Spontaneous Subcutaneous Orbital Emphysema

Invêncio da Costa, Liliana F.; Neagu, David; García Carreira, María Belen

doi:10.1016/j.otoeng.2020.02.006

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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" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "David" "apellidos" => "Neagu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "María Belen" "apellidos" => "García Carreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "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" => "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.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>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>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." 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ISSN: 2173-5735

Acta Otorrinolaringológica Española, the official publication of the Spanish Society of Otolaryngology and Head and Neck Surgery and the Ibero-American Society of Otorhinolaryngology, is the most important journal in Spanish dedicated to Otorhinolaryngology, which reflects the continuous scientific and technical progress of the specialty. It has become an important tool to be kept up to date. The Journal publishes Original Articles (articles on basic research and clinical investigation), reviews, brief communications, case studies and images, which are subjected to a rigorous peer review process.

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