Can a person with an orbital floor fracture fly on an airplane?
Due to a skiing accident resulting in a fall that impacted the left side of the face, a Japanese doctor has initially diagnosed a possible orbital floor fracture.
Currently, vision is normal, there is no double vision, and there is no pain when looking up, down, or sideways.
However, there is slight numbness in the left lower eyelid area.
I would like to inquire if it is safe to fly back home under these circumstances.
Thank you.
Vanessa, 30~39 year old female. Ask Date: 2024/04/13
Dr. Zhan Xian reply Orthopedics
Hello Vanessa, to confirm whether there is bleeding in the brain, please consult a neurologist.
Wishing you safety.
Reply Date: 2024/04/13
More Info
When considering flying after an orbital floor fracture, there are several important factors to take into account. An orbital floor fracture, commonly known as a blowout fracture, occurs when there is a fracture in the bone that forms the bottom of the eye socket. This type of injury can lead to various complications, including issues with vision, eye movement, and potential swelling.
In your case, since you mentioned that your vision is normal and you are not experiencing double vision or significant pain, these are positive signs. However, the tingling sensation in the area under your eye (the lower eyelid and cheek) could indicate some nerve involvement or swelling, which may require monitoring.
Here are some key considerations regarding flying after an orbital floor fracture:
1. Pressure Changes: One of the primary concerns with flying after any type of fracture, especially in the facial region, is the change in air pressure during takeoff and landing. The pressure changes can potentially exacerbate swelling or discomfort in the affected area. If there is any residual swelling or if the fracture has not fully healed, flying could lead to increased pressure in the sinuses and around the eyes, which might cause pain or complications.
2. Risk of Complications: Although your current symptoms are mild, there is always a risk of complications following an orbital fracture. These can include infection, persistent swelling, or even issues related to the eye itself. If you were to experience any sudden changes in vision or increased pain while flying, it could complicate your situation.
3. Medical Clearance: It is crucial to consult with your healthcare provider before making any travel plans. They can assess your specific situation, including the extent of your injury and your overall health, to determine whether it is safe for you to fly. They may recommend waiting for a certain period or suggest specific precautions to take while traveling.
4. Traveling with Medical Support: If you do receive clearance to fly, consider traveling with a medical professional or at least informing the airline staff about your condition. They can provide assistance if you experience any discomfort during the flight.
5. Post-Flight Care: Upon arrival at your destination, it is advisable to follow up with a healthcare provider to ensure that your injury is healing properly and to address any new symptoms that may arise.
In summary, while your current symptoms appear manageable, it is essential to prioritize your health and safety. Consulting with your doctor for a thorough evaluation and obtaining their recommendation regarding flying is the best course of action. They may suggest waiting until you have fully healed or provide specific guidelines to ensure a safe journey.
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