顔面外傷による眼窩眼瞼気腫の1症例

A Case of Orbitopalpebral Emphysema due to Facial Injury

緒言

　眼窩眼瞼気腫は主として眼科領域で報告されるが，耳鼻咽喉科領域では比較的稀な疾患とされる。今回我々は，顔面外傷による眼窩眼瞼気腫の1症例を経験したので報告する。

A 17-year-old male patient of orbitopalpebral emphysema caused by facial injury was repor-ted. He was hit on his face by a fist several timesrepeatedly and on the next day, he suffered from a swelling of the right eyelid and double vision.

X-ray examination showed mild grade opacity at the right ethmoid sinus and a half round hy-pertransparency at the upper portion in the right orbit suggesting orbital emphysema.

As these symptoms persisted for 4 days, a needle aspiration was performed and air was removed. Afterwards, the disturbances disappeared.

Prevention was emphasized to inhibit blowing the nose after injury on the head and face.