Orbital medial wall and floor blow-out fracture

Case contributed by Shervin Sharifkashani
Diagnosis certain


Facial trauma and left orbital pain and limitation of the left eye movement.

Patient Data

Age: 55 years
Gender: Male

Left orbital floor and medial wall blow-out fracture with fat and inferior oblique muscle fascia herniation within the fracture gap, preseptal, and lacrimal gland soft tissue swelling, and left eye no native lens are seen. Hemorrhage within left side ethmoid and maxillary sinuses is seen.

Case Discussion

The case illustrates the non-contrast MDCT feature of inferior oblique muscle fascia entrapment within the orbital floor blow-out fracture gap which is an uncommon finding and leads to dysmotility of the corresponding eye

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