Orbital blowout fracture

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Ball impact against the right eye during a football game at the school. No visual complaints.

Patient Data

Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct
This study is a stack
Coronal
bone window
This study is a stack
Sagittal
bone window
This study is a stack
Axial bone
window
Coronal
non-contrast
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Info

Right orbital floor fracture with depression of bony fragments. Soft tissue protruding into the maxillary sinus. The inferior rectus muscle is not affected.

x-ray
Lateral
Waters'
view
Caldwell
view
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Info

Radiographs after surgical repair of orbital floor.

Case Discussion

An orbital blow-out fracture occurs when there is a fracture of one of the walls of orbit but the orbital rim remains intact. Typically, this is caused by a direct blow to the central orbit from a fist or ball.

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