title: Orbital emphysema following removal of bilateral midfacial implants.
abstract: A 36-year-old man with Crouzon syndrome was referred post-operatively with unilateral painful limitation of eye movements and proptosis following removal of bilateral malar and orbital rim implants. Further investigation revealed right inferior orbital emphysema, caused by the intra-operative entrance of hydrogen peroxide through a suspected perforation of the orbital septum. The symptoms settled with conservative management.
authors: Prince of Wales Hospital, Randwick, Australia. dan.brettell@gmail.com
authors: Daniel
authors: D
authors: Brettell
authors: Kenneth G-J
authors: KG
authors: Ooi
authors: Allan
authors: A
authors: Bank
authors: Mark P
authors: MP
authors: Gianoutsos
mesh_terms: D003394:Craniofacial Dysostosis / Q000601:surgery*; D020878:Device Removal; D004646:Emphysema / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D006861:Hydrogen Peroxide / Q000008:administration & dosage / Q000009:adverse effects; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis / Q000209:etiology*; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D014057:Tomography, X-Ray Computed
chemical_list: D006861:Hydrogen Peroxide