Blow-out fracture right orbital floor

Case contributed by Dr Chris O'Donnell

Presentation

Head butt to right eye at football. Now double vision.

Patient Data

Age: 15
Gender: Male
Modality: X-ray

Air-fluid level in the right maxillary antrum associated with a "tear drop" arising from the orbital floor consistent with prolapsed orbital content

Modality: Annotated image

The arrow refers to the herniated orbital contents

Case Discussion

CT is the investigation of choice, but radiographs are still performed and can provide reasonable analysis. However, CT is still necessary if X-rays are abnormal to determine extent of the fracture, and whether there is just fat or inferior rectus trapped in the fracture.  

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Case Information

rID: 19329
Case created: 29th Aug 2012
Last edited: 8th Jul 2016
System: Head & Neck
Tag: rapids
Inclusion in quiz mode: Included

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