The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Fracture of cheek
bone
Photo by Professor Chua
Chung Nen
This 48 year-old man fell off his bike four
days ago and suffered pain in the right cheek with hypoanaesthesia. The
skull X-ray was reported as normal. He was referred for an eye examination
because of some blurring of the right eye. The ocular examination including
ocular movement was normal. However, it was noted that the right cheek was
flatter than the left and the cheek was painful to touch. A review of the
X-ray showed dislocation of the right zygomatic bone. A CT scan confirmed
the finding. He was referred to the ENT surgeon and the bone was replaced.
Flattening of the right cheek compared
with the opposite side.
Plane X-ray showed dislocation of the
zygomatic bone (best seen in the left X-ray)
and asymmetrical orbital edges (best
seen in the right X-ray).
Reconstructed CT scan showing
dislocation of the zygomatic bone.
