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Unilateral orbital emphysema after sneezing
Nilüfer Koçak1, Taylan Oztürk, Mehmet Ozgür Zengin
1Ophthalmology Department, Dokuz Eylul University, School of Medicine, Izmir, Turkey. nkocak@yahoo.com
A 30-year-old man developed unilateral orbital emphysema after sneezing, presenting with eyelid swelling and ptosis. This condition can occur after minor facial trauma, with observation or needle decompression being viable treatment options.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Orbital emphysema is a rare condition characterized by the presence of air in the orbital tissues.
- It is typically associated with facial trauma, particularly involving the paranasal sinuses.
Observation:
- A 30-year-old male presented with unilateral crepitant eyelid swelling and progressive ptosis.
- The symptoms developed subsequent to a forceful sneezing episode.
Findings:
- The patient was diagnosed with unilateral orbital emphysema.
- A history of minor periorbital trauma was noted as a potential contributing factor.
Implications:
- Sneezing can precipitate orbital emphysema in susceptible individuals, especially those with prior minor facial trauma.
- Management options include conservative follow-up or early intervention with needle decompression for rapid symptom relief.
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