Valsalva-Induced Orbital and Subcutaneous Periorbital Emphysema Secondary to Lamina Papyracea Dehiscence: A Case Report.

ABSTRACT:

Introduction

Pneumo-orbit and periorbital subcutaneous emphysema secondary to defects in the sinus wall have been well described in the context of traumatic or surgical sequelae. However, these conditions may rarely occur atraumatically in the setting of an idiopathic or congenital sinus wall dehiscence, with a risk for orbital compartment syndrome and irreversible vision loss. We describe a case of idiopathic lamina papyracea dehiscence with resultant pneumo-orbit and elevated intraocular pressure.

Case presentation

A 28-year-old man experienced a sudden onset of unilateral orbital and subcutaneous periorbital emphysema following Valsalva maneuver. He had unilateral subcutaneous emphysema, crepitus, violaceous discoloration of the lids, and chemosis of the palpebral conjunc

SUBMITTER: Tanya SM 

PROVIDER: S-EPMC11908810 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature