Orbital Roof Fracture Repair

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

Orbital roof fracture repair.

In majority of the cases of orbital fracture the discoloration and swelling begin to subside within a week to 10 days after the injury has occurred. 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. Approaches include extracranial intracranial and endonasal endoscopic. Rates of open globe in with orbital roof fracture range from 4 9 5.

The orbital roofs were reconstructed using three dimensionally fabricated titanium micromesh plates and microscrews and the associated fractures were then repaired. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. Alternatively matrix midface screws can be used. If significant globe trauma is identified i e.

However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site. Treating the fracture eye socket fractures don t always require surgery. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. Fixation of most materials in the orbital roof is achieved by the use of one or more screws.

In addition to the formal ophthalmic exam a complete orbital exam is required. Most can be safely observed. 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. After neurologic repair the displaced orbital roof bone fragments were removed and optic nerve decompression was performed when a bone fragment compressed the optic nerve.

Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. The healing time of orbital fracture depends on the severity and location of the fracture. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Titanium meshes and bone grafts are radiopaque.

When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Fixation of orbital reconstruction material varies with the type and nature of the fracture. The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm.