Orbital Roof Fracture Surgery

Titanium meshes and bone grafts are radiopaque.

Orbital roof fracture surgery.

Treatment of orbital fracture if there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.

Approaches include extracranial intracranial and endonasal endoscopic. The following pages provide general information regarding orbital anatomy and dissection. If signs of muscle entrapment e g. Treating the fracture eye socket fractures don t always require surgery.

Once the orbital floor is exposed periorbital dissection is performed. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. 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. 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.

An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. Levator dysfunction are seen surgery may be required. 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. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts.

The approach used is determined by the surgical needs of the patient. In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a. Surgery for orbital. Most can be safely observed.

Surgical intervention in the case of isolated orbital roof fractures is uncommon. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon.