Orbital Roof Fracture Surgery

Titanium meshes and bone grafts are radiopaque.

Orbital roof fracture surgery.

Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture. Approaches include extracranial intracranial and endonasal endoscopic. Treating the fracture eye socket fractures don t always require 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.

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. Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos.

The approach used is determined by the surgical needs of the patient. Treatment of orbital fracture if there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for. Levator dysfunction are seen surgery may be required. If signs of muscle entrapment e g.

Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. 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.

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. Once the orbital floor is exposed periorbital dissection is performed. Surgery for orbital.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Most can be safely observed.