Department of Ophthalmology, School of Medicine, Maltepe University, Istanbul, Turkey.
Haydarpasa Numune Education and Research Hospital, Eye Clinic, Istanbul, Turkey.
Indian J Ophthalmol. 2018 May;66(5):722-724. doi: 10.4103/ijo.IJO_1107_17.
Cervicofacial emphysema (CFE), mostly seen after trauma or dental procedures, is an unexpected, extremely rare condition after uncomplicated dacryocystorhinostomy (DCR). It may be misdiagnosed as angioedema or necrotizing fasciitis. In this article, we present the case of a 40-year-old female with CFE twice after uncomplicated unilateral DCR for left and right sides on different operative days. CFE was confirmed by computed tomography, demonstrating extensive air within subcutaneous tissues of the face, neck, and orbital cavity. Subcutaneous crepitation supported the diagnosis. This is the first case report, to the best of our knowledge, describing a patient with recurrent massive CFE after each unilateral DCR.
颈面部皮下气肿（CFE）主要发生于创伤或牙科手术后，是一种在单纯鼻泪管造口术（DCR）后极不常见的、意料之外的疾病。CFE 可能被误诊为血管性水肿或坏死性筋膜炎。本文报告了一例 40 岁女性，在不同手术日分别行单纯左侧和右侧 DCR 后两次发生 CFE。CFE 通过 CT 检查确诊，表现为面部、颈部和眶腔皮下组织广泛积气。皮下捻发音支持诊断。据我们所知，这是首例描述双侧单侧 DCR 后反复发生大量 CFE 的病例报告。
