An Extremely Rare Cause of Orbital Emphysema in a Child

An Extremely Rare Cause of Orbital Emphysema in a Child

The authors present a rare case of nontraumatic medial orbital wall fracture in an 11-year-old girl. Fractures of the orbital wall secondary to nose blowing have not been previously described in the pediatric population. The patient reported a history of chronic forceful nose blowing, followed by pe...

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Bibliographic Details
Published in:The Journal of craniofacial surgery
Main Authors: Aubin-Lemay, Camille, Acar, Philippe, Alnaif, Nayif, Alamri, Abdulrahman, Azzi, Alain Joe, Cugno, Sabrina
Format: Journal Article
Language:English
Published: United States 08-03-2018
Online Access:Get full text
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Summary:The authors present a rare case of nontraumatic medial orbital wall fracture in an 11-year-old girl. Fractures of the orbital wall secondary to nose blowing have not been previously described in the pediatric population. The patient reported a history of chronic forceful nose blowing, followed by periorbital swelling after an episode of vigorous nose blowing. Erroneous diagnoses of sinusitis and periorbital cellulitis lead to unnecessary antibiotic treatment. The authors hypothesize that repeated and aggressive nose blowing is analogous to stress fractures, leading to weakening and eventual fracture of the medial orbital wall.
ISSN:1536-3732