Discuss the major fracture patterns of the orbital skeleton. Identify surgically relevant and emergent patterns of orbital fractures. Describe the expected and unexpected imaging features after surgical repair of orbital walls.

Fractures of the orbit account for 10 to 25% of all cases of facial fractures and are most commonly seen in conjunction with assaults and motor vehicle accidents. They deserve special consideration because surgical or observational management may result in compromise to vision. Orbital fractures can occur in isolation, but they are also commonly associated with other maxillofacial injures involve the orbit, like Le Fort II and III fractures, zygomaticomaxillary complex (ZMC) fractures, and nasoorbitoethmoid (NOE) fractures. Most surgeons describe the orbital fracture according to...

IMAGING CT imaging in trauma patients remains the gold standard for detecting and evaluate orbital fractures. Imaging of the entire face is recommended as concomitant facial fractures are commonly seen. Axial, coronal, and sagittal images (slice thickness 1,25 mm), and three-dimensional (3D) rendering is recommended. The medial and lateral wall fractures are best visualized in a bone window axial view. Axial images can be also used to evaluate the fractures involving the zygomaticomaxillary complex. The sagittal view may be helpful in assessing orbital floor and...

An understanding the common orbital fracture patterns, and their surgical relevance in order to aid the communication between radiologist and surgeon. Knowledge of orbital fracture treatment is required to provide surgeons with meaningful reports when interpreting postoperative CT scans.

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