Orbital Roof Fracture Surgery

The following pages provide general information regarding orbital anatomy and dissection.

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. Most can be safely observed. 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. This frequently causes downward and forward displacement of the globe.

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. Approaches include extracranial intracranial and endonasal endoscopic. Levator dysfunction are seen surgery may be required. Access to the roof may be gained through a superior lid crease approach.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. 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.

Surgery for orbital. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. If signs of muscle entrapment e g. The approach used is determined by the surgical needs of the patient.

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. Titanium meshes and bone grafts are radiopaque. 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. Surgical intervention in the case of isolated orbital roof fractures is uncommon.

However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Treating the fracture eye socket fractures don t always require surgery. Once the orbital floor is exposed periorbital dissection is performed.