Clinical Case Notes

Muthiah, Manickam Nick; Singh, Ravinder Pal; Malik, Nabeel; Adams, Matt E; Olver, Jane

doi:10.1111/j.1442-9071.2007.01584.x

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Other surgical managements have previously been reported, such as frontal sinusotomy with anterior orbitotomy through a subbrow incision3 and an endoscopic approach 6. On the other hand, Muthiah et al reported that orbital emphysema associated with frontal sinus pneumocele resolved spontaneously as the air was absorbed 7. Therefore, conservative management should be considered for nonemergent cases at first.…”

Section: Discussionmentioning

confidence: 99%

A Case of Orbital Emphysema Associated with Frontal Sinus Pneumocele

et al. 2013

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Orbital emphysema is usually caused by trauma and fracture of an orbital bone, allowing air to pass from the sinuses into the orbit. Orbital emphysema without any significant trauma is rare. We present a case of a 67-year-old-woman who complained of left exophthalmos without any history of trauma, sneezing, or sinus surgery. Computed tomography scanning showed left orbital emphysema protruding the eyeball forward. The left frontal sinus was remarkably enlarged associated with a partial defect of the orbital roof, allowing air entry into the orbit. In addition, the frontal sinus ostium was occluded with the mucocele that served as a one-way valve between the frontal and the ethmoidal sinuses. We performed frontal craniotomy and removed the mucocele and the inner table of frontal bone to communicate the frontal sinus with the nasal cavity. After operation, her exophthalmos was improved.

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Section: Discussionmentioning

confidence: 99%

A Case of Orbital Emphysema Associated with Frontal Sinus Pneumocele

et al. 2013

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Tension Pneumo Orbitus - A Case Report and Review of Literature

Kiyawat

2013

Apollo Medicine

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Communication between paranasal sinuses and orbital wall can occur after trauma, infection or surgery. In such cases repeated increase in intranasal pressure can lead to one way entry into the orbit due to ball valve mechanism. This leads to tension pneumo orbitus, a condition, which can cause rapid deterioration of vision, diplopia and proptosis.Immediate treatment in the form of, either needle aspiration or repair of medial orbital wall is recommended. In this case report visual loss and proptosis recovered spontaneously in 8 days. The literature has been reviewed.

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Orbital Emphysema Following Removal of Bilateral Midfacial Implants

Brettell

Ooi

Bank

et al. 2011

Orbit

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A 36-year-old man with Crouzon syndrome was referred post-operatively with unilateral painful limitation of eye movements and proptosis following removal of bilateral malar and orbital rim implants. Further investigation revealed right inferior orbital emphysema, caused by the intra-operative entrance of hydrogen peroxide through a suspected perforation of the orbital septum. The symptoms settled with conservative management.

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Clinical Case Notes

Cited by 3 publications

References 4 publications

A Case of Orbital Emphysema Associated with Frontal Sinus Pneumocele

A Case of Orbital Emphysema Associated with Frontal Sinus Pneumocele

Tension Pneumo Orbitus - A Case Report and Review of Literature

Orbital Emphysema Following Removal of Bilateral Midfacial Implants

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