PURPOSE: To describe the CT findings characterizing dehiscence of the
lamina papyracea. METHODS: Axial and coronal CT scanning of the parana
sal sinuses was performed on 783 patients. RESULTS: Dehiscence of the
lamina papyracea was noted incidentally in six patients. In all cases
dehiscence was characterized by protrusion of orbital fat through a ga
p in the anterior ethmoid. The posterior limit of the dehiscence was a
lways the basal lameIla. The anterior limit varied. CONCLUSION: CT sca
ns are often taken to detect polyps or assess chronic sinusitis. Aware
ness of dehiscence of the lamina papyracea is important to avoid misdi
agnosis as infectious or tumoral process and possible injury of the or
bit during endoscopic surgery.