Orbital and Intracranial Emphysema Causing Orbital Compartment Syndrome: A Rare Case Report and Literature Review

Shrivastava, Ashish; Rao, Seema; Nayak, Swatishree; Rao, Sruthi; Anto, Mary

doi:10.1007/s12070-020-02085-4

Cited by 3 publications

(10 citation statements)

References 15 publications

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“… 15 , 16 Regarding treatment, patients with good visual acuity do not need interventions, as the condition typically resolves within 7–10 days. 7 , 17 Careful monitoring for worsening signs of orbital involvement as well as prompt intervention are required to prevent permanent vision loss. Needle decompression or lateral canthotomy with or without cantholysis can be performed.…”

Section: Discussionmentioning

confidence: 99%

“…Though radiographs and ultrasound can be used, CT has proven to be the gold standard 15,16 . Regarding treatment, patients with good visual acuity do not need interventions, as the condition typically resolves within 7–10 days 7,17 . Careful monitoring for worsening signs of orbital involvement as well as prompt intervention are required to prevent permanent vision loss.…”

Section: Discussionmentioning

confidence: 99%

“…Careful monitoring for worsening signs of orbital involvement as well as prompt intervention are required to prevent permanent vision loss. Needle decompression or lateral canthotomy with or without cantholysis can be performed 7,11,17 . In addition, the use of “fish gill” incisions for the placement of corrugated drains has been described as a novel surgical technique for treating progressive orbital emphysema 18 …”

Section: Discussionmentioning

confidence: 99%

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Orbital emphysema as a result of chest tube placement for recurrent pneumothorax

Land

Shin

Kim

2023

Clinical Case Reports

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Orbital emphysema refers to the infiltration of air or gas within the orbital soft tissue space. It is most commonly associated with a history of trauma or orbital wall fracture. [1][2][3] However, other mechanisms have been reported including infection, pulmonary barotrauma, and iatrogenic factors such as dental surgery. 4 Signs and symptoms include proptosis, crepitus, and diplopia presenting acutely or over the course of days to weeks. 5,6 Although orbital emphysema typically follows a benign course and is self-limiting, in severe cases, it can cause vision loss and require immediate intervention to prevent complications associated with orbital compartment syndrome. 2,7 Herein, we present a case report of bilateral orbital emphysema in a single individual after chest tube placement for spontaneous pneumothorax. This case illustrates the potential for dramatic complications of such a procedure

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Orbital emphysema as a result of chest tube placement for recurrent pneumothorax

Land

Shin

Kim

2023

Clinical Case Reports

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show abstract

“…Though radiographs and ultrasound can be used, CT has proven to be the gold standard [15,16]. Regarding treatment, patients with good visual acuity do not need interventions, as the condition typically resolves within 7 to 10 days [7,17]. Careful monitoring for worsening signs of orbital involvement as well as prompt intervention are required to prevent permanent vision loss.…”

Section: Discussionmentioning

confidence: 99%

“…Careful monitoring for worsening signs of orbital involvement as well as prompt intervention are required to prevent permanent vision loss. Needle decompression or lateral canthotomy with or without cantholysis can be performed [7,17,11]. In addition, the use of "fish gill" incisions for the placement of corrugated drains has been described as a novel surgical technique for treating progressive orbital emphysema [18].…”

Section: Discussionmentioning

confidence: 99%

Orbital Emphysema as a Result of Chest Tube Placement for Recurrent Pneumothorax

Land

Shin

Kim

2022

Preprint

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Emergency Decompression of Orbital Emphysema, a Sight-Saving Tool in a Patient With Precious Eye

Abdelazeem,

Barhoma,

Samir

2024

Journal of Craniofacial Surgery

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A woman, 19 years old, with a history of falling from a height with resulting zygomatico-maxillar complex fracture on the right side, a mandibular fracture on the left side for which she underwent repair with plate insertion, and traumatic optic atrophy in her right eye, presented 9 months later with eye facial swelling, proptosis, and acute rapid loss of vision in the left eye. The diagnosis was done immediately aided by radiology assistance and a decision was taken to admit the patient to undergo urgent decompression to save the vision and the patient did recover well. This case presented here and the associated literature review focus on severe orbital emphysema with compressive optic neuropathy and orbital compartment syndrome as a morbidity that can exist with delayed presentation after trauma and not elicited by sneezing or forced blowing, as well as the drastic importance of brisk intervention, to save vision and prevent visual complications if left untreated.

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Orbital and Intracranial Emphysema Causing Orbital Compartment Syndrome: A Rare Case Report and Literature Review

Cited by 3 publications

References 15 publications

Orbital emphysema as a result of chest tube placement for recurrent pneumothorax

Orbital emphysema as a result of chest tube placement for recurrent pneumothorax

Orbital Emphysema as a Result of Chest Tube Placement for Recurrent Pneumothorax

Emergency Decompression of Orbital Emphysema, a Sight-Saving Tool in a Patient With Precious Eye

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