Periorbital Emphysema After Endoscopic Nasal Polyp Surgery

Area of Science:

• Ophthalmology
• Otolaryngology
• Medical Case Reports

Background:

• Periorbital emphysema is a rare complication following transnasal endoscopic procedures.
• Potential causes include facial trauma, dental work, sinus surgery, rhinoplasty, and systemic steroid use.
• Severe cases may necessitate urgent intervention due to risks like increased intraocular pressure and compromised globe blood supply.

Observation:

• A 65-year-old male presented with severe right periorbital emphysema one day post-endoscopic nasal polypectomy.
• Symptoms were exacerbated by severe coughing and straining.
• Physical examination revealed subcutaneous air (crepitus) in the periorbital tissues.

Findings:

• Immediate intervention involved needle aspiration of subcutaneous air from the upper and lower eyelids.
• The patient's clinical symptoms resolved completely following the procedure.
• No postoperative complications were reported.

Implications:

• This case highlights a rare but potentially serious complication of endoscopic nasal surgery.
• Prompt diagnosis and conservative management, such as needle aspiration, can lead to favorable outcomes.
• Emphasizes the importance of ophthalmology consultation in managing periorbital emphysema post-surgery.