Cargando…

Periorbital Emphysema After Endoscopic Nasal Polyp Surgery

Periorbital and subcutaneous emphysema after transnasal endoscopic surgery are rare. Periorbital emphysema has been reported after facial trauma, dental interventions, procedures such as endoscopic sinus surgery and rhinoplasty, and due to medications such as systemic steroids. Although very rare, i...

Descripción completa

Detalles Bibliográficos
Autores principales: Çınar, Esat, Yüce, Berna, Fece, Murat, Küçükerdönmez, Fehmi Cem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416481/
https://www.ncbi.nlm.nih.gov/pubmed/30829026
http://dx.doi.org/10.4274/tjo.galenos.2018.01460
_version_ 1783403362096513024
author Çınar, Esat
Yüce, Berna
Fece, Murat
Küçükerdönmez, Fehmi Cem
author_facet Çınar, Esat
Yüce, Berna
Fece, Murat
Küçükerdönmez, Fehmi Cem
author_sort Çınar, Esat
collection PubMed
description Periorbital and subcutaneous emphysema after transnasal endoscopic surgery are rare. Periorbital emphysema has been reported after facial trauma, dental interventions, procedures such as endoscopic sinus surgery and rhinoplasty, and due to medications such as systemic steroids. Although very rare, it may require urgent intervention because of the risk of increased intraocular pressure and impaired blood supply to the globe. The otolaryngology department requested ophthalmology consultation for a 65-year-old male patient who had severe periorbital emphysema of the right eye the day after endoscopic nasal polypectomy due to severe coughing and straining. Crepitus was detected on skin palpation and immediate intervention was performed by passing a 21-gauge needle through the skin into the subcutaneous tissue of the upper and lower eyelids to evacuate the subcutaneous air. The patient’s clinical symptoms resolved with no postoperative complications.
format Online
Article
Text
id pubmed-6416481
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Galenos Publishing
record_format MEDLINE/PubMed
spelling pubmed-64164812019-03-19 Periorbital Emphysema After Endoscopic Nasal Polyp Surgery Çınar, Esat Yüce, Berna Fece, Murat Küçükerdönmez, Fehmi Cem Turk J Ophthalmol Case Report Periorbital and subcutaneous emphysema after transnasal endoscopic surgery are rare. Periorbital emphysema has been reported after facial trauma, dental interventions, procedures such as endoscopic sinus surgery and rhinoplasty, and due to medications such as systemic steroids. Although very rare, it may require urgent intervention because of the risk of increased intraocular pressure and impaired blood supply to the globe. The otolaryngology department requested ophthalmology consultation for a 65-year-old male patient who had severe periorbital emphysema of the right eye the day after endoscopic nasal polypectomy due to severe coughing and straining. Crepitus was detected on skin palpation and immediate intervention was performed by passing a 21-gauge needle through the skin into the subcutaneous tissue of the upper and lower eyelids to evacuate the subcutaneous air. The patient’s clinical symptoms resolved with no postoperative complications. Galenos Publishing 2019-02 2019-02-28 /pmc/articles/PMC6416481/ /pubmed/30829026 http://dx.doi.org/10.4274/tjo.galenos.2018.01460 Text en © Copyright 2019 by Turkish Ophthalmological Association | Turkish Journal of Ophthalmology, published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Çınar, Esat
Yüce, Berna
Fece, Murat
Küçükerdönmez, Fehmi Cem
Periorbital Emphysema After Endoscopic Nasal Polyp Surgery
title Periorbital Emphysema After Endoscopic Nasal Polyp Surgery
title_full Periorbital Emphysema After Endoscopic Nasal Polyp Surgery
title_fullStr Periorbital Emphysema After Endoscopic Nasal Polyp Surgery
title_full_unstemmed Periorbital Emphysema After Endoscopic Nasal Polyp Surgery
title_short Periorbital Emphysema After Endoscopic Nasal Polyp Surgery
title_sort periorbital emphysema after endoscopic nasal polyp surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416481/
https://www.ncbi.nlm.nih.gov/pubmed/30829026
http://dx.doi.org/10.4274/tjo.galenos.2018.01460
work_keys_str_mv AT cınaresat periorbitalemphysemaafterendoscopicnasalpolypsurgery
AT yuceberna periorbitalemphysemaafterendoscopicnasalpolypsurgery
AT fecemurat periorbitalemphysemaafterendoscopicnasalpolypsurgery
AT kucukerdonmezfehmicem periorbitalemphysemaafterendoscopicnasalpolypsurgery