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Orbital emphysema causing syncope
Kentaroh Miki1, Yorihisa Orita, Fumiaki Kumase
1Department of Otolaryngology-Head and Neck Surgery, Okayama Saiseikai General Hospital, Okayama 700-8511, Japan. iversonphilly3den3det1@yahoo.co.jp
Orbital emphysema, a rare condition with air in the eye socket, can cause fainting spells triggered by sniffles. Prompt treatment of rhinitis is crucial for patients with this condition.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Orbital emphysema is characterized by abnormal air accumulation within the orbital cavity.
- This condition can arise secondary to trauma, leading to potential complications.
Observation:
- A rare case involved a 19-year-old male experiencing syncopic attacks (fainting) due to sniffles.
- The syncopic episodes were directly linked to orbital emphysema resulting from trauma.
Findings:
- The patient's orbital emphysema was exacerbated by actions causing increased intraorbital pressure, such as sniffles.
- Rhinitis treatment emerged as a critical management component for patients with orbital emphysema.
Implications:
- Patients with orbital emphysema, especially those with co-existing cardiac conditions, require careful counseling.
- Warning patients about activities like sniffing, sneezing, or nose blowing is essential to prevent syncopic episodes and other complications.
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