Post-traumatic deformity of the medial orbital wall

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Incidental finding on a CT of the pyramids performed for cholesteatoma. The patient had been hit in the face with a baseball bat 3 years earlier.

Patient Data

Age: 35
Gender: Male

Herniation of orbital soft tissue into the left ethmoid. Left maxillary sinusitis and bilateral prominent Haller cells.

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