Orbital Roof Fracture Surgery

If signs of muscle entrapment e g.

Orbital roof fracture surgery. Surgical intervention in the case of isolated orbital roof fractures is uncommon. The following pages provide general information regarding orbital anatomy and dissection. In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a. Titanium meshes and bone grafts are radiopaque.

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. Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture. Once the orbital floor is exposed periorbital dissection is performed.

Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. The approach used is determined by the surgical needs of the patient. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. Access to the roof may be gained through a superior lid crease approach.

This frequently causes downward and forward displacement of the globe. Treating the fracture eye socket fractures don t always require surgery. Treatment of orbital fracture if there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for. Most can be safely observed.

However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. Levator dysfunction are seen surgery may be required. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.

Approaches include extracranial intracranial and endonasal endoscopic. Surgery for orbital. 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.