To present a case of a 56 y.o. male with maxillo-facial trauma after falling from heights and the possibility to choice the treatment tactics based on CT volume calculation. Material and methods. Patient N., 56 years old, came to the clinic 3 days after the injury - a fall from heights. During the examination in the clinic, the patient did not have visual impairments and difficulties in eye movement. We performed MSCT of the maxillofacial region, which revealed radiological signs of fractures of the lower and lateral walls of the right orbit. In order to determine further treatment tactics for this patient (sur-gical treatment or conservative therapy), the authors performed additional processing of MSCT data in order to obtain clarifying diagnostic information. Results. The authors performed the calculation of orbital volumes and confirmed the possible minimal risk of post-traumatic complications such as enophthalmos and hy-pophthalmos. It was decided to treat the patient conservatively. The long-term follow-up MSCT study confirmed the correct management of a patient with orbital trauma in terms of restoration of the right orbit walls with minimal volumetric change. Conclusion. This case highlights the advantage of using new techniques of CT data processing in daily practice. © 2021 Russian Electronic Journal of Radiology. All rights reserved.