This frequently causes downward and forward displacement of the globe.
Orbital roof ct.
2 article feature images from this case.
Pure superior blowout fractures without associated orbital rim fracture are uncommon.
Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture.
Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.
Contrast is not needed.
The ultimate diagnosis is made by computed tomography ct of the face.
They are usually seen in patients with pneumatization of the orbital roof 1 5.
Orbital process of the frontal bone orbital process of the zygomatic bone.
Orbital process of the frontal bone anterior superior portion lesser wing of the sphenoid postero medial portion inferior wall.
Mild surround frontal lobe edema.
Although sagittal sections are also helpful in some cases the axial images are less so.
Axial bone window large round bony mass protruding superior and medially from the left anterior cranial fossa floor.
Orbital fat and the medial rectus muscle may prolapse into the ethmoid air cells.
This fissure allows the passage to the nerves iii iv vi branches of the v 1 and ophthalmic veins.