Lateral orbital wall blow-in fracture and concomitant orbital floor and maxillary sinus wall fracture

Case contributed by Shervin Sharifkashani

Presentation

Facial trauma and asymmetry and deformity of right side of the face.

Patient Data

Age: 40 years
Gender: Male

Remarkably displaced comminuted fractures in the right orbit lateral wall and maxillary sinus walls and minimally displaced fracture in the right orbit floor and hemorrhage within the right maxillary sinus antrum are seen. Note the overriding fractured bones of the lateral orbital wall that has led to shortening of the wall and also the impression of displaced bones on the right lateral rectus muscle musculotendinous junction.

Case Discussion

The lateral orbital wall fracture is usually comminuted and associated with maxillary sinus wall fracture which leads to deformity of the face in turn. The shortening of the lateral orbital wall and inwardly displaced fractured bone can lead to dysfunctional eyelids and lateral rectus muscle dysfunction respectively, that must be managed carefully.

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