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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Related Experiment Video

Updated: Jul 30, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Acute Diplopia Following Rhinoplasty: Clearing the Air.

Ashley N Boustany1, Carly D Comer1, Harsha Gopal1

  • 1Division of Plastic Surgery, Department of Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Plastic Surgery (Oakville, Ont.)
|May 15, 2023
PubMed
Summary
This summary is machine-generated.

Diplopia, or double vision, is a rare complication following rhinoplasty. This case highlights delayed orbital emphysema resolving with positional maneuvers.

Keywords:
diplopiaorbital emphysemarhinoplastyrhinoplasty complications

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Plastic Surgery

Background:

  • Diplopia is a rare but serious complication after rhinoplasty.
  • Prompt diagnosis and management are crucial due to a broad differential diagnosis.

Observation:

  • A patient presented with transient binocular diplopia two days post-closed septorhinoplasty.
  • Symptoms were potentially linked to intra-orbital emphysema or decompensated exophoria.

Findings:

  • This is the second reported case of orbital emphysema post-rhinoplasty causing diplopia.
  • Notably, this case involved a delayed presentation and spontaneous resolution with positional changes.

Implications:

  • Highlights the importance of considering orbital emphysema in delayed diplopia post-rhinoplasty.
  • Suggests positional maneuvers may be a viable, non-invasive treatment for specific cases.