HAPŞIRMA ESNASINDA AĞZIN KAPATILMASI SONRASI ORBİTAL AMFİZEM

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

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.

Keywords:

Sneezing, eye,

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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)