Orbital Roof Fracture Management

The approach used is determined by the surgical needs of the patient.

Orbital roof fracture management.

Nondisplaced or minimally displaced orbital roof fractures are usually managed by observation but displaced orbital roof fractures can cause ophthalmic and neurologic complications and open surgical intervention is occasionally required. In cases of minor isolated orbital roof fractures where no surgical intervention is needed the patient. A ct may already be appropriate due to a mechanism of injury or red flags for a head injury. Another potential emergency involves the roof not the floor of the orbit.

Surgically bicoronal approaches were performed most commonly along with reconstruction utilizing titanium miniplates. Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. Even in the context of floor fractures dr. After a thorough ophthalmic exam and after other trauma has been ruled out the patient and physician.

Mazzoli highlighted this contingency in children because roof fractures are much more common for them than for adults. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Most can be safely observed. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.

Approaches include extracranial intracranial and endonasal endoscopic. 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.