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Orbital emphysema after sneezing.

Francisco Gonzalez1, Victoria Cal, Wasim Elhendi

  • 1Department of Ophthalmology, School of Medicine, Complejo Hospitalario Universitario de Santiago de Compostela, Universidad de Santiago de Compostela, Santiago de Compostela, Spain. francisco.gonzalez@usc.es

Ophthalmic Plastic and Reconstructive Surgery
|July 30, 2005
PubMed
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Sneezing can cause rare orbital emphysema, leading to eyelid swelling and proptosis. This condition often occurs in patients with prior facial trauma or sinus issues.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology

Background:

  • Orbital emphysema is an uncommon condition typically associated with trauma or sinus disease.
  • This report details two rare cases of orbital emphysema triggered by sneezing.

Observation:

  • Patients presented with acute unilateral eyelid swelling and crepitus post-sneezing.
  • Clinical findings included ptosis and mild unilateral exophthalmos.
  • Computed tomography (CT) confirmed orbital emphysema in both cases.

Findings:

  • One patient had a history of periorbital trauma.
  • The second patient had a history of nasal surgery and chronic sinusitis.
  • These cases highlight sneezing as a potential cause of orbital emphysema.

Implications:

Related Experiment Videos

  • Sneezing should be considered a potential cause of orbital emphysema, especially in susceptible individuals.
  • Patients with a history of periorbital trauma or sinus surgery may be at increased risk.
  • Early diagnosis via CT is crucial for appropriate management.