Images in Otorhinolaryngology
Spontaneous Subcutaneous Orbital Emphysema
Enfisema subcutáneo orbitario espontáneo
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Invêncio da Costa, David Neagu, María Belen García Carreira" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Liliana F." "apellidos" => "Invêncio da Costa" "email" => array:1 [ 0 => "liliana.invencio@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "David" "apellidos" => "Neagu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "María Belen" "apellidos" => "García Carreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Otorrinolaringología y Cirugía Maxilofacial, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Maxilofacial, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfisema subcutáneo orbitario espontáneo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 733 "Ancho" => 750 "Tamanyo" => 87215 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 20-year-old female patient attending the emergency department with right orbital emphysema after performing the Valsalva manoeuvre (intense blowing of the nose). She had no previous history of surgery or facial trauma. The endonasal examination was normal. A CT scan of the face/paranasal sinuses showed an extensive osteoma of the right frontal sinus.</p><p id="par0010" class="elsevierStylePara elsevierViewall">There are very few cases described in the literature of spontaneous subcutaneous orbital emphysema (SOE) due to high intranasal/paranasal pressures produced on blowing or coughing, without any history or comorbidity. The most common cause of SOE is trauma, when a bony defect occurs at the level of the lamina papyracea leading to air entering the orbit. It usually resolves spontaneously within a few weeks, but there are cases of complications with loss of vision due to compression and infection due to the entry of microorganisms (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">In the case of a patient with SOE, it is essential initially to rule out the main causes: trauma, infection, iatrogenesis or tumour. Therefore, a complete physical examination, including an in-depth ENT examination, is essential. Facial and paranasal sinus CT scans are the most useful complementary tests. In this case, it was crucial to continue the work-up to diagnose and initiate early treatment of the tumour. SOE is a rare condition in everyday clinical practice, and therefore we thought it would be interesting to share this case.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Invêncio da Costa LF, Neagu D, García Carreira MB. Enfisema subcutáneo orbitario espontáneo. Acta Otorrinolaringol Esp. 2021;72:131–132.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 733 "Ancho" => 750 "Tamanyo" => 87215 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 636 "Ancho" => 1250 "Tamanyo" => 99240 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007200000002/v1_202103130811/S2173573521000168/v1_202103130811/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007200000002/v1_202103130811/S2173573521000168/v1_202103130811/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573521000168?idApp=UINPBA00004N" ]
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