Presentation
Right eye direct trauma
Patient Data
Age: 20 years
Gender: Male
From the case:
Orbital blow-out fracture
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Fracture of medial wall of right orbit with herniation of orbital fat into right ethmoid air cells. No extraocular muscle herniation or entrapment.
Right preseptal and extraconal orbital emphysema.
Moderate secretions on both maxillary sinuses.
No other fractures detected.
Case Discussion
Feature of orbital blow-out fracture involving the medial orbital wall with herniation of orbital fat and no muscle entrapment. Traumatic orbital emphysema is the result of a fracture communicating with the paranasal sinuses. Medial blow-out fracture is the second most common type after the inferior type, which occurs through the lamina papyracea.