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Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature

Published online by Cambridge University Press:  21 March 2019

A J Millington ,
V Perkins  and
M A Salam
A J Millington*
Affiliation:
Department of Otolaryngology, Ipswich Hospital, UK
V Perkins
Affiliation:
Department of Otolaryngology, Ipswich Hospital, UK
M A Salam
Affiliation:
Department of Otolaryngology, Ipswich Hospital, UK
*
Author for correspondence: Mr Alexander Millington, c/o ENT Dept, Ipswich Hospital, Heath Road, Ipswich IP4 5PD, UK E-mail: dr.alexmillington@gmail.com
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Abstract

Background

Autoinflation devices are commonly used for otitis media with effusion and Eustachian tube dysfunction. Generally, these are very safe devices, with few or no complications.

Case report

This paper presents a case study of pneumocephalus and orbital emphysema, associated with the use of an autoinflation device, in a 73-year-old woman with Eustachian tube dysfunction and otitis media with effusion, and a history of extensive endoscopic sinus surgery 13 years previously.

Conclusion

A literature review showed autoinflation-related pneumocephalus in patients with skull base defects relating to cranial surgery or tumours; however, this has not been described previously with the Otovent system or its use in relation to functional endoscopic sinus surgery. Given the theoretical risk of undetected bony abnormalities in post-operative functional endoscopic sinus surgery patients, it is suggested that autoinflation devices are used cautiously in patients with a history of sinus surgery.

Keywords

Eustachian TubeOtitis Media With EffusionPneumocephalusPostoperative ComplicationsTransnasal Endoscopic Surgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 2 , February 2019 , pp. 157 - 160
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr A Millington takes responsibility for the integrity of the content of the paper

References

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