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Subcutaneous emphysema after vigorous sneezing in the setting of acute frontal sinusitis.

Abstract：

INTRODUCTION:Subcutaneous emphysema [SCE] can develop due to traumatic, infectious, and spontaneous causes and usually localizes to the periorbital space. CASE:We present a case of an 18-year-old male with an 8-day history of migraine-like headaches followed by the acute onset of frontofacial swelling after vigorous sneezing. Radiologic and physical exam findings supported a diagnosis of frontofacial SCE in the setting of frontal sinusitis. DISCUSSION:A sneeze, although usually benign, causes a significant increase in intranasal pressure. When coupled with a history significant for facial trauma or rhinosinusitis, this rise in pressure can be sufficient to cause fracturing of the bone overlying a paranasal sinus, leading to the formation of SCE.

journal_name

Am J Otolaryngol

journal_title

American journal of otolaryngology

authors

Hirsch S,Coelho D,Schuman T

doi

10.1016/j.amjoto.2016.08.012

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

244-247

issue

2

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(16)30075-8

journal_volume

38

pub_type

杂志文章

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