Title: Facial trauma visual diagnosis<br/>
Author: Robert Flint<br/>
<a href='mailto:rflint@som.umaryland.edu'>[Click to email author]</a><hr/>
Link: <a href='https://umem.org/educational_pearls/4544/'>https://umem.org/educational_pearls/4544/</a><hr/><p>Patient struck in left eye. The patient was asked to look up during exam and this is the finding. What imaging modality would you order if so inclined, what is the injury, and what is the disposition/plan? </p>
<p><img src="https://umem.org/files/uploads/content/pearls/Girl-with-blowout-fracture-of-the-left-orbit-and-enophthalmos_Q320-668adcc5dca2f.jpg" alt="" /></p>
<p>Concern for a left orbital “blowout” fracture with muscle entrapment. Also called the trapdoor fracture. CT is the imaging modality of  choice not plain films. This injury requires emergent consultation with a face surgeon (plastics, ENT or oculoplastics.).  Right orbital fracture in the photo below. </p>
<p><img src="https://umem.org/files/uploads/content/pearls/gr1_(2)-668ade5e780f0.jpg" alt="" /></p>
<fieldset><legend>References</legend><p>1.https://www.researchgate.net/figure/Girl-with-blowout-fracture-of-the-left-orbit-and-enophthalmos_fig1_351847537</p>
<p>2.|The Lancet.  <a href="https://www.thelancet.com/journals/lancet/issue/vol395no10221/PIIS0140-6736(20)X0005-5">VOLUME 395, ISSUE 10221</a>, P370, FEBRUARY 01, 2020</p>
<h2>Football causes orbital trapdoor fracture with restricted eye movement</h2>
<p><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)33223-4/abstract#">Paul Geraeds Kemps, BSc</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)33223-4/abstract#">Michaël Herman Frank, MD</a></p>
<p>Published:  February 01, 2020DOI:<a href="https://doi.org/10.1016/S0140-6736(19)33223-4">https://doi.org/10.1016/S0140-6736(19)33223-4</a></p>
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