Cervicofacial emphysema following unilateral external dacryocystorhinostomies: A case report.

Authors:
Ziya Akingol
Ziya Akingol
Marmara University School of Medicine
Turkey
Safak Karslioglu
Safak Karslioglu
Oculoplastic Surgery and Ocular Oncology Center
Didem Serin
Didem Serin
Haydarpasa Numune Education and Research Hospital
Turkey

Indian J Ophthalmol 2018 05;66(5):722-724

Haydarpasa Numune Education and Research Hospital, Eye Clinic, Istanbul, Turkey.

Cervicofacial emphysema (CFE), mostly seen after trauma or dental procedures, is an unexpected, extremely rare condition after uncomplicated dacryocystorhinostomy (DCR). It may be misdiagnosed as angioedema or necrotizing fasciitis. In this article, we present the case of a 40-year-old female with CFE twice after uncomplicated unilateral DCR for left and right sides on different operative days. CFE was confirmed by computed tomography, demonstrating extensive air within subcutaneous tissues of the face, neck, and orbital cavity. Subcutaneous crepitation supported the diagnosis. This is the first case report, to the best of our knowledge, describing a patient with recurrent massive CFE after each unilateral DCR.

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http://dx.doi.org/10.4103/ijo.IJO_1107_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5939179PMC
May 2018
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