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Facial and orbital emphysema after a Violent Nose-Blowing

International Journal of Otolaryngology and Head & Neck Surgery 2022年第3期11卷 107-111页

作者： Azeddine Lachkar Amine Salek Drissia Benfadil Fahd Elayoubi Mohammed Rachid Ghailan ENT and Head and Neck Surgery Department University Hospital Center Mohammed VI Faculty of Medicine and Pharmacy Mohammed First University Oujda Morocco

Subcutaneous orbital and facial emphysema is a rare condition that may occur after a direct or indirect sinus trauma. A case report of a 25-year-old female complaining of bilateral swelling of the eyelid, orbital area, and facial puffiness, secondary to a violent nose-blowing. Computed tomography (CT) confirmed the diagnosis of subcutaneous emphysema. The initial treatment plan was puncture-suction and prophylactic intravenous antibiotic therapy. The patient was advised to not blow her nose. There has been no improvement in the patient’s condition on the tenth day, so we performed a bilateral nasal packing by two Merocels (R), maintained for five days. After two weeks, the condition had completely resolved.

关键词： orbital emphysema Facial emphysema Nose-Blowing

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Water balloon-induced orbital fracture in an aviator

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Military Medical Research 2020年第2期7卷 245-248页

作者： Timothy E.Holland David M.Smith Guy N.Gibson Jared G.Brinkerhoff Flight and Operational Medical Clinic 78th Medical Group655 Seventh StreetRobins Air Force BaseRobinsGA 31098USA Department of Radiology Ehrling Bergquist Clinic2501 Capehart RdOffutt AFBNEOffutt 68113-2160USA Flight and Operational Medical Clinic 5th Medical Group194 Missilie AveMinot AFBNDMinot 58705USA

Background:orbital fractures are common injuries found in facial *** etiologies of orbital fractures include motor vehicle collisions and *** report the case of a 32-year-old male who suffered an orbital fracture from a water ***,we describe the aeromedical complications that may result from this ***,we attempt to answer the question of when a patient may return to flying after sustaining such an injury through review of the *** presentation:A 32-year-old male pilot with the United States Air Force was at an outdoor event with his unit when he was struck with a water balloon launched from a sling shot into his left *** afterwards,he had an onset of subcutaneous emphysema and was escorted to a nearby Emergency *** tomography identified an orbital fracture with associated orbital and subcutaneous *** patient was evaluated by a plastic surgeon and was determined not to be a surgical *** weeks later,he returned to flying ***:Water balloons are thought to be safe and harmless ***,when coupled with sling shots,water balloons can become formidable projectiles capable of significant orbital injury including orbital *** injuries are concerning to aviators,as the most common sites for fractures of the orbit are the thin ethmoid and maxillary bones adjacent to the *** altitude,gases in the sinuses may expand and enter the orbit through these fractures,which may suddenly incapacitate the *** is important for flight surgeons to identify and assess these individuals to determine suitability for flying.

关键词： Boyle’s law orbital emphysema Facial fracture

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