Case Of Orbital Emphysema Research Articles

Spontaneous Development of Unilateral Orbital Emphysema Following a Bout of Sneezing: Case Report

ABSTRACT Orbital emphysema is a known complication of periorbital trauma due to a fracture in the orbital walls. However, it is uncommon to come across a case of orbital emphysema in clinical practice due to sneezing or coughing. The case reported here involves the development of spontaneous orbital swelling in a 24-year-old male occurring following a bout of sneezing. The case merits discussion to emphasize the importance of appropriate workup in detecting definitive etiology and urgently deciding upon the correct course of management in a case of orbital swelling, as any delay can cause permanent vision loss and on the other hand unnecessary intervention can cause damaging complications.

A PROSPECTIVE STUDY ON MODIFIED APPROACH TO CLASSICAL DACRYOCYSTORHINOSTOMY

Aim and Objective: The present study was done with an aim to present the outcome of the modified technique of external dacryocystorhinostomy (DCR) with anterior flap anastomosis with the excision of posterior flaps. Methods: Present prospective and observational study was carried out at C.U. Shah Medical College after taking permission from the ethical committee at C.U. Shah Medical College. A total of 100 participants were included in the study. All surgeries were performed by the same surgeon. All routine investigations including thorough rhinological checkup were carried out before DCR surgery. Patients were followed up for period of 1 year. Patency of lacrimal sac was considered as a successful result. Results: Review of complications demonstrates that only four cases had intraoperative hemorrhage more than 100cc, while 96 experienced less hemorrhage. Two patients had early post-operative hemorrhage in the form of epistaxis which stopped without need for nasal repacking. Another two patients had orbital hemorrhage without seriously elevating the intraocular pressure. There was no case of orbital emphysema, cerebrospinal fluid leakage, or wound sepsis in our study. Six patients had post-operative epiphora in varying degrees. Conclusion: Although it is simpler and easier to master the surgical technique, anterior single flap DCR shows a success rate comparable to that obtained by the more complex conventional DCR.

Subcutaneous Emphysema of the Orbit after Nose-Blowing

Orbital emphysema after nose-blowing is an uncommon condition and can appear without a trigger. Herein, we reported a case of orbital emphysema after nose-blowing and performed a literature review. A 68-year-old man fell and sustained an injury near his left orbit. No symptoms were noted. He noticed a left periorbital swelling after blowing his nose. Through computed tomography examination, he was diagnosed with subcutaneous emphysema. There are no previous reports that have reviewed the clinical features, need for surgery, and severity of symptoms of subcutaneous emphysema after nasal swallowing due to different factors. We retrospectively analyzed a cohort of 48 cases by searching PubMed to clarify these issues. Regarding the emphysema trigger, 21 cases had an injury or had previously undergone surgery. In 34 cases, conservative treatment was required, while surgery was selected in the acute phase in 6 cases and after the acute phase as a radical cure in 8 cases. Reduced visual acuity, diplopia, exophthalmos, facial hypoesthesia, and color disorders were noted and were more common among surgical cases. The literature review revealed no association between fracture location and the need for surgery; furthermore, surgery was less required in non-trauma cases, excluding osteoma, than in trauma cases (p = 0.0169). Our study reveals that a strict follow-up examination of visual symptoms is necessary for the first 2 days in cases of subcutaneous emphysema caused by nose blowing after facial trauma.

A Case of Orbital Emphysema Caused by Sneezing

A Case of Orbital Emphysema Caused by Sneezing

A Case of Orbital Emphysema after Nose Blowing

Orbital emphysema is an abnormal condition in which air is present within the orbit. It commonly occurs during or immediately after facial, nasal, or orbital trauma; however, in a few cases, the orbital emphysema occurs spontaneously without the presence of recent trauma. Subsequently, air can enter the soft tissue of orbit as a result of nose blowing, coughing or sneezing. Although sequelae are generally self limiting and resolve spontaneously, they are important because of potential complications such as loss of vision due to pressure effect. The following is a case report of a patient who developed unilateral orbital emphysema after nose blowing.

Visual Recovery after Evacuation of Orbital Emphysema

Orbital emphysema due to orbital trauma is a well-known occurrence. Visual loss due to orbital emphysema, however, is an uncommon phenomenon. A case of unilateral orbital emphysema following door-handle trauma with subsequent proptosis, painful ophthalmoplegia and compressive optic neuropathy resulting in compromised vision is presented in an 8-year-old male child. Conservative management, including intravenous corticosteroids, failed to resolve the patient's symptoms and compressive optic neuropathy. Surgical intervention to evacuate orbital emphysema resulted in prompt resolution of symptoms, including recovery of vision. A review of the medical literature revealed that only few isolated cases of orbital emphysema with compressive optic neuropathy have been reported previously, with no reports due to door-handle trauma.

Orbital Emphysema After Sneezing

Orbital emphysema is a rare condition in the absence of trauma or sinus disease. We report two cases of orbital emphysema caused by sneezing. The patients presented with sudden unilateral eyelid swelling after sneezing. Otorhinolaryngologic and ophthalmic examinations were accompanied by computed tomography (CT). Patient examination disclosed crepitant eyelid swelling, ptosis, and mild unilateral exophthalmos. CT demonstrated areas of emphysema in the orbit. One patient had history of past trauma. The other patient had a history of nasal surgery and concurrent chronic sinusitis. Sneezing may cause orbital emphysema in patients with a history of old periorbital trauma or surgery.

Orbital Emphysema with Vision Impairment after Minor Trauma-Two Case Reports

Orbital emphysema is a common presentation of orbital fractures, and it is generally a benign, self-limited condition. The presence of intraorbital air indicates paranasal-orbital communication that results mainly from medial wall fracture. However, visual complication may occur if a check-valve effect develops. Because of the potential risk for severe visual loss, orbital emphysema with associated vision dysfunction should prompt a CT scan and require decompression. Orbital emphysema may occur as a result of minor trauma that is insufficient to cause obvious bony injury, and the risk of visual complication may be neglected. We report two cases of orbital emphysema after an episode of minor trauma. These patients experienced visual compromise and they settled with surgical decompression by lateral canthotomy and cantholysis. The visual acuity recovered completely. Postoperative follow-up showed no recurrence or complication.

Orbital emphysema: an unusual complication of balloon dacryocystoplasty

Balloon dacryocystoplasty is a procedure used in the treatment of partial nasolacrimal duct obstruction. A case of orbital emphysema following one such procedure is reported here. The risk factors associated with this rare event are highlighted.

Orbital emphysema

A review of the literature and two cases of orbital emphysema are described. The variationsin aetiology, clinical presentation, radiographic findings, and management are presented.