HAPŞIRMA ESNASINDA AĞZIN KAPATILMASI SONRASI ORBİTAL AMFİZEM

Yıl 2019, , 122 - 124, 27.05.2019

Levent Şahin

https://doi.org/10.33715/inonusaglik.509997

Öz

32 yaşındaki erkek hasta, sağ göz kapağında hapşırma
esnasında ağzını kapatması sonucu aniden oluşan şişlik ve ağrı  şikâyeti ile acil servise başvurdu. Geçirilmiş
travma,sinüzit veya cerrahi öyküsü yoktu. Muayenesinde sağ gözde görme alanını
azaltan ve palpasyon ile krepitasyon veren amfizematöz kapak şişliği vardı. Göz
hastalıkları konsültasyonu istendi, antibiyotik tedavisi başlanıldı, iğne ile
subkütan amfizem drene edildi ve hasta rahatladı. Hastaya intranazal hava
basıncını arttırabilecek manevralardan kaçınması önerilerek taburcu edildi.

Anahtar Kelimeler

Hapşırma, göz, amfizem

Orbital Emphysema after Closing the Mouth during Sneezing: Case Report

Öz

A 32-year-old male patient was admitted to the emergency department with complaints of swelling and pain on
the right palpebra. He had no history of trauma, sinusitis, or surgery. On examination, the visual field was
decreased in the right eye. On the lower palpebra, there was an emphysematous swelling, which was crepitated
by palpation. An ophthalmology consultation was requested, antibiotic treatment was given and subcutaneous
emphysema was drained with insulin injector tip. The patient was discharged with the recommendation of
avoiding maneuvers that could increase the intranasal air pressure.

Anahtar Kelimeler

Sneezing, eye

Kaynakça

• 1. Gonzalez F, Cal V, Elhendi W. Orbital emphysema after sneezing. Ophthal Plast Reconstr Surg 2005;21(4):309-11.2. Benharbit M, Karim A, Lazreq M, Mohcine Z. [Emergency treatment of post-traumatic orbital emphysema: a case report]. J Fr Ophtalmol 2003;26(9):957-9.3. Gwaltney JM Jr, Hendley JO, Phillips CD,Bass CR, Mygind N, Winther B. Nose blowingpropels nasal fluid into the paranasal sinuses.Clin Infect Dis 2000;30(2):387-91 4. Dobler AA, Nathenson AL, Cameron JD,Carpel ET, Janda AM, Pederson JE. A caseof orbital emphysema as an ocular emer-gency. Retina 1993;13(2):166-8 5. Jordan DR, White GL Jr, Anderson RL, Thiese SM. Orbital emphysema: a potentially blinding complication following orbital fractures. Ann Emerg Med 1988;17(8):853-56. Helvacı S, Öksüz H, Şahinoğlu Keşkek N, Cevher S.( Sümkürme Sonrası Spontan Orbital Amfizem Olgusu). Turkiye Klinikleri J Ophthalmol 2014;23(3)
• 2.Benharbit M, Karim A, Lazreq M, Mohcine Z. [Emergency treatment of post-traumatic orbital emphysema: a case report]. J Fr Ophtalmol 2003;26(9):957-9.
• 3. Gwaltney JM Jr, Hendley JO, Phillips CD,Bass CR, Mygind N, Winther B. Nose blowingpropels nasal fluid into the paranasal sinuses.Clin Infect Dis 2000;30(2):387-91
• 4. Dobler AA, Nathenson AL, Cameron JD,Carpel ET, Janda AM, Pederson JE. A caseof orbital emphysema as an ocular emer-gency. Retina 1993;13(2):166-8
• 5. Jordan DR, White GL Jr, Anderson RL, Thiese SM. Orbital emphysema: a potentially blinding complication following orbital fractures. Ann Emerg Med 1988;17(8):853-5
• 6. Helvacı S, Öksüz H, Şahinoğlu Keşkek N, Cevher S.( Sümkürme Sonrası Spontan Orbital Amfizem Olgusu). Turkiye Klinikleri J Ophthalmol 2014;23(3)