=Grant, Dundas.—Case of Emphysema of the Orbital Wall of the Anterior
Ethmoidal Cells, Caused by blowing the Nose.=—_Jour. Lar., Rhin. and
Otol._, March, 1900.
This case was shown to the British Laryngological, Rhinological and
Otological Association.
W. M., twenty-eight years, came under my care yesterday on account of a
sudden swelling of his eye which had taken place two hours previously,
and which had occurred suddenly as he was blowing his nose without a
handkerchief, and which gave him the impression as if something were
running out of his eye. The swelling crackled in a manner characteristic
of emphysema, and the first suspicion was that he must have had some
disease of the orbital wall of the anterior ethmoidal cells, and that on
examination there would be found some evidence of ethmoidal disease.
None such was to be elicited, and the only history obtainable was that
he received several kicks on the nose and back of the ear two months
ago. This has probably resulted in a fracture of the orbital wall of
certain of these cells.