orbital floor fracture radiology

However common radiological findings of orbital blowout fractures include comminutedunhinged hinged and linear fractures. Inferior orbital fractures can be caused by direct facial trauma.


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Isolated orbital fractures most commonly involve the weak medial orbital wall or floor sparing the orbital rim lead to enlargement of the orbit and are known as blow-out.

. The orbital floor is weakest where it is often dehiscent along the infraorbital canal and groove. Left orbital floor fracture. Fractures of the orbit are common yet challenging to manage.

Common mechanisms include blunt trauma mainly from assault and motor vehicle accident. When evaluating a patient with an orbital injury the radiologist should. The best protocol is to obtain thin-section axial CT scans then to perform multiplanar reformation.

Isolated orbital fractures are encountered in 4-to-16 of all facial fractures and orbital fractures compose. Superior rim and orbital roof fractures occasionally occur particularly if the adjacent frontal sinus is well. The aim of this study was to compare the efficacy of plain films and computed tomography CT in defining inferior orbital fractures and any muscle involvement.

Orbital floor fractures OFF with entrapment require prompt clinical and radiographic recognition for timely surgical correction. Tripod fracture orbital radiology floor blowout vidalondon carpet svuhradiology ie. These fractures are usually located in the.

Tripod Fracture - Radiology At St. The orbital floor andor medial wall are most commonly involved. An orbital fracture is more severe when it keeps the eye from moving properly causes double vision or has repositioned the eyeball in its socket.

Bilateral frontal intraparenchymal hemorrhages. In this case the. No evidence of rectus muscle entrapment retrobulbar hemorrhage or proptosis.

Hemorrhage partially fills the left maxillary sinus. An orbital floor blow-out fracture with frank enophthalmos appears as a bulbous soft-tissue mass extending from the expected level of the orbital floor into the maxillary. Facial fractures can be identified by tracing the McGrigor-Campbell lines and Dolan lines.

Left orbital floor fracture is depressed by 35 millimeters. Contrary to popular belief the orbital floor is not horizontal in orientation but rather slopes upward toward its posterior aspect because of the conical shape of the orbit. Right orbital floor blow-out fracture with fat and inferior rectus muscle hernia within the fracture gap and both sides preseptal and lacrimal gland soft tissue swelling.

Orbital fractures are common occurring in 10-25 of all cases of facial fracture 1. The forces transmitted along this groove force bone fragments and soft tissues. Correct CT radiographic interpretation.

Vincents University Hospital wwwsvuhradiologyie. An orbital roof blow-out fracture may warrant a neurosurgery. Blow-out fractures are so named because of the tendency for soft tissue to herniate out of the orbit.


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