title: Orbital Roof "Blow-in" Fracture: A Case Report and Review.
abstract: 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.
authors.affiliation: Department of Radiology, St. Luke's Hospital of Kansas City, Kansas City, MO, USA.
authors.forename: Austin L
authors.initials: AL
authors.lastname: Jones
authors.forename: Kenneth E
authors.initials: KE
authors.lastname: Jones