Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-24T10:06:22.941Z Has data issue: false hasContentIssue false
  • English
  • Français

Subtle diagnostic markers of orbital floor blow-out fracture on coronal CT scan

Published online by Cambridge University Press:  29 June 2007

Julian M. Rowe-Jones ,
E. Jane Adam  and
Victoria Moore-Gillon
Julian M. Rowe-Jones*
Affiliation:
Departments of Otolaryngology, St George's Hospital and Medical School, London
E. Jane Adam
Affiliation:
Departments of Diagnostic Radiology, St George's Hospital and Medical School, London
Victoria Moore-Gillon
Affiliation:
Departments of Otolaryngology, St George's Hospital and Medical School, London
*
Mr J. M. Rowe-Jones, Department of Otolaryngology, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey
Get access Rights & Permissions [Opens in a new window]

Abstract

The sagittal plane, computerized tomography (CT) scan has been proposed as the most important radiological view in the diagnosis of orbital floor blow-out fractures. This view however is impractical and unnecessary. Direct, coronal plane CT scan with careful attention paid to the shape of the inferior rectus muscle and antral roof will successfully diagnose this traumatic condition, as in our reported case in which no other radiological abnormalities were present.

Keywords

Orbital fracturesTomography scannersX-ray computed
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 2 , February 1993 , pp. 161 - 162
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Goren, S. B., Strauss, R. B., Osbon, D. B. (1966) Blow-out fractures of the orbital floor. American Journal of Ophthalmology, 61: 893–895.CrossRefGoogle Scholar
Grove, A. S. (1979) Orbital trauma evaluation by computed tomography. Computerized Tomography, 3: 267–278.CrossRefGoogle ScholarPubMed
Hammerschlag, S. B., Hughes, S., O'Reilly, G. V., Naheedy, M. H., Rumbaugh, C. L. (1982) Blow-out fractures of the orbit: A comparison of computed tomography and conventional radiography with anatomical correlation. Radiology, 143: 487–492.CrossRefGoogle ScholarPubMed
Koornneef, L., Zonneveld, F. W. (1985) Orbital anatomy, the direct scanning of the orbit in three planes and their bearings on the treatment of motility disturbances of the eye after orbital ‘blowout’fractures. Acta Morphologica Nederland-Scandanavia, 23: 247–258.Google Scholar
Koornneef, L., Zonneveld, F. W. (1987) The role of direct multiplanar high resolution CT in the assessment and management of orbital trauma. Radiologic Clinics of North America 25 (4): 753–766.CrossRefGoogle ScholarPubMed
Kroll, M., Wolper, J. (1967) Orbital blow-out fractures. American Journal of Ophthalmology, 64: 1169–1172.CrossRefGoogle Scholar
Lund, E., Halaburt, M. (1982) Irradiation dose to the lens of the eye during CT of the head. Neuroradiology 22: 181–184.CrossRefGoogle Scholar
Lund, V. J. (1987) The orbit. In Scott-Brown's Otolaryngology: Vol. 5, Rhinology, 5th edition. (Mackay, I. S., Bull, T. R., eds.) Butterworths, London, p. 564.Google Scholar
Patterson, R. W., Depue, R. V. (1962) Blow-out fracture of the orbit. American Journal of Ophthalmology, 53: 841–845.CrossRefGoogle ScholarPubMed
Reeh, M. J., Tsujimura, J. K. (1966) Early detection and treatment of blow-out fracture of the orbit. American Journal of Ophthalmology, 62: 79–82.CrossRefGoogle Scholar
Siddle, K. J., Sim, L. H., Case, C. C. (1990) Radiation doses to the lens of the eye during computerized tomography of the orbit; a comparison of four modern computerized tomography units. Australasian Radiology, 34: 323–325.CrossRefGoogle Scholar
Tadmor, R., New, P. F. J. (1978) Computed tomography of the orbit with special emphasis on coronal sections: part 2, pathological anatomy. Journal of Computer Assisted Tomography, 2: 35–43.CrossRefGoogle ScholarPubMed
Yamamoto, Y., Sakurai, M., Asari, S. (1983) Towne (half-axial) and semisagittal computed tomography in the evaluation of blow-out fractures of the orbit. Journal of Computer Assisted Tomography, 7 (2): 306–309.CrossRefGoogle ScholarPubMed
Zononeveld, F. W., Koornneef, L. (1986) Patient positioning for direct sagittal CT of the orbit parallel to the optic nerve. Radiology, 158: 547–549.CrossRefGoogle Scholar