https://doi.org/10.4081/ecj.2026.14875
Please, blow your nose carefully!
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 12 February 2026
A 77-year-old man presented to the emergency department with sudden right periorbital swelling following nose blowing. His medical history was unremarkable. On clinical examination, his vital signs were normal, the right eyelid was closed due to swelling and there was crepitus of the upper and lower eyelids. The patient underwent a Computed Tomography (CT) scan of the maxillofacial region.
Downloads
1) Salar S, Edafe O. A case report and systematic review of periorbital emphysema following nose blowing or sneezing. Ann R Coll Surg Engl 2025;107:295-9. DOI: https://doi.org/10.1308/rcsann.2024.0090
2) Gwaltney J, Hendley J, Phillips C. Nose blowing propels nasal fluid into the paranasal sinuses. Clin Infect Dis 2000;30:387–91. DOI: https://doi.org/10.1086/313661
3) Myers S, Bell D. Orbital blowout fracture from nose blowing. BMJ Case Rep 2018;2018:bcr2018224633. DOI: https://doi.org/10.1136/bcr-2018-224633
4) Oluwole M, White P. Orbital floor fracture following nose blowing. Ear Nose Throat J 1996;75:169–70. DOI: https://doi.org/10.1177/014556139607500313
5) Sowerby L, Harris M, Joshi R. Does endoscopic sinus surgery alter the biomechanics of the orbit? J Otolaryngol - Head Neck Surg 2020;49:44. DOI: https://doi.org/10.1186/s40463-020-00442-5
6) Heymann HB, Thompson CF, Lissner GS, Kern RC. Nasoorbital osteoma presenting as valsalva-induced orbital emphysema. Ophthal Plast Reconstr Surg 2017;33:S106–S7. DOI: https://doi.org/10.1097/IOP.0000000000000602
7) Zhuang A, Li Y, Lin M, et al. Ethmoid osteoma as a culprit of orbital emphysema. Medicine (United States) 2015;94:e724. DOI: https://doi.org/10.1097/MD.0000000000000724
8) Shah N. Spontaneous subcutaneous orbital emphysema following forceful nose blowing: treatment options. Indian J Ophthalmol 2007;55:395. DOI: https://doi.org/10.4103/0301-4738.33834
How to Cite

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.




