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J Radiol Case Rep. 2009;3(12):25-30. doi: 10.3941/jrcr.v3i12.363. Epub 2009 Dec 1.

Orbital Roof "Blow-in" Fracture: A Case Report and Review.

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Department of Radiology, St. Luke's Hospital of Kansas City, Kansas City, MO, USA.


We report a relatively rare case of an essentially isolated orbital roof "blow-in" fracture in a pediatric patient. A 13-year-old male presented with headache and nausea following blunt facial trauma sustained during a skate boarding accident. CT head revealed soft tissue swelling and an abnormal bony density in the superior, posterior right orbital region. Follow-up CT orbits revealed a comminuted orbital roof "blow-in" fracture with involvement of the ethmoid air cells and two tiny foci of intracranial air. Expert consultation revealed normal ophthalmologic and neurologic examination; conservative management was recommended. The case report is followed by a brief overview of orbital fractures including pertinent radiographic considerations.


CT head; CT orbits; Superior orbital fracture; computed tomography; orbital roof “blow-in” fracture

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