Abstract
A case of orbital and palpebral emphysema caused by fracture of the orbital floor is presented. The patient was a 4-year-old boy. He fell from a slide and struck the left side of his face. The patient presented with swelling of the left lower eyelid. A computed tomographic scan revealed a low density area inthe orbit and under the skin of the lower eyelid. Although mild exophthalmusand upward esodeviation ofthe eyeball had been caused by left orbital emphysema, no disorder of ocular movement was observed, andocular tension was normal. We administered antibiotics for 5 days to prevent infection and observed thepatient's grogress, giving instructions not to sneeze or blow his nose. Subsequent progress was favorable, and the swelling of the lower eyelid disappeared on the 7 th day after the injury. A computed tomographicscan obtained in the third week showed no remaining gas.
