Isolated medial blow-out orbital fracture: orbital and blepharal emphysema

Case contributed by Dr Chris O'Donnell


Playing rugby and fell onto opposition player's knee with contact to the left orbit. Now gross swelling and popping sensation in the orbit on nose blowing/Valsalva manoeuvre.

Patient Data

Age: 20
Gender: Male

Intact orbital floor with "blow out" to medial orbit leading to a fistula between the ethmoidal air cells and eyelids as well as the orbit with air seen inside the muscular cone adjacent to the optic nerve. Globe is intact.

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Case information

rID: 29864
Published: 28th Jun 2014
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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