코를 풀고 난 후 발생한 안와주위 기종

Periorbital emphysema following nose blowing is unusual and infrequent, and there are few reports in medical literature. We experienced a 32-year-old woman who had painful periorbital swelling after nose blowing. A computed tomographic scan showed focal bony dehisence of lamina papyracea, and preorbital emphysema. Trauma is the most frequent cause of periorbital emphysema, but it may occur spontaneously. In most cases, periorbital emphysema is an incidental, and benign findings that resolves with time. Careful observation is the only treatment necessary unless an orbital fracture involves an infected sinus, in which case prophylatic orally administered antibiotics may be prescribed. (J Clinical Otolaryngol 2000;11:153-155)