Orbital Emphysema and Orbital Floor Fracture following a Severe and Prolonged Sneezing Attack

Yılmaz, Fevzi; Özlem, Miray; Aslan, Ozan; Yel, Cihat

doi:10.1177/102490791502200408

Cited by 4 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The sites of injury were classified according to anatomical location: ocular/orbital [3][4][5][6][7][8][9][10][11][12][13][14][15] (27%), intrathoracic [16][17][18][19][20][21][22][23][24][25][26][27][28] (25%), intercranial/neurological 29-38 (19%), laryngeal/pharyngeal [39][40][41][42][43][44][45] (13%), otologic [46][47][48] (6%), and other [49][50][51][52][53] (10%) ( Figure 1). There were 15 cases orbital/ocular injury: orbital subcutaneous emphysema [3][4][5][6][7]10,11,…”

Section: Resultsmentioning

confidence: 99%

“…Deveer et al 11 Retrobulbar hematoma F 31 Sen and Chaturvedi 6 Orbital emphysema M 39 Ababneh 3 Orbital, subconjunctival, and subcutaneous emphysema M 16 Blunt trauma to left orbit hours before the sneezing episode Yilmaz et al 7 Blow-out fracture of right orbital floor which led to orbital emphysema and herniation of the orbital soft tissue…”

Section: Unilateral Orbital Emphysema M 30mentioning

confidence: 99%

See 1 more Smart Citation

The Dangers of Sneezing: A Review of Injuries

Setzen

Platt

2019

Am J Rhinol�Allergy

View full text Add to dashboard Cite

Background Sneezing is an almost universal daily phenomenon as a reflex to evacuate irritants from the nasal cavities. An autonomic-controlled buildup of intrathoracic pressure against a closed glottis followed by sudden release results in a burst of 1 kPa of air through the upper airway. Active intervention to limit a sneeze can be deleterious. Closure of the airway during a sneeze can result in over 20 times the airway pressures resulting in a variety of untoward events. This review summarizes all reported injuries that occurred as the result of a sneeze. Objective The objective of this review is to summarize the risks of closed-airway sneezing and determine if there are any trends which can help understand such injuries. Methods A comprehensive literature review was performed from 1948 to 2018 to identify all reports of sneeze-related injuries. Information was compiled from reports to gain insights into comorbidities and risk factors for sneeze injuries. Results There were 52 unique reports of sneeze-related injuries in the literature that were categorized into 6 areas of injury: intrathoracic, laryngeal/pharyngeal, ocular/orbital, intracranial/neurological, otologic, and other. The mean age of subjects who suffered a sneeze injury was 40 years old (range: 15–84 years), with 81% being male gender. Thirty percent had a risk factor for injury of prior trauma (5) or respiratory compromise (5). Conclusion A variety of injuries can occur during a sneeze, especially when a closed-airway sneeze is attempted, and high Valsalva pressure is transmitted to the other systems. Men are more at risk for these injuries with the majority occurring in patients with no known risk factor. When triggered, a sneeze should be allowed to proceed without intervention to prevent associated injuries.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Unilateral Orbital Emphysema M 30mentioning

confidence: 99%

The Dangers of Sneezing: A Review of Injuries

Setzen

Platt

2019

Am J Rhinol�Allergy

View full text Add to dashboard Cite

show abstract

Utility of Antibiotic Use in Pediatric Facial Fractures: A Systematic Review

Tucker,

Oxford,

Ziai

et al. 2024

Facial Plastic Surgery & Aesthetic Medicine

View full text Add to dashboard Cite

A case report and systematic review of periorbital emphysema following nose blowing or sneezing

Salar,

Edafe

2024

annals

View full text Add to dashboard Cite

Periorbital emphysema following nose blowing or sneezing is rare. Although it is often self-limiting, air trapping in the orbit can raise the intraocular pressure leading to visual complications. At present, the literature on this topic is confined to case reports. In this article, we present a rare case of periorbital emphysema following nose blowing in a 34-year-old woman and a subsequent systematic review that included 43 case reports of periorbital emphysema following similar mechanisms. Orbital wall fracture was seen in 70% and a defect in the lamina papyracea is the most common finding on computed tomography imaging. Surgical intervention was performed in 30% of patients; indications included visual compromise, paranasal osteoma and inflammatory disease. Most patients can be safely discharged on the same day with oral antibiotics unless there are clinical signs of visual compromise or sinonasal mass that may necessitate surgical intervention. The recurrence rate is low (3%) and almost all will resolve within 4 weeks.

show abstract

Orbital Emphysema and Orbital Floor Fracture following a Severe and Prolonged Sneezing Attack

Cited by 4 publications

References 14 publications

The Dangers of Sneezing: A Review of Injuries

The Dangers of Sneezing: A Review of Injuries

Utility of Antibiotic Use in Pediatric Facial Fractures: A Systematic Review

A case report and systematic review of periorbital emphysema following nose blowing or sneezing

Contact Info

Product

Resources

About