TITLE:
Facial and Orbital Emphysema after a Violent Nose-Blowing
AUTHORS:
Azeddine Lachkar, Amine Salek, Drissia Benfadil, Fahd Elayoubi, Mohammed Rachid Ghailan
KEYWORDS:
Orbital Emphysema, Facial Emphysema, Nose-Blowing
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.11 No.3,
May
16,
2022
ABSTRACT: Subcutaneous orbital and facial emphysema is a rare condition that may
occur after a direct or indirect sinus trauma. A case report of a 25-year-old
female complaining of bilateral swelling of the eyelid, orbital area, and facial
puffiness, secondary to a violent nose-blowing. Computed tomography (CT)
confirmed the diagnosis of subcutaneous emphysema. The initial treatment plan
was puncture-suction and prophylactic intravenous antibiotic therapy. The
patient was advised to not blow her nose. There has been no improvement in the
patient’s condition on the tenth day, so we performed a bilateral nasal packing by two Merocels
(R), maintained for five days. After two weeks, the condition had completely
resolved.