Marfatia Hetal, Rattan Anav, Dixit Ritika, Mohapatra Prateek
Department of ENT & Head and Neck Surgery, Seth GS Medical College and K.E.M. Hospital, Acharya Donde Marg, Parel, Mumbai, Maharashtra 400012 India.
Indian J Otolaryngol Head Neck Surg. 2025 May;77(5):2145-2148. doi: 10.1007/s12070-025-05441-4. Epub 2025 Apr 8.
This study aims to present two rare cases of spontaneous orbital emphysema and analyze the literature to understand its etiology, clinical presentation, and management. This report describes two cases of spontaneous orbital emphysema, which was followed by a bout of sneezing in one case and following valsalva manoeuvre in the other. CT scan of the paranasal sinuses and the orbit demonstrated a fracture of the Lamina Papyracea in both cases. Spontaneous orbital emphysema is rare and self-limiting condition, triggered by actions like sneezing, nose blowing or valsalva manoeuvre. Most cases resolve with conservative treatment; however, some require urgent intervention to prevent vision loss. Spontaneous orbital emphysema, while rare, should be considered in patients with sudden periorbital swelling without history of trauma. Conservative management is often effective, but vigilant monitoring is crucial.
本研究旨在呈现两例罕见的自发性眼眶气肿病例,并分析文献以了解其病因、临床表现及治疗方法。本报告描述了两例自发性眼眶气肿病例,其中一例在一阵喷嚏后发病,另一例在进行瓦尔萨尔瓦动作后发病。鼻窦和眼眶的CT扫描显示两例均有筛骨纸板骨折。自发性眼眶气肿是一种罕见的自限性疾病,由打喷嚏、擤鼻或瓦尔萨尔瓦动作等行为引发。大多数病例通过保守治疗可痊愈;然而,有些病例需要紧急干预以防止视力丧失。自发性眼眶气肿虽罕见,但对于无外伤史而突然出现眶周肿胀的患者应予以考虑。保守治疗通常有效,但密切监测至关重要。