Orbital Roof Fracture Management

Investigation of orbital fractures is by x ray and ct with ct being the modality of choice though it can be unreliable in children with blowout fractures.

Orbital roof fracture management. Surgically bicoronal approaches were performed most commonly along with reconstruction utilizing titanium miniplates. After a thorough ophthalmic exam and after other trauma has been ruled out the patient and physician. Another potential emergency involves the roof not the floor of the orbit. Even in the context of floor fractures dr.

The approach used is determined by the surgical needs of the patient. That s because they go headfirst over handlebars and tend to do a forehead plant. Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. In cases of minor isolated orbital roof fractures where no surgical intervention is needed the patient.

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. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. 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.

Approaches include extracranial intracranial and endonasal endoscopic. Most can be safely observed.