{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:20:01Z","timestamp":1774354801133,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,12]]},"abstract":"<jats:p>Orbital blowout fractures are nearly always caused by acute trauma. Non-traumatic cases of orbital blowout fractures have only been rarely described. In this case study, we discuss an orbital blowout fracture directly caused by nose blowing. The patient developed unilateral eye swelling and orbital emphysema. It is important for the clinician to investigate all suspected orbital blowout fractures with imaging and full ophthalmological examination regardless of a trauma history. Most cases of orbital emphysema resolve spontaneously, however one must always exclude compression of the central retinal artery. This may present as acute loss of vision and\/or ophthalmoplegia.<\/jats:p>","DOI":"10.1136\/bcr-2018-224633","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T10:09:38Z","timestamp":1530180578000},"page":"bcr-2018-224633","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Orbital blowout fracture from nose blowing"],"prefix":"10.1136","volume":"2018","author":[{"given":"Sam","family":"Myers","sequence":"first","affiliation":[{"name":"Department of Radiology, North Middlesex University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Radiology, North Middlesex University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,28]]},"reference":[{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.1","doi-asserted-by":"crossref","first-page":"124","DOI":"10.2484\/rcr.v3i1.124","article-title":"Orbital emphysema following ocular trauma and sneezing","volume":"3","author":"Gauguet","year":"2008","journal-title":"Radiol Case Rep"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.2","doi-asserted-by":"crossref","DOI":"10.1016\/S0385-8146(00)00122-X","article-title":"Barotraumatic blowout fracture of the orbit","volume":"28","author":"Suzuki","year":"2001","journal-title":"Auris Nasus Larynx"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.3","doi-asserted-by":"crossref","first-page":"169e70","DOI":"10.1177\/014556139607500313","article-title":"Orbital floor fracture following nose blowing","volume":"75","author":"Oluwole","year":"1996","journal-title":"Ear Nose Throat J"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.4","doi-asserted-by":"crossref","first-page":"24e5","DOI":"10.1177\/014556131209100108","article-title":"Orbital blowout fracture caused by nose blowing","volume":"91","author":"Watanabe","year":"2012","journal-title":"Ear Nose Throat J"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2010.02.004"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.6","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-212554"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.7","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1097\/SCS.0000000000000532","article-title":"Medial orbital wall fracture caused by forceful nose blowing","volume":"25","author":"Hwang","year":"2014","journal-title":"J Craniofac Surg"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.8","first-page":"957","article-title":"Emergency treatment of post-traumatic orbital emphysema: A case report","volume":"26","author":"Benharbit","year":"2003","journal-title":"J Fr Ophthalmol"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.9","doi-asserted-by":"crossref","first-page":"395","DOI":"10.4103\/0301-4738.33834","article-title":"Spontaneous subcutaneous orbital emphysema following forceful nose blowing: treatment options","volume":"55","author":"Shah","year":"2007","journal-title":"Indian J Ophthalmol"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.10","first-page":"747","article-title":"Orbital emphysema complicated by acute central retinal artery occlusion: case report and treatment","volume":"14","author":"Linberg","year":"1982","journal-title":"Ann Ophthalmol"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.11","first-page":"957","article-title":"[Emergency treatment of post-traumatic orbital emphysema: a case report]","volume":"26","author":"Benharbit","year":"2003","journal-title":"J Fr Ophtalmol"},{"key":"2025082623040567000_2018.jun28_1.bcr-2018-224633.12","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/01.iop.0000187909.37677.50","article-title":"Severe subcutaneous emphysema following orbital blowout fracture","volume":"21","author":"Reeves","year":"2005","journal-title":"Ophthalmic Plast Reconstr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:04:13Z","timestamp":1756274653000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,28]]},"references-count":12,"alternative-id":["10.1136\/bcr-2018-224633"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224633","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,28]]}}}