Radiological Insights of a Complex Orbital Blow-Out Fracture

Cureus. 2024 Nov 30;16(11):e74804. doi: 10.7759/cureus.74804. eCollection 2024 Nov.

Abstract

CT is the gold standard for evaluating orbital trauma, providing rapid and detailed imaging of bony structures, soft tissue, and the globe. This is crucial in assessing orbital trauma due to its potential to cause significant impairment of ocular function. This case report presents a 35-year-old male who was admitted to the emergency department with a complicated left orbital blow-out fracture following blunt facial trauma. Initial assessment revealed symptoms of diplopia, periorbital discoloration, and orbital tenderness, which prompted further investigation through diagnostic imaging. CT imaging of the facial bones played a key role in confirming the diagnosis and detailing the extent of both bony injury and soft tissue involvement. These findings underscore the value of CT in evaluating the complexity of the injury, predicting potential complications, and guiding surgical and medical management by the care team.

Keywords: assault incident; blowout; facial trauma management; horizontal diplopia; orbital floor blowout fracture; orbital trauma surgery.

Publication types

  • Case Reports