Gonzalez Francisco, Cal Victoria, Elhendi Wasim
Department of Ophthalmology, School of Medicine, Complejo Hospitalario Universitario de Santiago de Compostela, Universidad de Santiago de Compostela, Santiago de Compostela, Spain.
Ophthalmic Plast Reconstr Surg. 2005 Jul;21(4):309-11. doi: 10.1097/01.iop.0000170415.93858.6f.
Orbital emphysema is a rare condition in the absence of trauma or sinus disease. We report two cases of orbital emphysema caused by sneezing. The patients presented with sudden unilateral eyelid swelling after sneezing. Otorhinolaryngologic and ophthalmic examinations were accompanied by computed tomography (CT). Patient examination disclosed crepitant eyelid swelling, ptosis, and mild unilateral exophthalmos. CT demonstrated areas of emphysema in the orbit. One patient had history of past trauma. The other patient had a history of nasal surgery and concurrent chronic sinusitis. Sneezing may cause orbital emphysema in patients with a history of old periorbital trauma or surgery.
在没有外伤或鼻窦疾病的情况下，眼眶气肿是一种罕见的病症。我们报告两例因打喷嚏引起的眼眶气肿病例。患者在打喷嚏后出现突然的单侧眼睑肿胀。耳鼻喉科和眼科检查同时进行了计算机断层扫描（CT）。患者检查发现眼睑肿胀有捻发音、上睑下垂和轻度单侧眼球突出。CT显示眼眶内有气肿区域。一名患者有既往外伤史。另一名患者有鼻部手术史并伴有慢性鼻窦炎。打喷嚏可能会导致有陈旧性眶周外伤或手术史的患者发生眼眶气肿。
