Ariyoshi Yukino, Naito Hiromichi, Yumoto Tetsuya, Iida Atsuyoshi, Yamamoto Hirotsugu, Fujisaki Noritomo, Aokage Toshiyuki, Tsukahara Kohei, Yamada Taihei, Mandai Yasuhiro, Osako Takaaki, Nakao Atsunori
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.
Case Rep Emerg Med. 2019 Jun 18;2019:4383086. doi: 10.1155/2019/4383086. eCollection 2019.
Orbital emphysema occurs when air enters the soft tissue surrounding the orbit. Although orbital blowout fractures are often caused by face trauma, nontraumatic orbital fractures can also occur but have been rarely described. Here, a case of orbital and palpebral emphysema caused by forceful nose-blowing is presented. Examination uncovered gross swelling of the right eye and discernable subcutaneous emphysema. The patient had normal eye movement and visual acuity. Orbital computed tomography (CT) revealed orbital emphysema secondary to an orbit floor fracture into the maxillary sinus, resulting from high intranasal pressure upon blowing her nose. The patient received conservative management with antibiotics and was given instructions not to sneeze or blow her nose. She fully recovered and all her symptoms completely resolved.
眼眶气肿是指空气进入眼眶周围的软组织时发生的情况。虽然眼眶爆裂性骨折常由面部创伤引起，但非创伤性眼眶骨折也可能发生，不过鲜有报道。在此，我们报告一例因用力擤鼻导致眼眶和眼睑气肿的病例。检查发现右眼明显肿胀，可触及皮下气肿。患者眼球运动及视力正常。眼眶计算机断层扫描（CT）显示，由于擤鼻时鼻内压力过高，导致眶底骨折进入上颌窦，继而引发眼眶气肿。患者接受了抗生素保守治疗，并被告知不要打喷嚏或擤鼻。她完全康复，所有症状均完全消失。
