{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:51:43Z","timestamp":1791906703861,"version":"4.3.4"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120001875_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Peri-orbital surgical emphysema is a rare complication that can occur after lacrimal surgery. It has only been described in isolated cases, following external dacryocystorhinostomy (<jats:italic>n<\/jats:italic> = 2) and Lester Jones tube insertion (<jats:italic>n<\/jats:italic> = 1).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001875_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>A retrospective, non-comparative case series was conducted of patients who developed surgical emphysema following endoscopic dacryocystorhinostomy.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001875_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 356 endoscopic dacryocystorhinostomy cases (primary, <jats:italic>n<\/jats:italic> = 316; revision, <jats:italic>n<\/jats:italic> = 40) were performed over a six-year period. Seven cases of post-operative surgical emphysema were identified, all of which were preceded by uncontrolled sneezing, nose-blowing or coughing within the first week of surgery. The occurrence of surgical emphysema post-endoscopic dacryocystorhinostomy in our centre was 7 in 356, or 2 per cent, over six years.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001875_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>This is the first study to report the occurrence of surgical emphysema post-endoscopic dacryocystorhinostomy. Clinicians may wish to suggest patients stifle the aforementioned triggers within the first week to reduce the potential for surgical emphysema.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120001875","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T07:47:34Z","timestamp":1600674454000},"page":"872-874","source":"Crossref","is-referenced-by-count":2,"title":["Peri-orbital surgical emphysema following endoscopic dacryocystorhinostomy"],"prefix":"10.1017","volume":"134","author":[{"given":"J C","family":"Bladen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W F","family":"Siah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A S","family":"Litwin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Malhotra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"S0022215120001875_ref4","doi-asserted-by":"publisher","DOI":"10.4076\/1757-1626-2-8108"},{"key":"S0022215120001875_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(88)71440-6"},{"key":"S0022215120001875_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2009.04.005"},{"key":"S0022215120001875_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/01.iop.0000176267.81599.d8"},{"key":"S0022215120001875_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfo.2014.03.012"},{"key":"S0022215120001875_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)61036-2"},{"key":"S0022215120001875_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/014556130908800414"},{"key":"S0022215120001875_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000770"},{"key":"S0022215120001875_ref8","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2015.1078378"},{"key":"S0022215120001875_ref3","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011909341"},{"key":"S0022215120001875_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181efa695"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215120001875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T09:01:51Z","timestamp":1615366911000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215120001875\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,21]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["S0022215120001875"],"URL":"https:\/\/doi.org\/10.1017\/s0022215120001875","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,21]]}}}