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复杂眶底爆裂骨折的影像学见解

Radiological Insights of a Complex Orbital Blow-Out Fracture.

作者信息

Ali Dania, Najim Omar, Wojciechowski Artur

机构信息

Radiology, NHS, London, GBR.

Trauma and Orthopedics, Broomfield Hospital, London, GBR.

出版信息

Cureus. 2024 Nov 30;16(11):e74804. doi: 10.7759/cureus.74804. eCollection 2024 Nov.

Abstract

CT is the gold standard for evaluating orbital trauma, providing rapid and detailed imaging of bony structures, soft tissue, and the globe. This is crucial in assessing orbital trauma due to its potential to cause significant impairment of ocular function. This case report presents a 35-year-old male who was admitted to the emergency department with a complicated left orbital blow-out fracture following blunt facial trauma. Initial assessment revealed symptoms of diplopia, periorbital discoloration, and orbital tenderness, which prompted further investigation through diagnostic imaging. CT imaging of the facial bones played a key role in confirming the diagnosis and detailing the extent of both bony injury and soft tissue involvement. These findings underscore the value of CT in evaluating the complexity of the injury, predicting potential complications, and guiding surgical and medical management by the care team.

摘要

CT是评估眼眶外伤的金标准,能对骨骼结构、软组织和眼球进行快速且详细的成像。这对于评估眼眶外伤至关重要,因为眼眶外伤有可能导致严重的眼功能损害。本病例报告介绍了一名35岁男性,因面部钝器伤导致左侧眼眶爆裂性骨折而被收入急诊科。初步评估发现复视、眶周淤血和眼眶压痛等症状,这促使通过诊断性成像进行进一步检查。面部骨骼的CT成像在确诊以及详细显示骨损伤和软组织受累程度方面发挥了关键作用。这些发现强调了CT在评估损伤复杂性、预测潜在并发症以及指导医疗团队进行手术和药物治疗方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ffa/11684542/f9b23c3105d7/cureus-0016-00000074804-i01.jpg

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