الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
soft tissue structures including the eye ball .this is especially important when an accurate clinical examination and history are limited because of soft tissue swelling superimposed craniofacial injury or impaired neurological status.
The creation of 3D images is relatively straight forward from multidetector CT source images and has been shown to aid in the diagnosis and management of complex, multiplanar facial injuries.
This study was conducted on 50 patients with orbital and maxillary trauma; 38 male and 12 females with age ranging from 5 to 60 years .All patients underwent complete history taking and full ophthalmic examination then C.T examination of the orbit was done for all patients . The male to female ratio was 3.1:1 and the most affected age occurred in 31-40 Ys age group in males and in the 21-30 Ys age group in females.
Car accident represents the most common cause (78%) followed by motor cycle accident (58%).
The clinical presentations of our patients were widely variable. Periorbital swelling was the most common presentation (50%) followed by pain (20 %).
Most of our patients (60%) were presented with combined orbital and maxillary trauma, 32% had isolated orbital trauma and 8% had isolated maxillary trauma .Orbital trauma was previously classified into bony orbital fractures and soft tissue injuries.
Forty six of our patients had orbital trauma, 32 (66.6 %) of them had combined bony and soft tissue injuries, 8 (17.3%) had isolated bony fractures and 6 (12.5%) had isolated orbital soft tissue injuries.
Multiple fractures were common findings in orbital trauma (60%). Orbital floor was the commonest type (70%), followed by lateral wall fracture (50%). The least common site of fracture was the orbital roof (30%).
Symmmary
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Orbital emphysema was the commonest (56%) in orbital soft tissue injuries followed by preseptal edema (44%).
Thirty four(68%) of our patients had maxillary trauma .10 (20%)were typical for Leforte fracture and 24(48%)were atypical maxillary fracture Orbital trauma often involve neighboring parts due to its anatomic site in a complex anatomic area (mid face region). 76% is had associated paranasal sinus injury.