ABSTRACT
The most appropriate way to image middle-third fractures with plain radiographs are with occipitomental views, and lateral facial bone views. An OPT radiograph is better for imaging the mandible. The orbital floor, followed by the medial orbital wall, is the weakest area of the orbital cavity. Isolated orbital roof fractures are rare. Injuries of the orbital roof occur more commonly with associated frontal bone fractures. Nasal fractures should be treated after the associated soft-tissue swelling has subsided, so that any degree of deformity can be better assessed. Ideally, the fractures are best treated at 7-14 days; after this period the bony fragments become less mobile and more problematic to treat.
