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Orbital emphysema

MedGen UID:
572990
•Concept ID:
C0339152
•
Disease or Syndrome
Synonym: Orbital Emphysema
SNOMED CT: Orbital emphysema (231850002)

Definition

The presence of air or gas in the subcutaneous tissue of the orbit of the eye. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVOrbital emphysema

Professional guidelines

PubMed

Management of the 'tight orbit' and associated visual loss.
Alford EL, Soparkar CN
Curr Opin Otolaryngol Head Neck Surg 2013 Aug;21(4):417-22. doi: 10.1097/MOO.0b013e32836312a1. PMID: 23838551
Orbital emphysema. Staging and acute management.
Hunts JH, Patrinely JR, Holds JB, Anderson RL
Ophthalmology 1994 May;101(5):960-6. PMID: 8190488

Recent clinical studies

Etiology

Anatomic and physiologic approach for trans-conjunctival needle decompression of orbital emphysema.
Clauss KD, Tse DT
Orbit 2023 Aug;42(4):445-449. Epub 2022 Feb 7 doi: 10.1080/01676830.2022.2034169. PMID: 35129053
Orbital Fractures and Air Travel.
Riordan EA, van der Rijt RG, Kernohan MD
J Craniofac Surg 2021 Jun 1;32(4):1625-1627. doi: 10.1097/SCS.0000000000007529. PMID: 34842398
Unilateral Orbital Emphysema Secondary to Vitreoretinal Surgery.
Enríquez AB, Wheelock-Gutierrez L, Golzarri MF, Planella S, Salcedo-Villanueva G, Salcedo-Casillas G, Ceriotto A, Rubio RI, Morales-Canton V
Ophthalmol Retina 2020 Jul;4(7):708-719. Epub 2020 Jan 13 doi: 10.1016/j.oret.2020.01.008. PMID: 32192937
Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature.
Millington AJ, Perkins V, Salam MA
J Laryngol Otol 2019 Feb;133(2):157-160. doi: 10.1017/S0022215119000070. PMID: 30898187
Morphological characteristics and clinical manifestations of orbital emphysema caused by isolated medial orbital wall fractures.
Moon H, Kim Y, Wi JM, Chi M
Eye (Lond) 2016 Apr;30(4):582-7. Epub 2016 Jan 22 doi: 10.1038/eye.2015.285. PMID: 26795415Free PMC Article

Diagnosis

Orbital Emphysema.
Lee NJ, Chiu PW
N Engl J Med 2023 Mar 16;388(11):e35. Epub 2023 Mar 11 doi: 10.1056/NEJMicm2209451. PMID: 36912555
Unilateral Orbital Emphysema Secondary to Vitreoretinal Surgery.
Enríquez AB, Wheelock-Gutierrez L, Golzarri MF, Planella S, Salcedo-Villanueva G, Salcedo-Casillas G, Ceriotto A, Rubio RI, Morales-Canton V
Ophthalmol Retina 2020 Jul;4(7):708-719. Epub 2020 Jan 13 doi: 10.1016/j.oret.2020.01.008. PMID: 32192937
Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature.
Millington AJ, Perkins V, Salam MA
J Laryngol Otol 2019 Feb;133(2):157-160. doi: 10.1017/S0022215119000070. PMID: 30898187
Orbital Emphysema: A Case Report and Comprehensive Review of the Literature.
Roelofs KA, Starks V, Yoon MK
Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):1-6. doi: 10.1097/IOP.0000000000001216. PMID: 30130334
Morphological characteristics and clinical manifestations of orbital emphysema caused by isolated medial orbital wall fractures.
Moon H, Kim Y, Wi JM, Chi M
Eye (Lond) 2016 Apr;30(4):582-7. Epub 2016 Jan 22 doi: 10.1038/eye.2015.285. PMID: 26795415Free PMC Article

Therapy

Unilateral Orbital Emphysema Secondary to Vitreoretinal Surgery.
Enríquez AB, Wheelock-Gutierrez L, Golzarri MF, Planella S, Salcedo-Villanueva G, Salcedo-Casillas G, Ceriotto A, Rubio RI, Morales-Canton V
Ophthalmol Retina 2020 Jul;4(7):708-719. Epub 2020 Jan 13 doi: 10.1016/j.oret.2020.01.008. PMID: 32192937
Delayed Orbital Emphysema Mimicking Orbital Cellulitis: An Uncommon Complication of Dental Surgery.
Chang JR, Rajaii F, McCulley TJ
Middle East Afr J Ophthalmol 2019 Jul-Sep;26(3):175-177. Epub 2019 Sep 30 doi: 10.4103/meajo.MEAJO_241_18. PMID: 31619908Free PMC Article
Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature.
Millington AJ, Perkins V, Salam MA
J Laryngol Otol 2019 Feb;133(2):157-160. doi: 10.1017/S0022215119000070. PMID: 30898187
Orbital Emphysema: A Case Report and Comprehensive Review of the Literature.
Roelofs KA, Starks V, Yoon MK
Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):1-6. doi: 10.1097/IOP.0000000000001216. PMID: 30130334
Orbital blowout fracture from nose blowing.
Myers S, Bell D
BMJ Case Rep 2018 Jun 28;2018 doi: 10.1136/bcr-2018-224633. PMID: 29954764Free PMC Article

Prognosis

Unilateral Orbital Emphysema Secondary to Vitreoretinal Surgery.
Enríquez AB, Wheelock-Gutierrez L, Golzarri MF, Planella S, Salcedo-Villanueva G, Salcedo-Casillas G, Ceriotto A, Rubio RI, Morales-Canton V
Ophthalmol Retina 2020 Jul;4(7):708-719. Epub 2020 Jan 13 doi: 10.1016/j.oret.2020.01.008. PMID: 32192937
Retrobulbar Orbital Emphysema Associated With Medial Orbital Wall Fracture.
Dong QN, Ide T, Karino M, Okuma S, Koike T, Kanno T
J Craniofac Surg 2019 Jul;30(5):1549-1551. doi: 10.1097/SCS.0000000000005390. PMID: 31299764
Posttraumatic orbital emphysema: incidence, topographic classification and possible pathophysiologic mechanisms. A retrospective study of 137 patients.
van Issum C, Courvoisier DS, Scolozzi P
Oral Surg Oral Med Oral Pathol Oral Radiol 2013 Jun;115(6):737-42. Epub 2013 Jan 16 doi: 10.1016/j.oooo.2012.10.021. PMID: 23332507
Implication of differences in the incidence of orbital emphysema in ethmoidal and maxillary sinus fractures.
Shinohara H, Shirota Y, Fujita K
Ann Plast Surg 2004 Dec;53(6):565-9. doi: 10.1097/01.sap.0000134538.44898.1f. PMID: 15602254
Orbital emphysema: case reports and review of the literature.
Zimmer-Galler IE, Bartley GB
Mayo Clin Proc 1994 Feb;69(2):115-21. doi: 10.1016/s0025-6196(12)61036-2. PMID: 8309261

Clinical prediction guides

Anatomic and physiologic approach for trans-conjunctival needle decompression of orbital emphysema.
Clauss KD, Tse DT
Orbit 2023 Aug;42(4):445-449. Epub 2022 Feb 7 doi: 10.1080/01676830.2022.2034169. PMID: 35129053
Unilateral Orbital Emphysema Secondary to Vitreoretinal Surgery.
Enríquez AB, Wheelock-Gutierrez L, Golzarri MF, Planella S, Salcedo-Villanueva G, Salcedo-Casillas G, Ceriotto A, Rubio RI, Morales-Canton V
Ophthalmol Retina 2020 Jul;4(7):708-719. Epub 2020 Jan 13 doi: 10.1016/j.oret.2020.01.008. PMID: 32192937
Orbital Emphysema: A Case Report and Comprehensive Review of the Literature.
Roelofs KA, Starks V, Yoon MK
Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):1-6. doi: 10.1097/IOP.0000000000001216. PMID: 30130334
Morphological characteristics and clinical manifestations of orbital emphysema caused by isolated medial orbital wall fractures.
Moon H, Kim Y, Wi JM, Chi M
Eye (Lond) 2016 Apr;30(4):582-7. Epub 2016 Jan 22 doi: 10.1038/eye.2015.285. PMID: 26795415Free PMC Article
Orbital emphysema: case reports and review of the literature.
Zimmer-Galler IE, Bartley GB
Mayo Clin Proc 1994 Feb;69(2):115-21. doi: 10.1016/s0025-6196(12)61036-2. PMID: 8309261

Recent systematic reviews

Orbital Fractures and Air Travel.
Riordan EA, van der Rijt RG, Kernohan MD
J Craniofac Surg 2021 Jun 1;32(4):1625-1627. doi: 10.1097/SCS.0000000000007529. PMID: 34842398

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