Orbital Roof Fracture Surgery

Approaches include extracranial intracranial and endonasal endoscopic.

Orbital roof fracture surgery.

When the inner table of the orbital roof is not involved and there is no dural tear the orbital fracture can be accessed by superior orbitotomy. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.

When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Access to the roof may be gained through a superior lid crease approach. Orbital roof fractures are frequently associated with a high energy impact to the craniofacial region and displaced orbital roof fractures can cause ophthalmic and neurologic complications and occasionally require open surgical intervention. Surgical intervention in the case of isolated orbital roof fractures is uncommon.

Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture. Treatment of orbital fracture if there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for. Once the orbital floor is exposed periorbital dissection is performed. Surgery for orbital.

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. The approach used is determined by the surgical needs of the patient. Most can be safely observed. Levator dysfunction are seen surgery may be required.

Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. If signs of muscle entrapment e g. In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.

Titanium meshes and bone grafts are radiopaque. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. This frequently causes downward and forward displacement of the globe.