Orbital Fractures

Orbit Anatomy

Orbit Anatomy

Our Patient, FK:

Menu of Radiologic tests for imaging suspected orbital fractures

Waters and Caldwell

Menu of Tests Cont.

Radiographic signs of orbital fractures

Our patient received facial plain films

Plain film- Waters View

Plain film - Caldwell View

Plain film - Lateral View

The facial plain films confirmed the clinical suspiscion of fracture.  A CT was obtained to better define the exact location of all fractures.

CT- Axial View
Depressed Fx Ant Maxillary Sinus

CT- Axial Views
Depressed fx ant maxillary sinus

CT- Axial View
Lateral Wall Right Orbit Fx

CT- Axial View
Lateral Wall of Right Orbit Fx

CT-Axial Views
Additional cuts to determine extent of fracture

DISCUSSION
Orbital fractures

Types of Orbital Fractures

Mechanism

Types of Orbital Fractures

LeFort and tripod fractures

Let’s look at a number of different CT’s from patients with orbital trauma.

Hematoma

Medial Rectus Thickening

Medial Wall Blowout

Medial Wall Orbital Floor Blowout

Trapdoor

Tripod Fracture

Treatment

In Summary

References

Acknowledgements