ePlasty: Vol. 20
Orbital Roof Blowout Fracture With an Intact Orbital Rim: A Case Report
Kun Hwang, MD, PhD,a and Se Yang Oh, MD, PhDb

aDepartment of Plastic Surgery, Inha University School of Medicine, Incheon, Korea; and bDepartment of Neurosurgery, Inha University Hospital, Incheon, Korea

Correspondence: jokerhg@inha.ac.kr
This study was supported by a grant from National Research Foundation of Korea (NRF-2020R1I1A2054761).
Keywords: orbital fractures, orbit, tomography, x-ray computed, craniotomy

Background: Fractures of the orbital roof not associated with fractures of the orbital rim are unusual. We describe the case of a blowout fracture of the orbital roof with an intact orbital rim, which was found after craniotomy for removal of epidural hematoma.

Case: A 64-year-old man was referred to our emergency department from a local hospital. He fell down from a 3-m stepladder while pruning branches of a tree. Brain computed tomographic scan revealed acute epidural hematoma in both frontal convexities, and he underwent craniotomy at the local hospital. On follow-up brain computed tomography, an orbital roof fracture with a displaced bony fragment and hemorrhage was noticed in the left superior extraconal space. Thereafter, he was transferred to our department.  .......