Masticator space blow-out fracture

Case contributed by Husam Hussein Yaseen
Diagnosis certain

Presentation

Road traffic accident.

Patient Data

Age: 25 years
Gender: Male

There are multiple hemorrhagic foci seen predominantly in the corticomedullary junction of the right frontal lobe consistent with diffuse axonal injury.

Fracture of the right maxillary antrum is also noted.

Fractured posterolateral wall of the right maxillary sinus with herniation of buccal fat into the sinus cavity.

The mandible is fractured in two sites; at the angle on the right side and at the anterior part of the body on the left side.

Case Discussion

This patient was admitted to the emergency room with a decrease in the level of consciousness after a road traffic injury. It is important to pay attention to this type of blow-out fracture especially in the presence of a mandibular fracture.

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