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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 32 (11-20 November)

Case Study

Barotraumatic Subcutaneous Orbital Emphysema after Nose Blowing: Case Report


Yasin Metiner1, Tuba Cimilli Ozturk1*, Ozge Ecmel Onur1 and Serdar Ozdemir1

1Department Emergency Medicine, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.

Article Information


(1) Salomone Di Saverio, Emergency Surgery Unit, Department of General and Transplant Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy.


(1) Anonymous.

(2) Olivier Lieger, University of Bern, Switzerland.

Complete Peer review History: http://www.sciencedomain.org/review-history/5354


Orbital subcutaneous emphysema is defined as the abnormal presence of air within the periorbital soft tissue. It occurs generally as a result of blunt or penetrating facial trauma. Spontaneous barotraumatic emphysema is a very rare entity that generally results due to a sudden increase in the intraorbital pressure. If there is not an obvious visual acuity loss even with high ocular pressure, it is generally managed conservatively. However prolonged elevation of intraorbital pressure may cause an irreversible, ischemic visual loss secondary to an ischemic optic neuropathy or an acute central retinal artery occlusion. Emergency decompression may be required. Here we are presenting a patient with barotraumatic orbital subcutaneous emphysema, occurring after forceful nose blowing who was managed conservatively without any complications.

Keywords :

Subcutaneous emphysema; barotrauma; emergency medicine; orbital blow-out fractures; trauma.

Full Article - PDF    Page 5174-5178

DOI : 10.9734/BJMMR/2014/11832

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