Orbital emphysema

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

The patient is presented for urgent evaluation, he complains of direct trauma 3 days ago, there is a bony step-off palpated on the external examination of the inferior orbital rim

Patient Data

Age: 35 years
Gender: Male
x-ray

A lucent crescent is noted abutting the left orbital superior rim, mostly referring to an orbital fracture.

Case Discussion

The patient was advised to do a skull CT scan for further investigation. 

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