Isolated medial blow-out orbital fracture: orbital and blepharal emphysema
Diagnosis certain
Presentation
Playing rugby and fell onto opposition player's knee with contact to the left orbit. Now gross swelling and popping sensation in the orbit on nose blowing/Valsalva maneuver.
Patient Data
Age: 20 years
Gender: Male
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Info
![](https://prod-images-static.radiopaedia.org/images/7454469/cd0cba3293cf647807d0ef8d50aa38_big_gallery.jpg)
Intact orbital floor with "blow out" to medial orbit leading to a fistula between the ethmoidal air cells and eyelids as well as the orbit with air seen inside the muscular cone adjacent to the optic nerve. Globe is intact.