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1 results

  • Peri-orbital surgical emphysema following endoscopic dacryocystorhinostomy

  • J C Bladen, W F Siah, P Tan, A S Litwin, S Ali, R Malhotra
  • Journal:
    The Journal of Laryngology & Otology / Volume 134 / Issue 10 / October 2020
    Published online by Cambridge University Press:
    21 September 2020, pp. 872-874
    Print publication:
    October 2020
  • 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.