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Peri-orbital surgical emphysema following endoscopic dacryocystorhinostomy

Published online by Cambridge University Press:  21 September 2020

J C Bladen ,
W F Siah ,
P Tan ,
A S Litwin ,
S Ali  and
R Malhotra
J C Bladen
Affiliation:
Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
W F Siah
Affiliation:
Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
P Tan
Affiliation:
Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
A S Litwin
Affiliation:
Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
S Ali
Affiliation:
Department of Anaesthesia, Surrey and Sussex Healthcare NHS Trust, Redhill, UK
R Malhotra*
Affiliation:
Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
*
Author for correspondence: Mr Raman Malhotra, Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East GrinsteadRH19 3DZ, UK Fax +44 (0)1342 414106 E-mail: raman@ramanmalhotra.com
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Abstract

Background

Peri-orbital surgical emphysema is a rare complication that can occur after lacrimal surgery. It has only been described in isolated cases, following external dacryocystorhinostomy (n = 2) and Lester Jones tube insertion (n = 1).

Method

A retrospective, non-comparative case series was conducted of patients who developed surgical emphysema following endoscopic dacryocystorhinostomy.

Results

A total of 356 endoscopic dacryocystorhinostomy cases (primary, n = 316; revision, n = 40) were performed over a six-year period. Seven cases of post-operative surgical emphysema were identified, all of which were preceded by uncontrolled sneezing, nose-blowing or coughing within the first week of surgery. The occurrence of surgical emphysema post-endoscopic dacryocystorhinostomy in our centre was 7 in 356, or 2 per cent, over six years.

Conclusion

This is the first study to report the occurrence of surgical emphysema post-endoscopic dacryocystorhinostomy. Clinicians may wish to suggest patients stifle the aforementioned triggers within the first week to reduce the potential for surgical emphysema.

Keywords

Surgical EmphysemaEndoscopic Dacryocystorhinostomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 10 , October 2020 , pp. 872 - 874
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Mr R Malhotra takes responsibility for the integrity of the content of the paper

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