Cervicofacial emphysema following unilateral external dacryocystorhinostomies: A case report.

Indian J Ophthalmol

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

Published: May 2018

AI Article Synopsis

  • Cervicofacial emphysema (CFE) is a rare condition typically associated with trauma or dental work, and can mistakenly be identified as other serious conditions like angioedema or necrotizing fasciitis.
  • The article details a case of a 40-year-old woman who experienced CFE twice after uncomplicated unilateral dacryocystorhinostomy (DCR) on different days for each side of her face.
  • Diagnosis was confirmed using computed tomography, which showed air in the subcutaneous tissue, and the presence of crepitation provided additional evidence, marking this as the first report of recurrent CFE after DCR surgery.

Article Abstract

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

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