Orbital blow-out fracture and extraconal hematoma

Case contributed by Dr Shervin Sharifkashani

Presentation

Facial trauma, right orbital pain, and right eye upward gaze limitation.

Patient Data

Age: 15 years
Gender: Male

Right orbital floor blow-out fracture with extraconal hematoma interposed the inferior rectus muscle and orbital floor and partially encased this muscle and inferior oblique muscle tendon with maxillary sinus hemorrhage are seen. Minimally displaced fracture in the right orbital medial wall adjacent to the floor with ethmoid sinus hemorrhage is noted. Right preseptal soft tissue swelling and exodeviation of the right eye are seen. 

Case Discussion

This is a rare case of orbital floor blow-out fracture  and extraconal hematoma interposed the inferior rectus muscle and the floor which has led to the dysfunction of the muscle.

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