Related Experiment Video
Updated: Jun 12, 2025
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Practical Approach to Orbital Lesions by Anatomic Compartments
Guilherme Gotti Naves1, Heytor José de Oliveira Cabral1, Helen Ribeiro de Oliveira1
1From the Department of Radiology, Head and Neck Section, Irmandade da Santa Casa de Misericórdia de São Paulo, R. Dr. Cesário Mota Júnior 112, Vila Buarque, São Paulo, SP 01221-010, Brazil (G.G.N., H.J.d.O.C., H.R.d.O., T.L.P.D.S., F.B.A.); Department of Radiology, Head and Neck Section, Grupo Fleury, São Paulo, SP, Brazil (T.L.P.D.S., H.B.Z., F.B.A.); Department of Radiology, Head and Neck Section, Hospital do Coração: São Paulo, São Paulo, Brazil (H.B.Z.); and Department of Radiology, Head and Neck Section, Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil (H.B.Z.).
Abstract:
A wide range of pathologic conditions can originate in the orbit. While it is common to approach the differential diagnosis based on disease categories, such as neoplastic and inflammatory, segmenting the orbit into anatomic compartments can direct the radiologist toward the most common pathologic conditions for each manifestation and space. The orbit can be divided into intraconal, conal, and extraconal compartments. Additionally, the optic nerve sheath complex and lacrimal apparatus can be partitioned into separate compartments due to their unique functions and pathologic features. By using this anatomic approach, the authors review the most common pathologic conditions affecting the orbit and discuss clinical and imaging findings that can guide the differential diagnosis for lesions with similar appearances. Published under a CC BY 4.0 license. Supplemental material is available for this article.
