Subcutaneous Emphysema: An Unusual Complication Following External Dacryocystorhinostomy

Abstract

A periorbital subcutaneous emphysema that developed after a successful external dacryocystorhinostomy (DSR) has been presented. The patient gave a history of sudden swelling of bilateral eyelids after a forceful sneeze and blowing of the nose. Physical examination showed periorbital edema and hyperemia; palpation of the swollen region revealed crepitation. These signs and symptoms suggested subcutaneous emphysema. Subcutaneous or orbital emphysema occurring after DSR is a rare complication. Pure subcutaneuos emphysema recovers spontaneously in a short period.

Keywords

• complications
• dacryocystorhinostomy; emphysema.