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...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.展开更多
We present a rare and unusual complication of cervico-facial soft tissue emphysema with pneumo-mediastinum which occurred in a 30-year-old female Jordanian patient in our hospital in October 2010 in Abu Dhabi followin...We present a rare and unusual complication of cervico-facial soft tissue emphysema with pneumo-mediastinum which occurred in a 30-year-old female Jordanian patient in our hospital in October 2010 in Abu Dhabi following FESS. CT scan evaluation of aero-digestive tract in the immediate post-operative period was done to ascertain the cause pertaining to any surgical trauma or anaesthesia related complications. Such a case previously unreported has been included in this study. A simple close monitoring after establishing the cause is usually sufficient in management of such related or unrelated complications during FESS which in our case was likely to be anaesthesia related. Published data of such a complication assists in building up a good and effective medical audit based on ethical practice. This paper stresses the importance of immediate CT scan of aero-digestive tract in evaluating the cause.展开更多
文摘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.
文摘We present a rare and unusual complication of cervico-facial soft tissue emphysema with pneumo-mediastinum which occurred in a 30-year-old female Jordanian patient in our hospital in October 2010 in Abu Dhabi following FESS. CT scan evaluation of aero-digestive tract in the immediate post-operative period was done to ascertain the cause pertaining to any surgical trauma or anaesthesia related complications. Such a case previously unreported has been included in this study. A simple close monitoring after establishing the cause is usually sufficient in management of such related or unrelated complications during FESS which in our case was likely to be anaesthesia related. Published data of such a complication assists in building up a good and effective medical audit based on ethical practice. This paper stresses the importance of immediate CT scan of aero-digestive tract in evaluating the cause.
