Abstract

Abstract Forty-two blowout fractures of the orbital floor seen at San Francisco General Hospital in 1970 are described. Because these fractures are frequently undiagnosed, the diagnostic signs and symptoms are stressed. All patients with periorbital trauma, a cloudy maxillary sinus, arid clinical evidence of limitation of ocular motion should have tomograms, even if no fracture is seen on the Water's view. This method has enabled us to increase our diagnostic accuracy and decrease the incidence of post-traumatic enophthalmos and diplopia.

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