clearance of the hematoma. By the second post-operative day (POD), there was a significant improvement in visual acuity in the left eye.

Conclusion

In instances of facial trauma accompanied by haemosinus and visual impairment, immediate surgical decompression of the affected sinuses (sphenoid), in conjunction with stabilization of fractures, can facilitate swift and complete visual recovery. This case highlights the necessity of a multidisciplinary approach and prompt intervention in intricate maxillofacial-sinonasal injuries.