A hearty sneeze

When signs of pressure eff ect occur, such as restricted ocular motion, pupillary sluggishness, disc oedema, or decreased or double vision, trapped air can be removed by underwater drainage with a 24 gauge needle or by lateral canthotomy.4 Treatment includes cold packs, oral antibiotics, and nasal spray decongestants. According to most studies, most cases have a benign outcome.1-3 However, the risk of complications and medico-legal issues are important considerations for the managing doctor.5 Contributors: HAR looked after the patient and wrote the report.