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This man was admitted as an emergency case following facial trauma caused by a compressed gas cylinder explosion. The patient was conscious on arrival at hospital. On examination he was found to have sustained a wound to the left nasogenian region of his face, he had extensive injuries to his left eye which he was unable to move and he had extensive bruising and facial oedema to the whole left side of his face. The patients' mucous membranes were noted to be moist on initial examination. Image (A) shows his extensive facial injuries at arrival and Image (B) shows a CT scan of the patients' facial fractures and orbit injuries. The patient required a left ocular extraction; following which he made a good clinical recovery.