Because of the depth of the laceration we ordered a Head and | Figure 1

Because of the depth of the laceration we ordered a Head and Face CT scan. The scan showed 1) Left lateral and inferior orbital wall fracture which was severely comminuted and communicates with the open environment - involved the zygoma, inferior orbital wall minimally displaced involving the infra orbital canal. Orbital emphysema, nil unjury to the globe. 2) Fracture of the zygomatic arch in two places and fracture of the mandibular fossa of the temporal bone extending into the articulat surface of the TMJ 3) No intracranial haemorrhage.

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