[Diplopia and blepharoptosis associated with orbital emphysema following thoracotomy with lung cancer; report of a case].
Kyobu Geka
; 57(6): 501-4, 2004 Jun.
Article
em Ja
| MEDLINE
| ID: mdl-15202274
ABSTRACT
BACKGROUND:
Orbital emphysema is a common complication of trauma and fracture of orbital bones. However, subcutaneous emphysema also can rarely lead to orbital emphysema. We reported the clinical and radiological findings in a patient with diplopia and blepharoptosis following thoracotomy for lung cancer. CASE A 76-year-old man had undergone left inferior lobectomy and ND 2 a in October 2002, based on the clinical diagnosis of stage IB lung squamous cell carcinoma. He presented with diplopia and blepharoptosis several days following thoracotomy. Chest X-ray demonstrated extensive subcutaneous emphysema, and physical examination also revealed diffuse subcutaneous emphysema including face and palpebrae. Head computed tomography (CT) revealed subcutaneous emphysema in the infratemporal fossa bilaterally. His diplopia and blepharoptosis gradually resolved, and he was discharged with no visual complaints on the fourteenth postoperative day.CONCLUSIONS:
Subcutaneous emphysema can lead to diplopia and orbital emphysema in the absence of orbital trauma. Early surgical intervention for air leakage is highly recommended to avoid both the orbital emphysema and the visual complications in the event that subcutaneous emphysema should get to including face or palpebrae.
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Base de dados:
MEDLINE
Assunto principal:
Doenças Orbitárias
/
Complicações Pós-Operatórias
/
Enfisema Subcutâneo
/
Blefaroptose
/
Carcinoma de Células Escamosas
/
Diplopia
/
Neoplasias Pulmonares
Tipo de estudo:
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Japão