J Korean Ophthalmol Soc.  1970 Sep;11(2_3):11-13.

Orbital Roof Fractures

• Hahn DK
• Yook KW
• Kwon DM

Abstract

These days often find facial frrctures in those patients who involved in an autoaccident. Recently we had a 80 years old male patient who was injured in an auto-accident. He was found to have a bad laceration of the skin right above the left brow with associated intensive apin which was not relieved with analgesics and severe nasal bleedings. Routine skull X-rays only showed right maxillary fracture with a good alignment. The skin laceration was sutured primarily, but his pain above the left brow was steady for several days. The Waters wiew showed a left orbital roof rfactures beautifully. In past one of us had a different experience. We had a patient who had a severe bleeding from right eye brow. The Waters view showed orbital roof fractures but we didn't pay any attention on the dural laceration. Later he was found to have a dural laceration and leakage of cerebrospinal fluid mixed with hemorrhage. The purpose of this paper is to remind that we should include waters view in addition to the routine skull series in those patients who were involved in an auto-accident, and that we should rule out a dural laceration in those patients who have bleedings above the eye.

MeSH Terms

Aged, 80 and over
Analgesics
Cerebrospinal Fluid
Epistaxis
Hemorrhage
Humans
Lacerations
Male
Maxillary Fractures
Orbit*
Skin
Skull
Analgesics