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  • Title: Orbital emphysema following removal of bilateral midfacial implants.
    Author: Brettell D, Ooi KG, Bank A, Gianoutsos MP.
    Journal: Orbit; 2011 Dec; 30(6):311-2. PubMed ID: 21977963.
    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.
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