Late complications of craniofacial trauma following a paragliding accident

Craniofacial trauma, particularly in the context of extreme sports such as paragliding, can result in significant long-term complications. Although uncommon, such injuries frequently result from high-velocity impacts, leading to complex fractures, soft tissue damage, and neurological impairments. This case report details the case of a 57-year-old patient with a history of craniofacial trauma resulting from a paragliding accident in 2003. The patient developed a number of complications, including a carotid-cavernous fistula, exophthalmos, and blindness in the left eye. These required a series of surgical procedures and embolizations. Subsequent to a recent episode of the upper eyelid edema and headache, imaging revealed extensive damage to the left frontal and sphenoid sinuses, thereby necessitating surgical intervention. A multidisciplinary team, comprising neurosurgeons and otolaryngologists, performed a left upper orbitotomy and functional endoscopic sinus surgery (FESS), successfully addressing the patient’s ongoing complications. However, the patient continued to experience recurrent issues necessitating further surgical intervention. These issues included sinus-related problems and exophthalmos. This case study underscores the intricacies of managing long-term craniofacial injuries, the significance of a multidisciplinary approach, and the necessity for continuous monitoring to address both physical and psychological impacts. The report illuminates the difficulties in diagnosing delayed complications, while also emphasizing the value of a comprehensive approach for optimal recovery. A holistic treatment that addresses both physical and emotional health is essential for improving the patient’s quality of life.