Orbital Roof Fracture Management

However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.

Orbital roof fracture management.

In cases of minor isolated orbital roof fractures where no surgical intervention is needed the patient. 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. 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. Most can be safely observed.

The approach used is determined by the surgical needs of the patient. Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. Mazzoli highlighted this contingency in children because roof fractures are much more common for them than for adults. Approaches include extracranial intracranial and endonasal endoscopic.

Another potential emergency involves the roof not the floor of the orbit. A ct may already be appropriate due to a mechanism of injury or red flags for a head injury. Management of orbital roof fractures varies based on individual clinical features including the presence of exophthalmos gaze restriction and concomitant injuries such as dural tears. After a thorough ophthalmic exam and after other trauma has been ruled out the patient and physician.

That s because they go headfirst over handlebars and tend to do a forehead plant. Surgically bicoronal approaches were performed most commonly along with reconstruction utilizing titanium miniplates.