Bilateral subcutaneous emphysema of the orbits following nose blowing

J Laryngol Otol. 2001 Apr;115(4):319-20. doi: 10.1258/0022215011907307.


Orbital emphysema without evidence of any significant trauma is a rare occurrence. A case is reported here of bilateral subcutaneous emphysema of the orbital, in the absence of facial skeleton trauma, in a healthy adult male following nose blowing. It assumes importance because of potential complications such as loss of vision due to pressure effects and infection. Lamina papyracea is the most common site of bony defect and point of air entry into the orbit. Spontaneous resolution in around two weeks is usual.

Publication types

  • Case Reports

MeSH terms

  • Antibiotic Prophylaxis
  • Humans
  • Male
  • Middle Aged
  • Nose / physiology*
  • Orbital Diseases / diagnostic imaging
  • Orbital Diseases / drug therapy
  • Orbital Diseases / etiology*
  • Pressure
  • Subcutaneous Emphysema / diagnostic imaging
  • Subcutaneous Emphysema / drug therapy
  • Subcutaneous Emphysema / etiology*
  • Tomography, X-Ray Computed