Orbital Roof Fracture Surgery

Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon.

Orbital roof fracture surgery.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture. Treatment of orbital fracture if there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for.

Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. This frequently causes downward and forward displacement of the globe. 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.

If signs of muscle entrapment e g. 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. Treating the fracture eye socket fractures don t always require surgery. Surgical intervention in the case of isolated orbital roof fractures is uncommon.

Access to the roof may be gained through a superior lid crease approach. Approaches include extracranial intracranial and endonasal endoscopic. Levator dysfunction are seen surgery may be required. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts.

Titanium meshes and bone grafts are radiopaque. Most can be safely observed. The approach used is determined by the surgical needs of the patient. Surgery for orbital.

In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a. 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. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.